Robert M. La Follette School of Public Affairs

This interdisciplinary symposium examined how new forms of regulation and governance can improve health-care systems. It took place Friday, October 9, 2009, at the University of Wisconsin–Madison in the Health Sciences Learning Center.

Abstracts of Symposium Papers

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, andprivate/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