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Transforming health care
through research and education

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HRET Mission

Transforming health care through research and education.

HRET Vision

Leveraging research and education to create a society of healthy communities, where all individuals reach their highest potential for health.

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Plain Language Summaries

Quality and Board’s Role

Enhancing the Board’s Role in Quality (2007)
Principal Investigator: Brian Weiner, PhD, University of North Carolina at Chapel Hill
Aimed to develop practical knowledge about how to enhance the board’s role in quality, the report identifies three purposes for board involvement in quality.

Evidence-Based Design

The Evidence-Based Design Literature Review and Its Potential for Capital Budgeting of Healthcare Facilities (2007)
Principal Investigator: Glenn Ballard, PhD, University of California, Berkeley
Techniques for assessing literature reviews can assist in the evaluation of evidence-based design recommendations even before they are adopted into standards or codified into laws.

Quality and ROI

Business Case for Quality: Tracking the Cash Flows
Principal Investigator: George Pink, PhD, University of North Carolina
This study provides practical strategies and tools for assessing the impact of quality-enhancing interventions on a health care provider’s bottom line.

Evidence-Informed Management

Factors Associated with Use of Management Research in Health Systems
Principal Investigator: Anthony R. Kovner, PhD, New York University
Favorable external conditions, a questioning culture, an accountability structure, and participation in management research all encourage health system managers to use research-based evidence to improve their health systems’ performance.

Clinical Service Lines

Clinical Service Lines in Integrated Delivery Systems: An Initial Framework and Exploration
Principal Investigator: Victoria Parker, DBA, Boston University
An investigation of clinical service lines implemented by health care systems reveals a wide range of motivations, organizational arrangements, and implementation issues.

Clinical Practice Guidelines

Organizational and Clinical Factors Influencing Use of Clinical Practice Guidelines
Principal Investigator: Tamara T. Stone, PhD, University of Missouri-Columbia
Clinical practice guidelines can be effective toward reaching common system goals of improved patient care management. Identifying and overcoming institutional and operational barriers can help ensure the successful implementation of guidelines.

Physician Preferences and Product Line Management

Making and Enacting Strategic Decisions in Hospitals and Health Care Delivery Systems: Orchestrating Standardization
Principal Investigator: Eugene S. Schneller, PhD, Arizona State University
As hospitals strive to achieve savings by standardizing product SKUs and/or prices, some achieve more success than others. What factors are important in the successful management of physician preference items?

Leadership Development

Leadership Development in Health Care: Practical Strategies for Health Care Organizations
Principal Investigator: Ann Scheck McAlearney, ScD, Ohio State University
Practical information regarding the leadership development process for all levels of health care managers will help health care organizations identify, recruit, and retain future leaders.

Leveraging HIT

Handheld Computers in Clinical Practice: Implementation Strategies and Challenges
Principal Investigator: Ann Scheck McAlearney, ScD, Ohio State University
New insight and strategies can help health care executives leverage their investment in information technologies while enhancing the value of those investments at the clinical care delivery level.

HIT and Diabetes Management

Living With Diabetes Project
Principal Investigators: Harold I. Goldberg, MD, University of Washington, and Gretchen Murphy, RHIA, MEd, University of Washington
The Living with Diabetes Project examines the economic impact and effectiveness of two technology-based programs aimed at helping patients with type 2 diabetes manage their health.


Workforce Shortages: Lessons Learned from Other Sectors
Principal Investigator: Peter Cappelli, DPhil, University of Pennsylvania
By investigating options pursued by other industries that have experienced labor shortages, strategies are offered for addressing the health care industry’s shortage of nurses.

Performance Measurement

Performance Measures for Health Care Systems
Principal Investigators: David R. Nerenz, PhD, Michigan State University, and Nancy Neil, PhD, Virginia Mason Medical Center
An overview of performance measures and their successful implementation provides a valuable template for enhancing any health care organization’s performance measurement programs.

Market Forces and Hospital Service Lines

Enhancing Effective Responses to Market Entry by Specialty Hospitals and Ambulatory Surgery Centers
Principal Investigator: Dr. Lawton R. Burns, PhD
What impact do single specialty hospitals, ambulatory surgery centers, and retail clinics have on local market competition and cross-subsidization in community hospitals? This research details the effects of competitor entry in select service lines on the ability of incumbent hospitals to maintain the scope, quantity, and quality of their services.

Pulling the Pieces Together: Consolidation and Integration in Health Care Systems
Principal Investigator: Gloria J. Bazzoli, PhD, Virginia Commonwealth University
In a growing number of communities, market imperatives and consumer demands have become the driving force behind the centralization and consolidation of service lines in hospital health systems.

Incentives for Quality

Paying for Quality in Integrated Health Systems: Concepts, Empirical Evidence, and Lessons from the Field
Principal Investigators: Douglas A. Conrad, PhD, University of Washington, and Barry Saver, MD, University of Washington
The effect of incentives—from the health plan/purchaser to the provider organization and from the organization to the individual physician—is the focus of a project that surveyed and interviewed key medical and professional staff within 10 integrated health systems.

Practical Issues in the Design and Implementation of Pay-for-Quality Programs
Principal Investigators: Gary J. Young, PhD, Department of Veterans Affairs and Boston University, and Douglas A. Conrad, PhD, University of Washington
Analysis of issues surrounding the design and implementation of pay-for-quality programs offers insight to health system managers considering these programs or reevaluating their existing internal compensation mechanisms.

Quality Improvement

Improving Quality and Equity in Health Care by Reducing Disparities (2008)
Principal Investigator: Romana Hasnain-Wynia, PhD, Northwestern University Feinberg School of Medicine
Quantifying the specific drivers of disparities in health care systems can lead to a clearer understanding of where and why such disparities exist, enabling system administrators to develop, implement, and measure the progress of targeted interventions.

Assessing the Evidence on Continuous Quality Improvement Initiatives
Principal Investigator: Edward Hughes, MD, MPH, Northwestern University
Creating high quality outcomes requires identifying both the barriers to and facilitators of continuous quality improvement.

Using Utilization Measures to Improve Quality in Health Systems
Principal Investigator: Stephen M. Davidson, PhD, Boston University School of Management
Utilization data are essential tools for assessing the state of quality in a health care organization and developing a strategy to improve it.

Patient Safety

Factors Impacting the Implementation, Transfer, and Retention of Patient Safety Best Practices in North American Acute Care Hospitals: Assessing Organizational Readiness for Practice ChangePrincipal Investigator: Whitney Berta, PhD, University of Toronto
Understanding an organization’s capacity for change can result in more successful implementation of patient safety best practices.

Primary Care Improvements

Designing A 21st Century Approach to Primary Care
Principal Investigator: John R. Griffith, PhD, University of Michigan
A new vision of primary care—one built on a clinically and economically sound foundation—offers substantial benefits to both physicians and their patients.

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