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University of Best Practices

* The views and content expressed in documents by presenters to the Department of Managed Health Care should not be interpreted as an endorsement by the Department.

The University of Best Practices is a monthly forum that brings together medical, pharmacy, and quality improvement leaders to dialog about heart attack and stroke prevention strategies. The San Diego University of best practices was launched in February 2011, and then replicated in Sacramento in July 2012, and in Los Angeles in April 2013. (For more information, see the University of Best Practices.)

Presentations from our most recent meetings are posted on our partner site *

Below are meetings prior to June 2013 in chronological order.

May 13, 2013, Sacramento -- Stanford "Stroke Squad"

  • Trend-Bending Stroke Care: Reengineering Preventive and Hospital Care to Lower Healthcare Spending--Stanford Clinical Excellence Research Center Fellows: Jared Conley, MPH; Lucy Kalanithi, MD, FACP; & Waimei Amy Tai, MD (Mentor: Arnold Milstein, MD, MPH) (PDF) (PowerPoint)

April 22, 2013, Los Angeles– Inaugural Event

  • Working Towards a Heart Attack and Stroke Free Zone--Anthony DeMaria, MD, Editor-In-Chief, Journal of the American College of Cardiology; Chair, San Diego Right Care University of Best Practices; Judith and Jack White Chair in Cardiology, UCSD School of Medicine (PDF) (PowerPoint)
  • The Right Care Initiative Model: A Statewide Effort to Improve Cardiovascular and Diabetes Care--Carol Mangione, MD, MSPH, Barbara A. Levey & Gerald S. Levey Endowed Chair Professor of Medicine & Health Policy and Management, David Geffen School of Medicine at UCLA & UCLA Fielding School of Public Health (PDF) (PowerPoint)
  • HSAG of California’s Reducing Cardiovascular Disparities Project--Mary Fermazin, MD, MPA, HSAG of California Chief Medical Officer (PDF) (PowerPoint)

April 8, 2013, Sacramento - Northern CA Veteran's Affairs

  • VA's PACT (Patient Aligned Care Team) Initiative--Bill Cahill, MD, MBA, Chief of Staff, VA Northern California Health Care System (PDF) (PowerPoint)

March 11th, 2013, Sacramento - P4P, Team Care, and Patient Activation

  • Integrated Health Care Association Pay 4 Performance Overview--Don Hufford, MD, Chief Medical Officer, Western Health Advantage (PDF) (PowerPoint)
  • A Team-based Approach to Diabetes Care for Chinese patients with Diabetes: Applying Lessons from Bodenheimer's Health Coach Model--Susan L. Ivey, MD, MHSA, Right Care Initiative Co-Principal Investigator & Research Director, Health Research for Action, UC Berkeley School of Public Health (PDF) (PowerPoint)
  • Implementation of Stanford Chronic Disease Self-Management Program (CDSMP) and “Your Life! Your Health!” Migrant Worker Outreach--Heidi Mazeres, Education Services Manager, Woodland Healthcare & Carol Brehmer, Acting Manager, Occupational Health and Business Development, Woodland Healthcare (PDF) (PowerPoint)

March 4, 2013, San Diego – Integrating Clinical Pharmacists

  • Maximizing Integration of Clinical Pharmacists in Chronic Disease Management: Model from the Department of Veterans Affairs. Anthony P. Morreale, PharmD, MBA, BCPS, FASHP, Assistant Chief Consultant for Clinical Pharmacy Services and Healthcare Delivery Services Research, Department of Veterans Affairs. (PDF) (PowerPoint)

February 11, 2013, Sacramento – Hypertension & Diabetes Care Management

  • “Measure Up, Pressure Down” AMGA Hypertension Management Campaign--Jerry Penso, MD, MBA, Chief Medical Officer, American Medical Group Association (PDF) (PowerPoint)
  • "Sutter Heath Sacramento Sierra Region (SHSSR) Diabetes Education and Telemanagement Program" -- Kimberly Buss, MD, MPH, SHSSR Diabetes Medical Director & Jan Van der Mei, RN, MS, SHSSR Director of Continuum Care Case Management (PDF) (PowerPoint)

February 11, 2013, San Diego – Million Hearts Campaign

  • Million Hearts: Changing the Heart Health of the Nation Together--Janet Wright, Director, CDC Million Hearts Campaign (PDF) (PowerPoint)

January 7, 2013, Sacramento – Pharmacists on the Care Team

  • Pharmacist Use at Mercy Medical Group--Marilyn Stebbins, PharmD, Director of Pharmacy, Mercy Medical Group and Health Sciences Clinical Professor of Pharmacy, UCSF (PDF) (PowerPoint)
  • Medication Therapy Management Services Provided by Pharmacists and Student Pharmacists in Ambulatory Care Clinics--Tim Cutler, PharmD, CGP, Director, Associate Professor of Clinical Pharmacy & Director of Sacramento Experiential Program, UCSF School of Pharmacy; Clinical Pharmacist, UC Davis Medical Center (PDF) (PowerPoint)
  • National Use of the Pharmacist on the Care Team in Community Settings--Rebecca Cupp, RPh, Vice President of Pharmacy, Ralph's Grocery Company (PDF) (PowerPoint) Note: Full slide set not posted--to learn more, contact Rebecca Cupp as noted in linked slides.

