2004 ANNUAL RESEARCH MEETING The premier forum for health services research Agenda San Diego • June 6 – 8 cademyHealth is the professional home for health services researchers, policy analysts, and practitioners, and a leading, non-partisan resource for the best in health research and policy. With a growing membership of 4,000 individuals and 125 affiliated organizations throughout the United States and abroad, AcademyHealth fosters networking and professional growth among a diverse constituency. A AcademyHealth puts relevant information into the hands of public and private health care leaders by convening national scientific and health policy conferences, educating researchers and policymakers, disseminating vital information, and advocating for health services research through the Coalition for Health Services Research. AcademyHealth serves as the national program office for two initiatives of The Robert Wood Johnson Foundation: Changes in Health Care Financing and Organization (HCFO) and State Coverage Initiatives (SCI). Additionally, AcademyHealth manages multi-year contracts for several government agencies, including the Agency for Healthcare Research and Quality, the Health Resources and Services Administration, and the National Library of Medicine. Our areas of expertise span health care financing, delivery, and purchasing; Medicare, Medicaid, and the State Children’s Health Insurance Program; insurance markets and coverage; and knowledge transfer. www.academyhealth.org Dear Colleague: In the 10 years since we last held our Annual Research Meeting in San Diego, health services research concerns have become even more relevant. Health care costs are again escalating faster than national income; millions more Americans are uninsured; new concerns have been raised about the quality of health care; and public health faces unexpected threats. Clearly, the research of AcademyHealth members is more important than ever in helping policymakers and practitioners make critical and necessary choices. The 2004 meeting will highlight significant new work across a wide range of topics, reflecting the breadth of research this field offers. By bringing researchers together with policy analysts, managers, and practitioners, this meeting provides unique opportunities for research to inform health care decision-making. We welcome Vint Cerf, Ph.D., as our keynote speaker. He will discuss the implications of technology and the Internet for health care. His accomplishments have been instrumental in the work of health services researchers and his vision for the future is likely to be similarly inspiring. Many of you have taken a leadership role behind the scenes, ensuring that this meeting remains “the premier forum for health services research.” I would like to thank the planning committee, review committees, and conference faculty for their contributions; they make this tremendous undertaking possible. I hope you enjoy your stay in San Diego. Thank you for being a part of our 2004 Annual Research Meeting. Sincerely, Sherry Glied, Ph.D. Chair, Annual Research Meeting Professor, Department of Health Policy and Management Mailman School of Public Health Columbia University Private Sponsors Division of Health Care Policy & Research Mayo Clinic ihps Institute for Health Policy Studies School of Medicine University of California, San Francisco Federal Supporters Agency for Healthcare Research and Quality National Center for Health Statistics Annual Research Meeting Themes Below is a key depicting this year’s Annual Research Meeting themes. Several sessions listed throughout the agenda portion of this book have theme bullets next to the title to help guide you through the sessions. This guide may prove helpful as you determine the session you would like to attend. Themes B Behavioral Health I International C Child Health L Long-Term Care R Chronic Care Delivery A O Management & Organization Coverage & Access M D Disparities H Health Insurance Markets P Medicare & Medicare Prescription Drugs Public Health Q T W Quality & Patient Safety Technology, Innovation & Evaluation Workforce Table of Contents Conference Agenda Sunday . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Monday . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Tuesday . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Affiliate Meetings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Session Information Types of Sessions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Sessions by Theme . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 Most Outstanding Abstracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Poster Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Exhibit Program Exhibitor Profiles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Exhibitors by Category . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 Exhibit Hall Floor Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Conference Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Continuing Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Awards Distinguished Investigator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61 Alice S. Hersh New Investigator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Article-of-the-Year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65 Dissertation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 Student Poster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68 NCHS/AcademyHealth Health Policy Fellow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69 Committees Awards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70 Annual Research Meeting Planning Committee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Abstract Reviewers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Boards of Directors AcademyHealth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 Coalition for Health Services Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 AcademyHealth Membership Individual Member Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 Organizational Affiliates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Interest Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84 Student Chapters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 Conference Staff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 Advertisements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87 Speaker Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99 Map of Hotel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 1 Sunday 7:30 a.m. – 6:00 p.m. Registration 8:15 a.m. – 9:15 a.m. Student Breakfast Meet-the-Experts California Ballroom Experts: Linda Aiken, University of Pennsylvania; Arlene Ash, Boston University Medical Center; Judith Feder, Georgetown University; Sherry Glied, Columbia University; James Knickman, The Robert Wood Johnson Foundation; Elizabeth McGlynn, RAND; David Mechanic, Rutgers, The State University of New Jersey; Robert Reischauer, The Urban Institute; Thomas Rice, University of California, Los Angeles; Sara Rosenbaum, George Washington University; Diane Rowland, The Henry J. Kaiser Family Foundation; Stephen Shortell, University of California, Berkeley All students are invited to attend this breakfast to meet informally with leading health services researchers and policymakers. 7:45 a.m. – 9:15 a.m. The Impact of Regulation, Markets & Information on Quality in Nursing Homes L Pacific Three Chair: Mary Jane Koren, The Commonwealth Fund Panelists: David Grabowski, University of Alabama at Birmingham; Ciaran O’Neill, University of Ulster, Jordanstown; Shoshanna Sofaer, Baruch College Roundtable: Market forces, publicly available information, and regulation are three powerful drivers of nursing homes’ behavior. The speakers will begin by considering the history and impact of each on nursing home quality. However, because these forces tend to operate interdependently, panelists will consider how they might be channeled to reinforce each other and used synergistically to improve performance. Likewise, the panel will reflect on what lessons might be derived from the experience of the nursing home industry for other long-term care sectors such as home care. International Breakfast Meeting (Open) Getting Evidence-Based Psychosocial Treatments into Practice: Evidence & Challenges in Behavioral Health Sunrise Pacific Two Policy Innovations in the United Kingdom, Canada, and New Zealand: Opportunities for Cross-National Learning Chair: Robin Osborn, The Commonwealth Fund Panelists: Ronald Paterson, Health and Disability Commissioner, New Zealand; Steven Morgan, Centre for Health Services and Policy Research, University of British Columbia, Canada; Stephen Dunn, Section Head and Policy Advisor, Foundation Trust Financial Regime, UK Department of Health Sponsored by The Commonwealth Fund 2 9:30 a.m. – 11:00 a.m. Concurrent Sessions B Chair: Kenneth Wells, University of California, Los Angeles Panelists: Robert Cullen, Prince George’s County Health Department; Jeanne Miranda, University of California, Los Angeles; Margo Picou, Consultant; David Shern, University of South Florida; Barbara Vickrey, University of California, Los Angeles Roundtable: This roundtable will present teams of investigators and community agency participants to discuss efforts to improve aspects of psychosocial services for chronic illnesses, reviewing study goals of services and dissemination efforts, study findings (if applicable), challenges faced, and solutions found/attempted from diverse perspectives. The exemplar conditions are providing psychotherapy for depression in community settings, building new directions for improving services from schizophrenia after the PORT findings, and improving outreach and services for dementia. Real World Uses of Risk Adjustment (Predictive Modeling) Pacific Six/Seven Chair: Arlene Ash, Boston University Medical Center Panelists: James Naessens, Mayo Clinic; Rong Yi, DxCG, Inc. Methods Workshop: The panel will discuss a range of current uses for risk adjustment models in managing health care workflow and costs. Topics include using pharmacy records versus other data to predict future drug costs, identifying persistently high primary care users, and profiling specialist care. H Innovations in Health Insurance Royal Palm Two Chair: Richard Lindrooth, Medical University of South Carolina Call for Papers: M. Kate Bundorf, Stanford University “The Incidence of the Health Care Costs of Obesity” Dominick Esposito, Mathematica Policy Research, Inc. “Prescription Drug Demand for Therapeutic Substitutes: Do Copayments and Insurer Non-Price Rationing Influence Patient Utilization?” Srikanth Kadiyala, Harvard University “The Causal Effect of Managed Care on Quality: Evidence from Cancer Screening Guideline Discontinuities” Anthony LoSasso, Northwestern University “Immigrants and Employer-Provided Health Insurance” The Delivery System Counts: Organizational Structure & the Quality of Care O Sunset Chair: Jane Banaszak-Holl, University of Michigan Call for Papers: Askar Chukmaitov, Virginia Commonwealth University “Variations in Quality Outcomes among Hospitals in Different Types of Health Systems, 1995 – 2000” Ann Scheck McAlearney, Ohio State University “Adoption and Use of Handheld Computers in Clinical Practice” Patricia Parkerton, University of California, Los Angeles “Does Primary Care Practice Autonomy Influence Colorectal Cancer Screening Rates?” Bruce Siegel, George Washington University “Improving the Performance of the Safety Net: Findings of the Urgent Matters Project” Medicare & Medicare Prescription Drugs: Expense or Investment? M Royal Palm Five/Six Chair: Len Nichols, Center for Studying Health System Change Call for Papers: Chad Abrams, Johns Hopkins University “Identifying High Risk Medicare Enrollees, Improved Identification and Payment Possible?” Bryan Luce, MEDTAP International, Inc. “Estimating the Value of Investment: Medicare and Overall U.S. Health Care Services” Steven Morgan, University of British Columbia “Drug Expenditures in Canada: A Population-Based Analysis of Trends and Causes” Bruce Stuart, University of Maryland at Baltimore “The Impact of Prescription Coverage on Drug and Non-Drug Spending under Medicare” Zhou Yang, Michigan State University “How Much Would a Medicare Prescription Drug Benefit Cost? Offsets in Medicare Part A Cost by Increased Drug Use” Sunday Andrew Coburn, University of Southern Maine “Who Uses Individual Health Insurance and for How Long? An Analysis of the 1996 – 2000 SIPP” Carol Simon, Boston University “Are Practice Structure and Market Competition Related to the Quality of Care Delivered by Office-Based Physicians?” Public Health Risks, Costs & Prevention Strategies P Royal Palm Four Chair: Linda McKibben, Centers for Disease Control and Prevention Call for Papers: Tatiana Andreyeva, RAND “Health Care Costs of Moderate and Severe Obesity” Yuhua Bao, University of California, Los Angeles “Is Some Physician Advice on Smoking Cessation Better than No Advice? An Instrumental Variable Analysis of the 2001 National Health Interview Survey” Lisa Faulkner, Public Health Institute “The Impact of Obtaining Documented Informed Consent for Population-Based Voluntary Supplemental Newborn Screening in California” David Howard, Emory University “Impact of Low Health Literacy on Medical Costs” Douglas Levy, Harvard Medical School “Maternal Smoking and the 1998 Master Settlement Agreement” 3 Web Resources: News from NLM & Beyond Pacific Four/Five Chair: Marjorie Cahn, National Library of Medicine Panelists: Betsy Humphreys, Lisa Sedlar, and Catherine Selden, all from the National Library of Medicine Research Resources: Placing increased emphasis on resources to support health services research and public health, the National Library of Medicine (NLM) has developed a new section of its Web site (www.nlm.nih.gov) devoted to these topics. Come learn about these new and improved Web resources from NLM (and its public and private partners), including collaborative projects, databases, subject access projects, outreach and training, publications, and research and informatics initiatives. Research Agenda at the National Cancer Institute: Priorities & New Opportunities in Health Services & Outcomes Research Royal Palm Three Chairs: Martin Brown and Steven Clauser, both from the National Cancer Institute Research Agenda: This session will present and discuss National Cancer Institute (NCI) current and anticipated research programs and funding opportunities in health services and outcomes research, emphasizing the pathways for seeking and obtaining extramural support from this largest of the NIH institutes and centers. NCI’s research priorities in health services research and outcomes encompass a wide range of topics, including cancer outcomes measurement, quality-of-care assessment and improvement, and a host of topics in the economics of cancer care, including analyses of costs, effectiveness, and cost-effectiveness. There is also a focus on how the tools of health services research and outcomes research can be applied to understand and reduce disparities in access to cancer services and health outcomes. experts, who are current or former state legislators, will present their perspectives on the issue. They will be joined by the director of an agency that is responsible for providing research data to a state legislature. Investigating the Factors that Influence Hospitalization for Chronic Medical Conditions R Royal Palm One Chair: Nancy McCall, RTI International Call for Panels: Erica Brody, RTI International “Do Ambulatory Care Sensitive Conditions Affect Beneficiaries’ Experience and Satisfaction with Health Care?” Nancy McCall, RTI International “Are Changing Rates of Admission for Chronic Medical Conditions Simply a Reflection of Changes in the Demographics, Health Status, and Geographic Migration Patterns of the Elderly?” Lee Mobley, RTI International “Spatial Analysis of Healthcare Markets: Separating the Signal from the Noise in Ambulatory Care Sensitive Condition Admission Rates” Sujha Subramanian, RTI International “Does Access to Usual Source of Care and Supplemental Insurance Prevent Hospitalization for Chronic Medical Conditions among the Elderly?” 11:30 a.m. – 1:00 p.m. Concurrent Sessions Is There a Future for Integrated Care Systems in the Consumer Era? Royal Palm One View from the State Legislature: Translating Research into Policy Pacific One Chair: Mitch Greenlick, Oregon State House of Representatives Panelists: Bruce Goldberg, Office of Oregon Health Policy and Research; Phil Lopes, Arizona State House of Representatives; James Tallon, United Hospital Fund of New York Special Session: This session will examine the role of health services research information from the perspective of the state legislature. Three health services researchers/health policy 4 Chair: Robert Crane, Kaiser Permanente Panelists: Kenneth Chuang and R. Adams Dudley, both from the University of California, San Francisco; James Robinson and Stephen Shortell, both from the University of California, Berkeley Roundtable: Today, responsibility for health care decisions is increasingly placed on consumers. Consumer choice can encourage some quality and efficiency improvements, but that alone is insufficient. Care delivery systems must be aligned to support this task. This panel will explore lessons learned from existing integrated care systems, such as Kaiser Permanente, Group Health, and HealthPartners. What is known about quality and efficiency in such sys- tems? What has caused them to succeed or fail? What role will they play in an increasingly consumer-driven insurance market? What does their experience tell us about the prospects for transforming health care as called for by the Institute of Medicine? Understanding Approaches to Account for Clustering of Observations in HSR Pacific Two Chair: A. Russell Localio, University of Pennsylvania Methods Workshop: This workshop will focus on the approaches for analyzing clustered data from randomized and observational studies, with special emphasis on binary outcome data. It will also cover lesswell-known analytic challenges, such as confounding by cluster, the sometimes overlooked assumptions of volume outcome studies, and the risks of estimates with substantial bias. Finally, there will be an overview of tips for presenting results in a clinically meaningful manner. The session will include copies of the slides and a bibliography. Determinants of Access & Quality of Care Pacific Six/Seven Chair: Elizabeth Ozer, University of California, San Francisco Call for Papers: David Brousseau, Medical College of Wisconsin “Pediatric Quality of Care is Associated with Primary Care Provider Type” Susan Haber, RTI International “Ethnic Disparities in SCHIP: The Role of Acculturation” Ian Hill, The Urban Institute “The Covering Kids and Families Evaluation: Findings from Parent Focus Groups on Access to Care” Moira Inkelas, University of California, Los Angeles “Mental Health Need and Access to Services for CSHCN” Sue Kim, University of California, San Francisco “Access and Satisfaction with Care for CSHCN in Medicaid Managed Care and Other Types of Health Plans: An Analysis of the 2000 MEPS” Learning from International Policy Change Sunset Chair: Huw Davies, University of St. Andrews Call for Papers: Carl-Ardy Dubois, London School of Hygiene and Tropical Medicine “Managing the Workforce for a Changing Healthcare System: Lessons from the European Experiences” Naomi Fulop, London School of Hygiene and Tropical Medicine “Organizational Turnaround: Lessons from a Study of ‘Failing’ Health Care Providers in England” Michael Harrison, Agency for Healthcare Research and Quality “Market Reforms in Europe: Dynamics of Policy Fashion” Peter Hussey, Johns Hopkins University “How Does the Quality of Medical Care Compare in Five Countries?” Steven Morgan, University of British Columbia “A Decade of Evidence-Based Prescription Drug Purchasing in British Columbia” W Evidence for Planning the Future Health Care Workforce Royal Palm Two Chair: Lori Melichar, The Robert Wood Johnson Foundation Sunday C I Call for Papers: Carol Brewer, University at Buffalo, The State University of New York “Factors Influencing Registered Nurses’ Decisions to Work” Judith Cooksey, University of Maryland, Baltimore “Genetics Workforce Concern: A Limited Supply of Medical Geneticists” Nancy Hanrahan, University of Pennsylvania “Crisis in the Mental Health Workforce: The State of the Advanced Practice Nurse Workforce” Lynn Unruh, University of Central Florida “Impact of Patient Turnover on Nurse Staffing” Diane Watson, University of British Columbia “What’s Up Docs? Population-Based Supply and Use of Family Doctors, 1991 – 2001” 5 A The Uninsured Pacific One Patient Safety 2004: Connecting the Dots to Reduce Harm Q Royal Palm Five/Six Chair: Kenneth Thorpe, Emory University Call for Papers: Susan Busch, Yale University “Case Management of Uninsured Emergency Department Patients: Results from an Economic Analysis of a Randomized Controlled Trial” Li-Wu Chen, University of Nebraska Medical Center “The Pent-up Demand for Health Care of the Uninsured Near Elderly When They Are Approaching Age 65” Suzanne Felt-Lisk, Mathematica Policy Research, Inc. “The Accessibility of Specialty Care for California’s Uninsured” Patricia Ketsche, Georgia State University “The Effect of Employment-Based Health Insurance on Wages and Returns to Tenure: Evidence that High- and Low-Wage Workers Differ” Judy Zerzan, Oregon Health and Science University “The Demise of Oregon’s Medically Needy Program: Effects of Losing Prescription Drug Coverage and Pharmaceutical Company Drug Assistance Programs” Medical Care Use of Residential Care Patients L Royal Palm Four Chair: Penny Hollander Feldman, Visiting Nurse Service of New York Call for Papers: Becky Briesacher, University of Maryland, Baltimore “The Effect of Federal Drug Therapy Guidelines on Patient Safety in Nursing Homes: A Natural Experiment” Susan Horn, Institute for Clinical Outcomes Research “Cost-Benefit Analysis of Nursing Home Registered Nurse Staffing Times” Orna Intrator, Brown University “The Effect of Medicaid Rate on Potentially Preventable Hospitalizations from Nursing Home” Sophia Kazakova, Centers for Disease Control and Prevention “Reduction in Mortality Associated with Influenza and Pneumococcal Vaccination of Elderly in Nursing Homes” Charles Phillips, Texas A&M University System Health Science Center “Medicare Expenditures for Residents in Assisted Living: Data from a National Study” Chair: Daniel Stryer, Agency for Healthcare Research and Quality Call for Papers: Didem Bernard, Agency for Healthcare Research and Quality “Adverse Patient Safety Events: Costs of Readmissions and Patient Outcomes Following Discharge” Kimberly Galt, Creighton University “Medication Safety in the Primary Care Physician’s Office” Daniel Harris, CNA Corporation “A Comparison of Medical Error Reports Submitted to a Voluntary Patient Safety Reporting System by Different Classes of Reporters: A Report from the ASIPS Collaborative” Dennis Scanlon, Pennsylvania State University “The Impact of the Leapfrog Group on Hospital Patient Safety Practices” Donna Woods, Northwestern University “Patient Safety Problems in Adolescent Medical Care” Help with Publishing Instead of Perishing: Meet the Editors Pacific Four/Five Chair: Bradford Gray, Milbank Quarterly Panelists: Jeffrey Alexander, Medical Care Research and Review; Robert Cunningham, Health Affairs; Harold Luft, Health Services Research; Colleen McHorney, Medical Care; Mark Schlesinger, Journal of Health Politics, Policy and Law Skill and Career Development: In this session, editors from leading health services research and policy journals will briefly describe their journals’ niches and comment on factors that affect the likelihood that submission’s will find their way into print. There will be time for comments and questions from the audience. Research Agenda of AHRQ Pacific Three Chair: Francis Chesley, Agency for Healthcare Research and Quality Research Agenda: This session will provide an update on Agency for Healthcare Research and Quality programs, provide an overview of new research priorities, and 6 describe new funding opportunities. Health information technology research funding opportunities will be described and innovative recent activities and potential future directions for the Agency’s Translating Research into Practice and Policy program will be described. Key findings from the recently released National Healthcare Quality Report and the National Healthcare Disparities Report will be highlighted including opportunities to use these reports in quality improvement efforts and to address health care disparities. Diversity in Health Services Research Royal Palm Three Chair: Vanessa Gamble, Johns Hopkins University Panelists: Kelly Devers, Virginia Commonwealth University, Robert Mayberry, Morehouse School of Medicine; Eliseo Perez-Stable, University of California, San Francisco; Robert Valdez, RAND 1:15 p.m. – 2:45 p.m. Opening Luncheon Plenary Atlas Ballroom Welcoming Remarks Sherry Glied, Conference Chair Columbia University Taking Internet’s Temperature: Prescriptions for the 21st Century Vinton Cerf Technology Strategy, MCI Alice S. Hersh New Investigator Award Presentation Awardee: David Studdert, Harvard School of Public Health Presenter: Michael Chernew, University of Michigan How Much, How Soon? Coverage Decisions in the Medicare Program M California Chair: Sean Tunis, Centers for Medicare and Medicaid Services Panelists: Tanisha Carino, Health Strategies Consultancy, LLC; Susan Bartlett Foote, University of Minnesota; Peter Neumann, Harvard University; Steven Pearson, Harvard Pilgrim Health Care Roundtable: Over the past five years, the Medicare program has substantially altered its approach to making national coverage decisions by adopting an explicit, evidence-based approach to policy development; appointing an independent expert advisory committee; and conducting all of its activities with full public disclosure. Perhaps because of these advances, another layer of challenges to developing coverage policies has become apparent. This session will explore several specific critical challenges now faced when making these decisions, including the appropriate balance between local and national policy, the role of economic factors in decision making, and the degree of deference granted to physician and patient preferences. The session will conclude with a participatory exercise that will stimulate panelists and audience members to think creatively about strategies that Medicare might use to further improve its national coverage process. Sunday Special Session: This panel will focus on the importance of ensuring diversity in health services research. AcademyHealth, through a grant from the W.K. Kellogg Foundation, is taking a leadership role in this pursuit. Panelists will present the project’s findings to date and will provide their perspective on the importance of diversity in this field. 3:00 p.m. – 4:30 p.m. Concurrent Sessions Health Information Technology for the Health Care Sector: Where Are We? How Can We Get Where We Need to Go? T Sunset Chair: Helen Burstin, Agency for Healthcare Research and Quality Panelists: Mark Leavitt, Healthcare Information and Management Systems Society; Arnold Milstein, William M. Mercer, Inc.; Paul Tang, Palo Alto Medical Foundation Roundtable: While many consider health information technology as a transformational force in patient safety and quality of care, there has been limited diffusion within the health care sector. In this policy roundtable, the 7 panel will consider the current and future status of information technology in health care from the perspectives of government, private purchasers, vendors, and health care providers. Discussion will include barriers to widespread implementation, potential quality and cost benefits, and strategies to accelerate adoption. Methodological Challenges in Detecting & Intercepting Medical Errors & Adverse Events Royal Palm One Chair: Donald Goldmann, Children’s Hospital, Boston Panelists: Harvey Murff, Department of Veterans Affairs; Richard Platt, Harvard Pilgrim Health Care/Harvard Medical School Methods Workshop: This session will review diverse methodologies for detecting and preventing medical errors and adverse events. Methods for detecting and preventing events in real time (including automated methods)and the use of computerized databases for research will be emphasized. The potential for translating research methods into the real world of clinical care will be assessed and research priorities highlighted. A Health Insurance Changes Royal Palm Five/Six Chair: Thomas Buchmueller, University of California, Irvine Call for Papers: Linda Blumberg, The Urban Institute “Effects of an Economic Boom on Health Insurance Status” and “Exploring the Decline in Employer Sponsored Insurance” Michael Chernew, University of Michigan “Increasing Health Insurance Premiums and the Decline in Insurance Coverage” Richard Kronick, University of California, San Diego “The Response of Small Business to Variation in the Price of Insurance: Results from a Randomized Controlled Trial” Len Nichols, Center for Studying Health System Change “Uninsured Decliners of Employer Sponsored Health Insurance: How They Changed from 1997 – 2003” Supported in part by The Lewin Group W Impact of Practice Organization & Demographics on the Workforce Pacific Four/Five Evidence-Based Management: Translating Research into Practice O Pacific Two Chair: Thomas Rundall, University of California, Berkeley Panelists: Huw Davies, University of St. Andrews; Jean-Louis Denis, University of Montreal; Jean Slutsky, Agency for Healthcare Research and Quality Invited Papers: At the core of evidence-based management (EBM) is the notion that managers should incorporate into their decision making the best available research. There is growing interest among researchers and decision-makers in strengthening the role of research in decision making. The panelists will identify the barriers to EBM within the health management research communities and within health organizations; discuss strategies for overcoming those barriers; and present real world examples of programs designed to increase EBM in health care organizations within the United States, the United Kingdom, and Canada. Supported in part by AUPHA and the Center for Health Research, University of California, Berkeley 8 Chair: Sean Clarke, University of Pennsylvania Call for Papers: Gwendolyn Greiner, VA Puget Sound Health Care System “RN Characteristics and Staffing Patterns: A Comparison of VHA and Non-VHA Hospital RNs in the United States” Cheryl Jones, University of North Carolina, Chapel Hill “Educational Preparation and Registered Nurse Turnover” Rebecca Lewis, American College of Radiology “Women in Radiology” Elizabeth Mertz, University of California, San Francisco “Evaluation of Strategies to Recruit Oral Health Care Providers to Underserved Areas in California” Patricia Stone, Columbia University “Turnover of Critical Care Registered Nurses” Focus on Prescription Drug Use: Data from the National Center for Health Statistics Royal Palm Two Chair: Diane Makuc, National Center for Health Statistics Panelists: Amy Bernstein, Catharine Burt, and Ryne Paulose, all from the National Center for Health Statistics Research Resources: Prescription drugs are an increasingly important component of health care. Drug utilization has been changing rapidly, affected by third-party coverage, marketing practices, new clinical guidelines, and the availability of new drugs. Data on trends in drug use are available from multiple sources including medical records and personal interviews. This session will describe the data collected on medications in national health care provider- and population-based surveys and how these data can be used to inform health policy. The types of research and policy questions that can be addressed by each data source will be highlighted. Chair: David Shern, University of South Florida Panelists: Junius Gonzales, National Institute of Mental Health; Harold Perl, National Institute on Alcohol Abuse and Alcoholism; Jack Stein, National Institute on Drug Abuse Research Agenda: The institutes will provide an overview of current areas of services research, highlight recent key findings, and discuss future direction and funding opportunities. Medicaid Reform & Enforceable Rights: Implications of a Changing Legal Landscape for Access & Quality Pacific One Chair: Sara Rosenbaum, George Washington University Panelists: Timothy Stolfus Jost, Washington and Lee University; Jeanne Lambrew, George Washington University; Cindy Mann, Georgetown University; Alan Weil, The Urban Institute Does Participation in Collaborative Quality Improvement Programs Improve Care for Patients with Chronic Illness? R Royal Palm Four Chair: Emmett Keeler, RAND Call for Panels: David Baker, Northwestern University “Improvements in Communication, Education, and Self-Management Through Implementation of the Chronic Care Model for Patients with Heart Failure” Jill Marsteller, National Center for Health Statistics “The Role of Team Effectiveness in Improving Chronic Illness Care” Roberto Vargas, RAND “Do Collaborative Quality Improvement Programs Reduce Cardiovascular Risk for Persons with Diabetes?” Sunday Research Agenda of NIAAA, NIDA, NIMH Royal Palm Three Special Session: This session will explore judicial developments over the past decade that affect Medicaid’s public policy status as an enforceable legal right. The session will also consider approaches to legislative and regulatory reform through the Health and Human Services Secretary’s demonstration authority that similarly could alter the fundamental structure of Medicaid as an enforceable right. The panel will then consider the health services access and quality implications of such a transformation and review possible agendas for future research. Impacts of Incremental Public Health Insurance Expansions C Pacific Three Chair: Barbara Lyons, The Henry J. Kaiser Family Foundation Call for Panels: Ted Joyce, National Bureau of Economic Research “Chip Shots: Association Between the SCHIP and Immunization Rates” Genevieve Kenney, The Urban Institute “Effects of the SCHIP on Insurance Coverage of Low-Income Children” Thomas Selden, Agency for Healthcare Research and Quality “How Much Can Really Be Saved by Rolling Back SCHIP? The Marginal Cost of Public Health Insurance for Children” Phillip Cooper, Agency for Healthcare Research and Quality “The Effect of SCHIP Expansions on Health Insurance Decisions by Employers” 9 3:00 p.m. – 6:30 p.m. Using Report Cards to Drive Consumer Choice Sunrise Pacific Six/Seven Q Chair: David Howard, Emory University Comparative Quality Measures and Innovation in the Use of Incentives 3:00 p.m. – 4:30 p.m. – Panel I Comparative Measures of Health Systems’ Quality Chair: Heather Palmer, Harvard University Panelists: Peter Scherer, OECD Directorate for Employment, Labour, and Social Affairs “OECD’s Health Project” Call for Panels: M. Kate Bundorf, Stanford University “The Effects of Health Plan Performance Measurement and Reporting on Quality of Care for Medicare Beneficiaries” Roger Feldman, University of Minnesota “The Effect of Quality information on Consumer Choice of Health Plans: Evidence from the Buyers Health Care Action Group” Judith Hibbard, University of Oregon “Short and Long-Term Effects of a Public Performance Report on Hospital Reputation” David Howard, Emory University “Cards and Consumer Choice in Kidney Transplantation” Colin Feek, Ministry of Health, New Zealand “Commonwealth’s Five Country Study” John Miller, Population Health and Surveillance, Provincial Health Services Authority, Canada “Canada’s Inter-Provincial Comparative Measures” 4:30 p.m. – 8:30 p.m. Exhibits Martin McKee, London School and European Observatory “How Useful are Comparative Exercises?” 