RESEARCHUPDATE

The University of Alabama at BirminghamDepartment of Health Services Administration

Volume IX 2014

PATIENT-CENTEREDNESS AND HEALTHSYSTEM TRANSFORMATION

In This Issue:In this Research Update, we are pleased to present highlights of the research enterprise in the Department of Health Services Administration (HSA) in the UAB School of Health Professions. Our faculty, students, and alumni continue to make important strides in fulfilling our vision to “shape the future of health care.” As health care reform unfolds, important changes are occurring throughout the US health system. One such change is the increasing emphasis on patient-centeredness and efforts to improve the patient experience throughout the continuum of care. This includes quality improvement initiatives to improve Consumer Assessments of Healthcare Providers and Systems (CAHPS) scores, and experimentation with new care models such as patient centered medical homes (PCMH) and integrated delivery systems. Here we highlight some of HSA’s accomplishments in research activities in these areas.

Dr. Robert Weech-Maldonado has been collaborating with RAND colleagues since the inception of CAHPS. Recently, he led the development and testing of the CAHPS cultural competence item set, which includes measures on trust, perceived discrimination, and access to language services. In addition, using the Cultural Competency Assessment Tool for Hospitals (CCATH), he has shown that hospitals with greater adoption of cultural competency practices achieve better Health CAHPS scores.

Dr. Larry Hearld and Dr. Ria Hearld have examined organizational and community factors associated with PCMH implementation. Their research suggests that PCMH capabilities may not be evenly distributed across communities and raise questions about whether such distributional differences influence the PCMH’s ability to improve population health, especially among vulnerable populations.

Several faculty members have explored the use of information technology in promoting patient

engagement. Dr. Eta Berner, Dr. Shannon Houser and Ms. Midge Ray and colleagues found that the use of an interactive voice response system can be an effective mechanism for primary care follow-up especially among sicker patients. Ms. Midge Ray and Dr. Jessica Williams found that email referrals were more effective than paper referrals in promoting patient use of a smoking cessation website.

Dr. Haiyan Qu has been a scientific reviewer for the Patient-Centered Outcomes Research Institute (PCORI) since 2013, and is currently a co-investigator in a PCORI-funded project on “Individualized Patient Decision Making for Treatment Choices among Minorities with Lupus.”

In addition, some of our recent PhD and DSc graduates have worked with faculty on the theoretical and applied aspects of patient-centered care. Dr. Sheikilya Thomas (PhD) explored the predictors of patient trust and its role in utilization and outcomes. Dr. Polly Davenport (DSc) examined the relationship between ED wait times and inpatient satisfaction. Dr. Mary Temm (DSc) conducted an analysis of the effects of PCMH capabilities on costs. And Dr. Timothy Harlin (DSc) studied the relationship between employee and patient driven system outputs. Drs. Rob Weech-Maldonado, Steve O’Connor, Larry Hearld, and Bob Hernandez were the doctoral committee chairs, respectively.

This theme of patient-centeredness was further accentuated during the 2014 L.R. (Rush) Jordan Distinguished Lecture by Dr. Rhonda Scott, Chief Nursing Officer and Executive VP for Patient Care Services at Grady Hospital in Atlanta, GA. In her talk “The Courage to Lead: An Unwavering Commitment to Excellence,” she described the journey of Grady in transforming its organizational culture to emphasize quality, service excellence, and people. This has resulted in a nationally top performing system in patient satisfaction, with improved financial performance, as well.

HSA Welcomes a NewDepartment Chair 2

New HSA Faculty 3-5

Recent HSA Faculty Publications 6-10

HSA Alumni Highlights 11

Christy Harris Lemak

The Department of Health Services Administration is entering a new era of leadership with our recently appointed chair, Dr. Christy Harris Lemak. A nationally recognized leader in health care management, Dr. Lemak brings a wealth of experience to the Department. In addition to her role as Department Chair, Christy currently serves as Chief Academic Officer with the National Center for Healthcare Leadership and Board Member with the Association of University Programs in Health Administration (AUPHA). Dr. Lemak joins the Department after serving six years with the University of Michigan, where she was Director of the Griffith Leadership Center in Health Management & Policy. She was also previously on faculty at the University of Florida, where she served as MHA Program Director and Associate Department Chair. At UAB, she follows Dr. Gerald Glandon, who was named president and chief executive officer of AUPHA.

Dr. Lemak’s research agenda complements the research of the department at large. In particular, Dr. Lemak’s research specializes in understanding the impact of healthcare leaders on improving patient outcomes and quality of care. One of her recent studies explores high performing hospitals and health care systems in order to better understand why some hospitals achieve high levels of performance in finance, quality of care, associate satisfaction, and patient experience, while others do not. Another of her recent studies seeks to understand how to engage primary care physicians in quality improvement activities, including becoming PCMH. This study examines how tools, such as patient registries, assist in the delivery of high quality, less costly care. Other previous research studies include understanding the use of electronic health records in hospitals, career inflection points for women in health care, and how Medicaid policy demonstrations impact hospitals, health plans, and relationships among healthcare organizations.

Dr. Lemak’s work has been widely published in health services journals, including articles in Health Services Research, Journal of Healthcare Management, Advances in Healthcare Management, and Medical Care. She has also contributed to several textbooks, most recently including a chapter on “Governance and Management” in Health

Care Delivery in the United States (2013) and a chapter on “Healthcare Reform: Implications for Leadership” in New Leadership for Today’s Healthcare Professionals: Concepts and Cases (2013).

In addition to Dr. Lemak’s extensive publication and funding history, she has demonstrated commitment to national research service projects. In 2012, she was named as an expert advisor to the Center for Healthcare Research and Transformation. She also served for six years on an NIH study section for Small Business Technology Transfer (STTR)/Small Business Innovation Research (SBIR) Health of the Population Research Proposals, and was previously Chair of the Academy of Management Healthcare Management Division.

Using the results of her leadership research, Dr. Lemak plans to extend her expertise into the classroom. In her graduate-level leadership course at UAB, students will learn about the most pertinent leadership competencies for the future delivery of health care.

