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Seventeenth Annual
Southern Illinois Healthcare/Southern Illinois University Health Policy Institute

Alternative Delivery Methods in Health Care:  
The Search for Quality and Efficiency

May 22, 2015
co-sponsored by Chicago Medical Society, Illinois State Bar Association, Illinois State Medical Society, Paul Simon Public Policy Institute, and SIU School of Medicine - Department of Medical Humanities  

This program is supported, in part, by funds from the First Health Medical Provider Class represented by SL Chapman LLC.


Overview

Where people get their health care, how they get it, and who provides it are all in a state of dramatic transformation in the United States. This transformation is driven by an array of forces. Patients want more convenient, easily accessible care. Payors—both public and private—and employers— want quality care that is more cost effective and efficient. Providers—hospitals, physician, and others—are driven to change how they deliver care by the competitive opportunities and threats that surround them. And, technological innovations, such as smart phones and other mobile devices allow for care to be delivered in new and different ways. All of these changes have profound implications for physicians and the practice of medicine.

One example of this transformation is the physician e-visit. Currently various companies offer physician consultations to patients via video for non-emergency conditions and for short term prescriptions. Employers and health plans, as well as individuals, can subscribe to such services. Another example is the emergence of “retail” medical clinics. Such clinics have grown rapidly in recent years, increasing nationwide from about 250 in 2007 to nearly 1900 in 2015. 

The 2015 Southern Illinois Healthcare/Southern Illinois University Health Policy Institute is intended to educate attendees, including physicians, about various facets of this changing delivery environment including the legal, medical, and policy issues these changes raise.

Pogram

The Resurgence of Narrow Networks in a Retail Delivery World

Mark Rust, Managing Partner of the Chicago office of the law firm of Barnes & Thornburg and the Chair of the firm’s national Healthcare Department 

Mobile Health: Solution or Solutionism

Nathan Cortez, Southern Methodist University’s Dedman School of Law

Care at a Distance: Improving Healthcare Quality with Telemedicine

Feliciano “Pele” Yu, Assistant Professor of Pediatrics and Chief Medical Information Officer, St. Louis Children’s Hospital and Director of the Washington University Pediatric Computing Facility

SIH Telemedicine Initiatives 

Catherine Hungate, RNTelemed Coordinator for SIH

Employer On-site Health Clinics

Diana Han, Medical Director of GE Appliances and Lighting

Convenient Care: Bringing Accessible, Affordable, High-Quality Healthcare to Patients

Sarah Rosenberg, Deputy Executive Director of the Convenient Care Association


View the brochure here

Registration available here


Sixteenth Annual
Southern Illinois Healthcare/Southern Illinois University Health Policy Institute

From Critical Shortage to Critical Mass: 
Addressing the Lack of Donor Organs

May 16, 2014

Overview

The science and technology of human organ transplantation have advanced to the point where organ transplantation has become, in many situations, almost commonplace. Kidneys, lungs, and even hearts are now routinely transplanted successfully, improving the health and extending the lives of thousands of patients each year.

And yet, together with this great success, challenges have arisen involving critical medical, legal, and policy issues. Included among these issues are questions regarding the procurement of sufficient quantities of transplantable organs to meet the increasing demand, as well as concerns about the selection of recipients for the limited supply of available organs. These issues are real and perplexing. For example, there are currently more than 99,000 people in the United States waiting for a kidney transplant, with a new person added to the list every 20 minutes. Yet, in 2013, only about 14,000 kidney transplants were performed, while more than 3,300 patients died waiting for a kidney.

