Seminar Series

The CHPR Seminar Series typically focuses on research-in-progress (at any stage), recently completed research, innovative research methods, policy implications of health services research, pre-proposal discussion of research ideas or plans, or "practice presentations" for abstracts accepted for regional or national meetings.  Faculty, graduate students, and non-faculty researchers with a focus on health policy or health services are encouraged to present.  In addition, this is a great opportunity for presenting dissertations, thesis proposals, or thesis findings. 

The weekly seminars are held Wednesdays, 12-1 pm during the academic year, with a hiatus during the months of July and August. The seminars are usually located at the UCD Medical Education Building, Room 3207 (see schedule to confirm location). Seminars are open to all CHPR members, staff, students, and researchers external to UCD. Continuing Medical Education credit is available to practicing physicians for most sessions. Students taking EPI 291 may earn 1 unit of course credit for each quarter of regular seminar attendance. 

We welcome presentations from health policy and research professionals both internal and external to the University.  To be placed on the schedule, please contact:

Seminar Director
Jeffrey Hoch, Ph.D.
jshoch@ucdavis.edu

Seminar Assistant
Kirstin Truitt 
kgtruitt@ucdavis.edu

CHPR SEMINAR SERIES
Medical Education Building, Room 3207
Wednesday's 12 - 1 p.m.


September 20, 2017
"Outcomes of a Real-life Demonstration of Stakeholder Engagement in Patient-Centered and Comparative Effectiveness Research Design"
Katherine Kim, Ph.D., M.P.H., M.B.A.
Assistant Professor, BIMSN, UC Davis


September 27, 2017
Anthony Wright
Executive Director, Health Access California
***CHT Building, Room 1341


October 4, 2017
Elizabeth David, M.D., F.A.C.S.
Assistant Professor, Surgery, UC Davis


October 11, 2017
Ethan Evans, Ph.D.
Department of Sociology, UC Davis


October 18, 2017
Mark Yarlborough
Dean's Professor, Bioethics, UC Davis


October 25, 2017
Neal Kohatsu, M.D., M.P.H.
Medical Director, California Department of Health Care Services
Desiree Backman, DrPH, M.S., R.D.
Chief Prevention Officer, UC Davis


November 1, 2017
Victoria Landsman, Ph.D.
Assistant Professor, University of Toronto


November 8, 2017
"Prescription Drug Monitoring Programs and Opioid-related Harm"
Magdalena Cerdá, DrPH, M.P.H.
Associate Professor, Emergency Medicine, UC Davis


November 15, 2017
Sun Young Jeon, Ph.D.
Senior Statistician, UC Davis


November 22, 2017
Thanksgiving Break


November 29, 2017
Elizabeth Dingbaum, M.P.H.
California Epidemiology Investigation Service (Cal-EIS) fellow


December 6, 2017
Erin Hamilton, Ph.D.
Associate Professor, Sociology, UC Davis


December 13, 2017
Melissa Gosdin, Ph.D.
Qualitative Research Analyst
UC Davis, Center for Healthcare Policy and Research

"Precision Health2016-09-07 12:00:00, 2016-09-07 13:00:00, America/Los_Angeles, Event: Precision Health , Seminar, Medical Education Building, Room 3207.  
Fred Meyers, M.D.
Associate Dean for Precision Medicine
Professor of Internal Medicine
University of California, Davis, School of Medicine
September 7, 2016


"Getting to the Heart of the Matter: Employing Qualitative Methods in Health Services Research" 

Melissa Gosdin, Ph.D.

