Donald A. Barr
Program in Human Biology, Building 20
Stanford University
Stanford, CA 94305-2160
Stanford Health Policy is a joint effort of the Freeman Spogli Institute for International Studies and the Stanford School of Medicine
FSI researchers consider international development from a variety of angles. They analyze ideas such as how public action and good governance are cornerstones of economic prosperity in Mexico and how investments in high school education will improve China’s economy.
They are looking at novel technological interventions to improve rural livelihoods, like the development implications of solar power-generated crop growing in Northern Benin.
FSI academics also assess which political processes yield better access to public services, particularly in developing countries. With a focus on health care, researchers have studied the political incentives to embrace UNICEF’s child survival efforts and how a well-run anti-alcohol policy in Russia affected mortality rates.
FSI’s work on international development also includes training the next generation of leaders through pre- and post-doctoral fellowships as well as the Draper Hills Summer Fellows Program.
Program in Human Biology, Building 20
Stanford University
Stanford, CA 94305-2160
Department of Anesthesia H3580
Stanford University School of Medicine
Stanford, CA 94305-5640
Alex Macario is a professor of anesthesiology and, by courtesy, of Health Research and Policy. He completed his undergraduate, medical school and business school training at the University of Rochester. He trained in anesthesiology at Stanford University and was chief resident. He then completed a fellowship in heath services research.
Dr. Macario has gained international recognition for his pioneering studies on operating room management, and the economics of surgery and anesthesia. He is particularly interested in the hospitalization costs for surgical patients, economic assessment of new drugs and devices for use in surgical care, and information technology to help physician leaders with clinical and administrative decision support in the surgery suite.
He is director of a Fellowship in the Management of Perioperative Services, based in the Department of Anesthesia. This postgraduate fellowship program trains several physicians per year in management science and applications to the delivery of surgical and anesthesia care.
Stanford University School of Medicine
1000 Welch Road, Suite #203
Palo Alto, CA 94304-1808
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.
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
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.
Also NBER Working Paper 6894, 1999
We present a methodology and database mediator tool for integrating modern knowledge-based systems, such as the Stanford EON architecture for automated guideline-based decision-support, with legacy databases, such as the Veterans Health Information Systems & Technology Architecture (VISTA) systems, which are used nation-wide. Specifically, we discuss designs for database integration in ATHENA, a system for hypertension care based on EON, at the VA Palo Alto Health Care System. We describe a new database mediator that affords the EON system both physical and logical data independence from the legacy VA database. We found that to achieve our design goals, the mediator requires two separate mapping levels and must itself involve a knowledge-based component.