LDI Issue Brief | Health Policy Seminar Series | PReP | MSHP Program
LDI's Health Policy Program makes Penn's health services research and education activities more accessible to policy makers through the review, interpretation, and synthesis of the work of LDI's Senior Fellows into cogent policy options and recommendations.

LDI's Health Policy Program was created in 1990 and formally designated by the University as the center of Penn's health policy-related activities. The Program's objectives include developing linkages with national, state, and local policy makers, agencies and other policy centers and communicating to them the results of policy-related research. Through conferences, seminars, workshops, and publications, LDI's Health Policy Program provides opportunities for dialogue among health services researchers, students, policy makers, and industry leaders. It also serves as the conduit between LDI Senior Fellows and legislative and corporate decision makers for advice and expert testimony.

Through its LDI Issue Brief Series, the program disseminates key policy findings of Senior Fellow research.

LDI Issue Brief

The Issue Brief series is one of the activities underway by the LDI Health Policy Program to provide health care decision makers with the results of timely relevant health services research. Issue Briefs are published nine times in the academic year.
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Evaluating Health Information Technology’s Clinical Effects
by B.L. Strom, R. Schinnar, Feb 2011

Treating Viral Respiratory Tract Infections with Antibiotics in Hospitals:
No Longer a Case of Mistaken Identity

by E. Lautenbach, I. Lee and K. Shiley, Dec 2010/Jan 2011

Preventive surgery is associated with reduced cancer risk and mortality in women with BRCA1 and BRCA2 mutations
by S. M. Domchek and T. R. Rebbeck, Oct/Nov 2010

Communities and Health: The Case of Inner-City Violence and Asthma
by A.J. Apter, Sept 2010

The California Nurse Staffing Mandate: Implications for Other States

by L.H. Aiken, May/June 2010

Direct-To-Consumer Advertising of Prescription Drugs

by D.L. Frosch, D. Grande, D.M. Tam, R.L. Kravitz Mar/Apr 2010

Foreclosure and Health Status
by C.E. Pollack and. J. Lynch, Jan/Feb 2010

Evaluating Residency Programs by Whether They Produce Good Doctors

by D.A. Asch, S. Nicholson, S. Srinivas, J. Herrin, A.J. Epstein, Oct/Nov 2009

Preventing MRSA Infection in the Community

by Ebbing Lautenbach, August 2009

The Burden of Health Care Costs for Working Families
by Polsky and Grande, July 2009

Time, Distance, and Access to Emergency
by Carr and Branas, April/May 2009

Paying People to Lose Weight and Stop Smoking
by Volpp, K., Feb 2009

The Best Laid Plans: Disappointments of the National Youth Anti-Drug Media Campaign
by Hornik, R., Dec 2008/Jan 2009

Medication Comprehension and Safety in Older Adults
by Metlay, J., Sept/Oct 2008

Drug Safety and Surveillance: the Case of Avandia

by Margolis, D., Summer 2008

Preventing Sudden Death: Implantable Cardioverter-Defibrillators in Elderly Cardiac Patients

by Groeneveld, P., May/June 2008

Hospital Performance Measures and Quality of Care
by Werner, R., Bradlow, E., Asch, D., March/April 2008

Voting by Older Adults with Cognitive Impairment
by Karlawish, J., February 2008

The Shape of Things to Come: Obesity, Aging, and Disability
by Alley, D., Chang, V., Doshi, J., January 2008

Predicting and Monitoring Antiretroviral Adherence
by Gross, R., November/December 2007

A Wake-Up Call: Quality of Care After Resident Duty Hour Reform
by Volpp, K,. Silber, J., September/October 2007

Beyond “Sicko”— Thoughts on Health System Reform

by Aiken, L. Caplan, A. Grande, D. Pauly, M. Rosoff A., Summer 2007

Reducing Firearm Injury: Lessons from Brazil
by Macinko, J. Marinho de Souza, M., June 2007

Medical Migration to the U.S.: Trends and Impact
by Polsky, D. Sochalski, J. Aiken, L Cooper, R., April/May 2007

