Optimizing Health Care Delivery and Outcomes Richard A. Hansen, PhD Gilliland Professor and Head Department of Health Outcomes Research and Policy.

Slides:

Advertisements

Similar presentations

SBIRT Screening, Brief Intervention and Referral to Treatment.

Advertisements

What do hospitals do for patient outcomes? 30 day mortality after heart attack Future of healthcare in Europe 13 May 2011.

Impact of Alzheimer’s Disease in Minnesota Broadening the Research Agenda to Meet the Challenge Steve Waring DVM, PhD, FACE Senior Research Scientist Essentia.

The Value of Medication Therapy Management Services

Who Reviews Your Grants & Other Sources of Funding Beyond the NIH? Elliott R. Haut, MD, FACS Associate Professor of Surgery & Anesthesiology / Critical.

Healthcare Operations Management © 2008 Health Administration Press. All rights reserved. 1.

A Perspective on Canadian Initiatives in Health Care Quality HL7 Clinical Quality Work Group June 26,

Safety and effectiveness of bivalirudin in routine care of patients undergoing percutaneous coronary intervention JA Rassen, MA Mittleman, RJ Glynn, A.

Industrial & Operations Engineering, University of Michigan1 Industrial & Operations Engineering (IOE) Resources for Improved Healthcare Mark Van Oyen.

Epidemiology of Stroke Dexter L. Morris, PhD, MD Department of Emergency Medicine University of North Carolina School of Medicine Chapel Hill, NC.

TRAUMA SYSTEM Mazen S. Zenati, M.D, MPH, Ph.D. University of Pittsburgh Department of Surgery and Epidemiology.

Keith J. Mueller, Ph.D. Director, RUPRI Center for Rural Health Policy Analysis Head, Department of Health Management and Policy College of Public Health.

Moderator: Kevin T. Fuji, Pharm.D., M.A. Assistant Professor of Pharmacy Practice Assistant Director Center for Health Services Research and Patient Safety.

PPF- Atlantic Summit on Healthcare and Drug Cost Sustainability Perry Eisenschmid CEO, Canadian Pharmacists Association October 30, 2014.

Life Years Lost (2010, most recent available) Trauma injury accounts for 30% of all life years lost in the U.S. Cancer accounts for 16% Heart disease.

Combining the AHRQ Indicator Sets to Assess the Health of Communities: Powerful information for planning purposes Susan McBride, PhD, RN Dallas-Fort Worth.

Can high healthcare costs be reduced? - Empirical evidence from community hospitals Haichang Xin 1, PhD, Mark L. Diana 2, PhD, Anjum Khurshid 3, PhD, Lisanne.

Variation in the Delivery of Medical Care: Is More Better? Todd Gilmer, PhD Professor of Health Policy and Economics Department of Family and Preventive.

1 Leveraging the Culture of Performance Excellence in Ontario’s Health System HSPRN is an inter-organization Network funded by the Ontario Ministry of.

Agency for Healthcare Research and Quality Advancing Excellence in Health Care Provision of Preventive Services in the Complex Patient AHRQ.

Organization of the US Health Services System

Health Care Reform and the Future of Health Care in Rural America Presentation to the American Public Health Association Presented by Keith J. Mueller,

Chartered Value Exchanges (CVEs) September 2008 CVEs may wish to tailor this slide deck for use with stakeholders in your community.

Informing Public Policy to Address Health Care Disparities Boisey Barnes, MD, F.A.C.C. Founding Member and Trustee Association of Black Cardiologists.

Cynthia Baur, Ph.D. Senior Advisor, Health Literacy August 23, 2011 The National Action Plan to Improve Health Literacy Office of the Director Office of.

The Value of Medication Therapy Management Services.

EPIC – a Chronic Disease Management Initiative in BC Barbara Ogle, BSc(Pharm), ACPR, MScPhm, RPh VP Clinical Services, Network Healthcare May 31, 2007.

Opioid Use: What are the technological, clinical, ethical, and regulatory issues? Michael Von Korff Group Health Research Institute.

Partnering with Affordable Care Organizations Vernice Davis Anthony Greater Detroit Area Health Council President and CEO October 13, 2011.

Key Areas of Research & Education Relevant to Pharmacy & Public Health Andy Stergachis, PhD, RPh Schools of Public Health and Pharmacy University of Washington.

Disparity Implications of the Eligibility Criteria for Medication Therapy Management Services among the Non-Medicare Population Junling Wang, Ph.D., Lawrence.

How Much Would A Medicare Prescription Drug Benefit Cost? Offsets in Medicare Part A Cost by Increased Drug Use Zhou Yang, Ph.D. Assistant Professor Department.

New Technologies & Challenges in optimizing the “heart health” of Australia Professor Simon Stewart Head, Preventative Cardiology

+ Role of Industry in Clinical Care, Research, and Education.

Chapter 2 Health Care Systems. Largest and fastest growing industry in the US Over 13 million workers Expenditures-4 billion dollar per day business and.

CMS National Conference on Care Transitions December 3,

Analysis of admissions: Patients 75+ admitted to all providers 1.

9/8/2008Neumar - Emergency Care Research1 Emergency Care Research Solutions for the U.S. Heath Care System Robert W. Neumar MD, PhD Chair, Research Committee.

