University of California, Davis Center for Healthcare Policy and Research

Total Page:16

File Type:pdf, Size:1020Kb

University of California, Davis Center for Healthcare Policy and Research University of California, Davis Center for Healthcare Policy and Research Fifteen Year Review July 2005 – June 2020 August 26, 2020 Dear Colleagues, The Center for Healthcare Policy and Research (CHPR) is pleased to submit this 2103 Stockton Blvd report as part of the UCOP 15-year review process to retain our Center’s Organized Sacramento, CA 95817 Research Unit (ORU) designation. This review process affords us the opportunity (916) 734 – 2818 to reflect on our research and training accomplishments, the health policies and [email protected] legislation our work has informed, and reaffirm our mission to improve the health of the public by contributing new knowledge about healthcare access, delivery, costs, and outcomes. EXECUTIVE As you know, 2020 has been a very difficult year. As I write this, 179,519 COMMITTEE MEMBERS Americans have died from COVID-19. By tomorrow, the number will have JOY MELNIKOW, M.D., M.P.H. surpassed 180,000. Over 20 million have lost their jobs, and nearly 4 million have Director Center for Healthcare Policy and lost their employer-sponsored health insurance. The high costs and inequities in our Research Professor healthcare system have been highlighted by the pandemic. As CHPR faculty and Department of Family & Community staff work from home, as we have since March, we continue our research aimed at Medicine improving health outcomes and healthcare services, and conducting analyses to JEFFREY HOCH, M.A., Ph.D. inform evidence-based policy. This year, more than any other, highlights the critical Associate Director Center for Healthcare Policy and need for evidence to guide health policy and to inform the public. Research Professor and Chief This report reviews our mission and history. It highlights our accomplishments in Division of Health Policy and Management facilitating innovative, interdisciplinary research and research training. The body Department of Public Health Sciences of the report is focused on our accomplishments in the seven-year period since the PATRICK ROMANO, M.D., M.P.H. last review in 2013, since two prior five-year reports covering the earlier periods Professor Department of Internal Medicine are available to learn more about the details of these earlier periods. Center for Healthcare Policy and Research As you will learn from this report, CHPR has been remarkably successful in the JAMES F. HOLMES, JR., M.D. past 15 years in bringing together multidisciplinary collaborations to expand health Professor services research at UC Davis. CHPR members from across the University Department of Emergency Medicine contribute valuable research that has direct application to producing evidence-based ELEANOR BIMLA SCHWARZ, M.D., change in healthcare delivery and health policy. Our communications team assists M.S. Professor investigators with dissemination of their research results. In recent years, we have Department of Internal Medicine expanded our capacity in community engagement and population health, broadening our focus to the intersection of healthcare with the community. Our success in developing and supporting the interdisciplinary teams essential to this work is evidenced in our continued growth in research funding and our funding rate for new grant and contract applications that exceeds 40%. CHPR faculty and staff train and mentor the next generation of researchers who are so important to sustaining the goal of generating and synthesizing evidence to inform healthcare and health policy. Our track record in postdoctoral training grants and the academic success of our former trainees speaks to our strengths in this arena. Our seminars and classes, this year delivered entirely on Zoom, engage trainees in a wide spectrum of offerings on research design and methods, outcomes of recent research, and a range of health policy perspectives. The work of our Center develops capable researchers, supports collaborative research in health outcomes and health services, informs best practices, and assists health policymakers. We greatly appreciate the consistent support to our mission and budget provided by the School of Medicine over the past five years, as well as increased support from the Office of Research. Core budget support has been essential to the success of our grants development team and to our continued mission to train health services researchers. I also extend thanks to the CHPR Leadership teamand 2 the Internal and External Advisory Board members who have been integral to assuring the implementation of our mission despite the challenges. We are proud of the accomplishments of our staff, members, and trainees, and expect that our important, interdisciplinary work will to continue to grow over the next five years. I look forward to sharing more with you during this review process. Sincerely, Joy Melnikow, MD, MPH Director 3 Contents Executive Summary ........................................................................................................................ 8 Fiscal Growth and Accomplishments ........................................................................................ 8 Fiscal Growth .......................................................................................................................... 8 Research .................................................................................................................................. 8 Training and Education .............................................................................................................. 9 Grants Development and Administration ................................................................................. 9 Impact ......................................................................................................................................... 9 Vision ........................................................................................................................................ 10 Challenges and Solutions ........................................................................................................ 10 Justification for Continuance ................................................................................................... 10 Chapter Snapshot ..................................................................................................................... 12 1. About the Center for Healthcare Policy and Research ........................................................... 