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Effective Collaborations of Evaluators and Providers in Health Policy

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Notes

Recorded at the UTMB Health Policy Lecture Series, January 7, 2015. Craig Thornton, PhD, Senior Vice President of Mathematica Policy Research offers a discussion of developing health policy for collaboration between providers and evaluators of healthcare. Dr. Craig Thornton offers a discussion of developing health policy for collaboration between providers and evaluators in healthcare. He describes quality improvement efforts, systems change approaches, and partnerships for patients.

Learning Module Notes Modules

  1. Introduction (0:00 - 1:55)              
    • Dr. Ottenbacher introduces Dr. Thornton
  2. Setting the stage for collaboration (1:55 – 12:08)
    • Two Broad Policy Development Approaches: Independent Program Evaluation vs. Quality Improvement Efforts
    • Evaluators and Practitioners Working Together?
    • Evaluation Design Tensions
    • Takeaways on goals for policymaking
  3. Structured Training and Employment Transitional Services Demonstration (12:08-16:08)
    • A cautionary tale for people who study program operations
    • IMPACT evaluation: Assisting young adults with intellectual disabilities to get jobs
    • STETS Evaluation Findings
    • Lessons from STETS
  4. Transitional Employment & Training Demonstration (16:08-24:54)
    • Average monthly earnings for various participant groups
    • Evaluations based on random assignment are not always the best way to proceed
  5. Quality Improvement & Systems Change Approaches (24:54-27:56 )
    • PDSA (Plan, Do, Study, Act) Cycles
    • Action effort method 27:56-35:16 Partnership for Patients: An Illustrative Example
    • PfP: A large QI Effort
    • Medicare FFS 30-Day all-cause readmissions 
  6. Looking for the best of both worlds? Match the methods to the questions to the goals (35:16-1:00:13)
    • What do policymakers want to know?
    • Further design considerations
    • Looking at “emerging methods”
    • Build rigor into QI efforts
    • Estab. ongoing partnerships & Concluding remarks