MAY 2019
In Health Services Research, Norma Coe and colleagues find that dementia's incremental costs to Medicare are significant: $15,700 per patient in the five years following diagnosis. One-Pager
A meta-analysis by Eileen Lake, Kathryn Riman, and colleagues shows that good nurse work environments are consistently associated with better patient, quality, safety, and job outcomes.
Research Snapshot
In a new study, Jay Giri and colleagues find that public reporting of mortality data for percutaneous coronary intervention may affect decisions to perform nonreported, but related, cardiovascular procedures. Blog
A new commentary by Tim Wang, Mark Wolff, and Neeraj Panchal makes the case for changes in policy and dental professional training to meet the oral health needs of the growing U.S. geriatric population. Blog
In a New England Journal of Medicine Perspective, Joshua Liao and colleagues discuss important differences between the new Veterans Affairs Center for Innovation and the Center for Medicare and Medicaid Innovation (CMMI). Blog
Transformative change in quality, access and cost of health care could be achieved through the use of "TurboTax"-like automation, writes David Asch in a New England Journal of Medicine Perspective. Commentary
In a PolicyLab blog post, Brian Jenssen describes how JUUL's past marketing efforts contributed to the dramatic rise in teen e-cigarette use over the last three years, and their new tactics targeting adults. Blog
In an AcademyHealth blog post, Ashley Ritter, Austin Kilaru, and Charlene Wong outline three recommendations for expanding the workforce of clinicians who are also health services researchers. Blog
LDI and Penn Medicine's Institute for Biomedical Informatics hosted a 102-level workshop to make machine learning more accessible to a diverse group of faculty. News
Penn Medicine clinicians and staff "pitched" four high-value care models that would redesign the postpartum experience, improve liver cancer screening, proactively address mental health care, and initiate opioid use disorder treatment in the emergency department. Video
LDI@AcademyHealth 2019

We look forward to seeing colleagues at the upcoming AcademyHealth Annual Research Meeting in Washington, D.C. Penn LDI will be well represented by many Senior and Associate Fellows presenting their work throughout the meeting. Come find us in Booth #213!
Association of Health Related Quality of Life Domains with Daytime Sleepiness Among Elderly Recipients of Long-Term Services and Supports, Geriatric Nursing, March 2019, Glenna S. Brewster, Karen B. Hirschman, Barbara J. Riegel, Alexandra L. Hanlon, Liming Huang, Miranda V. McPhillips, Katherine M. Abbott, Mary D. Naylor

Planning for Food Access During Emergencies: Missed Meals in Philadelphia, American Journal of Public Health, April 2019, Eliza Whiteman Kinsey, Jason Hammer, Roxanne Dupuis, Rachel Feuerstein-Simon, and Carolyn C. Cannuscio

Individual and Organizational Factors that Affect Implementation of Evidence-Based Practices for Children with Autism in Public Schools: A Cross-Sectional Observational Study, Implementation Science, March 2019, Jill Locke, Gwendolyn M. Lawson, Rinad S. Beidas, Gregory A. Aarons, Ming Xie, Aaron R. Lyon, Aubyn Stahmer, Max Seidman, Lindsay Frederick, Cristine Oh, Christine Spaulding, Shannon Dorsey and David S. Mandell

What is the Marginal Benefit of Payment-Induced Family Care? Impact on Medicaid Spending and Health of Care Recipients, Health Economics, March 2019, Norma B. Coe, Jing Guo, R. Tamara Konetzka, Courtney Harold Van Houtven

Effect of Statins on the Association Between High Temperature and All-Cause Mortality in a Socioeconomically Disadvantaged Population: a Cohort Study, Scientific Reports, March 2019, Young Hee Nam, Warren B. Bilker, Charles E. Leonard, Michelle L. Bell, Lacy M. Alexander, Sean Hennessy

Racial, Ethnic, and Socioeconomic Inequities in the Prescription of Direct Oral Anticoagulants in Patients with Venous Thromboembolism in the United States, Circulation: Cardiovascular Quality and Outcomes, April 2019, Ashwin S. Nathan, Zhi Geng, Elias J. Dayoub, Sameed Ahmed M. Khatana, Lauren A. Eberly, Taisei Kobayashi, Steven C. Pugliese, Srinath Adusumalli, Jay Giri, Peter W. Groeneveld

When Is the Price Of a Drug Unjust? The Average Lifetime Earnings Standard, Health Affairs, April 2019, Ezekiel Emanuel

Treat-and-Release Emergency Department Utilization by Patients with Gynecologic Cancers, Journal of Oncology Practice, April 2019, Benjamin B. Albright, Mucio K. Delgado, Nawar A. Latif, Robert L. GiuntoliII, Emily M. Ko, Ashley F. Haggerty

Social Incentives to Encourage Physical Activity and Understand Predictors (STEP UP): Design and Rationale of a Randomized Trial Among Overweight and Obese Adults Across the United States, Contemporary Clinical Trials, April 2019, Joseph D. Harrison, Jeremy M. Jones, Dylan S. Small, Charles A. L. Rareshide, Gregory Szwartz, David Steier, James Guszcza, Pameljit Kalra, Brian Torio, Gregory Reh, Victoria Hilbert, Mitesh S. Patel

Barriers and Facilitators of PrEP Adherence for Young Men and Transgender Women of Color, AIDS and Behavior, April 2019, Sarah Wood, Robert Gross, Judy A. Shea, José A. Bauermeister, Joshua Franklin, Danielle Petsis, Meghan Swyryn, Linden Lalley-Chareczko, Helen C. Koenig, Nadia Dowshen

Isolated, Small, and Large Hospitals have Fewer Nursing Resources than Urban Hospitals: Implications for Rural Health Policy, Public Health Nursing, April 2019, Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake

Association of Medicare Spending With Subspecialty Consultation for Elderly Hospitalized Adults, JAMA Network Open, April 2019, Kira L. Ryskina, Yihao Yuan, Rachel M. Werner

State Gun Laws, Gun Ownership, and Mass Shootings in the US: Cross Sectional Time Series, BMJ, March 2019, Paul M. Reeping, Magdalena Cerdá, Bindu Kalesan, Douglas J. Wiebe, Sandro Galea, Charles C. Branas

When Is It Ethical for Physician-Investigators to Seek Consent From Their Own Patients?, The American Journal of Bioethics, April 2019, Stephanie R. Morain, Steven Joffe, Emily A. Largent

The Association of Financial Incentives for Low Density Lipoprotein Cholesterol Reduction with Patient Activation and Motivation, Preventive Medicine Reports, April 2019, Tianyu Liu, Kevin G. Volpp, David A. Asch, Jingsan Zhu, Wenli Wang, Ruoming Wu, Andrea B. Troxel, Darra D. Finnerty, Karen Hoffer and Judy A. Shea

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.