Physicians and attorneys may play critical roles in the transplant process. For example, a physician may be treating a patient whose survival depends on receiving a transplant or who is considering being a live donor. An attorney may counsel a family being asked to donate the organs of a loved one or a client in need of a transplant seeking to improve their chances of getting a needed organ. As professionals, both physicians and attorneys may play a role in discussing and formulating crucial transplant policies.

co-sponored by Chicago Medical Society, Illinois State Bar Association, Illinois State Medical Society, Paul Simon Public Policy Institute, and SIU School of Medicine - Department of Medical Humanities  

PRESENTERS

Dean KappelDean Kappel,B.A., M.S.W., President/CEO of Mid-America Transplant Services (MTS)

Organ Donation in the US: Unique Challenges and Opportunities

Watch Video 


Steve HarveySteve Harvey, JD, lead counsel and owner of Steve Harvey Law LLC

Organ Allocation Meets the Judiciary: Thoughts on the 2013 Lung Allocation Cases

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Stuart SweetStuart C. Sweet, M.D., Ph.D., Medical Director, Pediatric Lung Transplant Program W. McKim Marriott Professor of Pediatrics Washington University

Who Goes First? Equity, Utility and Organ Allocation Policy

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T. Randolph BeardT. Randolph Beard, PhD, Professor of Economics, Auburn University

Realistic Compensation Systems

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Andrew CameronAndrew Cameron, M.D., Associate Professor of Surgery and Director of the Liver Transplant program at John Hopkins Hospital

Social Media and Organ Donation: The Facebook Effect

Watch Video

Brochure

Support provided by First Health Medical Provider Class represented by SL Chapman LLC


Fifteenth Annual
Southern Illinois Healthcare/Southern Illinois University Health Policy Institute

Health Policy Institute Group

May 17, 2013

Medical-Legal Partnerships: Collaborating to Transform Health Care
for Vulnerable Patients

Overview

Improving a patient’s health status involves more than identifying an illness and providing a medical treatment. Instead, an individual’s health is dependent on an array of factors or determinants, including not only access to health care services, but also the social and physical environment in which the patient lives and works.

There are practical limits to the ability of health care professionals to effectively address many of these determinants. For example, physicians may recognize that the conditions of a patient’s public housing apartment are adversely impacting his or her health status, but may simply not be able to guide the patient through the maze of statutes and regulations protecting tenants’ rights.

Recognizing this, medical-legal partnerships (MLPs) combine physicians, health care providers such as nurses, social workers, and attorneys into an interdisciplinary team that can proactively address unmet social and legal needs. MLPs can benefit patients in a number of ways, such as assisting with gaining access to public program benefits or providing representation to enforce housing codes. The benefits to the health care system include reductions in emergency room visits, re-hospitalizations, and improvements in patient health and well-being.

view brochure


Fourteenth Annual
Southern Illinois Healthcare/Southern Illinois University Health Policy Institute

May 18, 2012

EHRs, EMRs, and Health Information Technology: To Meaningful Use and Beyond

Health information technology (HIT) promises to transform the nation's health care system. Through the computerized, secure, and comprehensive management of health information, the goal is to provide patients better and safer health care more efficiently and at lower costs. With the enactment, in 2009, of the American Recovery and Reinvestment Act (ARRA), the federal government sought to encourage hospitals, physicians, and other providers to adopt and meaningfully use electronic health records (EHRs). In the initial phase, with $3.1 billion in incentive payments, some 2,000 hospitals and 41,000 physicians adopted EHR systems. The next phase will focus on the exchange of health information across the delivery system.

Challenges remain if HIT is to achieve a positive impact on health care quality, safety, and efficiency. Further, concerns persist about privacy and the security of sensitive patient health information in the emerging digital world.

The 2012 Southern Illinois Healthcare (SIH)/Southern Illinois University (SIU) Health Policy Institute will examine the current status of HIT within the health care system, as well as look to the future as the drive to adopt and implement HIT continues.

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Thirteenth Annual
Southern Illinois Healthcare/Southern Illinois University Health Policy Institute

May 20, 2011

The Health Care Quality Improvement Act of 1986 Meets the Era of Health Care Reform: Continuing Themes and Common Threads

Critical themes in the current health care reform environment include: the role of government regulation in improving the quality of patient care; the use of data reporting and dissemination to inform patients, payers, and providers; and new efforts to reconfigure the relationship between hospitals and physicians. These themes are not new. They have been part of the nation's health policy discussion since at least the enactment of the Health Care Quality Improvement Act of 1986 (HCQIA)—25 years ago.