5:00 p.m. – 6:30 p.m. Concurrent Sessions 4:40 p.m. – 4:55 p.m. Report on The Commonwealth Five Country Survey of Hospital Executives A Panelists: Robert Blendon, Harvard University Robin Osborn, The Commonwealth Fund 5:00 p.m. – 6:30 p.m. – Panel II Incentives to Improve Quality: Experiences from Abroad Chair: Arnold Milstein, William M. Mercer, Inc. Panelists: Peter Smith, York University, United Kingdom Hong-Jen Chang, Bureau of National Health Insurance, Taiwan Niek Klazinga, University of Amsterdam, The Netherlands Uwe Reinhardt, Princeton University, United States Sponsored by The Commonwealth Fund and Taiwanese Bureau of National Health Insurance 10 Future of Medicaid & SCHIP Pacific One Chair: Diane Rowland, The Henry J. Kaiser Family Foundation Panelists: Judith Feder, Georgetown University; Alina Salganicoff, The Henry J. Kaiser Family Foundation; Kristen Testa, The Children’s Partnership, California; Alan Weil, The Urban Institute; Gail Wilensky, Project HOPE Roundtable: While much progress has been made in extending health insurance to low-income populations through Medicaid and SCHIP, rising costs, the state fiscal crisis, and the growing federal deficit are in tension with efforts to maintain and improve coverage of low-income people. Approaches to reform health and long-term care coverage are again under discussion. This session will provide national and state perspectives on the coverage challenges and implications of reform proposals. Q Innovations in Patient Safety Pacific Two Chair: Daniel Stryer, Agency for Healthcare Research and Quality Methods for Health Care Quality Improvement Research Royal Palm Four Chair: Haya Rubin, Johns Hopkins University Panelists: Ada Sue Hinshaw, University of Michigan; Brent James, Intermountain Health Care Institute for Healthcare Delivery Research; Jonathan Perlin, Department of Veterans Affairs; David Stevens, Institute for Healthcare Improvement Panelists: Kelvin Baggett, Johns Hopkins University; Denise Dougherty, Agency for Healthcare Research and Quality; Lisa Rubenstein, VA Greater Los Angeles Healthcare System; Kenneth Wells, University of California, Los Angeles Roundtable: Improvements in patient safety during the past few years have tended to be local phenomena, resulting in incremental advances. This panel will present innovations in four critical areas that together hold promise for more global, substantial, and sustainable change. Speakers will discuss the roles for education and training, changes in the health care workforce, and information technology in developing a safer health care system. Methods Workshop: The need for quality improvement in health care has never been greater, but many questions remain about the most effective strategies and combination of strategies for quality improvement. There is a need for health services researchers to turn their attention to this important area. This workshop will provide guidance on methods for conducting quality improvement research in real world settings and publishing that research. Supported in part by the Department of Health Care Policy & Research, Mayo Clinic B M Outlook for Medicare PPOs Prescription Drugs & Behavioral Health Royal Palm One Chair: Haiden Huskamp, Harvard Medical School Chair: Paul Ginsburg, Center for Studying Health System Change Panelists: Thomas Croghan, RAND; Patricia Deverka, Medco Health Solutions, Inc.; Benjamin Druss, Emory University; Stephen Soumerai, Harvard Medical School and Harvard Pilgrim Health Care; Julie Zito, University of Maryland, Baltimore Panelists: Robert Hurley, Virginia Commonwealth University; Brian Jeffrey, PacifiCare Health Systems; William Scanlon, Georgetown University Roundtable: This panel will look into the future concerning how the Medicare Advantage Preferred Provider Organization (PPO) products will evolve, the challenges they will face, and the potential for improving care or reducing costs through care coordination and other techniques. How will they differ from commercial PPO models? How extensive a market share will they garner? What types of beneficiaries will they attract? Socioeconomic Status & Health Sunday Royal Palm Five/Six Invited Papers: The past quarter-century has brought dramatic advances in the treatment of mental illness, including the introduction of many new psychotropic drugs. This session will discuss changes in psychotropic drug utilization patterns for children, the impact of private sector cost-containment mechanisms and public sector regulations aimed at reducing drug costs and/or improving quality, and the effect of generic entry on use and spending for these classes of drugs. Pacific Four/Five Strategies for Moderating the Long-Term Impact of Childhood Obesity Chair: Jose Escarce, University of California, Los Angeles Sunset C Chair: Christopher Forrest, Johns Hopkins University Panelists: Dana Goldman and Michael Hurd, both from RAND Methods Workshop: This session will describe the evidence on the relationship between socioeconomic status and health, assess the mechanisms underlying this relationship, and examine methods to identify causal effects in observational data. Panelists: Scott Gee, Kaiser Permanente; Roland Sturm, RAND; Joseph Thompson, University of Arkansas for Medical Sciences Invited Papers: Childhood obesity has become one of the newest imperatives in public health. As with adults, overweight children are at risk for morbidity and mortality due to coronary heart disease, colorectal cancer, and 11 arthritis. Although there are no simple policy responses for reducing the burden of childhood obesity, several innovative approaches are emerging and will be discussed in this session. Panelists will make the case that the contours of future childhood obesity programs and policies must be multifocal, targeted at populations, occur in multiple settings, and be coordinated across several local, state, and federal agencies. Health Care Information Systems: Imminent Solutions or Distant Hope? T Pacific Six/Seven Chair: Stephen Parente, University of Minnesota Call for Papers: Andrew Chang, Joint Commission on Accreditation of Healthcare Organizations “Bridging Terminology and Classification Gaps Between Patient Safety Information Systems: A Comparison of Two Coding Schemas for Near Misses and Adverse Events” Vicki Fung, Kaiser Permanente “Use of e-Health Services (1999 – 2002): Mountains or Molehills?” Ann Scheck McAlearney, Ohio State University “Handheld Computers as Technology Innovation in Clinical Practice” Julie Sakowski, Sutter Institute for Research and Education “Bar Code Point of Care Medication Administration Systems for the Prevention of Inpatient Medication Errors” Timothy Weddle, Loyola University, Chicago “Influences of Social Factors on Computer Use by Rural Primary Care Physicians” MEPS: A National Information Resource to Support Health Care Research & to Inform Health Care Policy & Practice Royal Palm Two Chair: Steven Cohen, Agency for Healthcare Research and Quality Panelists: Karen Beauregard and Joel Cohen, both from the Agency for Healthcare Research and Quality Research Resources: AHRQ’s Medical Expenditure Panel Survey (MEPS) collects data on the specific health services that Americans use; how frequently they use them; the cost of these services and how they are paid; as well as data on the cost, scope, and breadth of private health insurance held by and available to the U.S. population. MEPS is unparalleled for the degree of detail in its data, and its ability to link health service medical expenditures and health insurance data to the demographic, employment, economic, health status, utilization of health services, and other characteristics of survey respondents. Moreover, MEPS provides a foundation for estimating the impact of changes in sources of payment and insurance coverage on various economic groups or special populations of interest, such as the poor, the elderly, veterans, the uninsured, and racial and ethnic minorities. In this session, the presenters will report findings from recent and ongoing studies on health care costs and coverage and provide an update on recent enhancements to the survey to inform health care policy and practice. Research Agenda of CMS Royal Palm Three Measurement & Improvement: Where Are We Now & Where Are We Headed? Q California Chair: Jeroan Allison, University of Alabama at Birmingham Call for Papers: Sheri Eisert, Denver Health Medical Center “The Effect of Using Rules Technology with Computerized Provider Order Entry (CPOE) in Medication Error Reduction in an Outpatient Setting” Anne-Marie Audet, The Commonwealth Fund “Measure, Learn, and Improve: Have Physicians Begun to Engage in the Quality Improvement Cycle?” P. Todd Korthuis, Oregon Health and Science University “Gaps in Quality of Care for HIV-Infected Veterans” Joachim Roski, National Committee for Quality Assurance “New Directions in Quality Measurement: Moving Towards Standardized Performance Measurement for Physician Offices” Sujha Subramanian, RTI International “Evaluation of the CDC Guideline for the Prevention of Surgical Site Infection” 12 Chair: Stuart Guterman, Centers for Medicare and Medicaid Services Research Agenda: This session will describe the analytic priorities of the Centers for Medicare and Medicaid Services (CMS) and how they fit into its mission to identify, design, test, develop, and implement improvements to Medicare, Medicaid, and the SCHIP, for which CMS is responsible at the federal level. Presentations will review the issue areas in which research is being conducted or planned, as well as demonstration projects that provide the opportunity to test improvements in Medicare policy. Activities related to the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 will be discussed. The Effects of the Balanced Budget Act of 1997 on Hospital Finances, Uncompensated Care Provision & Quality of Care O Pacific Three Chair: Kevin Volpp, University of Pennsylvania Call for Panels: Gloria Bazzoli, Virginia Commonwealth University “The Influence of Health Policy and Market Factors on the Hospital Safety Net” Tamara Konetzka, Philadelphia VAMC “Financial Winners and Losers from BBA and BBRA among Short-Term Acute-Care Hospitals” Jack Needleman, University of California, Los Angeles “The Influence of Health Policy and Market Factors on Quality in the Hospital Safety Net” Kevin Volpp, University of Pennsylvania “The Effect of the Medicare Balanced Budget Act on Process of Care for AMI Patients” Exhibit Hall Features: ◆ Child Health ◆ Coverage & Access ◆ Long-Term Care ◆ Management & Organization ◆ Public Health ◆ Quality & Patient Safety ◆ Workforce ◆ Student Posters The AcademyHealth poster program, which has grown in size and recognition over the years, is an integral and popular feature of the meeting and an effective mechanism for research dissemination and networking. Visit informally with the presenters to learn about their state-of-the-art research. Poster Session A Sunday, 6:45 – 8:00 p.m. (reception) Poster Session B Tuesday, 7:30 – 8:45 a.m. (breakfast) Sunday 6:45 p.m. – 8:00 p.m. Poster Session A & Reception Poster Program 13 Monday 7:00 a.m. – 6:00 p.m. Registration 7:30 a.m. – 8:15 a.m. Continental Breakfast Royal Palm Court 8:30 a.m. – 10:00 a.m. Concurrent Sessions Paying for Quality: Emerging Concepts, Experiments & Evidence Roundtable: Although relatively little information is currently available about the quality of care being delivered, is the information we do have sound enough to be used by decision-makers? This session will address issues related to improving the validity of measures for motivating and evaluating quality improvement, the use of measurement theory to design better measures and use them to make attributions to different levels of care, the use of patient surveys for assessing the quality of care provided by individual physicians, and challenges in the use of risk-adjusted outcomes to evaluate hospital quality. Panelists will discuss areas where measures are ready for use and areas where more work needs to be done. H Pacific Two Chair: Douglas Conrad, University of Washington Panelists: Arnold Milstein, William M. Mercer, Inc.; Barry Saver, University of Washington; Peter Smith, University of York; Gary Young, Boston University and Department of Veterans Affairs Roundtable: Across the United States, health plans, purchasers, and provider organizations are implementing quality-based financial incentives for hospitals and physicians. At the same time, the United Kingdom has embarked on a new General Medical Services (GMS) contract in which a significant share of physician practice payment is based on explicit quality metrics. This session will address the concepts behind financial incentives for clinical quality and will present emerging insights from three important quality incentive initiatives: The Rewarding Results Demonstration Program, the Leapfrog Group Standards for quality in hospitals, and the GMS Contract. The panelists and audience will explore the implications of this incentive innovation for management, policy, and practice. The Science of Quality Measurement: Are We Getting It Right? Q California 14 Impact of SCHIP on Vulnerable Children: Findings from the Child Health Insurance Research Initiative C Pacific Four/Five Chair: Cindy Brach, Agency for Healthcare Research and Quality Panelists: Andrew Dick, University of Rochester; Elizabeth Shenkman, University of Florida; Peter Szilagyi, University of Rochester Medical Center Invited Papers: Focusing on minority children and children with special health care needs, this session will describe SCHIP’s impact on health care and health outcomes, what delivery features are associated with better care, and insurance continuity of SCHIP enrollees. Specifically, panelists will answer the questions: Did SCHIP improve asthma care and reduce asthma symptoms? Are certain practice settings or characteristics associated with better access and quality for vulnerable children? Are vulnerable children more likely to disenroll from SCHIP and/or become uninsured after SCHIP, and are health care experiences during SCHIP related to disenrollment? M New Capitated Alternatives in Medicare Royal Palm One Chair: Elizabeth McGlynn, RAND Chair: Melvin Ingber, Centers for Medicare and Medicaid Services Panelists: Cheryl Damberg, Pacific Business Group on Health; Timothy Hofer, University of Michigan; Dana Gelb Safran, Tufts-New England Medical Center; Joe Selby, Kaiser Permanente Panelists: John Kautter and Gregory Pope, both from RTI International; John Robst, Centers for Medicare and Medicaid Services Invited Papers: Medicare has been moving toward incorporating more private sector options for beneficiaries. These private plans are usually paid a monthly capitated amount for each enrollee. Capitated plans are becoming more diverse in the degree to which they manage care and in the degree of specialization. With this growth, and with the processes of competition and bidding being added to defining capitated payments, risk adjustment is becoming an important part of the payment system. This panel will present information from an evaluation of the new Preferred Provider Organizations (PPO) in Medicare, a report on how functional status is integrated into the payment of capitated plans specializing in the care of the frail elderly, and a report on the new risk adjustment system for plans specializing in end stage renal disease and for these enrollees in the regular Medicare+Choice plans. Disparities in Treatment for & Impact of Mental Illness B Pacific Six/Seven Call for Papers: Jim Banta, University of California, Los Angeles “Severe Mental Illness and Congestive Heart Failure Outcomes among Veterans” Pinka Chatterji, Harvard Medical School “The Effect of Mental Disorders on Labor Market Outcomes among Latino Americans” Jeffrey Harman, University of Florida “Disparities in the Adequacy of Depression Treatment in the United States” Shin-Yi Wu, RAND “Sustainability and Spread of Chronic Illness Care Improvement” A Effects of Cost-Sharing & Reimbursement Sunrise Chair: Willard Manning, University of Chicago Call for Papers: Robin Clark, University of Massachusetts Medical School “A Medicaid Buy-in Program’s Effects on Costs and Earnings” Peter Cunningham, Center for Studying Health System Change “The Effects of Medicaid Reimbursement on Access to Care of Medicaid Enrollees: A Community Perspective” John Hsu, Kaiser Permanente “Cost-Sharing for Emergency Care—Is It Safe? Findings on Health Outcomes from the Safety and Financial Ramifications of ED Copayments (SAFE) Study” Mary Reed, Kaiser Permanente “Self-Reported Effects of Prescription Drug Cost-Sharing: Decreased Adherence and Increased Financial Burden” Nathan West, RTI International “The Impact of Premiums on Wisconsin’s BadgerCare Program” D Disparities & the Care of Children Pacific One Amy Kilbourne, VA Pittsburgh Healthcare System “Racial Differences in Quality of Care for Bipolar Disorder” Chair: Anne Beal, The Commonwealth Fund Leigh Ann White, Johns Hopkins University “Mental Health and Employment Transitions among Low-Income Women” Call for Papers: David Brousseau, Medical College of Wisconsin “Disparities for Latino Children in Receipt of Timely Medical Care” Organizational Factors Associated with Successful Chronic Care Delivery R Pacific Three Chair: Douglas Roblin, Kaiser Permanente Georgia Call for Papers: Stephen Davidson, Boston University “Measuring Gradations of Quality in Chronic Disease Care” Marjorie Pearson, RAND “Chronic Care Model (CCM) Implementation Emphases” Julie Schmittdiel, University of California, Berkeley “The Effect of Primary Health Care Orientation on Chronic Illness Care Management” Monday Chair: Greer Sullivan, University of Arkansas Alexander Tsai, Case Western Reserve University “A Meta-Analysis of Interventions to Improve Chronic Illness Care” Alex Chen, Children’s Hospital, Los Angeles “Children at Risk of Receiving Sub-Standard Asthma Care— Findings from a Nationally Representative Sample” Glenn Flores, Medical College of Wisconsin “Unequal Treatment for Young Children? Racial and Ethnic Disparities in Early Childhood Health and Healthcare” and “Does Disadvantage Start at Home? Racial and Ethnic Disparities in Early Childhood Home Routines, Safety, and Educational Practices/Resources” Leo Morales, University of California, Los Angeles “Mortality among Very Low Birth Weight Infants in Hospitals Serving Minority Populations” 15 Technology Assessment: Identifying Value in Innovation Research Agenda of CDC T Sunset Chair: Kathryn McDonald, Stanford University Royal Palm Three Chair: Linda McKibben, Centers for Disease Control and Prevention Call for Papers: Melinda Henne, Stanford University “Health Insurance Coverage and Access to Technologies: The Case of Insurance Mandates for the Treatment of Infertility” Panelists: Maureen Lichtveld, Tanya Popovic, and Dixie Snider, all from the Centers for Disease Control and Prevention David Samson, Blue Cross Blue Shield Association “A Cost-Effectiveness Analysis of Left Ventricular Assist Devices as Destination Therapy for End-Stage Heart Failure” Research Agenda: Dr. Julie Gerberding is leading CDC in a new direction. The “Future’s Initiative” is her plan to ready the nation’s prevention agency for the 21st Century to better serve its customers. An essential part of this plan is redesigning how CDC does business with its health systems research partners. This panel will inform attendees of the new Office of Public Health Research and other exciting developments at the CDC. Melony Sorbero, RAND “The Cost-Effectiveness of RSV Prophylaxis: Using Decision Analysis to Build a Better Guideline” Claudia Steiner, Agency for Healthcare Research and Quality “Increasing Health Care Costs: The Price of Innovation?” Xinhua Yu, University of Minnesota “Unequal Utilization of New Technologies by Race: Adjusting for Geography in the Use of TUNA and TUMT among Medicare Beneficiaries” A Quiet Revolution: Role of the Courts in Health Systems Change Royal Palm Four The Health Care Financing & Organization (HCFO) Program: Grants for Policy Relevant Research (& More!) Royal Palm Two Chair: Anne Gauthier, AcademyHealth Panelists: Bonnie Austin, AcademyHealth; Stephen Parente, University of Minnesota Skill and Career Development: AcademyHealth serves as the national program office for The Robert Wood Johnson Foundation’s HCFO program, a multifaceted initiative seeking to bridge the policy and research communities. The program funds grants on significant health care policy and market developments, convenes meetings, and disseminates results to public and private stakeholders in a number of ways. Learn the ins and outs of getting a HCFO grant and working with program staff from the idea stage to the grant phase to getting your findings in the right hands. The panel features program staff and a current grantee. Chair: M. Gregg Bloche, Georgetown University Law Center Panelists: Gail Agrawal, University of North Carolina, Chapel Hill; David Hyman, University of Maryland; George Young, George Parker Young Law Firm Special Session: By default, federal courts have become key health policymakers. Interest group gridlock has paralyzed Congress, but over the past few years federal judges have remade the rules of the medical marketplace. States now have the authority to require independent review of coverage denials, forbid selective contracting with providers, and do other things that federal law once barred them from doing. This spring, in Aetna v. Davila, the U.S. Supreme Court will decide whether patients can sue health insurers for negligent withholding of coverage and care. Why have the courts stepped so assertively into the health policy fray, and what has been the impact of the revolution they have brought about? Does Hospital Financial Condition Affect Patient Care & Safety? O Royal Palm Five/Six Chair: Gloria Bazzoli, Virginia Commonwealth University Call for Panels: Sema Aydede, University of Florida “A Profile of Inpatient Care and Safety in Hospitals with Differing Case-Mix and Financial Condition” Jan Clement, Virginia Commonwealth University “Disparities in Quality and Safety Outcomes, 1995 – 2000” 16 Richard Lindrooth, Medical University of South Carolina “How Much of the Variation in Hospital Financial Performance Is Explained by Service Mix?” Mei Zhao, Virginia Commonwealth University “Hospital Financial Distress and Patient Outcomes: A Panel Study” 10:00 a.m. – 12:00 p.m. & 3:15 p.m. – 6:45 p.m. Exhibits 10:30 a.m. – 12:00 p.m. Concurrent Sessions Translating Disparities Research into Policy & Practice D California Chair: Edward Guadagnoli, Harvard Medical School Roundtable: Although many studies have demonstrated that racial, ethnic, and socioeconomic disparities in health care exist, less attention has been devoted to identifying strategies to reduce these disparities. This panel will discuss challenges and approaches to identifying, designing, and implementing policies and practices to reduce disparities in health care. I Where Are We in IT? An International Perspective Pacific Two Chair: Uwe Reinhardt, Princeton University Panelists: Hong-Jen Chang, Bureau of National Health Insurance, Taiwan; Kieke Okma, The Hague; Humphrey Taylor, Harris Interactive Roundtable: Information technology has long been viewed as the “white knight” who can rescue the laborintensive and globally inefficient health systems of the world from a growing shortage of health workers. In this session, the panel will explore how far down that path different nations have gone. Innovative Statistical Approaches in Health Services Research: Bayesian Approaches to Missing Data, Multiple Informant Analyses & Propensity Scores Monday Panelists: Joseph Betancourt, Massachusetts General Hospital; E. Richard Brown, University of California, Los Angeles; Maisha Cobb, Aetna Health Plans; Kaytura Felix-Aaron, Agency for Healthcare Research and Quality; Kevin Fiscella, University of Rochester efforts to use current electronic data and to encourage broader use of standards based interoperable electronic health records (EHR). The panel will show current use of electronic clinical data for disease surveillance, as well as specific implementations of national standards used for health data exchange. The urgent need for enhanced preparedness can help accelerate the national EHR effort through focused collaboration between clinical and public health partners. Pacific Three Chair: Sharon-Lise Normand, Harvard Medical School Panelists: Thomas Belin, University of California, Los Angeles; Nicholas Horton, Smith College Emerging Health Threats & Emerging Health Information Systems: Getting Public Health & Clinical Medicine to Real Time Response P Pacific Four/Five Chair: John Loonsk, Centers for Disease Control and Prevention Panelists: John Lumpkin, The Robert Wood Johnson Foundation; Richard Platt, Harvard Pilgrim Health Care/Harvard Medical School Roundtable: To rapidly detect an emerging disease like SARS or a bioterrorist event, public health must obtain real time information across multiple health care data sources. Public health has thus been at the forefront of Methods Workshop: This session will consist of three related tutorials describing and illustrating innovative analytic approaches for missing data, multiple outcomes, and causal inference. First, new methods for handling missing continuously scaled items in multivariate data will be discussed. The idea is to extract common factors to reduce the number of covariance parameters to be estimated in a multivariate normal model. The methods will be illustrated in a study of an emergency room intervention for adolescents who attempted suicide and in a clinical trial of oral-surgery patient to examine quality of life outcomes. Second, regression-based methods for analyzing multiple source outcomes (e.g., self-reports, family members, health care providers, administrators) will be presented. The idea is to embed the correlated multiple out 17 comes within a general linear model framework that can be extended to handle stratification, clustering, and sampling weights. Methods will be illustrated using the Eastern Connecticut Child Survey. Third, methods for estimating treatment or policy effects in the absence of randomization using regression and stratification techniques via propensity scores will be reviewed. The key ideas involve mimicking the randomized setting where all participants have a positive probability of participating. Methods will be illustrated using observational data to examine the effect of introducing a behavioral carve-out in a population of adult schizophrenics. Polly Noel, Veterans Evidence-Based Research, Dissemination and Implementation Center “Collaborative Care Needs and Preferences of Primary Care Patients with Multimorbidity” Angela Thrasher, University of North Carolina, Chapel Hill “Motivational Interviewing to Support Antiretroviral Treatment Adherence” A Access to Health Care & Insurance Pacific One Chair: Joel Cantor, Rutgers, The State University of New Jersey Improving Quality of Care in the VA: Wins, Losses, Errors & Ties Q Sunrise Call for Papers: Teresa Coughlin, The Urban Institute “The Disabled and Access to Care in Managed Care” Chair: Lisa Rubenstein, VA Greater Los Angeles Healthcare System Lisa Dubay, The Urban Institute “Effects of the SCHIP on Access to Care, Use of Services and Health Status” Panelists: Steven Asch, VA Greater Los Angeles Healthcare System; Robert Brook, RAND; Bradley Doebbeling, Indiana University-Purdue University Indianapolis; Laura Petersen, Houston VA Medical Center; Elizabeth Yano, VA Greater Los Angeles Healthcare System Sarah Laditka, University of South Carolina “Physician Supply and Effectiveness of the Primary Health Care System” Invited Papers: The VA has invested significant resources in improving the quality of care delivered to eligible veterans over the past decade. This session focuses on the VA as a national demonstration project. The session explores key practice and policy lessons learned from the VA experience and their applicability to other health care systems and settings. Sharon Long, The Urban Institute “How Well Does Medicaid Work in Improving Access to Care?” Marlene Niefeld, Johns Hopkins University “Ambulatory Care Sensitive Condition Hospitalizations among Elderly Medicare and Medicaid (Dual) Enrollees” Plan & Beneficiary Decisions in the Medicare+Choice Program M Pacific Six/Seven Chair: Adam Atherly, Emory University Innovative Strategies to Integrate Patients into Chronic Care Delivery R Royal Palm One Chair: Michael von Korff, Group Health Cooperative Call for Papers: Suzanne Austin Boren, University of Missouri, Columbia “Evidence-Based Checkup for Patient Education Web Sites” Dawn Clancy, Medical University of South Carolina “Evaluating Concordance to American Diabetes Association Standards of Care for Type 2 Diabetes Through Group Visits in an Uninsured or Inadequately Insured Patient Population” Kun Gao, University of Washington “Managing Old-Age Diabetes: The Effect of Health Club Enrollment and Use on Medical Costs and Outcomes among Older Adults” 18 Call for Papers: Curtis Florence, Emory University “Transitions in Health Plan Choice: Changes in FEHBP Plan Selection When Beneficiaries Begin Medicare Coverage” Rachel Halpern, University of Minnesota “Medicare+Choice Plan Decisions, 1999 – 2001” Mary Laschober, BearingPoint “Impact of Medicare+Choice Lock-In Provisions: Who Would Be Affected?” Matthew Maciejewski, University of Washington “Medicare Drug Benefits and Selection Bias in HMO Enrollment and Mortality in Diabetes” Peter Neumann, Harvard University “Quality of Evidence and CMS Review Times for Medicare National Coverage Decisions, 1998 – 2003” Go Behind the AHRQ/NIH Study Section Door: A Mock Review Sunset Chair: Ming Tai-Seale, Texas A&M University Health Sciences Center Panelists: Scott Andre, Agency for Healthcare Research and Quality; Willard Manning, University of Chicago; Barbara Yawn, Olmsted Medical Center CSAT: Using Data to Foster Quality Improvement Royal Palm Three Chair: Joan Doty Dilonardo, Center for Substance Abuse Treatment/SAMHSA Panelists: Craig Anne Heflinger, Vanderbilt University; Toni Krupski, Washington State Division of Alcohol and Substance Abuse; Kevin Mulvey, Center for Substance Abuse Treatment/SAMHSA Research Agenda: This session will provide new information about how several different types of data can be used to foster quality improvement. Examples will be drawn from plan-based performance measurement, state data systems, and federal performance improvement systems. Medical Debt: Causes, Consequences & Policy Implications Royal Palm Four Chair: Robert Seifert, Brandeis University Call for Panels: Jennifer Edwards, The Commonwealth Fund “How Medical Debt Threatens Economic Security and Access to Care: Findings from the Commonwealth Fund’s 2003 Survey of Health Insurance and Access” Melissa Jacoby, Temple University “Medical Bankruptcy Incidence and its Legal and Practical Limits” Becky Miles-Polka, Within Reach Consulting “Medical Debt: Causes and Responses in Des Moines, Iowa” Monday Skill and Career Development: The federal grant review process could appear mysterious or rather daunting to fledgling grant applicants. This panel brings together a scientific review administrator at AHRQ and three study section members of AHRQ and NIH—representing health services research, economics, and medicine—to give participants an opportunity to understand the process of federal grant proposal review through a mock review. The variation in roles played by panelists in the review process and reviewers’ own grant-making experience will provide participants a wide range of perspectives and rich grounds for interaction. Discussion topics include, but are not limited to: 1) communicating a research plan to reviewers unfamiliar with technical language, 2) using the Summary Statement to revise and resubmit a proposal, and 3) working with federal project officers. Special Session: Although the medical malpractice system influences access to health care, its cost, and its quality, malpractice reform has generally been perceived as a legal and political rather than health policy problem. Recurrent, severe crises in availability and affordability of malpractice insurance are now forcing the issue onto the health policy agenda. This session presents state and national research findings from the Project on Medical Liability in Pennsylvania, supported by The Pew Charitable Trusts, assessing the impact of malpractice liability on physician and hospital supply, patient safety, and the physician-patient relationship. Jeffrey Prottas, Brandeis University “Hospital Practices and Medical Debt” M Informing Medicare Policy on Post-Acute Care Royal Palm Five/Six Chair: Joseph Newhouse, Harvard Medical School Call for Panels: Sharon Cheng, Medicare Payment Advisory Commission “Informing Medicare Policy on Post-Acute Care” Sally Kaplan, Medicare Payment Advisory Commission “Long-Term Care Hospitals’ Role in Medicare Post-Acute Care” Chapin White, National Bureau of Economic Research “Medicare’s New Prospective Payment System for Skilled Nursing Facilities: Effects on Staffing and Quality of Care” The Medical Malpractice Crisis as a Health Policy Problem Royal Palm Two Chair: William Sage, Columbia Law School Panelists: David Becker, University of California, Berkeley; Chris Hyman, Columbia Law School; Michelle Mello, Harvard University; David Studdert, Harvard University 19 12:15 p.m. – 1:45 p.m. Luncheon Plenary model in community health centers, and 3) an expert in researching the effectiveness of a chronic care program in a large HMO. Atlas Ballroom Presentation of AcademyHealth Awards Distinguished Investigator Awardees: Stuart Altman, Brandeis University; Uwe Reinhardt, Princeton University Presenter: Robert Blendon, Harvard University Article-of-the-Year Awardee: Elizabeth McGlynn, RAND Presenter: Kelly Devers, Virginia Commonwealth University Dissertation Awardee: Anita Tucker, University of Pennsylvania Presenters: Peter Buerhaus, Vanderbilt University; Julie Sochalski, University of Pennsylvania Student Poster Awardee: TBA Presenter: Lucy Savitz, RTI International Tables will be designated by theme to facilitate informal discussion. 