MAY 2018
The Healthy Nudge
Welcome to The Healthy Nudge . Each month, we'll get you up to speed on the latest developments in policy-relevant health behavioral economics research at CHIBE. Want more frequent updates? Follow us on Twitter @PennCHIBE and visit our website .
Exercise Habit Formation Mega-Study Begins
The Behavior Change for Good Initiative is launching StepUp, a mega-study focused on determining how persistent exercise habits are formed. The team, led by Angela Duckworth, PhD and Katherine Milkman, PhD, has partnered up with 24 Hour Fitness to recruit gym members to join the study.
Mitesh Patel Receives SGIM’s Outstanding Junior Investigator of the Year Award
The Society of General Internal Medicine awarded CHIBE affiliated faculty member Mitesh Patel, MD, MBA, MS with a prestigious Outstanding Junior Investigator of the Year Award at the 2018 Annual Meeting held last month. The award recognizes an SGIM junior investigator whose "whose early career achievements and overall bodies of work to date have had national impact on generalist research."
Gala Celebrates Innovation Tournament Winners
Earlier this year, the Penn ALACRITY Center conducted an innovation tournament to generate clinician ideas on how organizations can best incentivize the implementation of evidence-based mental health treatment. On May 16th, an IDEA Gala will recognize six tournament winners and open the discussion on how to move the ideas forward. The winners were selected with input from therapists, partners at the City of Philadelphia, and staff from CHIBE and the Center for Mental Health Policy and Services Research.
Blog Spotlight
In a recent interview for CHIBEblog, Associate Director Harsha Thirumurthy, PhD discussed his ongoing work leveraging behavioral insights, including lottery incentives and loss aversion, to increase HIV testing and treatment in eastern and southern Africa.
Work-in-Progress Seminar:
Capacity Pooling in Hospitals: the Hidden Consequences of Off-Service Placement
Hummy Song, PhD, MPP
Assistant Professor, Operations, Information and Decisions Department
The Wharton School
05/10 @ Noon
251 Biomedical Research Building
In The News
The best flu prevention might be behavioral economics

How to stop teens from texting and driving? Try money

How invisible forces shape our behavior

Health Check: World Immunization Week

Evidence-based policy will save us all a headache

Is it possible to change bad behavior - permanently?

How psychology explains the itch for spring cleaning

Penn doctors test ideas for higher-quality, lower-cost health care

It's not too soon to start advanced-care decisions

Novice drivers could be pursued with financial incentives to stop texting while driving
 CHIBE Profile
CHIBE External Advisory Board Member Karen DeSalvo, MD, MPH is Professor of Population Health at UT Austin Dell Medical School. Formerly, she served as Acting Assistant Secretary for Health and National Coordinator for IT at the U.S. Department of Health and Human Services.
What motivated you to join the CHIBE External Advisory Board? How does your experience as former Acting U.S. Assistant Secretary for Health & National Coordinator for Health IT inform your work with the Board?

I was honored to be invited to join in on the important work that CHIBE is engaged in. It was clear to me during my time at HHS that the macro level efforts we were undertaking to drive change in the health care system were essential, but not sufficient. Moving to value means truly being able to reward behaviors in the health care system that not only prevent unnecessary use of the health care system, but also help providers and consumers make good choices in the moment. I was excited about the approach CHIBE is taking to leverage human factors and technology in the models they are testing and evaluating. The opportunity to help CHIBE in their important work of creating those kinds of in-the-moment “nudges” that are needed in the health system seemed like a logical next step to carry forward the work of creating a value based system. 

How do you think behavioral economics might play a role in addressing social determinants of health?

Success in value-based care models is going to be dependent on the ability to assess and address the social determinants of health. We know so little about how to support and guide patients when they are outside of the health care environment, and its those decisions they make and the context in which they are making them that have such a dramatic impact on their health outcomes. Take for example, choices about food: what to eat, when to eat, what they can afford. There is a world of opportunity ahead to better understand the best evidence-based strategies to support people and health systems beyond the traditional clinical decision making.  

What are some examples of successful government-academic partnerships you have seen during your career?

One of the most successful government-academic partnerships for federal policy making is the IPA, inter-professional agreement. In this model, academic researchers are given time away from their academic duties to serve in government, particularly at the federal level, which brings an infusion of talent and ideas into federal policy and programs, but also provides an opportunity for researchers and academics to understand the kinds of challenges that policymakers are facing. When these researchers go back into academia, they can help to generate the evidence base to guide future policy-making. Sometimes we think of these individuals as being very senior; however, an IPA for a more junior investigator can be a more valuable step in their career to understand how to ask questions that can advance policy. A “tour of duty” at any level of government can help researchers in their efforts to have their science translate to policy. 
New Publications

The Center for Health Incentives and Behavioral Economics (CHIBE) at the University of Pennsylvania conducts behavioral economics research aimed at reducing the disease burden from major U.S. public health problems. Originally founded within the Leonard Davis Institute of Health Economics , our mission is to inform health policy, improve healthcare delivery and increase healthy behavior.
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