Health Economics & Evaluation Research

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Access to Pediatric Subspecialty Care

Program staff are conducting an extensive literature review and interviewing stakeholders to collect the most current information on pediatric subspecialty care in California.

Assessing the Role of Technology in Hospital Design

Program staff are conducting a technology assessment of new, integrated operating rooms at Ronald Reagan UCLA Medical Center.

Costs of Maternal Hypertension and Hemorrhage

This project estimated the costs of maternal hypertension and hemorrhage in California and for to Medi-Cal. This project was funded by the California Department of Public Health.​

California Children’s Services Pilot Evaluation (CCS)

In order to improve integration and coordination of the California Children’s Services pilot programs (authorized through the §1115 Medicaid Demonstration “Bridge to Reform” waiver) HEER staff will evaluate the programs' quality, patient and family satisfaction, as well as costs. This program works in partnership with the the University of California, San Francisco's Phillip R. Lee Institute, as well as with Stanford University.

California Children’s Services Redesign Project (CCS)

Under the direction of the California Department of Health Care Services (DHCS), HEER staff are facilitating a stakeholder-based process to investigate potential improvements and design changes to the California Children’s Services (CCS) program. The goals are to improve access to health care for children and youth with special health care needs (CYSHCN) and to eliminate the fragmentation that exists in the current health care delivery system. The stakeholder process will be used to inform decision-making and prioritization of CCS redesign efforts. The project will culminate with the HEER team’s development of a series of recommendations for redesign and an implementation plan for DHCS.

To learn more about the CCS stakeholder process 
here

The California Coverage Initiative and the Low Income Health Program (LIHP) Evaluation and Transition

Through two consecutive federal waivers, California established programs that sought new and innovative ways to expand health care coverage to eligible low-income, uninsured individuals not otherwise covered by Medi-Cal. From 2007-2014, the UCLA Center for Health Policy Research worked with the State of California Department of Health Care Services to evaluate the implementation and impact of two demonstration programs: The Health Care Coverage Initiative (HCCI) and the Low Income Health Program (LIHP).

California Primary Care Association

Program staff conducted a needs assessment for a program to create data sharing capacity in community clinics

Chronic Care Management (CCM)

Program staff are involved in evaluating and conducting research on various implementations of chronic disease management in community clinics (iCARE), county safety net systems (HCCI and LIHP), and HMOs (Office of the Patient Advocate).

Evaluating Case Management in the South Bay

Program staff are working with Beach Cities Health District to evaluate a chronic disease management intervention in Redondo Beach, Hermosa Beach, and Manhattan Beach.  The project will examine patient satisfaction, achievement of self-management goals, quality of care, and appropriateness of utilization.

Impact of Reductions in Disproportionate Share Hospital (DSH) Payments

Program team members are working on a project to estimate the impact of the Affordable Care Act on DSH subsidies for public hospitals in the state of California. Given the residual uninsured expected in the state, public hospitals who continue to see a high volume of uninsured patients after 2014 could be faced with reduced subsidies to offset their cost.

Office of the Patient Advocate (OPA)

Funded by a grant from the California Office of the Patient Advocate, HEER staff are measuring the impact on language access of a law requiring managed care plans to provide comprehensive interpretation and translation services to enrollees with limited English proficiency.

Patient Safety and Infection Reductions

Program staff are conducting a study to assess the cost-effectiveness of using copper bed surfaces to reduce infection rates in an intensive care unit at UCLA.
 

Patient Reported Outcomes

HEER staff are working on a study with partners at the NIH and other primary care researchers to develop, implement and test a patient survey tool for prioritizing clinical care and health interventions.

Pediatric Palliative Care Pilot Program

HEER staff are conducting a three-year evaluation of the cost effect and medical necessity of the Pediatric Palliative Care (PPC) Benefit Waiver Program. The PPC program, administered by the California Department of Health Care Services, was established to provide hospice-like benefits concurrently with curative care for children with life-threatening conditions and their families. 

Return on Investment of Prevention and Wellness Interventions

HEER staff worked with KEEN footwear and are currently working with the Trust for America’s Health (TFAH) to quantify and catalog community prevention programs and estimate the impact of community-based interventions on health, activity, obesity, and spending.​​