January 7, 2013, San Diego – Assessing Cardiovascular Risk

  • It Takes a Village to Eradicate Heart Disease--John A. Osborne, MD, PhD, FACC, Director & Founder of State of the Heart Cardiology. (PDF) (PowerPoint)

December 10, 2012, Sacramento – Team Based Care

  • Components of High-Performing Teams in Primary Care—Tom Bodenheimer, MD, Adjunct Professor, UCSF School of Medicine, Department of Family and Community Health (PDF)
  • Local Example from UC Davis Health System—Bridget Levich, MSN, CDE, Director of Chronic Disease Management (PDF) (PowerPoint)

December 3, 2012, San Diego – Community Transformation Grant

  • Live Well, San Diego: A Strategy for a Healthy, Safe and Thriving San Diego County—Presented by the San Diego Health and Human Services Agency: Nick Machionne, Director, Wilma J. Wooten, MD, MPH, Public Health Officer, & Nicholas “Dr. Nick” Yphantides, MD, MPH, Chief Medical Officer (PDF) (Powerpoint)

November 19, 2012 , Sacramento- Medication Protocols

  • Heart Attacks and Stroke Prevention difficult? How to make it ALL so easy! — Jim Dudl, MD, Clinical Lead, Kaiser Permanente Care Management Institute (PDF) (Powerpoint)
  • Local Example from Mercy Heart and Vascular Institute Heart Smart Program — Joyce Higley, RD, Director, Mercy Heart and Vascular Institute (PDF) (PowerPoint)

November 5, 2012, San Diego- Personalized Health

  • Attacking the Driver of Increased Stroke, Heart Disease, and Diabetes —Dr. Larry Smarr, Director, California Institute for Telecommunications and Information Technology (Calit2); Harry E. Gruber Professor, Dept. of Computer Science and Engineering, Jacobs School of Engineering, UCSD (PDF) (Powerpoint)

October 1, 2012 – Statewide Right Care Summit

5th Annual Dean's Right Care Cardiovascular Disease and Diabetes Leadership Summit

  • Review of Metrics Progress on Right Care Initiative Targets for Blood Pressure, Lipids and Blood Sugar Control & Update on “Let’s get Healthy CA” and “The Berkeley Forum”—Stephen Shortell, PhD, MPH, MBA, Dean, UC Berkeley School of Public Health (PDF) (Powerpoint)

See list of all summit presentations with links to PowerPoint slides.

September 10, 2012, Sacramento – Cardiovascular Disease in Women

  • Effectiveness-Based Guidelines for Heart Disease Prevention in Women—Dr. Amparo C. Villablanca, MD, Professor, Cardiovascular Medicine & Director, Women’s Cardiovascular Medicine Program, University of California, Davis (PDF) (Powerpoint) (Video 1) (Video 2) (Video 3)

September 10, 2012, San Diego – Federal Quality Initiatives

  • QIO (Quality Improvement Organization) Update on Federal Initiatives—Mary Fermazin, MD, MPA, Chief Medical Officer, HSAG (Health Services Advisory Group) CA (PDF) (Powerpoint)

August 13, 2012, Sacramento – Quality Improvement Guidelines

  • American Heart Association/American Stroke Association Get with the Guidelines—Dr. Sean Ameli, MD, & Laura King Hahn, Regional Director, Quality Improvement Initiative (PDF) (Powerpoint)
  • California Public Health Department Stroke Registry—Caroline Peck, MD, Chief, Chronic Disease Control Branch (PDF) (Powerpoint)
  • Quality Improvement Organization Update on Federal Initiatives, Mary Fermazin, MD, MPA, Chief Medical Officer, HSAG (PDF) (Powerpoint)

August 6, 2012, San Diego – Healthcare Innovation Challenge Award

  • Sustainable High-Utilization Team Model—Dr. Rodney Hood, Local Principal Investigator and MultiCultural Primary Care Medical Group Director & Paul Hernandez, MBA, Program Director (PDF) (Powerpoint)

