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Major Research Areas
Outcomes and Quality of Care Research
Robert
Holloway
Dr. Holloway is developing and testing quality of care indicators
for acute stroke care. Bruce Friedman
Dr. Friedman currently is the Research Director for the
Medicare Primary and Consumer-Directed Care Demonstration, a $15
million study sponsored by Medicare that is being conducted at two
sites in three states (New York, West Virginia, and Ohio). The purpose
of the Demonstration is to test the acceptability and effectiveness
of three models of consumer-directed care provided to high risk,
functionally impaired Medicare patients living at home: (1) a Health
Promotion Nurse intervention, (2) a Voucher that pays for home care
benefits that Medicare does not normally finance, and (3) the combination
of the Nurse and Voucher interventions. The primary outcomes being
tested over the 24-month intervention period include a full range
of 34 specific types of healthcare services, from physician office
visits to a variety of home care visits and hours to hospital inpatient
and nursing home days to a number of ambulatory services including
chiropractic, podiatrist, and dental. Other outcomes being examined
include mortality, Medicaid spend-down, permanent nursing home admission,
several measures of patient empowerment and control, functional
health status (activities of daily living and instrumental activities
of daily living), physical health (the SF-36 and specific chronic
conditions), mental health status (including depression and suicidal
ideation), vision, hearing, preventive health services, and chronic
pain. Ann Dozier
Customer/client satisfaction; Survey design and development;
parenting and child maltreatment; Perinatal outcomes. Deborah Ossip-Klein
Behavioral medicine, health impact of lifestyle change with particular
focus on cigarette smoking, obesity, aging, child/adolescent outcomes
measurement, and community intervention. Helena Temkin-Greener
Health services research focusing on organization, financing, and
delivery of care for the elderly; development of risk-adjusted payment
models, and outcomes research. Dana Mukamel
Dr. Mukamel leads studies to develop methods and measures of
quality based on risk adjusted outcomes. Her research interests
include the development of methods and use of risk adjusted health
outcomes to measure quality of care. Recent publications include:
Mukamel DB, Dick A, Spector WD. Specification Issues in Measurement
of Quality of Medical Care Using Risk Adjusted Outcomes. Journal
of Economic and Social Measurement 2000;26:267-281.
Mukamel DB. Risk-adjusted outcome measures and quality of care
in nursing homes. Medical Care 1997;35:367-385.
Mukamel DB, Brower CA. The Influence of Risk Adjustment Methods
on Conclusions About Quality of Care in Nursing Homes Based on
Outcome Measures. The Gerontologist 1998;38(6):695-703.
Spector WD, Mukamel DB. Using Outcomes to Make Inferences About
Nursing Home Quality. Evaluation and the Health Professions 1998;21(3):291-315.
Joseph Guido
Lead Analyst Programmer and Statistician for several NCI and NHLBI
grants including smoking cessation, diet and drug therapies affecting
cholesterol levels, preventive cardiology interventions in patients
with CAD and the epidemiology of growth and nutrition in children. Scott McIntosh
Self-help interventions for smoking cessation and behavioral
change with various populations.
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