Qualitative Researcher
Center for Healthcare Policy and Research,
University of California, Davis
Sacramento, California
September 14, 2016


"Older Latinos, diabetes status and socio-economics"

Lorena Garcia, M.P.H., Dr.P.H.
Associate Professor
Director, Undergraduate Education
Department of Public Health Sciences
Division of Epidemiology
UC Davis School of Medicine
September 21, 2016


"Visualizing data: Research in scientific visualization and storytelling"
Kwan-Liu Ma, Ph.D.
Professor, Computer Science
Chair, Graduate Group in Computer Science
Head, VIDI Labs
University of California at Davis
September 28, 2016


"Factors Affecting Economic Efficiency of Telemedicine in Intensive Care Units"2016-10-05 12:00:00, 2016-10-05 13:00:00, America/Los_Angeles, Event: Factors Affecting Economic Efficiency of Telemedicine in Intensive Care Units, Medical Education Building, Room 3207.  
Byung Kwang(BK) Yoo, M.D., Ph.D.
Department of Public Health Science,
University of California, Davis
October 5, 2016


"Reflections on Research and Policy"

Garen Corbett, M.S.
Director, California Health Benefits Review Program
University of California's Office of the President
October 19, 2016 


 

"Research, Policy, and Politics"2016-10-26 12:00:00, 2016-10-26 13:00:00, America/Los_Angeles, Event: Research, Policy, and Politics. Medical Education Building, Room 3207.

Dominique Ritley, M.P.H.
Research Analyst
University of California, Davis
October 26, 2016


 "Development of a decision rule" 2016-11-02 12:00:00, 2016-11-02 13:00:00, America/Los_Angeles, Event: Development of a decision rule , Seminar, Medical Education Building, Room 3207.

Daniel Nishijima, M.D., M.A.
Associate Professor of Emergency Medicine
Associate Research Director
Department of Emergency Medicine, University of California, Davis School of Medicine
November 2, 2016


 "Studying a training program2016-11-09 12:00:00, 2016-11-09 13:00:00, America/Los_Angeles, Event: Studying a training program , Seminar, Medical Education Building, Room 3207. 

Marjorie Solomon Friedman, M.B.A., Ph.D.
Oates Family Endowed Chair
Associate Professor of Psychiatry
Department of Psychiatry and Behavioral Sciences
November 9, 2016


"Topics in Telemedicine2016-11-16 12:00:00, 2016-11-16 13:00:00, America/Los_Angeles, Event: Topics in Telemedicine , Seminar, Medical Education Building, Room 3207.  

Peter Yellowlees, M.B.B.S., M.D.
Professor of Psychiatry, and Vice Chair for Faculty Development
President Elect, American Telemedicine Association
Department of Psychiatry, University of California at Davis 
November 16, 2016


"Influences on Health Insurance Coverage Policy: A Case Study of the National Diabetes Program"

Diana Cassady, Dr.P.H.
Professor, Division of Epidemiology
University of California, Davis
November 30, 2016


 "Optimizing Cost-of-Care Conversations between Clinicians and Vulnerable Patients"
Susan Perez, Ph.D.  
Postdoctoral Fellow Graduate from University of California, Davis 
Assistant Professor of Health Science at California State University, Sacramento
December 7, 2016


"Now What? The Election and Implications for Health Care Policy and the ACA"

Teresa Stark, B.A., M.B.A
Director, California Government Relations, Kaiser Permanente
January 4, 2017


"Disparities in Cancer2017-01-11 12:00:00, 2017-01-11 13:00:00, America/Los_Angeles, Event: Disparities in Cancer , Seminar, Medical Education Building, Room 3207.  

Theresa Keegan, Ph.D., M.S.
Associate Professor, Division of Hematology and Oncology, UC Davis Comprehensive Cancer Center

Cancer Epidemiology, Cancer Survivorship
 
January 11, 2017


"How Economists Think About and Test the Effects of Income on Health2017-01-18 12:00:00, 2017-01-18 13:00:00, America/Los_Angeles, Event: How Economists Think About and Test the Effects of Income on Health , Seminar, Medical Education Building, Room 3207.  

