The Acadmy's Center for Health Innovation develops and implements innovative and data-driven solutions to improve the health care system, with increased attention on vulnerable populations. With the triple aim of reducing costs, increasing quality, and improving population health, the center designs, tests, and evaluates financially sustainable improvements in health care delivery systems that recognize the social and economic determinants of health. As health care reform advances, there is a new emphasis on population health and addressing the behavioral, social, environmental, and economic factors that impact well-being. By focusing on health care delivery and the broader determinants of health, the Center seeks to become a leader in health reform implementation and a strategic partner to organizations interested in inventive solutions to improving population health. 

As health care reform advances, there is a new emphasis on population health and addressing the behavioral, social, environmental, and economic factors that impact well-being. By focusing on health care delivery and the broader determinants of health, the Center seeks to become a leader in health reform implementation and a strategic partner to organizations interested in inventive solutions to improving population health. 

Health in Cities: Multisectoral Determinants of Infant Mortality and Other Related Child Health Outcomes

The Academy is collaborating with IBM Research to evaluate the availability, format and integration potential of multisectoral data and then identify the technologies needed to analyze these data to address infant mortality and other child health outcomes in the cities of Philadelphia and Los Angeles. The lessons learned from this work will be useful not only to Philadelphia and Los Angeles, but also to other cities interested in using multisectoral data and new analytical tools to address population health challenges. The project is funded by the Robert Wood Johnson Foundation.

The National County Health Rankings

Using big data analytics, the Academy is identifying clusters of counties with various levels of population health outcomes and combinations of measures/factors associated with better or worse health outcomes. The goal of this project is to identify different pathways through which decision-makers and leaders can target interventions and design programs to improve health outcomes. Results from the study will also generate practical rules that can be used to predict future health outcomes if certain health factors are improved.

Telehealth Monitoring

Telehealth monitoring, which uses telecommunications and information technology to provide access to health assessment, diagnosis, intervention, consultation, supervision and information across distance, has the potential to substantially improve quality of life and health outcomes while reducing hospitalizations and costs. In this project, the Academy is collaborating with the University of North Texas Health Science Center, CareCycle Solutions, and Medicaid to implement and evaluate the clinical and cost effectiveness of an innovative telehealth monitoring system that aims to manage the care of patients with multiple chronic health conditions discharged from hospitals in North Texas.

Systems Science Modeling and Diabetes Prevention

The prevention of prediabetes and diabetes is an important challenge in San Antonio, Texas, as well as many other large urban areas in the United States. Academy researchers are working with the San Antonio Metropolitan Health District to assess the cost-effectiveness of diabetes prevention and self-management strategies using systems science modeling. This collaborative work also includes projecting the prevalence of complications associated with diabetes—such as blindness or stroke—and then evaluating how diabetes and its complications can be averted by implementing different lifestyle interventions or self-management programs. The project is funded by the Robert Wood Johnson Foundation.

SELECTED PUBLICATIONS

  • “Fatal Crashes from Drivers Testing Positive for Drugs in the US” 1993-2010 (Public Health Reports, 2014)
  • “Share of Mass Transit Miles Traveled and Reduced Motor Vehicle Fatalities in Major Cities of the United States” (Journal of Urban Health, 2014)
  • “Using Systems Science for Population Health Management in Primary Care”(Journal of Primary Care and Community Health, 2014)
  • “Psychological Distress and Emergency Department Utilization in the United States: Evidence from the Medical Expenditure Panel Survey”(Academic Emergency Medicine, 2014)
  • “Assessing Long-Term Health and Cost Outcomes of Patient-Centered Medical Homes Serving Adults with Poor Diabetes Control”(Journal of Primary Care and Community Health, 2013)