2:00 p.m. – 3:30 p.m. Concurrent Sessions Modeling Options for Health Care Reform: Key Assumptions & Their Implications A Pacific Three Chair: Linda Bilheimer, The Robert Wood Johnson Foundation Panelists: Gestur Davidson, University of Minnesota; A. Bowen Garrett, The Urban Institute; Sherry Glied, Columbia University Roundtable: Economists use complex microsimulation models to estimate the impacts of health care reform proposals on coverage and health care costs. Such estimates are highly sensitive to the many assumptions that modelers must make about the behavioral responses of different groups and the performance of health care markets. At this roundtable, researchers will discuss research in three areas in which assumptions critically affect cost and coverage estimates: the extent to which expansions of public coverage displace private coverage; how premiums are determined in the nongroup market; and the extent to which employers pass health insurance costs on to their workers in the form of lower wages. Supported in part by The Kaiser Commission on Medicaid and the Uninsured Caring of the Elderly Near the End-of-Life: Studies of Hospice Care & Informal Care L R Understanding & Improving the Quality of Chronic Care Pacific Two Chair: Kevin Grumbach, University of California, San Francisco Panelists: Brian Austin, Group Health Cooperative; Jane Czech, Project Dulce; Bruce Fireman, Kaiser Permanente Roundtable: The Chronic Care Model as conceptualized by Ed Wagner and colleagues has been widely embraced as a method for structuring more effective care for patients with chronic illness. What is the evidence that this model can be implemented in real world practices, be financially viable, and yield improvements in patient-oriented outcomes? To address these questions, this roundtable will offer perspectives from: 1) an innovator in promoting dissemination of the chronic care model, 2) a leader in implementing and sustaining a Latino-focused chronic care 20 Pacific Six/Seven Chair: David Grabowski, University of Alabama at Birmingham Call for Panels: Richard Lindrooth, Medical Unversity of South Carolina “Do Non-Profit and For-Profit Hospices Behave Differently?” Anthony LoSasso, Northwestern University “How Do Families Allocate Elder Care Responsibilities among Siblings?” Edward Norton, University of North Carolina at Chapel Hill “Informal Care and Health Care Use of Older Adults” Donald Taylor, Duke University “Do Selection or Treatment Effects Explain Differences in Medicare End-of-Life Costs among Hospice and Usual Care Decedents?” Measuring Aspects of Organizations M Medicare Beneficiaries & Prescription Drugs Pacific One Chair: Stephen Shortell, University of California, Berkeley Chair: Brigid Goody, Centers for Medicare and Medicaid Services Panelists: Jeffrey Alexander, University of Michigan; G. Ross Baker, University of Toronto; Paul Cleary, Harvard Medical School; Kelly Devers, Virginia Commonwealth University; Shoshanna Sofaer, Baruch College Panelists: Daniel Gilden, JEN Associates; Melvin Ingber, Centers for Medicare and Medicaid Services; Cindy Thomas, Brandeis University; Marian Wrobel, Abt Associates, Inc. Methods Workshop: Panelists will discuss existing and new instruments for measuring organizational dimensions that influence health care organizational performance. These include leadership, readiness for change, a culture of patient safety, and teamwork effectiveness, among others. Invited Papers: With the passage of the Medicare Prescription Drug, Improvement and Modernization Act of 2003, the Centers for Medicare and Medicaid Services is planning for the implementation and evaluation of the Part D Medicare prescription drug benefit. One of the most challenging aspects of this effort is to piece together information on Medicare beneficiaries and their prescription drug utilization and expenditures from a variety of public and private data sources. The research findings presented at this session represent exploratory work on a range of issues including the enrollment, drug utilization and spending patterns of low-income populations in voluntary drug benefit programs using data from state pharmacy assistance programs, the development of risk adjustment methodologies for paying private plans using data from the Federal Employees Health Benefits Program, and the selection of comparison groups for program evaluation using data from the Medicare Current Beneficiary Survey. Public Reporting of Data on Quality: Why & How? Q Pacific Four/Five Chair: Judith Hibbard, University of Oregon Panelists: Kristin Carman, American Institutes for Research; Gregory Pawlson, National Committee for Quality Assurance; Meredith Rosenthal, Harvard University; Dana Gelb Safran, Tufts-New England Medical Center Invited Papers: Public reporting on health care quality is used to inform consumer choice, ensure accountability, and stimulate quality improvement. Recently, reporting efforts have moved to a focus on physicianor physician group-level performance. The panelists will present research that examines physician grouplevel public performance reports from a number of angles: their efficacy in influencing consumer choice of physicians; the cultural and psychological barriers to consumer use of this type of comparative information; and the strategies, including advances in the measurement methods and quality improvement approaches, used by providers to prepare for the public release of performance information. Supported in part by Battelle Memorial Institute and the Institute for Health Policy and Health Services Research, University of California, San Francisco Monday California Challenges in Using Evidence-Based Practices in Substance Abuse Treatment B Royal Palm One Chair: Mady Chalk, Center for Substance Abuse Treatment/SAMHSA Panelists: Kevin Hennessy, Substance Abuse and Mental Health Services Administration; Todd Molfenter, University of Wisconsin, Madison Invited Papers: This session will provide new information about issues involved in implementation of evidence-based practice. The papers will discuss creating an organizational climate for clinical and administrative change, and case examples of successes and failures in implementation. 21 D Disparities in Primary Care VA: Research That Makes a Difference Sunset Royal Palm Three Chair: Kevin Fiscella, University of Rochester Chair: Philip Crewson, Department of Veterans Affairs Call for Papers: Peter Bach, Memorial Sloan-Kettering Cancer Center “Characteristics of Primary Care Physicians Who Treat Whites and Blacks in the United States” Panelists: Brian Mittman, VA Greater Los Angeles Healthcare System; Robert Morgan, VA Medical Center, Houston; Min-Woong Sohn, VA Hines Hospital; Donna Washington, VA Greater Los Angeles Healthcare System Jessica Greene, University of Oregon “The Role of Race in Physician Participation in Medicaid: What Happens When Poverty and Race Are Conflated?” Verna Lamar-Welch, Emory University “The Effects of Survey Methodology on Race, Ethnicity, and Health Status Reporting” Deborah Taira, Hawaii Medical Service Association “Ethnic Disparities in the Impact of Copayment on Adherence to Anti-Hypertensive Medications among Asian Pacific Americans” Courtney Harold Van Houtven, VA and Duke Medical Centers “Perceived Racism and Delay of Pharmacy Prescriptions” Research Agenda: The Veterans Health Administration, one of the largest integrated health care systems in the United States, is committed to improving health care quality and efficiency. Serving 4.9 million patients a year, VA offers interesting challenges and opportunities for gathering comparative data and measuring impact. Recent findings on Medicare use by veterans, perceptions of gender disparities in VA health care, access to pharmacy benefits, and lessons learned from the VA Quality Enhancement Research Initiative will be highlighted. Research Agenda of the Foundations Royal Palm Two Key Challenges in the Management of Health Care Organizations O Sunrise Chair: Thomas Rundall, University of California, Berkeley Call for Papers: James Bramble, Creighton University “PDA Prescribing in Outpatient Settings: Barriers and Solutions” John Fortney, University of Arkansas for Medical Sciences “Are Community-Based Primary Care Services a Substitute or Complement for Specialty and Inpatient Services?” Shannon Mitchell, Yale University “Gender Disparities in Healthcare Experiences: The Impact of Managed Care Practices” Nicole Quon, Yale University “Trustbusters: The Prevalence and Predictors of Trust Violations in American Medicine” Diane Rittenhouse, University of California, San Francisco “Medicaid Managed Care: Determining Predictors of Provider Organizations’ Use of Organized Processes to Improve Care” Chair: Lauren LeRoy, Grantmakers In Health Panelists: Marguerite Johnson, W.K. Kellogg Foundation; James Knickman, The Robert Wood Johnson Foundation; Alina Salganicoff, The Henry J. Kaiser Family Foundation; Stephen Schoenbaum, The Commonwealth Fund Research Agenda: Foundations support health services research, policy analysis, and evaluation in a wide range of issue areas. Panelists in this session will describe the funding priorities of four national foundations that are major funders of research and evaluation. They will also share an insider’s view of what factors foundations consider when making decisions about what and how to fund in this area. How Can Health Services Research Make a Stronger Contribution? Royal Palm Five/Six Chair: W. David Helms, AcademyHealth Panelists: Charles Baker, Harvard Pilgrim Health Care; Arnold Milstein, William M. Mercer, Inc; Robert Reischauer, The Urban Institute Special Session: In light of increasing pressures to improve health care quality, address pressing patient safety issues, and control rising health care costs, health services research needs to play a stronger role in informing public and private health coverage decisions. This means 22 a heightened focus on what works and what doesn’t work. Leaders from the health care purchasing and health plan worlds will review the challenges they face in making informed, cost-effective decisions. They will also share their views on how the field can help this country build a more efficient and effective health care system. Recent Advances in Applied Multivariate Methods: Interaction Terms in Nonlinear Models Pacific Three Chair: Edward Norton, University of North Carolina, Chapel Hill Chair: David Howard, Emory University Methods Workshop: Although applied researchers frequently estimate models with interaction terms, such models can be hard to interpret. This workshop will explain why computing the marginal effect of a change in two variables is more complicated in nonlinear models than in linear models. There will be many examples, and user-friendly Stata code will be provided. Call for Panels: Darren DeWalt, University of North Carolina, Chapel Hill “Chronic Disease Management Mitigates the Relationship Between Literacy and Health Outcomes” Social Network Analysis in Health Services Research: Theory, Methods & Examples New Research on Health Literacy Royal Palm Four David Howard, Emory University “Impact of Low Health Literacy on Medical Costs” Lynn Nielson-Bohlman, Institute of Medicine “Health Literacy Research and the IOM Report” Michael Paasche-Orlow, Boston University “The Prevalence of Low Health Literacy” The Promise & Problems of Medical Technology: Enhancing Value or Driving Costs? T Pacific Two Chair: Alvin Mushlin, Weill Medical College of Cornell University Chair: Douglas Wholey, University of Minnesota Panelists: Jane Banaszak-Holl, University of Michigan; Thomas Rundall, University of California, Berkeley Methods Workshop: The Institute of Medicine report Crossing the Quality Chasm describes health care systems as complex adaptive systems: “[A health care system is] a set of connected or interdependent parts or agents.” Social networks analysis provides theory and methods that can be used to analyze the pattern of relations, connections, and agents. The seminar provides an overview of social network theory and methods, shows examples of the use of social network analysis in health services research, and illustrates the use of social network methods to analyze care teams within medical clinics. Monday 4:00 p.m. – 5:30 p.m. Concurrent Sessions Pacific Six/Seven Trends & Innovations in Insurance Design: Implications for Cost, Access & Quality H Panelists: David Blumenthal, Massachusetts General Hospital; Alan Garber, Stanford University; Annetine Gelijns, Columbia University Roundtable: This roundtable will consider the issues and problems posed by advances in medical technology, and review established and new approaches. Panelists will review the role that technology plays not only in rising health care costs, but also in enhancing value, outcomes, and quality of care, as well as the economic forces promoting technology innovation and limiting it. Panelists will discuss technology assessment illustrating both its value and the current limits of evidence-based decision making in managing technological change. Recent advances and uses of costeffectiveness analysis as a tool to inform policymaking will be described. The role of institutions, particularly academic health centers, both as consumers of high tech and producers of the ideas and research behind technological innovation, will be emphasized. California Chair: Jon Christianson, University of Minnesota Panelists: Richard Kronick, University of California, San Diego; Stephen Parente, University of Minnesota; Greg Scandlen, Galen Institute; Humphrey Taylor, Harris Interactive Invited Papers: Consumer-directed, or consumer-driven, health plans are being offered as benefit options by an increasing number of employers, although there is to date relatively limited evidence regarding their performance or the experience of consumers in these plans. This session presents research findings related to consumer-directed health plans and discusses issues concerning their potential impact on the private health insurance system. Supported in part by the Center for Studying Health System Change 23 Screening & Intervention for Alcohol & Drug Use Problems in Trauma Patients: If They Improve Public Health & Save Money, Then Why Don’t We Do Them? B Royal Palm Three Chair: Harold Perl, National Institute on Alcohol Abuse and Alcoholism Panelists: Lawrence Gentilello, UT Southwestern Medical School; Dan Hungerford, Centers for Disease Control and Prevention; Dennis Kelso, San Diego Health and Human Services Agency; Michael Sise, Scripps Mercy Hospital Invited Papers: This session will address screening, brief intervention, referral, and treatment (SBIRT) as an opportunity for improving access to specialized treatment and as early treatment for untreated drinkers and drug users. It will describe the content and effectiveness of SBIRT in general, followed by a closer focus on the operations of a community-based, multiple-agency model in San Diego County to engage non-dependent and dependent substance users during visits for emergency medical services as well as the implementation of a specific program in the trauma department of a major urban San Diego hospital. Next, it will examine the professional, legal, and other barriers to implementation of SBIRT interventions on a national level and conclude with a discussion by a California state senator on the public policy issues. Public Health Infrastructure: Identifying & Closing the Gaps P Pacific Four/Five Chair: Glen Mays, Mathematica Policy Research, Inc. Call for Papers: Margaret Coleman, Centers for Disease Control and Prevention “Optimizing Use of Resources for Conducting Practice-Based Immunization Assessments” David Eisenman, RAND “Racial/Ethnic Differences in Trust of Public Health to Respond Fairly After Bioterrorism” Peggy Honoré, Emory University “Public Health Finance: An Investigation of Jurisdiction Funding Patterns and Performance Capacity” L. Michele Issel, University of Illinois at Chicago “Competency of Public Health Nurses and Faculty in the Essential Public Health Services” Mei Zhao, Virginia Commonwealth University “Rural Hospitals’ Health Promotion and Disease Prevention Services: Relationships with External Forces and Hospital Characteristics” What About Structure? Organizational & Financial Effects on Quality Q Royal Palm Two Chair: Joachim Roski, National Committee for Quality Assurance Long-Term Care Financing: Private Sector Solutions & International Comparisons L Sunset Chair: Vincent Mor, Brown University Panelists: Judith Feder, Georgetown University; Manfred Huber, Organisation for Economic Cooperation and Development (OECD); Jeanne Lambrew, George Washington University; Christopher Murtaugh, Visiting Nurse Service of New York Invited Papers: Special annuities, reverse mortgages, specialized tax incentives, and public-private partnerships are considered as alternative forms of private financing for long-term care. Two of these, annuities and reverse mortgages designed to facilitate purchase of long-term care insurance, will be described. To place U.S. thinking into perspective, the results of a new OECD study comparing long-term care financing models in 19 countries are presented emphasizing the public private mix of funding. Discussion will focus on the viability of mixed models in the United States. 24 Call for Papers: Jose Escarce, University of California, Los Angeles “Health Care Market Structure and the Quality of Care Provided by Safety Net Hospitals” Nancy Keating, Harvard Medical School “Do Increases in Managed Care Market Share Influence Quality of Cancer Care in the Fee-For-Service Sector?” Gareth Parry, Children’s Hospital, Boston “The Relationship Between Nosocomial Bacteraemia and Organizational and Structural Factors in a Random Sample of 54 U.K. Neonatal Intensive Care Units” Hude Quan, University of Calgary “Mortality Associated with Physician Volume and Specialty in Myocardial Infarction Patients” B Mental Health in Community Context Sunrise Chair: Kenneth Wells, University of California, Los Angeles Call for Papers: Ricky Bluthenthal, RAND “Witness for Wellness: A Community-University Participatory Research Mental Health Initiative” Christine Eibner, RAND “Does Relative Poverty Predict the Need for Mental Health Care?” Alka Indurkhya, Harvard University “Which Dimensions of Continuity of Mental Health Care Lead to Improved School Outcomes?” Ingrid Rystedt, Dartmouth Medical School “Longitudinal Relationships among Family Caregiving Intensity, Caregiver Role Strain and Treatment Outcomes for Persons with Comorbid Mental Illness and Substance Abuse” Susan Stockdale, University of California, Los Angeles “The Effects of Community Risk and Resource Variables on Mental Health and Substance Abuse Need and Access to Care” Strategies to Address Health Disparities Pacific One Chair: Kaytura Felix-Aaron, Agency for Healthcare Research and Quality Call for Papers: Bradford Gray, New York Academy of Medicine “Racial/Ethnic Disparities in the Appropriate Use of High-Volume Hospitals” Richard Kravitz, University of California, Davis “Providing Health Care Services to the Formerly Homeless: A Quasi-Experimental Evaluation of Outcomes” Chaya Merrill, George Washington University “Examination and Evaluation of Initial State Implementation of the Breast and Cervical Cancer Prevention and Treatment Act” Peter Shin, George Washington University “Reducing Racial and Ethnic Health Disparities: Estimating the Impact of High Health Center Penetration in Low-Income Communities” Jane Sisk, Mount Sinai School of Medicine “Developing an Intervention to Improve Quality of Care and Reduce Health Disparities in Minority Communities” Royal Palm One Chair: Richard Rettig, RAND Call for Panels: Wade Aubry, University of California, San Francisco “Insurers’ Perspectives on HDC/ABMT” Cynthia Farquhar, University of Auckland “Women with Breast Cancer and HDC/ABMT in the US” Peter Jacobson, University of Michigan “Values in Conflict: HDC/ABMT Legal Issues” Richard Rettig, RAND “HDC/ABMT: Implications for Policy, Delivery and Practice” Student Poster Panel Royal Palm Four Chair: Lucy Savitz, RTI International Special Session: Miriam Fordham, University of Kentucky “Health Service Cost and Utilization among Overweight Children and Adolescents” Michael Lin, University of California, Berkeley “Motivation to Improve Chronic Disease Care in Three Quality Improvement Collaboratives” David Radley, Dartmouth College “Off-Label Prescription among Office-Based Physicians” Meena Seshamani, University of Pennsylvania “The Effect of Cuts in Medicare Reimbursement on Quality of Hospital Care” Monday D Evaluating a New Breast Cancer Procedure: Values in Conflict M Will the New Medicare Drug Plan Lead to Lower Spending on Medical Services? Royal Palm Five/Six Chair: Geoffrey Joyce, RAND Call for Panels: Michael Furukawa, University of Pennsylvania “Selection Bias and the Effects of Prescription Drug Coverage on Non-Drug Medical Spending: Evidence from the 1994 – 1999 Medicare Current Beneficiary Survey” Boyd Gilman, RTI International “Will the Substitution of Drug for Non-Drug Care under a Voluntary Drug Benefit Lower Medicare Spending? Evidence from a State Pharmacy Assistance Program” Frank Lichtenberg, Columbia University “Prescription Drug Coverage, Drug Vintage, and Medical Expenditure of Medicare Beneficiaries: Evidence from the Medical Expenditure Panel Survey” Zhou Yang, Michigan State University “How Much Would a Medicare Prescription Drug Benefit Cost? Offsets in Medicare Part A Costs by Increased Drug Use” 25 5:45 p.m. – 6:45 p.m. Meeting of AcademyHealth Members Sunrise AcademyHealth Board officers will report on the state of AcademyHealth, including membership and financial reports as well as announcements of upcoming programs. This is also the first opportunity to hear the slate of nominees for membership election to the Board of Directors. Exhibit Program 7:00 p.m. – 9:00 p.m. Beach Party by the Pool Entertainment provided by: The popular exhibit program includes universitybased and other health services and policy research programs, professional/trade associations and research affiliates, research consulting firms, federal agencies, foundations, publishers, and computer/software companies, and other commercial vendors. The Career Center is also located in the Exhibit Hall and is available during Exhibit Hall hours. Each year, nearly 95 percent of conference participants visit the Exhibit Hall during the meeting. Dedicated exhibit hours feature poster sessions and meal functions. Take advantage of the many opportunities in the Exhibit Hall. 26 Tuesday 7:00 a.m. – 12:00 p.m. Registration Inside the Black Box: How Actuaries Price Health Insurance 7:15 a.m. – 9:30 a.m. Exhibits Sunset Chair: Kara Clark, Society of Actuaries 7:30 a.m. – 8:45 a.m. Poster Session B & Continental Breakfast Exhibit Hall Features: ◆ Behavioral Health ◆ Chronic Care Delivery ◆ Disparities ◆ Health Insurance Markets ◆ International ◆ Medicare & Medicare Prescription Drugs ◆ Technology, Innovation & Evaluation ◆ General Posters 9:15 a.m. – 10:45 a.m. Concurrent Sessions Public Policy & Childhood Obesity: Emerging Policy Options Panelists: Cathi Callahan, Actuarial Research Corporation; John Lloyd, Ernst & Young LLP; Lisa Tourville, Ingenix; Jerome Winkelstein, Blue Cross of California Methods Workshop: Evaluations of health insurance expansion proposals require modeling of the interplay between health insurance premiums and the number of individuals covered. This session is designed to give health policy researchers a greater understanding of the factors involved in the pricing of various types of health insurance. Panelists will first provide an overview of the health insurance marketplace and how pricing considerations differ between lines of business, with an emphasis on the particulars of the individual and small group markets. The critical role of trend analysis in the pricing process will also be closely examined. Panelists will then discuss some of the pricing-related issues that need to be considered in the assessment of health insurance expansion proposals, such as benefit design, adverse selection, and induced demand. C Pacific Three Chair: James Sallis, San Diego State University Panelists: Debra Cohen and Roland Sturm, both from RAND Roundtable: An emerging research literature is exploring what types of public policy interventions could help change the trends in childhood obesity rates. This session will feature three presentations exploring research findings and the implications for developing public policy options. Issues related to nutrition, policy, the use of economic incentives, and the push toward government efforts to make the built environment more exercisefriendly will be considered. Sponsored by The Robert Wood Johnson Foundation Using Mixed Qualitative & Quantitative Methods in Health Services & Policy Research Pacific Four/Five Chair: Shoshanna Sofaer, Baruch College Panelists: Elizabeth Bradley, Yale University; Kristin Carman, American Institutes for Research; Steven Woolf, Virginia Commonwealth University Methods Workshop: An increasing number of research efforts in our fields finds that a mix of qualitative and quantitative methods are required. This panel will identify and discuss those methods using examples from the experience of the presenters. They will discuss the wide range of contexts in which mixed methods are appropriate and the special challenges involved in using these methods, including creating an appropriate research design; dovetailing data collection instruments and methods; analyzing data that can sometimes be both complementary and conflicting; and working with a research team whose epistemological assumptions may be at odds. 27 M Medicare Drug Benefits Royal Palm One Chair: Roger Feldman, University of Minnesota Panelists: Marisa Elena Domino, University of North Carolina, Chapel Hill; Geoffrey Joyce, RAND; Steven Pizer, Boston University; Dennis Shea, Pennsylvania State University; Robert Town, University of Minnesota Invited Papers: This panel consists of four papers on the topic of Medicare and Prescription Drugs. Two of the papers deal specifically with aspects of the new Medicare drug program that will start in 2006. Will poor and near-poor beneficiaries take up this coverage, and how much will prescription drug plans that exclude or severely restrict coverage of brand name drugs cost? The other two papers investigate the implications of managed care plans with drug coverage for physician behavior and enrollee health. Both patient enrollment and physician involvement in managed care are associated with increases in psychiatrists’ price sensitivity when selecting drug treatments for depression, and enrollment in Medicare+Choice plans without drug coverage appears to increase patient mortality. Pacific Six/Seven Chair: Barbara Gage, RTI International Call for Papers: Leslie Foster, Mathematica Policy Research, Inc. “Do Children with Developmental Disabilities Benefit from Consumer-Directed Medicaid Supportive Services Programs?” Wen-Chieh Lin, University of Missouri, Columbia “Varied Regional Responses to Medicare Post-Acute Care Prospective Payment Systems” Christopher Murtaugh, Visiting Nurse Service of New York “Access to Medicare Home Health Care: How Has It Changed Following the Introduction of PPS?” Donald Taylor, Duke University “Do Selection or Treatment Effects Explain Differences in Medicare Costs among Hospice and Normal-Care Decedents?” Courtney Harold Van Houtven, VA and Duke Medical Centers “Home- and Community-Based Waivers for Disabled Adults” R Issues in Chronic Care Delivery & Quality Migration & the Global Health Care Workforce: Balancing Competing Demands Royal Palm Two California Chair: Sherrie Kaplan, University of California, Irvine Chair: Linda Aiken, University of Pennsylvania Call for Papers: Wenke Hwang, Johns Hopkins University “Persistent High Out-of-Pocket Costs among Medicare Beneficiaries” W Panelists: James Buchan, Queen Margaret University College, Scotland; Richard Cooper, Medical College of Wisconsin; Barbara Stilwell, World Health Organization, Geneva Invited Papers: International migration of physicians and nurses is increasing rapidly as demand for health professionals in countries with well-resourced health care systems exceed their domestic production. However, reliance on international migration may delay or prevent host countries from undertaking necessary steps to develop a sustainable domestic supply of physicians and nurses. Moreover, the supply of health professionals in developing countries is at risk of being depleted, creating risks to global health. This panel will provide new information on trends in physician and nurse migration and its potential consequences. 