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RESEARCH SUMMARIES
The following research and reports examine the relationship between organized physician groups and delivery systems and improved quality and cost efficiencies.
Evidence
for Physician Groups and Quality
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2009
“How Can Medicare Lead Delivery System Reform?” by Francis J. Crosson, M.D., Stuart Guterman, Laura Tollen, Nancy Taylor, Rashell Young, Issue Brief published byThe Commonwealth Fund, November, 2009.
“Can Accountable Care Organizations Improve the Value of Health Care by Solving the Cost and Quality Quandaries? Timely Analysis of Immediate Health Policy Issues” by Kelly Devers and Robert Berenson, The Urban Institute, October, 2009.
“The
Public and the Health Care Delivery System,” NPR/kaiser
Family Foundation/Harvard School of Public Health survey report,
April 2009.
“Coordination
of Care by Primary Care Practices: Strategies, Lessons and Implications,” by Ann S. O’Malley, Ann Tynan, Genna R. Cohen, Nicole
Kemper and Matthew M. Davis, Center for the Study of Health
System Change, Research Brief, No. 12, April, 2009.
“Reforming Provider Payment: Moving Toward Accountability for Quality and Value.” Issue Brief on Accountable Care Organizations, published by the Engleberg Center for HealthCare Reform at the Brookings Institute and The Dartmouth Institute for Health Policy and Clinical Practice,March, 2009.
“Slowing
the Growth of Health Care Costs - Lessons from Regional Variation,” by Elliott S. Fisher, M.D., M.P.H., Julie P. Bynum, M.D., M.P.H.,
and Jonathan S. Skinner, Ph.D., New England Journal of Medicine, Feb. 26, 2009.
[+]
2008
“The
Response of Physician Groups to P4P Incentives,” by
Ateev Mehrotra, MD, MPH; Steven D. Pearson, MD, MSc; Kathryn
L. Coltin, MPH; Ken P. Kleinman, PhD; Janice A. Singer, MPH;
Barbra Rabson, MPH; and Eric C. Schneider, MD, MSc; The
American Journal of Managed Care, Vol. 13, No. 5.
“Physician
Organization in Relation to Quality and Efficiency of Care: A
Syntheses of Recent Literature, ” L.
Tollen, The Commonwealth Fund, April 2008.
“Population Management, Systems-Based Practice, and Planned Chronic Illness Care: Integrating Disease Management Competencies into Primary Care to Improve Composite Diabetes Quality Measures,” J. Kimura, K. Dasilva, R. Marshall, Disease Management, Feb. 2008;11(1):13-22.
[+]
2007
“Quality,
Efficiency, and Organizational Structure,” Jay B. Sterns,
Journal of Health Care Finance, November 14, 2007
“Does
Affiliation of Physician Groups with One Another Produce Higher
Quality Primary Care?” M.W. Friedberg, K.L. Coltin,
S.D. Pearson, K.P. Kleinman, J. Zheng, J.A. Singer, and E. C.
Schneider, Journal of General Internal Medicine, Oct.
2007, 22(10):1385-1392.
“Transformational change in health care systems: an organizational model,” C.V. Lukas, S.K. Holmes, A.B. Cohen, J. Restuccia, I.E. Cramer, M. Shwartz, M.P. Charns, Health Care Management Review, Oct-Dec 2007; 32(4):309-20
“Physician
Groups Improve Quality and Generate Savings Under Medicare Physician
Pay for Performance Demonstration.” CMS Office of Public
Affairs, July 11, 2007.
“Redesigning
Care Delivery In Response to a High-Performance Network: The Virginia
Mason Medical Center.” H.H. Pham, P.B. Ginsburg, K.
McKenzie, and A. Milstein. Health Affairs, 26, no. 4
(2007): w532-w544 (published online 10 July 2007; 10.1377/hlthaff.26.4.w532)
“Closing
the Quality Gap: A Critical Analysis of Quality Improvement Strategies:
Volume 7—Care Coordination, Structured Abstract.”
Publication No. 04(07)-0051-7, June 2007. Agency for Healthcare
Research and Quality, Rockville, MD.
“Crossing the quality chasm for diabetes care: the power of one physician, his team, and systems thinking,” L.I. Solberg, D.H. Klevan, S.E. Asche, The Journal of the American Board of Family Medicine, May-Jun 2007;20(3):299-306.
“The
Response of Physician Groups to P4P Incentives,” A.
Mehrotra, S.D. Pearson, K.L. Coltin, K.P. Kleinman, J.A. Singer,
B. Rabson, and E.C. Schneider, American Journal of Managed
Care, May 2007, 13(5):249–55.
“Physician
Practice Size and Variation in Treatments and Outcomes: Evidence
from Medicare Patients with AMI,” J. D. Ketcham, L.
C. Baker, and D. MacIsaac, Health Affairs, Jan./Feb. 2007, 26(1):195–205.
“Primary care at the Alaska Native Medical Center: a fully deployed ‘new model’ of primary care,” D.K. Eby, International Journal of Circumpolar Health, 2007; 66 Suppl 1:4-13.
