Research Projects

 

Hospital Community Benefits: Center faculty members are using financial reports that federally tax-exempt hospitals are required to file with the Internal Revenue Service (I.R.S.) to examine patterns in the delivery of community benefits such as charity care and non-reimbursable services.  Using these data, Center faculty members conducted the first national assessment of community benefits provided by tax-exempt hospitals, which was published in the New England Journal of Medicine.  In collaboration with a research team based at George Washington University, Center faculty members have recently received funding from the Robert Wood Johnson Foundation to develop a web-based tool and related set of measures for examining patterns in tax-exempt hospitals’ provision of community benefits.

 

Pay-for-Performance and Quality of Care: Center faculty membersare testing the effectiveness of different ways to design and implement pay-for-performance programs for improving quality of care.  Several studies are being conducted to examine the role of provider attitudes toward the design of pay-for-performance programs relative to the impact of the program on quality improvement.  In support of this research, center faculty members have received funding from the Robert Wood Johnson Foundation and Agency for Healthcare Research and Quality.

 

Patient Centered Medical Homes:  Center faculty members are using qualitative research methods to study the implementation of best practices for patient-centered medical homes.  This research is supported by a grant from the Agency for Healthcare Research and Quality.

 

Hospital Supply Chain: Center faculty members are conducting studies to identify best practices for managing hospital supply chains and the factors associated with supply chain management as a core competency for hospitals.  Center faculty members have received funding from the Department of Veterans Affairs to study best practices and improvement opportunities for inventory management.

 

Teams for Delivering Mental Health Services: Center faculty members are preparing a white paper on the development and management of interdisciplinary teams for delivering mental health services.  This work is funded by the Department of Veterans Affairs.

 

Medication Adherence: Center faculty members are studying the role of pharmacists in counseling patients on medication adherence.  The research is focusing on the frequency and content of such counseling as well as its impact on patient behavior.

 

Medicare Quality Ratings:  Center faculty members are examining the quality ratings that the Center for Medicare and Medicaid Services use for prescription drug plans participating in the Medicare Part D program.   One focus of the study is the influence of the socio-economic characteristics of a plan’s enrollees on its quality ratings for medication adherence.

 

 

Recent Publications

 

Mohr, D., & Young, G. (2012). Slack resources and the quality of primary care. Medical Care. 50, 203-209.

 

Young, G. (2012). Multi-stakeholder regional collaboratives have been key drivers of public reporting but now face challenges. Health Affairs, 31, 578-584.

 

Young G., Beckman, H., & Baker, E. (2012). Financial incentives, professional values and performance: A study of pay-for-performance in a professional organization. Journal of Organizational Behavior, 33, 964-983.

 

Mohr, D., Young, G., & Burgess, J. (2012). Employee turnover and operational performance: The moderating Effect of Organizational Culture. Human Resource  Management Journal, 22, 216-233.

 

Mohr, D., Benzer, J., & G. Young (2013). Provider workload and quality of care in primary care settings:  Moderating role of relational climate. Medical Care, 51, 108–114.

 

Goren, J., Meterko, M., Williams, S., Young. G., Baker E., Chou C., Kilbourne, A., & Bauer, M. (2013) Antipsychotic prescribing pathways, polypharmacy, and clozapine use in Schizophrenia. Psychiatric Services, 64, 527 — 533.

 

Hoff, T. (2013). Embracing a diversified future for US primary care. American Journal of Managed Care, 19, e9–e13.

 

Chou, C., Tulodo, A., Raver, E., Hsu, C., & Young, G. (2013). The effect of race and health insurance on health disparities: Results from the National Health Interview Survey 2010.  Journal of Healthcare for the Poor and Underserved, 24, 1353-1363.

 

Young, G., Chou, C., Alexander, J., Lee, S., & Raver, E. (2013) Provision of community benefits by tax exempt U.S. hospitals. New England Journal of Medicine, 368, 1519 — 1527.

 

Young, G. (2013). Redefining payer-provider relationships in an era of pay-for-performance: A social capital perspective. Quality Management in Health Care, 22, 187-198.

 

Hoff, T. (2013). Medical home implementation:  A sensemaking taxonomy of hard and soft practices. The Milbank Quarterly, 91(4), 771-810.

 

DePuccio, M., & Hoff, T . (2013). Medical home interventions and quality outcomes for older adults: A systematic review. Quality Management in Health Care, 22(4), 327-340.

 

Young, G., Rickles, N., Hung, C., & Raver, E. (2014). Socioeconomic characteristis of enrollees appear to influence performance scores for Medicare Part D contractors. Health Affairs, 33(1), 140-146.