University of California, Davis Center for Healthcare Policy and Research
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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 ...............................................................................................................................