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Browsing by Author "Daniels, Bobbi"

Now showing 1 - 2 of 2
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    Are Networks Key to Solving America’s Healthcare Crisis?, Examining the Performance of Medicare Accountable Care Organizations (ACOs)
    (2018) Kim, K. Dennie; Funk, Russell; Daniels, Bobbi; Zaheer, Aks
    Medicare Accountable Care Organizations (ACOs) were formed through provisions of the Affordable Care Act (2010) and are designed to reduce healthcare spending while improving care quality. Each ACO is a voluntary group of healthcare providers (e.g., physicians, hospitals, clinics) that agree to coordinate care for a group of patients. To better understand heterogeneity in ACO performance, we use network analysis to conceptualize ACOs are collaborative networks of organizations. Using patient-sharing data from more than 70 million pairs of physicians, we construct interorganizational networks for 250 ACOs from 2012 to 2015. We find that, generally, network disconnectedness--absence of connections between subgroups of connected ACO members--is associated with worse ACO performance. However, we also find that this association is moderated by the strength of network ties and the presence of teaching hospitals. In conclusion, our results suggest that while fragmentation among providers is, as expected, correlated with worse group-level performance, there may be various paths to healthcare improvement based on the idiosyncrasies of each ACO.
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    Transforming the University: Preliminary Report of the Clinical Sciences Enterprise Task Force
    (University of Minnesota, 2006-03-27) Daniels, Bobbi; Powell, Deborah E.
    The clinical sciences are the cornerstone of the educational and research missions of the Academic Health Center. The ability of the Academic Health Center to educate the next generation of health professionals will require an environment that attracts the most outstanding, imaginative and progressive students, a faculty that collectively can demonstrate innovation and leadership of aspects of the clinical science, and facilities that are designed to support the mission of the AHC and an evolving health care delivery system.