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October 29, 2002
The National Academies, Room 100
500 5th St., NW
Washington, D.C.
8:00 to 8:30 a.m. Continental Breakfast
8:30 to 10:30 a.m. Changing Provider Behavior/Practices
Introduction:
Tom Smith
The Structure of Breast Cancer Care:
- What are the barriers to providing psychosocial services in the current delivery system?
- How can care systems be designed to incorporate psychosocial service providers (e.g., multidisciplinary team approaches, links to community-based providers)?
Discussion Leader:
Nina Bickell
The Role of Guidelines:
- What is the status of guidelines in the U.S.?
- How should they be designed and implemented?
- What is the potential for guidelines to change practice?
Discussion Leader:
Roger Winn
Quality Assurance:
- What quality assurance initiatives might be considered to improve the delivery of psychosocial services?
- How has measurement of patient satisfaction with breast cancer care within managed care affected practice?
- Could indicators of psychosocial care be incorporated into these efforts?
- How can national goals for improved psychosocial care be achieved?
Discussion Leaders:
Anne Monroe and Bonnie Teschendorf
Consumer Roles and Perspectives:
- How can consumers affect changes in practice?
Discussion Leader:
Christine Brunswick
10:30 to 10:45 a.m. Break
10:45 a.m. to 12:30 p.m. Improving Professional Education/Training
Panel Discussion with Participants:
- Who provides (or should provide) psychosocial interventions?
- How adequate is their training?
- What new training opportunities are needed?
- How can we assess the effectiveness of training?
Discussion Leader:
Jimmie Holland
Panel:
Roger Winn (physician perspective)
Jamie Ostroff (psychologist and research perspective)
Betty Ferrell (nursing perspective)
Carolyn Messner (social work perspective)
12:30 to 1:30 p.m. Lunch Available
1:30 to 3:00 p.m. Reducing Individual Barriers--Social Stigma, Economic, Racial, Ethnic, Cultural, Language, and Other Barriers
Speakers:
Alicia Matthews
Carolina Hinestrosa (Reducing Social Stigma)
Discussion leader:
Jimmie Holland
3:00 to 3:15 p.m. Break
3:15 to 4:45 p.m. Addressing Coverage and Payment Issues
- How are psychosocial and mental health services paid for?
- How do reimbursement issues limit access to services (e.g., limits set by managed care)?
- Are there reimbursement models to emulate?
Speaker:
Richard Frank (overview)
Panelists:
Psychiatrist, David Wellisch
American Psychological Association (APA), Rus Newman, Practice Directorate
Centers for Medicare and Medicaid Services (CMS), Steve Purrough and Ken Simon
Health Insurance Association of America (HIAA), Henry Desmarais
American Association of Health Plans (AAHP), Carmella Bocchino
Discussion Leader:
Ellen Stovall
4:45 to 5:30 p.m. Wrap-up—Future Directions, Policy Options, Recommendations
Discussion Leaders:
Tom Smith and Diana Petitti
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