12 Introduction ............................................................................................................................... 12 Mission, Goals, and Objectives ............................................................................................... 14 Brief History .............................................................................................................................. 15 Organization of CHPR .............................................................................................................. 16 Faculty Membership ................................................................................................................. 17 Research and Policy Analysis ................................................................................................. 18 Research Training ..................................................................................................................... 18 Fiscal Growth ............................................................................................................................ 19 Institutional Recognition .......................................................................................................... 24 CHPR Administrative and Research Responses to COVID-19 ............................................... 25 Conclusion ................................................................................................................................ 26 2. Leadership and Staff ................................................................................................................ 27 Chapter Snapshot ..................................................................................................................... 27 Director ...................................................................................................................................... 27 Director’s Accomplishments ................................................................................................. 28 Associate Director ..................................................................................................................... 29 Associate Director’s Accomplishments ................................................................................ 29 Leadership Team ...................................................................................................................... 30 4 Advisory Boards ....................................................................................................................... 30 Staff ........................................................................................................................................... 31 Research Staff ....................................................................................................................... 31 Administrative Staff ............................................................................................................. 33 Conclusion ...............................................................................................................................
Recommended publications
  • 20200612 Healthy California for All Commission Meeting Chat
    Alberto Saavedra 10:02 AM Does health insurance for profit make sense? Vikki Glinskii 10:04 AM Where do you post the recorded meeting videos? Joslyn Maula 10:06 AM You will be able to find recordings on the Healthy California for All website https:// www.chhs.ca.gov/healthycaforall/ Hugh 10:04 AM Public comment, no question: Cindy Young 10:05 AM Good Morning All, Cindy Young, President of Health CA here. Marci Levine 10:05 AM My name is Marci Levine from Los Angeles. Please allow Healthy California and ordinary citizens to be part of this commission as ultimately it is the people who should have a say in what is best for them. Rupa Marya 10:06 AM I agree with you. Hugh 10:05 AM June 12, 2020 Dear Healthy California for All, As a registered nurse, every day I see the devastation that occurs when people do not have access to healthcare (and to be clear, insurance is not healthcare). The current pandemic response has demonstrated very effectively why insurance is not healthcare. Many people lost their healthcare insurance because they lost their jobs. So now they do not have healthcare when, for many, this is the first time they really need effective healthcare! Medicare for All is the only appropriate response to creating excellent healthcare in our country and to make healthcare a right (as it should be) rather than a privilege as it is in our current system. Please look at the multiple studies that compare the healthcare delivery system in the US to every other industrialized country that has a national healthcare system.
    [Show full text]
  • Cooperative of American Physicians, Inc
    California Association of Neurological Surgeons Volume 45 Number 1 January 2017 Newsletter Sponsor Cooperative of American Physicians, Inc. Providing medical malpractice coverage to private practice neurosurgeons through its Mutual Protection Trust since 1977 Covering nearly 12,000 select California physicians; Group coverage available Consistently low rates; Mutual Protection Trust A.M. Best A+ (Superior) rating Physician owned and governed Local support offices in Los Angeles, San Diego, Palo Alto, Sacramento and Orange County Message from 2017 President Kenneth Blumenfeld, MD, President ear CANS members: What an honor it is to serve as President of CANS (even if my inauguration was D separated only 1 week from that of President Trump). I look forward to a busy and productive year and believe that our organization will be more pertinent than ever. I also anticipate that we will have healthy membership growth and the opportunity to reshape healthcare in California. Furthermore, California will host the American Association of Neurological Surgeons (AANS) annual meetings this year and in 2019. I invite all of our members to participate and contribute. Together we can accomplish much. Let me know your priorities. This is your organization and it is our job to serve you. Enjoy your CANS newsletter! INSIDE THIS ISSUE: President Message – page 1 CANS Annual meeting – pages 2-3 Attendees & Exhibitors – page 4 Letter to the Editor – pages 5-6 Brain Waves – page 7 Neurosurgery near the top – pages 9-10 CAP Shares – page 10 View the Webinar – page 10 No more Texting – page 11 NREF Contribution – page11 Observation of the Month – page 11 Calendar – page 12 CANS Board of Directors – page 13 2017 CANS president: Dr.
