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The Roger C. Lipitz Center for Integrated Health Care

Strategic Plan

July 1, 2013 – June 30, 2018


Contents:
Overview | Strategic Plan | Five-year Workplan | Timetable


Overview

The Roger C. Lipitz Center for Integrated Health Care, located at the Johns Hopkins Bloomberg School of Public Health, is committed to improving the health and quality of life for people with complex health care needs by conducting research and disseminating new knowledge. The Center is also committed to preparing the next generation of leaders to deliver, improve, and assess integrated care available to those at highest risk for shortfalls in care access, quality, and safety.  The Center strives to discover and disseminate practical, cost-effective approaches to providing comprehensive, coordinated, compassionate health care to people with chronic illness and their families. In so doing it proposes to help promote a high performance integrated care system for people with complex conditions. The Center's multidisciplinary activities span Johns Hopkins University's Schools of Medicine, Nursing, and Public Health.

Vision: the Roger C. Lipitz Center for Integrated Health Care will become recognized as the nation’s leading source of health services research to develop policies and identify, test, evaluate, and spread service delivery and payment changes that contribute to excellence in integrated care for adults with complex care needs and prepare leaders and champions of outstanding integrated care systems.

Mission: to develop and contribute to achievement of a 2020 Vision of a High Performance Integrated Care System that ensures financial access to essential services; family-centered coordinated care; alignment of provider incentives for integrated care; information and support for care integration; and commitment to highest standards of quality and performance including preparation of health professionals to lead this transformation.

Goals:

1. To conduct research to promote high-quality, cost-effective integrated care systems providing comprehensive, coordinated, efficient, and effective care to adults with complex care needs and their families.

2. To help prepare the next generation of scholars, practitioners and administrators to lead the continued integration of care for adults with complex care needs.

3. To disseminate new knowledge on integrated care to those in a position to effect change including policy officials, health care leaders, health professionals, and researchers.

 



Strategic Plan

This strategic plan is designed to position the Lipitz Center as the foremost resource for information on innovative models of integrated care delivery and financing policy, and to prepare future leaders to design, implement, and assess approaches to caring for people with complex care needs relative to the Triple Aim of better care, better outcomes, and lower costs.  It projects incremental growth in the Lipitz Center’s core and affiliated faculty and graduate students, research productivity, educational offerings, financial support, and external communications during the years 2013-2018. During this interval, the Center will recruit and support core and affiliated faculty and graduate students to promote a high performance integrated health and long-term care system for people with complex care needs. The scope of the Center’s mission and goals is national, though many of its specific activities draw on local, regional, and international sources of ideas, data and funding.

Center faculty are leading the National Health and Aging Trends Study for the National Institute on Aging to gain a better understanding of the evolving care needs of older Americans. Building on this and other original and secondary data available to Center faculty and its collaborators, the Center will develop a balanced research portfolio using quantitative and qualitative scientific methods to conduct observational and interventional research projects. It will also create an array of ongoing collaborative educational activities, including multi-level educational opportunities for the next generation of leaders in this field.

To support these scholarly activities, the Center will sustain four streams of support (Lipitz Center endowment; private foundation support; governmental agency research support; and Johns Hopkins Medical Institutions support). The Center will communicate its discoveries to national and state policy officials, health sector leaders, health care professionals, and researchers using modern-day electronic communication tools.

 

Plans for Research

The Center’s portfolio will include four domains of research on improving the integration of care for adults with multiple chronic conditions and complex care needs:

Domain #1. Vision for a high performance integrated health and long-term care system for people with complex conditions. This would include insurance coverage; access to family-centered coordinated care; payment incentives for integrated care; information technology support for integrated care; and performance improvement.

Domain #2. Utilize the National Health and Aging Trends Study as a platform for scientific research on integrated care.

Domain #3: Identification, development, testing, and evaluation of innovative approaches to the delivery of integrated care and support of family caregivers. 

Domain #4. Policy analyses of innovative methods of reforming financing of services for people with complex care needs including Medicare and Medicaid reform, long-term care insurance, and provider payment incentives for integrated care.

