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Public Service and Outreach
Smart Regulation: Can New Types of Governance Improve Health?
An Interdisciplinary Symposium
Friday, Oct. 9, 2009
8 a.m – 4:30 p.m.
University of Wisconsin-Madison
Health Sciences Learning Center Room 1345
The symposium will examine how new forms of regulation and governance affect prospects for health systems change and improvement. New governance includes a wide variety of processes that all differ from top-down, command-and-control regulation. Recent examples of new governance in action include public-private partnerships in electronic record adoption, public disclosure of hospital infection rates in Europe, standardized metrics for cancer treatment and private rulemaking in organ transplantation. These innovations feature a participatory model of regulation in which multiple stakeholders collaborate to achieve a common purpose.
Scholars from the United States and the European Union in health services research, clinical medicine, political science, public affairs, law and social work will present and comment on papers addressing the prospects for new forms of governance in many areas of the health system.
The symposium is open to University of Wisconsin-Madison faculty, staff, students and the public. No registration is required. The symposium will promote dialogue among researchers focused on clinical and translational research and researchers focused on the system-level structures and policies that facilitate or inhibit improvements to the health system or the health of the general population. This event is approved for nine continuing legal education credits.
Sponsors
University of Wisconsin-Madison School of Medicine and Public Health, including the Wisconsin Partnership Program and Population Health Institute; University of Wisconsin-Madison Center for European Studies; University of Wisconsin-Madison European Union Center for Excellence; University of Wisconsin-Madison Wisconsin Center for World Affairs and the Global Economy; and the Health Law Section of the State Bar of Wisconsin. Also assisting from the University of Wisconsin-Madison-Madison are the La Follette School of Public Affairs; Law School Global Legal Studies Center; Institute for Clinical and Translational Research; Health Innovation Program; and Carbone Comprehensive Cancer Center. For further information contact Terry Shelton at 608.262.3038, .
Schedule
8:00 -- Registration and Coffee
8:30 -- Introduction and Welcome
- Professor Carolyn Heinrich, Director, La Follette School of Public Affairs
- Professor Pat Remington, Associate Dean for Public Health at UW School of Medicine and Public Health
8:40 -- New Institutions for Governance: Can They Integrate Systematic Evidence, Tacit Knowledge of Clinicians, and Trust of Patients?
Is traditional regulation a muddle of confusing rules that prevent innovation, provide no useful guidance, and impede reform? The panelists discuss the limits of the prevailing policy tools in the United States and European Union.
- Moderator: Professor Tom Oliver, Population Health Sciences, UW School of Medicine and Public Health
- Professor Peter Jacobson, University of Michigan School of Public Health
- Professor Scott Greer, University of Michigan School of Public Health
- Commentator: Professor Susan Yackee, La Follette School of Public Affairs
9:45 -- New Institutions for Governance
Emerging institutions may provide alternatives to improve health care outcomes. The panelists discuss this through informatics, quality improvement, and private/public rulemaking. How do health care professionals, government officials and the public interact in these new governance institutions? And how do various modes of interaction enhance or diminish trust among health care professionals and their commitment to improvement?
Informatics
- Moderator: Professor David Weimer, La Follette School of Public Affairs
- Professor Nicolas Terry, Saint Louis University School of Law
- Dr. Maya Das, National Opinion Research Center, Washington, D.C.
- Discussant: Professor Patricia Brennan, UW School of Engineering, School of Nursing
10:45 – Break
11:00 -- Quality Improvement Institutions from Both Sides of the Atlantic: The National Quality Forum and the National Institute for Clinical Excellence
- Moderator: Professor Louise G. Trubek, Clinical Professor of Law Emerita and Public Health Program of UW School of Medicine and Public Health
- Professor Bryce Hoflund, University of Nebraska-Omaha School of Public Administration
- Professor Stirling Bryan, University of British Columbia and University of Birmingham
- Discussants: Chris Queram, Wisconsin Collaborative for Healthcare Quality, and Dr. Sally Kraft, University of Wisconsin Medical Foundation
12:00 -- Private Rulemaking: An Alternative to Bureaucratic Rulemaking
- Professor David Weimer, La Follette School, “Governance of Organ Transplantation”
- Discussant: Professor Nilo Edwards, University of Wisconsin-Madison School of Medicine and Public Health
12:45 -- Lunch
1:30 -- Smarter Governance in Practice: Disease-Based Case Studies
How, in theory and in practice, do alternative forms of regulation work in the health system? These alternatives, including private rulemaking, management-based regulation (incentives), and traditional rules and enforcement, will be examined in the areas of prevention and control of hospital-based infections and the fight against cancer. What is the influence of new forms of participation — including patient networks, patient self-management and consumer access to medical information — on health system change, with particular attention to the fight against cancer?
Combating Hospital-Based Infections
- Moderator: Gordon Ridley, University of Wisconsin-Madison School of Medicine and Public Health
- Professor Cary Coglianese, University of Pennsylvania Law School
- Commentator: Professor Nasia Safdar, University of Wisconsin-Madison School of Medicine and Public Health
2:30 -- The New Campaign Against Cancer from Both Sides of the Atlantic: Entrepreneurs, Networks and Public Data
- Moderator: Dr. Howard Bailey, Wisconsin Network for Health Research
- Professor Louise Trubek, University of Wisconsin-Madison Law School
- Professor Thomas Oliver, University of Wisconsin-Madison School of Medicine and Public Health
- Professor Toby Campbell, University of Wisconsin-Madison School of Medicine and Public Health
- Researchers Chih-Ming Liang and Matt Mokrohisky
- Commentator: Professor Tracy Schroepfer, University of Wisconsin-Madison School of Social Work
3:30-- Break
3:45 -- Smarter Governance in Practice in the US and EU: Can It Work?
How are health system innovations introduced and promoted in different settings? What is the range of policy instruments now available in the United States and the European Union?
- Moderator: Barbara Zabawa, attorney, Whyte Hirschboeck Dudek, and adjunct, University of Wisconsin-Madison Law School
- Commentators: Rita Baeton, Researcher, Observatoire Social Européen, and Professor Donald Moynihan, La Follette School of Public Affairs, University of Wisconsin-Madison
4:30-- Adjourn
Symposium Organizers and Editors
Professor Thomas Oliver, Population Health Sciences, University of Wisconsin-Madison School of Medicine and Public Health; Professor Louise Trubek, University of Wisconsin-Madison School of Medicine and Public Health and Clinical Professor Emerita, University of Wisconsin-Madison Law School; Professor David Weimer, Department of Political Science and La Follette School of Public Affairs, University of Wisconsin-Madison