Ann Stevens, Ph.D.
Professor of Economics and Director, Center for Poverty Research                                                                                                                                                                             University of California at Davis 
January 18, 2017


"BIG Data You can Access"

Speaker: Sarah Thayer, Ph.D., Director of Research
OptumLabs

Discussant: Patrick Romano, M.D., M.P.H., FACP, FAAP
Professor of Internal Medicine and Pediatrics
University of California at Davis

January 25, 2017


"The Role of Enrollment Assistance Through Jails and Probation Departments on Medi-Cal Enrollment Outcomes: Health and Criminal Justice Policy Issues"

Shannon McConville, MPP
Research Associate
Public Policy Institute of California
February 1, 2017


"Lessons of the Affordable Care Act: 
Institutional Intermixing and Trump’s Promise that Competition will be Beautiful"
Ethan Evans, Ph.D.
Department of Sociology
University of California at Davis
February 8, 2017


"What's wrong with p-values?"
Dan Tancredi, Ph.D.Associate Professor In-Residence, Department of Pediatrics
University of California at Davis
February 15, 2017


 "Joint Indirect Standarization when Only Marginal Distributions are Observed in the Index Population"

Yifei Wang
Department of Public Health Sciences
University of California at Davis
February 22, 2017


"Fullfillment or Denial of Patient Requests in Primary Care Visits: Impact on Satisfaction with Physicians

Anthony Jerant, M.D.
Professor, Department of Family and Community Medicine
University of California at Davis 
March 1, 2017


"Who is African American (as related to disease)?  Data from WHI"
John Robbins, M.D., M.H.S.
Professor, Internal Medicine
University of California at Davis
March 8, 2017


"Communicating Clinical Research to Achieve a Broader Impact with Policy and General Audiences"
Alex Russell, M.A.
Feed the Future Innovation Lab for Assets and Market Access at UC Davis
March 15, 2017


"Community Paramedicine expanding paramedics roles in healthcare in California's pilot projects"
Aimee Moulin, M.D., Associate Professor, Emergency Medicine
University of California at Davis
March 22, 2017

"Speaking uncertainty to power" 


Ben Johnson, M.P.P.
Legislative Analyst's Office,
The California Legislature's Nonpartisan Fiscal and Policy Advisor
Sacramento, California
April 5, 2016


"Drawing Causal Inferences from Observational Datasets: What Health Scientists Should Know" Read more >>
Michael Kashner, Ph.D., J.D., M.P.H.
Senior Health Econometrician
Veterans Health Administration, Office of Academic Affliations for the Department of Veterans Affairs
April 12, 2017


"Value stream mapping to improve pediatric hospital discharge efficiency"
Michelle Hamline, M.D., Ph.D.
Pediatric Hospitalist, Department of Pediatrics
QSCERT fellow at CHPR
University of California, Davis
April 19, 2017


"Simulation in Surgery: Determining Skill Retention for a Rare Procedure and Improving Trauma Team Care with in-situ Simulation"
Rob Doiron, M.D., General Surgery Residency Program
QSCERT fellow at CHPR
University of California at Davis
April 26, 2017


"Waiting(room) for Godot: Lessons from QI Projects to Address ED Overcrowding”
Brock Daniels, M.D., M.P.H.
Emergency Medicine Physician
QSCERT fellow at CHPR
University of California at Davis
May 3, 2017


"Comparison of Palliative Surgery Decision-Making Across Medical Specialties: Does Palliative Care Training Matter?"
Sarah Bateni, M.D.
General Surgery Resident
QSCERT fellow at CHPR
University of California at Davis
May 10, 2017


"Turning Healthcare Research into Policy"
Liz Castillon Vice, MSL
Center for Healthcare Policy and Research
University of California at Davis
May 17, 2017
12:00 - 1:00 pm
Medical Education Building, Room 3207


"Using qualitative methods to examine social determinants of health in the San Joaquin Valley: (encore presentation from the semiannual meeting of California Conference of Local Health Officers)"
Cassie Hartzog, Ph.D.
Center for Regional Change
University of California, Davis
May 24, 2017


"Assessing the Role of Readmissions on Hospital Performance and Quality among Brain Tumor Patients"
Miriam Nuno, Ph.D.
May 31, 2017


