Scott Halpern has been awarded a five-year, $3.17 grant from the National Institute on Aging (NIA) to conduct a pragmatic randomized trial among seriously ill patients admitted to nine electronically integrated hospitals within the largest nonprofit health system in the U.S. The study will investigate the effectiveness of changing the current “opt-in” approach for palliative care consultations in the ICU to an “opt-out” model. In addition, the study will provide experimental evidence regarding the effectiveness of inpatient palliative care consult services in real-world settings, and will also gauge which types of services work best for certain types of patients.
Source: Philly.com, September 28, 2014
A Philly.com article refers to Katherine Milkman's research on temptation bundling in an article about building better habits. Her research showed that students who were only permitted to listen to a selected "sticky" novel at the gym exercised more than the control group and the group that was allowed to listen to their selected novel when they exercised at home as well. Milkman describes this as harnessing a bad habit and using its motivational power for good.
In a recent Washington Post article, Alison Buttenheim sheds light on the disturbing trend of an increasing number parents opting out of vaccinating their children in California. She believes parents are spreading their ideas that vaccines are unsafe or ineffective through social networks and these social processes produce clusters of vaccine refusers. When like-minded parents are drawn to the same schools, it creates schools and communities where vaccine refusal is the norm.
Jason Karlawish, in an op-ed piece for The New York Times, asks "when should we set aside a life lived for the future and, instead, embrace the pleasures of the present?" He notes that the United States Preventive Services Task Force finds that after certain ages, the benefits of prevention are not worth the risks and hassles of testing, surgeries and medications. He suggests that a national investment in communities and services that improve the quality of our aging lives might help us to achieve not only life, but happiness.
Strategy+business recently conducted a video interview with Wharton Professor Katherine Milkman about motivating people to achieve their goals. The key to achieving our goals throughout the year, shes says, is leveraging fresh starts--moments when we wipe the slate clean and are motivated to work harder.
A Philadelphia Inquirer article authored by David Asch, Roy Rosin and Raina Merchant reflects on why the ALS ice bucket challenge went viral and what health systems working on topics ranging from vaccinations and colorectal screening can learn from the campaign.
CHIBE Faculty member Alison Buttenheim has received a grant from the National Institutes of Child Health and Human Development to investigate the vaccination status of children exempt from school-entry immunization mandates. Her research in vaccine hesitancy and refusal titled “Potential Effects of California’s New Vaccine Exemption Law on the Prevalence and Clustering of Exemptions" was recently published in the American Journal of Public Health.
A Washington Post Article references Judd Kessler's latest research on organ donor registration. He found that just simply asking again for organ donation generated more organ donors. This suggests that policymakers should look for more opportunities to keep asking this question, like on income tax forms, as the researchers said some states are considering.
Wharton Professor and CHIBE faculty member Katherine Milkman recently spoke with strategy+business about her research on the "fresh start effect" with Hengchen Dai and Jason Riis.
Coinciding with the IOM's report on the governance and financing of medical education, David Asch proposes recommendations for the future of medical education in a Perspective piece in the New England Journal of Medicine. The recommendations include defining better measures of training success, testing fundamental changes to the structure and content of medical education and testing new approaches for financing medical education.
A study conducted by Peter Reese and colleagues recently found that kidney donors 55 and older had similar life expectancy and cardiovascular health as very healthy older people who did not donate their kidneys. “Our results provide valuable new data that can be used by transplant centers and physicians, and may well affect the decision-making for older patients considering donation,” says Reese.
Source: The Toronto Star, June 29, 2014
In a recent interview with the Toronto Star about whether incentives work to change health habits, Kevin Volpp discussed how people have a tendency of not wanting to attribute change to an incentive because they want to feel good about themselves. He also offers that "monetary incentives shouldn’t be used to change behaviour without a deeper shift in the culture of a company or a society toward living healthier or volunteering."
A recent study conducted by David Asch, Mitesh Patel and colleagues found that physician graduates from the MBA program in heath care management at Penn’s Wharton School report that their dual training had a positive effect on their individual careers and professional lives. Lead author Mitesh Patel commented that “Our findings may have significant implications for current and future physician-managers as the landscape of health care continues to change.”
A recent Wall Street Journal article features CHIBE's HeartStrong Study, funded by the Centers for Medicare and Medicaid. The study is currently testing new ways to motivate people to take their medicine more consistently—including greater involvement of friends and family and the possibility, every day, for those who take their pills to win a small cash prize. Shivan Mehta, director of operations at the Penn Medicine Center for Health Care Innovation, notes that people with active support networks tend to do better, with fewer hospitalizations and possibly lower mortality rates.
Source: LDI Health Economist, June 2014
A paper co-authored by a University of Chicago health economist and two LDI Senior Fellows has won the 2014 AcademyHealth "Article of the Year" award. The honor was announced at the health services research organization's annual research conference earlier this week.
Originally published in the Journal of Health Economics, the work, "Shipping out instead of shaping up: Rehospitalization from nursing homes as an unintended effect of public reporting," was produced by Tamara Konetzka, Associate Professor in the University of Chicago's Department of Health Studies; Dan Polsky, a Professor of both Medicine at Penn's Perelman School of Medicine and Health Care Management at The Wharton School; and Rachel Werner, Associate Professor of Medicine at the Perelman School.
Source: Penn Medicine News, May 8, 2014
In a Perspective piece published in the May 8 issue of the New England Journal of Medicine, David Asch, Christian Terwiesch, Kevin Mahoney and Roy Rosin discuss the concept of "insourcing" and suggest a four-stage design process which, when adopted internally, may help organizations implement more efficient health care delivery solutions.
A recent study conducted by Wharton Assistant Professor Katherine Milkman found that academic departments linked to more lucrative professions are more likely to discriminate against women and minorities than faculty in fields linked to less lucrative jobs. Milkman noted that "...in business academia, we see a 25 percentage point gap in the response rate to Caucasian males vs. women and minorities."
The RWJF funded "Applying Behavioral Economics to Perplexing Problems in Health and Health Care" Initiative, administered by CHIBE, funded a series of grants to drastically improve the delivery of health care and the promotion of health. The program received almost 600 applications for the first and second round and ultimately funded 14 grants in total. Results from the first round have been encouraging, notes Kevin Volpp. "Clearly behavioral economics approaches have a lot of potential to contribute to health care,” he said. “At the same time it’s also true that there’s a lot of work that needs to be done to figure out how those approaches can optimally contribute to health care and why some approaches that may be conceptually appealing are not successful, or only modestly successful, when deployed in field settings.”
Scott Halpern joins Carrie Colla of Dartmouth and Bruce Landon of Harvard in a NEJM Perspective Roundtable moderated by Harvard's Atul Gawande to address the problem of low-value care and discuss how physicians can work with patients to make appropriate choices regarding "low-value" interventions.