Health Care

The TECH project is an international collaboration aimed at understanding patterns of technology adoption and diffusion of medical care and the effects of these patterns on patient outcomes. The team, organized from 17 developed countries, is exploring whether individuals living in countries that rapidly adopted new revascularization technologies and clot-dissolving drugs are more likely to survive heart attacks than individuals living in countries that have adopted such interventions more slowly.

The TECH project has three specific goals:

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Several recent studies have made clear that drug expenditures are rising more rapidly than other health care spending. What has not been clear, however, is how much drug spending is driven by price rather than volume and whether volume increases are appropriate. This DataWatch takes a closer look at the components and drivers of drug spending using large claims databases from managed care and employer-sponsored health benefit plans. In both environments this study found volume, not price, to be the largest driver of drug spending for seven diseases studied. For four of the diseases, we review the clinical issues that may have influenced volume growth.

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Encina Commons, Room 190
615 Crothers Way,
Stanford, CA 94305-6006

(650) 723-0570
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Professor, Health Policy
Professor, Medicine
Professor, Stanford Graduate School of Business (by courtesy)
Senior Fellow, by courtesy, Freeman Spogli Institute for International Studies
sarah_singer_head-2023.jpg PhD, MBA

Sara Singer, PhD, MBA, is a professor of health policy at the Stanford University School of Medicine and Professor by courtesy at the Stanford Graduate School of Business. She is the faculty director of the Health Leadership, Innovation, and Organizations (HELIO) Labs, which fosters interdisciplinary collaboration among colleagues from across the University, including Stanford Health Care and the Schools of Medicine, Business, Engineering, Design, Sustainability, Law, and Humanities and Sciences — and across the globe.

Singer's research in the field of health care management and policy is informed by her interdisciplinary training in health policy, organizational behavior, and general management. Using innovative mixed methods and organizational theories, she studies health-care teams and organizations to understand how leaders and policymakers can improve the safety and quality of health-care delivery through changes in institutional culture, leadership, organizational design, and team dynamics. Her research program is built around central challenges in health-care delivery (ensuring patient safety despite enormous complexity and uncertainty in diagnosis, treatment, and disease progression; integrating increasingly fragmented services across multiple service providers and organizations; and implementing, adapting, and sustaining innovations that enhance the value of health care), where my research suggests that learning- and systems-oriented leaders and teams and supportive organizational cultures are critical factors for creating a high performing health care delivery system.

Sara Singer on Communication in Health Care

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VA Palo Alto Medical Center
111C Cardiology
3801 Miranda Avenue
Palo Alto, CA 94304

(650) 493-5000 x64069 (650) 852-3473
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Professor of Medicine (Cardiovascular) and Professor by courtesy of Health Research and Policy at the VA Palo Alto Health Care System
HeidenreichPaulprofile.jpeg MD, MS

Paul Heidenreich MD, MS is Professor and Vice-Chair for Clinical, Quality, and Analytics in the Department of Medicine. He also directs VA's Quality Enhancement Research Initiative (QUERI) in Medication Management and the Echocardiography Laboratory at the VA Palo Alto Health Care System. His research focuses on interventions to improve the quality of care for heart disease patients; the use of echocardiography to predict prognosis; the cost-effectiveness of new cardiovascular technologies; and outcomes research using existing clinical and administrative data. His administrative efforts focuses on measuring, improving, and disseminating the quality of care provided by faculty in the Department of Medicine.

Stanford Health Policy Associate

Health Economics Resource Center (152)
Veterans Affairs Medical Center
795 Willow Road
Menlo Park, California 94025

(650) 493-5000 ext. 22813
0
Professor (Research) of Pediatrics (Neonatology)
Associate Director, VA Women's Health Evaluation Initiative
Associate Director, VA Geriatrics and Extended Care and Data Center
ciaran_phibbs_head-2023.jpg PhD

