Evaluation of the group health cooperative access initiative: Study design challenges in estimating the impact of a large-scale organizational transformation

Quality Management in Health Care

Volumn 17, Issue 4, 2008, Pages 292-303

  Grembowski, David ^b   Anderson, Melissa L ^a   Conrad, Douglas A ^b   Fishman, Paul A ^a   Larson, Eric B ^a   Martin, Diane P ^b   Ralston, James D ^a   Carrell, David ^a   Hecht, Julia ^a  

^a CENTER FOR HEALTH STUDIES   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Evaluation methods; Health care organizations; Patient centered care; Quality; Time series analysis

Indexed keywords

ARTICLE; EVALUATION; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HEALTH CARE QUALITY; INTEGRATED HEALTH CARE SYSTEM; NONBIOLOGICAL MODEL; PATIENT CARE; STANDARD; TIME; UNITED STATES;

DELIVERY OF HEALTH CARE, INTEGRATED; EVALUATION STUDIES AS TOPIC; HEALTH CARE REFORM; HEALTH SERVICES ACCESSIBILITY; MODELS, ORGANIZATIONAL; PATIENT-CENTERED CARE; QUALITY ASSURANCE, HEALTH CARE; TIME FACTORS; WASHINGTON;

EID: 58149347226     PISSN: 10638628     EISSN: 15505154     Source Type: Journal    
DOI: 10.1097/01.QMH.0000338550.67393.a9     Document Type: Article

References (50)

1. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century.Washington, DC: National Academies Press; 2001.
2. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348:2635-2645.
3. Berwick DM, Jain SH. Systems and results: the basis for quality care in prepaid group practice. In: Enthoven AC, Tollen LA, eds. Toward a 21st Century Health System: The Contributions and Promise of Prepaid Group Practice. San Francisco: Jossey-Bass; 2004:22-44, chap 2.
4. Institute of Medicine. Fostering Rapid Advances in Health Care: Learning From System Demonstrations. Washington, DC: National Academies Press; 2003.
5. Murray M, Berwick DM. Advanced access: reducing waiting and delays in primary care. JAMA. 2003;289:1035-1040.
6. Murray M, Bodenheimer T, Rittenhouse D, Grumbach K. Improving timely access to primary care: case studies of the advanced access model. JAMA. 2003;289:1042-1046.
7. Whyte WF. Social Theory for Action: How Individuals and Organizations Learn to Change. Newbury Park, CA: Sage; 1991.
8. Cretin S, Shortell SM, Keeler EB. An evaluation of collaborative interventions to improve chronic illness care. Eval Rev.2004;28:28-51.
9. Walshe K. Understanding what works-and why-in quality improvement: the need for theory-driven evaluation. Int J Qual Health Care. 2007;19:57-59.
10. Garrido T, Jamieson L, Zhou Y, Wiesenthal A, Liang L. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330:581-584.
11. Solberg LI, Maciosek MV, Sperl-Hillen JM, et al. Does improved access to care affect utilization and costs for patients with chronic conditions? Am J Manag Care. 2004;10:717-722.
12. Ferris TG, Chang Y, Blumenthal D, Pearson SD. Leaving gatekeeping behind-effects of opening access to specialists for adults in a health maintenance organization. N Engl J Med.2001;345:1312-1317.
13. Ferris TG, Chang Y, Perrin JM, Blumenthal D, Pearson SD. Effects of removing gatekeeping on specialist utilization by children in a health maintenance organization. Arch Pediatr Adolesc Med. 2002;156:574-579.
14. Ralston JD, Grembowski D, Fishman PA, Martin DP, Conrad DA, Larson EB. Group Health Cooperative's transformation to patient-centered access. Managed Care Interface. In press.
15. Berry LL, Selders K, Wilder SS. Innovations in access to care: a patient-centered approach. Ann Intern Med. 2003;139:568-574.
16. Cleary PD, McNeil BJ. Patient satisfaction as an indicator of quality care. Inquiry. 1988;25:25-36.
17. Liederman EM, Lee JC, Baquero VH, Seites PG. The impact of patient-physician web messaging on provider productivity. J Health Inf Manag. 2005;19:81-86.
18. Conrad DA, Maynard C, Cheadle A, et al. Primary care physician compensation method in medical groups: does it influence the use and cost of health services for enrollees in managed care organizations? JAMA. 1998;279:853-858.
19. Conrad DA, Sales A, Liang SY, et al. The impact of financial incentives on physician productivity in medical groups. Health Serv Res. 2002;37:885-906.
20. Gaynor M, Pauly MV. Compensation and productive efficiency in partnerships: evidence from medical group practice. J Polit Econ. 1990;98:544-573.
21. Barr DA. The effects of organizational structure on primary care outcomes under managed care. Ann Intern Med.1995;122:353-359.
22. Grembowski D, Ulrich CM, Paschane D, et al. Managed care and primary physician satisfaction. J Am Board Fam Pract.2003;16:383-393.
23. Hillman AL. Managing the physician: rules versus incentives. Health Aff. 1991;10:138-146.
24. Bodenheimer TS, Grumbach K. Understanding Health Policy: A Clinical Approach. Stanford, CT: Appleton & Lange; 1998.
25. Evans RS, Pestotnik SL, Classen DC, et al. A computer-assisted management program for antibiotics and other antiinfective agents. N Engl J Med. 1998;338:232-238.
26. Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998;280:1311-1316.
27. Bates DW, Teich JM, Lee J, et al. The impact of computerized physician order entry on medication error prevention. J Am Med Inf Assoc. 1999;6:313-321.
28. Safran C, Goldberg H. Electronic patient records and the impact of the internet. Int J Med Inf. 2000;60:77-83.
29. Balas EA, Weingarten S, Garb CT, Blumenthal D, Boren A, Brown GD. Improving preventive care by prompting physicians. Arch Intern Med. 2000;160:301-308.
30. Durieux P, Nizard P, Ravaud N, Mounier N, Lepage E. A clinical decision support system for prevention of venous thromboembolism. Effect on physician behavior. JAMA.2000;283:2816-2821.
31. Schneider EC, Zaslavsky AM, Landon BE, Lied TR, Sheingold S, Cleary PD. National quality monitoring of Medicare health plans: the relationship between enrollees' reports and the quality of clinical care. Med Care. 2001;12:1313-1325.
32. Wee CC, Phillips RS, Burstin HR, et al. Influence of financial productivity incentives on the use of preventive care. Am J Med. 2001;110:181-187.
33. Adams WG, Mann AM, Bauchner H. Use of an electronic ambulatory record improves the quality of urban pediatric primary care. Pediatrics. 2003;111:626-632.
34. Epstein AM, Lee TH, Hamel MB. Paying physicians for highquality care. N Engl J Med. 2004;350:406-410.
35. Phillips KA, Haas JS, Ling S, et al. Are gatekeeper requirements associated with cancer screening utilization? Health Serv Res.2004;39:153-178.
36. Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics.2005;6:1506-1152.
37. Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293:1197-1203.
38. Scholle SH, Mardon R, Shih SC, Pawlson G. The relationship between quality and utilization in managed care. Am J Manag Care. 2005;11:521-527.
39. Glasgow RE, Magid DJ, Beck A, Ritzwoller D, Estabrooks PA. Practical clinical trials for translating research to practice: design and measurement recommendations. Med Care.2005;43:551-557.
40. Shadish WR, Cook TD, Campbell DT. Experimental and Quasi-Experimental Designs for Generalized Causal Inference. Boston: Houghton Mifflin; 2002.
41. Campbell DT, Stanley JC. Experimental and Quasi-Experimental Designs for Research. Chicago: Rand McNally College Publishing; 1963.
42. Cook TD, Campbell DT. Quasi-Experimentation: Design and Analysis Issues for Field Settings. Boston: Houghton Mifflin; 1979.
43. Winship C, Morgan SL. The estimation of causal effects from observational data. Annu Rev Sociol. 1999;25:659-706.
44. Madden JM, Soumerai SB, Lieu TA, Mandl KD, Zhang F, Ross-Degnan D. Effects of a law against early postpartum discharge on newborn follow-up, adverse events, and HMO expenditures. N Engl J Med. 2002;347:2031-2038.
45. Mercer SL, DeVinney BJ, Fine LJ, Green LW, Dougherty D. Study designs for effectiveness and translation research: identifying trade-offs. Am J Prev Med. 2007;33:139-154.
46. Grembowski D. The Practice of Health Program Evaluation. Thousand Oaks, CA: Sage; 2001.
47. Biglan A, Ary D,Wagenaar AC. The value of interrupted timeseries experiments for community intervention research. Prev Sci. 2000;1:31-49.
48. Fishman PA, Wagner EH. Managed care data and public health: the experience of Group Health Cooperative of Puget Sound. Ann Rev Public Health. 1998;19:477-491.
49. Diggle PJ, Heagerty PJ, Liang KY, Zieger SL. The Analysis of Longitudinal Data. New York: Oxford University Press; 2002.
50. Miglioretti DL, Heagerty PJ. Marginal modeling of multilevel binary data with time varying covariates. Biostatistics.2004;5:381-398.