Dr. Lemak received her PhD in Health Services Organization and Policy from the University of Michigan. She received a Master of Health Administration and a Master of Business Administration from the University of Missouri-Columbia. Her undergraduate degree is in Health Planning and Administration from the University of Illinois. In 2012, she became a Fellow of the American College of Healthcare Executives (FACHE).

The Department of Health Services Administration Welcomes a New Department Chair

Christy Harris Lemak,PhD, FACHE

“... through the many HSA research projects, we are making

major contributions to the evidence on what works in

health care.”

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Nancy Borkowski

The Department of Health Services Administration is pleased to announce that Nancy Borkowski, DBA, CPA, FACHE, FHFMA joined us on May 1st as Professor. Dr. Borkowski has over 20 years’ experience in the health care industry and is a two-time past recipient of the American College of Healthcare Executive’s Southern Florida Senior Career Healthcare Executive Award, which recognizes individuals who have made significant contributions to the advancement of health management excellence. She is a certified public accountant, board certified in health management, and a Fellow of both the American College of Healthcare Executives and the Healthcare Financial Management Association. Since 1994, Dr. Borkowski has consulted with numerous health services organizations regarding organizational behavior and strategic management issues.

Her research and publications have been focused at the micro-level of healthcare organizations working with administrators and providers to more effectively manage operations for optimizing patient care outcomes.

Dr. Borkowski has worked with federally qualified community health centers (FQHCs) in underserved areas of Florida. She was one of the original organizers of the Health Care Quality Institute (HCQI), an FQHCs-academia partnership that addresses the critical need for ongoing training and best practice sharing for community health center leadership. Since 2012, HCQI has delivered quarterly instructional forums in which teams comprising a cross-section of community health center leadership learn current evidence-based and best practices in health care delivery and center operations. In 2013, the Health Choice Network of FQHCs, presented Dr. Borkowski with the Jessie Trice Hero Award for her leadership and commitment to improving the lives of underserved and minority populations.

One of Dr. Borkowski’s current research interests involves examining worker compensation data to analyze the formation of providers’ informal and formal social networks for delivering value-based patient care. Traditionally, performance measures have been based on the individual provider’s activities and the related patient outcome. However, there is growing interest to expand measuring performance at the “team” or network level in which providers work to deliver patient care especially for those patients suffering from chronic conditions.

With numerous publications and presentations, Dr. Borkowski is an internationally recognized author in the area of health care organizational behavior and her textbooks are widely used in graduate and undergraduate health administration and nursing programs. The first edition of her book Organizational Behavior in Health Care has been referred to as “one of the most significant advances in the field of health services administration,” and was subsequently awarded the American Journal of Nursing’s 2005 Book of the Year Award for nursing leadership and management.

Dr. Borkowski’s work has been published in the Journal of Ambulatory Care Management, Leadership in Health Services, Group & Organization Management, Organizational Behavior and Human Decision Processes, Health Care Management Review, Journal of Health Administration Education, Journal of Health and Human Services Administration, International Journal of Public Administration, and various other journals.

Over the past decade, Dr. Borkowski has served in various leadership roles for the Academy of Management’s Health Care Management Division, American College of Healthcare Executive’s Southern Florida Regent’s Advisory Council, the South Florida Healthcare Executive Forum, and various other health related organizations. She has been honored with the Exemplary Service Award from the American College of Healthcare Executives (2012) and the Follmer Bronze Merit Award from the Healthcare Financial Management Association (2009).

As we move our curriculum and research toward a greater focus on patient-centered care, Dr. Borkowski will be a tremendous asset to the Department.

Nancy Borkowski, DBA, CPA, FACHE, FHFMA

“...there is growing interest to expand measuring performance at the “ team”

or network level in which providers work to deliver patient care especially

for those patients suffering from chronic conditions...”

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New HSA Faculty

Nataliya Ivankova

Nataliya V. Ivankova, Ph.D., brings expertise in qualitative inquiry and mixed methods research to the UAB Department of Health Services Administration. Dr. Ivankova, an associate professor, holds a dual appointment with HSA and the UAB Department of Acute, Chronic and Continuing Care at the UAB School of Nursing.

She is internationally renowned for her empirical and methodological work in qualitative and mixed methods research. Her work has helped provide a methodological foundation for social and health sciences researchers in designing and conducting mixed methods studies, adding patients’ and other participants’ voices to traditional clinical trials and experimental designs.

Dr. Ivankova teaches graduate level advanced research methods courses including courses in mixed methods and qualitative research designs. She serves as consultant, co-investigator, and methodologist on externally and internally funded mixed methods research projects focusing on improving health care and patient outcomes.

She has published more than 40 articles and coauthored a number of book chapters. Dr. Ivankova is a contributing author to the second edition of SAGE Handbook of Mixed Methods in Social & Behavioral Research and author of the book Mixed Methods Applications in Action Research: From Methods to Community Action.

Dr. Ivankova received her PhD in Administration, Curriculum, and Instruction from the University of Nebraska-Lincoln and worked as a research associate and research projects coordinator in the Office of Qualitative and Mixed Methods Research. In that capacity, she served as qualitative data analyst for several projects with the University of Michigan Medical School, as well as consultant and data analyst for the University of Michigan Veterans Administration Research Center.

Professionally, she serves as a founding associate editor of Health Behavior and Policy Review and as Associate Editor of the Journal of Mixed Methods Research. She is a founding co-editor of Sages’ Mixed Methods Research Series, past-chair of Special Interest Group Mixed Methods Research within American Educational Research Association (AERA) and chair of the Marketing &

Communication Committee for the Mixed Methods International Research Association (MMIRA). And most recently she was selected to serve as the Qualitative Editor of the American Journal of Health Behavior.

During the first 18 years of her professional career, Dr. Ivankova was a member of the faculty and Dean of Admissions at the Izmail State University in Ukraine.

Kristine Hearld

As the UAB Department of Health Services Administration moves toward more patient centered and outcomes research, Dr. Kristine R. Hearld, will play a key role in facilitating quantitative research.

Her research interests have focused on the relationships between quality and access to care and long-term patient-level health outcomes. She has published research on PCMH implementation in primary care facilities.

Dr. Hearld’s research has benefited not only from sociological and economic perspectives gained through her training in an interdisciplinary program, but also from her ‘on the ground’ experience working in the private sector as a consultant to physicians associated with hospital systems.