Ciaran Phibbs is a health economist at the VA Palo Alto Health Care System's Health Economics Resource Center, and Associate Professor of Pediatrics (Neonatology), and a CHP/PCOR associate.  At the VA, he is also the Associate Director of the Geriatrics and Extended Care Data and Analysis Center and for the Women’s Health Evaluation Initiative.  His primary research interests are on how hospital competition interacts with costs, demand, and outcomes, and perinatal and neonatal care. His specific areas of focus of research projects has included: how hospital and patient characteristics affect demand for hospital services, defining hospital markets, hospital scale economies and capacity utilization, how NICU care effects neonatal mortality, the effects of nurse staffing on patient outcomes, evaluating the effectiveness of clinical interventions, and demand for VA services and veterans' choice between VA and non-VA services. Much of his work has depended on complex data linkages to address omitted data problems.  He also works on cost and cost-effectiveness analyses for clinical trials conducted by the VA Cooperative Studies Program.

Clinical Gardner Packard Children's Health Center 
3351 El Camino Rd., Ste. 100 
Atherton, CA 94027 

Alternate Contact
Peggy Simons 
peggy.simons@stanford.edu

(650) 725-8314 (650) 725-8292 (650) 362-2584
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Professor of Pediatrics at the Lucile Salter Packard Children's Hospital
fernando-mendoza_profilephoto.jpeg MD

Dr. Fernando Sanchez Mendoza is a Professor of Pediatrics and Associate Dean of Minority Advising and Programs at Stanford University School of Medicine. He joined the Stanford faculty in 1981 and became a Dean for Minority Advising and Program in 1983.  From 1996 to 2014, he was the Division and Service Chief for General Pediatrics at the Lucile Packard Children’s Hospital at Stanford. Dr. Mendoza’s academic career has been focused on Latino child health and workforce diversity. He has published numerous articles and chapters on the health of Latino and immigrant children, addressing issues of health care access, obesity, chronic disease, and childhood development. In workforce diversity, he has been the principal investigator of the HRSA Center of Excellence grant at Stanford School of Medicine for twenty years, developing pipeline, leadership, and faculty development programs. He published the first national study of diversity in departments of pediatrics, which demonstrated the underrepresentation of Latinos in pediatrics, and the need for Latino pediatric faculty and leaders.

As a leader in health disparities, Dr. Mendoza helped establish two local FQHC community clinics, was President of the Hispanic Serving Health Professions School, served on NIH and Institute of Medicine committees, and was recently appointed to the National Advisory Council for the National Institute of Minority Health and Health Disparities.  He has received regional and national recognition for his work from the California Latino Medical Association, National Hispanic Medical Association, Association of American Medical Colleges, Hispanic Business Magazine, the Centers for Disease Control, and the National Latino Medical Student Association. For his work in diversity, he has received the AAMC GSA-Minority Affairs Service Award, and Stanford’s JE Wallace Sterling “Muleshoe” Alumni Lifetime Achievement Award, the President’s Award for Excellence through Diversity, and the Dr. Augustus A. White Faculty Professionalism Award.

Stanford Health Policy Associate

Stanford University School of Medicine
1000 Welch Road, Suite #203
Palo Alto, CA 94304-1808

(650) 723-5906 (650) 723-9656
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Berthold and Belle N. Guggenhime Professor of Medicine, Emeritus
photo_color_jpg_003_002.jpg MD

Halsted Holman is the Berthold and Belle N. Guggenhime Professor of Medicine, Emeritus, and a CHP/PCOR associate. He was Chairman of the Department of Medicine and Director of the Clinical Scholar Program (CSP) at Stanford. His major research interests include the design, organization, and evaluation of experimental health care systems, studies of the effects of patient education programs on health outcomes in chronic disease, and inquiry into the roles of patients in clinical trials and clinical practice. He is a former President of the American Society for Clinical Investigation and the Western Association of Physicians.

Stanford Health Policy Associate

Crown Quad, #333
Stanford, California 94305-8610

(650) 723-2517
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Deane F. and Kate Edelman Johnson Professor of Law
hank_greely.jpg JD

Professor Greely's work has focused on the legal aspects of the health care financing system. His interests include the incentives for employers and insurers to discriminate among possible insured consumers and the legality of such discrimination. He is also interested in broad issues of health reform, in quality assurance, in practice guidelines, and in bioethics. He has also been increasingly active in the intersection of law and the revolution in genetics, including notably through his role as a co-director of the Stanford Program in Genomics, Ethics, and Society, as co-director of the Stanford Program in Law, Science, and Technology, as a member of the California State Commission on Human Cloning, and as a member of the Human Genome Diversity Project.

