Health Policy and Management

 

The CRISMA Program on Health Policy and Management (HPM) conducts interdisciplinary research, advocacy, and education to guide stakeholders in the organization and financing of critical care services in the US and abroad. By bringing together health services researchers, biostatisticians and health economists throughout the University of Pittsburgh, the program’s members work to identify and disseminate novel strategies to improve patient outcomes by optimizing critical care delivery systems.

Primary Faculty

  • David Wallace, MD, MPH
  • Ian Barbash, MD, MSCE
  • Derek Angus, MD, MPH

Affiliated Faculty

  • Joyce Chang, PhD, Department of Medicine
  • Tina Batra Hershey, JD, MPH, Graduate School of Public Health
  • Grant Martsolf, RN, PhD, School of Nursing
  • Kristin Ray, MD, School of Medicine
  • Jonathan Yabes, PhD, Division of General Internal Medicine

Program Staff

  • Billie Davis, PhD, Health Economist and Quantitative Lead
  • Kimberly Rak, PhD, Medical Anthropologist and Qualitative Lead
  • Laura Liotus, MS, BS, Data Manager

Current trainees

  • Kristin Gigli, PhD, RN, CRISMA Research Fellow
  • Andrew King, PhD, CRISMA Research Fellow
  • Cindy Teng, MD, CRISMA Research Fellow

Organizational Strategies for Improving Evidence-update in Intensive Care
This project, supported by an Outstanding Investigator Award from the NIH, provides broad support for Dr. Kahn's research program focusing on the relationship between ICU organizational behavior and evidence-based treatments in critical care. Specific sub-projects examine studying the interactive behavior of ICU care teams and improving the value of decision support tools in critical care. Funding: NIH/NHLBI R35HL144814 (PI: Kahn)

The Effects of State Sepsis Mandates on Hospital Mortality, Health Care Utilization, and Costs
The goal of this project is to evaluate a novel New York State regulation designed to improve sepsis outcomes by incentivizing adherence to evidence-based sepsis guidelines. Funding: AHRQ R01 HS025146 (PI: Kahn)

Causes and Effects of Hospital-level Changes in ICU Bed Supply
The goal of this project is to understand the role of ICU capacity strain on changes in the ICU bed supply through interviews with key hospital-level stakeholders. Funding: NIH/NHLBI R03HL138309 (PI: Wallace )

Understanding Regional Critical Care Delivery in Acute Respiratory Failure
The goal of this project is to use GIS technology to understand the influence of regional critical care delivery patterns on outcomes in ARDS and other types of acute respiratory failure. Funding: NIH/NHBLI K08HL122478 (PI: Wallace)

The Effect of the Affordable Care Act Medicaid Expansion on Geographic Access to Safety Net and Acute Care Hospitals
This project uses national data on hospital activity and population trends to understand how Medicaid expansion influences geographic access to acute care. Funding: Robert Wood Johnson Foundation (PI: Wallace)

Evaluating National Sepsis Policy Using the Electronic Health Record
This project is using EHR data to understand the beneficial effects and unintended adverse consequences of the CMS sepsis-focused public reporting program known as SEP-1. Funding: AHRQ K08 HS025455 (PI: Barbash)

For information on program activities or to inquire about collaborations and training opportunities, please contact bmclaughlin [at] pitt.edu (Brandon McLaughlin), Academic Coordinator.

 

 

Program Director


Jeremy M. Kahn, MD, MS
Professor of Critical Care Medicine and Health Policy & Management