Research Topics
| Jeffrey AlexanderSummaryAffiliation: University of Michigan Country: USA Publications
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Publications
Use of care management practices in small- and medium-sized physician groups: do public reporting of physician quality and financial incentives matter?Jeffrey A Alexander
Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
Health Serv Res 48:376-97. 2013..To examine the effect of public reporting (PR) and financial incentives tied to quality performance on the use of care management practices (CMPs) among small- and medium-sized physician groups...
The policy context of patient centered medical homes: perspectives of primary care providersJeffrey A Alexander
Department of Health Management and Policy, The University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109 2029, USA
J Gen Intern Med 28:147-53. 2013..Using comparative, qualitative data, we identify several key policy impediments to PCMH implementation, and propose practical guidelines for addressing these issues...
Midterm observations and recommendations from the evaluation of the AF4Q initiativeJeffrey A Alexander
School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA
Am J Manag Care 18:s126-32. 2012..To offer midterm observations and recommendations based on how Aligning Forces for Quality (AF4Q) alliances are faring in their journey toward improving healthcare quality at the community level...- Does the patient-centred medical home work? A critical synthesis of research on patient-centred medical homes and patient-related outcomesJeffrey A Alexander
Department of Health Management and Policy, The University of Michigan, Ann Arbor, MI 48109, USA
Health Serv Manage Res 25:51-9. 2012..However, methodological and measurement issues present in much of this research should be considered when evaluating these findings. The article concludes with recommendations for future PCMH evaluation... - Patient-physician role relationships and patient activation among individuals with chronic illnessJeffrey A Alexander
Department of Health Management and Policy, The University of Michigan, Ann Arbor, MI 48109 2029, USA
Health Serv Res 47:1201-23. 2012..To examine whether chronically ill patients' perceptions of their role relationships with their physicians are associated with levels of patient activation... - Time issues in multilevel interventions for cancer treatment and preventionJeffrey Alexander
Department of Health Management and Policy, The University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109 2029, USA
J Natl Cancer Inst Monogr 2012:42-8. 2012.... - Methods and metrics challenges of delivery-system researchJeffrey A Alexander
School of Public Health, Department of Health Management and Policy, The University of Michigan, Ann Arbor, MI, USA
Implement Sci 7:15. 2012.... - Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation scienceLaura J Damschroder
HSR and D Center for Clinical Management Research, VA Ann Arbor Healthcare System 11H, 2215 Fuller Rd, Ann Arbor, MI 48105, USA
Implement Sci 4:50. 2009..It can be used to guide formative evaluations and build the implementation knowledge base across multiple studies and settings... - Consumer trust in sources of physician quality informationJeffrey A Alexander
University of Michigan, Ann Arbor, USA
Med Care Res Rev 68:421-40. 2011..These results suggest that the sources of public reports comparing physician quality may be a barrier to the use of quality data by consumers in the ways envisioned by supporters of greater quality transparency... - How do resource dependencies affect treatment practices? The case of outpatient substance abuse treatment programsJeffrey A Alexander
University of Michigan, Ann Arbor, MI 48109 2029, USA
Med Care Res Rev 65:729-47. 2008..The authors suggest strategies for organizations as well as policy makers to mitigate possible negative effects of very high reliance on one or two referral sources... - Organizational determinants of boundary spanning activity in outpatient substance abuse treatment programmesJeffrey A Alexander
Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI 48109 2029, USA
Health Serv Manage Res 21:168-77. 2008..This study sought to identify director, client, unit and market factors associated with active director boundary spanning... - Tailored treatment in the outpatient substance abuse treatment sector: 1995-2005Jeffrey A Alexander
Department of Health Management and Policy, The University of Michigan, Ann Arbor, MI 48109 2029, USA
J Subst Abuse Treat 34:282-92. 2008..This trend is troublesome given that minority clients constitute a large proportion of those utilizing OSAT programs... - Increasing the relevance of research to health care managers: hospital CEO imperatives for improving quality and lowering costsJeffrey A Alexander
Department of Health Management and Policy, University of Michigan, Ann Arbor, MI, USA
Health Care Manage Rev 32:150-9. 2007..Evidence-based management assumes that available research evidence is consistent with the problems and decision-making conditions faced by those who will utilize this evidence in practice... - Challenges of capacity building in multisector community health alliancesJeffrey A Alexander
School of Public Health, Ann Arbor, MI 48109 2029, USA