Most of the Center’s studies will be designed and conducted by multidisciplinary teams that represent the varied perspectives of researchers, health care leaders and providers, policy-makers, industry leaders and consumers. Funding will be provided through Lipitz endowment funds; government agencies; private foundations; and University support. Through a modern electronic communication program, the Center will effectively disseminate cutting-edge research, integrated care delivery innovation, and policy developments in integrated care, making the Center the leading source of information on integrated health care. The audiences for the results of these studies will include national and state policy officials and staff, leaders of health care provider organizations, insurers, health care professionals, and researchers. The Center will also evolve working relationships with policy officials, health sector leaders, and researchers sharing common interests.

 

Plans for Education

The Center is committed to helping develop the next generation of leaders in gerontologic health services research (GHSR). It will continue to collaborate with the Health Services Research and Development Center, the Center on Aging and Health, and the Divisions of General Internal Medicine and Geriatric Medicine and Gerontology in educating graduate students who share the Center’s mission. It will continue to co-sponsor the School’s Certificate on Aging and provide generous financial support for doctoral students through its T-32 Training Grant from the National Institute on Aging.

The Center’s faculty will teach five gerontology classes and provide gerontology lectures in others. This faculty will also continue to mentor and advise graduate students and junior faculty members. The Center will sponsor quarterly research conferences, monthly research-in-progress seminars, periodic national conferences, and a web site that provides current information about learning opportunities in GHSR.

Plans for Communication

The Center will share its new knowledge with policy officials, health care leaders, health care professionals, and researchers through an electronic communications program highly regarded for its content and objectivity. To disseminate its research findings, inform public policy, and promote the diffusion of innovation, the Center will develop a listserv of leaders interested in integrated care, and proactively disseminate electronic summaries of peer-reviewed journal articles authored by Center core and affiliated faculty and graduate students, blogs on pertinent health policy issues, and case studies and other reports on innovations in integrated care. It will also disseminate information through presentations at professional meetings, invited testimony before legislative bodies, and an annual “Innovations in Integrated Care” forum.

Plans for the Evolution of the Lipitz Center for Integrated Health Care

The Lipitz Center operates in a “virtual, facilitative” mode, promoting its mission by aligning JHU faculty and students with potential projects and sources of funding, and collaborating with the rich array of activities and expertise on aging and integrated care in the Johns Hopkins Medical Institutions and other leading integrated care research centers. The core faculty of the Center includes JHU scholars whose research and teaching focus primarily on the integration of health care for chronically ill adults. The Center’s affiliated faculty, advisers, and collaborators include policy officials, health care leaders, and scholars who collaborate with the core faculty in addressing the mission of the Lipitz Center. Affiliations with leaders at other academic institutions who share common research interests will expand the rich array of databases and analytic endeavors that will advance a high performance integrated care system.

 

Five-Year Work Plan

The faculty, graduate students, and staff of the Lipitz Center will strive to attain these objectives during the period from July 1, 2013 to June 30, 2018.

Structure

Research

Medicare reform;
innovations in integrated care delivery and financing;
models of family caregiving;
provider payment reform;
incentives to improve care transitions and reduce hospitalization;
integration of acute and long-term care;
international comparative analyses of aging and integrated care.

Education

Communication

Finances

Timetable
 

Fiscal Year

 

2014

2015

2016

2017

2018

Structure

 

 

 

 

 

Additional faculty

X

 

X

 

 

Graduate assistant/research associates

X

 

X

 

 

Doctoral advisees

 

1

2

2

3

Additional staff

 

X

 

 

 

Additional research funding

 

 

 

$500k

$500k

 

 

 

 

 

 

Scientific

 

 

 

 

 

Research funding – govt agencies

X

X

X

X

X

Research funding – private foundations

X

X

X

X

X

Research funding - JHU

X

X

X

X

X

Innovations in integrated care forum

X

X

X

X

X

Seed grants to fellows/junior faculty

 

 

1

1

1

Journal articles

4

6

8

8

10

Presentations at meetings

1

2

3

4

5

 

 

 

 

 

 

Educational

 

 

 

 

 

Courses taught

2

4

4

6

6

Certificate in Gerontology students

2

3

4

5

6

 

 

 

 

 

 

Communication

 

 

 

 

 

Integrated Care Policy blogs (monthly)

X

X

X

X

X

Research literature summaries

X

X

X

X

X

Case studies on innovative models

X

X

X

X

X

Develop listserv and update website

X

X

X

X

X

Technical assistance to delivery system organizations

X

X

X

X

X

Invited testimony

X

X

X

X

X

               