28 Long-Term Care Community Services & Market Factors L Sarah Sampsel, National Committee for Quality Assurance “Measuring Quality of Care in People with Arthritis” Jay Shen, Governors State University “Adverse Maternal Outcomes among Asthma Women” Brad Smith, University of Texas Health Science Center at San Antonio “Does Literacy Impact the Effectiveness of a Disease Management Program in Congestive Heart Failure?” David Zingmond, University of California, Los Angeles “Is Managed Care Superior to Traditional Fee-For-Service among HIV-Infected Beneficiaries of Medi-Cal?” Insurance Coverage Issues & Effects Pacific One David Howard, Emory University “Report Cards and Consumer Choice in Kidney Transplantation” Chair: Jessica Banthin, Agency for Healthcare Research and Quality Nancy Mitchell, RTI International “Public Reporting Formats That Motivate Older Consumers to Compare Medicare Health Plan Options” Call for Papers: Julia Costich, University of Kentucky “‘Churning’: SCHIP Coverage Discontinuity and Its Consequences” Julie Rainwater, University of California, Davis “Consumers’ Use of Quality Information When Selecting a Health Plan” A Amy Davidoff, The Urban Institute “Effects of the SCHIP on Health Insurance and Access to Care for Children with Special Health Care Needs” Demand-Driven Research: Working Through Delivery-Based Networks Gerry Fairbrother, New York Academy of Medicine “Costs of Enrolling Children in Medicaid and SCHIP” Pacific Two Nancy Lenfestey, RTI International “Churning: Disenrollment and Reenrollment in Wisconsin’s Medicaid and BadgerCare Programs” Chair: Irene Fraser, Agency for Healthcare Research and Quality D Health Literacy, Cultural Competence & Perceived Racism Royal Palm Four Call for Papers: Mary Catherine Beach, Johns Hopkins University “Cultural Competence: A Systematic Review of Health Care Provider Educational Interventions” Linda Cummings, National Public Health and Hospital Institute “Serving Diverse Communities in Hospitals and Health Systems” Shoou-Yih Lee, University of North Carolina, Chapel Hill “Development of an Easy-to-Use Spanish Health Literacy Assessment Tool” Ninez Ponce, University of California, Los Angeles “Language Barriers and Seniors: Implications for Medicare Policies” Amal Trivedi, Harvard Medical School “Impact of Perceived Discrimination on Use of Preventive Services” Empowering Patients: The Impact of Public Reporting & Direct Patient Involvement Q Skill and Career Development: The traditional model of research is supply-driven: researchers come up with questions, test hypotheses, write up and publish their findings, and then move on to the next project. One way to increase the likelihood that health care leaders will use research to actually inform decision making is to shift to a more demand-driven model, which requires rethinking and occasionally merging the roles of researchers and users. Delivery-based research networks can achieve this merger. This panel will include presentations from representatives of three such networks: the Integrated Delivery System Research Network led by AHRQ, the HIV Research Network also led by AHRQ, and the Center for Health Management Research housed at the University of Washington. Tuesday Chair: Joseph Betancourt, Massachusetts General Hospital Panelists: Douglas Conrad, University of Washington; Kelly Gebo, Johns Hopkins University; Lucy Savitz, RTI International Research Agenda of the Office of the Assistant Secretary for Planning and Evaluation (OASPE/DHHS) Royal Palm Three Chair: William Marton, OASPE/DHHS Panelists: Barbara Greenberg, Centers for Medicare and Medicaid Services; Ann McCormick, OASPE/DHHS; K. Lynn Nonnemaker, U.S. General Accounting Office Royal Palm Five/Six Chair: Julie Brown, RAND Call for Papers: Donna Havens, University of North Carolina, Chapel Hill “Hospital Ratings: Quality Measures or Mere Puffery?” Research Agenda: Panelists will present the Office of the Assistant Secretary for Planning and Evaluation’s research agenda for FY 2004. The focus will be on health and long-term care research, human services policy, and departmental data needs. 29 11:15 a.m. – 12:45 p.m. Concurrent Sessions cal assessment of Republican and Democratic proposals for health reform in the next election are also likely to depend heavily on cost and consequence estimates. This roundtable will discuss how policymakers should and do use health policy estimates and budget scores. People with Disabilities: Do They Have the Same Access? D Instrumental Variables Pacific Six/Seven Pacific Three Chair: Susan Palsbo, National Rehabilitation Hospital Center for Health and Disability Research Chair: John Brooks, University of Iowa Panelists: Mari-Lynn Drainoni, Boston University; Holly Hollingsworth, Washington University, St. Louis; Trudy Mallinson, Northwestern University Roundtable: The lack of a universally accessible health system results in significant access disparities for more than 50 million Americans with chronic physical, behavioral, developmental, or sensory disabilities. The panel will report cutting-edge research addressing this national health issue from three perspectives: the development of surveillance methods of accessibility and receptivity of communities to people with disabilities; issues of access to post-acute care resulting from the extension of prospective payment to rehabilitation hospitals; and evidence of how different types of clinical providers respond to the needs of patients with different types of disabilities. Panelists will also discuss how clinical services and national health policy might be changed to improve access and health for people with disabilities, using real world examples. Methods Workshop: The amount of treatment variation in retrospective databases tempts researchers wanting to estimate the effects of treatments in practice, but the danger of selection bias hinders the interpretation of results with these data, even when risk adjustment methods and other techniques that account for observed differences among patients are employed. Instrumental variable estimation has been proposed to overcome the selection bias problem in observational studies with retrospective data and offers an interpretation that serves to complement and not substitute for randomized control trial estimates. Using several applied examples, this session will: 1) define selection bias and describe how instrumental variable estimation overcomes this problem, and 2) provide the appropriate interpretation of estimated instrumental variable treatment effects. It will emphasize the assumptions underlying instrumental variable estimation and approaches (statistical and theoretical) for finding instrumental variables that satisfy these assumptions. The United States in a World Prescription Drug Market I Policy by Numbers: The Role of Budget Estimates & Scoring in Health Care Reform A California Pacific One Chair: William Scanlon, Georgetown University Chair: Sherry Glied, Columbia University Panelists: Linda Bilheimer, The Robert Wood Johnson Foundation; Judith Feder, Georgetown University; Len Nichols, Center for Studying Health System Change; Kenneth Thorpe, Emory University; Timothy Westmoreland, Georgetown University Roundtable: Estimating the budget costs of health insurance proposals—called scoring when done by government agencies—is an imprecise art that usually depends on many untested or untestable assumptions. For example, the Medicare prescription drug “donut hole” was invented so that policymakers could achieve budget targets. These budget scores can play a critical role in the design of health policies. Media and politi- 30 Panelists: Gerard Anderson, Johns Hopkins University; Anna Cook, Mathematica Policy Research, Inc.; Panos Kanavos, London School of Economics and Political Science; Bruce Stuart, University of Maryland, Baltimore Invited Papers: U.S. prescription drug prices are generally perceived as considerably higher than in other countries. Proposals to reduce U.S. consumers’ costs, either through importation of drugs or U.S. purchasers using leverage to secure larger discounts, are countered by concerns about potential quality problems with imported drugs and possible loss of research and development funds for innovative drugs due to manufacturers’ reduced profits. This panel will discuss the measurement of international drug price differences and the implications of those differences for U.S. purchasing power. It will also examine issues related to importation of drugs, including how lessons from experience with importation in the European Union may apply to the United States and the potential impacts of current proposals to allow importation. P Public Health & Disaster Preparedness Pacific Two Chair: Robert Valdez, RAND Panelists: Kristine Gebbie, Columbia University; Nicole Lurie, RAND; Carmen Nevarez, Public Health Institute Royal Palm Five/Six Chair: Patrick Vivier, Brown University Call for Papers: T.M. Bird, University of Arkansas for Medical Sciences “Racial Disparities in Hospital Admissions and Surgical Management of Children with Appendicitis” Ruey-Kang Chang, University of California, Los Angeles “Changes in Newborn Delivery During a Period of Rapid Expansion of Medicaid Managed Care in Los Angeles and Orange County, California” Lesley Curtis, Duke Clinical Research Institute “Use of Atypical Antipsychotic Drugs by Children and Adolescents in the United States: A Retrospective Cohort Study” James Robbins, University of Arkansas for Medical Sciences “Newborn Hospitalizations for Birth Defects in the Pre- and Post-Folic Acid Fortification Periods” Ying Tabak, Cardinal Health Information Companies “Age-Specific Pathophysiologic Mortality Models for General Pediatric Inpatients” Policy Developments in Mental Health & Substance Abuse B D Disparities in Hospital Care Sunset Royal Palm Four Chair: Edward Guadagnoli, Harvard Medical School Chair: Nancy Wolff, Rutgers, The State University of New Jersey Call for Papers: David Bott, Dartmouth Medical School “Veteran Status is Not an Independent Risk Factor for CABG Mortality” Tuesday Invited Papers: In 2002 Congress sent $1.6 billion to states and cities to use toward public health and bioterrorism preparedness. Are local public health agencies better prepared to respond to current and emerging public health threats and emergencies than two years ago? This session will examine how local public health systems have used federal preparedness grant dollars and at what price to other critical public health functions. Child Health Challenges: New Research Approaches C Call for Papers: Lori Achman, Mathematica Policy Research, Inc. “Coverage of Mental Health Benefits and Parity Laws” Elizabeth Bradley, Yale University “Racial and Ethnic Differences in the Time to Acute Reperfusion Therapy for Patients Hospitalized with Myocardial Infarction” Martha Beattie, Public Health Institute “Cost-Effectiveness of Public Sector Substance Abuse Treatment: Comparison of a Managed Care Approach to a Traditional Public Sector System” Kevin Fiscella, University of Rochester “Separate and Unequal: Hospital Racial Segregation and Disparity in Pressure Ulcers in New York State” Jeremy Bray, RTI International “The Cost Offset of Behavioral Health Treatment in Medicaid” Peter Groeneveld, University of Pennsylvania “Technology Diffusion, Geographic Variation, and Racial Disparities among Elderly Medicare Beneficiaries: 1989 – 2000” Alexander Cowell, RTI International “The Association Between Federal Block Grants and Individual Mental Health and Substance Abuse Expenditures” Meena Seshamani, University of Pennsylvania “The Effect of Cuts in Medicare Reimbursement on Quality of Hospital Care” Neil Jordan, University of South Florida “Effect of Managed Care on Treatment Costs for a Medicaid Population with Psychiatric Disabilities” 31 Royal Palm Three Call for Panels: Arnold Chen, Centers for Medicare and Medicaid Services “Patient Safety among Medicare Beneficiaries” Chair: Stuart Guterman, Centers for Medicare and Medicaid Services Angela Merrill, Mathematica Policy Research, Inc. “Quality of Care for Medicare Claimants with Diabetes: 1992 and 2001” Panelists: David Baugh, Gerald Riley, and Daniel Waldo, all from the Centers for Medicare and Medicaid Services Sheila Roman, Centers for Medicare and Medicaid Services, and Timothy Lake, Mathematica Policy Research, Inc. “Preventable Hospitalizations among Medicare Fee-For-Service Beneficiaries,1995 to 2001” CMS Databases Research Resources: This session will include descriptions of three sets of data activities being conducted by the Centers for Medicare and Medicaid Services. The Medicare Current Beneficiary Survey collects information on Medicare beneficiaries, their health care utilization and spending patterns, sources of health insurance coverage, and other data describing their circumstances. The Surveillance, Epidemiology, and End Results (SEER) Medicare Database merges information from the National Cancer Institute’s SEER files and Medicare claims data. The Medicaid Analytic Extract contains person-level and claims data on Medicaid enrollees for nearly all states. The discussion will focus on the contents of these databases and their applications to health services research. Best Abstracts & Article-of-the-Year Royal Palm One Chair: Michelle Dolfini-Reed, CNA Corporation Special Session: Elizabeth McGlynn, RAND “The Quality of Health Care Delivered to Adults in the United States” (Article-of-the-Year Awardee) Yuhua Bao, University of California, Los Angeles “Is Some Physician Advice on Smoking Cessation Better than No Advice?” Alka Indurkhya, Harvard University “Which Dimensions of Continuity of Mental Health Care Lead to Improved School Outcomes?” Marlene Niefeld, Johns Hopkins University “Ambulatory Care Sensitive Condition Hospitalizations among Elderly Medicare and Medicaid (Dual) Enrollees” Monitoring Outcomes of Medicare-Funded Health Care with Administrative Data: The Medicare Quality Monitoring System M Royal Palm Two Chairs: Lein Han, Centers for Medicare and Medicaid Services; Myles Maxfield, Mathematica Policy Research, Inc. Daniel Stryer, Agency for Healthcare Research and Quality Measure, Learn & Improve: Is the Science of Quality Improvement Applied by Physicians? What Can be Done to Accelerate Adoption? Q Pacific Four/Five Chair: Anne-Marie Audet, The Commonwealth Fund Call for Panels: Anne-Marie Audet, The Commonwealth Fund “Measure, Learn, and Improve: Have Physicians Begun to Engage in the Quality Improvement Cycle?” David Leach, Accreditation Council for Graduate Medical Education “The Formation of Residents: Acquiring the Habit of Quality Improvement” John Tooker, American College of Physicians “What Can Professional Organizations Do to Foster Adoption of Quality Improvement Principles and Methods by Practicing Physicians?” 1:00 p.m. – 2:30 p.m. Luncheon Plenary Atlas Ballroom AcademyHealth Chair Address Health Services Research: Does it Matter? David Blumenthal Massachusetts General Hospital Tables will be designated by theme to facilitate informal discussion. AcademyHealth gratefully acknowledges the following for general conference support: Johnson & Johnson, Health Policy Group RAND Health 32 2004 Affiliate Meetings Friday, June 4 10:00 a.m. – 5:00 p.m. Seminars in Health Services Research Methods ❂ An Introduction to Cost-Effectiveness Analysis in Health Care Royal Palm Ballroom One/Two ❂ The Why & How of Risk Adjustment Royal Palm Ballroom Three/Four ❂ Qualitative Data Analysis Software: Choosing a Program That’s Right for You Royal Palm Ballroom Five/Six 8:00 a.m. – 5:00 p.m. The Commonwealth Fund Harkness Fellowships in Health Care Policy Final Reporting Seminar Garden Salon One Invitation Only Saturday, June 5 7:00 a.m. – 5:00 p.m. 1:00 p.m. – 5:00 p.m. 10th Annual National Research Service Award (NRSA) Trainees Conference Crescent Registration required (may register on-site) Grand Ballroom Invitation Only 8:00 a.m. – 3:30 p.m. Blue Cross Blue Shield Annual Health Services Research Meeting Sunrise Invitation Only 8:30 a.m. – 4:00 p.m. Building Bridges: Making a Difference in Long-Term Care 2004 Colloquium Pacific Salon Two Registration required (may register on-site) 9:00 a.m. – 5:30 p.m. 6th Annual Child Health Services Research Meeting: What Works in Child Health Services Research AHRQ is sponsoring this meeting in affiliation with the Annual Research Meeting. A variety of topics related to children’s health care will be covered. Garden Salon One Registration required (may register on-site) Health Workforce Research Meeting 1:30 p.m. – 4:30 p.m. Identifying Evidence-Based Substance Abuse and Mental Health Programs: Introduction to SAMHSA’s National Registry of Effective Programs and Practices (NREPP) Garden Salon Two Open 3:00 p.m. – 6:00 p.m. Health Services Research and Health Policy Center Directors Meeting AcademyHealth is pleased to host a meeting of health services research and policy center directors at its Annual Research Meeting. This substantive session will focus on the shared concerns and interests of all centers. Sunset Open to HSR and HP Center Directors and Designees 4:30 p.m. – 6:30 p.m. Behavioral Health Services Research Interest Group Meeting Garden Salon Two Open 9:30 a.m. – 2:30 p.m. Public Health Systems Research Meeting 5:00 p.m. – 7:00 p.m. CDC is sponsoring the third annual affiliate meeting with the Annual Research Meeting to showcase public health systems research. Sunset Registration required (may register on-site) State Health Research & Policy Interest Group Meeting Terrace Pavilion Open 33 5:00 p.m. – 8:00 p.m. 8:15 a.m. – 9:15 a.m. Interdisciplinary Research Group on Nursing Issues: Focus on Safety and Quality Child Health Interest Group Business Meeting Pacific Salon One Open 5:15 p.m. – 7:15 p.m. NRSA Reception and Poster Session AcademyHealth conference attendees are invited to meet the trainees at the 10th annual NRSA reception and poster session. Grand Ballroom Open Sunday, June 6 Brittany Open 8:15 a.m. – 9:15 a.m. Long-Term Care Interest Group Business Meeting Eaton Open 1:15 p.m. – 2:45 p.m. Harvard University Health Policy Summer Program Luncheon Brittany Invitation Only 7:00 p.m. – 9:00 p.m. 7:15 a.m. – 8:15 a.m. Interest Group Chairs Breakfast Fairfield Invitation Only Harvard Medical School Fellows Dinner Brittany Invitation Only 7:45 p.m. – 9:45 p.m. 7:45 a.m. – 9:15 a.m. Policy Innovations in the United Kingdom, Canada, and New Zealand: Opportunities for Cross-National Learning Stuart Altman Reception Garden Salon One Invitation Only Sunrise Open Monday, June 7 8:00 a.m. – 9:00 a.m. International Exchange Speakers Breakfast 7:00 a.m. – 8:15 a.m. Stratford Invitation Only AHRQ Enhanced Emphasis on Translating Research Into Practice and Policy 8:00 a.m. – 11:30 a.m. Sheffield Open NRSA HRSA Program Directors Meeting Garden Salon Two Invitation Only 8:00 a.m. – 11:30 a.m. T32 Program Directors Meeting Garden Salon One Invitation Only 8:15 a.m. – 9:15 a.m. Student Breakfast (Meet-the-Experts) California Open to all Students 34 7:15 a.m. – 8:15 a.m. AcademyHealth Organizational Affiliate Breakfast Terrace Pavilion Open to Organizational Affiliates 7:30 a.m. – 8:30 a.m. A Report on The Commonwealth Fund International Working Group on Quality Indicators Garden Salon Two Open 7:30 a.m. – 8:30 a.m. 3:00 p.m. – 5:00 p.m. Kellogg Diversity in HSR Student Focus Group Health Economics Interest Group Meeting Clarendon Invitation Only Stratford Open 7:30 a.m. – 9:00 a.m. 3:00 p.m. – 5:00 p.m. Quality Measures and Managed Care Markets Project Meeting Women’s Health Interest Group Meeting Fairfield Invitation Only Brittany Open 3:00 p.m. – 5:00 p.m. International Committee Meeting Health Information Technology Interest Group Meeting Stratford Invitation Only Eaton Open 5:00 p.m. – 7:00 p.m. 4:00 p.m. – 6:00 p.m. University of California, Berkeley Alumni Reception International Working Group on Quality Indicators Technical Subcommittee Meeting Brittany Invitation Only Fairfield Invitation Only 7:30 a.m. – 9:30 a.m. 5:30 p.m. – 6:45 p.m. Medical Care Research and Review Annual Board Meeting Garden Salon One Invitation Only 5:45 p.m. – 6:45 p.m. Meeting of AcademyHealth Members Sunrise Open Wednesday, June 9 8:00 a.m. – 1:30 p.m. International Working Group on Quality Indicators Technical Subcommittee Meeting Stratford Invitation Only 8:00 a.m. – 3:00 p.m. Tuesday, June 8 7:00 a.m. – 8:30 a.m. Meeting of EXCEED Center Directors Stratford Invitation Only Seminars in Health Services Research Methods ❂ Healthcare Cost & Utilization Project (HCUP): Data & Tools to Support Improvement in Health Care Royal Palm Ballroom One/Two ❂ Medical Expenditure Panel Survey (MEPS) Data: What Every Researcher Should Know Royal Palm Ballroom Three/Four 2:45 p.m. – 3:45 p.m. What Do We Know About Quality? Key Findings from the First National Healthcare Quality and Disparities Reports Clarendon Open 35 Types of Sessions Call for Panels Poster Sessions Sessions feature a group of related research presentations that are selected through a competitive peerreview process. Sessions provide a forum for researchers to discuss their latest findings and answer questions about their work. The poster presentations provide a mechanism for research dissemination and networking among colleagues with similar research interests. Call for Papers Sessions feature presentations showcasing the latest findings from health service research. Papers are selected through a competitive peer-review process. Invited Papers Sessions feature cutting-edge research from three or four leading researchers.These results help shape the course of future health care debates and the operation and structure of health care delivery systems. Methods Workshops Workshops provide an opportunity for researchers to share technical information and knowledge on established and emerging techniques of health services research. Policy Roundtables Interactive sessions facilitate exchange between researchers and users of research to promote the application of findings to problems of policy, management, and clinical practice. Panelists discuss the implications of research for policy and practice. Audience participation is strongly encouraged. 36 Research Agendas Sessions highlight current funding priorities of major federal agencies and foundations that provide support for health services and policy research. They may also showcase work-in-progress and recently completed research of the organizations. Research Resources Workshops provide information on different databases and other important resources for health services researchers. Skill and Career Development Workshops Workshops encourage the next generation of health services researchers by developing skills that will help enhance their careers. Sessions by Theme Behavioral Health Sunday 9:30 a.m. Getting Evidence-Based Psychosocial Treatments into Practice: Evidence & Challenges in Behavioral Health 5:00 p.m. Prescription Drugs & Behavioral Health Monday 8:30 a.m. Disparities in Treatment for & Impact of Mental Illness 2:00 p.m. Challenges in Using Evidence-Based Practices in Substance Abuse Treatment 4:00 p.m. Screening & Intervention for Alcohol & Drug Use Problems in Trauma Patients: If They Improve Public Health & Save Money, Then Why Don't We Do Them? 5:00 p.m. Strategies for Moderating the LongTerm Impact of Childhood Obesity Monday 8:30 a.m. Impact of SCHIP on Vulnerable Children: Findings from the Child Health Insurance Research Initiative Tuesday 9:15 a.m. Public Policy & Childhood Obesity: Emerging Policy Options 11:15 a.m. Child Health Challenges: New Research Approaches Chronic Care Delivery Sunday 9:30 a.m. Investigating the Factors that Influence Hospitalization for Chronic Medical Conditions Mental Health in Community Context Tuesday 11:15 a.m. Policy Developments in Mental Health & Substance Abuse 3:00 p.m. Does Participation in Collaborative Quality Improvement Programs Improve Care for Patients with Chronic Illness? Monday Child Health Sunday 8:30 a.m. Organizational Factors Associated with Successful Chronic Care Delivery 11:30 a.m. Determinants of Access & Quality of Care 10:30 a.m. Innovative Strategies to Integrate Patients into Chronic Care Delivery 3:00 p.m. Impacts of Incremental Public Health Insurance Expansions 2:00 p.m. Understanding & Improving the Quality of Chronic Care Tuesday 9:15 a.m. Issues in Chronic Care Delivery & Quality Coverage & Access Sunday 11:30 a.m. The Uninsured 3:00 p.m. Impacts of Incremental Public Health Insurance Expansions Health Insurance Changes 5:00 p.m. Future of Medicaid & SCHIP Monday 8:30 a.m. Effects of Cost-Sharing & Reimbursement 10:30 a.m. Access to Health Care & Insurance 2:00 p.m. Modeling Options for Health Care Reform: Key Assumptions & Their Implications Tuesday 9:15 a.m. Insurance Coverage Issues & Effects 11:15 a.m. Policy by Numbers: The Role of Budget Estimates & Scoring in Health Care Reform 37 Disparities International Monday Sunday 8:30 a.m. Disparities & the Care of Children 11:30 a.m. Learning from International Policy Change 10:30 a.m. Translating Disparities Research into Policy & Practice 2:00 p.m. Disparities in Primary Care 4:00 p.m. Strategies to Address Health Disparities Monday 10:30 a.m. Where Are We in IT? An International Perspective Tuesday 11:15 a.m. The United States in a World Prescription Drug Market Tuesday 9:15 a.m. Health Literacy, Cultural Competence & Perceived Racism 11:15 a.m. People with Disabilities: Do They Have the Same Access? Disparities in Hospital Care Health Insurance Markets Sunday 9:30 a.m. Innovations in Health Insurance Monday 8:30 a.m. Paying for Quality: Emerging Concepts, Experiments & Evidence 4:00 p.m. Trends & Innovations in Insurance Design: Implications for Cost, Access & Quality Management & Organization Sunday 9:30 a.m. The Delivery System Counts: Organizational Structure & the Quality of Care 3:00 p.m. Evidence-Based Management: Translating Research into Practice 5:00 p.m. The Effects of the Balanced Budget Act of 1997 on Hospital Finances, Uncompensated Care Provision & Quality of Care Long-Term Care Monday Sunday 8:30 a.m. Does Hospital Financial Condition Affect Patient Care & Safety? 9:30 a.m. The Impact of Regulation, Markets & Information on Quality in Nursing Homes 2:00 p.m. Key Challenges in the Management of Health Care Organizations 11:30 a.m. Medical Care Use of Residential Care Patients Monday 2:00 p.m. Caring for the Elderly Near the Endof-Life: Studies of Hospice Care & Informal Care 4:00 p.m. Long-Term Care Financing: Private Sector Solutions & International Comparisons Tuesday 9:15 a.m. Long-Term Care Community Services & Market Factors Medicare & Medicare Prescription Drugs Sunday 9:30 a.m. Medicare & Medicare Prescription Drugs: Expense or Investment? 3:00 p.m. How Much, How Soon? Coverage Decisions in the Medicare Program 5:00 p.m. Outlook for Medicare PPOs Monday 8:30 a.m. New Capitated Alternatives in Medicare 38 10:30 a.m. Plan & Beneficiary Decisions in the Medicare+Choice Program Informing Medicare Policy on Post-Acute Care 2:00 p.m. Medicare Beneficiaries & Prescription Drugs 4:00 p.m. Will the New Medicare Drug Plan Lead to Lower Spending on Medical Services? Tuesday 11:15 a.m. Public Health & Disaster Preparedness Quality & Patient Safety Sunday 11:30 a.m. Patient Safety 2004: Connecting the Dots to Reduce Harm 11:15 a.m. Measure, Learn & Improve: Is the Science of Quality Improvement Applied by Physicians & What Can be Done to Accelerate Adoption? Technology, Innovation & Evaluation Sunday 9:15 a.m. Medicare Drug Benefits 3:00 p.m. Using Report Cards to Drive Consumer Choice 3:00 p.m. Health Information Technology for the Health Care Sector: Where Are We? How Can We Get Where We Need to Go? 11:15 a.m. Monitoring Outcomes of MedicareFunded Health Care with Administrative Data: The Medicare Quality Monitoring System (MQMS) 5:00 p.m. Measurement & Improvement: Where Are We Now & Where Are We Headed? 5:00 p.m. Health Care Information Systems: Imminent Solutions or Distant Hope? Tuesday Innovations in Patient Safety Public Health Monday Sunday 8:30 a.m. The Science of Quality Measurement: Are We Getting It Right? 9:30 a.m. Public Health Risks, Costs & Prevention Strategies 5:00 p.m. Strategies for Moderating the Long-Term Impact of Childhood Obesity Monday 10:30 a.m. Emerging Health Threats & Emerging Health Information Systems: Getting Public Health & Clinical Medicine to Real Time Response 4:00 p.m. Public Health Infrastructure: Identifying & Closing the Gaps 10:30 a.m. Improving Quality of Care in the VA: Wins, Losses, Errors & Ties 2:00 p.m. Public Reporting of Data on Quality: Why & How? 4:00 p.m. What About Structure? Organizational & Financial Effects on Quality Tuesday 9:15 a.m. Empowering Patients: The Impact of Public Reporting & Direct Patient Involvement Monday 8:30 a.m. Technology Assessment: Identifying Value in Innovation 4:00 p.m. The Promise & Problems of Medical Technology: Enhancing Value or Driving Costs? Workforce Sunday 11:30 a.m. Evidence for Planning the Future Health Care Workforce 3:00 p.m. Impact of Practice Organization & Demographics on the Workforce Tuesday 9:15 a.m. Migration & the Global Health Care Workforce: Balancing Competing Demands 39 2004 Most Outstanding Abstracts Each year, AcademyHealth recognizes the most outstanding abstracts from each theme as selected by the abstracts review committees. From these abstracts, a separate committee chooses three for significant and innovative research. The three bulleted abstracts will be featured during a special session on Tuesday, 11:15 a.m. – 12:45 p.m. Behavioral Health Coverage & Access Lori Achman, M.P.P. “Coverage of Mental Health Benefits and Parity Laws” Susan Busch, Ph.D. “Case Management of Uninsured Emergency Department Patients: Results from an Economic Analysis of a Randomized Controlled Trial” Jim Banta, M.P.H., B.S. “Severe Mental Illness and Congestive Heart Failure Outcomes among Veterans” Christine Eibner, Ph.D. “Does Relative Poverty Predict the Need for Mental Health Care?” Jeffrey Harman, Ph.D. “Disparities in the Adequacy of Depression Treatment in the United States” ❂ Alka Indurkhya, Ph.D. “Which Dimensions of Continuity of Mental Health Care Lead to Improved School Outcomes?” Neil Jordan, Ph.D. “Effect of Managed Care on Treatment Costs for a Medicaid Population with Psychiatric Disabilities” Child Health Nancy Lenfestey, M.H.A. “Churning: Disenrollment and Reenrollment in Wisconsin’s Medicaid and BadgerCare Programs” Len Nichols, Ph.D. “Uninsured Decliners of Employer Sponsored Health Insurance: How They Changed from 1997 – 2003” ❂ Marlene Niefeld, M.P.P. “Ambulatory Care Sensitive Condition Hospitalizations among Elderly Medicare and Medicaid (Dual) Enrollees” Mary Reed, M.P.H. “Self-Reported Effects of Prescription Drug Cost-Sharing: Decreased Adherence and Increased Financial Burden” Lesley Curtis, Ph.D. “Use of Atypical Antipsychotic Drugs by Children and Adolescents in the United States: A Retrospective Cohort Study” Nathan West, M.P.A. “The Impact of Premiums on Wisconsin’s BadgerCare Program” James Robbins, Ph.D. “Newborn Hospitalizations for Birth Defects In the Pre- and Post-Folic Acid Fortification Periods” Peter Groeneveld, M.D., M.S. “Technology Diffusion, Geographic Variation, and Racial Disparities among Elderly Medicare Beneficiaries: 1989 – 2000” Chronic Care Delivery Richard Kravitz, M.D. “Providing Health Care Services to the Formerly Homeless: A Quasi-Experimental Evaluation of Outcomes” Stephen Davidson, Ph.D. “Measuring Gradations of Quality in Chronic Disease Care” Marjorie Pearson, Ph.D., M.S.H.S. “Chronic Care Model (CCM) Implementation Emphases” Alexander Tsai, M.A. “A Meta-Analysis of Interventions to Improve Chronic Illness Care” 40 Lisa Dubay, Sc.M. “Effects of the SCHIP on Access to Care, Use of Services and Health Status” Disparities Chaya Merrill, M.P.H., Dr.P.H. (candidate) “Examination and Evaluation of Initial State Implementation of the Breast and Cervical Cancer Prevention and Treatment Act” Leo Morales, M.D., Ph.D. “Mortality among Very Low Birthweight Infants in Hospitals Serving Minority Populations” Meena Seshamani, Ph.D. “The Effect of Cuts in Medicare Reimbursement on Quality of Hospital Care” Steve Morgan, Ph.D. “A Decade of Evidence-Based Prescription Drug Purchasing in British Columbia” Deborah Taira, Sc.D., M.P.A. “Ethnic Disparities in the Impact of Copayment on Adherence to Anti-Hypertensive Medications among Asian-Pacific Americans” Bruce Stuart, Ph.D. “The Impact of Prescription Coverage on Drug and Non-Drug Spending under Medicare” Health Insurance Markets Zhou Yang, Ph.D. “How Much Would a Medicare Prescription Drug Benefit Cost? Offsets in Medicare Part A Cost by Increased Drug Use” M. Kate Bundorf, Ph.D., M.B.A., M.P.H. “The Incidence of the Health Care Costs of Obesity” Public Health Anthony LoSasso, Ph.D. “Immigrants and Employer-Provided Health Insurance” International Michael Harrison, Ph.D. “Market Reforms in Europe: Dynamics of Policy Fashion” Long-Term Care Orna Intrator, Ph.D. “The Effect of Medicaid Rate on Potentially Preventable Hospitalizations from Nursing Home” Donald Taylor, Jr., Ph.D., M.P.A. “Do Selection or Treatment Effects Explain Differences in Medicare Costs among Hospice and Normal-Care Decedents?” Management & Organization Shannon Mitchell, Ph.D., M.P.H. “Gender Disparities in Healthcare Experiences: The Impact of Managed Care Practices” Nicole Quon, B.S. “Trustbusters: The Prevalence and Predictors of Trust Violations in American Medicine” Bruce Siegel, M.D., M.P.H. “Improving the Performance of the Safety Net: Findings of the ‘Urgent Matters’ Project” Medicare & Medicare Prescription Drugs Matthew Maciejewski, Ph.D. “Medicare Drug Benefits and Selection Bias in HMO Enrollment and Mortality in Diabetes” ❂ Yuhua Bao, Ph.D. “Is Some Physician Advice on Smoking Cessation Better than No Advice? An Instrumental Variable Analysis of the 2001 National Health Interview Survey” Michele Issel, Ph.D. “Competency of Public Health Nurses and Faculty in the Essential Public Health Services” Technology, Innovation & Evaluation Andrew Chang, J.D., M.P.H. “Bridging Terminology and Classification Gaps Between Patient Safety Information Systems: A Comparison of Two Coding Schemas for Near Misses and Adverse Events” Vicki Fung, B.A. “Use of e-Health Services (1999 – 2002): Mountains or Molehills?” David Samson, B.A. “A Cost-Effectiveness Analysis of Left Ventricular Assist Devices as Destination Therapy for End-Stage Heart Failure” Claudia Steiner, M.D., M.P.H. “Increasing Health Care Costs: the Price of Innovation?” Workforce Patricia Stone, Ph.D. “Turnover of Critical Care Registered Nurses” Diane Watson, Ph.D., M.B.A., BSOT “What’s Up Docs? Population-Based Supply and Use of Family Doctors, 1991 – 2001” 41 Poster Program Poster Session A Poster Session B Sunday Tuesday 6:45 p.m. – 8:00 p.m. Exhibit Hall (Reception) 7:30 a.m. – 8:45 a.m. Exhibit Hall (Breakfast) Includes: Child Health (101 – 132) Coverage & Access (140 – 209) Long-Term Care (215 – 240) Management & Organization (245 – 274) Public Health (395 – 433) Quality & Patient Safety (315 – 390) Workforce (280 – 309) Student Posters (445 – 481) Includes: Behavioral Health (595 – 624) Chronic Care Delivery (630 – 659) Disparities (500 – 590) Health Insurance Markets (700 – 716) International (720 – 733) Medicare & Medicare Prescription