Health Educ Behav 37:645-64. 2010..These challenges often involved trade-offs and choices that alliances need to prepare for if they are to approach capacity building in a planful rather than a reactive manner... - Case management and client access to health and social services in outpatient substance abuse treatmentJeffrey A Alexander
Department of Health Management and Policy, The University of Michigan, 109 S Observatory, Ann Arbor, MI 48109 2029, USA
J Behav Health Serv Res 34:221-36. 2007..However, these effects are specific to general health care and mental health services. Case management appears to have little effect on use of social services or aftercare plans... - Managed care and access to substance abuse treatment servicesJeffrey A Alexander
Department of Health Management and Policy, School of Public Health, University of Michigan, 109 S Observatory St, M3507 SPH II, Ann Arbor, MI 48109 2029, USA
J Behav Health Serv Res 30:161-75. 2003..The complexity of managing in an environment of conflicting incentives may reduce the organization's ability to serve those with limited financial means... - Governance forms in health systems and health networksJeffrey A Alexander
Department of Health Management and Policy, The University of Michigan, Ann Arbor, USA
Health Care Manage Rev 28:228-42. 2003.... - Changes in the structure, composition, and activity of hospital governing boards, 1989-1997: evidence from two national surveysJ A Alexander
Department of Health Services Management and Policy, University of Michigan, 1420 Washington Heights, Ann Arbor, MI 48109, USA
Milbank Q 79:253-79, IV-V. 2001..Results also suggest parallel increases in collaboration between boards and CEOs and in board scrutiny of CEOs... - Directors' perceptions of the effects of managed care in outpatient substance abuse treatmentJ A Alexander
Department of Health Management and Policy, University of Michigan, School of Public Health, Ann Arbor 48109 2029, USA
J Subst Abuse 9:1-14. 1997..These results have implications for treatment given the rapid growth in managed behavioral care... - Managed care and technical efficiency in outpatient substance abuse treatment unitsJ A Alexander
Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor 48109 2029, USA
J Behav Health Serv Res 25:377-96. 1998.... - Community accountability among hospitals affiliated with health care systemsJ A Alexander
Department of Health Services Management and Policy, University of Michigan, Ann Arbor 48109, USA
Milbank Q 78:157-84, 149. 2000..Further, hospitals affiliated with different types of systems vary in the style and degree of accountability they demonstrate... - Whom do they serve? Community responsiveness among hospitals affiliated with health systems and networksShoou Yih D Lee
Department of Health Policy and Administration, School of Public Health, The University of North Carolina, Chapel Hill, North Carolina 27599 7411, USA
Med Care 41:165-79. 2003..As the US hospital sector becomes more consolidated, concerns have been raised about whether participation in health systems and health networks may reduce community hospitals' response to community health needs... - Influence of ownership on access in outpatient substance abuse treatmentTammie A Nahra
Department of Health Management and Policy, The University of Michigan, 109 S Observatory, Ann Arbor, MI 48109 2029, USA
J Subst Abuse Treat 36:355-65. 2009..While this work does not determine the underlying motivation behind access limitations, continued shifts in ownership structure should heighten the attention of policymakers... - Changes in managed care activity in outpatient substance abuse treatment organizations, 1995-2000Jeffrey A Alexander
Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, Mich, USA
J Behav Health Serv Res 30:369-81. 2003.... - Cross-functional team processes and patient functional improvementJeffrey A Alexander
Health Management and Policy, School of Public Health, University of Michigan, 109 Observatory Dr, Ann Arbor, MI. 48109, USA
Health Serv Res 40:1335-55. 2005..These findings indicate the potential appropriateness of managerial interventions to encourage member investment in team processes... - Quality improvement implementation and hospital performance on quality indicatorsBryan J Weiner
Department of Health Policy and Administration, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7411, USA
Health Serv Res 41:307-34. 2006..However, the direction of the association varied across different measures of QI implementation scope... - Governance and community benefit: are nonprofit hospitals good candidates for Sarbanes-Oxley type reforms?Jeffrey A Alexander
University of Michigan, Michigan, USA
J Health Polit Policy Law 33:199-224. 2008.... - The role of organizational infrastructure in implementation of hospitals' quality improvementJeffrey A Alexander
School of Public Health, University of Michigan, USA
Hosp Top 84:11-20. 2006.... - Changes in the monitoring and oversight practices of not-for-profit hospital governing boards 1989-2005: evidence from three national surveysJeffrey A Alexander
University of Michigan, Ann Arbor, MI, USA
Med Care Res Rev 66:181-96. 2009..This general pattern varies by the dimension of oversight and monitoring practice and by specific characteristics of NFP hospitals... - Measuring comparative hospital performanceJohn R Griffith