Faculty, Graduate Students, Advisers, Collaborators, and Staff  

Core Faculty

Karen Davis, Ph.D., Eugene and Mildred Lipitz Professor and Director, Roger C. Lipitz Center for Integrated Health Care, Dept. of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

Gerard Anderson, Ph.D., Professor, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Bloomberg School of Public Health

Judith Kasper, Ph.D., Professor, Dept. of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

Bruce A. Leff, MD, Professor, Medicine, School of Medicine, Joint Appointment with Dept. of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health,  Staff Bayview Geriatric Medicine, and Professor SOM in Geriatric Medicine

Lauren Hersch Nicholas, Ph.D., Assistant Professor, Dept. of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

William Padula, Ph.D., Assistant Professor, Dept. of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

Amber Willink, Ph.D., MPH, Assistnat Scientist, Dept. of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

Jennifer Wolff, Ph.D., Associate Professor, Dept. of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

 

Affiliated Faculty

Colleen L. Barry, Ph.D., MPP, Associate Professor, Associate Chair for Research and Practice, Dept. of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

Sara N. Bleich, Ph.D., Associate Professor, Dept. of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

Cynthia Boyd, MD, Associate Professor, Geriatric Medicine, The Johns Hopkins School of Medicine

Laura Gitlin, Ph.D., Professor, Dept. of Community Public Health Nursing,The Johns Hopkins University School of Nursing, joint appointment with The School of Medicine, The Johns Hopkins University Geriatric Medicine

David L. Roth, Ph.D., Professor, School of Medicine DOM Bay Geriatric Medicine, and Director of the Center on Aging and Health, The Johns Hopkins University

Suchi Saria, Ph.D., Assistant Professor, Dept. of Computer Science, Whiting School of Engineering, joint appointment with Health Sciences Informatics, School of Medicine, The Johns Hopkins University

Donald M. Steinwachs, Ph.D., Professor and Interim Director, Johns Hopkins Institute for Health and Social Policy, Dept. of Health Policy and Management, Center for Health Services and Outcomes Research, Johns Hopkins Bloomberg School of Public Health

Sarah Szanton, Ph.D., CRNP, Associate Professor, Department of Community-Public Health, Center for Innovative Care in Aging, School of Nursing, Johns Hopkins University

Jonathan P. Weiner, Ph.D., Professor of Health Policy & Management and Director, Ph.D. Program in Health Services Research & Policy, Johns Hopkins Bloomberg School of Public Health

Albert W. Wu, MD, MPH, FACP, Professor and Director, Center for Health Services & Outcomes Research, Johns Hopkins Bloomberg School of Public Health

 

Graduate Assistants/Research Associates

Christine Buttorff, Ph.D. Graduate Student, Johns Hopkins Bloomberg School of Public Health

 

External Advisers and Collaborators

Judith Bentkover, Brown University

Christine Bishop, Brandeis University

Vincent Mor, Brown University

Joseph Ouslander, MD, Florida Atlantic University

Josh Weiner, Research Triangle Institute

Cynthia Woodcock, Hilltop Institute

 
 

Organizations Affiliated with the Lipitz Center for Integrated Health Care

Center on Aging and Health (COAH), The Johns Hopkins University

Center for Hospital Finance and Management, The Johns Hopkins Bloomberg School of Public Health

Center for Health Services & Outcomes Research, The Johns Hopkins Bloomberg School of Public Health

Department of Geriatric Medicine and Gerontology, Johns Hopkins Medicine

Center for Innovative Care in Aging, The Johns Hopkins University School of Nursing

 

Contact Information for the Lipitz Center on Integrated Health Care  

Karen Davis, Ph.D., Director, Roger C. Lipitz Center for Integrated Health Care
Johns Hopkins Bloomberg School of Public Health
624 N. Broadway
Hampton House 693
Baltimore, MD  21205
(410) 502-6082
kadavis@jhsph.edu

Kaylin Ford, Administrative Coordinator
Department of Health Policy and Management
Johns Hopkins Bloomberg School of Public Health
624 N. Broadway
Hampton House 652
Baltimore, MD  21205
(410) 614-1932
kford18@jhu.edu

Susan Murrow, Communications Associate
Johns Hopkins Bloomberg School of Public Health
Department of Health Policy and Management
624 N. Broadway
Hampton House 587
Baltimore, MD  21205
(410) 955-7624
smurrow@jhsph.edu

Web site: www.jhsph.edu/LipitzCenter