Drugs (665 – 696) Technology, Innovation & Evaluation (740 – 758) General Posters (775 – 906) Set-up Sunday 4:30 p.m. – 6:30 p.m. Set-up Monday 3:15 p.m. – 6:45 p.m. Dismantle Sunday 8:00 p.m. – 8:30 p.m. and Monday 10:00 a.m. – 12:00 p.m. Dismantle Tuesday 8:45 a.m. – 9:30 a.m. Poster Presenters (A) = Poster Session A (B) = Poster Session B Achman, Lori #665 (B) Adams, Alyce #500 (B) Adams, E. Kathleen #140 (A) Adams, Richard #775 (B) Ahmed, Nasar #501 (B) Akincigil, Ayse #595 (B) Ang, Alfonso #215 (A) Angelelli, Joseph #502, #776 (B) Anthony, Mary #777 (B) Aparasu, Rajender #778 (B) Arah, Onyebuchi #720 (B) Arar, Nedal #630 (B) Armstrong, Nicole #779 (B) Arthur, Melanie #503 (B) Ashkin, Evan #141 (A) Ashman, Jill #504, #505 (B) Audet, Anne-Marie #315 (A) Avery, George #316 (A) Aydede, Sema #216 (A) Babey, Susan #506 (B) Baker, Dana Lee #721 (B) Baldwin, Laura-Mae #507 (A), #507 (B) Baldwin, Marjorie #596 (B) 42 Baldyga, William #781 (B) Bambha, Kiran #782 (B) Bardenheier, Barbara #217 (A) Barlow, James #245 (A) Barnette, Leslie #218 (A) Beach, Mary Catherine #508 (B) Bean-Mayberry, Bevanne #783 (B) Beatty, Amanda #722 (B) Behal, Raj #317, #318 (A) Bekemeier, Betty #422 (A) Benavidez, Oscar #784 (A), #784 (B) Bender, Kaye #395, #396 (A) Benton, Lisa #509 (B) Beran, Mary Sue #667 (B) Bernard, Shulamit #319 (A), #510, #631 (B) Bernell, Stephanie #785 (B) Bhalotra, Sarita #246 (A) Bhandari, Michelyn W. #397 (A) Bian, John #700 (B), #786 (B) Blakely, Craig #142 (A) Blevins, Natalie #445 (A) Blewett, Lynn A. #143 (A) Blixen, Carol #398 (A), #787 (B) Bogart, Laura #399 (A) Bolin, Jane Nelson #632 (B) Bonafede, Machaon #788, #789 (B) Borders, Tyrone #144 (A), #511 (B) Bott, David #145 (A) Boulis, Ann #512 (B) Braid-Forbes, Mary Jo #668 (B) Bramble, James #247 (A) Branin, Joan #790, #791 (B) Bray, Jeremy #740 (B) Bremer, Robert #792 (B) Bridges, John #283 (A) Bronstein, Janet #513 (B) Brotanek, Jane #102 (A) Brotherton, Sarah #793 (B) Brousseau, David #103 (A) Brown, Timothy #400 (A) Browne, Gina #104, #248 (A) Bruce, Douglas #401 (A) Burkhardt, Jeffrey #669 (B) Burkholder, Paul #794 (B) Burns, Helen #284 (A) Campbell, Cynthia #597 (B) Campbell, Ellen #146 (A) Cantor, Joel #701 (B) Carlson, Matthew #147 (A), #633 (B) Carlson, Melissa #320 (A) Carmazzi, Angelina #795 (B) Carroll, Holly #219 (A) Cecil, William #702 (B) Chao, Shih-Ching #796 (B) Chapman, Jason #285 (A) Chawla, Neetu #514 (B) Chen, Chih-Ying #447 (A) Chen, Lei #446 (A) Cherrie-Benton, Carron #321 (A) Cherrington, Andrea #402 (A) Cheung, Robyn #286 (A) Chin, Stanley #322 (A) Chisolm, Deena #323 (A) Choi, Daniel #148 (A) Chumney, Elinor #515 (B) Chung, Kyusuk #149 (A) Cimasi, Robert James #249 (A) Citkina, Helen #150 (A) Coffman, Janet #448 (A) Cohen, Amy #797 (B) Colla, Judith #324 (A) Conn, Emily Belmont #516 (B) Conner, Norma #220 (A) Connor, Jean #105 (A) Conover, Christopher #151 (A) Cook, Edie #598 (B) Cooney, James #221 (A) Cope, Jacqueline #449 (A) Copeland, Laurel #798 (B) Correa-de-Araujo, Rosaly #517 (B) Costich, Julia #152 (A) Cox, Elizabeth #450 (A) Crystal, Stephen #634 (B) Curtis, Lesley #403 (A) Dall, Tim #280, #281, #282 (A) Daumit, Gail #599 (B) Davern, Michael #404 (A) Davis, Catherine #287 (A) Davis, Mary #406 (A) Davis, Muntu #405 (A), #799 (B) DeBate, Rita #518 (B) Del Fiol, Fernando #670 (B) Demiris, George #325 (A) Derose, Stephen #800 (B) DeVries, Andrea #600 (B) DeWalt, Darren #251 (A) Dhanani, Nasreen #153 (A) Dick, Andrew #759 (B) DiMatteo, Robin #635 (B) Dimoulas, Eleni #451 (A) Dlouhy, Martin #723 (B) Dobalian, Aram #407 (A) Dobbs, Debra #724 (B) Dobie, Sharon #519 (B) Doshi, Jalpa #671 (B) Dossa, Almas #452, #453 (A) Dougherty, Denise #106 (A) Dowd, Bryan #703 (B) Du, Jean #520 (B) Duffy, Farifteh #601 (B) Dugan, Elizabeth #801 (B) Durand, Roger #802, #803 (B) Duru, O. Kenrik #521 (B) Egan, Brent #522 (B) Eikel, Catherine #440 (A) Eisert, Sheri #741 (B) Elbel, Brian #154 (A), #704 (B) Ellenbecker, Carol Hall #441 (A) Elston Lafata, Jennifer #326, #327 (A) Elwy, A. Rani #523 (B) Emmert, Betty #804 (B) Entwistle, Vikki #328 (A) Ettner, Susan #252 (A) Fadel, Huda #408A, #408B (A) Fahlman, Cheryl #155 (A) Fairbrother, Gerry #156 (A) Faris, Richard #805 (B) Fehrenbach, Nicole #107 (A) Felix Aaron, Kaytura #524 (B) Feng, Zeng #330 (A) Fertil, Bertha #525 (B) Fickel, Jacqueline #254 (A) Field, Jennifer #602 (B) Findley, Patricia #603 (B) Flach, Stephen #806 (B) Fleegler, Eric #108 (A) Fleishman, John #807 (B) Fletcher, Carol #604 (B) Flores, Glenn #109 (A), #157 (A) Flynn, Kathryn #454 (A) Forge, Nell #605 (B) Fos, Peter #409 (A) Foster, David #526, #725, #808, #809 (B) Fowler-Brown, Angela #455, #456 (A) Franco, Sheila #636 (B) Frayne, Susan #763 (B) Freid, Virginia #810 (B) Friedman, Bruce #811 (B) Friery, Karen #331 (A) Fuld, Jennifer #527 (B) Gardner, Annette #158 (A) Garrett, J. Eline #743 (B) Gary, Helen #812 (B) Gary, Lisa #528 (B) Gaskin, Darrell #529 (B) Gebbie, Kristine #410, #411 (A) Gelberg, Lillian #412 (A) Gerding, Abigail #672 (B) Gerena, Mariana #606 (B) Gibson, Mary Jo #222 (A) Gifford, Greg #159 (A) Girouard, Shirley #133 (A) Goldman, Marlene #813 (B) Goldsmith, Laurie #457 (A) Gorey, Kevin #530 (B) Grant, Roy #531 (B) Green, Jack #435 (A) Green, Lisa #532 (B) Greisinger, Anthony #637 (B) Grzybicki, Dana #814 (B) Gutierrez, Benjamin #673, #815, #816 (B) Haberer, Jessica #160 (A) Hall, Mark #764, #765, #766 (B) Han, Whiejong #111 (A) Hanrahan, Patricia #817 (B) Harada, Nancy #818 (B) Harris, Katherine #533, #607 (B) Hart, L. Gary #819 (B) Haskard, Kelly #820 (B) Hasnain-Wynia, Romana #534 (B) Hawkins, Kevin #161 (A), #535, #674 (B) He, Xiaoxing #591 (B) Hebert, Paul #255 (A) Heflinger, Craig Anne #536 (B) Helfrich, Christian #458 (A), #638 (B) Henderson, Jillian #332 (A) Hendrix, Katharine #333 (A), #537 (B) Hepner, Kimberly #767 (B) Hess, Rachel #256 (A), #744 (B) Hill, Steven #538 (B) Hillemeier, Marianne #539 (B) Hirth, Richard #675 (B) Holl, Jane #335 (A) Hollenbeak, Christopher #821 (B) Holman, Cashel D’Arcy James #726 (B) Holty, Jon-Erik #459 (A) Horng, Mark #413 (A) Howell, Embry #112 (A) Hsu, John #336 (A) Hu, Hsou Mei #705 (B) Huber, Manfred #223 (A) Hughes, John #339 (A) Hughes, Linda #295 (A), #822 (B) Hughes, Ronda #162, #337 (A) Huh, Soonim #676 (B) Hunt, Kelly #540 (B) Hupert, Nathaniel #414 (A) Hynes, Denise #415, #416 (A), #639 (B) Imai, Hirohisa #823 (B) Imai, Kumiko #113 (A) Immekus, Daniel #824 (B) Inkelas, Moira #114 (A) Intrator, Orna #224 (A) Issa, Amalia #745 (B) Jakubek, Erin #288 (A) Jamison, Marian #825 (B) Jayadevappa, Ravishankar #338 (A), #826 (B) Jewell, Dianne #827 (B) Jha, Ashish #460, #461 (A) Jiang, H. Joanna #289 (A), #541 (B) Jin, Lei #290 (A) Johnson, Michael #828, #829 (B) Johnson, Tricia #163, #164 (A) Junlapeeya, Piyatida #830 (B) Kaiser, Katherine #542 (B) Kaissi, Amer #340 (A) 43 44 Kash, Bita #291 (A) Katzburg, Judith #543 (B) Kazanjian, Arminée #165 (A) Kellogg, Victoria #341 (A) Ketsche, Patricia #166 (A) Khan, Mahmud #706, #746 (B) Khatri, Naresh #257, #342 (A) Khoury, Amal #544 (B) Kilgore, Meredith #747 (B) Kim, Chun-Bae #727, #831 (B) Kim, Myoung #677 (B) Kim, Sue #545 (B) Kim, Young Ju #462 (A) King, William #292 (A) Kletke, Phillip #768 (B) Knapp, Katherine #293 (A) Knight, Evelyn #417 (A) Knott, Astrid #258 (A) Kobayashi, Yasuki #832 (B) Konrad, Thomas #833 (B) Koroukian, Siran #115, #167 (A) Kralewski, John #343 (A) Krasner, Mel #344 (A) Kruzikas, Denise #418 (A) Kulkarni, Amit #640 (B) Kung, Pei-Tseng #748 (B) Kuzniewicz, Michael #345 (A) Laditka, Sarah #168 (A) Lamar-Welch, Verna #259 (A) Landers, Glenn #225 (A) Landsman, Pamela #707 (B) Lane, Rondall #346 (A) Laschober, Mary #678 (B) Lau, Denys #608 (B) LaVela, Sherri #347 (A) Lee, Bruce #463 (A) Lee, Jung Jeung #836, #837, #838, #839, #840 (B) Lee, Jwo-Leun #728 (B) Lee, Kyeong-Soo #834, #835 (B) Legorreta, Antonio #348 (A) Leibowitz, Arleen #169 (A) Levin, Scott #294 (A) Leviss, Perri #419 (A) Li, Rui #464 (A) Li, Yu-Fang #841 (B) Liang, Su-Ying #842 (B) Liang, Yia-Wun #465 (A) Lin, Blossom Yen-Ju #260 (A), #843, #844 (B) Lin, Chyongchiou #116 (A) Lindrooth, Richard #226 (A) Linton, Andrea #117 (A) Litaker, David #845, #846, #847 (B) Liu, Chuan-Fen #349 (A), #609 (B) Liu, Hongxia #466 (A) Long, Sharon #546 (B) Lopez-De Fede, Ana #170 (A), #547 (B) Lorch, Scott #118 (A) LoSasso, Anthony #708 (B) Lotstein, Debra #119 (A) Loux, Stephenie #848 (B) Lowe, Robert #171, #172, #173 (A) Lu, Mingshan #610 (B) Luck, Jeff #749 (B) Luther, Stephen #641 (B) Madamala, Kusuma #467 (A) Madden, Jeanne #729 (B) Manocchia, Michael #849 (B) Manser, Sarah Turcotte #611 (B) Marks, Corron #850 (B) Markus, Anne #120, #174, #175 (A) Matus, Justin #851 (A) Mauery, D. Richard #612 (B) Mazyck, Pamela #852 (B) McAlearney, Ann #176, #261, #296 (A) McCarthy, John #177, #178, #179 (A), #548 (B) McCloskey, Barbara #853 (B) McConnell, John #180 (A) McDonald, Leander #549 (B) McGuire, Jim #550 (B) McIlvaine-Newsad, Heather #551 (B) McKeever, Patricia #227 (A) Melek, Stephen #613 (B) Meredith, Lisa #643 (B) Meret-Hanke, Louise #228 (A) Merrill, Angela #181 (A) Meterko, Mark #854 (B) Miller, Edward #229 (A) Misra, Subhasis #855, #856 (B) Mohr, Julie #350 (A) Moon, Sangho #679 (B) Moore, Jean #420 (A) Morton, Reed #421 (A) Moser, James #552 (B) Moulton, Patricia #553 (B) Mularski, Richard #857 (B) Murray, Mary Ellen #183 (A) Murray, Patrick #230 (A) Muus, Kyle #184 (A), #554 (B) Mwachofi, Ari #555 (B) Naessens, James #858 (B) Nag, Soma #680, #681 (B) Nakonezny, Paul #185 (A) Nannini, Angela #859 (B) Narayan, Sangeeta #468 (A) Navaie-Waliser, Maryam #121 (A), #556 (B) Neighbors, Charles #557 (B) Newhouse, Robin #263 (A) Nicholas, Lauren #860 (B) Nigam, Amit #264 (A) Nitz, Lawrence #186 (A) Nonemaker, Sue #231 (A), #750 (B) Noyes, Katia #682 (B) Odetola, Fola #122 (A) Ojeda, Victoria #187 (A) O’Leary, June #188 (A) Oliver, Thomas #189 (A), #683 (B) Ong, Michael #423 (A) Oppenheimer, Caitlin #265 (A) Orlando, Lori #751 (B) Oswald, Donald #861 (B) Pai, Chih-Wen #266 (A) Park, Chang #297 (A) Park, Elyse #862 (B) Park, Heidi #190 (A), #863 (B) Park, Jinhee #469 (A) Paterniti, Debora #351 (A), #558 (B) Pawlson, Gregory #352 (A) Peabody, John #734 (B) Pearson, William #470 (A) Peters, Karen #864 (B) Pham, Hoangmai #644 (B) Phibbs, Ciaran #123 (A) Phillippi, Raymond #709 (B) Phillips, Kathryn #436, #437 (A) Pickreign, Jeremy #710 (B) Pizer, Steven #232 (A) Polsky, Daniel #730 (B) Ponce, Ninez #559 (B) Porter, Stephen #353 (A) Portnoy, Joel #124, #354 (A) Post, Edward #614 (B) Potter, Margaret #298, #355, #425 (A), #865 (B) Powell, Paige #684 (B) Pransky, Glenn #866 (B) Presken, Paul #560 (B) Price, Mary #867 (B) Qaseem, Amir #233 (A) Quan, Hude #561 (B) Quinn, Debra #562 (B) Rabiner, Donna #358 (A) Radwin, Laurel #868 (B) Regenstein, Marsha #191, #192 (A) Renner, Philip #760, #761, #762 (B) Resnik, Linda #563 (B) Rimsza, Mary #125 (A), #564 (B) Rivard, Peter #359 (A) Rivers, Patrick #869 (B) Robertson, Madeline #870 (B) Robinson, Paul #565 (B) Roblin, Douglas #267 (A), #685 (B) Roby, Dylan #193 (A) Romeis, James #438, #439 (A) Rondeau, Kent #234, #268 (A) Rosati, Robert #235, #360 (A) Rosen, Allison #686 (B) Rothman, Dov #269, #426 (A) Roubideaux, Yvette #645 (B) Ruiz, Rafael #194 (A) Rupper, Randall #270 (A) Russo, Gerard #195, #196 (A) Saleh, Shadi #362, #363 (A), #871, #872 (B) Sales, Anne #299 (A) Sampsel, Sarah #364, #365 (A) Sankaranarayanan, Jayashri #646 (B) Sarang, Rajesh #566 (B) Sass, Marcia #873 (B) Saunders, Robert #874 (B) Savitz, Lucy #427 (A) Sayer, Nina #875 (B) Scharpf, Tanya #471 (A) Scheinmann, Roberta #126 (A) Scherer, Peter #300 (A) Schieber, Richard #101 (A) Schimmel, Jody #687, #688 (B) Schneider, John #271 (A) Scholle, Sarah #711 (B) Schonlau, Matthias #647 (B) Schramm, Steven #197 (A) Schumacher, Edward #752 (B) Sciamanna, Cecilia #876 (B) Scutchfield, F. Douglas #428 (A) Seelig, Michelle Dawn #429 (A) Sentell, Tetine #567 (B) Seshadri, Roopa #198 (A) Shah, N. Sarita #568 (B) Shambaugh-Miller, Michael #569 (B) Shani, Michal #570 (B) Sharma, Ravi #689 (B) Sharp, Nancy #301 (A) Shea, Dennis #648, #690, #691, #877 (B) Shefer, Abigail #236 (A) Shen, Jay #753 (B) Shenolikar, Rahul #472 (A) Sherman, Sandra #127 (A) Sherrill, Windsor Westbrook #571 (B) Shi, Shu-Feng #878 (B) Shinogle, Judith #128 (A) Shore, Karen #367 (A), #615, #649 (B) Shrank, William #692 (B) Singhal, Rita #368 (A) Singhal, Puneet #473 (A) Sisk, Jane #369 (A) Skillman, Susan #302 (A) Sledge, Jennifer #879 (B) Sloss, Elizabeth #199 (A) Smalarz, Amy #474 (A) Smith, Dean #372 (A), #732 (B) Smith, Jeanene #200 (A), #693 (B) Smith, Maureen #370, #371 (A) Smith, Monica #303, #304 (A), #754 (B) Snyder, Claire #373 (A) Sohn, Min-Woong #712, #713 (B) Solloway, Michele #134 (A) Sorbero, Melony #572 (B) Sotnikov, Sergey #430 (A) Soueid, Emile #755 (B) Spetz, Joanne #201, #305 (A) Stanwyck, Carol #880 (B) Stebbins, Marilyn #881 (B) Stewart, John #202 (A), #573 (B) Stocker, Julia #475 (A) Story, Molly #574 (B) Stoskopf, Carleen #575 (B) Strombom, Indiana #476 (A) Stroupe, Kevin #650, #651 (B) Stukenborg, George #374 (A) Sudano, Jr., Joseph #576, #577 (B) Swain, Geoffrey #882 (B) Sweeney, Patricia #431 (A), #883 (B) Takayanagi, Kazue #616 (B) Tamuz, Michal #375 (A) Tao, Guoyu #272, #273 (A), #652 (B) Taylor, Erin #578 (B) Taylor, Stephanie #203 (A) Teal, Cayla #884 (B) Thaker, Samruddhi #204 (A) Thomas, Cindy #617 (B) Thompson, Joseph #130 (A) Thompson, Craig #250 (A) Thorpe, Joshua #477 (A) Thrivikraman, Jyothi #478 (A) Tilford, John #131 (A) Traina, Shana #618 (B) Traube, Dorian #756 (B) Tregunno, Deborah #376 (A) Trivedi, Amal #579 (B) Tromp, Martha Conkling #580 (B) Tsai, Wen-Chen #653 (B) Tsai, Kai-Li #885, #886 (B) Tseng, Chien-Wen #694 (B) Tun, Waimar #377 (A) Tunceli, Kaan #695 (B) Turner, Barbara #274 (A), #654 (B) Uhrig, Jennifer #378 (A), #581 (B) Ullman, Megan #479 (A) Ulrich, Connie #306 (A) VanSuch, Monica #379 (A) Veneris, Sofia #757 (B) Vinci, Carrie #887 (B) Virgo, Katherine #655 (B) Viswanathan, Meera #619 (B) Vlaicu, Sorina #582 (B) Volpp, Kevin #432 (A) Vungkhanching, Martha #888 (B) Walkup, James #889 (B) Wallace, Neal #620 (B) Wang, Bill Bing-Long #890, #891, #892 (B) Wang, Margaret #656 (B) Wang, Virginia #480 (A) Wasiak, Radoslaw #714 (B) Waters, Teresa #205 (A) Watt, Ann #381 (A) Weech-Maldonado, Robert #583, #584, #585 (B) Weinick, Robin #206, #207 (A) Weisgerber, Michael #893 (B) Weiss, Audrey #382 (A) Weissman, Joel #383 (A) West, Elizabeth #307 (A), #733 (B) Westerfield, William #715 (B) White, Alan #385, #386 (A) White, Bert #716 (B) White, Chapin #696 (B) White, Michelle #894 (B) Wholey, Doug #387 (A) Wickstrom, Steven #388 (A) Wieland, Darryl #895 (B) Wilensky, Sara #308 (A) Wilk, Joshua #621 (B) Winston, Carla #586 (B) Wodchis, Walter #237 (A) Wolosin, Robert #896 (B) Woltmann, Emily #622 (B) Wong, Lok #389 (A) Wong, Wai Shun #758 (B) Woolf, Steven #587 (B) Xu, Liyan #899 (B) Xu, Wu #897 (B) Xue, Ying #238 (A) Xu, Yu #309 (A), #898 (B) Yang, Serena #210 (A) Yawn, Barbara #433 (A), #657, #658 (B) Yoo, Grace #588 (B) Young, A. Joyce #900, #901, #902 (B) Younis, Mustafa Zeedan #239 (A), #589 (B) Yu, Hao #132 (A), #659 (B) Yu, Xinhua #903 (B) Zachariah, Rachel #590 (B) Zawacki, Alice #904 (B) Zeber, John #623, #624 (B) Zhan, Chunliu #390 (A) Zhang, James #906 (B) Zhang, Ning #240 (A) Zhang, Xinzhi #905 (B) Zhou, Fangjun #208 (A) Zuniga, Miguel #209 (A) 45 Exhibit Program Hours You are invited to visit the exhibit program in the Exhibit Hall during the following hours: Sunday Monday Tuesday 4:30 p.m. – 8:30 p.m. 10:00 a.m. – 12:00 p.m. & 3:15 p.m. – 6:45 p.m. 7:15 a.m. – 9:30 a.m. Display of exhibitors’ materials at AcademyHealth’s Annual Research Meeting and advertising in the Agenda Book do not constitute or imply endorsement by AcademyHealth. Exhibitor Profiles AARP Public Policy Institute Booth: 229 The Public Policy Institute is the focal point for public policy research and analysis at AARP. Created in 1985, the Institute studies and disseminates reports on a broad range of public policy issues including health care, economic security, longterm care, independent living, and consumer affairs. www.aarp.org/ppi Abt Associates, Inc. * Health Services Research & Evaluation Booth: 122 Abt Associates Inc. is an employee-owned company of over 1,000 professionals around the world providing a range of research and consulting services to public and private sector clients. Abt Associates is a leading provider of innovative research and evaluation methodologies covering a wide range of health related areas including: clinical, patient safety and economic outcomes and indicators; community-based health initiatives; mental health and substance abuse; post-acute care, maternal and child health, public health and disability, and health care workforce issues. www.abtassociates.com AcademyHealth Booths: 117, 119, 121 AcademyHealth is the professional home for health services researchers, policy analysts, and practitioners, and a leading, non-partisan resource for the best in health research and policy. AcademyHealth fosters networking, professional growth, and development among a diverse membership comprised of health services researchers, public policymakers, business decision makers, policy analysts, economists, sociologists, political scientists, consultants, clinicians, and students. Drawing from the 46 strengths of 4,000 individuals and 125 affiliated organizations, AcademyHealth provides a forum for its members to share the latest research, review and analyze health policy, and network with their peers. www.academyhealth.org AcademyHealth Career Center Booths: 200, 201, 202, 203, 204, 205 Make professional connections or find a talented employee by using our many Career Center services, available during regular exhibit hours. Search for employment opportunities, potential employees, and training programs in health services research and health policy. www.academyhealth.org/career Agency for Healthcare Research and Quality * Booths: 217, 219, 221 The mission of AHRQ, U.S. Department of Health and Human Services, is to improve the quality, safety, efficiency, and effectiveness of health care by using evidence to improve health care, improving health care outcomes through research, and transforming research into practice. www.ahrq.gov American Academy of Actuaries * Booth: 124 The American Academy of Actuaries represents and unites U.S. actuaries from all practice areas. As the profession’s voice on public policy and professionalism issues, the Academy serves its members-and the publicin the followings ways: it establishes, maintain, and enforces high professional standards of actuarial qualification, practice, and conduct; it represents the profession at the state, national, and international levels; it assists in shaping public policy by providing legislators, regulators, and others with independent, objective information and analysis; and in cooperation with other organizations, it works to represent and advance the actuarial profession and to increase public awareness of the actuary’s vital role in the economy and government. www.actuary.org American Academy of Pediatrics * Division of Health Policy Research Half Table: 19-A The American Academy of Pediatrics is the major professional association for practicing pediatricians. The mission of the American Academy of Pediatrics is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescents and young adults. To this purpose, the AAP and its members dedicate their efforts and resources. www.aap.org American Institutes for Research * Booth: 308 AIR Health creates, translates, and disseminates knowledge for health improvement. Drawing on 50 years of behavioral and social science research, we apply unique approaches for understanding and improving access, quality, and financing of health care, coupled with the development of award-winning health communication strategies for diverse populations. www.air.org The American Journal of Managed Care Booth: 313 The American Journal of Managed Care is an independent, peer-reviewed forum for the publication of clinical research and opinion related to quality, value, and policy in healthcare delivery. The Journal delivers original research on patient outcomes, clinical effectiveness, cost effectiveness, quality management, and health policy to managed care decision makers. www.ajmc.com Association of University Programs in Health Administration Booth: 128 The Association of University Programs in Health Administration (AUPHA) is a network of colleges, universities, faculty, and organizations dedicated to the improvement of healthcare delivery through excellence in Health Administration Education. Our membership includes the premier Baccalaureate and Master’s Degree programs in Health Administration Education in the United States and Canada. www.aupha.org Blackwell Publishing, Inc. Booth: 311 Blackwell publishes academic journals and general scholarly college and reference texts, with an emphasis on the humanities, social sciences, and business. www.blackwellpublishing.com California Breast Cancer Research Program Table: 30 The California Breast Cancer Research Program makes grants to California scientists and community researchers to find better ways to cure, treat, and prevent breast cancer. We’re funded by the people of California through a tobacco tax, taxpayer donations, and contributions from concerned citizens. The CBCRP is the largest state-funded breast cancer research program in the nation. www.cbcrp.org Califronia HealthCare Foundation * Table: 28 The California HealthCare Foundation, is an independent philanthropy committed to improving the way health care is delivered and financed in California, and helping consumers make informed health care and coverage decisions. Formed in 1996, our goal is to ensure that all Californians have access to affordable, quality health care. www.chcf.org Catalyst Technologies, Inc. Booth: 126 Catalyst Technologies provides healthcare organizations with innovative solutions in performance measurement, quality reporting and research. We provide powerful analytic tools and current, comprehensive detailed medical data for millions of covered lives that help researchers make effective, affordable healthcare a reality. Our Quality SpectrumTM software is NCQA certified for HEDIS® reporting. www.catalysttech.com Centers for Medicare and Medicaid Services * Booths: 317, 319 CMS is the Federal agency that provides health care services for 1 in 4 Americans enrolled in Medicare, Medicaid and SCHIP, enforces quality standards, and establishes payment policies. ORDI conducts research, and produces information that shapes current and future programs. www.cms.hhs.gov The Commonwealth Fund * Booth: 118 The Commonwealth Fund, a New York City-based national foundation, undertakes independent research on health and social issues. Its mission is to enhance the common good by looking for new opportunities to help Americans live healthy and productive lives, and to assist specific groups with serious and neglected problems. www.cmwf.org 47 Department of Veterans Affairs * Health Services Research and Development Booths: 216, 218 This exhibit provides information about a variety of Health Services Research and Development Programs such as Investigator Initiated Research, Nursing Research, Service Directed Research, Quality Enhancement Research, Centers of Excellence and Resource Centers, Career Development and Training Programs. www.va.gov/resdev Department of Veterans Affairs Health Services Research and Development, Quality Enhancement Research Initiative (QUERI) Booth: 220 This exhibit provides information about QUERI, a quality improvement program targeting high-risk diseases and conditions prevalent among veterans. QUERI works to translate and implement research findings into routine health care. www.hsrd.research.va.gov/queri Emory University * Rollins School of Public Health, Department of Health Policy & Management Booth: 322 The Department of Health Policy and Management at the Rollins School of Public Health (RSPH), along with the innovative Career MPH program taught via distance learning, focus on today’s most pressing public health issues. Within RSPH, the Emory Center on Health Outcomes and Quality, one of the nation’s largest health services research groups, combines leading academic researchers at Emory with a team of experienced handson researchers formerly with Aetna. www.sph.emory.edu George Washington University Medical Center * GWU School of Public Health and Health Services, Department of Health Policy Booth: 231 The Department of Health Policy is the home for health policy studies and research at the School of Public Health and Health Services. It focuses on both public health and health services policy issues, and it emphasizes preparing students to rigorously analyze health policy matters in broad, cross-cutting, real-world contexts. www.gwhealthpolicy.org 48 Georgia State University * Andrew Young School of Policy Studies, Georgia Health Policy Center Half Table: 6-A The Georgia Health Policy Center was established in 1995 as a nonpartisan forum for consensus building among diverse interest groups. The Health Policy Center’s fundamental mission is to improve the health status of all Georgians through research, policy development, and program design and evaluation. www.gsu.edu/~wwwghp Harvard University Ph.D. Program in Health Policy Table: 1 The Harvard Ph.D. in Health Policy is a collaborative program between five Harvard University Faculties: Graduate School of Arts and Sciences, School of Public Health, Medical School, Kennedy School of Government, and Harvard Business School. Students concentrate in one of the following disciplines: decision sciences, economics, ethics, evaluative science and statistics, management, medical sociology, or political analysis. In addition, at the dissertation stage, students select a policy area: environmental health, health care services, international health, mental health, or public health. This degree is intended for students seeking teaching careers in institutes of higher learning and/or research careers in health policy. www.fas.harvard.edu/~healthpl Health Administration Press Table: 20 Health Administration Press publishes books and journals on all aspects of health services management. We offer resources that cover such important topics as healthcare quality, physician-executive relations, health policy issues, and economics. Health Administration Press is a division of the American College of Healthcare Executives. www.ache.org/hap.cfm Health Resources and Services Administration * Booth: 318 Health Resources and Services Administration is the lead U.S. Department of Health and Human Services agency for improving access to quality health care for all Americans. HRSA’s 80-plus programs focus on primary care, HIV/AIDS and maternal and child health services, health professions training, rural health, and organ donation. www.hrsa.gov INQUIRY The Journal of Health Care Organization, Provision, and Financing Table: 17 INQUIRY is a peer-reviewed scholarly journal for public policy issues, innovative concepts, and original research related to health care organization, provision, and financing. In its 41st year, it is published quarterly in print and electronic format by Excellus Health Plan, Inc. www.inquiryjournal.org Institute of Medicine Booth: 228 The Institute of Medicine is a non-profit organization chartered in 1970 as a component of the National Academy of Sciences–under the Academy’s 1863 Congressional charter as adviser to the federal government. The mission of the Institute of Medicine is to advance and disseminate scientific knowledge to improve human health. www.iom.edu International Health Economics Association Table: 29 The International Health Economics Association was formed to increase communication among health economists, foster a higher standard of debate in the application of economics to health and health care systems, and assist young researchers at the start of their careers. www.healtheconomics.org Johns Hopkins University * Bloomberg School of Public Health, HSR&D Center Half Table: 15-A The Health Services Research and Development Center provides a multidisciplinary locus for research on the roles of organizational, financing, workforce, technology, and preventive aspects of health services, and their impact on utilization, cost, quality of care, and patient outcomes. It conducts methodological and policy relevant research, and seeks to advance the state of knowledge regarding effective and efficient approaches for providing health care services to all people. www.jhsph.edu/hsrdc Johns Hopkins University/University of Maryland Center for Research on Services for Severe Mental Illness Half Table: 15-B The SMI Center undertakes research to improve quality of care and patient outcomes for people with severe and disabling mental illnesses, such as schizophrenia, by addressing the match between patient needs and services; developing guidelines for the financing and organi- zation of care that consider patient needs, available resources, and community characteristics; and testing dissemination strategies directed at providers, payers, regulators, and consumers. www.jhsph.edu/smi Jossey-Bass Publishers, a Wiley Imprint Public Health Series Table: 18 Come check out Jossey-Bass’s exhibitor table to see our latest titles, including Consumer-Driven Health Care edited by Regina Herzlinger, and Towards a 21st Century Health System: The Contributions and Promise of Prepaid Group Practice, edited by Alain Enthoven and Laura Tollen. Order forms with discount available! www.josseybass.com/go/publichealth The Henry J. Kaiser Family Foundation * Booths: 211, 213 The Henry J. Kaiser Foundation is a non-profit, private operating foundation focusing on the major health care issues facing the nation. The Foundation is an independent voice and source of facts and analysis for policymakers, the media, the health care community, and the general public. www.kff.org Kaiser Permanente Institute for Health Policy * Half Table: 19-B The Kaiser Permanente Institute for Health Policy provides a focus and resources for Kaiser Permanente to better participate in shaping the nation’s health policy agenda. We bring experts together to research and analyze health policy, with a goal of increasing understanding of policy issues and helping provide solutions. Working in collaboration with foundations, policy instiutes, research programs, policymakers, and other organizations, the Institute seeks to develop unbiased information about health policy issues and alternatives. www.kpihp.org Kluwer Academic Publishers Booth: 210 Kluwer Academic Publishers, a global publisher of scientific books and journals, invites all meeting attendees to visit our display and receive a conference discount on your purchases. Meet our publishers to talk about your research. View all our journals and new electronic products available online via www.kluweronline.com. www.wkap.nl 49 The Lewin Group Booth: 208 The Lewin Group is a premier national healthcare and human services consulting firm. Lewin’s strategic and analytical services focus on helping clients design, implement, and evaluate programs to enhance service delivery, financing, and outcomes. Lewin helps clients deal proactively with shifts in healthcare and human services practice, technology, and regulation. www.lewin.com Mayo Clinic * Department of Health Sciences Research Half Table: 12-B The Division of Health Care Policy & Research, Mayo Clinic, conducts basic and applied health services research. Activities are expanding in the areas of primary care and population health as our system of hospitals and group practices grows in more than 60 communities in Minnesota, Iowa, Wisconsin, Florida, and Arizona. www.mayoclinic.org Managed Care Interface Table: 11 One of the premier, peer reviewed managed care journals, Managed Care Interface is published by Medicom International, a managed care publishing and marketing firm. Medicom International also publishes the Executive Managed Care Directory, a comprehensive directory of managed care organizations and their vendors. Medicom International is a complete managed care communications company. Its special projects division, Medicom Excel, develops customized projects, programs and publications tailored to meet your particular marketing needs using various media. In addition, Medicom Excel offers Web site development and provision of managed care-related content and develops onsite meetings, symposia, and advisory councils. www.medicomint.com Medstat * Booth: 120 Medstat is a healthcare information company that provides market intelligence and benchmark databases, decision support solutions, and research services; applying these capabilities to improve decision making for employers, government agencies, health plans, hospitals and provider networks, and pharmaceutical companies. Medstat is a business within the Thomson Corporation (www.thomson.com). www.medstat.com Mathematica Policy Research, Inc. * Booth: 320 Mathematica Policy Research, Inc. conducts public policy research and surveys for federal and state governments as well as private-sector clients. We study health care, education, welfare, employment, nutrition, child development, and other policy issues. www.mathematica-mpr.com The MayaTech Corporation * Table: 22 The MayaTech Corporation is an applied social science research firm providing research and evaluation, program management and support services, and business services to public and commercial-sector clients. Founded in 1985, MayaTech is headquartered in the suburban Washington, D.C., metropolitan area of