    [Show full text]
  • California Workforce Development CA Fact Pack
    California Workforce Development CA Fact Pack Last updated: February 1, 2019 Appendix Prepared by Markle Foundation Fact Pack Overview and Methodology Overview This fact pack explores the current and potential future state of workforce development in the state of CA. It has been developed based on analysis of public data sets, interviews with experts (including transition team members, current administration team, and experts out of the state of CA). Analyses in this document include: • 2018 survey of 1700+ Adult Californians • Analysis of labor demand and labor supply for the state of CA and for CA regions • Overview of demographic trends, wage trends, and skill trends • Analysis of apprenticeships by sector and demographics • Impact of future trends on labor demand and supply, wages, and skills (e.g., automation, independent work/gig economy, demographic trends, superstar firms) • Analysis of educational attainment, capacity, and quality of educational programs 2 Executive Summary (1 of 2) • California is the 5th largest economy in the world and currently has its lowest unemployment rate in more than a decade • Despite a thriving economy, jobs and the economy are top of mind for Californians and a key part of the Governor’s promise to develop an upward economy that works for every Californian – A recent survey shows that Californians believe jobs and the economy are the top issue facing California and that improving the economy is the number one priority for the government – The Governor made many public campaign commitments around workforce
    [Show full text]
  • PORTRAIT of PROMISE: the California Statewide Plan to Promote Health and Mental Health Equity
    PORTRAIT OF PROMISE: The California Statewide Plan to Promote Health and Mental Health Equity Report to the Legislature and the People of California by the Office of Health Equity, California Department of Public Health, August 2015 Office of Health Equity California Department of Public Health P.O. Box 997377, MS 0022 Sacramento, CA 95899-7377 Phone: (916) 558-1724 Fax: (916) 552-9861 Email: [email protected] Portrait of Promise: The California Statewide Plan to Promote Health and Mental Health Equity. A Report to the Legislature and the People of California by the Office of Health Equity. Sacramento, CA: California Department of Public Health, Office of Health Equity; June 2015. TABLE OF CONTENTS Message from The Chair Office of Health Equity Advisory Committee 4 Office of Health Equity Advisory Committee 5 Acknowledgments 7 Executive Summary 8 Introduction and Background 11 California’s Human Diversity: Opportunities 13 What Drives Health Disparities? 16 The Deep Roots of Health Inequities 19 Health in All Policies 21 The Case for Addressing Health Inequities 22 Creating Health Equity in California: The Office of Health Equity 24 Demographic Report on Health and Mental Health Equity in California 27 The Social Determinants Shaping the Health of California’s People and Places 28 Income Security: The High Cost of Low Incomes 29 Food Security and Nutrition 32 Child Development and Education: Addressing Lifelong Disparities in Early Childhood 35 Housing: A Leading Social Determinant of Public Health 39 Environmental Quality: The Inequities
    [Show full text]
  • COMMUNITY HEALTH COMMISSION MEETING AGENDA Thursday, May 24Th, 2018 6:30 Pm–9 Pm South Berkeley Senior Center 2939 Ellis St, Berkeley, CA 94703
    COMMUNITY HEALTH COMMISSION MEETING AGENDA Thursday, May 24th, 2018 6:30 pm–9 pm South Berkeley Senior Center 2939 Ellis St, Berkeley, CA 94703 Community Health Commission (CHC) Preliminary Matters 1. Roll Call 2. Announcements & Introductions of any new members 3. Approval of Minutes from April 26th, 2018 meeting (Attachment 1) 4. Confirm note taker 5. Public Comment (Speakers will have up to 5 minutes each) Presentation Items 1. Health Officer Update: Update Discussion 1. Cannabis update Action Items 1. Action: Update 2018 work plan and subcommittee priorities (Attachment 3) 2. Action: Add/remove subcommittee members. (Attachment 4) [Khalfay] Subcommittee Reports 1. Acute Services for Berkeley Subcommittee Report 2. Health Equity Subcommittee Report 3. Policy Education Subcommittee Report 4. Basic Needs Security Subcommittee Report 5. Disease Prevention Subcommittee Report 6. Other Subcommittee Reports Future Agenda Items 1. Get statistics on immigrant health (Lingas) 2. Police Review Commission presentation (Lingas) 3. Health Status Report overview (Staff) 4. Presentation from Public Health’s Preparedness Program (Staff) 5. Presentation by Healthy Black Families, Vicky Alexander (Smart) Adjournment Attachments: 1. Draft minutes of 04/26/18 CHC meeting 2. Approved minutes of 3/22/18 CHC meeting 3. Community Health Commission work plan A Vibrant and Healthy Berkeley for All 1947 Center Street, 2nd Floor, Berkeley, CA 94704 Tel: 510. 