Health Reform: Local Safety Net Implications Karen J. Minyard, Ph.D., Executive Director, Georgia Health Policy Center, Georgia State University.

Government, Non- profit agencies, & Insurance Plans.

Healthcare Delivery System Foundation Standard Understand the healthcare delivery system (public, private, government and non-profit)

Why Write A Grant? Elaine M. Hylek, MD, MPH Professor of Medicine Associate Director, Education and Training Division BU CTSI Section of General Internal.

THE COMMONWEALTH FUND Multinational Comparisons of Health Systems Data, 2012 David Squires The Commonwealth Fund November 2012.

Coastal Hillside Family Medicine.  “All team based care models require some level of change in the roles and responsibilities of individual professionals,

Robert M. Kaplan NIH Associate Director for Behavioral and Social Sciences Right Care Initiative Annual Leadership Summit October 1, 2012 Update from the.

Is drug pricing a problem? PHILIP J. SCHNEIDER MS, FASHP, FASPEN, FFIP PROFESSOR AND ASSOCIATE DEAN UNIVERSITY OF ARIZONA COLLEGE OF PHARMACY PHOENIX BIOMEDICAL.

Performance assessment A performance assessment framework is a collation of statistics across a district or within a hospital and is far removed from.

Nurse Staffing and Quality of Care for Hospitalized Children Barbara A. Mark Ph.D., R.N. FAAN University of North Carolina at Chapel Hill David W. Harless.

Community Connections Heather Altman, MPH Project Director, Community Connections Carol Woods Retirement Community /

1 Study on the Coverage of Chronic Diseases in Social and Health Protection Systems: A Comparative Analysis of Trends in Developed Countries and in the.

Unit C: Health Care Systems Part 3 Health Team Relations.

David Radley and Cathy Schoen

Government, Non-profit agencies, & Insurance Plans

Value of Pharmaceuticals in Managed Care Pharmacy

Value of Pharmaceuticals in Managed Care Pharmacy

Value of Pharmaceuticals in Managed Care Pharmacy

Baseline characteristics of patients

Vice Chancellor, Medical Affairs Dean, UNC School of Medicine

Professional Organizations

Government, Non-profit agencies, & Insurance Plans

Community and Primary Care Grants

Rounds® Patient Experience Clinic Program

Base: Adults with any chronic condition

EESC Public Hearing 30-Jan-2019

EMPA-REG OUTCOME: Cumulative incidence of the primary outcome

Recurrence of HF hospitalization Total-time approach

Characteristics of 3415 patients admitted to hospital with

Value of Pharmaceuticals in Managed Care Pharmacy

Risk of 30-day hospital encounter with ventricular arrhythmia

Cost-Efficiency of Medication Safety Program at Public Hospital, Riyadh, Saudi Arabia Yousef Ahmed Alomi, Mona Awad Alanazi, Radi Abdullah Alattyh, Fatimah.

Presentation transcript:

Optimizing Health Care Delivery and Outcomes Richard A. Hansen, PhD Gilliland Professor and Head Department of Health Outcomes Research and Policy

Health Spending and Outcomes

State ranking on health system performance Heart disease mortality rates for age 40 Healthcare Quality and Outcomes

Complex patients Complex care Complex systems Complex treatments Healthcare is Complex

Complex Patients… …or complex care? Maciejewski et al., JGIM 2014; Hansen et al., Annals of Pharmacotherapy (in press) Grant s AHRQ 1R21HS AHRQ 1R01HS

Complex Care Emergency Room Visits Probability Number of 1+ Visits of Visits Odds Ratio (95%CI) IRR (95%CI) Probability of Hospital Admission Odds Ratio (95% CI) 1 Condition (lagged)Reference 2 Conditions (lagged) 1.02 (0.80, 1.29)0.98 (0.83, 1.15)1.07 (0.88, 1.29) 3+ Conditions (lagged) 1.38 (0.99, 1.91)0.86 (0.71, 1.04)1.11 (0.84, 1.46) 1 Prescriber (lagged) Reference 2 Prescribers (lagged) 1.24 (0.99, 1.56)1.15 (0.98, 1.35) 1.31 (1.09, 1.57) * 3 Prescribers (lagged) 1.58 (1.17, 2.13) * 1.18 (0.99, 1.41) 1.31 (1.01, 1.69) * 4+ Prescribers(lagged) 1.96 (1.39, 2.75) *** 1.38 (1.13, 1.70) * 1.47 (1.08, 2.01) * Grant s AHRQ 1R21HS AHRQ 1R01HS Maciejewski et al., JGIM 2014; Hansen et al., Annals of Pharmacotherapy (in press)

Complex systems Drug-related risk of bleeding across 200 million patients represented in U.S. data repositories Hansen et al., RSM (in press) Hansen et al., Drug Safety (2013) Fox et al., JBI (2013) Grants: FNIH HANSE11OMOP NPC (No Number)

Richard A. Hansen Current and Recent Funding Funding Opportunities Complex patients and conditions AHRQ 1R21HS (Duke) AHRQ 1R01HS (UNC) Complex treatments and drug safety FDA 1U01FD (Auburn) FNIH HANSE11OMOP (Auburn) National Pharmaceutical Council NIH (R01 & R18 in review) PCORI, AHRQ, CDC, FDA Interdisciplinary collaboration is key…