Silver Spring, MD, with offices in Atlanta. www.mayatech.com 50 National Center for Health Statistics * Booth: 109 The National Center for Health Statistics (NCHS) is the federal government’s principal vital and health statistics agency. Through several ongoing surveys and other data collection activities, the agency provides a wide variety of data with which to monitor the nation’s health. The NCHS booth will feature current published and electronic reports. Additionally, the booth will have information regarding NCHS’ activities on the Internet. www.cdc.gov/nchs National Center for Health Statistics National Death Index Booth: 223 The National Death Index (NDI) is a file of identifying death record information for all deaths occurring since 1979. This computer matching service is designed to assist researchers in determining whether specific study subjects have died, and if so, provides researchers with the states and dates of death and the corresponding death certificate numbers. The new NDI Plus service also provides the cause of death codes derived from the decedents’ death certificates. www.cdc.gov/nchs/r&d/ndi/ndi.htm National Institute on Alcohol Abuse and Alcoholism Half Table: 23-A The National Institute on Alcohol Abuse and Alcoholism (NIAAA), a component of the National Institutes of Health (NIH/DHHS), supports and conducts behavioral and biomedical research on the causes, consequences, treatment, and prevention of alcohol-related problems. NIAAA funds more than 90 percent of the alcohol abuse and addiction research in the U.S. NIAAA is particularly interested in supporting health services research projects that investigate the economic and organizational behavioral characteristics of alcohol treatment systems, as well as research that will advance the translation of knowledge on the efficacy of alcohol treatment methods and strategies into information that clinicians and policy makers can use regarding the effectiveness of delivering such treatments in real-world community-based settings. www.niaaa.nih.gov National Library of Medicine Booths: 123, 125 The National Library of Medicine (NLM) provides health services research (HSR) information (including health policy and public health information) through a variety of products and services. Foremost are databases on: literature in bibliographic format and full text, citations to research in progress, and information on health services and sciences research resources (datasets, instruments, and analytical software). Other products and services include: pre-formulated search strategies on selected topics; special Web-texts and bibliographies on issues ranging from basic health literacy to HSR collection development and information resources to health informatics; print, video, and audio historical materials; outreach and training on the Web and in conjunction with the National Network of Libraries of Medicine (NN/LM©); improving access to information for public health practitioners; support for research and development in HSR information infrastructure; and links to Web sites with health services research information at NLM and beyond. To access the resources and staff of the HSR Information Program, visit our Web site. www.nlm.nih.gov National Rehabilitation Hospital (NRH) Center for Health and Disability Research Table: 21 The NRH Center for Health & Disability Research (NRHCHDR) has conducted public domain, peer-reviewed research funded by federal and private organizations since 1985. Our four research domains are: (1) disability and health (primary care, prevention of secondary disabilities, accessible housing and disability); (2) measuring the quality of care coordination programs for people with disabilities, particularly people enrolled in Medicaid, and life experience of people with disability; (3) improving clinical practice in outpatient rehabilitation; and (4) developing clinically appropriate tele-rehabilitation services. NRH-CHDR is a leader in participatory action research and participatory evaluation. We frequently partner with local communitybased organizations such as Centers for Independent Living, and with national organizations such as the National Association for Spinal Cord Injury. www.nrhchdr.org Organisation for Economic Cooperation and Development (OECD) Booth: 225 OECD is an intra-governmental organization based in Paris, France, and groups together 30 open-market economies. It helps governments to ensure the responsiveness of key economic areas with sectoral monitoring, including social policies and health issues. The OECD Health Policy Unit has developed a unique database to allow comparative analysis of member countries health systems. The newest edition will be demonstrated at the exhibit. www.oecd.org/health; www.oecdwash.org Ohio State University * The Center for Health Outcomes, Policy and Evaluation Studies (HOPES) Half Table: 2-B The Center for HOPES provides leadership in collaborative research between HOPES scholars; other researchers in the OSU health science community; and local, state and national agencies. The Center promotes multidisciplinary health outcomes, policy and evaluation studies, while enhancing graduate, professional, and community education on these issues. www.hopes.osu.edu 51 Oklahoma University Health Science Center * College of Public Health, Department of Health Administration & Policy Half Table: 4-B The Department of Health Administration and Policy of the University of Oklahoma College of Public Health strives to enhance the effectiveness of public health and health services delivery by contributing to health policy analysis and improving the administration of all health service organizations. The Department offers fully accredited Master of Health Administration and Master of Public Health degrees. w3.ouhsc.edu/hap Oxford University Press Booth: 312 Oxford University Press has an authoritative list of books and journals on public health and epidemiology. Journals include the American Journal of Epidemiology, International Journal of Epidemiology, and the International Journal for Quality in Health Care. www.oup.com/us; www.oupjournals.org Pennsylvania State University Department of Health Policy and Administration Half Table: 3-A Penn State’s Department of Health Policy and Administration is one of the nation’s oldest and most respected programs. It offers an undergraduate (BS) as well as three graduate (M.H.A., M.S. and Ph.D.) degrees that focus on management, policy, and research in health care systems, with particular attention to the recurrent problems of cost, quality,and access. www.hhdev.psu.edu/hpa/hpa.htm RAND Health * Booth: 316 RAND is a nonprofit institution that helps improve policy and decision making through research and analysis. www.rand.org The Robert Wood Johnson Foundation * Booths: 111, 113 The Robert Wood Johnson Foundation is the nation’s largest philanthropy devoted exclusively to health and health care. It concentrates its grantmaking in four goal areas: to assure that all Americans have access to quality health care at reasonable cost; to improve the quality of care and support for people with chronic health conditions; 52 to promote healthy communities and lifestyles; and to reduce the personal, social and economic harm caused by substance abuse—tobacco, alcohol and illicit drugs. www.rwjf.org Royal Society of Medicine Press Limited Half Table: 12-A RSM Press is the publishing arm of the Royal Society of Medicine, a long-established postgraduate medical society with a multi-disciplinary and multi-professional membership. RSM Press publishes books and journals for the medical professional and professionals working in related fields. www.rsmpress.co.uk RTI International * Booths: 222, 224 RTI International is an independent, nonprofit organization with a staff of more than 2,000. Founded in 1958, RTI has multidisciplinary expertise in public health, medical, environmental, and social research. RTI designs and conducts sample surveys, epidemiologic studies, community and clinical research, and evaluates programs and products for government and industry. www.rti.org Rutgers, The State University of New Jersey * Investigator Awards in Health Policy Research Table: 10 The Investigator Awards in Health Policy Research program of The Robert Wood Johnson Foundation provides funding to highly qualified individuals to undertake broad policy studies of the most challenging health and health care issues facing America. www.ihhcpar.rutgers.edu/rwjf Sage Publications Booth: 310 SAGE Publications, an independent international publisher in the social sciences, technology and medicine, provides journals, books, and electronic media of the highest caliber. Researchers, students, and professionals have relied on our innovative resources for over 35 years. Please stop by our booth or visit us on the Web to review our publications. www.sagepub.com Saint Louis University School of Public Health, Department of Health Management and Policy Half Table: 3-B Saint Louis University School of Public Health is fully accredited and the nation’s only school of public health sponsored by a Catholic, Jesuit university. It offers masters degrees (M.P.H, M.H.A.) and doctoral programs (Ph.D.) in six public health disciplines and joint degrees with the Schools of Allied Health, Business, Law, Medicine, Nursing and Social Services. It is home to several nationally recognized research centers and laboratories with funding sources that include the National Institutes of Health, the Centers for Disease Control and Prevention, the Health Resources and Services Administration, the American Cancer Society, The Robert Wood Johnson Foundation and the World Health Organization. http://publichealth.slu.edu Social and Scientific Systems, Inc. * Computer Systems & Data Analysis Booths: 129, 131 Social and Scientific Systems is an employee-owned company that has supported public health researchers since 1978. Computer services, provided by over 90 programmers, include statistical analysis, database management, survey data collections, microsimulation modeling, system design and development, and Internet database applications. www.s-3.com Society of Actuaries Health & Retirement Systems Booth: 124 The Society of Actuaries is an educational, research, and professional organization dedicated to serving the public and Society members. Its mission is to advance actuarial knowledge and to enhance the ability of actuaries to provide expert advice and relevant solutions for financial, business, and societal problems involving uncertain future events. The vision of the Society of Actuaries is for actuaries to be recognized as the leading professionals in the modeling and management of financial risk and contingent events. www.soa.org University of California, Berkeley * School of Public Health, Health Services and Policy Analysis Ph.D. Program Table: 8 The Health Services & Policy Analysis Doctoral Program provides training and education for careers in academia and research. This is an interdisciplinary program that utilizes all available resources on the UC Berkeley campus. Alumni are employed in leading universities, policy research centers, and “think tanks” across the country. http://hspa.berkeley.edu University of California, Davis * Center for Health Services Research Half Table: 7-B The University of California, Davis Center for Health Services Research in Primary Care provides research and evaluation services relating to primary care medicine and its organization, cost, quality, and effect upon patient outcomes. www.ucdmc.ucdavis.edu/chsrpc/ University of California, Los Angeles Center for Health Policy Research Table: 9 The UCLA Center for Health Policy Research, established in 1994, is one of the nation’s leading health policy research centers and is the premier source of health policy information for California. www.healthpolicy.ucla.edu University of California, Los Angeles * School of Public Health, Department of Health Services Half Table: 7-A The Department of Health Services, UCLA School of Public Health, seeks to advance the health of our communities by improving the management policy positions, and research capabilities of institutions in the health care industry, through the work of its renowned faculty and students. Degree programs include M.P.H., M.S., Dr.P.H., and Ph.D. www.ph.ucla.edu/hs 53 University of Florida * College of Public Health and Health Professionals Health Services Administration Half Table: 14-A The Department of Health Services Administration at the University of Florida offers degree programs at both the master's and doctoral level. The master’s degrees prepare individuals for jobs in health services administration. The Ph.D. in Health Services Research is a full-time doctoral program that prepares individuals to study the healthcare system as a whole. The Florida Center for Medicaid and the Uninsured is a campus-wide home for researchers and analysts interested in issues related to access to quality health care for Florida's vulnerable populations. phhp.ufl.edu University of Minnesota Research Data Assistance Center (ResDAC) Booth: with CMS See Centers for Medicare and Medicaid Services for description. www.resdac.umn.edu University of Minnesota * School of Public Health, Division of Health Services Research & Policy Booth: 323 HSRP offers M.S. and Ph.D. degrees in health services research, policy, and administration and an M.P.H. in public health administration and policy, which prepare graduates for careers in research, policy analysis, and leadership roles in the public and private sectors. www.hsr.umn.edu University of Minnesota State Health Access Data Assistance Center (SHADAC) Booth: 325 SHADAC experts have a unique combination of skills in the areas of survey design and measurement, health care access research, and applied state policy analysis and development. SHADAC is committed to advancing the use of state-level data to inform health policy decision making and to fostering dialogue between state- and national-level health services researchers and policy analysts. www.shadac.org 54 University of Nebraska Medical Center * RUPRI Center for Rural Health Policy Analysis Half Table: 4-A The RUPRI (Rural Policy Research Institute) Center for Rural Health Policy Analysis is one of six rural health research centers funded by ORHP. The mission of the Center is to provide timely analysis to federal and state health policymakers, based on the best available research. www.unmc.edu/rural University of Pennsylvania * Leonard Davis Institute of Health Economics Table: 5 The Leonard Davis Institute of Health Economics (LDI) is the primary center of the University of Pennsylvania’s activities and programs in health services research, policy analysis, and health care management executive education. LDI’s over 100 Senior Fellows conduct multidisciplinary studies on medical, economic, social, and ethical issues that influence how health care is organized, financed, managed, and delivered. www.upenn.edu/ldi University of Rochester Community & Preventive Medicine Booth: 324 The University of Rochester offers several training programs: Master of Public Health, Doctorate in Health Services Research & Policy, Doctorate in Epidemiology, Post-Doctoral training in Health Services Research & Policy and Post-Doctoral training in Preventive Cardiology. These programs are offered by the Department of Community & Preventive Medicine and all degree programs are accredited by the Council on Education for Public Health(CEPH). The doctoral and the post-doctoral programs are supported by training grants from the Agency for Healthcare Research and Quality and the National Institutes of Health. Students in these programs receive tuition scholarships and stipends. These programs are designed for individuals with interests in public health, health economics, and health policy. Stop by our booth to chat with faculty and students. www.urmc.rochester.edu/cpm/index.html University of the Sciences in Philadelphia Half Table: 14-B The University of the Sciences in Philadelphia College of Graduate Studies offers advanced programs of study in the sciences and health-related fields. www.usip.edu University of Washington * School of Public Health & Community Medicine Department of Health Services Half Table: 2-A The University of Washington Ph.D. Program in Health Services prepares trainees to conduct independent and collaborative health services research. Trainees obtain advanced knowledge of health services, the theoretical frameworks available for conceptualizing population health and health care, and the research skills to identify and critically analyze: 1) the roles of cultural, social, behavioral, and health care effects on health; and 2) the organization, delivery, financing, management, and evaluation of health services. depts.washington.edu/hserv Veterans Affairs Information Resource Center (VIReC) * Booth: 230 VIReC’s mission is to improve the quality of VA research that uses databases and information systems. Visit our Web site for advice on data avilability, utility, and acess; database documentation; notices of changes in VA data systems and policies; slides from VIReC workshops; and to subscribe to the HSRData listserv. www.virec.research.med.va.gov Virginia Commonwealth University * Department of Health Administration Booth: 212 With more than 50 years experience educating health care leaders, and with consistent ranking among the top 10 health administration programs in the nation, VCU’s Department of Health Administartion prepares health care professionals to assume leadership roles in a wide variety of health care settings. The Department has offered the Doctoral Program in Health Services Organization & Research (Ph.D.) program for more than 20 years and has over 15 years in online masters education experience. For more information visit our Web site at www.had.vcu.edu, call 804-828-9466, or write Program Director, 1008 East Clay Street, PO Box. 980203, Richmond, VA 23298-0203. www.had.vcu.edu Wellness Research, Inc. Table: 13 Wellness Research is a Missouri not-for-profit corporation, since October 1993. Missions are to: 1) do policy research in the area of maternal & child health; 2) promote education in the area of holistic health and wellness. Fund-raising includes whole-food supplement sales. * Organizational Affiliates 55 Exhibitors by Category Computer/Software Company Research Network * (Half Table: 19-B) Catalyst Technologies, Inc. (Booth: 126) The Lewin Group (Booth: 208) Social and Scientific Systems, Inc., Computer Systems & Data Analysis * (Booths: 129, 131) Mathematica Policy Research, Inc. * (Booth: 320) The MayaTech Corporation * (Table: 22) Federal Agency Mayo Clinic, Department of Health Sciences Research * (Half Table: 12-B) Agency for Healthcare Research and Quality * (Booths: 217, 219, 221) Medstat * (Booth: 120) Centers for Medicare and Medicaid Services * (Booths: 317, 319) National Rehabilitation Hospital (NRH), Center for Health and Disability Research (Table: 21) Department of Veterans Affairs, HSR&D * (Booths: 216, 218) Organisation for Economic Cooperation and Development (OECD) (Booth: 225) Department of Veterans Affairs, HSR&D, QUERI (Booth: 220) RAND Health * (Booth: 316) Health Resources and Services Administration * (Booth: 318) Wellness Research, Inc. (Table: 13) National Center for Health Statistics * (Booth: 109) National Center for Health Statistics, National Death Index (Booth: 223) RTI International * (Booths: 222, 224) Other AcademyHealth Career Center (Booths: 200, 201, 202, 203, 204, 205) National Institute on Alcohol Abuse and Alcoholism (Half Table: 23-A) National Library of Medicine (Booths: 123, 125) Veterans Affairs Information Resource Center (VIReC) * (Booth: 230) Professional/Trade Association AcademyHealth (Booths: 117, 119, 121) American Academy of Actuaries * (Booth: 124) American Academy of Pediatrics, Division of Health Policy Research * (Half Table: 19-A) Foundations California Breast Cancer Research Program (Table: 30) Califormia HealthCare Foundation* (Table: 28) The Commonwealth Fund * (Booths: 118A, 118B) The Henry J.Kaiser Family Foundation * (Booths: 211, 213) Association of University Programs in Health Administration (Booth: 128) International Health Economics Association (Table: 29) Society of Actuaries, Health & Retirement Systems (Booth: 124) The Robert Wood Johnson Foundation * (Booths: 111, 113) Publishers Non-University/Research & Policy Organizations AARP, Public Policy Institute (Booth: 229) Blackwell Publishing, Inc. (Booth: 311) Abt Associates, Inc., Health Services Research & Evaluation * (Booth: 122) Health Administration Press (Table: 20) American Institutes for Research* (Booth: 308) INQUIRY, The Journal of Health Care Organization, Provision, and Financing (Table: 17) Institute of Medicine (Booth: 228) Jossey-Bass Publishers (Table: 18) Kaiser Permanente Institute for Health Policy, HMO 56 The American Journal of Managed Care (Booth: 313) Kluwer Academic Publishers (Booth: 210) Managed Care Interface (Table: 11) Oxford University Press (Booth: 312) Royal Society of Medicine Press Limited (Half Table: 12-A) University of California, Berkeley, School of Public Health, Health Services and Policy Analysis Ph.D. Program * (Table: 8) University of California, Davis, Center for Health Services Research * (Half Table: 7-B) Sage Publications (Booth: 310) University of California, Los Angeles, Center for Health Policy Research (Table: 9) University University of California, Los Angeles, School of Public Health, Department of Health Services * (Half Table: 7-A) Emory University, Rollins School of Public Health, Department of Health Policy & Management * (Booth: 322) George Washington University Medical Center, GWU School of Public Health and Health Services, Department of Health Policy * (Booth: 231) University of Florida, College of Public Health and Health Professionals, Health Services Administration * (Half Table: 14-A) University of Minnesota, Research Data Assistance Center (ResDAC) (Booth: with CMS) Georgia State University, Andrew Young School of Policy Studies, Georgia Health Policy Center * (Half Table: 6-A) University of Minnesota, School of Public Health, Division of Health Services Research & Policy * (Booth: 323) Harvard University, Ph.D. Program in Health Policy (Table: 1) University of Minnesota, State Health Access Data Assistance Center (SHADAC) (Booth: 325) Johns Hopkins University, Bloomberg School of Public Health, HSR&D Center * (Half Table: 15-A) University of Nebraska Medical Center, RUPRI Center for Rural Health Policy Analysis * (Half Table: 4-A) Johns Hopkins University/University of Maryland, Center for Research on Services for Severe Mental Illness (Half Table: 15-B) University of Pennsylvania, Leonard Davis Institute of Health Economics * (Table: 5) Ohio State University, The Center for Health Outcomes, Policy and Evaluation Studies (HOPES) * (Half Table: 2-B) Oklahoma University Health Science Center, College of Public Health, Department of Health Administration & Policy * (Half Table: 4-B) Pennsylvania State University, Department of Health Policy and Administration (Half Table: 3-A) Rutgers, The State University of New Jersey, Investigator Awards in Health Policy Research * (Table: 10) Saint Louis University, School of Public Health, Department of Health Management and Policy (Half Table: 3-B) University of Rochester, Community & Preventive Medicine (Booth: 324) University of the Sciences in Philadelphia (Half Table: 14-B) University of Washington, School of Public Health & Community Medicine, Department of Health Services (Half Table: 2-A) Virginia Commonwealth University, Department of Health Administration * (Booth: 212) * Organizational Affiliates 57 Exhibit Hall Floor Plan 58 Conference Resources Conference Registration Message Boards Atlas Foyer Message boards are available in two areas: ❂ Conference registration area (Atlas Foyer) for general messages. ❂ Career Center (in the Exhibit Hall) to facilitate job interviews and networking opportunities. Hours: Saturday Sunday Monday Tuesday 2:00 p.m. – 6:00 p.m. 7:30 a.m. – 6:00 p.m. 7:00 a.m. – 6:00 p.m. 7:00 a.m. – 12:00 p.m. Career Center Exhibit Hall Make professional connections or find a talented employee by using the Career Center services, available in the Exhibit Hall during regular hours. ❂ ❂ ❂ Search job and fellowship listings Search resume database Training Directory Conduct a search of formal research training programs (e.g., graduate programs or postbaccalaureate certificate programs and postdoctoral training programs) in: health services research, health policy, health policy research, health policy tracks in public policy programs. Also, learn more about including your program in the Directory of Training Programs in Health Services Research and Health Policy. Cyber Center Business Center Above the Atlas Foyer Hours: 7 days a week 8:00 a.m. – 5:00 p.m. Shipping Services The hotel shipping department will provide services in the Grand Foyer on Tuesday from 8:00 a.m. to 1:00 p.m. Webcasting Select sessions will be webcast by kaisernetwork.org, a free service of the Kaiser Family Foundation, at www.kaisernetwork.org/healthcast/academyhealth/jun04. For more information about this service, visit www.kaisernetwork.org. Member Services Member services staff will be available during regular exhibit hours at the AcademyHealth booth (#117). See pages 80 – 86 for membership information. Atlas Foyer Lost and Found Computers will be available during the conference for participants to check their e-mail. Lost and found is handled through hotel security. AcademyHealth accepts no responsibility for any lost or stolen items at the Annual Research Meeting. Speaker Ready Room Dover Hotel Shuttles A computer and LCD projector will be available for speakers to review presentations. The room will be unattended. For assistance, please contact the AcademyHealth registration desk. Shuttle transportation is being provided from the Town and Country to all overflow hotels. Times will be posted in each hotel. Press Room Devonshire A phone line is available to the press during the conference. For assistance, please contact the AcademyHealth registration desk. 59 Continuing Education Nurses Continuing Education Credit Through the American Association of Colleges of Nursing (AACN) Continuing Education Credit for nurses will be provided by the AACN. The number of contact hours is 20.5. To receive credit hours for attendance at the AcademyHealth Annual Research Meeting, please: 1) Complete the certificate of attendance (form in the conference bag). Include contact information, session title, and number of credit hours. 2) Make a copy of the form for your records. 3) Send the signed certificate of attendance to: Anne Rhome Deputy Executive Director American Association of Colleges of Nursing One Dupont Circle, Suite 530 Washington, DC 20036-1120 tel: 202.463.6930, ext. 230 fax: 202.785.8320 e-mail: arhome@aacn.nche.edu Health Care Executives Continuing Education Credit Through the American College of Healthcare Executives (ACHE) AcademyHealth is authorized to award 20.5 hours of pre-approved Category II (non-ACHE) continuing education credit for this program toward advancement or recertification in ACHE. Participants wishing to have the continuing education hours applied toward Category II credit should list their attendance when applying for advancement or recertification in ACHE. For more information, contact: Division of Membership American College of Healthcare Executives One North Franklin Street, Suite 1700 Chicago, IL 60606-3491 tel: 312.424.9400 60 Distinguished Investigator Award This year, AcademyHealth recognizes two outstanding leaders in health services research and health policy with the 2004 Distinguisher Investigator Award. Stuart H. Altman, Ph.D., and Uwe E. Reinhardt, Ph.D., have been giants in health services research and health policy over the last two decades in terms of their impact on U.S. health policy and in shaping the field of health services research. They are extraordinary bridge people, who bring the results of health policy research into the sometimes chaotic world of presidential and congressional decision-making. 2004 Distinguished Investigator Awardees Stuart H. Altman, Ph.D. Dr. Altman is the Sol C. Chaikin Professor of National Health Policy at The Heller School for Social Policy and Management at Brandeis University and a noted economist whose research interests focus primarily on federal and state health policy. He has served on a variety of government commissions, including the Legislative Health Care Task Force for the Commonwealth of Massachusetts, the National Bipartisan Commission on the Future of Medicare, and the Prospective Payment Assessment Commission. In addition, Dr. Altman was the Deputy Assistant Secretary for Planning and Evaluation/Health at the Department of Health, Education, and Welfare from 1971 to 1976, and later the dean of The Heller School from 1977 to 1993. Dr. Altman received masters and doctoral degrees in economics from the University of California, Los Angeles. Uwe E. Reinhardt, Ph.D. Dr. Reinhardt is the James Madison Professor of Political Economy and professor of economics and public affairs at Princeton University, where he has taught since 1968. He is also a respected health economist with strong interests in the uninsured and international health systems. He has served on a number of government committees and commissions, including the Physician Payment Review Commission and the National Advisory Council for Health Care Policy, Research, and Evaluation. In addition, Dr. Reinhardt has authored more than 200 books, articles, and editorials, and he frequently testifies before Congress and other public bodies. Dr. Reinhardt received a bachelors degree with honors in commerce and economics from the University of Saskatchewan and masters and doctoral degrees in economics from Yale University. Past Distinguished Investigator Recipients (title and affiliation at time of award) 2003 2001 Emmett B. Keeler, Ph.D. Senior Mathematician, RAND Health Professor, RAND Graduate School and the University of California, Los Angeles School of Public Health Kenneth B. Wells, M.D., M.P.H. Professor of Psychiatry Department of Psychiatry and Biobehavioral Science University of California, Los Angeles 2002 Paul D. Cleary, Ph.D. Professor of Health Care Policy Department of Health Care Policy Harvard Medical School Department of Health and Social Behavior Harvard School of Public Health 2000 Robert J. Blendon, Sc.D. Professor of Health Policy and Political Analysis Harvard School of Public Health and John F. Kennedy School of Government 61 1999 1992 Harold S. Luft, Ph.D. Caldwell B. Esselstyn Professor of Health Policy and Health Economics Director Institute for Health Policy Studies University of California, San Francisco Joseph P. Newhouse, Ph.D. Director Division of Health Policy Research and Education Harvard University 1998 Stephen Shortell, Ph.D. A.C. Buehler Distinguished Professor Kellogg Graduate School Northwestern University 1997 Milton I. Roemer, M.D., M.P.H. Professor Department of Health Services School of Public Health University of California, Los Angeles 1996 Ronald M. Andersen, Ph.D. Professor Department of Health Services School of Public Health University of California, Los Angeles 1995 Barbara Starfield, M.D., M.P.H. Professor and Head Division of Health Policy School of Hygiene and Public Health Johns Hopkins University 1994 David Mechanic, Ph.D. Director Institute for Health, Health Care Policy and Aging Research Rutgers University 1990 Eli Ginzberg, Ph.D. Director Conservation of Human Resources Columbia University 1989 Herbert E. Klarman, Ph.D. Retired 1988 Victor R. Fuchs, Ph.D. Henry J. Kaiser Professor Stanford University Cecil G. Sheps, M.D., M.P.H. Professor of Social Medicine University of North Carolina, Chapel Hill 1987 Kerr L. White, M.D. Consultant John E. Ware, Jr., Ph.D. Senior Scientist The Health Institute New England Medical Center 1986 1993 Odin Anderson, Ph.D. Professor of Sociology University of Chicago Robert H. Brook, M.D., Sc.D. Professor Department of Health Services Center for Health Sciences University of California, Los Angeles Director Health Sciences Program RAND John E. Wennberg, M.D., M.P.H. Director Center for the Evaluative Clinical Sciences Dartmouth Medical School 62 1991 Paul M. Densen, M.D. Professor Emeritus Harvard University 1985 Avedis Donabedian, M.D., M.P.H. Professor of Public Health University of Michigan Sam Shapiro Professor Emeritus Johns Hopkins University Alice S. Hersh New Investigator Award The Alice S. Hersh New Investigator Award recognizes scholars early in their careers as health services researchers who show exceptional promise for future contributions. This award commemorates the dedication of Alice Hersh to supporting the next generation of health services researchers. Ms. Hersh was the founding executive director of the Association for Health Services Research. 