U.S. Sen. Amy Klobuchar and School of Public Health Professor Michael T. Osterholm discussed U.S. flu vaccine policy in light of widespread shortages of the seasonal influenza vaccine and the H1N1 vaccine.
They were joined by:
Rob Fulton, Director
Saint Paul - Ramsey
County Department of Public Health
Lucinda Jesson, J.D.,
Hamline University School of Law
Michael Osterholm, John R. Finnegan, Sanne Magnan, and Dan O'Laughlin discuss H1N1. September 10, 2009.
It was sponsored by the Global Health Initiative of the Woodrow Wilson Center.
]]>Pat Fontaine, MD, MS
September 9, 2009
Watch the presentation
Eric Rosenthal, J.D., Executive Director, Mental Disability Rights International.
http://www.mdri.org
Presented April 2, 2009 by Alan Zaslavsky, Ph.D.Download the presentation (PDF)
Listen to Zaslavsky's presentation
Abstract
Data from the Consumer Assessments of Healthcare Providers and Systems (CAHPS(R)) surveys provide insight into healthcare quality as seen from the perspective of the patient's experiences with care. With about two million completed surveys over the past 10 years, the Medicare CAHPS surveys can be analyzed to assess sources of variation in beneficiary experiences.
This talk summarized findings about:
(1) identifying conceptual domains of experiences through multilevel factor analysis,
(2) relative contributions of geographical and organizational factors to various experiences with care,
(3) geographical associations between experiences in Medicare Advantage and traditional Medicare, (4) associations of CAHPS-assessed quality with local utilization patterns.
]]> These findings may contribute to choosing directions for reform of Medicare. A methodological theme is the utility of hierarchical (multilevel) models as a tool for summarizing data across multiple units and outcomes.Dr. Zaslavsky’s statistical research interests include surveys, census methodology, small area estimation, official statistics, missing data, hierarchical modeling, and Bayesian methodology. His research topics in health care policy center on measurement of the quality of care provided by health plans through consumer assessments and clinical and administrative data. Among his current major projects are (1) the core development project of the Consumer Assessments of Health Plans Study(CAHPS), (2) the CAHPS implementation for Medicare managed care, (3) methodological research on surveys in psychiatric epidemiology, centered on validation of the CIDI-A (adolescent) survey in the National Comorbidity Study-Adolescent, and (4) studies of determinants of quality of care for cancer.
]]>The first in a five part series of lectures, every Wednesday in April. Part 1, presented by Bryan E. Dowd, PhD.
A live stream as well as archived presentations for the entire series can be found at: https://umconnect.umn.edu/hpmcausality/
]]> Bryan E. Dowd, PhD focuses his research on health economics, health policy, including markets for public and private health insurance and health care services, and the application of econometric methods to health service research problems. His recent research includes studies of insurance theory, causal modeling, health plan choice, enrollment and disenrollment in Medicare HMOs, tax policy, and Medicare reform. He has published over 100 articles in peer-reviewed journals and coauthored the book Competitive Pricing for Medicare with HPM colleagues. He is the recipient of three Article of the Year Awards. Currently he chairs the Methods Council for AcademyHealth.Dr. Dowd is the director of graduate studies for the M.S. and Ph.D. programs in health services research, policy and administration, and he served as interim division head in HPM from 1998 to 1999. He received his Ph.D. in public policy analysis from the University of Pennsylvania, his MS in urban administration from Georgia State University and his Bachelor of Architecture from the Georgia Institute of Technology. He is a licensed architect.
]]>Listen to the talk, Childhood Asthma: Potential Causes and Consequences:
• Part 1, Dr. Chuck Oberg: The Epidemiology of Childhood Asthma
Listen to Brahma's presentation
Cosponsors: Program in Human Rights and Health, Center for Holocuast and Genocide Studies, Student International Health Committee
]]>Presented Jan. 27, 2009 by: Jay Bhattacharya, M.D., Ph.D.
Associate Professor of Medicine
Stanford University
Download the presentation (PDF)
Listen to Bhattacharya 's presentation
Presented by Rachel M. Werner, M.D., Ph.D.Listen to Werner's presentation
Abstract
Evidence supporting the use of public reporting of quality information to improve health care quality is mixed. While public reporting may improve reported quality, its effect on quality of care more broadly is uncertain.
This study tests whether public reporting in the setting of nursing homes resulted in improvement of both reported and overall quality of post-acute care. Data is from the nursing home Minimum Data Set and inpatient Medicare claims over 1999 to 2005. The research team examined changes in post-acute care quality in U.S. nursing homes in response to the initiation of public reporting on the Centers for Medicare and Medicaid Services website, Nursing Home Compare. The research team used small nursing homes that were not subject to public reporting as a contemporaneous control and also control for the changing case mix of patient in nursing homes.
Post-acute care quality was measured using three publicly reported clinical quality measures and 30-day potentially preventable rehospitalization rates, an unreported measure of quality. Reported quality of post-acute care improved after the initiation of public reporting. However, rates of potentially preventable rehospitalization did not significantly improve and, in some cases, worsened.
Rachel M. Werner, M.D., Ph.D. is an assistant professor of medicine in the Division of General Internal Medicine at the University of Pennsylvania and Core Investigator with the VA HSR&D Center for Health Equity Research and Promotion (CHERP).
Werner is a general internist and health economist whose research seeks to understand the role of quality improvement initiatives on provider behavior, the organization and financing of health care, racial disparities, and overall health care quality. Her work has recognized that public reporting of quality information may worsen racial disparities and she has been recognized through numerous awards including the Dissertation Award from AcademyHealth and the John D. Thompson Prize for Young Investigators from the Association of University Programs in Health Administration.
]]>One of only seven centers nationally, this interdisciplinary five-year grant involves collaboration across the Academic Health Center, with Minnesota Department of Health, and with the University of Illinois at Chicago.
The focus of U-SEEE's research is enhancing the usefulness and effectiveness of emergency response training, thereby improving individual and system performance in public health emergencies.
]]>Wednesday, Nov. 19
Has the terminology of "ethnic cleansing" made more difficult identifying mass killings as genocidal? Why do certain mass killings receive mass attention while others continue over long periods without registering in media or public consciousness? Gregory Stanton will elucidate these issues reflecting also on research concerning the semantics of mass killing.
Resources
“Challenges and Opportunities in the Evolution from Episodic Healthcare to Community Health Improvement," by Rick Norling (M.H.A. '75, CEO of Premier, Inc.)
Thursday, Sept. 25, 2008
The University of Minnesota’s Program in Healthcare Administration and the MHA Alumni Association/Foundation sponsored the 3rd event in the James A. Hamilton Lecture Series.
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