Bryan Dowd's Research
ACA Section 10332 Technical Assistance Contract
The contract provides CMS data support to Qualified Entities (QEs) in using Medicare claims data. In addition, the team is providing education and training opportunities focused on better understanding Medicare claims data tailored to Qes.
Advisory and Assistance Services in the Areas of Health Care Financing and Medicare
Alternative Approaches to Measuring Physician Resource Use
The purpose of this research is to suggest and develop alternative approaches to the commercial episode grouper-based resource use measures for the value-based purchasing system for traditional Medicare services.
Consultation on Development of Physician Quality & Resource Use Reports using Medicare Fee-for-Service Data
This subaward provides consultation services to Mathematica's task order Development of Physician Quality and Resource Use Reports Using Medicare Fee-for-Service Beneficiary Data. The overall purpose of the project is; (1) to identify fair, actionable, and meaningful measures of resource use and clinical quality for both physicians and physician practices, with the ultimate goal of using composite scores of resource use and quality to implement a value-based payment modifier, and (2) We are producing and disseminating approximately 20,000 confidential feedback reports to individual physicians and medical groups in 2011 that compare patterns of resource use and clinical quality, to encourage quality improvement and more efficient medical practice.
Determinants of Gambling: Distinguishing Between Disordered and Recreational Gambling
This project investigates the determinants of disordered gambling (especially the economic and demographic ones, holding constant genetic and familial characteristics) and how they differ from the determinants of recreational gambling. Using the National Institute on Alcohol Abuse and Alcoholism National Epidemiologic Survey on Alcohol and Related Conditions, and the Minnesota Twin Family Study data, they are conducting a series of regressive analyses to identify the determinants and estimate their relative importance.
Developing Evidence to Inform Decisions about Effectiveness Research Network-2 (DE-cIDE2)
Beth A. Virnig
Investigators: Bryan Dowd, Robert L. Kane, Karen Kuntz, A. Marshall McBean, Russell Luepker, John Connett, Timothy Church
Funding Agency: Agency for Healthcare Research and Quality
Funding for a research center participating in the DEcIDE-2 Network program to assist AHRQ and other Federal agencies with patient-centered outcomes research, including studies on comparative clinical effectiveness as authorized by Section 1013 of MMA Act of 2003.
Implementation and Monitoring of the Medicare Hospital Gainsharing Demonstration
This project is collecting and tabulating relevant data and helping CMS and hospitals select or devise suitable methods to measure quality and financial implications.
LivingWell@Home Research Project
Leslie A Grant
Investigators: Bryan Dowd, John A. Nyman
Funding Agency: The Evangelical Lutheran Good Samaritan Society (The Leona M. and Harry G. Helmsley Charitable Trust, Prime)
This study evaluates the efficacy of using telehealth technology (e.g., Honeywell's HomMed products and peripherals) and/or sensor technology (e.g., motion sensors, bed sensors, passive fall detection and related devices). This project tests these technologies among at-risk seniors living in a variety of long term care settings to evaluate the extent to which this technology: a) reduces the risk of hospitalization and nursing home placement, b) reduces overall healthcare costs, and c) improves quality-adjusted life years, functional status and other health-related outcomes.
MASTER: Medicare/Medicaid Research and Demonstration (MRAD/TOC)
The work awarded under this MRAD/TOC involves a broad range of research and demonstration projects to develop and implement new health care financing and payment approaches and to evaluate the impact of CMS programs on its beneficiaries, providers, States, and other customers and partners. The scope of activities are embracing all areas of health care research: costs, access, quality, service delivery models, and financing and payment approaches.
Physician Quality Reporting and Patient Outcomes in Medicare
One of the most important changes in the U.S. healthcare system in the past thirty years is the increased dissemination of data on health care quality at the health plan, hospital and physician level. There have been special challenges in measuring quality at the physician level. The largest and most comprehensive physician quality reporting effort in the U.S. is Medicare's Physician Quality Reporting Initiative or PQRI, begun in mid-2007. This research is using interrupted time series analyses to examine the relationship between the PQRI quality measures and four different outcome measures: avoidable emergency department (ED) visits, ambulatory care sensitive (ACS) hospitalizations, readmissions, and health expenditures. The analysis is based on large Medicare claims data bases (inlcuding PQRI reports) covering the years 2000 to 2010.
Predictors of Health Care Utilization and Costs Attributable to Hip Fractures
In this project, the researchers will use a database linking the Study of Osteoporotic Fractures (SOF) prospective cohort dataset with Medicare claims data to accurately and precisely quantify the health care costs attributable to hip fracture. They will then estimate the associations of individual patient trajectories of pre-fracture characteristics and health care system structural variables with health care costs and utilization attributable to hip fracture. Results from this project will lay the foundation for future intervention studies and policy planning to reduce the overall societal burden of hip fractures.
University of Minnesota AHRQ NRSA Doctoral Training Program
This project is is using pre-doctoral training funds for the doctoral training program in Health Services Research, Policy and Administration (HSRPA) at the University of Minnesota. The AHRQ/NRSA traineeships represent our largest and most important source of funding and are crucial in our efforts to attract high quality students. The doctoral program is housed in the Division of Health Policy and Management in the School of Public Health. Dr. Bryan Dowd is serving as Training Program Director, and principal investigator on the AHRQ/NRSA training grant.