2004 Alice S. Hersh New Investigator Awardee David M. Studdert, LL.B., Sc.D. Dr. Studdert is associate professor of law and public health at the Harvard School of Public Health, where he teaches courses in health law and medical ethics. Before joining the faculty at Harvard, Dr. Studdert worked as a policy analyst at RAND, an advisor to the health minister in Victoria (Australia), and a practicing attorney. His research focuses on topics at the interface between law and health policy. He has studied medical injury, disputes in managed care, malpractice law, product liability and mass torts, and informed consent. Dr. Studdert holds a law degree from the University of Melbourne, and master’s and doctoral degrees from the Harvard School of Public Health. He was a fellow in the medical ethics program at Harvard Medical School in 1998. Past Alice S. Hersh New Investigator Award Recipients (title and affiliation at time of award) 2003 1999 Benjamin G. Druss, M.D., M.P.H. Rosalynn Carter Chair in Mental Health Associate Professor of Public Health & Psychiatry Rollins School of Public Health Emory University Michael Chernew, Ph.D. Assistant Professor Department of Health Management and Policy University of Michigan 2002 Dana Goldman, Ph.D. Senior Economist RAND Director of Health Economics Adjunct Associate Professor Radiology and Health Services University of California, Los Angeles Kevin A. Schulman, M.D., M.B.A. Associate Professor of Medicine Director of the Clinical Economics Research Unit Georgetown University School of Medicine 1998 John Ayanian, M.D., M.P.P. Assistant Professor of Medicine Department of Health Care Policy Harvard Medical School 2001 Susan L. Ettner, Ph.D. Associate Professor Department of Medicine and Public Health University of California, Los Angeles 2000 Laurence C. Baker, Ph.D. Assistant Professor of Health Research and Policy and Economics Center for Health Policy Stanford University Barbara Vickrey, M.D., M.P.H. Assistant Professor Reed Neurological Research Center School of Medicine University of California, Los Angeles 1997 David A. Asch, M.D., M.B.A. Professor of Medicine School of Medicine University of Pennsylvania Chief of Health Services Research Philadelphia VA Medical Center 63 1996 1991 Andrew B. Bindman, M.D. Division of General Internal Medicine San Francisco General Hospital University of California, San Francisco Kenneth E. Thorpe, Ph.D. Associate Professor Health Policy and Administration University of North Carolina, Chapel Hill 1995 1990 David J. Ballard, M.D., Ph.D., M.S.P.H. Director Center for Clinical Evaluation Sciences Professor School of Medicine School of Public Health Emory University Nicole Lurie, M.D., M.S.P.H. Assistant Professor of Medicine Hennepin County Medical Center Assistant Professor of Public Health Center for Health Services Research University of Minnesota 1989 Lillian Gelberg, M.D., M.S.P.H. Assistant Professor Division of Family Medicine University of California, Los Angeles 1994 Lisa I. Iezzoni, M.D., M.Sc. Associate Professor Department of Medicine Harvard Medical School Beth Israel Hospital 1993 Alan L. Hillman, M.D., M.B.A. Director Center for Health Policy Leonard Davis Institute of Health Economics University of Pennsylvania 1992 Troyen A. Brennan, M.D., J.D., M.P.H. Assistant Professor Brigham and Women’s Hospital Alan M. Garber, M.D., Ph.D. Assistant Professor of Medicine Stanford University HSR&D Senior Research Associate Department of Veterans Affairs 64 James C. Robinson, Ph.D., M.P.H. Assistant Professor of Health Economics University of California, Berkeley 1988 Earl P. Steinberg, M.D., M.P.P. Director Program for Medical Technology Johns Hopkins University Thomas Rice, Ph.D. Assistant Professor University of North Carolina, Chapel Hill 1987 Arnold M. Epstein, M.D., M.A. Assistant Professor of Medicine Harvard University 1986 Kenneth B. Wells, M.D., M.P.H. Senior Natural Scientist The RAND Corporation Professor of Psychiatry University of California, Los Angeles Article-of-the-Year Award The Article-of-the-Year Award recognizes the best scientific work that the fields of health services research and health policy have produced and published during the previous calendar year. The award-winning article provides new insights into the delivery of health care and advances the knowledge of the field. This year’s article-of-the-year will be featured in a special session on Tuesday, 11:15 a.m. – 12:45 p.m. 2004 Article-of-the-Year Awardee Elizabeth A. McGlynn, Ph.D., Steven M. Asch, M.D., M.P.H., Joan Kessey, Jennifer Hicks, Ph.D., M.P.H., Alison DeCristofaro, M.P.H., and Eve A. Kerr, M.D., M.P.H. Lead author Elizabeth A. McGlynn is an associate director for RAND Health and director of the Center for Research on Quality in Health Care. She is a nationally known expert on methods for assessing and reporting on quality of health care delivery at different levels within the health care system. She has led the development of QA Tools, a comprehensive system for assessing the technical quality of medical care for children and adults. She has served on a number of influential advisory committees including the Strategic Framework Board, which developed a design for a national quality monitoring and reporting system and the National Committee for Quality Assurance’s Committee on Performance Measurement. Dr. McGlynn received a B.A. in international political economy from The Colorado College, a master’s degree in public policy studies from the University of Michigan, and a Ph.D. in public policy analysis from the RAND Graduate School. Past Article-of-the-Year Award Recipients 2003 2000 Linda H. Aiken, Ph.D., R.N.; Sean P. Clarke, Ph.D., R.N.; Douglas M. Stone, Ph.D.; Julie Sochalski, Ph.D., R.N.; and Jeffrey H. Silber, M.D., Ph.D. “Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction,” Journal of the American Medical Association, Vol. 288, No. 16, October 23/30, 2002, pp. 1987–93. Mark Schlesinger, Ph.D.; Benjamin Druss, M.D.; and Tracey Thomas, M.P.H. “No Exit? The Effect of Health Status on Dissatisfaction and Disenrollment from Health Plans,” Health Services Research, Vol. 34, No. 2, June 1999, pp. 547–76. 2002 Darrell J. Gaskin, Ph.D.; Jack Hadley, Ph.D.; and Victor G. Freeman, M.D. “Are Urban Safety-Net Hospitals Losing Low-Risk Medicaid Maternity Patients?” Health Services Research, Vol. 36, No. 1, Part I: April 2001, pp. 25–51. 2001 Cary P. Gross, M.D.; Claudia A. Steiner, M.D., M.P.H.; Eric B. Bass, M.D., M.P.H.; and Neil R. Powe, M.D., M.P.H., M.B.A. “Relation Between Prepublication Release of Clinical Trial Results and the Practice of Carotid Endarterectomy,” Journal of the American Medical Association, Vol. 284, No. 22, December 13, 2000, pp. 2886–93. John Kralewski, Ph.D.; Euguene C. Rich, M.D.; Roger Feldman, Ph.D.; Bryan E. Dowd, Ph.D.; Terrace Bernhardt; Christopher Johnson, Ph.D.; and William Gold. “The Effects of Medical Group Practice and Physician Payment Methods on Costs of Care,” Health Services Research, Vol. 35, No. 2, August 2000, pp. 591–613. Martin F. Shapiro, M.D., Ph.D.; and Samuel A. Bozzette, M.D., Ph.D., et. al. A series of three articles from the HIV Cost and Services Utilization Study (HCSUS): “Variations in the Care of HIV-Infected Adults in the United States: Results From the HIV Cost and Services Utilization Study,” Journal of the American Medical Association, Vol. 281, No. 24, June 23–30, 1999, pp. 2305–15. “National Probability Samples in Studies of LowPrevalence Diseases. Part I: Perspectives and Lessons from the HIV Cost and Services Utilization Study,” Health Services Research, Vol. 34, No. 5, Part I, December 1999, pp. 951–65. “National Probability Samples in Studies of LowPrevalence Diseases. Part II: Designing and Implementing the HIV Cost and Services Utilization Study Sample,” Health Services Research, Vol. 34, No. 5, Part I, December 1999, pp. 969–92. 65 1999 1993 David Dranove, Ph.D.; and William D. White, Ph.D. “Medicaid-Dependent Hospitals and Their Patients: How Have They Fared?” Health Services Research, June 1998, Vol. 33, No. 2, Part I, pp. 163–85. Sheldon Greenfield, M.D.; Adam Keller, M.P.H.; Richard L. Kravitz, M.D.; Willard Manning, Ph.D.; Eugene C. Nelson, Sc.D.; William Rogers, Ph.D.; Alvin R. Tarlov, M.D.; John E. Ware, Jr., Ph.D.; and Michael Zubkoff, Ph.D. “Variations in Resource Utilization Among Medical Specialties and Systems of Care,” Journal of the American Medical Association, Vol. 267, No. 12, March 25, 1992, pp. 1624–30. Pamela Farley Short, Ph.D.; and Vicki A. Freedman, Ph.D. “Single Women and the Dynamics of Medicaid,” Health Services Research, Vol. 33, No. 5, Part I, December 1998, pp. 1309–36. 1998 Thomas Rice, Ph.D. “Can Markets Give Us the Health System We Want?” Journal of Health Politics, Policy and Law, Vol. 22, No. 2, April 1997, pp. 383–426. 1997 Howard Freeman; Lilian Gelberg, M.D., M.S.P.H.; Lawrence C. Kleinman, M.D., M.P.H.; and Judy Perlman, M.A. “Honing in on the Homeless: Assessing the Physical Health of Homeless Adults in Los Angeles County Using an Original Method to Obtain Physical Examination Data in a Survey,” Health Services Research, Vol. 31, No. 5, December 1996, pp. 533–49. 1996 John Billings, J.D.; Andrew B. Bindman, M.D.; Kevin Grumbach, M.D.; Miriam Komaromy, M.D.; Nicole Lurie, M.D., M.S.P.H.; Dennis Osmond, Ph.D.; Anita L. Stewart, Ph.D.; and Karen Vranizan, M.A. “Preventable Hospitalizations and Access to Health Care,” Journal of the American Medical Association, Vol. 274, No. 4, July 26, 1995, pp. 305–11. 1995 Robert H. Brook, M.S., Sc.D.; Katherine A. Desmond, M.S.; Ellen R. Harrison, M.S.; Katherine L. Kahn, M.D.; Emmett B. Keeler, Ph.D.; Marjorie L. Pearson, Ph.D., M.S.H.S.; William H. Rogers, Ph.D.; and Lisa V. Rubenstein, M.D., M.S.P.H. “Health Care for Black and Poor Hospitalized Medicare Patients,” Journal of the American Medical Association, Vol. 271, No. 15, April 20, 1994, pp. 1169–74. 1994 Bryan Dowd, Ph.D.; Roger D. Feldman, Ph.D.; and Gregory Gifford, Ph.D. “The Effect of HMOs on Premiums in Employmentbased Health Plans,” Health Services Research, Vol. 27, No. 6, February 1993, pp. 779–811. 66 Sheldon Greenfield, M.D.; Richard L. Kravitz, M.D., M.S.P.H.; Willard G. Manning, Jr., Ph.D.; Eugene C. Nelson, Sc.D.; William Rogers, Ph.D.; Alvin R. Tarlov, M.D.; John E. Ware, Jr., Ph.D.; and Michael Zubkoff, Ph.D. “Differences in the Mix of Patients Among Medical Specialties and Systems of Care,” Journal of the American Medical Association, Vol. 267, No. 12, March 25, 1992, pp. 1617–23. 1992 Jerry Avorn, M.D.; Igor Choodnovskiy, B.S.; Thomas J. McLaughlin, Sc.D.; Dennis G. Ross-Degnan, Sc.D.; and Stephen B. Soumerai, Sc.D. “Effects of Medicaid Drug-Payment Limits on Admission to Hospitals and Nursing Homes,” The New England Journal of Medicine, October 10, 1991, pp. 1072–7. 1991 Kevin Cain, Ph.D.; Frederick Connell, M.D., M.P.H.; Paula Diehr, Ph.D.; and Ernest Volinn, Ph.D. “What is Too Much Variation? The Null Hypothesis in a Small-Area Analysis,” Health Services Research, Vol. 24, No. 6, February 1990, pp. 741–71. 1990 Alan L. Hillman, M.D., M.B.A.; Joseph J. Kerstein, Ph.D.; and Mark V. Pauly, Ph.D. “How Do Financial Incentives Affect Physicians’ Clinical Decisions and the Financial Performance of Health Maintenance Organizations,” The New England Journal of Medicine, Vol. 321, No. 2, July 13, 1989, pp. 86–92. Emmett B. Keeler, Ph.D.; Willard G. Manning, Ph.D.; Joseph P. Newhouse, Ph.D.; Elizabeth M. Sloss; and Jeffrey Wasserman, Ph.D. “The Taxes of Sin,” Journal of the American Medical Association, Vol. 261, No. 11, March 17, 1989, pp. 1064–69. 1989 Grace M. Carter, Ph.D.; Emmett B. Keeler, Ph.D.; and Sally Trude, M.S. “Insurance Aspects of DRG Outlier Payments,” The Journal of Health Economics, Vol. 7, 1988, pp. 193–214. Dissertation Award The Dissertation Award honors an outstanding scientific contribution from a doctoral thesis in health services research. Judging by the innovative research, this doctoral candidate shows exceptional promise as a health services researcher. 2004 Dissertation Awardee Anita L. Tucker, D.B.A. Dr. Tucker is currently assistant professor of operations and information management at The Wharton School, University of Pennsylvania. She completed her dissertation, “Organizational Learning from Operational Failures,” at the Harvard University Business School in 2003. Previously, Dr. Tucker held positions as a quality improvement engineer at General Mills and as a nuclear quality control engineer at General Dynamics. She has a bachelor’s degree from the University of Massachusetts, Amherst, and a master’s degree from Purdue University. Past Dissertation Award Recipients (training program and title of dissertation) 2003 2001 Jill R. Horwitz, Ph.D., J.D., M.P.P. Ph.D. Program in Health Policy Harvard University “Corporate Form of Hospitals: Behavior and Obligations” Erik Michiel van Barneveld, Ph.D. Erasmus University, Rotterdam “Risk Sharing as a Supplement to Imperfect Capitation in Health Insurance: A Trade-off Between Selection and Efficiency” 2002 Courtney Harold Van Houtven, Ph.D. Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill “Informal Care and Elderly Health Care Use” Denys T. Lau, Ph.D. Bloomberg School of Public Health Johns Hopkins University “Potentially Inappropriate Medication Prescriptions Among Geriatric Nursing Home Residents: Its Scope, Risk Factors, and Health Consequences” 2000 Glen Mays, Ph.D., M.P.H. Department of Health Care Policy Harvard Medical School “Managed Care Contracting and Community Health Care Performance” 67 Student Poster Award The Student Poster Award recognizes the outstanding research of a student and the quality of the presentation during the poster session. The 2004 awardee will be announced during the Monday luncheon plenary. Past Student Poster Award Recipients (affiliation at time of award) 2003 1998 Katherine Jones, M.S., P.T., Ph.D. candidate University of Nebraska Medical Center Cornelia M. Ulrich, M.S. Fred Hutchinson Cancer Research Center 2002 1997 Peter Groeneveld, M.D. Center for Primary Care and Outcomes Research Stanford University Shoou-Yih D. Lee, M.D., Ph.D. candidate School of Public Health University of Michigan 2001 1996 Brian Quilliam, R.Ph. Community Health Brown University Eric S. Williams, Ph.D. Sheps Center for Health Services Research University of North Carolina, Chapel Hill 2000 1995 Ellen R. Shaffer, Ph.D., M.P.H. Institute for Health Policy Studies University of California, San Francisco Myde Boles, Ph.D. Kaiser Permanente Center for Health Research 1999 Christopher Seplaki, M.S., Ph.D. candidate Preventive Medicine University of Wisconsin, Madison 68 NCHS/AcademyHealth Health Policy Fellowship The Health Policy Fellowship, sponsored by the Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS) and AcademyHealth, brings visiting scholars in health services research related disciplines to NCHS to collaborate, using Center data systems, on studies of interest to policymakers and the health services research community. 2004 Fellow Hua Wang, Ph.D. candidate University of North Carolina, Chapel Hill Project Title: “Effects of the State Children’s Health Insurance Program (SCHIP) on Children’s Health Insurance Coverage, Access to, and Utilization of Health Services and Health Outcomes” Past Fellows 2003 Jill Anne Marsteller, Ph.D., M.P.P. Graduate Student Researcher Health Policy and Management School of Public Health University of California, Berkeley Project Title: “Organizational Determinants of Disparities in Hospital Care” Judith Ann Shinogle, Ph.D., M.Sc. Assistant Professor Department of Pharmaceutical and Health Outcomes Science College of Pharmacy University of South Carolina Project Title: “Firms’ Demand for Health Benefit Generosity” 2002 Edward F. Buckley, M.A. Doctoral Candidate Wharton School of Business University of Pennsylvania Project Title: “To Examine How the Effects of Managed Care Market Penetration on Nurse Staffing in Hospitals Affect AMI Patient Mortality” 69 2004 Award Committees Distinguished Investigator Kathleen Lohr, Ph.D., Chair Distinguished Fellow RTI International Research Professor, Health Policy and Administration University of North Carolina School of Public Health Robert J. Blendon, Sc.D. Professor of Health Policy and Political Analysis Harvard School of Public Health and John F. Kennedy School of Government Elizabeth McGlynn, Ph.D. Associate Director RAND Health David Mechanic, Ph.D. Rene Dubos University Professor Institute for Health, Health Care Policy and Aging Research Rutgers, The State University of New Jersey Diane Rowland, Sc.D. Executive Vice President The Henry J. Kaiser Family Foundation Stephen Shortell, Ph.D. Dean School of Public Health University of California, Berkeley Barbara Starfield, M.D. Professor The Johns Hopkins University Medical Institutions Alice S. Hersh New Investigator Michael Chernew, Ph.D., Chair Associate Professor Department of Health Management and Policy School of Public Health University of Michigan Linda Aiken, Ph.D., R.N. Professor and Director Center for Health Outcomes and Policy Research University of Pennsylvania Laurence Baker, Ph.D. Associate Professor Department of Health Research and Policy Stanford University Gloria Bazzoli, Ph.D. Professor Department of Health Administration Virginia Commonwealth University Peter Buerhaus, Ph.D. Senior Associate Dean for Research School of Nursing Vanderbilt University School of Nursing Dana Gelb Safran, Sc.D. Director The Health Institute Tufts-New England Medical Center Barbara Vickrey, M.D., M.P.H. Associate Professor Reed Neurological Research Center Department of Neurology University of California, Los Angeles 70 Article-of-the-Year Dissertation Kelly Devers, Ph.D., Chair Associate Professor Department of Health Administration Virginia Commonwealth University Lawrence Casalino, M.D., Ph.D., Chair Assistant Professor Department of Health Studies University of Chicago Shulamit Bernard, Ph.D., R.N. Director Program on Health Care Quality and Outcomes RTI International Ronald Andersen, Ph.D. Professor Health Services University of California, Los Angeles Andrew Bindman, M.D. Professor Department of Medicine University of California, San Francisco Carol Brewer, Ph.D., R.N. Associate Professor School of Nursing State University of New York, Buffalo Liesl Cooper, Ph.D. Manager, Outcomes Research U.S. Medical Division Eli Lilly and Company Haiden Huskamp, Ph.D. Assistant Professor of Health Economics Department of Health Care Policy Harvard Medical School Mark Peterson, Ph.D. Professor Department of Policy Studies University of California, Los Angeles Joanne Lamphere, Dr.P.H. Senior Manager The Lewin Group Mark Schlesinger, Ph.D. Associate Professor Division of Health Policy and Medicine School of Public Health Yale University Dave Murday, Ph.D. Assistant Director for Health Policy Center for Health Services and Policy Research University of South Carolina Teresa Waters, Ph.D. Associate Professor Center for Health Services Research University of Tennessee 71 Annual Research Meeting Planning Committee Sherry Glied, Ph.D., Chair* Professor, Department of Health Policy and Management Mailman School of Public Health Columbia University Laurence Baker, Ph.D.* Associate Professor Department of Health Research and Policy Stanford University Mady Chalk, Ph.D. Director Office of Quality and Financing Center for Substance Abuse Treatment/SAMHSA Karen Scott Collins, M.D.* Deputy Chief Medical Officer Health Care Quality and Clinical Services New York City Health and Hospitals Corporation Douglas Conrad, Ph.D.* Professor and Director Department of Health Services Center for Health Management Research University of Washington Philip Crewson, Ph.D. Assistant Director Scientific Development Department of Health Services Research and Development Department of Veterans Affairs Kelly Cronin Director of Patient Safety and Outcomes Research Office of Policy and Planning Office of the Commissioner Food and Drug Administration Denise Dougherty, Ph.D.* Senior Advisor, Child Health Office of Extramural Research Education & Priority Populations Agency for Healthcare Research and Quality 72 Jose Escarce, M.D. Senior Natural Scientist The Health Program RAND Health Robert Galvin, M.D. Director of Global Health Care Corporate Health Care and Medical Programs General Electric Company Edward Guadagnoli, Ph.D.* Associate Professor Department of Health Care Policy Harvard Medical School Stuart Guterman, M.A. Director Centers for Medicare and Medicaid Services Donna Havens, Ph.D. Division Chair School of Nursing University of North Carolina, Chapel Hill W. David Helms, Ph.D.* President and CEO AcademyHealth David Meltzer, M.D.* Associate Professor of Medicine Departments of Medicine, Economics, and Public Policy University of Chicago Harold Perl, Ph.D. Division of Treatment and Recovery Research National Institute on Alcohol Abuse and Alcoholism Edward Salsberg, M.P.A. Director Center for Workforce Studies Association of American Medical Colleges Kevin Schulman, M.D. Professor of Medicine Medical Center, Center for Clinical and Genetic Economics Duke University Fuqua School of Business Lisa Simpson, Ph.D. Endowed Chair Child Health Policy Department of Pediatrics University of South Florida Michael Jones, M.A. Senior Health Economist Policy Section Administration Division of Health Policy Illinois Department of Public Health Shoshanna Sofaer, Dr.P.H.* Luciano Professor of Health Care Policy School of Public Affairs Baruch College Peter Kemper, Ph.D. Professor Department of Health Policy and Administration Pennsylvania State University Donald Steinwachs, Ph.D. Professor and Chair Department of Health Policy and Management Bloomberg School of Public Health Johns Hopkins University Glen Mays, Ph.D.* Senior Health Researcher Mathematica Policy Research, Inc. Linda McKibben, M.D. Medical Officer Prevention and Evaluation NCID/DHQP/PEB Centers for Disease Control and Prevention Ming Tai-Seale, Ph.D. Associate Professor Department of Health Policy & Management School of Rural Public Health Texas A&M University Health Sciences Center * Executive Committee Abstract Reviewers Behavioral Health Kenneth Wells, M.D., Chair Professor Department of Psychiatry and Biobehavioral Science University of California, Los Angeles Anthony Lehman, M.D. Professor and Chair Department of Psychiatry School of Medicine University of Maryland A. Thomas McLellan, Ph.D. Scientific Director Department of Psychiatry Treatment Research Institute Harold Pincus, M.D. Executive Vice Chairman Psychiatry Western Psychiatric Institute and Clinic Greer Sullivan, M.D. Director Mental Illness Research Educational and Clinical Center University of Arkansas Nancy Wolff, Ph.D. Director Center for Mental Health and Criminal Justice Research Associate Professor Department of Urban Studies Bloustein School of Planning and Policy Rutgers University Child Health Lisa Simpson, Ph.D., Chair Endowed Chair Child Health Policy Department of Pediatrics Associate Director Institute for Child Health Policy University of South Florida Marielena Lara, M.D. Director UCLA/RAND Program on Latino Children with Asthma University of California, Los Angeles Elizabeth Ozer, Ph.D. Assistant Professor Department of Pediatrics and Adolescent Medicine University of California, San Francisco Sherrie Kaplan, Ph.D. Associate Chief Division of General Internal Medicine Associate Dean College of Medicine University of California, Irvine Tracy Lieu, M.D. Associate Professor Department of Ambulatory Care and Prevention Harvard Medical School and Harvard Pilgrim Health Care Perla Vargas, Ph.D. Assistant Professor Medical Sciences University of Arkansas for Medical Sciences Michael Von Korff, Sc.D. Senior Investigator Center for Health Studies Group Health Cooperative Patrick Vivier, M.D. Assistant Professor Community Health and Pediatrics Department of Community Health Brown University Coverage & Access Paul Wise, M.D. Vice Chair Division of Social Medicine and Health Inequalities Brigham and Women’s Hospital Chronic Care Delivery Douglas Roblin, Ph.D., Chair Research Scientist Research Department Kaiser Permanente Georgia Karen Scott Collins, M.D. Deputy Chief Medical Officer Health Care Quality and Clinical Services New York City Health and Hospitals Corporation Katherine Swartz, Ph.D., Chair Professor Department of Health Policy and Management Harvard University Linda Blumberg, Ph.D. Senior Research Associate Health Policy Center The Urban Institute Genevieve Kenney, Ph.D. Principal Research Associate Health Policy Center The Urban Institute Catherine McLaughlin, Ph.D. Professor Department of Health Management and Policy University of Michigan Pamela Farley Short, Ph.D. Professor Department of Health Policy and Administration Pennsylvania State University 73 Disparities Edward Guadagnoli, Ph.D., Chair Professor Department of Health Care Policy Harvard Medical School Anne Beal, M.D. Senior Program Officer The Commonwealth Fund Thomas Selden, Ph.D. Economist Center for Cost and Finance Studies Agency for Healthcare Research and Quality Hayden Bosworth, Ph.D. Head Scientist and Assistant Research Professor HSR&D/Department of Medicine Duke University Medical Center Dean Smith, Ph.D. Associate Professor and Chair Department of Health Services Management and Policy University of Michigan Marshall Chin, M.D. Assistant Professor Section of General Internal Medicine University of Chicago Kaytura Felix-Aaron, M.D. Medical Officer Agency for Healthcare Research and Quality Said Ibrahim, M.D. Assistant Professor of Medicine Center for Health Equity Research and Promotion VA Pittsburgh Healthcare System University of Pittsburgh Health Insurance Markets Douglas Conrad, Ph.D., Chair Professor and Director Department of Health Services Center for Health Management Research University of Washington Richard Lindrooth, Ph.D. Assistant Professor Department of Health Administration and Policy Medical University of South Carolina 74 Ching-To Albert Ma, Ph.D. Professor of Economics Department of Economics Boston University International Huw Davies, Ph.D., Chair Professor of Health Care Policy and Management Director Centre for Public Policy and Management University of St. Andrews Andrew Bindman, M.D. Professor of Medicine University of California, San Francisco Jean-Louis Denis, Ph.D. Associate Professor, Chaire Department of Health Administration University of Montreal Pal Gulbrandsen, M.D. Managing Director HELTEF - Centre for Health Services Research Mary Seddon, M.B.Ch.B. Head of Quality Improvement Division of Medicine Senior Lecturer in Quality Improvement School of Population Health Middlemore Hospital Long-Term Care Vincent Mor, Ph.D., Chair Chairman Department of Community Health Brown University Susan Ettner, Ph.D. Professor of Medicine University of California, Los Angeles Penny Hollander Feldman, Ph.D. Vice President and Director Center for Home Care Policy and Research Visiting Nurse Service of New York Barbara Gage, Ph.D. Director Aging, Disability and Long-Term Care RTI International Nelda McCall, M.S. President Laguna Research Associates Charles Phillips, Ph.D. Professor School of Rural Public Health Texas A&M University System Health Science Center Management & Organization Thomas Rundall, Ph.D., Chair Professor Center for Health Research University of California, Berkeley William Aaronson, Ph.D. Associate Professor Risk, Insurance, and Healthcare Management Temple University Jeffrey Alexander, Ph.D. Professor Health Management and Policy University of Michigan Jane Banaszak-Holl, Ph.D. Associate Professor Department of Health Management and Policy University of Michigan James Begun, Ph.D. Professor Department of Healthcare Management, CSOM University of Minnesota Medicare & Medicare Prescription Drugs Roger Feldman, Ph.D., Chair Blue Cross Blue Shield Professor of Health Insurance Division of Health Services Research and Policy University of Minnesota Adam Atherly, Ph.D. Assistant Professor Department of Health Policy and Management Rollins School of Public Health Emory University Emily Cox, Ph.D. Director Outcomes Research Express Scripts, Inc. Len Nichols, Ph.D. Vice President Center for Studying Health System Change Public Health Glen Mays, Ph.D., Chair Senior Health Researcher Mathematica Policy Research, Inc. Janet Bronstein, Ph.D. Professor Department of Health Care Organization and Policy School of Public Health University of Alabama at Birmingham Arthur Davidson, M.D. Associate Professor Departments of Preventive Medicine and Biometrics and Family Medicine School of Medicine University of Colorado Health Sciences Center Denver Public Health Jeffrey Harris, M.D. Senior Lecturer Health Promotion Research Center University of Washington Linda McKibben, M.D. Medical Officer Prevention and Evaluation NCID/DHQP/PEB Centers for Disease Control and Prevention Quality & Patient Safety Daniel Stryer, M.D., Chair Medical Officer Center for Outcomes and Effectiveness Research Agency for Healthcare Research and Quality Jeroan Allison, M.D. Associate Professor of Medicine Division of General Internal Medicine University of Alabama at Birmingham Julie Brown, B.A. Survey Coordinator Survey Research Group RAND Health Susan Edgman-Levitan, P.A. Executive Director John D. Stoeckle Center for Primary Care Ethan Halm, M.D. Assistant Professor Department of Health Policy Mount Sinai School of Medicine Joachim Roski, Ph.D. Director Quality and Performance Effectiveness National Committee for Quality Assurance Technology, Innovation & Evaluation Alvin Mushlin, M.D., Chair Chairman, Department of Public Health Department of Community and Preventive Medicine Weill Medical College of Cornell University Helen Burstin, M.D. Director Center for Primary Care Research Agency for Healthcare Research and Quality Kathryn McDonald, M.M. Executive Director Center for Primary Care and Outcomes Research Stanford University 75 Stephen Parente, Ph.D. Assistant Professor Department of Healthcare Management University of Minnesota Steven Teutsch, M.D. Senior Director Department of Outcomes Research and Management Merck and Company, Inc. Call for Panels Workforce Jon Gabel, M.A., A.B., Chair Vice President Health Systems Studies Health Research and Educational Trust Linda Aiken, Ph.D., Chair Professor and Director Center for Health Outcomes and Policy Research University of Pennsylvania R. Adams Dudley, M.D., M.B.A. Assistant Professor Institute for Health Policy Studies University of California, San Francisco Beth Collins-Sharp, Ph.D. Health Scientist Administrator Center for Outcomes and Evidence Agency for Healthcare Research and Quality Jennifer Edwards, Dr.P.H. Deputy Director Task Force on the Future of Health Insurance The Commonwealth Fund Richard Cooper, M.D. Director and Professor Health Policy Institute Medical College of Wisconsin Margo Rosenbach, Ph.D. Vice President Cambridge Research Mathematica Policy Research, Inc. Donna Havens, Ph.D. Division Chair School of Nursing University of North Carolina, Chapel Hill Jonathan Weiner, Dr.P.H. Professor and Deputy Director Health Services Research and Development Center Johns Hopkins University Lori Melichar, Ph.D. Program Officer Department of Research and Evaluation The Robert Wood Johnson Foundation General Call for Posters Stephen Mick, Ph.D. Professor and Chair Department for Health Administration Virginia Commonwealth University 76 Edward Salsberg, M.P.A. Director Center for Wokrforce Studies Association of American Medical Colleges Donna McAlpine, Ph.D., Chair Assistant Professor Health Services Research and Policy University of Minnesota Rajesh Balkrishnan, Ph.D., M.S. Associate Professor Management and Policy Sciences University of Texas Health Science Center at Houston Craig Brammer Senior Research Associate Institute for Health Policy and Health Research University of Cincinnati Maureen Smith, M.D., Ph.D., M.P.H. Assistant Professor Population Health Sciences University of Wisconsin, Madison Student Posters Lucy Savitz, Ph.D., M.B.A., Chair Senior Health Research Analyst Quality and Outcomes Program RTI International Jane Nelson Bolin, Ph.D., J.D., R.N. Assistant Professor School of Rural Public Health Texas A&M University Debra Draper, Ph.D., M.S.H.A. Senior Health Policy Researcher Mathematica Policy Research, Inc. Pradeep Gidwani, M.D., M.P.H Pediatrics Center for Child Health Outcomes Children’s Hospital and Health Center, San Diego Ram Shanmugam, Ph.D. Director, Graduate Program in Health Research Southwest Texas State University Best Abstracts Michelle Dolfini-Reed, Ph.D., M.A., Chair Research Analyst Healthcare Operations and Policy Research Center CNA Corporation Allen Dobson, Ph.D. Senior Vice President Health Care Finance Practice The Lewin Group, Inc. Many thanks… AcademyHealth gratefully acknowledges the contributions of the planning, award, and review committees. The time and effort of dedicated volunteers ensure the success of the Annual Research Meeting. Darrell Gaskin, Ph.D. Associate Professor Department of Health Policy and Management Johns Hopkins University Barbara Lyons, Ph.D. Deputy Director Kaiser Commission on Medicaid and the Uninsured Patricia Parkerton, Ph.D., M.P.H. Assistant Professor Department of Health Services School of Public Health University of California, Los Angeles 77 2004 Boards of Directors AcademyHealth Board of Directors David Blumenthal, M.D., Chair Director Institute for Health Policy Partners HealthCare System Massachusetts General Hospital Sara Rosenbaum, J.D., Vice Chair Professor of Health Policy Chair, Department of Health Policy George Washington University Gail Wilensky, Ph.D., Past Chair John M. Olin Senior Fellow Project HOPE Nelson Ford, Treasurer Deputy Assistant Secretary Health Budgets and Financial Policy Department of Defense Harold Luft, Ph.D., Secretary Caldwell B. Esselstyn Professor and Director Institute for Health Policy Studies University of California, San Francisco Charlie Baker, Jr. President and CEO Harvard Pilgrim Health Care Sheila Burke Deputy Secretary and Chief Operating Officer American Museum and National Programs Smithsonian Institution Kathleen Buto Vice President Department of Health Policy Johnson & Johnson Arnold Epstein, M.D. John H. Foster Professor and Chairman Department of