Prior to joining UAB, Dr. Hearld gained extensive experience as a consultant to Community Health Centers on financial and clinical performance, PCMH implementation, and strategies to develop innovative solutions to community-related health problems and issues.

Mirroring her interdisciplinary training, Dr. Hearld’s research incorporates multiple methods. To date, most of her research has been quantitative in design, focusing on patterns of performance across large datasets of hospitals and longitudinal analyses of health outcomes. These studies have helped her develop proficiency in several statistical techniques, including longitudinal and categorical data analysis, hierarchical linear modeling, analysis of complex sample survey data, and the evaluation of psychometric properties of surveys.

Nataliya Ivankova, PhD

“...adding patients’ and other

participants’ voicesto traditional

clinical trials andexperimental

designs gives a more complete picture...”

“My experiences have given me a greater appreciation of the

opportunities, challenges, and rewards associated

with translating research, ultimately

improving patient care.”

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Kristine Ria Hearld, PhD

In addition, Dr. Hearld says that these projects have provided her with invaluable data management experience, including multiple imputation techniques for handling missing data and the challenges associated with merging datasets across time and different sources.

Dr. Hearld’s PhD is in Demography from the University of Pennsylvania and she holds a Masters of Philosophy degree from the University of Cambridge.

Nate Carroll

Nate Carroll is an assistant professor in the Department. His research is devoted to the financial management of hospitals, specifically examining whether, and how, multi-hospital system membership improves access to capital for independent hospitals. The results of his research will help inform management practice and policy discussions about the costs and benefits of consolidation.

His research agenda also includes community benefit provision and patient responses to cost sharing. He is currently collaborating with faculty at the University of Michigan to determine how patients in high-deductible health plans use information on the prices of healthcare services.

Dr. Carroll has published in the area of pharmacoeconomics and pharmacy benefits. His experience and research interest will be an asset to the Department as we begin to explore the impact of patient centered care on cost and quality of care.

He earned his BS in Commerce from the University of Virginia, and a MHA and a PhD in Health Services Organization and Policy from

the University of Michigan.

Prior to his PhD studies, Dr. Carroll worked for a Medicaid managed care plan in Virginia where he established the operations of a Medicare Advantage plan.

Ferhat Zengul

The Department of Health Services Administration was pleased to have Dr. Ferhat D. Zengul join the Faculty in 2013 as an assistant professor. Dr. Zengul plans to improve the collaborative research between UAB and Turkey where he serves on the Board of the Turkish Ministry of Health’s online educational academy for health care performance and quality.

Dr. Zengul plans to pursue his research interest in the areas of performance, high-technology medical services, evidence-based facility design/technology investments, and optimization of prediction models by utilizing data mining techniques. He is interested in the impact of various facility design interventions and technological investments on the performance of health care facilities.

Recently, Dr. Zengul investigated the relationship between high technology medical services and performance – both quality and financially – of U.S. hospitals. He used longitudinal panel data to point out relatively stronger links between high-tech medical services and financial performance than high-tech medical services and quality performance when measured with 30-day mortality rates for patients with pneumonia, heart attack, and heart failure.

Dr. Zengul received his PhD in Health Administration and Master of Business Administration from UAB. He teaches economics for health care managers, statistics for managers and ethics for health care professionals in the Health Care Management Program.

Prior to joining the faculty, he worked at UAB Hospital Finance and UABHS Facilities Planning and Capital Projects Office and has nearly a decade of experience in the financial management of large capital projects and facilities planning.

Ferhat Zengul, PhD

“I am interested in showing how facility

design andtechnology investments

impact hospitalperformance.”

“Although my research interest in hospital access to capital may

seem somewhat removed from the bedside…it has a major impact on the availability of care and the patient’s experience in receiving that care.”

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Nathaniel, Carroll, PhD

Being a journal editor can be a very demanding responsibility in that one has to assure that all manuscripts are complete, timely, accurate, and of interest to the readers. As editor of the Journal of Healthcare Management for the past two years, Dr. Stephen O’Connor set high standards for the Journal’s publications. He completed 25 interviews with prominent U.S. healthcare executives and five interviews with leading academics in health services administration. Dr. O’Connor says that “the interviews were the most enjoyable aspect of serving as editor as no one was ever at a loss for words and all were very engaged in the process…It was fun.”

According to Dr. O’Connor, “other rewarding aspects of serving as Editor of the Journal included being able to help create and shape the journal, and move the field. I also enjoyed being able to interact with so many great reviewers, authors, and editorial board members. It was particularly wonderful working with our ACHE/ Health Administration Press staff leadership in Chicago: Maureen Glass, Drew Baumann, and Joyce Dunne. Even though most of our everyday interactions were via email, I came to know them as being incredibly talented and highly professional people. I have learned so much from having the opportunity to work with them and will very much miss working with them.”

Dr. O’Connor also credits the HSA faculty and students, particularly Dr. Rick Shewchuk, for always providing him with great suggestions for interview questions.

Books and Book ChaptersPatrician P, Savage GT, Miltner RS, Block V, Weech-Maldonado R. Implementing, spreading, and sustaining organizational change. In: Splaine ME, Dolansky MA, Estrada CA, Patrician P, editors. Practice-Based Learning & Improvement: A Clinical Improvement Action Guide. Oakbrook Terrace, IL: Joint Commission Resources; 2012. p. 85-96.

Papadimitriou A, Ivankova N, Hurtado S. Addressing challenges of conducting quality mixed methods studies in higher education. In: Huisman J, Tight M, editors. Theory and Method in Higher Education Research: International Perspectives on Higher Education Research. 9. London, UK: Emerald Group Publishing Limited; 2013. p. 133-153.

Weech-Maldonado R, Pradhan R, Powell MP. Medicare and health care utilization: In: Whitfield K, Baker TA, editors. Handbook of Minority Aging. New York: Springer Publishing Co.; 2013. p. 539-556.

Berner ES. Informatics education in healthcare: What have we learned? In: Berner ES, editor. Informatics Education in Healthcare: Lessons Learned. London UK: Springer, Inc.; 2014. p. 225-235.

Berner ES, Moss JA. Introduction and overview. In: Berner ES, editor. Informatics Education in Healthcare: Lessons Learned. London, UK: Springer, Inc.; 2014. p. 3-9.