“Creating Accountable Care Organizations: The Extended Hospital Medical Staff,” Elliott S. Fisher, Douglas O. Staiger, Julie P.W. Bynum and Daniel J. Gottlieb. Health Affairs, 26, no. 1 (2007): w44-w57 (published online: December 5, 2006) .
[+]
2006
“Medicare
Physician Group Practices: Innovations in Quality and Efficiency,”
Michael Trisolini, Gregory Pope, John Kautter, and Jyoti Aggarwal.
Published by RTI International, December, 2006.
“The
Impact of Health Plan Delivery System Organization on Clinical
Quality and Patient Satisfaction,” Robin R. Gillies,
Kate Eresian Chenok, Stephen M. Shortell, Gregory Pawlson, and
Julian J. Wimbush. Health Services Research 41(4), pp.
1181-1199, August 2006.
“Do
Integrated Medical Groups Provide Higher-Quality Medical Care
than Individual Practice Associations?” Ateev Mehrotra,
MD, MPH; Arnold M. Epstein, MD, MA; and Meredith B. Rosenthal,
PhD. Annals of Internal Medicine, 2006;145:826-833.
“Improving
Quality in Medicaid: The Use of Care Management Processes for
Chronic Illness and Preventive Care,” D.
Rittenhouse and J.C. Robinson, Medical Care, Jan. 2006,
44(1):47–54.
[+]
2005
“Competition
in Health Care: It Takes Systems to Pursue Quality and Efficiency,”
A.C. Enthoven and L.A.
Tollen, Health Affairs Web Exclusive, September 7, 2005.
“Measure,
Learn, and Improve: Physicians’ Involvement in Quality Improvement,”
A.M. Audet, M.M. Doty, J. Shamasdin, and S. Schoenbaum, Health
Affairs, May/June 2005, 24(3):843–53.
“The
QUEST for quality: what are medical groups doing about it?”
LI. Solberg, PJ O’Connor, JB Christianson, RR Whitebird,
WA Rush, GM Amundson. Joint Commission Journal on Quality
and Safety, 2005, Apr; 31(4):211-9.
[+]
2004
Toward
a 21st Century Health System: The Contributions and Promise of
Prepaid Group Practice. Alain
C. Enthoven and Laura A. Tollen, Editors, San Francisco: Jossey-Bass,
2004. In particular:
• “Preface, ” Alain C. Enthoven and Laura A.
Tollen
• “Prepaid Groups and Organized Delivery Systems: Promise,
Performance, and Potential,” S. Shortell and J. Schmittdiel,
Chapter 1.
• “The Clinical and Economic Performance of Prepaid
Group Practice,” Kennth H. Chuang, Harold S. Luft, and R.
Adams Dudley, Chapter 3.
“Physician
Organization and Care Management in California: From Cottage to
Kaiser.” Diane Rittenhouse, Kevin Grumbach, Edward H.
O’Neil, Catherine Dower, and Andrew Bindman. Health
Affairs, November/December 2004, 23(6): 51-62.
“Information
Technologies: When Will They Make It Into Physicians’ Black
Bags?” Anne-Marie Audet, Michelle Doty, Jordon Peugh,
Jamil Shamasdin, Kinga Zapert, and Stephen Schoenbaum. Medscape
General Medicine, 2004; 6(4): 2. Published online, 2004 December
6.
“The
Use of Patient and Physician Reminders for Preventive Services:
Results From a National Study of Physician Organizations.”
Julie Schmittdiel, PhD, Sara B. McMenamin, PhD, MPH, Helen Ann
Halpin, PhD, Robin R. Gillies, PhD. Thomas Bodenheimer, MD, Stephen
M. Shortell, PhD, Thomas Rundall, PhD, and Lawrence P. Casalino,
MD, PhD, Preventive Medicine, 2004, Nov; 39(5):1000-6
“Organizational
Factors Affecting the Adoption of Diabetes Care Management Processes
in Physician Organizations.” Rui Li, Jodie Simon, Thomas
Bodenheimer, Robin R. Gillies, Lawrence Casalino, J Schmittdiel
and Stephen M. Shortell. Diabetes Care, 2004, Oct;27(10):2312-6.
“Primary
Care and Health System Performance: Adults’ Experiences
in Five Countries,” by Cathy Schoen , Robin Osborn ,
Phuong Trang Huynh , Michelle Doty , Karen Davis, Kinga Zapert
, Jordan Peugh, Health Affairs, October, 2004.
“What
Are the Facilitators and Barriers in Physician Organizations’
Use of Care Management Processes?” Thomas Bodenheimer,
MC Wang, TG Rundall, Stephen M. Shortell, Robin R. Gillies, N
Oswald, Lawrence Casalino and JC Robinson. Joint Commission
Journal on Quality and Safety, 2004, Sep. 30; (9):505-14.