July 9, 2012, Sacramento – Introductions & CVD Prevention Science

  • Introduction by Sacramento University of Best Practices Co-Chairs—Dr. Parag Agnihotri, MD, Medical Director, Mercy Medical Group & Dr. Jose Alberto Arevalo, MD FAAFP, Senior Medical Director, Sutter Independent Physicians (PDF) (PowerPoint)
  • Working Toward a Heart Attack and Stroke Free Zone: The science behind aggressive heart attack and stroke prevention and a community effort in San Diego—Anthony DeMaria, MD, Chair, San Diego Right Care University of Best Practices; Judith and Jack White Chair in Cardiology, UCSD School of Medicine; Editor-In-Chief Journal of the American College of Cardiology (PDF) (PowerPoint)
  • (Video 1) (Video 2) (Video 3) (Video 4) (Video 5)

July 2, 2012, San Diego – Promotores (Community Health Workers)

  • The Integration of Promotores in in Promoting Solutions in Reducing CVD and Stroke—Maria Lemus, Executive Director, Vision y Compromiso (PDF)

June 4, 2012, San Diego – Medication Protocols

  • Applying Evidence-Based Therapies for Preventing and Treating Cardiovascular Disease: Role of Systems of Care—Gregg C. Fonarow, MD, FACC, FAHA; Eliot Corday Professor of CV Medicine and Science; Director, Ahmanson-UCLA Cardiomyopathy Center; Co-Director, UCLA Preventive Cardiology Program; Co-Chief, UCLA Division of Cardiology (PDF)

June 4, 2012, San Diego – Care Systems

  • Applying Evidence-Based Therapies for Preventing and Treating Cardiovascular Disease: Role of Systems of Care—Gregg C. Fonarow, MD, UCLA Cardiology (PDF)

May 7, 2012, San Diego – Community Collaboration

  • Community Collaboration and Health Activism—Wells Shoemaker, MD, Medical Director, CAPG (PDF) (Powerpoint)

March 5, 2012, San Diego – Research to Practice

  • Using research and innovation to reduce stroke and heart attack in San Diego: Next steps—John Ovretveit, Director of Research, Professor of Health Innovation and Evaluation, Karolinska Institutet, Stockholm, Sweden (PDF) (Powerpoint)

February 6, 2012, San Diego - Adherence

January 9, 2012, San Diego - Community Engagement

  • San Diego Organizing Project - Hannah Gravette, Community Organizer (PDF) (PowerPoint)

November 7, 2012 & December 5, 2012, San Diego - Local Data

  • Closed sessions for data agreement presentations and discussions.

October 3, 2011, Statewide Right Care Summit

4th Annual Dean's Right Care Cardiovascular Disease and Diabetes Leadership Summit

  • Right Care Initiative Metrics: Progress and Opportunities—Carol M. Mangione, MD, MSPH, Principal Investigator, National Institutes of Health- Heart Lung and Blood Institute grand Opportunity Grant (PDF) (PowerPoint)

See list of all summit presentations with links to PowerPoint slides

September 12, 2011, San Diego - Physician Coaching

  • Strategies to Improve the Care of Patients with Diabetes and Vascular Disease--Dr. Bruce D. McCarthy, MD, MPH, President, Physician Division Columbia-St. Mary's Ascension Health (Video - Part 1) (Video - Part 2)

August 1, 2011, San Diego - Diverse Popluations

  • Quality Improvement for Ethnically Diverse Populations: "Place and Race Matter"--Dr. Rodney G. Hood, President, MultiCultural IPA (PDF) (PowerPoint) (TXT)

July 11, 2011, San Diego - Patient Centered Medical Homes

June 6, 2011, San Diego - Patient Centered Care

  • Patient Centered Care: Practical Lessons—Diane Stollenwerk, MPP, National Quality Forum (PDF) (TXT)

May 2, 2011, San Diego - Patient Self Management

  • Chronic Disease Self -Management Program--Kristen D. Smith, MPH, Health Promotion Manager & Charlotte Tenney, MIH, Healthy Living Workshop Coordinator, San Diego County Health and Human Services Agency (PDF) (TXT)

April 4, 2011, San Diego - Pharmacist Collaboration

  • Achieving Benchmark Results through Collaboration with Pharmacists--Rebecca Cupp, RPh, Vice President of Pharmacy, Ralph's Grocery Company (PDF) (TXT)
  • Achieving Benchmark Results through Collaboration with Pharmacists--Jan Hirsch, PhD, Assistant Professor, UC San Diego Skaggs School of Pharmacy (PDF) (TXT)
  • April 4, 2011 - Session Notes (PDF)

March 8, 2011, San Diego - Health Information Technology

  • VA San Diego Healthcare System “Best Practices”: Clinical Informatics—Robert M. Smith, MD (PDF) (PowerPoint) (TXT)
  • Health Promotion, Disease Prevention at the San Diego VA—Mary Kodiath, MS, ANP-BC (PDF) (PowerPoint) (TXT)
  • March 8, 2011 - Session Notes (PDF)

February 7, 2011, San Diego - Kick-Off