Stanford Health Policy Associate

VA Palo Alto Health Care System Medical Service (111) 3801 Miranda Avenue Palo Alto, CA 94304;

Encina Commons, 615 Crothers Way Room 210, Stanford, CA 94305-6006

(650) 493-5000,,1,,1,62105
0
Professor, Health Policy
Professor, Medicine (by courtesy)
mary_goldstein_profile.jpg MD, MS

 

Mary K. Goldstein is a Professor of Health Policy and a core faculty member at the Department of Health Policy and the Center for Health Policy, and the Director of the Geriatrics Research Education and Clinical Center (GRECC) at the VA Palo Alto Health Care System. She directs the Primary Care Policy and Practice Advancement program at PCOR, the Stanford/VA Palo Alto Geriatric Medicine Fellowship Program, and the Special Fellowship Program in Advanced Geriatrics at VA Palo Alto. She also serves as associate director for the Physician Post-Residency Fellowship Program in Health Services Research and Development, and for the Postdoctoral Fellowship in Medical Informatics, both at VA Palo Alto Health Care System.

Goldstein studies innovative methods of implementing evidence-based clinical practice guidelines for quality improvement. She leads the ATHENA Decision Support System project that has developed and implemented an automated clinical decision support system for primary care clinicians, using hypertension as a model, and now extended into several other clinical domains.  Goldstein's research also explores older adults' health preferences (health utility) for application to cost-effectiveness analysis.

Goldstein is a fellow of the American Geriatrics Society, and an emerita of the Society's board of directors. Goldstein has received a number of honors and awards including an Advanced Career Development award from the Department of Veterans Affairs Health Services Research and Development (HSR&D) program.  She received a BA in philosophy and an MD, both from Columbia University, and completed her residency in family medicine at Duke University Medical Center. At the Stanford School of Medicine she completed an AHRQ-funded fellowship and an MS in health services research.

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Graduate School of Business
Knight Management Center, W242
655 Knight Way
Stanford, CA 94305-7298

(650) 723-0641 (650) 725-1668
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Marriner S. Eccles Professor of Public and Private Management, Emeritus
enthoven.jpg PhD

Alain Enthoven is the Marriner S. Eccles Professor of Public and Private Management, emeritus, at Stanford University, and a core faculty member at CHP/PCOR. Known as the "father of managed competition," he was one of the founders of the Jackson Hole Group, a national think-tank on healthcare policy. His research focuses on the financing and delivery of health care in the United States and other industrialized nations, and cost-benefit analysis in medical care. In his numerous publications he has advocated a financially integrated healthcare delivery system that relies on market-based incentives to reduce medical costs and increase economic accountability and quality of care. He is currently working on a proposal for a "Market-based Universal Health Insurance System," being developed for the Committee for Economic Development.

Enthoven is a member of the National Academy of Medicine, a fellow of the American Academy of Arts and Sciences, and a former Rhodes Scholar. He is a consultant to the Kaiser Foundation Health Plan; chairman of the Health Benefits Advisory Council for the California Public Employees' Retirement System (CALPERS); a member of the board of directors of the Integrated Health Care Association; and a former chairman of Stanford University's Committee on Faculty/Staff Human Resources.

Enthoven was previously a visiting professor at the London School of Hygiene and Tropical Medicine (1998-99), and a Rock Carling Fellow of the Nuffield Trust of London (1999). He also served as an economist with the RAND Corporation and served as president of Litton Medical Products.

He received the Baxter Prize for Health Services Research (1994), and the Board of Directors Award from the Healthcare Financial Management Association (1995). In 1963, he received the President's Award for Distinguished Federal Civilian Service from John F. Kennedy. He received a BA from Stanford, a master's degree from Oxford and a PhD from the Massachusetts Institute of Technology -- all in economics.

Stanford Health Policy Associate
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