How Health Affects Small Business in South Africa
by Chao, L. Pauly, M., March 2007

Time Under: Hospital and Patient Characteristics Affecting Anesthesia Duration
by Silber, J., February 2007

Flu-Related Hospitalizations in Children
by Keren, R. Coffine, S. Zaoutis, T., December 2006/January 2007

Lower Nicotine Cigarettes May Not Lower Harm
by Lerman, C. Strasser, A. Cappella, J., October/November 2006

Genetic Counseling and Testing for Breast Cancer Risk in African Americans

by Hughes Halbert, S., September 2006

Reacting to Antibiotic Allergies
by Apter, A. Strom, B., Summer 2006

Helping Smokers Quit Through Pharmacogenetics
by Lerman, C., May/June 2006

Preparing for the Next Natural Disaster: Learning from Katrina

by Kunreuther, H. March, 2006/April 2006

Antibiotics, Acne, and Upper Respiratory Tract Infections
by Margolis, D., February 2006

Understanding and Improving Hospice Enrollment
by Casarett, D., December 2005/January 2006

The Effect of Firearm Deaths on Life Expectancy and Insurance Premiums in the United States
by Lemaire, J., October/November 2005

No Time to Spare: Improving Access to Trauma Care
by Branas, C., September 2005

How Primary Care Practice Affects Medicaid Patients’ Use of Emergency Services
by Lowe, R. Summer 2005

Genetics, Disparities and Prostate Cancer

by Rebbeck, T. May/June 2005

Child Neurology: Workforce and Practice Characteristics

by Polsky, D., April 2005

Computerized Physician Order Entry Systems: The Right Prescription?
by R. Koppel, J.P. Metlay, A. Cohen, B. Abaluck, A.R. Localio, S.E. Kimmel, B.L. Strom., March 05

Complementary and Alternative Medicine: Personal Preference or Low Cost Option
by José A. Pagán, PhD and Mark V. Pauly, PhD, February 2005

Racial Disparities in Cardiac Care: Geography Matters
by Groeneveld, P., Dec. 04/Jan 05

Public Spending on Elders and Children: The Gap is Growing
by Pati, S. Keren, R. Alessandri, E. and Schwarz, D.

Trauma Center-Community Partnerships to Address Firearm Injury: It Can Be Done
by Richmond, T. Branas, and C. Schwab, W., October 04

Transitional Care for Older Adults: A Cost Effective Model
by Naylor, M., April/May 04

Professional and Public Attitudes Toward Incentives for Organ Donation
by Jasper, J. and Asch, D., March 04

The New Medicare Drug Benefit: Much Ado About Little
by Pauly, M., January/February 04

Self-Management Education of Children with Asthma: A Meta-Analysis
by Guevara, J., November/December 03

Hospital Nurse Staffing, Education and Patient Mortality
by Aiken, L. Clarke, S. Silber, J., Sloane, D. 9(2), October 03

The Ineffectiveness of Retrospective Drug Utilization Review
by Hennessy, S. Strom, B. 9(1), September 03

How Physicians React to Cost-Effectiveness Information
by Asch, D. Hershey, J. Ubel, P. 8(9), Summer 03

Guns in the Home: Risky Business
by Wiebe, D. 8(8), May 03

Market Reform in New Jersey and Quality of Care: A Cautionary Tale
by Volpp, K. Williams, S. and Pauly, M. 8(7), April 03

Gatekeeping and Children's Health Care Costs
by Pati, S. 8(6), March 03

"False Alarm" Mammography Results - How Do Women React?
by Kahn, B. and Luce, M. 8(5), February 03

Accomodating Medical School Faculty with Disabilities
by Steinberg, A. Iezzoni, L. Conill, A. Stineman, M. 8(4), December 02/January 03


The LDI Health Policy Seminar Series convenes national policy makers, corporate leaders, health services research faculty, and students to discuss issues in health care policy, delivery, and research. Seminar abstracts/summaries and speaker biographies are available. Seminars usually are held on Fridays. Check the LDI Calendar of Events for event details.

