Physical therapists must be proactive and informed to address the shift from fee-for-service to bundled payments and other models that emphasize value and outcomes. Lessons learned from the joint replacement bundled payment initiative can inform physical therapy practice as integrated care models are developed and implemented.

Audience: CoHSTAR’s 2017 Summer Institute brings together strategic partners, key stakeholders and observers.

• Strategic Partners: individuals involved in developing and implementing bundled payments for total joint replacement will share their experiences and lessons learned
• Key Stakeholders: APTA, payers, government representatives and rehabilitation industry leaders will engage in discussion of the development and implementation bundled payment from their unique perspectives
• Observers: HSR researchers, CoHSTAR trainees, physical therapy administrators and faculty will have opportunities to pose questions and engage in the discussion.

The Agenda

7:00 – 8:00	Registration & Breakfast
8:00 – 8:15	Welcome	Linda Resnik, PT, PhD, FAPTA
8:15 – 9:45	Perspectives Bundled Payment Initiatives: Unique Challenges for Rehabilitation	Paul A. Rockar, Jr., PT, DPT, MS Michael Spigel, MHA, PT
9:45 – 10:00	Break
10:00 – 11:30	Applying Lessons Learned from Developing the Total Joint Replacement Bundle to Other Diagnoses and Conditions Who did the analytic work? How did they communicate? How to standardize processes across systems?	Discussion: Strategic Partners Robert Mechanic, MBA Stephen Hunter, DPT
11:30 – 12:15	Implementation Issues  and Electronic Health Record Design How to pull and understand QI reports? What are best practices to standardize and monitor processes across systems?	Discussion: Strategic Partners Jennifer Freel, MBA, CAF David Elton, DC
12:15 – 1:30	Lunch Roundtables
1:30 – 2:30	A Health Services Research Agenda Is Under-treatment of Patients a Problem in Bundling?	Discussion: Heath Services Researchers Janet Freburger, PT, PhD (Discussant) Amit Kumar, PT, PhD Jennifer Stevens-Lapsley, PT, PhD
2:30 – 2:45	Break
2:45 – 3:45	Facilitated Discussion Next Steps: Planning for Future Bundles  What would you do differently?	Discussion: Strategic Partners Discussion leader: Tony Delitto, PT, PhD
3:45 – 4:15	Summary Best practices for Developing and Implementing Bundled Payment Initiatives	CoHSTAR Panel
4:30 – 6:00	Poster Presentations* at NEXT meeting