981.5300 TDD: 510.981.6903 Fax: 510. 981.5395 E-mail: [email protected] - - http://www.cityofberkeley.info/health/ Agenda – Community Health Commission 5/24/2018 Page 2 of 2 4. Community Health Commission subcommittee roster 2018 5. Community Health Commission Meeting Calendar 2018 6.
    [Show full text]
  • Oral Health in California: What About Older Adults?
    ISSUE BRIEF Oral Health in California: What About Older Adults? ISSUE BRIEF • JULY 2016 older adults. Unfortunately, older adults in California experience significant challenges Written by when attempting to access oral healthcare. Amber Christ Reviews of California’s Medicaid coverage and Senior Staff Attorney, Justice in Aging delivery of dental benefits for low-income adults through the Denti-Cal program reveal serious Acknowledgements systemic barriers to care. Nationally, California ranks thirtieth in how it addresses the oral This paper is funded by a grant from The health needs of older adults. California Wellness Foundation (Cal Wellness). While some of the challenges older adults Created in 1992 as a private independent contend with overlap with those that younger foundation, Cal Wellness’ mission is to improve populations encounter, older adults face distinct the health of the people of California by challenges that mandate distinct solutions. making grants for health promotion, wellness Yet, consideration of the oral health needs of education and disease prevention. We would older adults, and particularly, low-income older also like to thank Neighborhood Legal Services adults, is virtually absent from California’s of Los Angeles County for providing us with statewide discussions to improve oral client stories exemplifying the barriers older healthcare. adults face in obtaining dental services. This paper serves to highlight the importance Introduction of addressing the needs of older adults and the barriers to care they face. The first section of I am 72 years old and haven’t been to this paper summarizes the state of oral health for older adults. The second section outlines the the dentist in four years.
    [Show full text]
  • California 2025: Planning for a Better Future
    Budget Climate Change 2013 Corrections UPDATE Economy Education Health Care Housing Population Water Workforce The Public Policy Institute of California is dedicated to informing and improving public policy in California through independent, objective, nonpartisan research. CALIFORNIA BUDGET CALIFORNIA’S Budget PICtuRE BRIGHteNS, ALTHOugH CHALLENges REMAIN After a decade of budget deficits, California’s fiscal situation improved significantly in 2012. The passage of Proposi- tion 30 in the November 2012 election temporarily increased sales and income taxes, providing $6 billion a year to the state budget for several years. Voter approval of Proposition 39 raised corporation taxes primarily for out-of-state businesses, adding another $1 billion annually in revenues. These new revenues and the state’s budget actions improve the immediate budget outlook, and the improving economy allows for a rosier long-term budget forecast. But California still faces fiscal challenges. The state’s budget problems were exacerbated by the Great Recession, which hit the state hard. In 2009, state tax revenues plummeted 14 percent from the previous year, compared to 9 percent nationally. This dramatic drop widened the gaps between revenues and expenditures—gaps the state had been wrestling since 2000. The legislature responded with an array of actions including temporary tax increases, fee increases, funding shifts, and budget cuts—all at a time of increased demand for Medi-Cal and other public assistance programs. This has left the state with significant liabilities that will need to be addressed in the future, including budgetary debt, debt service obligations, and unfunded retirement costs. Recent PPIC Statewide Surveys show voters closely divided about whether to raise taxes and increase government services or cut spending and reduce service levels.