Health Policy and Management School of Public Health Harvard University Judith Feder, Ph.D. Dean of Public Policy Georgetown University Jeanne Lambrew, Ph.D. Associate Professor Department of Health Policy George Washington University 78 Jonathan Lomas Executive Director Canadian Health Services Research Foundation Nicole Lurie, M.D. Senior Natural Scientist and Alcoa Chair RAND Health Jan Malcolm Senior Program Officer The Robert Wood Johnson Foundation David Mechanic, Ph.D. Rene Dubos University Professor Institute for Health Health Care Policy and Aging Research Rutgers, The State University of New Jersey Neil Powe, M.D. Professor and Director Welch Center for Prevention Johns Hopkins University Deborah Prothrow-Stith, M.D. Associate Dean for Faculty Development Director, Division of Public Health Practice School of Public Health Harvard University Robert Reischauer, Ph.D. President The Urban Institute Thomas Rice, Ph.D. Professor, Department of Health Services School of Public Health University of California, Los Angeles Donald Steinwachs, Ph.D. Professor and Chair Department of Health Policy and Management Bloomberg School of Public Health Johns Hopkins University David Williams, Ph.D. Senior Research Scientist Professor of Sociology Institute for Social Research University of Michigan W. David Helms, Ph.D. President and CEO AcademyHealth Coalition for Health Services Research Board of Directors Donald Steinwachs, Ph.D., Chair Professor and Chair Department of Health Policy and Management Bloomberg School of Public Health Johns Hopkins University David Abernethy, Vice Chair Senior Vice President for Public Policy & Regulatory Affairs HIP Health Plans Mary Woolley, Treasurer President Research!America David Kindig, M.D., Ph.D., Secretary Professor Emeritus of Population Health Sciences Emeritus Vice Chancellor for Health Sciences Co-Director, Wisconsin Public Health and Health Policy Institute University of Wisconsin School of Medicine Charlie Baker, Jr. President and CEO Harvard Pilgrim Health Care Jordan Cohen, M.D. President Association of American Medical Colleges Charles Kahn, M.P.H. President Federation of American Hospitals Sara Rosenbaum, J.D. Hirsch Professor and Chair George Washington University Medical Center Department of Health Policy School of Public Health and Health Policy Gail Wilensky, Ph.D. John M. Olin Senior Fellow Project HOPE W. David Helms, Ph.D. President and CEO AcademyHealth 79 Membership Where Researchers and Policy Professionals Meet AcademyHealth is the professional home for health services researchers, policy analysts, and practitioners, and a leading non-partisan resource for the best in health research and policy. Drawing from the strengths of 4,000 individuals and 125 organizations, AcademyHealth provides a forum for networking, professional growth, and development among a diverse membership that includes researchers, business decision makers, policy professionals, consultants, clinicians, and students. AcademyHealth members examine, debate, and research problems and solutions related to health and health care. By joining AcademyHealth as an individual member, you gain access to tools and resources that help you excel in today’s challenging work environment. We help our members share information through scientific and policy conferences, topic-specific interest groups, professional training and career development opportunities, and a variety of cross-disciplinary publications. Individual Member Benefits Networking and professional support: ❂ Connect with more than 4,000 health services researchers, health policy analysts, and practitioners. ❂ Interact with colleagues year-round through topic-specific interest groups. ❂ Meet annually with 2,000 of your colleagues at the Annual Research Meeting and 700 of your colleagues at the National Health Policy Conference. ❂ Vote in AcademyHealth elections and serve on AcademyHealth committees. Discounts on: ❂ Annual Research Meeting registration fees (up to $200 value) ❂ National Health Policy Conference registration fees (up to $200 value) ❂ Methods Seminars registration fees ($100 value) ❂ Cyber Seminars registration fees ($50 value) ❂ More than 30 journals and newsletters (average discount is 10–20 percent) Complimentary subscription to each of the following publications: ❂ Health Affairs ($116 value) ❂ HSR ($95 value) ❂ The Milbank Quarterly ($58 value) ❂ AcademyHealth Reports (quarterly membership newsletter) Electronic resources: ❂ The members-only section of the AcademyHealth Web site features access to our searchable membership directory, online journal articles, salary survey data, publisher discounts, and more. ❂ The monthly Member Update offers advanced notice of upcoming AcademyHealth conferences and workshops, newly released publications, and much more, summarized in one easy-to-read e-mail message. ❂ The online Career Center features position announcements, a resume bank, funding announcements, and much more. Advocacy through the Coalition for Health Services Research by: ❂ Providing a unified voice on behalf of our members to support enhanced funding for health services research. ❂ Advising federal agencies on appropriate funding policies. ❂ Mobilizing other advocates to support the development of research and data to inform health policy and practice. www.academyhealth.org/membership/join.htm 80 Organizational Affiliates Partners in Advancing Research, Policy and Practice Organizational affiliates are a vital part of AcademyHealth’s membership. We value these organizations for providing institutional support to our many programs and member services as well as the Coalition for Health Services Research as it advocates for funding for the health services research field. Our affiliates are essential partners in helping AcademyHealth fulfill its mission of facilitating the translation of research into policy and practice. Organizational Visibility Organizational affiliates have access to outstanding venues that increase your institution’s visibility with our members and constituents. These include: ❂ Recognition for their commitment to AcademyHealth and the fields of health services research and health policy through listings on our Web site, in AcademyHealth Reports, and at the Annual Research Meeting. ❂ A link from our Web site increases traffic to their sites by AcademyHealth members and Web site visitors. ❂ Exclusive space in AcademyHealth Reports for organizational announcements. Want to share an accomplishment or change in your organization? Complimentary space is reserved in AcademyHealth Reports just for organizational affiliates to make important announcements. This quarterly publication is sent to more than 4,000 members. Advocacy through the Coalition for Health Services Research AcademyHealth’s advocacy arm—the Coalition for Health Services Research—provides a unified voice on behalf of all our affiliated members to support enhanced funding for health services research. In addition, the Coalition advises federal agencies on appropriate funding and policies, as well as mobilizes other advocates to support the development of research and data to inform health policy and practice. Registration and Advertising Discounts Organizational Affiliates receive a variety of discounts based on their level of support. Discounts Contributing Affiliate Supporting Affiliate Affiliate Annual Research Meeting Registration Fee 15 staff ($3,000 value) 10 staff ($2,000 value) 5 staff ($1,000 value) National Health Policy Conference Registration Fee 15 staff ($3,000 value) 10 staff ($2,000 value) 5 staff ($1,000 value) Cyber Seminars Registration Fee 10 staff ($1,000 value) 10 staff ($1,000 value) 10 staff ($1,000 value) Complimentary Membership List Rental 4 per year ($2,000 value) 3 per year ($1,500 value) 2 per year ($1,000 value) Career Center Advertising 30% 20% 10% Training Directory Listing 30% 20% 10% ARM Exhibit Space Discount 50% 50% 50% ARM or NHPC Advertising 25% 25% 25% Health Affairs Subscription ($270 value) Yes Yes Yes HSR Subscription ($399 value) Yes Yes Yes Milbank Quarterly Subscription ($156 value) Yes Yes Yes AcademyHealth Reports Subscription Yes Yes Yes To become an organizational affiliate of AcademyHealth, contact Kristine Metter, director of membership, at 202.292.6754 or kristine.metter@academyhealth.org. 81 Organizational Affiliates We thank and salute our organizational affiliates. Contributing Affiliates ($10,000 Dues) Department of Veterans Affairs, Health Services Research and Development Service Missouri Foundation for Health The Robert Wood Johnson Foundation UnitedHealth Group WellPoint Health Networks Supporting Affiliates ($5,000 Dues) AARP American Institutes for Research Anthem Blue Cross and Blue Shield, Inc. Association of American Medical Colleges The Henry J. Kaiser Family Foundation Johns Hopkins University, Bloomberg School of Public Health, Department of Health Policy and Management Johnson & Johnson Kaiser Permanente Institute for Health Policy Merck and Company, Inc. National Health Council Nemours Foundation Novartis Pharmaceuticals Corporation Pfizer Inc., Public Health Affiliates ($2,000 Dues) Abt Associates Inc. Agency for Healthcare Research and Quality American Academy of Actuaries American Academy of Pediatrics American Academy of Physician Assistants America’s Health Insurance Plans American College of Healthcare Executives American Medical Association Association of Academic Health Centers Audiology Foundation of America Battelle Memorial Institute Blue Cross and Blue Shield Association Blue Cross Blue Shield of Michigan Foundation Brandeis University, Heller School for Social Policy and Management, Schneider Institute for Health Policy Brown University, Brown Medical School, Center for Gerontology and Health Services Research California HealthCare Foundation Center for Health Care Research and Policy, Case Western Reserve University at MetroHealth Medical Center Centers for Medicare and Medicaid Services 82 Center for Studying Health System Change Center for Substance Abuse Treatment/SAMHSA Centers for Disease Control and Prevention, Division of Cancer Prevention and Control The CNA Corporation Colorado Health Institute Columbia University, Mailman School of Public Health, Department of Health Policy and Management The Commonwealth Fund Consumer Healthcare Products Association Creighton University, Center for Practice Improvement and Outcomes Research Drexel University, School of Public Health Duke University, Health Sector Management, The Fuqua School of Business Emory University, Rollins School of Public Health, Department of Health Policy and Management Federation of American Hospitals George Washington University, Department of Health Policy, Center for Health Services Research and Policy Georgetown University, Health Policy Institute Georgia Health Policy Center Group Health Cooperative Center for Health Studies Harvard School of Public Health Health Research and Educational Trust Health Resources and Services Administration Henry Ford Health System, Center for Health Services Research Illinois Department of Public Health Jewish Healthcare Foundation John Snow, Inc. Joint Commission on Accreditation of Healthcare Organizations Kansas Health Institute The Lewin Group Massachusetts General Hospital and Partners Health Care System, Institute for Health Policy Mathematica Policy Research, Inc. The MayaTech Corporation Mayo Clinic, Division of Health Care Policy & Research Medstat Minnesota Department of Health National Academy of Social Insurance National Cancer Institute National Center for Health Statistics National Institute for Health Care Management Foundation (NIHCM Foundation) National Pharmaceutical Council New York Academy of Medicine New York Medical College, School of Public Health New York University, Robert F. Wagner Graduate School of Public Service Northwestern University, Institute for Health Services Research and Policy Studies NRH Center for Health & Disability Research The Nuffield Trust for Research and Policy Studies in Health Services Office of the Assistant Secretary of Defense (Health Affairs) The Ohio State University, Center for Health Outcomes, Policy and Evaluation Studies (HOPES) Oklahoma University Health Sciences Center, College of Public Health, Department of Health Administration and Policy and Center for Health Policy Park Nicollet Institute Pennsylvania Department of Health Pennsylvania State University, Center for Health Care and Policy Research RAND Health Regenstrief Institute for Health Care, a support organization of Indiana University School of Medicine Research!America Robert Graham Center: Studies in Family Practice and Primary Care RTI International Rutgers, The State University of New Jersey, Institute for Health, Health Care Policy, and Aging Research Social and Scientific Systems, Inc. United Hospital Fund of New York University of Alabama at Birmingham, Lister Hill Center for Health Policy University of Arkansas for Medical Sciences, Department of Psychiatry University of California, Berkeley, Center for Health Research University of California, Davis, Center for Health Services Research in Primary Care University of California, Los Angeles, School of Public Health, Department of Health Services University of California, San Francisco, Institute for Health Policy Studies University of Cincinnati, Institute for Health Policy and Health Services Research University of Florida, Department of Health Services Administration University of Iowa, College of Public Health, Department of Health Management and Policy, Center for Health Policy and Research University of Massachusetts Medical School, Center for Health Policy and Research University of Michigan, School of Public Health, Department of Health Management and Policy University of Minnesota, Carlson School of Management, Center for the Study of Healthcare Management University of Minnesota, School of Public Health, Division of Health Services Research and Policy University of Nebraska Medical Center, Section on Health Services Research and Rural Health Policy University of North Carolina, Chapel Hill, Cecil G. Sheps Center for Health Services Research University of North Carolina, Chapel Hill, Program on Health Outcomes University of North Carolina at Charlotte, College of Health and Human Services University of Pennsylvania, Leonard Davis Institute of Health Economics University of South Carolina, Center for Health Services and Policy Research University of South Florida, Louis de la Parte Florida Mental Health Institute University of Southern Maine, Muskie School of Public Service, Institute for Health Policy University of Tennessee Health Science Center University of Washington, School of Public Health and Community Medicine, Department of Health Services The Urban Institute VA Information Resource Center (VIReC) Virginia Commonwealth University, Department of Health Administration W.K. Kellogg Foundation West Virginia University, Center for Health Care Policy and Research Yale University, Division of Health Policy and Administration List current as of 5-1-04 83 Interest Groups Year-Round Topical Discussions and Networking Interest Groups help facilitate interaction of individuals around specific topic areas relating to health services research and health policy. Interest Group members have an opportunity to exchange knowledge, disseminate research findings, inform policy and clinical decision-making, build research skills, and create a networking opportunity for those sharing common goals. Through the groups’ Web-based discussion forums, members can connect with and learn from their colleagues across the country. Interest Groups also meet annually at AcademyHealth meetings and conferences. Current Interest Groups focus on the following areas: ❂ ❂ ❂ ❂ ❂ ❂ ❂ ❂ ❂ ❂ Behavioral Health Services Research Child Health Services Research Health Economics Health Information Technology Health Workforce Interdisciplinary Research Group on Nursing Issues Long-Term Care Public Health Systems Research State Health Policy and Research Women’s Health The Behavioral Health Services Research Interest Group is composed of researchers, practitioners, policy staff, advocates, primary consumers and families who are interested in forming new partnerships to improve mental health, substance abuse, and alcohol services. The group sponsors issue forums that are intended to build research/practice coalitions to both investigate behavioral health problems and creatively disseminate knowledge regarding effective solutions to these problems. The Child Health Services Research Interest Group provides a forum for researchers, policymakers, practitioners, and trainees to interact on health issues related to children. The Interest Group provides opportunities to disseminate results, inform policy and clinical decision-making, build researchers’ skills, and create networking opportunities for those interested in child health services. The Health Economics Interest Group is composed of researchers, policymakers, practitioners, and others interested in the broad range of health economics issues. The group’s mission is to foster the development and dissemination of the best health economics research to affect health services policy and practice. The Health Information Technology Interest Group encompasses health information systems used in health care delivery and management. The group focuses on the use of health information technology to improve the quality and reduce the cost of health care. Interest Group members share interests in using technology to support patientcentered care, develop disease management tools, enhance the coordination and continuity of care, identify beneficial uses of the Internet, and assist in the timely collection of data. The Health Workforce Interest Group focuses on health services research related to the health workforce of interest to researchers, policymakers, and practitioners. Topics include: the relationship between workforce and access, quality, and cost; data collection and analysis; sources and quality of health workforce data; methods of measuring supply, demand, and need; distribution; diversity; and policy and program information. In addition to engaging in a dialogue on workforce issues, the Interest Group disseminates workforce-related information and provides opportunities for networking around this critical area as it relates to health services research, policy, and practice. 84 The Interdisciplinary Research Group on Nursing Issues focuses on: ❂ Influencing the development of scientific health services research knowledge relevant to nursing practice and education; ❂ Building a community of interdisciplinary individuals interested in advancing health services research issues (such as practice, education, and others) that are important to nurses; and ❂ Facilitating the development of nurses and others in the conduct of health services research and the use of health services research methods. The mission of the Long-Term Care Interest Group is to foster the development of the information base needed for policy and practice to meet the growing need for long-term care (LTC). The LTC Interest Group’s goals are: ❂ To foster the exchange of LTC research findings among researchers, policymakers, and organizational decision makers; ❂ To increase the impact of LTC research on policy and practice; ❂ To increase the usefulness and improve the quality of LTC research; and ❂ To foster development of the next generation of LTC researchers. The Public Health Systems Research Interest Group focuses on research examining the organization, financing, and delivery of public health services and the impact of these activities on population health. Interest Group members share an interest in applying health services research methods to address critical issues in public health policy, administration, and practice. Examples of such issues include public health infrastructure development, preparedness for bioterrorism and other emerging health threats, workforce needs and characteristics, financing and resource allocation, performance measurement and improvement, prevention effectiveness, and community engagement. Collectively, this research contributes to an enhanced understanding of public health systems, which comprise the array of public and private entities that engage in activities to promote health and prevent disease and injury at the population level. The State Health Policy and Research Interest Group provides a forum for health policy analysts, researchers, and policymakers to interact and discuss state-level research, research related to state health policy, and health services research from a state health policy perspective. The group facilitates the development of a network of researchers and analysts with a state-level health policy focus and foster collaborations across state-level household surveys on coverage and access. The purpose is to inform decision-making and to foster dialogue among and between stateand national-level health services researchers and policy analysts. The Women’s Health Interest Group is composed of researchers, practitioners, policymakers, and trainees interested in exchanging knowledge, disseminating research findings, informing policy and clinical decision-making, building researchers skills, and creating a networking opportunity for those sharing common goals in women’s health services research. Its mission is to foster the development of the field of women’s health services research to meet the needs of and improve the quality and outcomes of care of women across the life span and for all women independent of race, ethnicity, or socioeconomic position. www.academyhealth.org/membership/interestgroups.htm 85 Student Chapters AcademyHealth Student Chapters: Providing a Professional Advantage AcademyHealth student chapters enhance the learning and professional development experience for students in health services research and health policy. Each chapter is expected to meet certain eligibility criteria to maintain official designation and support from AcademyHealth. While we suggest that each chapter perform several key functions, each chapter is encouraged to develop additional programs and projects of interest to its members. Student Chapter Benefits ❂ ❂ ❂ ❂ Free start-up materials for distribution to prospective chapter members; Space on the AcademyHealth Web site for chapter news and updates; Promotion and listing of chapter and related academic programs on the AcademyHealth Web site, including links to the program’s home page and to the chapter Web site, if available; Mentoring opportunities to meet with health services researchers and health policy professionals. Current AcademyHealth Student Chapters ❂ ❂ ❂ University of California, Los Angeles University of North Carolina, Chapel Hill University of Washington, Seattle For more information about starting a student chapter, contact Trena Mainor, membership operations manager, at 202.292.6755 or trena.mainor@academyhealth.org. www.academyhealth.org/membership/studentchapters.htm Conference Staff 86 Wendy Valentine Vice President Gennice Carter Senior Manager, Meeting Operations Melva Lonon Registration Manager Marian Mankin Director, Annual Research Meeting Tracie Howard Associate/Exhibits Manager Justin Smith Program Coordinator Advertisements 87 88 89 90 91 92 93 94 95 96 97 98 Speaker Index A Abrams, Chad, 3 Achman, Lori, 31 Agrawal, Gail, 16 Aiken, Linda, 2, 28 Alexander, Jeffrey, 6, 21 Allison, Jeroan, 12 Altman, Stuart, 20 Anderson, Gerard, 30 Andre, Scott, 19 Andreyeva, Tatiana, 3 Asch, Steven, 18 Ash, Arlene, 2, 3 Atherly, Adam, 18 Aubry, Wade, 25 Audet, Anne-Marie, 12, 32 Austin, Bonnie, 16 Austin, Brian, 20 Aydede, Sema, 16 B Bach, Peter, 22 Baggett, Kelvin, 11 Baker, Charles, 22 Baker, David, 9 Baker, G. Ross, 21 Banaszak-Holl, Jane, 3, 23 Banta, Jim, 15 Banthin, Jessica, 29 Bao, Yuhua, 3, 32 Baugh, David, 32 Bazzoli, Gloria, 13, 16 Beach, Mary Catherine, 29 Beal, Anne, 15 Beattie, Martha, 31 Beauregard, Karen, 12 Becker, David, 19 Belin, Thomas, 17 Bernard, Didem, 6 Bernstein, Amy, 9 Betancourt, Joseph, 17, 29 Bilheimer, Linda, 20, 30 Bird, T.M., 31 Blendon, Robert, 10, 20 Bloche, M. Gregg, 16 Blumberg, Linda, 8 Blumenthal, David, 23, 32 Bluthenthal, Ricky, 25 Boren, Suzanne Austin, 18 Bott, David, 31 Brach, Cindy, 14 Bradley, Elizabeth, 27, 31 Bramble, James, 22 Bray, Jeremy, 31 Brewer, Carol, 5 Briesacher, Becky, 6 Brody, Erica, 4 Brook, Robert, 18 Brooks, John, 30 Brousseau, David, 5, 15 Brown, E. Richard, 17 Brown, Julie, 29 Brown, Martin, 4 Buchan, James, 28 Buchmueller, Thomas, 8 Buerhaus, Peter, 20 Bundorf, M. Kate, 3, 10 Burstin, Helen, 7 Burt, Catharine, 9 Busch, Susan, 6 Coleman, Margaret, 24 Conrad, Douglas, 14, 29 Cook, Anna, 30 Cooksey, Judith, 5 Cooper, Phillip, 9 Cooper, Richard, 28 Costich, Julia Field, 29 Coughlin, Teresa, 18 Cowell, Alexander, 31 Crane, Robert, 4 Crewson, Philip, 22 Croghan, Thomas, 11 Cullen, Robert, 2 Cummings, Linda, 29 Cunningham, Peter, 15 Cunningham, Robert, 6 Curtis, Lesley, 31 Czech, Jane, 20 C D Cahn, Marjorie, 4 Callahan, Cathi, 27 Cantor, Joel, 18 Carino, Tanisha, 7 Carman, Kristin, 21, 27 Cerf, Vinton, 7 Chalk, Mady, 21 Chang, Andrew, 12 Chang, Hong-Jen, 10, 17 Chang, Ruey-Kang, 31 Chatterji, Pinka, 15 Chen, Alex, 15 Chen, Arnold, 32 Chen, Li-Wu, 6 Cheng, Sharon Bee, 19 Chernew, Michael, 8 Chesley, Francis, 6 Christianson, Jon, 23 Chuang, Kenneth, 4 Chukmaitov, Askar, 3 Clancy, Dawn, 18 Clark, Kara, 27 Clark, Robin, 15 Clarke, Sean, 8 Clauser, Steven, 4 Cleary, Paul, 21 Clement, Jan, 16 Cobb, Maisha, 17 Coburn, Andrew, 3 Cohen, Debra, 27 Cohen, Joel, 12 Cohen, Steven, 12 Damberg, Cheryl, 14 Davidoff, Amy, 29 Davidson, Gestur, 20 Davidson, Stephen, 15 Davies, Huw T.O., 5, 8 Denis, Jean-Louis, 8 Deverka, Patricia, 11 Devers, Kelly, 7, 20, 21 DeWalt, Darren, 23 Dick, Andrew, 14 Dilonardo, Joan Doty, 19 Doebbeling, Bradley, 18 Dolfini-Reed, Michelle, 32 Domino, Marisa Elena, 28 Dougherty, Denise, 11 Drainoni, Mari-Lynn, 30 Druss, Benjamin, 11 Dubay, Lisa, 18 Dubois, Carl-Ardy, 5 Dudley, R. Adams, 4 Dunn, Stephen, 2 E Edwards, Jennifer, 19 Eibner, Christine, 25 Eisenman, David, 24 Eisert, Sheri, 12 Escarce, Jose, 11, 24 Esposito, Dominick, 3 F Fairbrother, Gerry, 29 Farquhar, Cynthia, 25 Faulkner, Lisa, 3 Feder, Judith, 2, 10, 24, 30 Feek, Colin, 10 Feldman, Penny Hollander, 6 Feldman, Roger, 10, 28 Felix-Aaron, Kaytura, 17, 25 Felt-Lisk, Suzanne, 6 Fireman, Bruce, 20 Fiscella, Kevin, 17, 22, 31 Florence, Curtis, 18 Flores, Glenn, 15 Foote, Susan Bartlett, 7 Fordham, Miriam, 25 Forrest, Christopher, 11 Fortney, John, 22 Foster, Leslie, 28 Fraser, Irene, 29 Fulop, Naomi, 5 Fung, Vicki, 12 Furukawa, Michael, 25 G Gage, Barbara, 28 Galt, Kim, 6 Gamble, Vanessa Northington, 7 Gao, Kun, 18 Garber, Alan, 23 Garrett, A. Bowen, 20 Gauthier, Anne, 16 Gebbie, Kristine, 31 Gebo, Kelly, 29 Gee, Scott, 11 Gelijns, Annetine, 23 Gentilello, Lawrence, 24 Gilden, Daniel, 21 Gilman, Boyd, 25 Ginsburg, Paul, 11 Glied, Sherry, 2, 7, 20, 30 Goldberg, Bruce, 4 Goldman, Dana, 11 Goldmann, Donald, 8 Gonzales, Junius, 9 Goody, Brigid, 21 Grabowski, David, 2, 20 Gray, Bradford, 6, 25 Greenberg, Barbara, 29 Greene, Jessica, 22 Greenlick, Mitch, 4 99 Greiner, Gwendolyn, 8 Groeneveld, Peter, 31 Grumbach, Kevin, 20 Guadagnoli, Edward, 17, 31 Guterman, Stuart, 12, 32 H Haber, Susan, 5 Halpern, Rachel, 18 Han, Lein, 32 Hanrahan, Nancy, 5 Harman, Jeffrey, 15 Harris, Daniel, 6 Harrison, Michael, 5 Havens, Donna, 29 Heflinger, Craig Anne, 19 Helms, W. David, 22 Henne, Melinda, 16 Hennessy, Kevin, 21 Hibbard, Judith, 10, 21 Hill, Ian, 5 Hinshaw, Ada Sue, 11 Hofer, Timothy, 14 Hollingsworth, Holly, 30 Honore, Peggy, 24 Horn, Susan, 6 Horton, Nicholas, 17 Howard, David, 3, 10, 23, 29 Hsu, John, 15 Huber, Manfred, 24 Humphreys, Betsy, 4 Hungerford, Dan, 24 Hurd, Michael, 11 Hurley, Robert, 11 Huskamp, Haiden, 11 Hussey, Peter Sotir, 5 Hwang, Wenke, 28 Hyman, Chris Stern, 19 Hyman, David, 16 I Indurkhya, Alka, 25, 32 Ingber, Melvin, 14, 21 Inkelas, Moira, 5 Intrator, Orna, 6 Issel, L. Michele, 24 J Jacobson, Peter, 25 Jacoby, Melissa, 19 James, Brent, 11 Jeffrey, Brian, 11 100 Johnson, Marguerite, 22 Jones, Cheryl, 8 Jordan, Neil, 31 Jost, Timothy Stolfus, 9 Joyce, Geoffrey, 25, 28 Joyce, Ted, 9 K Kadiyala, Srikanth, 3 Kanavos, Panos, 30 Kaplan, Sally, 19 Kaplan, Sherrie, 28 Kautter, John, 14 Kazakova, Sophia, 6 Keating, Nancy, 24 Keeler, Emmett, 9 Kelso, Dennis, 24 Kenney, Genevieve, 9 Ketsche, Patricia, 6 Kilbourne, Amy, 15 Kim, Sue, 5 Klazinga, Niek, 10 Knickman, James, 2, 22 Koren, Mary Jane, 2 Korthuis, P. Todd, 12 Kravitz, Richard, 25 Kronick, Richard, 8, 23 Krupski, Toni, 19 L Laditka, Sarah, 18 Lake, Timothy, 32 Lamar-Welch, Verna, 22 Lambrew, Jeanne, 9, 24 Laschober, Mary, 18 Leach, David, 32 Leavitt, Mark, 7 Lee, Shoou-Yih Daniel, 29 Lenfestey, Nancy, 29 LeRoy, Lauren, 22 Levy, Douglas, 3 Lewis, Rebecca, 8 Lichtenberg, Frank, 25 Lichtveld, Maureen, 16 Lieberman, Steve, 11 Lin, Michael Ken-Kou, 25 Lin, Wen-Chieh, 28 Lindrooth, Richard, 3, 17, 20 Lloyd, John, 27 Localio, A. Russell, 5 Long, Sharon, 18 Loonsk, John, 17 Lopes, Phil, 4 LoSasso, Anthony, 3, 20 Luce, Bryan, 3 Luft, Harold, 6 Lumpkin, John, 17 Lurie, Nicole, 31 Lyons, Barbara, 9 M Maciejewski, Matthew, 18 Makuc, Diane, 9 Mallinson, Trudy, 30 Mann, Cindy, 9 Manning, Willard, 15, 19 Marsteller, Jill, 9 Marton, William, 29 Maxfield, Myles, 32 Mayberry, Robert, 7 Mays, Glen, 24 McAlearney, Ann Scheck, 3, 12 McCall, Nancy, 4 McCormick, Ann, 29 McDonald, Kathryn, 16 McGlynn, Elizabeth, 2, 14, 20, 32 McHorney, Colleen, 6 McKee, Martin, 10 McKibben, Linda, 3, 16 Mechanic, David, 2 Melichar, Lori, 5 Mello, Michelle, 19 Merrill, Angela, 32 Merrill, Chaya, 25 Mertz, Elizabeth, 8 Millar, John, 10 Miles-Polka, Becky, 19 Milstein, Arnold, 7, 10, 14, 22 Miranda, Jeanne, 2 Mitchell, Nancy, 29 Mitchell, Shannon, 22 Mittman, Brian, 22 Mobley, Lee, 4 Molfenter, Todd, 21 Mor, Vincent, 24 Morales, Leo, 15 Morgan, Robert, 22 Morgan, Steven, 2, 3, 5 Mulvey, Kevin, 19 Murff, Harvey, 8 Murtaugh, Christopher, 24, 28 Mushlin, Alvin, 23 N Naessens, James, 3 Needleman, Jack, 13 Neumann, Peter, 7, 18 Nevarez, Carmen, 31 Newhouse, Joseph, 19 Nichols, Len, 3, 8, 30 Niefeld, Marlene, 18, 32 Nielson-Bohlman, Lynn, 23 Noel, Polly, 18 Nonnemaker, K. Lynn, 29 Normand, Sharon-Lise, 17 Norton, Edward, 20, 23 O O'Neill, Ciaran, 2 Okma, Kieke, 17 Osborn, Robin, 2, 10 Ozer, Elizabeth, 5 P Paasche-Orlow, Michael, 23 Palmer, Heather, 10 Palsbo, Susan, 30 Parente, Stephen, 12, 16, 23 Parkerton, Patricia, 3 Parry, Gareth, 24 Paterson, Ronald, 2 Paulose, Ryne, 9 Pawlson, Gregory, 21 Pearson, Marjorie, 15 Pearson, Steven, 7 Perez-Stable, Eliseo, 7 Perl, Harold, 9, 24 Perlin, Jonathan, 11 Petersen, Laura, 18 Phillips, Charles, 6 Picou, Margo Fox, 2 Pizer, Steven, 28 Platt, Richard, 8, 17 Ponce, Ninez, 29 Pope, Gregory, 14 Popovic, Tanya, 16 Prottas, Jeffrey, 19 Q Quan, Hude, 24 Quon, Nicole, 22 R Radley, David, 25 Rainwater, Julie, 29 Reed, Mary, 15 Reinhardt, Uwe, 10, 17, 20 Reischauer, Robert, 2, 22 Rettig, Richard, 25 Rice, Thomas, 2 Riley, Gerald, 32 Rittenhouse, Diane, 22 Robbins, James, 31 Robinson, James, 4 Roblin, Douglas, 15 Robst, John, 14 Roman, Sheila, 32 Rosenbaum, Sara, 2, 19 Rosenthal, Meredith, 21 Roski, Joachim, 12, 24 Rowland, Diane, 2, 10 Rubenstein, Lisa, 11, 18 Rubin, Haya, 11 Rundall, Thomas, 8, 22, 23 Rystedt, Ingrid, 25 S Safran, Dana Gelb, 14, 21 Sage, William, 19 Sakowski, Julie Ann, 12 Salganicoff, Alina, 10, 22 Sallis, James, 27 Sampsel, Sarah, 28 Samson, David, 16 Saver, Barry, 14 Savitz, Lucy, 20, 25, 29 Scandlen, Greg, 23 Scanlon, Dennis Patrick, 6 Scanlon, William, 11, 30 Scherer, Peter, 10 Schlesinger, Mark, 6 Schmittdiel, Julie, 15 Schoenbaum, Stephen, 22 Sedlar, Lisa, 4 Seifert, Robert, 19 Selby, Joe, 14 Selden, Catherine, 4 Selden, Thomas, 9 Seshamani, Meena, 25, 31 Shea, Dennis, 28 Shen, Jay, 28 Shenkman, Elizabeth, 14 Shern, David, 2, 9 Shin, Peter, 25 Shortell, Stephen, 2, 4, 21 Siegel, Bruce, 3 Simon, Carol, 3 Sise, Michael, 24 Sisk, Jane, 25 Slutsky, Jean, 8 Smith, Brad, 28 Smith, Peter, 10, 14 Snider, Dixie, 16 Sochalski, Julie, 20 Sofaer, Shoshanna, 2, 21, 27 Sohn, Min-Woong, 22 Sorbero, Melony, 16 Soumerai, Stephen, 11 Stein, Jack, 9 Steiner, Claudia, 16 Stevens, David, 11 Stilwell, Barbara, 28 Stockdale, Susan, 25 Stone, Patricia, 8 Stryer, Daniel, 6, 11, 32 Stuart, Bruce, 3, 30 Studdert, David, 19 Sturm, Roland, 11, 27 Subramanian, Sujha, 4, 12 Sullivan, Greer, 14 Szilagyi, Peter, 14 T Tabak, Ying, 31 Tai-Seale, Ming, 19 Taira, Deborah, 22 Tallon, James, 4 Tang, Paul, 7 Taylor, Donald, 20, 28 Taylor, Humphrey, 17, 23 Testa, Kristen, 10 Thomas, Cindy Parks, 21 Thompson, Joseph, 11 Thorpe, Kenneth, 6, 13 Thrasher, Angela, 18 Tooker, John, 32 Tourville, Lisa, 27 Town, Robert, 28 Trivedi, Amal, 29 Tsai, Alexander Chung-Yu, 15 Tucker, Anita, 20 Tunis, Sean, 7 U Unruh, Lynn, 5 V Valdez, Robert Otto, 7, 31 Van Houtven, Courtney Harold, 22, 28 Vargas, Roberto, 9 Vickrey, Barbara, 2 Vivier, Patrick, 31 Volpp, Kevin, 13 Von Korff, Michael, 18 W Waldo, Daniel, 32 Washington, Donna, 22 Watson, Diane, 5 Weddle, Timothy, 12 Weil, Alan, 9, 10 Wells, Kenneth, 2, 11, 25 West, Nathan David, 15 Westmoreland, Timothy, 30 White, Chapin, 19 White, Leigh Ann, 15 Wholey, Douglas, 23 Wilensky, Gail, 10 Winkelstein, Jerome, 27 Wolff, Nancy, 31 Woods, Donna, 6 Woolf, Steven, 27 Wrobel, Marian Vaillant, 21 Wu, Shin-Yi, 15 Y Yang, Zhou, 3, 25 Yano, Elizabeth, 18 Yawn, Barbara, 19 Yi, Rong, 3 Young, Gary, 14 Young, George, 16 Yu, Xinhua, 16 Z Zerzan, Judy, 6 Zhao, Mei, 17, 24 Zingmond, David, 28 Zito, Julie Magno, 11 101 Map of Hotel 102