Archives and Summaries of Prior Talks

Available to Penn Researchers Only

To bring about change, research information must be targeted at the right people in the right format at the right time. In the era of disease management programs and evidence-based medicine, the process by which target groups become aware of, accept and utilize research information becomes critical. LDI conducts a spectrum of activities that link research and policy. Through targeted dissemination strategies, LDI communicates research results and promotes their application as a basis for sound clinical and public health policy.

Nearly all scientific projects have the potential for creating health policy ripples. The identification of a new gene related to the clinical course of prostate cancer may influence existing clinical and payment strategies for prostate cancer screening or treatment. How might existing technologies or practice patterns be displaced? How might health insurance and managed care companies react? What do potential patients need to know? What are the likely effects on other medical innovations?

The LDI Policy and Research Program (PReP) is available to all Penn researchers, and can be built into proposals to external funders. Increasingly, both public and private funders are interested in supporting work that can effect change, and are looking for proposals that include a strategy for explaining evidence to clinicians, policymakers and the public. We think research proposals will be stronger if they contain concrete strategies for this kind of policy dissemination.

LDI can design a strategy to meet the needs of each project, including services such as:

· Issue Briefs. These are four-page summaries of research results that highlight their social and policy relevance. They are written in easy-to-understand language with bullet points, headers, margin cut-outs and other devices to enhance delivery of the message. They are professionally written, formatted, printed and distributed to a wide, but carefully selected, audience of senators and members of congress and their staff, other politicians, key industry representatives, and other individuals who do not read scientific journals but are in a position to use the research results.

· Policy Roundtables. At key points during the conduct of the research, LDI can convene panels of national experts in health economics, health policy, health care management, insurance or other relevant fields. These panels, meeting perhaps for half a day, can discuss the intermediate and final results in order to help anticipate and communicate the wider implications of those research findings. These discussions can help frame the renewal applications of ongoing proposals or the development of new ones. And, as discussed below, they can form the substance of free-standing publications aimed at a policy audience.

· Seminars and Conferences. In the final year of your project, LDI can coordinate seminars and conferences attended by groups most interested in the research. These events can be organized to achieve specific goals (e.g. consensus panels to develop clinical or policy recommendations, or small breakout groups to identify potential barriers to effective implementation of findings).

· Policy Papers and other spin-off articles. As part of roundtables, conferences and seminars, or as stand-alone pieces, LDI staff can draft new manuscripts that position research results within their policy context so that they can be submitted to journals reaching new and wider audiences. Many investigators are not used to writing such papers, and LDI can provide first drafts and other assistance to get those papers written. Other spin-off articles, tailored in terms of content and communication styles, can be written as well

Here's how it works. Penn investigators call LDI as they develop proposals. LDI staff works with them to design a dissemination and communication strategy. LDI provides text to insert into the research plan, resources and environment pages, and budget justification. This program allows investigators to tap into LDI expertise in health policy, health economics and health services research to make proposals more competitive and attractive to a broad array of funders. The cost of the LDI Policy and Research Program is relatively low, and can be included as a direct cost in each proposal. It can easily fit into the new NIH modular budgeting format, as well as the budget requirements of many other public and private funders. Depending on the extent of LDI staff involvement and dissemination activities, this program may add less than 5-10% to project budgets. To find out more about this program, or to enlist our services, please email Janet Weiner, MPH.

The Master of Science in Health Policy Research Program (MSHP) at Penn is a two year, masters-level multidisciplinary training program designed to prepare graduates for health services research and health policy research careers in academic, government, community, and industry settings.

This program is based in the University of Pennsylvania's School of Medicine in collaboration with the Wharton School. The program is a joint venture between the Leonard Davis Institute of Health Economics (LDI) and the Robert Wood Johnson Clinical Scholars Program (RWJ CSP) and is closely affiliated with the Annenberg School for Communication, the School of Social Policy and Practice, and the School of Nursing.

Key Personnel
Katrina Armstrong, MD, MSCE Program Director, MSHP Program

Executive Committee
David A. Asch, MD, MBA  
Joshua P. Metlay, MD, PhD
Daniel E. Polsky, PhD, MPP
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