Education event

Cancer Surgery Volumes and Outcomes Webinar
Why a hospital’s volume of 11 cancer surgeries may impact patients and hospitals

Registration is closed. Please call CHA Education at (916) 552-7637.
July 6, 2017
10:00 a.m. – 12:00 p.m., Pacific Time


The California HealthCare Foundation (CHCF) has partnered with the California Office of Statewide Health Planning and Development (OSHPD), a health services researcher at Stanford and the Cancer Prevention Institute of California on a project to measure the volume of cancer surgeries performed at each hospital for certain cancers for which there is evidence of an association between low volume and increased mortality/poor outcomes. Using 2014 OSPHD data, ICD 9 and CPT Codes, these researchers launched the first of two studies analyzing surgical volume performed by California hospitals for 11 common cancers.

Is your hospital on the list?

In CHCF’s first study, over 200 California hospitals were identified as performing low volumes of surgeries, defined as fewer than five for one or more of the 11 cancers. This year, the authors repeated the study using more recent data to determine changes, if any, in hospital cancer volume. The most recent study found essentially no change in the distribution of low volume cancer surgery among California hospitals.

CHCF plans to publicly release these data; hospitals should be prepared to address questions that may be raised by purchasers, providers and patients. This webinar will provide organizations a thorough background of the study and provide experts who will provide suggested course of actions.

Recommended for:

Hospital leadership including: chief executive officers, chief medical officers, chiefs of staff and chief operating officers would all benefit.


CHCF study on volume of surgeries for 11 common cancers

  • Study overview, role of the expert advisory committee
  • Literature research that supports an association between volume and mortality/outcomes for these 11 cancer surgeries
  • Mechanisms underlying the volume-to-outcomes effect
  • Methodology and clinical codes used to analyze OSHPD data
  • Other considerations when analyzing the data and identifying course of action solutions
  • Secular trends in concentration of high-risk surgeries in high-volume hospitals
  • What others are saying, Leapfrog’s positioning and policy recommendations
  • Understanding the health care “volume pledge” being adopted by organizations
  • The medical staff role and processes in developing a course of action


Maryann O’Sullivan is an independent health policy consultant whose clients have included the California Health Care Foundation and many other foundations in the state. She was the founding executive director of Health Access, a statewide consumer coalition that celebrated its 30th anniversary advocating for health care for all and especially for health care services for low-income populations.

Merry Holliday-Hanson, PhD, is the Manager of the Administrative Data Unit with the Office of Statewide Health Planning and Development (OSHPD) and is responsible for preparing hospital report cards for the State of California.  Merry has served as a research scientist in several areas within the California Department of Public Health (CDPH) including the Division of Food, Drug, and Radiation Safety. She also served as Deputy Public Health Officer for the El Dorado County (CA) Public Health Department.

Laurence C. Baker, PhD, is a health economist and professor of Health Research and Policy at Stanford University where he applies economic and statistical analysis to study challenges facing the health care system.  Professor Baker served as an advisor to the public and private sectors on a range of health care system and financing issues

John Birkmeyer, MD,  is the Chief Clinical Officer at Sound Physicians where he is responsible for driving excellence in clinical quality, safety, patient experience and cost-efficiency, helping hospital partners succeed under value-based payment models. John is a recognized health services researcher. His research has focused on understanding variation in hospital and provider performance, scalable strategies for improvement, and value-based reimbursement.

David Perrott, MD, DDS is senior vice president and chief medical officer of the California Hospital Association. Dr. Perrott’s responsibilities include all clinical issue areas, including the Center for Hospital Medical Executives, California Alliance of Hospital-Physician Organizations, and the Certification and Licensing Committee. Dr. Perrott is also board chair of the Hospital Quality Institute and a member of The Joint Commission (TJC) Board of Commissioners.


Full participation in the webinar is required to receive professional continuing education (CE) credit. The registrant must complete an online evaluation, attest to participation and, when required, provide a professional license number.

Health Care Executives — CHA is authorized to award 2.0 hours of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.

Important note: While more than one individual from your organization may listen to the webinars, CEs will only be awarded to the registrant.


Members $185
Nonmembers $250
Multiple staff can participate from one location for one tuition fee.

Members are CHA member hospitals, CHA associate members and government agencies. Nonmembers are limited to non-hospital health care providers, clinics, post-acute facilities, and consultants, insurance companies, law firms and other entities that serve hospitals. Education programs and publications are a membership benefit and are not available to eligible nonmember California hospitals.

Cancellation Policy/Late Payment: A $50 nonrefundable processing fee will be retained for each cancellation. Cancellations must be made in writing seven or more business days prior to the scheduled session and emailed to No refunds will be made after these dates. Substitutions are encouraged. Please note that payment is due on or before the program. Payments not received by the program date may be subject to a 10% late fee. In the unlikely event the program is cancelled, CHA will fully refund paid participants within 30 days.

Special Accommodations or Questions: If you require special accommodations pursuant to the Americans with Disabilities Act, or have other questions, please call (916) 552-7637.