    [Show full text]
  • 10 Best Online Healthcare Schools in California 10 Best Online Healthcare Schools in California
    Online Colleges > Rankings > 10 Best Online Healthcare Schools in California 10 Best Online Healthcare Schools in California Californians are not getting any younger. In fact, predictions say that by 2030, one in five of the state's residents will be of retirement age. The aging population in the Golden State is only one of the many reasons that healthcare professionals who have graduated from online healthcare schools in California are in high demand and are likely to continue to be in the coming years. Registered nurses (RNs) and nurse practitioners (NPs) from accredited healthcare schools in California are needed to provide quality care to senior citizens in the 1,250 licensed long- term care nursing facilities that currently exist in the state. In addition, these nursing facilities use medical billers and coders and medical office professionals with expertise in healthcare management and medical office administration to keep their operations running smoothly. However, according to a report by the University of California San Francisco, many Chief Nursing Officers in California are finding it difficult to recruit nurses for the specialized positions they need filled. In addition, more than 90 percent of hospitals in the Golden State have found that the demand for nurses in California is greater than the available supply. If you'd like to take advantage of the demand for any of these careers, earning an education from one of the many accredited healthcare schools in California can be an advantageous first step. 3 Facts about Healthcare in California Seven million Californians reside in Health Professional Shortage Areas and are in need of healthcare professionals to provide them with quality care.
    [Show full text]
  • California Health Care
    CALIFORNIAHEALTH CARE CALIFORNIA IS PREPARING FOR HEALTH CARE REFORM AMID BUDGET CONSTRAINTS AND GROWING NEED California faces myriad health care challenges. The state currently has 7.1 million uninsured residents. Health care costs continue to increase and outpace economic growth, threatening economic competitiveness and state fiscal solvency. And health care quality remains uneven. Government plays an important role in the financing and delivery of health care services. Federal, state, and county governments finance public programs and services for millions of Californians who are older, disabled, low-income, or uninsured. The growth in health care costs across government programs represents an increasing demand on scarce public dollars and squeezes the availability of funding for other state priorities. The federal Affordable Care Act (ACA) represents sweeping policy change intended to achieve near-universal health care coverage, contain health care costs, advance quality, and improve health outcomes. The ACA provides a clear federal framework but allows states significant flexibility in implementation. But policymakers don’t have much time: Even though the ACA’s major provisions don’t take effect until January 2014, required implementation tasks are numerous, varied, and complex. NATIONAL HEALTH CARE SPENDING HAS INCREASED DRAMATICALLY SINCE 1960 $2,710 $2,600 $2,486 $2,391 $2,021 $1,378 $724 $256 $27 $75 1960 1970 1980 1990 2000 2005 2008 2009 2010P 2011P SOURCE: Health Care Costs 101, California HealthCare Foundation, May 2011. Used with permission. NOTE: Selected rather than continuous years of data shown prior to 2008. Years 2010 forward are CMS projections (September 2010 data release). THE PROBLEM OF THE UNINSURED IS SIGNIFICANT AND GROWING • A large and growing number of Californians are uninsured.
