Hospital Community Benefits: Center faculty members are using financial reports that federally tax-exempt hospitals are required to file with the Internal Revenue Service (I.R.S.) to examine patterns in the delivery of community benefits such as charity care and non-reimbursable services. Using these data, Center faculty members conducted the first national assessment of community benefits provided by tax-exempt hospitals, which was published in the New England Journal of Medicine. In collaboration with a research team based at George Washington University, Center faculty members have recently received funding from the Robert Wood Johnson Foundation to develop a web-based tool and related set of measures for examining patterns in tax-exempt hospitals’ provision of community benefits.
Pay-for-Performance and Quality of Care: Center faculty members are testing the effectiveness of different ways to design and implement pay-for-performance programs for improving quality of care. Several studies are being conducted to examine the role of provider attitudes toward the design of pay-for-performance programs relative to the impact of the program on quality improvement. In support of this research, center faculty members have received funding from the Robert Wood Johnson Foundation and Agency for Healthcare Research and Quality.
Hospital Supply Chain: Center faculty members are conducting studies to identify best practices for managing hospital supply chains and the factors associated with supply chain management as a core competency for hospitals. Center faculty members have received funding from the Department of Veterans Affairs to study best practices and improvement opportunities for inventory management.
Medication Adherence: Center faculty members are studying the role of pharmacists in counseling patients on medication adherence. The research is focusing on the frequency and content of such counseling as well as its impact on patient behavior.
Medicare Quality Ratings: Center faculty members are examining the quality ratings that the Center for Medicare and Medicaid Services use for prescription drug plans participating in the Medicare Part D program. One focus of the study is the influence of the socio-economic characteristics of a plan’s enrollees on its quality ratings for medication adherence.
Low Value Care: Center faculty are investigating health care services that offer relatively little value in terms of health benefits. A current studying is focusing on inappropriate diagnostic imaging services, funded by the National Institute for Health Care Management. In this study, center faculty are suing the Massachusetts All Payer Database to examining trends in appropriate diagnostic imaging based on guidelines from the American College of Radiology.
Hoff, T., Sutcliffe, K., Young, G. (September 2016). The Healthcare Professional Workforce: Understanding Human Capital in a Changing Industry. Oxford, United Kingdom: Oxford University Press.
Young, G., Rickles, N., & Benzer J., Dangi, A. (In Press). Management of Medicare Part D Prescription Drug Plans and Medication Adherence: A Conceptual Framework and Empirical Analysis. Medical Care.
Nyaga, G., Young G., Moran, G. (2016). Ten Actions to Improve Inventory Management in Government: Lessons from VA Hospitals. IBM Center for The Business of Government: http://www.businessofgovernment.org/report/ten-actions-improve-inventory-management-government-lessons-va-hospitals
Zepeda, D., Nyaga, G., Young, G. (2016). Supply Chain Risk Management and Hospital Inventory: Effects of System Affiliation. Journal of Operations Management, 44, 30-47.
Rickles, N., Young, G., Hall, J., Noland, C., Kim, A., Peterson, C. & Hong, M. (2016). Medication Adherence Communications in Community Pharmacies: A Naturalistic Investigation. Patient Education and Counseling, 36, 386-392.
Young, G., Nyaga, G., & Zepeda, D. (2016). Hospital Employment of Physicians and Supply Chain Performance: An Empirical Investigation. Health Care Management Review, 41(3): 244-255.
Zepeda, D., & Sinha, K. (2016). Towards an Effective Design of Behavioral Health Care Delivery: An Empirical Analysis of Care for Depression. Production and Operations Management, 25(5): 952-967.
Hoff, T., Young G., Xiang, E., & Raver, E. (2015). Understanding US Physician Satisfaction: State of the Evidence and Future Directions. Journal of Healthcare Management, 60, 409-428.
Nyaga, G., Young, G. & Zepeda, D. (2015). Analysis of Inter- and Intra-Organizational Arrangements on Hospitals’ Supply Chain Efficiency. Journal of Business Logistics, 36, 340-354.
Rubin, D., Singh, S., & Young, G. (2015). Tax-exempt hospitals and community benefit: New directions in policy and practice. Annual Review of Public Health, 36, 545-557.
Singh, S., Young, G., Lee, S., Song, P., & Alexander, J. (2015). Analysis of Hospital Community Benefit Expenditures’ Alignment with Community Health Needs? Evidence from a National Investigation of Taxe-exempt Hospitals. American Journal of Public Health, 105, 914-921.
Young, G., Rickles, N., Hung, C., & Raver, E. (2014). Socioeconomic Characteristics of Enrollees Appear to Influence Performance Scores for Medicare Part D Contractors. Health Affairs, 33(1), 140-146.
Mohr, D., Benzer, J., & G. Young (2013). Provider Workload and Quality of Care in Primary Care Settings: Moderating Role of Relational Climate. Medical Care, 51, 108-114.
Goren, J., Meterko, M., Williams, S., Young. G., Baker E., Chou C., Kilbourne, A., & Bauer, M. (2013) Antipsychotic Prescribing Pathways, Polypharmacy, and Clozapine Use in Schizophrenia. Psychiatric Services, 64, 527-533.
Young, G., Chou, C., Alexander, J., Lee, S., & Raver, E. (2013) Provision of Community Benefits by Tax Exempt U.S. Hospitals. New England Journal of Medicine, 368, 1519-1527.
Hoff, T. (2013). Medical Home Implementation: A Sensemaking Taxonomy of Hard and Soft Practices. The Milbank Quarterly, 91(4), 771-810.
Mohr, D., & Young, G. (2012). Slack Resources and the Quality of Primary Care. Medical Care, 50, 203-209.
Young, G. (2012). Multi-stakeholder Regional Collaboratives Have Been Key Drivers of Public Reporting but Now Face Challenges. Health Affairs, 31, 578-584.
Young G., Beckman, H., & Baker, E. (2012). Financial Incentives, Professional Values and Performance: A Study of Pay-for-performance in a Professional Organization. Journal of Organizational Behavior, 33, 964-983.
Mohr, D., Young, G., & Burgess, J. (2012). Employee Turnover and Operational Performance: The Moderating Effect of Organizational Culture. Human Resource Management Journal, 22, 216-233.
Young, G., Rickles, N. Benzer. J., and Dangi, A. (2017). Management of Medicare Part D Prescription Plans: A Conceptual Framework and Empirical Analysis Medical Care, 55 (1), 37-42.
Malley, A. and Young, G. (2017). A Qualitative Study of Patient and Provider Experiences during Preoperative Care Transitions Journal of Clinical Nursing, 26 (13-14):2016-2024.
Cramer, G.S., Flaherty, S., Singh, S. and Young, G. (2017). The Progress of U.S. Hospitals in Addressing Community Health Needs. American Journal of Public Health, 107 (2), 255-261.