Dorsey AD, Bruck MN. Applied informatics for health IT managers. In: Berner ES, editor. Informatics Education in Healthcare: Lessons Learned. London, UK: Springer, Inc.; 2014. p. 77-92.

Garrie RL, Paustian PE. Health regulation, legislation, and cybersecurity. In: Malvey D, Slovensky D, editors. mHealth: Transforming Healthcare. New York, NY: Springer, Inc..; 2014. p. 45-63.

Khan L., Dieter MG, Berner ES, Valenta AL. Managing unspoken assumptions in online education. In: Berner ES, editor. Informatics Education in Healthcare: Lessons Learned. London, UK: Springer, Inc.; 2014. p. 11-23.

Journal PublicationsCarle AC, Weech-Maldonado R. Validly interpreting patients’ reports: Using bifactor and multidimensional models to determine whether surveys and scales measure one or more constructs. Med Care. 2012;50(9 Suppl 2):S42-48.

Carle AC, Weech-Maldonado R. Does the consumer assessment of healthcare providers and systems cultural competence survey provide equivalent measurement across English and Spanish versions? Med Care. 2012;50(9 Suppl 2):S37-41.

Carle AC, Weech-Maldonado R, Ngo-Metzger Q, Hays RD. Evaluating measurement equivalence across race and ethnicity on the CAHPS Cultural Competence Survey. Med Care. 2012;50(9 Suppl 2):S32-36.

Chukmaitov AS, Tang A, Carretta HJ, Menachemi N, Brooks RG. Characteristics of all, occasional, and frequent emergency department visits due to ambulatory care-sensitive conditions in Florida. J Ambul Care Manage. 2012;35(2):149-158.

Cohen GR, Erb N, Lemak CH. Physician practice responses to financial incentive programs: Exploring the concept of implementation mechanisms. Adv Health Care Manag. 2012;13:29-58.

Diana ML, Kazley AS, Ford EW, Menachemi N. Hospital characteristics related to the intention to apply for meaningful use incentive payments. Perspect Health Inf Manag. 2012; 9(1):1-11.

Ferdinand A, Sen B, Rahurkar S, Engler S, Menachemi N. The relationship between built environments and physical activity: A systematic review. Am J Public Health. 2012;102(10):e7-13.

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Recent HSA Faculty PublicationsDr. Stephen O’Connor, Editor, Journal of Healthcare Management

Ford EW, Huerta TR, Schilhavy RA, Menachemi N. Effective US health system websites: Establishing benchmarks and standards for effective consumer engagement. J Healthc Manag. 2012;57(1):47-65.

Haviland AM, Elliott MN, Weech-Maldonado R, Hambarsoomian K, Orr N, Hays RD. Racial/ethnic disparities in Medicare Part D experiences. Med Care 2012;50 Suppl:S40-47.

Hearld LR, Alexander JA. Patient-centered care and emergency department utilization: A path analysis of the mediating effects of care coordination and delays in care. Med Care Res Rev. 2012;69(5):560-580.

Hearld LR, Alexander JA, Mittler J, Beich J, O’Hora J. Barriers and strategies to align stakeholders in health care alliances. Am J Manag Care. 2012;18(6):148-155.

Hernandez SR, Shewchuk RM. Selected methods for improving Health Administration Education. J Health Adm Educ. 2012;29(4):255-258.

Hernandez SR, Shewchuk RM. Selected contributions to the field. J Health Adm Educ. 2012;29(3):173-176.

Hyer K, Thomas KS, Johnson CE, Harman JS, Weech-Maldonado R. Do Medicaid incentive payments boost quality? Florida’s direct care staffing adjustment program. J Aging Soc Policy. 2012;25(1):65-82.

Issel LM, Ford EW, Menachemi N. A synthesis of HCMR’s health information technology articles (2000–2011). Health Care Manage Rev. 2012;37(1):1-3.

Kazley AS, Diana ML, Ford EW, Menachemi N. Is electronic health record use associated with patient satisfaction in hospitals? Health Care Manage Rev. 2012;37(1):23-30.

Landry AY, Hearld LR. Did we learn everything we need to know in school? An evaluation of executive workplace learning in healthcare organizations. Leadership Organ Dev J. 2012;34(2):164-181.

Landry AY, Stowe M, Haefner J. Competency assessment and development among health-care leaders: Results of a cross-sectional survey. Health Serv Manage Res. 2012;25(2):78-86.

Mazurenko OH, Hulchiy O, Shewchuk RM. Determinants of physicians’ career choices in Ukraine. Int J Behav Healthcare Res. 20123(3/4):291-305.

Mazurenko O, Menachemi N. Environmental market factors associated with physician career satisfaction. J Healthc Manag. 2012;57(5):307-324.

Menachemi N, Singh S, Yeager V. Health information technology in the international context. Preface. Adv Health Care Manag. 2012;12:xiii-xv.

Menachemi N, Yeager V, Taylor DM, Braden B, McClure L, Ouimet C. Characteristics of restaurants associated with critical food safety violations. Food Prot Trends. 2012;32(2):73-80.

Morrisey MA, Blackburn J, Sen B, Becker D, Kilgore ML, Caldwell C, Menachemi N. The effects of premium changes on ALL Kids, Alabama’s CHIP program. Medicare & Medicaid Research Review. 2012;2(3):e1-16.

Palcanis KG, Geiger BF, O’Neal MR, Ivankova NV, Evans RR, Kennedy LB, Carera KW. Preparing students to practice evidence-based dentistry: A mixed methods conceptual framework for curriculum enhancement. J Dent Educ. 2012;76(12):1600-1614.

Pradhan R, Weech-Maldonado R, Harman JS, Laberge A, Hyer K. Private equity ownership and nursing home financial performance. Health Care Manage Rev. 2012;38(3):224-233.

Roy B, Castiglioni A, Kraemer RR, Salanitro AH, Willett LL, Shewchuk RM, Qu H, Heudebert G, Centor RM. Using cognitive mapping to define key domains for successful attending rounds. J Gen Intern Med. 2012;27(11):1492-1498.

