Research Seminar Series | Pilot Projects Program | Poster Service | HSR Data Center | MSHP Program | HSR@Penn

LDI conducts an integrated, collaborative research program in health care evaluation, delivery, economics, management, and policy.

LDI's research objectives are to:

    Advance fundamental knowledge of issues central to the improvement of health care delivery through better understanding of the efficient allocation of health resources, appropriate uses of those resources, and development of innovative health care delivery systems; and;

    Guide and influence health policy at the national, state, local, and organizational levels such that those policies lead to more efficient and equitable health care for the public.

LDI's research is focused in three primary areas:
    Evaluation of health care interventions: The effectiveness and appropriateness of medical practice contribute significantly to the quality, outcome, and cost of care. Areas being investigated include the adoption and diffusion of new technologies, the cost-quality trade-offs in health care, and the cost effectiveness of medical interventions.

    Financing, organization, delivery, and management of care: Providing affordable, quality health care to all Americans requires that financial and other barriers to access be eliminated. These barriers include insufficient alternative delivery systems, inefficient regulation, and lack of sufficient information to users of health care. LDI Senior Fellows examine factors that influence the demand for and supply of care, health care financing, management of systems, workforce issues, the economic implications of health expenditures, and resource use.

    Changing provider and patient behavior: Increased competition and resource constraints influence institutional growth, structure, and adaptability, and impact on provider and patient behavior. LDI Senior Fellows are investigating how provider payment, clinical protocols and guidelines, ambulatory DRGs, resource-based relative value scales, volume performance standards, and organizational and administrative interventions influence provider, patient, and institutional decision making and behavior.


The Leonard Davis Institute Research Seminar Series convenes health services research faculty, researchers, and graduate students for in-depth discussion of health services research issues, methodological challenges and approaches, study findings,and policy implications. Seminar abstracts and speaker biographies are available. Seminars are held on Fridays. Check the LDI Calendar of Events for event details.
Archives of Prior Talks

By funding pilot research, working groups and innovative small grants in the broad category of health services research, LDI’s Call for Proposals seeks to:

  • Stimulate innovative research ideas among the Penn community,
  • Encourage the development of new collaborations between investigators of different backgrounds and disciplines
  • Encourage cross-school collaborations

Approximately 5-8 projects of up to $20,000 each will be competitively awarded under this solicitation.

2008 Call for Proposals


The Leonard Davis Institute of Health Economics (LDI) sponsored it's seventh round of LDI Pilot Projects Program in 2007. Five LDI Pilot Projects were funded to the following awardees:

The Organization of Emergency Medical Services for Improved Public Health
Principal Investigator:
Guy David, PhD, Assistant Professor of Health Care Systems

Service Pathways Used by People with Mental Illness Leaving Jail
Principal Investigator: Jeffrey Draine, PhD, MSW, Associate Professor Social Policy and Practices

Expectations and Beliefs about Aging-Related Movement Changes
Principal Investigator: Nabila Dahodwala, MD, Research Assistant Professor of Medicine

Impact of the Medicare Modernization Act on Medicare Part B Drug Utilization and Spending
Principal Investigator: Jalpa Doshi, PhD

Developing a National Survey of Emergency Physician Knowledge and Attitudes on Regionalization of Emergency Services
Principal Investigator: Brendan Carr, MD

Evaluation of a Regionalized System of Adult Critical Care
Principal Investigator Jeremy Kahn, MD

Who is Served and Who is Serving? Race, Health Care, and Health Care Professions Training
Principal Investigator Amy Hillier, PhD

Forecasting Prescription Drug Expenditures for Medicare Beneficiaries: A Comparison between Econometric and Artificial Neural Network Models
Principal Investigator Dan Polsky, PhD

The Effect of Pay-for-Performance Hospital Measures on Vulnerable Populations
Principal Investigator Edmondo Robinson, MD

Selective Adoption: the Case of Surgeons
Principal Investigator Mark Pauly, PhD


Archive of past Pilot Grants


We are pleased to introduce a new service to LDI Senior Fellows. On a trial basis, LDI will now produce your scientific posters free of charge.

The service is simple and we hope it will be of great value to you. For your convenience, we have created a poster template in PowerPoint.
Click here to download the template:
LDI Poster template (white)

Using the service is easy. Here's how:

1. Either the first or senior author must be an LDI Senior Fellow (but not an Adjunct Senior Fellow).

2. At least two weeks before you need the poster, download the most recent version of the template. Last minute poster requests will be considered, but cannot be guaranteed.