With the HCQIA, the federal government actively inserted itself into the health care quality regulatory scheme, created the National Practitioner Data Bank, and sought to impact hospital-physician relations in order to support peer review and adjust antitrust risks. The 2011 SIH/SIU Health Policy Institute explores these themes as the nation begins to implement the significant changes embodied in 2010's Patient Protection and Affordable Care Act.

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Twelfth Annual
Southern Illinois Healthcare/Southern Illinois University Health Policy Institute

May 21, 2010

Rationing Medical Resources: Panacea or Peril for American Health Care? 

Rationing — the unspoken “R” word in the health care reform debate — continues to garner both adulation and condemnation as a response to escalating health care costs. The debate not only revolves around the current problems inherent in the passive and de facto allocation of limited resources, including health coverage and the rising numbers of uninsured, but also around the medico-legal issues and socio-economic policies underlying more active mechanisms, ranging from so-called “death panels” to waiting lists for high-tech services or high-dollar procedures.

The formulation of public policies to govern the allocation of health care resources and the design of socially acceptable approaches for doing so will require ongoing engagement by health care professionals, attorneys, and public officials, among others. This program will crystallize the medical, legal, social, economic, and ethical challenges presented in the debate about regulating the distribution of limited health care resources.

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Eleventh Annual
Southern Illinois Healthcare/Southern Illinois University Health Policy Institute

May 15, 2009

Emerging Issues in HealthCare Regulation: Protecting Patients or Punishing Providers? 

Regardless of the outcome of currently debated national and state health care financing reform initiatives, the long-term and short-term effects of governmental regulation on health care providers are likely to be increasingly extensive and pervasive. This program will explore the various forms that expanding health care regulation are taking and will evaluate the dynamic regulatory environment in terms of the public policy goal of improving patient access to high quality, affordable health services. Specifically, speakers will focus on the perplexing question of whether present and emerging approaches to health care regulation are likely to produce as a primary result the protection of important patient interests or the punitive restriction of provider professional autonomy and financial viability.

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Tenth Annual
Southern Illinois Healthcare/Southern Illinois University Health Policy Institute

May 16, 2008

The Dangerous Patient: Medical, Legal and Public Policy Responses 

Risks to the public’s health abound in everyday life. Frequently, these risks to the population are connected to the behaviors of individuals. Situations presented, for example, by mentally ill persons who engage in violent conduct at public places resulting in death or serious injury to themselves and others and potentially infectious individuals who knowingly place a large number of other people at risk of contagion by their conduct engender significant medical, legal, and public policy considerations. The medical, legal, and public policy challenges created by these and other threats to the public’s health directly confront many health care professionals, attorneys, public officials, and educators. This program will identify and begin to address these important public policy challenges, especially in the context of shifting attention exclusively from attempting to predict and control the behavior of individual patients to a broader population-based intervention perspective.

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2007 Inaugural John & Marsha Ryan Bioethicist in Residence

Mark RothsteinMark A. Rothstein

"Health Privacy in the Electronic Age"

As health providers and agencies race to link networks of electronic health records, will it be possible to protect health privacy?

Wednesday, March 21, 2007

Mark A. Rothstein holds the Herbert F. Boehl Chair of Law and Medicine and is Director of the Institute for Bioethics, Health Policy and Law at the University of Louisville School of Medicine. He received his B.A. from the University of Pittsburgh and his J.D. from Georgetown University.

Professor Rothstein is a leading authority on the ethical, legal, and social implications of genetics, privacy, occupational health, employment law, and public health law. He is Chair of the Subcommittee on Privacy and Confidentiality of the National Committee on Vital and Health Statistics, the statutory advisory committee to the Secretary of Health and Human Services on health information policy, including the privacy regulations of the Health Insurance Portability and Accountability Act. He is the immediate past-President of the American Society of Law, Medicine and Ethics.

He is the author or editor of 19 books. His latest book is Genetics: Ethics, Law and Policy (with Andrews & Mehlman).