Sadasivam RS, Allison JJ, Ray MN, Ford DE, Houston TK. Using a resource effect study pre-pilot to inform a large randomized trial: The Decide2Quit.Org Web-assisted tobacco intervention. AMIA Annu Symp Proc. 2012; 789-798.

Salanitro AH, Hovater M, Hearld KR, Roth DL, Sawyer P, Locher JL, Bodner E, Brown CJ, Allman RM, Ritchie CS. Symptom burden predicts hospitalization independent of comorbidity in community-

dwelling older adults. J Am Geriatr Soc. 2012;60(9):1632-1637.

Seligman HK, Fernandez A, Stern RJ, Weech-Maldonado R, Quan J, Jacobs EA. Risk factors for reporting poor cultural competency among patients with diabetes in safety net clinics. Med Care. 2012;50(9 Suppl 2):S56-61.

Sen B, Blackburn J, Morrisey MA, Kilgore ML, Becker DJ, Caldwell C, Menachemi N. Did copayment changes reduce health service utilization among CHIP enrollees? Evidence from Alabama. Health Serv Res. 2012;47(4):1603-1620.

Sen B, Morrisey M, Ginter PM, Menachemi N. Analyzing the gender gap in the salary of Health Administration faculty. Heath Adm Educ. 2012;29(4):303-317.

Shin DY, Menachemi N, Diana M, Kazley AS, Ford EW. Payer mix and EHR adoption in hospitals. J Healthc Manag. 2012;57(6):435-450.

Stern RJ, Fernandez A, Jacobs EA, Neilands TB, Weech-Maldonado R, Quan J, Carle A, Seligman HK. Advances in measuring culturally competent care: A confirmatory factor analysis of CAHPS-CC in a safety-net population. Med Care. 2012;50(9 Suppl 2):S49-55.

Tajeu GS, Sen B, Allison DB, Menachemi N. Misuse of odds ratios in obesity literature: An empirical analysis of published studies. Obesity (Silver Spring, Md). 2012;20(8):1726-1731.

Taylor DM, Yeager VA, Ouimet C, Menachemi N. Using GIS for administrative decision-making in a local public health setting. Public Health Rep. 2012;127(3):347-353.

Thomas KS, Hyer K, Castle NG, Branch LG, Andel R, Weech-Maldonado R. Patient safety culture and the association with safe resident care in nursing homes. Gerontologist. 2012;52(6):802-811.

Vest JR, Menachemi N, Ford EW. Governance’s role in local health departments’ information system and technology usage. J Public Health Manag Pract. 2012;18(2):160-168.

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Weech-Maldonado R, Carle A, Weidmer B, Hurtado M, Ngo-Metzger Q, Hays RD. The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Cultural Competence (CC) item set. Med Care. 2012;50(9 Suppl 2):S22-31.

Weech-Maldonado R, Elliott M, Pradhan R, Schiller C, Hall A, Hays RD. Can hospital cultural competency reduce disparities in patient experiences with care? Med Care. 2012;50 Suppl:S48-55.

Weech-Maldonado R, Hall A, Bryant T, Jenkins KA, Elliott MN. The relationship between perceived discrimination and patient experiences with health care. Med Care. 2012;50(9 Suppl 2):S62-68.

Welty E, Yeager VA, Ouimet C, Menachemi N. Patient satisfaction among Spanish-speaking patients in a public health setting. J for Healthc Qual. 2012;34(5):31-38.

Adams WG, Anderson N, Berner ES, Schauer DP, Zottola RJ, McClure ES, Wyatt M. Distributed health outcome monitoring and evaluation using i2b2. AMIA Summits Transl Sci Proc. 2013;2013:2.

Ard JD, Zunker C, Qu H, Cox T, Wingo B, Jefferson W, Shewchuk R. Cultural perceptions of weight in African American and Caucasian women. Am J Health Behav. 2013;37(1):3-13.

Austin S, Qu H, Shewchuk RM. Health care providers’ recommendations for physical activity and adherence to physical activity guidelines among adults with arthritis. Prev Chronic Dis. 2013;10:E182.

Austin S, Qu H, Shewchuk RM. Age bias in physicians’ recommendations for physical activity: A behavioral model of healthcare utilization for adults with arthritis. J Phys Act Health. 2013;10(2):222-231.

Baskin ML, Herbey I, Williams R, Ard JD, Ivankova N, Odoms-Young A. Caregiver perceptions of the food marketing environment of African-American 3-11-year-olds: A qualitative study. Public Health Nutr. 2013;16(12):2231-2239.

Becker DJ, Blackburn J, Morrisey MA, Sen B, Kilgore ML, Caldwell C, Menachemi N. Co-payments and the use of emergency department services in the children’s health insurance program. Med Care Res Rev. 2013;70(5):514-530.

Blackburn J, Becker DJ, Sen B, Morrisey MA, Caldwell C, Menachemi N. Characteristics of low-severity emergency department use among CHIP enrollees. Am J Manag Care. 2013;19(12):e391-399.

Casazza K, Fontaine KR, Astrup A, Birch LL, Brown AW, Bohan Brown MM, Durant N, Dutton G, Foster EM, Heymsfield SB, McIver K, Mehta T, Menachemi N, Newby PK, Pate R, Rolls BJ, Sen B, Smith DL, Jr., Thomas DM, Allison DB. Myths, presumptions, and facts about obesity. N Engl J Med. 2013;368(5):446-454.

Chisholm L, Weech-Maldonado R, Laberge A, Lin FC, Hyer K. Nursing home quality and financial performance: Does the racial composition of residents matter? Health Serv Res. 2013;48(6 Pt 1):2060-2080.

Coley HL, Sadasivam RS, Williams JH, Volkman JE, Schoenberger YM, Kohler CL, Sobko H, Ray MN, Allison JJ, Ford DE, Gilbert GH, Houston TK. Crowdsourced peer- versus expert-written smoking-cessation messages. Am J Prev Med. 2013;45(5):543-550.

Everhart D, Neff D, Al-Amin M, Nogle J, Weech-Maldonado R. The effects of nurse staffing on hospital financial performance: Competitive versus less competitive markets. Health Care Manage Rev. 2013;38(2):146-155.

Ford EW, Huerta TR, Diana ML, Kazley AS, Menachemi N. Patient satisfaction scores and their relationship to hospital website quality measures. Health Mark Q. 2013;30(4):334-348.