3. You will need to save the template download to your desktop or C drive before inserting poster content. The template is in PowerPoint format, and should be easy to edit. You will notice that the LDI logo features prominently. Senior fellows are reminded that a condition of their Senior Fellowship is that LDI should be mentioned on all publications and presentations. There is also room for an additional logo.

3. Replace the placeholder content with your content. We have provided several tips (located on the template ) to use as guides in producing these posters.

4. Send the final version of your file to Elisabeth Brown.

5. Elisabeth will print the poster and contact you for pick up or delivery.

This is a new service and we are experimenting with it. We hope it will be of value and that we can continue to offer it free of charge.

Remember:

If you're unsure how to proceed: contact Elisabeth.
If you have a problem with the process or want to make suggestions: contact Elisabeth.

We look forward to working with you.



The LDI Health Services Data Center (HSRDC) was established in 2005 to facilitate health services research by LDI Senior Fellows at the University of Pennsylvania using highly sensitive patient information.

Key Personnel

David Asch, MD, MBA
Katrina Armstrong, MD, MSCE
Peter Groeneveld, MD, MS
Alexis Greenhut, MPH
Nate Digiorgio
John Quigley
LDI, Executive Director
LDI, Director of Research
Director, HSRDC
Coordinator, HSRDC
Systems Architect
Consulting System Administrator

Contact
Alexis Greenhut, MPH alexisg2@mail.med.upenn.edu

FAQ
Q1: Why and how does LDI support the HSRDC?

A1: As it is difficult for any one investigator to sustain such a costly resource, the HSRDC was established to permit multiple externally funded LDI investigators to pool grant support and build a unified, synergized analytic platform. LDI provides sustaining support to bridge the inevitable variation in grant funding, permit mentored trainees to use the system in close collaboration with funded LDI senior fellows, and allow unfunded LDI senior fellows to perform pilot research in preparation of grant applications.

Q2: What are the technical specifications of the HSRDC server environment?

A2: Our server is a Sun Fire V1280 (12-CPU) running Solaris 5.9, with approximately 10 terabytes of disk storage. The user interface is the BASH UNIX shell, accessed remotely via secure shell (SSH) connection. SAS and STATA licenses are maintained on the server, permitting a wide array of statistical analyses.

Q3: Can the HSRDC be used for any Penn research project involving health care data?

A3: Because this server environment is maintained at a high security level in accordance with federal regulations governing secure computer systems (the Federal Information Security Management Act-FISMA), we are required to limit the server solely to research using data that require high security (e.g. data with individually identifiable, protected health information). Lower security datasets (e.g. anonymous patient surveys, de-identified data, publicly-available data, etc.) should be stored and analyzed elsewhere.

Q4: Is there a list of available datasets on the HSRDC server?

A4: Due to internet security concerns, we do not widely publicize which specific federal and state datasets are available on the HSRDC server. Interested individuals should discuss these issues directly with Alexis Greenhut.

Q5: I'm an LDI Senior Fellow who is planning a research project involving high-security health care data. How can I obtain access to the HSRDC server?

Q5: LDI Senior Fellows with high security data and funding (or anticipated funding) to support the HSRDC should contact Alexis Greenhut to establish a fee schedule and plan the timing, scope, and logistics of the HSRDC resource use. Ideally, this contact should be made in the planning stages (e.g., at the time of grant submission) of a research project, so that the investigator would be able to request the appropriate amount of grant support for the resource, and to permit adequate preparation of the computing resources for the project. Additionally, Alexis should also be notified once notice of funding is received and a start date for the research project has been established.

Q6: What are the fees for data storage and/or computing on the HSRDC server?

A6: Data storage and computing fees are estimated on a per project basis. A formal cost estimate can be prepared for investigators writing grant applications. HSRDC fees include financial support for IT personnel, software licenses, hardware maintenance and depreciation, disk space, CPU time, and data uploading. Minimum annual costs are approximately $3,000 per project, with additional annual costs in proportion to the number of high-intensity users and the quantity of data used. Requests for formal cost estimates (e.g., in preparation for a grant submission) should be sent to Alexis Greenhut.

Q7: I'm an LDI Senior Fellow who does not currently have server access or grant support, but I wish to conduct pilot analyses on secure health care data in preparation for a grant application that would provide server support. How can I obtain access to the HSRDC server?

A7: The pilot protocol should be forwarded to Alexis Greenhut, who will review the protocol along with Dr. Groeneveld and potentially other ad hoc reviewers from LDI. Approval for time-limited (typically 12-month) server access will be granted based on the quality and feasibility of the protocol, the anticipated likelihood of successful external funding, and the relevance of the research to LDI's mission. Priority will be given to proposals supported by LDI's annual Pilot Project Program.

