Department of Health Management and Policy 1415 Washington Heights Ann Arbor, MI
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1 GENNA R. COHEN University of Michigan School of Public Health Department of Health Management and Policy 1415 Washington Heights Ann Arbor, MI (cell) EDUCATION University of Michigan, Ann Arbor, MI Ph.D. in Health Services Organization and Policy, Organization Studies 2016 (expected) Dissertation: Physician Practice Variation in Electronic Health Record Documentation Committee: Julia Adler-Milstein and Christy Lemak (co-chairs); Andrew Ryan; Kai Zheng; Charles P. Friedman Northwestern University, Evanston, IL Bachelors of Science in Education and Social Policy 2007 Major: Social Policy Minor: Religion Honors Thesis: Health Mindedness during the Transition to Adulthood: How Emerging Adults Utilize and Understand Health Care Services RESEARCH INTERESTS 1) How health care provider organizations translate performance improvement goals into action 2) How health care provider organizations use health information technology RELATED EXPERIENCE University of Michigan, Ann Arbor, MI Research Assistant to Julia Adler-Milstein, PhD 2012 present University of Michigan, Ann Arbor, MI Research Coordinator and Assistant, Evaluating Blue Cross Blue Shield of Michigan s Physician Group Incentive Program (PI Christy Lemak) Center for Studying Health System Change, Washington, D.C. Health Research Assistant/Health Analyst Institute for Policy Research, Evanston, IL Undergraduate Research Fellow
2 PAGE 2/9 GRANTS AND AWARDS Rackham Graduate Student Research Grant University of Michigan Amount: $2, Principal Investigator: Genna R. Cohen Participation incentives and travel costs for qualitative interviews related to my dissertation. Physician Practice Variation in Electronic Health Record Use Agency for Healthcare Research and Quality 1R36HS A1 Amount: $42, Principal Investigator: Genna R. Cohen Measure the amount of variation in EHR documentation in a large sample of outpatient, primary care practices and then conduct an in-depth qualitative investigation of the effects of such variation in a targeted sample of practices. Assessing Variation in Electronic Health Record Documentation in Outpatient Primary Care Rackham Predoctoral Fellowship Amount: $43, Fellowship awarded to 72 doctoral candidates across the university in support of dissertations that are unusually creative, ambitious and risk-taking. Understanding What Works: Improving Primary Care Physicians Performance Caring for High- Cost, High-Need Patients Commonwealth Fund Amount: $344, Principal Investigators: Christy Harris Lemak; Julia Adler-Milstein Role: Help conceptualize and write grant application for mixed-method study to identify strategies that can help ensure large-scale health care improvement initiatives produce consistent, positive results across all participating care providers, with a special focus on primary care practices with a large proportion of high-cost, high-need patients. Assessing Readiness, Achievement & Impact of Stage 3 Care Coordination Criteria Agency for Healthcare Research and Quality R18 Amount: $500, Principal Investigator: Julia Adler-Milstein Role: Help conceptualize and write grant application for mixed-method study to identify barriers to proposed meaningful use criteria related to care coordination.
3 PAGE 3/9 Practice Variation in Electronic Health Record Use and the Impact on Efficiency and Quality University of Michigan McNerney Award Amount: $24, Principal Investigator: Genna R. Cohen Conceptually define and empirically measure how primary care clinicians use EHRs. Studied the extent to which use within practices is consistent in how often clinicians use certain components of the EHR. National Research Services Award Training Fellowship Agency for Healthcare Research and Quality T32 PUBLICATIONS Peer Reviewed Publications 1. Cross, Dori A., Genna R. Cohen, Christy Lemak, and Julia Adler-Milstein. "Sustained Participation in a Pay-for-Value Program: Impact on High-Need Patients." American Journal of Managed Care (Under Review) 2. Cohen, Genna R. and Julia Adler-Milstein. "Meaningful Use Care Coordination Criteria: Perceived Barriers and Benefits among Primary Care Providers." Journal of the American Medical Informatics Association (published online November 13, 2015) 3. Cross, Dori A., Genna R. Cohen, Paige Nong, Anya-Victoria Day, Danielle Vibbert, Ramya Naraharisetti, and Julia Adler-Milstein. Accepted. " Improving EHR Capabilities to Facilitate Stage 3 Meaningful Use Care Coordination Criteria." in AMIA 2015 Annual Symposium. San Francisco, CA: American Medical Informatics Association. 4. Lemak, Christy Harris, Richard A. Hirth, Tammie A. Nahra, Genna R. Cohen, Natalie Erb, Michael Paustian, and David Share. "Statewide Physician-Payor Partnership Reduces Spending and Improves Quality of Care in Michigan." Health Affairs Vol. 34, No. 4 (April 2015) 5. Adler-Milstein, Julia, Genna R. Cohen, Amanda Markovitz, and Michael Paustian. "The Impact of HIT on Cost and Quality in Patient-Centered Medical Home Practices" in AMIA 2014 Annual Symposium. Washington, DC: American Medical Informatics Association. **Distinguished Paper Nominee 6. Lemak, Christy Harris, Genna R. Cohen and Natalie Erb, Engaging Primary Care Physicians in Quality Improvement: Lessons from a Payer-Provider Partnership, Journal of Healthcare Management Vol. 58, No. 6 (Nov.-Dec. 2013) 7. Adler-Milstein, Julia, and Genna R. Cohen "Implementing the IT Infrastructure for Health Reform: Adoption of Health IT among Patient-Centered Medical Home Practices." in AMIA 2013 Annual Symposium. Washington, DC: American Medical Informatics Association.