“Managed
Care Organization and the Quality of Diabetes Care:
The Translating Research into Action for Diabetes (TRIAD) Study,”
C. Kim,
D. F. Williamson, C.M. Mangione, M.M. Safford, J. V. Selby, D.
G. Marrero, J.D. Curb, and T. J. Thompson, Diabetes Care, July
2004, 27(7):1529–34.
“Health
Promotion in Physician Organizations: Results from a National
Study,” S.
McMenamin, J. Schmittdiel, H.A. Halpin, R. Gillies, T. Rundall,
and S M. Shortell, American Journal of Preventive Medicine, May
2004, 26(4):259–64
“Time
to Reconsider Organized Systems of Care.” National Business
Group on Health, Issue Brief, Institute on Health Care Costs
and Solutions, March/April 2004, 3(2).
“Primary
Care Practice Coordination Versus Physician Continuity.”
Patricia Parkerton, Dean G. Smith, and Hugh L. Straley. Family
Medicine, 2004, 36(1): 15-21.
[+]
2003
“Support
for Smoking Cessation Interventions in Physician Organizations,”
S.B. McMenamin, H.H. Schauffler, S.M. Shortell, T. G. Rundall,
and R. R. Gillies, Medical Care, Dec. 2003, 41(12):1396–1406.
“Benefits
of and Barriers to Large Medical Group Practice in the United
States.” Casalino, L, KJ Devers, TK Lake, M Reed,
and JJ Stoddard. Archives of Internal Medicine, 2003,
Sep. 8; 163(16): 1958-1964.
“External
Incentives, Information Technology, and Organized Processes
to Improve Health Care Quality for Patients with Chronic Diseases.”
Lawrence Casalino, Robin Gillies, Stephen M .Shortell, Julie
Schmittdiel, Thomas Bodenheimer, James C. Robinson, Thomas G.
Rundall, Nancy Oswald, Helen Schauffler, Margaret C. Wang. Journal
of the American Medical Association, 2003, 289(4): 434-441.
[+]
2002
“Integrated
care: meaning, logic, applications, and implications– a
discussion paper,” International Journal of Integrated
Care – Vol. 2, 14 November 2002 – ISSN 1568-4156
“HMO
Plan Performance Update: An Analysis of the Literature, 1997–2001.”
Robert H. Miller and Harold S. Luft. Health Affairs,
2002, 21(4), 63–86.
“Getting
More for Their Dollar: A Comparison of the NHS with California’s
Kaiser Permanente.” Richard Feachem, Neelam D. Sekhri,
and Karen L. White. British Medical Journal, 2002, 324,
135–141.
“California
Physicians 2002: Practice and Perceptions.” Grumbach,
K, C Dower, S Mutha, J Yoon, W Huen, D Keane, DR Rittenhouse,
AB Bindman. California Workforce Initiative at the UCSF Center
for Health Professions, San Francisco, December 2002.
“As
Good As It Gets? Chronic Care Management in Nine Leading US Physician
Organisations.” Rundall, TG, SM Shortell, MC Wang, L
Casalino, T Bodenheimer, RR Gillies, JA Schmittdiel, N Oswald,
JC Robinson. British Medical Journal, 2002, 325, 958-961.
[+]
2001
Evidence
for Physician Groups and Efficiencies
[+]
2007
“Quality,
Efficiency, and Organizational Structure,” Jay B. Sterns, Journal of Health Care Finance, November 14, 2007 34(1):100-07
“Physician
Groups Improve Quality and Generate Savings Under Medicare Physician
Pay for Performance Demonstration.” CMS Office of Public
Affairs, July 11, 2007.
“Report
to Congress: Assessing Alternatives to the Sustainable Growth
Rate System,” Medicare Payment Advisory Commission,
March 2007.
[+]
2006
[+]
2004
[+]
2003
[+]
2001
Policy Statements and Commentary
[+]
2008
“Legal
Reforms Necessary to Promote Delivery System Innovation,” by Timothy Stoltzfus Jost, JD, Ezekiel J. Emanuel, MD, PhD, Journal of the American Medical Association, 2008;299(21):2561-2563
(doi:10.1001/jama.299.21.2561)
“Collective
Accountability for Medical Care - Toward Bundled Medicare Payments,” by Glenn Hackbarth, J.D., Robert Reischauer, PhD and Anne Mutti,
MPA, New England Journal of Medicine, 359; 1; July
3, 2008
“Health
Care Reform Requires Accountable Care Systems,” by
Stephen M. Shortell; Lawrence P. Casalino, Journal of the
American Medical Association; 2008;300(1):95-97 (doi:10.1001/jama.300.1.95)
“The
Health Care Delivery System: A Blueprint for Reform,” published by the Center for American Progress and the Institute
on Medicine as a Profession, October 2008
“Report to the Congress: Reforming the Delivery System,” Medicare Payment Advisory Commission, June 2008.
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©
2009 Council of Accountable Physician Practices. CAPP is a 501(c)(6)
organization affiliated with AMGA’s 501(c)(3) foundation.
Updated11/30/2009