“Indirect Estimation to Improve Estimates of Racial/Ethnic Disparities on HEDIS Indicators among Medicare Beneficiaries by Improving Administrative Measures of Race/Ethnicity”
Marc Elliott, Ph.D.
Distinguished Chair in Statistic; Senior Principal Researcher
RAND Corporation
June 7, 2017


"Hepatitis C Virus Treatment Prioritization Improves Population Health Outcomes"
Lauren E. Cipriano, Ph.D.
Assistant Professor, Management Science
Ivey Business School
June 21, 2017

Background: Payers face substantial affordability challenges when considering cost-effective but expensive treatments for common conditions. Given limited budgets, not all patients can receive treatment immediately. We formulate a framework to evaluate treatment prioritization policies, applying it to the example of hepatitis C treatment.

Methods: We develop a multi-period treatment budget allocation model to evaluate the trade-offs of treatment prioritization guidelines including first-come first-served, priority to patients with most severe disease, priority to patients with most severe disease with age-stratification, priority to patients in order of the incremental cost effectiveness ratio (ICER) of treatment, and a priority sequence identified through optimization to maximize population lifetime discounted net monetary benefit (NMB). For the case of hepatitis C, we compare prioritization guidelines in terms of the number of individuals treated, the number of individuals with compensated cirrhosis, the number of individuals who progress to end-stage liver-disease (ESLD), population total quality-adjusted life-years (QALYs), and NMB.

Results: First-come first-served treats more people at lower near-term risk of disease progression or complications. When age-stratification is included, priority to younger patients (compared to older patients with the same disease severity) results in fewer cases of disease progression and/or disease-related complications because of higher competing mortality risks faced by older patients.  A guideline developed from maximizing the population lifetime discounted NMB in a multi-period framework explicitly accounts for the trade-offs in the timing of prioritizing subgroups including the consequence of requiring other specific subgroups to wait longer for treatment and the expected QALYs lost from potential disease progression. In contrast, prioritization based on ICER does not incorporate the relative consequences of waiting across subgroups. In the case of hepatitis C treatment prioritization, the optimization strategy yields the greatest population QALYs and NMB, though prioritization by disease severity prevents more cases of ESLD.

Conclusions: Explicit prioritization can improve population health outcomes. Differences in outcomes between prioritization guidelines increase when the available budget is smaller. Prioritizing on ICER does not necessarily maximize QALYs over multiple cohorts because its allocation of treatment resources to one group does not account for the optimal timing of resources for other groups. Determining the optimal prioritization guideline is important in terms of care delivery and for evaluating alternative prioritization guidelines.


"Is your research worth doing? An introduction to value of information (VoI) analysis in healthcare"

Ed Wilson, Ph.D.  
Senior Research Associate in Health Economic
Cambridge Centre for Health Services Research (CCHSR)
at the University of Cambridge
Cambridge, England

FRIDAY August 11, 2017
 
ABSTRACT
This talk introduces the concept of “value of information” and then provides examples from the presenter’s experience to illustrate the main points.  Value of information analysis (VoI) estimates the expected benefit of a research project (e.g. a clinical trial) in terms of the value of the information it yields, and compares this with the cost.  VoI essentially estimates the return on investment in proposed research projects.

These principles can be used in a number of ways. Funders of research may find it useful to rank projects in terms of the expected return on investment from a variety of competing projects. Alternatively, trialists can use the principles to identify the efficient sample size of a proposed study as an alternative to traditional power calculations, and finally, a VoI analysis can be conducted alongside an economic evaluation as a quantitative adjunct to the 'future research' or 'next steps' section of a study write up.
The talk will conclude with thoughts about new applications of VoI and future research needs.

We encourage presentations from health policy professionals both internal and external to the University.  To be placed on the schedule, email Seminar Director, Jeffrey Hoch @ jshoch@ucdavis.edu , or Kirstin Truitt @ kgtruitt@ucdavis.edu.