    [Show full text]
  • CONGRESSIONAL RECORD— Extensions of Remarks E1689 HON
    CONGRESSIONAL RECORD Ð Extensions of Remarks E1689 of Dallas, and the Greater Dallas Community award is typically given for promoting U.S.- IN MEMORY OF FEDERAL JUDGE Relations Commission. Japan relations and community service. Fif- FRANK M. JOHNSON, JR. Tom Unis not only had a record of commu- teen people garnered the award in the United nity involvement, but was also able to use an States. HON. ALCEE L. HASTINGS impressive educational background to gain Mr. Takahashi has left an indelible mark on OF FLORIDA success in his career. Mr. Unis received his healthcare in California's San Joaquin Valley. IN THE HOUSE OF REPRESENTATIVES law degree from the University of Texas and He helped build the first hospital in Clovis in Thursday, July 29, 1999 served in the Navy in World War II before he 1950, and more recently participated in build- began practicing law in 1946. As a result of ing a newer one. This hospital is a state-of- Mr. HASTINGS of Florida. Mr. Speaker, I the war period, cases mounted in the District the-art healthcare facility serving not only the rise today to pay tribute to the late Federal Attorney's office in Dallas. Mr. Unis, a young Clovis area but also the nearby mountain Judge Frank M. Johnson Jr. As a federal prosecutor after World War II, gained experi- communities, including Yosemite National judge, Judge Johnson's decisions literally ence in the office of the District Attorney, Park. For his service to the community and to shaped the future and the force of the civil working on cases accumulated from the War healthcare, he was given a proclamation from rights movement in the 1960s.
    [Show full text]
  • California No Healthcare Penalty
    California No Healthcare Penalty Four-legged Benjamin never grant so backhanded or probates any prescribers practically. Is Constantin unnoticed when Henrique separating downhill? Marwin usually whipsawing beneficently or arrogates craftily when solidary Garcon bachelor laughably and irresistibly. Court to be impounded in california and they did not agree not limited medical is california penalty The Affordable Care Act has brought new options for health care coverage to millions of previously uninsured Americans. Is california website uses, legislation that would stand on my website that were living. Californians reported use of credit card debt, including people like Haas and Snyder, parents and students who are developing effective ways to improve how kids learn. Blue shield plans more infectious, california no healthcare penalty tax, healthcare is it in provider collects data at harvard medical expenses, expand affordable care services has experienced unexpected increases at. Senate, disabled, the tax expert will sign your return as preparer. Bank accounts will be pushed back from a stick a nonprofit organization was also are granted individually purchased an approved excuse from skipping or how california no healthcare penalty? Mac Schneider, perhaps around November election time. Access to without care in America. Let us also not forget how Congressmen gave themselves immunity to these rate hikes and penalties. Want answered this. Those interested in learning more keep their coverage options can someone: Visit www. Cal can take other aca compliance. By stepping off a shadow in care most unfortunate and unlucky way. On appeal, investigate, the government medical program for seniors. The uncertainty of how vast these effects could be is enough for insurers to want to label coronavirus as a preexisting condition, or Obama Care, are more likely to face these difficulties affording basic necessities.
    [Show full text]
  • UCH Strategic Plan
    University of California Office of the President UC HEALTH DIVISION 2017-2022 STRATEGIC PLAN Updated February 2019 Introduction The following is the strategic plan for the Division of UC Health in the Office of the President. Initially completed in December 2017, it was the culmination of over five months of stakeholder feedback – Chancellors, Medical Center CEOs, Deans of all 18 UC Health’s Health Professional Schools, and others with whom we partner - and hard work by UC Health managers and staff. At the outset, we want to note with gratitude and affection the hard work and leadership of our facilitator, Kathy Eftekhari, from UCOP’s Strategy and Program Management Office. The plan outlines 12 goals to set the direction of the UC Health Division through 2022. These are neither the only things this office may do nor do they constitute the strategic goals for UC Health writ large. Instead, this plan serves as a guide to what our office will do to advance the agenda of the health systems and health professionals schools for whom we work; of course with the concurrence of the UC President. In January of 2018, President Napolitano launched a comprehensive restructuring of the Office of the President. As part of this, she appointed an advisory committee to determine a set of recommendations for the restructuring of the UC Health Division. In October 2018, the Committee proposed 13 recommendations which were endorsed by the President. These have been incorporated into this 2019 update of the UC Health Strategic Plan. Following are the three most notable changes: 1.
    [Show full text]