Q8: I am not an LDI Senior Fellow, but I wish to perform research on high-security health care data, how can I obtain access to the server?

A8: University of Pennsylvania graduate students, clinical fellows, post-docs, and faculty who are not LDI Senior Fellows can receive HSRDC server privileges only if they are directly collaborating on a research project with an LDI Senior Fellow who is currently providing funds to support the resource. Students and other trainees interested in developing a project proposal using HSRDC datasets are encouraged to first discuss potential projects (and project mentors) with their primary dissertation advisor or faculty mentor.

Q9: How can I identify an LDI Senior Fellow currently supporting the HSRDC resource who might be willing to collaborate and sponsor my project on the server?

A9: Email a detailed abstract of your project proposal to Alexis Greenhut. If you are a graduate student, clinical fellow, post-doc, or other trainee, you should indicate the name of your primary research faculty mentor. Alexis will review and forward your abstract to the investigators who are custodians of the data on the server.

Q10: Am I guaranteed to find a willing collaborator/sponsor among the LDI Senior Fellows supporting the HSRDC?
A10: Although all LDI Senior Fellows using the HSRDC server are strongly encouraged to collaborate with other faculty and mentor trainees, we cannot guarantee that all project proposals will find a "match."

Q11: What if my research project proposal involves use of data already on the server (i.e., data reuse), rather than "new" data that I had directly acquired?

A11: Each federal dataset residing on the HSRDC server is governed by a data use agreement (DUA), which is a legal contract executed between an LDI Principal Investigator and the Centers for Medicare and Medicaid Services (CMS). The DUAs are strict in terms on the research purposes for which the Federal data can and cannot be used. Individual HSRDC investigators can not authorize reuse of their data for new projects. Instead, reuse of CMS data must be approved by CMS through a formal data reuse agreement (http://www.resdac.umn.edu/Medicare/requesting_data_RIF_ReUse.asp).

Q12: Does a CMS data reuse agreement require approval of the current data holder?

A12: Yes. Both the current data holder and her/his funder would need to approve a new research project proposal involving data reuse.

Q13: I'm an LDI Senior Fellow, and I'm undaunted by these requirements. How would I pursue data reuse?

A13: LDI Senior Fellows would need to have the appropriate funding to support their use of the HSRDC server, and/or have their own separate secure computing environment for data analysis that meets CMS' data security requirements. Email a detailed abstract of your project proposal to Alexis Greenhut, specifying which datasets you are seeking to reuse. Alexis will forward your abstract to the investigators who are custodians of the data on the server.

Q14: I'm not an LDI Senior Fellow, and I'm undaunted by these requirements. How would I pursue data reuse?

A14: Penn-affiliated investigators who are not LDI Senior Fellows would need to have their own separate secure computing environment for data analysis that meets CMS' data security requirements, or they would need to be collaborating with an LDI Senior Fellow who is currently supporting the data center (A8, A9). Email a detailed abstract of your project proposal to Alexis Greenhut, specifying which datasets you are seeking to reuse. Trainees should include along the name of your primary research faculty mentor. Alexis will forward your abstract to the investigators who are custodians of the data on the server.

Q15: Does HSRDC provide programmers or biostatisticians available to assist LDI Senior Fellows with their data?

A15: Unfortunately, we currently do not provide either programming or biostatistical support for projects.




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

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



The Wharton School
Health Care Systems Department

The Pension Research Council

Risk Management and Decision Processes Center

University of Pennsylvania Health System
Center for Mental Health Policy & Services Research

Center for Bioethics

Cancer Center

Center for Clinical Epidemiology and Biostatistics

Center for Preventive Ophthalmology and Biostatistics (CPOB)
Division of General Internal Medicine Health Services Research Unit

Division of General Internal Medicine Health Services Research: Useful sites

Division of General Internal Medicine Fellowships Programs, Department of Medicine

Division of Health Services Research, Department of Radiology

Institute on Aging

Office of Health Services Research

PennCERT

School of Nursing
Master's and Doctoral Programs in Nursing Administration

Center for Health Outcomes and Policy Research

Center for Nursing Research

Center for Urban Health Research

School of Dental Medicine
Dental Care Systems Department

CHOP
Center for Outcomes Research

VA Medical Center
Center for Health Equity Research and Promotion

Annenberg School for Communication
Annenberg Public Policy Center: Health Communication Area

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The Leonard Davis Institute of Health Economics.
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