JANUARY 2019
Two recent studies help us understand why opioid deaths continue to soar, even as states and health systems implement policies to curb overprescribing. Blog
Recent studies of the Medicare Hospital Readmissions Reduction Program's impact on mortality have reached different conclusions, sparking considerable debate online. Atul Gupta, the author of one such study, explains the reason behind such different results. Blog
In Pediatrics, Molly Candon, David Mandell, and colleagues explain how mandated insurance coverage for children's autism services increased out-of-pocket spending for families with the highest service use. Blog
Twelve LDI fellows from the School of Medicine, School of Nursing, Wharton School and Children's Hospital of Philadelphia have been awarded pilot grants for projects that address issues ranging from opioids, housing affordability, financial conflicts of interest, adverse selection, and much more. News
A federal judge recently blocked Trump administration rules that would exempt employers from providing free contraceptive coverage on religious and moral grounds. Allison Hoffman explains the significance of the ruling in Radio Times. Listen
In the Philadelphia Inquirer, Rinad Beidas describes how a simple intervention by primary care pediatricians - asking parents whether their children have access to guns, and providing mechanisms for safer storage - can save many lives. News
At a recent Penn LDI seminar, Distinguished Health Policy Fellow David Shulkin described several successes at the VA during his tenure, such as granting full practice authority to advanced practice nurses, and the development of advanced prosthetics for wounded veterans. News
Penn's Center for Improving Care Delivery for the Aging (CICADA) focuses on increasing the diversity of the health services research workforce, and improving care for vulnerable older adults. The first CICADA scholars are Kevin Ahmaad Jenkins, Adriana Perez, and Jasmine Travers. News
Researchers in behavioral science and health gathered at Penn to discuss their latest research findings, which address challenges such as obesity and alcohol-impaired driving. Photos
Last month, Penn LDI joined United States of Care for their inaugural convening of policymakers, advocates, influencers, and researchers to discuss the future of American health care. Dave Grande moderated a panel on the policy, political, and clinical building blocks for change. Recap
Patterns of Performance and Improvement in US Medicare's Hospital Star Ratings, 2016-2017, BMJ Quality and Safety, December 2018, Paula Chatterjee, Karen Joynt Maddox

Characterizing Tweet Volume and Content About Common Health Conditions Across Pennsylvania: Retrospective Analysis, JMIR Public Health and Surveillance, December 2018, Christopher Tufts, Daniel Polsky, Kevin G. Volpp, Peter W. Groeneveld, Lyle Ungar, Raina M. Merchant, Arthur P. Pelullo

Of Parachutes and Participant Protection: Moving Beyond Quality to Advance Effective Research Ethics Oversight, Journal of Empirical Research on Human Research Ethics, December 2018, Holly Fernandez Lynch, Stuart Nicholls, Michelle N. Meyer, Holly A. Taylor

Does Bad News Travel Faster? On the Determinants of Medical Technology Abandonment, Journal of Human Capital, December 2018, Julie Berez, Guy David, David H. Howard, Mark D. Neuman

Mothers' Mental Health Care Utilization After Screening for Postpartum Depression at Well Child Visits, Academic Pediatrics, November 2018, Stacey Kallem, Meredith Matone, Rhonda C. Boyd, James P. Guevara

Marginalization: Conceptualizing Patient Vulnerabilities In The Framework Of Social Determinants Of Health - An Integrative Review, Nursing Inquiry, November 2018, Foster Osei Baah, Anne M. Teitelman, Barbara Riegel

The Implementation of a Team Training Intervention for School Mental Health: Lessons Learned, Psychotherapy, November 2018, Courtney Benjamin Wolk, Rebecca Stewart, Ricardo Eiraldi, Peter Cronholm, Eduardo Salas, David Mandell

A Partially Structured Postoperative Handoff Protocol Improves Communication in 2 Mixed Surgical Intensive Care Units: Findings From the Handoffs and Transitions in Critical Care (HATRICC) Prospective Cohort Study, Annals of Surgery, November 2018, Meghan B. Lane-Fall, Jose L. Pascual, Hannah G. Peifer, Laura J. Di Taranti, Meredith L. Collard, Juliane Jablonski, Jacob T. Gutsche, Scott D. Halpern, Frances K. Barg, Lee A. Fleisher

Disparities in Breast Cancer Survival by Socioeconomic Status Despite Medicare and Medicaid Insurance, Journal of Human Capital, December 2018, Jeffrey J. Silber, Paul R. Rosenbaum, Richard N. Ross, Joseph G. Reiter, Bijan Niknam, Alexander Hill, Diana Bongiorno, Shivani Shah, Lauren Hochman, Orit Even-Shoshan, Kevin R. Fox

Trends in Opioid Prescribing and Dispensing by Veterinarians in Pennsylvania, JAMA Network Open, January 2019, Dana L. Clarke, Kenneth J. Drobatz, Chloe Korzekwa, Lewis S. Nelson, Jeanmarie Perrone

Financial Incentives for Achieving and Maintaining Viral Suppression Among HIV-positive Adults in Uganda: A Randomised Controlled Trial, The Lancet HIV, January 2019, Harsha Thirumurthy, Alex Ndyabakira, Kara Marson, Devy Emperador, Moses Kamya, Diane Havlir, Dalsone Kwarisiima, Gabriel Chamie

WHO WE ARE
As Penn's hub for health services research, health policy, and health economics, Penn LDI catalyzes and facilitates research collaborations and educational programs to expand knowledge and shape policy for a more effective health system.