Time, Referrals, and Doctoring-Efficient Options for the Future (TRADEOFF)

Description

This project explores whether increased time spent by primary care physicians (PCPs) substitutes for (a) services they directly order, such as tests, imaging, and referrals to specialists, and/or (b) services their patients may access directly from other PCPs, specialists, and urgent care sites. We examine clinical quality indicators and patient assessments across low- and high-cost PCPs. This project will inform the Accountable Care Organization concept encouraging less costly approaches to care.

Co-Investigator(s)

Harold (Hal) Luft, Ph.D., Su-Ying Liang, Ph.D.

Funder

National Institute of Diabetes and Digestive and Kidney Diseases

Start Date

September 30, 2011

End Date

August 31, 2014

Research Topics

Related Studies

Beyond Consent: Patient Preferences for Governance and Use of Clinical Data and Samples

Utilize mixed methods to identify patient preferences for consent and governance of data in research utilizing existing EHR data and biobank samples.

Investigator: External PI, Principal Investigator

Coverage, Price, and Reimbursement for Multigene Tests for Cancer and Related Conditions

Our objective is to examine “coverage, price, and reimbursement” for multigene tests broadly and for cancer-related indications.

Investigator: Su-Ying Liang, Ph.D.

Does the Medicare Preventive Visit Coverage Benefit Seniors With Multiple Chronic Conditions?

We will assess the impact of covered preventive visits among Medicare beneficiaries using electronic health records data from PAMF, between 2006 and 2015.

Investigator: Robert Romanelli, Ph.D., MPH

Effect of Therapeutic Class on Generic Drug Substitutions

Evaluate and rank-order generic substitution rates by therapeutic class, as well as examine factors associated with higher/lower rates of generic substitution.

Investigators: External PI, Principal Investigator, Robert Romanelli, Ph.D., MPH

Estimating the Costs of Supporting Primary Care Practice Transformation

Goal is to examine the cost of primary care practice transformations in a nonprofit medical group practice that has received recognition from the NCQA.

Investigator: Albert S. Chan, M.D., M.S., FAAFP

Exploring Potential Gains and Losses for Providers in a System of Episode-Based Payment in Ambulatory Care

This project will characterize the cost components within ambulatory care episodes—physician-specific services, labs, imaging, and drugs.

Investigator: Harold (Hal) Luft, Ph.D.

Improving American Health Care Affordability and Quality

A research and training collaboration of the Stanford Clinical Excellence Research Center and PAMFRI. Goal is to reduce cost and improve outcomes of healthcare.

PCOR -- Applied Research TraNsforming Engaged Real-world Settings (PARTNERS)

This training grant is for doctoral-level clinicians to develop the research skills to undertake patient-centered outcomes research.

Investigator: Harold (Hal) Luft, Ph.D.

The Impact of Lean Management on Primary Care Efficiency, Affordability, and the Patient Experience

The goal of this study is to investigate the impact of Lean on provider work efficiency, system affordability, and patient experiences in primary care.

Investigators: Dorothy Hung, Ph.D., M.A., MPH, Harold (Hal) Luft, Ph.D., Su-Ying Liang, Ph.D.

Towards Aligned Incentives

This project focuses on the variability in the components of total cost of care across patients with specific conditions to examine whether different types of risk can be borne by the appropriate parties.

Investigator: Harold (Hal) Luft, Ph.D.

The Sutter Health Network of Care

Expertise to fit your needs

Check-ups, screenings and sick visits for adults and children.

Expertise and advanced technologies in all areas of medicine.

For serious accidents, injuries and conditions that require immediate medical care.

After-hours, weekend and holiday services.

Convenient walk-in care clinics for your non-urgent health needs.

About Our Network

Community Benefit

Emergency Rooms

Surgery Centers

Behavioral Health

Cancer Services

Family Medicine

Home Health and Hospice

Accepted Health Plans

Classes and Events

Health and Wellness

Medical Records

My Health Online

Symptom Checker

Physician Careers

Recruiting Events