Delivery Innovation

The search for new and innovative ways to deliver health care more efficiently and effectively. 

Cardiac Complications and Failure to Rescue After Injury in a Mature State Trauma System: Towards Identifying Opportunities for Improvement

Feb. 16, 2020

Dane Scantling, Justin Hatchimonji, Elinore J. Kaufman, Aria Xiong, Peter Yang, Jason D. Christie, Patrick M. Reilly, Daniel N. Holena

Abstract [from journal]

Introduction: Cardiac complications (CC) after injury are rare but contribute disproportionately to mortality. Variability in rates of CC and failure to rescue (FTR) after CC (FTR-C) within trauma systems may suggest opportunities for improvement, but we have not yet demonstrated the ability to identify high and low performers. We examined center-level rates of CC and FTR-C in a mature trauma system with the hypothesis that high-performing centers for each of these outcomes could be identified.

Methods: Using a


Do Payor‐Based Outreach Programs Reduce Medical Cost and Utilization?

Feb. 12, 2020

Benjamin Ukert, Guy David, Aaron Smith‐McLallen, Ravi Chawla

Abstract [from journal]

There is growing interest in using predictive analytics to drive interventions that reduce avoidable healthcare utilization. This study evaluates the impact of such an intervention utilizing claims from 2013 to 2017 for high‐risk Medicare Advantage patients with congestive heart failure. A predictive algorithm using clinical and nonclinical information produced a risk score ranking for health plan members in 10 separate waves between July 2013 and May 2015. Each wave was followed by an outreach intervention. The varying capacity for


Changes in Outpatient Imaging Utilization and Spending Under a New Population-Based Primary Care Payment Model

Jan. 17, 2020

Claire T. Dinh, Kristin A. Linn, Ulysses Isidro, Ezekiel J. EmanuelKevin G.Volpp, Amelia M. Bond, Kristen Caldarella, Andrea B. Troxel, Jingsan Zhu, Lin Yang, Shireen E. Matloubieh, Elizabeth Drye, Susannah...

Abstract [from journal]

Objective: To evaluate whether the implementation of a new population-based primary care payment system, Population-Based Payments for Primary Care (3PC), initiated by Hawaii Medical Service Association (HMSA; the Blue Cross Blue Shield of Hawaii), was associated with changes in spending and utilization for outpatient imaging in its first year.

Methods: In this observational study, we used claims data from January 1, 2012, to December 31, 2016. We used a propensity-weighted difference-in-differences design to


Moving Organizational Theory in Health Care Forward: A Discussion with Suggestions for Critical Advancements

Jan. 1, 2020

Ingrid M Nembhard, Ann Barry Flood, John R Kimberly, Anthony R Kovner, Stephen M Shortell, Jacqueline S Zinn

Abstract [from journal] 

In May 2019, scholars in management and organization of health care organizations and systems met. The opening plenary was a moderated discussion with five distinguished scholars who have exemplified pushing the frontier of organizational theory and practice throughout their careers: Ann Barry Flood of Dartmouth College, John Kimberly of the University of Pennsylvania, Anthony (Tony) Kovner of New York University, Stephen (Steve) Shortell of University of California at Berkeley, and Jacqueline (Jackie) Zinn of Temple University. The discussion was...

Sociodemographic Characteristics of Youth in a Trauma Focused-Cognitive Behavioral Therapy Effectiveness Trial in the City of Philadelphia

Dec. 24, 2019

Briana S. Last, Brittany N. Rudd, Courtney A. Gregor, Hilary E. Kratz, Kamilah Jackson, Steven Berkowitz, Arturo Zinny, Lauren P. Cliggitt, Danielle R. Adams, Lucia M. Walsh, Rinad S. Beidas

Abstract [from journal]

While randomized controlled trials of trauma‐focused cognitive behavioral therapy (TF‐CBT) have demonstrated efficacy for youth with posttraumatic stress disorder, TF‐CBT effectiveness trials typically show attenuated outcomes. This decrease in effectiveness may be due to the differences in sociodemographic characteristics of youth in these trials; youth in efficacy trials are more often white and middle‐income, whereas youth in effectiveness trials are more often racial/ethnic minorities, of low socioeconomic status (SES) and live in


Evidence Base Update for Brief, Free, and Accessible Youth Mental Health Measures

Dec. 11, 2019

Emily M. Becker-Haimes, Alexandra R. Tabachnick, Briana S. Last, Rebecca E. Stewart, Anisa Hasan-Granier, Rinad S. Beidas

Abstract [from journal]

Evidence-based assessment (EBA) is foundational to high-quality mental health care for youth and is a critical component of evidence-based practice delivery, yet is underused in the community. Administration time and measure cost are barriers to use; thus, identifying and disseminating brief, free, and accessible measures are critical. This Evidence Base Update evaluates the empirical literature for brief, free, and accessible measures with psychometric support to inform research and practice with youth. A systematic review using PubMed and PsycINFO