Delivery Innovation

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

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


Fast-tracking Behavioral Health Care

Sep. 17, 2019

Imagine struggling with a behavioral health issue, searching for a local psychiatrist, and finding out the provider you’ve chosen doesn’t accept insurance. You wouldn’t be alone: most psychiatrists in the United States don’t. But let’s say your plan has some out-of-network benefits, which means you pay the full cost up front and request an itemized receipt for every appointment.