University of Michigan School of Public Health, Ann Arbor, USA
J Healthc Manag 47:41-57. 2002..S. hospitals. This set reflects correctable differences in performance between hospitals serving similar populations, that is, the measures reflect relative performance and identify opportunities to make the organization more successful... - The continuing problem of asthma in very young children: a community-based participatory research projectBelinda Wilburn Nelson
Center for Managing Chronic Disease, University of Michigan, 109 Observatory, Ann Arbor, MI 48109, USA
J Sch Health 79:209-15. 2009..This article describes the prevalence of asthma in a particularly vulnerable group: children aged 2-5 participating in Detroit Head Start programs... - Culturally competent treatment practices and ancillary service use in outpatient substance abuse treatmentCynthia I Campbell
The University of Michigan Department of Health Management and Policy School of Public Health, Ann Arbor, MI 48109, USA
J Subst Abuse Treat 22:109-19. 2002..Overall, certain CCTPs may influence the use of specific medical and psychosocial services, but may not be uniformly effective in promoting utilization of all services... - Who cares for involuntary clients?Soheil Soliman
Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, Michigan 48109, USA
Subst Abus 30:1-13. 2009.... - How do system-affiliated hospitals fare in providing community benefit?Jeffrey A Alexander
Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI 48109 2029, USA
Inquiry 46:72-91. 2009..Results further suggest that the level and type of community benefit is conditioned by the market under which system-affiliated hospitals operate... - Does quality improvement implementation affect hospital quality of care?Jeffrey A Alexander
School of Public Health, University of Michigan, USA
Hosp Top 85:3-12. 2007..Results supported the proposition that QI implementation is unlikely to improve quality of care in hospital settings without a commensurate fit with the financial, strategic, and market imperatives faced by the hospital... - An empirical taxonomy of hospital governing board rolesShoou Yih D Lee
Department of Health Policy and Administration, School of Public Health, University of North Carolina at Chapel Hill, 1101 McGavran Greenberg Hall CB 7411, Chapel Hill, NC 27599 7411, USA
Health Serv Res 43:1223-43. 2008..To develop a taxonomy of governing board roles in U.S. hospitals... - Explaining differences in operating costs among poison control centers: an exploratory studyJeffrey A Alexander
Health Management and Policy, University of Michigan School of Public Health Ann Arbor, Michigan 48109, USA
Clin Toxicol (Phila) 45:440-50. 2007..To explore the effects of population, staffing, location, and funding on cost per human poison exposure call; and organizational characteristics differentiating higher- and lower-cost centers... - The mental health care context and patient characteristics: implications for provider job satisfactionC Raymond Bingham
Department of Veterans Affairs, Department of Psychiatry, University of Michigan, HSR and D, Ann Arbor, MI, USA
J Behav Health Serv Res 29:335-44. 2002..Provider job satisfaction was found to be greater on smaller units and units with higher patient functioning and lower illness severity. Implications of these results are discussed... - Hospital responses to pay-for-performance incentivesKristin L Reiter
Department of Health Policy and Administration, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7411, USA
Health Serv Manage Res 19:123-34. 2006..Results of this research will help inform payers and hospital managers considering the use of incentives about the nature of hospitals' responses... - Does governance matter? Board configuration and performance in not-for-profit hospitalsJeffrey A Alexander
Health Management and Policy, University of Michigan School of Public Health, 1420 Washington Heights, Ann Arbor, MI 48109, USA
Milbank Q 84:733-58. 2006..However, effects of governance configuration were more pronounced in freestanding and public NFP hospitals compared with system-affiliated and private NFP hospitals, respectively... - The effects of governing board configuration on profound organizational change in hospitalsJeffrey A Alexander
Department of Health Management and Policy, School of Public Health, University of Michigan, 1420 Washington Heights, Ann Arbor, MI 48109, USA
J Health Soc Behav 47:291-308. 2006..Organizational performance influenced change, but largely independent of governance configurations. Only in the case of closure did we find that governance configuration operated jointly with organizational performance... - Is anybody managing the store? National trends in hospital performanceJohn R Griffith
School of Public Health, University of Michigan, Ann Arbor, USA
J Healthc Manag 51:392-405; discussion 405-6. 2006..The authors conclude that environmental forces are not stimulating improvement and that the overall picture is one of randomness rather than management... - Quality indicators and monitoring of mental health services: what do frontline providers think?Marcia Valenstein
Department of Veterans Affairs, Serious Mental Illness Treatment, Research, and Evaluation Center, Ann Arbor, Mich, USA