Ford EW, Huerta TR, Menachemi N, Thompson MA, Yu F. Health information technology vendor selection strategies and total factor productivity. Health Care Manage Rev. 2013;38(3):177-187.

Goodman KW, Adams S, Berner ES, Embi PJ, Hsiung R, Hurdle J, Jones DA, Lehmann CU, Maulden S, Petersen C, Terrazas E, Winkelstein P. AMIA’s Code of Professional and Ethical Conduct. J Am Med Inform Assoc. 2013;20(1):141-143.

Griffith JR, Fear KM, Lammers E, Banaszak-Holl J, Lemak CH, Zheng K. A positive deviance perspective on hospital knowledge management: Analysis of Baldrige Award recipients 2002-2008. J Healthc Manag. 2013;58(3):187-204.

Hall AG, Lemak CH, Landry AY, Duncan RP. Incentives for healthy behaviors: Experience from Florida Medicaid’s Enhanced Benefit Rewards program. J Prim Care Community Health. 2013;4(2):112-118.

Harle CA, Huerta TR, Ford EW, Diana ML, Menachemi N. Overcoming challenges to achieving meaningful use: Insights from hospitals that successfully received Centers for Medicare and Medicaid Services payments in 2011. J Am Med Inform Assoc. 2013;20(2):233-237.

Hauserman, C, Ivankova, N, Stick, S. Teacher perceptions of principals’ leadership qualities: A mixed methods study. J School Leadersh. 2013;23(1):34-63.

Hearld LR, Weech-Maldonado R, Asagbra OE. Variations in patient-centered medical home capacity: A linear growth curve analysis. Med Care Res Rev. 2013;70(6):597-620.

Hernandez SR, Shewchuk RM. Hail and farewell. J Health Adm Educ. 2013;30(2):69-72.

Hernandez SR, Shewchuk RM. Innovative teaching methods and content for health administration education. J Health Adm Educ. 2013;30(1):1-5.

Houser SH, Morgan D, Clements K, Hart-Hester S. Assessing the planning and implementation strategies for ICD-10 coding transition in Alabama hospitals. Perspect Health Inf Manag. 2013;10(1):1-15. Houser SH, Ray MN, Maisiak R, Panjamapirom A, Willing J, Schiff GD, English T, Nevin C, Berner ES. Telephone follow-up in primary care: Can interactive

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voice response calls work? Stud Health Technol Inform. 2013;192:112-116.

Houston TK, Delaughter KL, Ray MN, Gilbert GH, Allison JJ, Kiefe CI, Volkman JE. Cluster-randomized trial of a Web-assisted tobacco quality improvement intervention of subsequent patient tobacco product use: A National Dental PBRN study. BMC Oral Health. 2013;13:13.

Hyer K, Thomas KS, Johnson CE, Harman JS, Weech-Maldonado R. Do Medicaid incentive payments boost quality? Florida’s direct care staffing adjustment program. J Aging Soc Policy. 2013;25(1):65-82.

Lemak CH, Cohen GR, Erb N. Engaging primary care physicians in quality improvement: Lessons from a payer-provider partnership. J Healthc Manag. 2013;58(6):429-445.

Menachemi N, Blackburn J, Becker DJ, Morrisey MA, Sen B, Caldwell C. Measuring prevention more broadly: An empirical assessment of CHIPRA core measures. Medicare Medicaid Res Rev. 2013;3(3):e1-16.

Menachemi N, Harle CA. Family physicians leading in EHR adoption, but do we know why or how? Ann Fam Med. 2013;11(1):Online.

Menachemi N, Tajeu G, Sen B, Ferdinand AO, Singleton C, Utley J, Affuso O, Allison DB. Overstatement of results in the nutrition and obesity peer-reviewed literature. Am J Prev Med. 2013;45(5):615-621.

O’Connor TM, Cerin E, Hughes SO, Robles J, Thompson D, Baranowski T, Lee RE, Nicklas T, Shewchuk RM. What Hispanic parents do to encourage and discourage 3-5 year old children to be active: A qualitative study using nominal group technique. Int J Behav Nutr Phys Act. 2013;10:93.

Papaioannou MA, Cross MB, Power TG, Liu Y, Qu H, Shewchuk RM, Hughes SO. Feeding style differences in food parenting practices associated with fruit and vegetable intake in children from low-income families. J Nutr Educ Behav. 2013;45(6):643-651. Payne TH, Bates DW, Berner ES, Bernstam EV, Covvey HD, Frisse ME, Graf T, Greenes RA, Hoffer EP, Kuperman

G, Lehmann HP, Liang L, Middleton B, Omenn GS, Ozbolt J. Healthcare information technology and economics. J Am Med Inform Assoc. 2013;20(2):212-217.

Platonova EA, Hernandez SR. Innovative human resource practices in U.S. hospitals: An empirical study. J Healthc Manag. 2013;58(4):290-303.

Pradhan R, Weech-Maldonado R, Harman JS, Laberge A, Hyer K. Private equity ownership and nursing home financial performance. Health Care Manage Rev. 2013;38(3):224-233.

Preskitt JK, McEldowney RP, Mulvihill BA, Wingate MS, Menachemi N. Underinsurance in children with special health care needs: The impact of definition on findings. Matern Child Health J. 2013;17(8):1478-1487.

Ray MN, Allison JJ, Coley HL, Williams JH, Kohler C, Gilbert GH, Richman JS, Kiefe CI, Sadasivam RS, Houston TK. Variations in tobacco control in National Dental PBRN practices: The role of patient and practice factors. Spec Care Dentist. 2013;33(6):286-293.

Ritchie CS, Hearld KR, Gross A, Allman R, Sawyer P, Sheppard K, Salanitro A, Locher J, Brown CJ, Roth DL. Measuring symptoms in community-dwelling older adults: The psychometric properties of a brief symptom screen. Med Care. 2013;51(10):949-955.

Sadasivam RS, Hogan TP, Volkman JE, Smith BM, Coley HL, Williams JH, Delaughter K, Ray MN, Gilbert GH, Ford DE, Allison JJ, Houston TK. Implementing point of care “e-referrals” in 137 clinics to increase access to a quit smoking Internet system: The Quit-Primo and National Dental PBRN HI-QUIT Studies. Transl Behav Med. 2013;3(4):370-378.

Sadasivam RS, Kinney RL, Delaughter K, Rao SR, Williams JH, Coley HL, Ray MN, Gilbert GH, Allison JJ, Ford DE, Houston TK. Who participates in Web-assisted tobacco interventions? The QUIT-PRIMO and National Dental Practice-Based Research Network Hi-Quit studies. J Med Internet Res. 2013;15(5):e77.

Sen B, Blackburn J, Morrisey MA, Kilgore ML, Becker DJ, Caldwell C, Menachemi N. Effectiveness of preventive

dental visits in reducing nonpreventive dental visits and expenditures. Pediatrics. 2013;131(6):1107-1113.

Sheppard KD, Brown CJ, Hearld KR, Roth DL, Sawyer P, Locher JL, Allman RM, Ritchie CS. Symptom burden predicts nursing home admissions among older adults. J Pain Symptom Manage. 2013;46(4):591-597.

Simborg DW, Detmer DE, Berner ES. The wave has finally broken: Now what? J Am Med Inform Assoc. 2013;20(e1):e21-25.

Vetter TR, Ivankova NV, Goeddel LA, McGwin G, Jr., Pittet JF. An analysis of methodologies that can be used to validate if a perioperative surgical home improves the patient-centeredness, evidence-based practice, quality, safety, and value of patient care. Anesthesiol. 2013;119(6):1261-1274.

Vetter TR, Ivankova NV, Pittet JF. Patient satisfaction with anesthesia: Beauty is in the eye of the consumer. Anesthesiol. 2013;119(2):245-247.

Weiss JB, Berner ES, Johnson KB, Giuse DA, Murphy BA, Lorenzi NM. Recommendations for the design, implementation and evaluation of social support in online communities, networks, and groups. J Biomed Inform. 2013;46(6):970-976.

Wilbanks BA, Moss JA, Berner ES. An observational study of the accuracy and completeness of an anesthesia information management system: Recommendations for documentation system changes. Comput Inform Nurs. 2013;31(8):359-367.

Willig JH, Krawitz M, Panjamapirom A, Ray MN, Nevin CR, English TM, Cohen MP, Berner ES. Closing the feedback loop: An interactive voice response system to provide follow-up and feedback in primary care settings. J Med Syst. 2013;37(2):9905.

Wyatt MC, Hendrickson RC, Ames M, Bondy J, Ranauro P, English TM, Bobitt K, Davidson A, Houston TK, Embi PJ, Berner ES. Federated Aggregate Cohort Estimator (FACE): An easy to deploy, vendor neutral, multi-institutional cohort query architecture. J Biomed Inform. 2013:Online.

Yeager VA, Menachemi N, Braden B, Taylor DM, Manzella B, Ouimet C. Relationship between food safety and critical violations on restaurant inspections:

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An empirical investigation of bacterial pathogen content. J Environ Health. 2013;75(6):68-73.

Yeager VA, Menachemi N, Ginter PM, Sen BP, Savage GT, Beitsch LM. Environmental factors and quality improvement in county and local health departments. J Public Health Manag Pract. 2013;19(3):240-249.

Berner ES. What can be done to increase the use of diagnostic decision support systems? Diagn. 2014;1(1):119-123.

Berner ES. Publications in academic medical centers: Technology-facilitated culture clash. Acad Med. 2014;89(5):734-737.

Berner ES, Ray MN, Panjamapirom A, Maisiak RS, Willig JH, English TM, Krawitz M, Nevin CR, Houser S, Cohen MP, Schiff GD. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med. 2014;29(8):1105-1112.

Davis JA, Weech-Maldonado R, Lapane KL, Laberge A. Contextual determinants of US nursing home racial/ethnic diversity. Soc Sci Med. 2014;104:142-147.

Diana ML, Harle CA, Huerta TR, Ford EW, Menachemi N. Hospital characteristics associated with achievement of meaningful use. J Healthc Manag. 2014;59(4):272-286.

Ferdinand AO, Epane JP, Menachemi N. Community benefits provided by religious, other nonprofit, and for-profit hospitals: A longitudinal analysis 2000-2009. Health Care Manage Rev. 2014;39(2):145-153.

Ferdinand AO, Menachemi N. Associations between driving performance and engaging in secondary tasks: A systematic review. Am J Public Health. 2014;104(3):e39-48.

Ferdinand AO, Menachemi N, Sen B, Blackburn JL, Morrisey M, Nelson L. Impact of texting laws on motor vehicular fatalities in the United States. Am J

Public Health. 2014;104(8):1370-1377. Hall AG, Landry AY, Lemak CH, Boyle EL, Duncan RP. Reported experiences with Medicaid managed care models among parents of children. Matern Child Health J. 2014;18(3):544-553. Harman JS, Hall AG, Lemak CH, Duncan RP. Do provider service networks result in lower expenditures compared with HMOs or primary care case management in Florida’s Medicaid program? Health Serv Res. 2014;49(3):858-877. Hearld LR, Alexander JA. Governance processes and change within organizational participants of multi-sectoral community health care alliances: The mediating role of vision, mission, strategy agreement and perceived alliance value. Am J Community Psychol. 2014;53(1-2):185-197. Hearld LR, Alexander JA, Shi Y, Casalino LP. Pay-for-Performance and public reporting program participation and administrative challenges among small- and medium-sized physician practices. Med Care Res Rev. 2014;71(3):299-312. Huerta TR, Hefner JL, Ford EW, McAlearney AS, Menachemi N. Hospital website rankings in the United States: Expanding benchmarks and standards for effective consumer engagement. J Med Internet Res. 2014;16(2):e64. Ivankova NV. Implementing quality criteria in designing and conducting a sequential QUAN -> QUAL mixed methods study of student engagement with learning applied research methods online. J Mix Methods Res. 2014;8:25-51. Miller MJ, Allison JJ, Cobaugh DJ, Ray MN, Saag KG. A group randomized trial of shared decision-making for nonsteroidal antiinflammatory drug risk awareness: Primary results and lessons learned. J Eval Clin Pract. 2014;20(5):638-648. Mohan V, Abbott P, Acteson S, Berner ES, Devlin C, Hammond WE, Kukafka R, Hersh W. Design and evaluation of the ONC health information technology