Am J Psychiatry 161:146-53. 2004..quot; The authors surveyed frontline mental health care providers to elicit their perceptions of widely used indicators for quality monitoring in mental health services... - Status differences in cross-functional teams: effects on individual member participation, job satisfaction, and intent to quitRichard Lichtenstein
University of Michigan School of Public Health, 109 Observatory, Ann Arbor, Michigan 48109, USA
J Health Soc Behav 45:322-35. 2004..We suggest changes in organizational structure and in team leadership styles that might make CFTs more effective... - Structural versus outcomes measures in hospitals: a comparison of Joint Commission and Medicare outcomes scores in hospitalsJohn R Griffith
University of Michigan School of Public Health, Ann Arbor, Michigan, USA
Qual Manag Health Care 10:29-38. 2002..The few significant correlations that appear are often counterintuitive. We conclude that a potentially serious disjuncture exists between the outcomes measures and Joint Commission evaluations... - Evaluating partnerships for community health improvement: tracking the footprintsStephen M Shortell
School of Public Health, University of California, Berkeley, USA
J Health Polit Policy Law 27:49-91. 2002..We explore the implications of this research for future evaluations of public-private community health partnerships... - Is managed care closing substance abuse treatment units?Rebecca Wells
Department of Health Policy and Administration, School of Public Health, University of North Carolina, Chapel Hill 27599 7411, USA
Manag Care Interface 20:28-32. 2007..Given the need for these facilities, however, and their vulnerability to closure, continued attention to managed care's potential influence is warranted... - What motivates people to participate more in community-based coalitions?Rebecca Wells
Department of Health Policy and Administration, School of Public Health, University of North Carolina, Campus Box 7411, 1104F McGavran Greenberg Hall, Chapel Hill, NC 27599 7411, USA
Am J Community Psychol 42:94-104. 2008..Coalition process competence was not associated with participation. These results suggest that leadership inclusivity rather than process competence may best facilitate member participation... - What can we learn from quality improvement research? A critical review of research methodsJeffrey A Alexander
University of Michigan, USA
Med Care Res Rev 66:235-71. 2009..The article concludes with a critique of these designs and suggestions for ways future research could address these shortcomings... - Organizational structure for addressing the attributes of the ideal healthcare delivery systemMark Cowen
Clinical Decision Services, Quality Institute, St Joseph Mercy Health System, Ann Arbor, Michigan, USA
J Healthc Manag 53:407-18; discussion 419. 2008..Clinical information for planning and evaluation is available at all levels. This model provides a framework for identifying the individuals and processes necessary to achieve IOM's vision... - Health services for women in outpatient substance abuse treatmentCynthia I Campbell
Division of Research, Kaiser Permanente Northern California, 2000 Broadway, 3rd Floor, Oakland, CA 94612, USA
Health Serv Res 40:781-810. 2005..Staff training may be one strategy to encourage implementation of these services. For the most part, the adoption of services for women did not change between 1995 and 2000... - Duration of nonmethadone outpatient treatment: results from a national surveyPeter D Friedmann
Providence Veterans Affairs Medical Center, Division of General Internal Medicine, Department of Medicine, Brown University School of Medicine and Rhode Island Hospital, Providence, RI 02903, USA
Subst Abus 27:47-53. 2006..This study examined organizational trends from 1990 to 2000 and unit characteristics associated with the duration of nonmethadone outpatient addiction treatment... - Administrative burden and its implications for outpatient substance abuse treatment organizationsChristy Harris Lemak
Department of Health Services Administrastion, University of Florida, PO Box 100195, Gainesville, FL 32610 0195, USA
Psychiatr Serv 54:705-11. 2003..The aim of this study was to examine the extent of administrative burden on outpatient substance abuse treatment organizations and its implications for efficiency and productivity... - Do licensing and accreditation matter in outpatient substance abuse treatment programs?Rebecca Wells
Health Policy and Administration, University of North Carolina, 1104 F McGavran Greenberg Hall, Chapel Hill, NC 27599 7411, USA
J Subst Abuse Treat 33:43-50. 2007..Licensing/accreditation may reveal as much about units' institutional environments as about the quality of treatment provided... - Organizational culture and physician satisfaction with dimensions of group practiceJames L Zazzali
RAND Corporation, 1776 Main St Santa Monica, CA 90407, USA
Health Serv Res 42:1150-76. 2007..To assess the extent to which the organizational culture of physician group practices is associated with individual physician satisfaction with the managerial and organizational capabilities of the groups... - The effects of relative resource configuration, organizational legitimacy, and integration on divestiture decisions among health systemsMelissa Succi-Lopez
School of Policy, Planning and Development, University of Southern California, Los Angeles, California, USA
Health Care Manage Rev 28:307-18. 2003..At the same time, our results identify three other factors influencing divestiture decisions: relative resource configuration, legitimacy, and integration... - The effects of leadership and governance processes on member participation in community health coalitionsMaureen E Metzger
INCAE Business School, La Garita, Alajuela, Costa Rica
Health Educ Behav 32:455-73. 2005..Participation costs, however, show no significant direct effect on the level of participation. Perceived personal influence appears to be primarily an outcome of participation rather than an antecedent... - Factors that influence staffing of outpatient substance abuse treatment programsChristy Harris Lemak
Department of Health Services Research, Management and Policy of the University of Florida, P O Box 100195, Gainesville, Florida 32610 0195, USA
Psychiatr Serv 56:934-9. 2005..This study examined whether and how various organizational and environmental forces influence staffing in outpatient substance abuse treatment programs... - Why do drug treatment organizations use contingent staffing arrangements? An analysis of market and social influencesChristy Harris Lemak
Department of Health Services Administration, University of Florida, P O Box 100195, Gainesville, FL 32610 0195, USA
J Health Soc Behav 44:180-97. 2003..By considering both market and social influences of contingent staffing, we contribute to a growing body of research on how markets and institutions interact to influence organizational structures and practices in the health care system... - Availability of services for women in outpatient substance abuse treatment: 1995-2000Cynthia I Campbell
Department of Psychiatry, University of California, San Francisco, CA, USA
J Behav Health Serv Res 33:1-19. 2006..Public units and hospital-affiliated units had greater service implementation than other units. However, OSAT units did not always implement the services they adopted, suggesting access to some services may be restricted... - Tailoring of outpatient substance abuse treatment to women, 1995-2005Cynthia I Campbell
Division of Research, Kaiser Permanente, Oakland, CA, USA
Med Care 45:775-80. 2007..Tailoring substance abuse treatment to women often leads to better outcomes. Previous evidence, however, suggests limited availability of such options... - Quality improvement implementation and hospital performance on patient safety indicatorsBryan J Weiner
University of North Carolina at Chapel Hill, USA
Med Care Res Rev 63:29-57. 2006..Percentage of physicians participating in QI teams is associated with better values on two patient safety indicators... - Managed care arrangements of health networks and systems. A review of the 1999 experienceGloria J Bazzoli
Department of Health Administration, Virginia Commonwealth University, 1008 E Clay Street, P O Box 980203, Richmond, VA 23298 0203, USA
J Ambul Care Manage 26:217-28. 2003..In light of this, it is now a good time for physicians and medical group managers to reflect on their experiences in the 1990s and to assess the merits and shortcomings of different intermediary organizations with which they may align... - Management and governance processes in community health coalitions: a procedural justice perspectiveBryan J Weiner
Health Policy and Administration, University of North Carolina, Chapel Hill 27599 7400, USA
Health Educ Behav 29:737-54. 2002..Personal influence in decision making and collaborative conflict resolution also exhibited direct relationships with all three indicators of coalition functioning examined in the study... - Computer simulation training enhances patient comfort during endoscopyRobert E Sedlack
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, USA
Clin Gastroenterol Hepatol 2:348-52. 2004..Although no measurable impact on residents' performance skills was observed, we do demonstrate that residents perceive themselves as having acquired greater endoscopic skills in contrast to staff evaluations... - A theory of physician-hospital integration: contending institutional and market logics in the health care fieldThomas G Rundall
University of California, Berkeley School of Public Health, Berkeley, CA 94720, USA
J Health Soc Behav 45:102-17. 2004.... - Review: how do hospital organizational structure and processes affect quality of care?: a critical review of research methodsLarry R Hearld
University of Michigan School of Public Health, Ann Arbor
Med Care Res Rev 65:259-99. 2008..The article concludes with recommendations of how health services researchers can expand their research to enhance one's understanding of the relationship between organizational characteristics and quality of care... - Evaluating community partnerships: a reply to Spitz and RitterStephen M Shortell
J Health Polit Policy Law 27:1023-8; author reply 1029-30. 2002
Research Grants
- Hospital quality indicatorsJeffrey Alexander; Fiscal Year: 2002..abstract_text> ..
- DRUG ABUSE TREATMENT SYSTEM SURVEYJeffrey Alexander; Fiscal Year: 2006..In short, NDATSS is well-positioned to become the critical source of information for monitoring and analyzing the on-going evolution of the nation's outpatient drug abuse treatment system. ..