curriculum. J Am Med Inform Assoc. 2014;21(3):509-516. Mouch CA, Regenbogen SE, Revels SL, Wong SL, Lemak CH, Morris AM. The quality of surgical care in safety net hospitals: A systematic review. Surg. 2014;155(5):826-838. O’Connor SJ. Fragmentation is a prominent feature of the American healthcare landscape. J Healthc Manag. 2014;59(1):1-2. Qu X, Houser SH, He MY. Development and implications of accreditation for the U.S. Master of Health Administration. Mod Hosp Mang. 2014;12(2):17-21. Ray MN, Funkhouser E, Williams JH, Sadasivam RS, Gilbert GH, Coley HL, Rindal DB, Houston TK. Smoking-cessation e-referrals: A national dental practice-based research network randomized controlled trial. Am J Prev Med. 2014;46(2):158-165. Sen B, Blackburn J, Morrisey M, Becker D, Kilgore M, Caldwell C, Menachemi N. Can increases in CHIP copayments reduce program expenditures on prescription drugs? Medicare Medicaid Res Rev. 2014;4(2):E1-18. Shewchuk RM, Carlson GL, Klosterman M, Cullen S, Qu H. Frictions as barriers to perioperative alignment: Results from a latent class analysis. Qual Manag Health Care. 2014;23(3):188-200. Tarver W, Menachemi N. Examining the use of HIT functions among physicians serving minority populations. J Health Care Poor Underserved. 2014;25(1):215-228. White K, Yeager VA, Menachemi N, Scarinci IC. Impact of Alabama’s immigration law on access to health care among Latina immigrants and children: Implications for national reform. Am J Public Health. 2014;104(3):397-405. Yeager VA, Menachemi N, Savage GT, Ginter PM, Sen BP, Beitsch LM. Using resource dependency theory to measure the environment in health care organizational studies: A systematic review of the literature. Health Care Manage Rev. 2014;39(1):50-65.

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The Department of Health Services Administration is known for its focus on research and for developing knowledge makers whose research informs management and policy decisions. Although, Dr. Olena Mazurenko finished her Ph.D. at UAB two years ago, she is already improving the quality of healthcare through her teaching, research, and service. Her dissertation examined the relationships between contextual factors and various aspects of care coordination, such as communication between patients and providers and referral patterns among providers. As a result of this research, she became interested in innovative approaches to health system redesign, such as the PCMH. Dr. Mazurenko is employed by the University of Nevada, Las Vegas as an assistant professor in the Department of Health Care Administration and Policy. She is leading a project that examines the association between the PCMH and selected quality of care indicators and patients’ care experiences among racial/ethnic minority patients with type-2 diabetes mellitus. This topic is relevant in Nevada since minorities constitute almost 40 percent of the population.

She is also involved in a project that examines a patient’s experience and its association with the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores in a local health care facility in Las Vegas. She and her co-authors have published seven articles in the past two years. Her current research is focused on diabetic racial/ethnic minority patient experiences with the PCMH, which is a qualitative study.

Dr. Mazurenko serves as a mentor for masters-level students at the University of Nevada, Las Vegas, and is a reviewer for the Journal of Healthcare Management as well as the Southern Management Association. She teaches a number of courses related to healthcare management strategy and policy. With the help of the education she received within the Department of Health Services Administration, she is helping other leaders, academics, and healthcare providers make better data-driven decisions and is shaping the future of healthcare.

The Department of Health Services Administration is pleased to highlight Dr. Lisa Jones as an exceptional alumna who is improving healthcare by focusing on patient safety and high reliability healthcare.

Dr. Jones graduated in December of 2012 as one of the first executive Doctorate of Science in Administration-Health Services graduates. She currently serves as the Vice President of Patient Services at Owensboro Health Regional Hospital in Owensboro, KY. Her dissertation examined the use of Red Rules in patient safety cultures. Red Rules as a patient safety strategy has disciplinary consequences for hospital employees who do not follow approved protocols. She found that the use of these rules in hospitals was inconsistent, and that there were no statistically significant differences in outcomes between hospitals that used “Red Rules” and those that did not. She presented her research on patient safety and high reliability healthcare at the ACHE Congress in 2013 and the Southern Management Association Fall Meeting in 2013. She has been interviewed for two articles: “The Power of Zero: Steps toward High Reliability Healthcare,” which will be in the Healthcare Executive Journal, and the Briefings for Joint Commission. Her current research interests include patient safety and patient throughput/flow. In addition, she is working closely with Lean engineers in her current role to improve the patient experience.

As part of her current responsibilities, she has transitioned to a new emergency department physician group into the organization and reduced the number of patients “left without being seen” by 4% (resulting in 1,000 new admissions), improved admitted patient throughput time by 26%, and achieved all the goals for the emergency department core measures. She also was the administrative team leader in the acquisition of a private cardiology practice. Dr. Jones is improving the quality of health through her research, through the dissemination of new knowledge that she is creating for the field, and through the translation of her discoveries into real-life practice.

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Recent Health Service Administration Alumni Highlights

Olena Mazurenko, PhD Lisa Jones, DSc

UAB - School of Health ProfessionsDepartment of Health Services Administration SHPB 668 1720 2nd Ave SBirmingham, AL 35294-1212

BS Health Care Management MS Health Administration MS Health Informatics MS Healthcare Quality & Safety DSc Administration Health Services PhD Administration Health Services

The University of Alabama at Birmingham School of Health Professions Department of Health Services Administration Phone: 205.934.5665 Fax: 205.975.6608

Editor: Midge N. Ray Co-Editor: Marcie H. Battles Department of Health Services Administration 1705 University Boulevard Birmingham, AL 35294-1212

HSA Research Committee: Midge N. Ray, RN, MSN, Chair Eta S. Berner, EdD Christy Harris Lemak, PhD Robert Weech-Maldonado, PhD Jessica H. Williams, PhD Kristine Ria Hearld, PhD S. Robert Hernandez, DrPH

Center for Health Informatics for PatientSafety/Quality Center for Healthcare Management & Leadership Executive Master of Science in Health Administration International Programs Graduate Certificate in Healthcare Quality & Safety