4 PAGE 4/9 8. Adler-Milstein, Julia, Elettra Ronchi, Genna R. Cohen, Laura A. Panella Winn and Ashish Jha, Benchmarking Health IT Among OECD Countries: Better Data for Better Policy, Journal of the American Medical Informatics Association (epub May 2013) 9. Alexander, Jeffrey A., Genna R. Cohen, Lee A. Green and Christopher Wise, The Policy Context of Patient Centered Medical Homes: Perspectives of Primary Care Providers, Journal of General Internal Medicine, Volume 28, Issue 1 (Jan. 2013), Page Cohen, Genna R., Natalie Erb, Christy Harris Lemak (2012), Physician Practice Responses to Financial Incentive Programs: Exploring the Concept of Implementation Mechanisms, in Leonard H. Friedman, Grant T. Savage, Jim Goes (ed.) Annual Review of Health Care Management: Strategy and Policy Perspectives on Reforming Health Systems (Advances in Health Care Management, Volume 13), Emerald Group Publishing Limited, pp Wise, Christopher, Jeffrey Alexander, Lee A. Green and Genna R. Cohen, Physician Organization-Practice Team Integration for the Advancement of Patient-Centered Care, Journal of Ambulatory Care Management Vol. 35, No. 4 (Oct.-Dec. 2012). 12. Grossman, Joy M., Ellyn R. Boukus, Dori Cross and Genna R. Cohen, Transmitting and processing electronic prescriptions: Experiences of physician practices and pharmacies, Journal of the American Medical Informatics Association, Vol. 19, No. 3 (May 1, 2012). 13. Wise, Christopher, Jeffrey Alexander, Lee A. Green, Genna R. Cohen and Christina Koster, Journey Toward a Patient-Centered Medical Home: Readiness for Change in Primary Care Practices, Milbank Quarterly, Vol. 89, No. 3 (September 2011). 14. O Malley, Ann O., Joy M. Grossman, Genna R. Cohen, Nicole M. Kemper, and Hoangmai H. Pham, Are Electronic Medical Records Helpful For Care Coordination? Experiences of Physician Practices, Journal of General Internal Medicine, Vol. 25, No. 3 (Dec. 22, 2009). 15. Pham, Hoangmai H., Joy M. Grossman, Genna Cohen, and Thomas Bodenheimer, Hospitalist and Care Transitions: The Divorce of Inpatient and Outpatient Care, Health Affairs, Vol. 27, No. 5 (Sep.-Oct. 2008). Reports 1. Julia Adler-Milstein, Genna R. Cohen, Dori Cross, Anya-Victoria Day, Danielle Vibbert and Ramya Naraharisetti, Assessing Readiness, Achievement & Impact of Stage 3 Care Coordination Criteria: Summary of Key Findings for Primary Care Practices, Prepared for AHRQ (August 2014) 2. Julia Adler-Milstein, Genna R. Cohen, Dori Cross, Anya-Victoria Day, Danielle Vibbert and Ramya Naraharisetti, Assessing Readiness, Achievement & Impact of Stage 3 Care Coordination Criteria: Summary of Key Findings for Policymakers, Prepared for AHRQ (August 2014) 3. Julia Adler-Milstein, Genna R. Cohen, Dori Cross, Anya-Victoria Day, Danielle Vibbert and Ramya Naraharisetti, Assessing Readiness, Achievement & Impact of Stage 3 Care Coordination Criteria: Summary of Key Findings for EHR Vendors, Prepared for AHRQ (August 2014)
5 PAGE 5/9 4. Julia Adler-Milstein, Genna R. Cohen, Dori Cross, Anya-Victoria Day, Danielle Vibbert and Ramya Naraharisetti, Assessing Readiness, Achievement & Impact of Stage 3 Care Coordination Criteria: Summary of Key Findings and Preliminary Recommendations, Prepared for AHRQ (July 2014) 5. Ronchi, Elettra, Julia Adler-Milstein, Genna R. Cohen, Laura P. Winn and Ashish K. Jha, Better Measurements for Realizing the Full Potential of Health Information Technologies, The Global Innovation Technology Report 2013, Chapter 1.7 (April 2013) 6. Felland, Laurie E., Genna R. Cohen, Paul B. Ginsburg, Elizabeth A. November, Ha T. Tu and Tracy Yee, Physicians Key to Health Maintenance Organization Popularity in Orange County, Community Report No. 10, Center for Studying Health System Change, Washington, D.C. (August 2011). 7. Grossman, Joy M., Ellyn R. Boukus, Dori Cross and Genna R. Cohen, Physician Practices, E- Prescribing and Accessing Information to Improve Prescribing Decisions, Research Brief No. 20, Center for Studying Health System Change, Washington, D.C. (May 2011). 8. Tu, Ha T., Ellyn R. Boukus and Genna R. Cohen, Workplace Clinics: A Sign of Growing Employer Interest in Wellness, Research Brief No. 17, Center for Studying Health System Change, Washington, D.C. (Dec. 2010). 9. O Malley, Ann O., Joy M. Grossman and Genna R. Cohen, Electronic Medical Records and Communication with Patients and Other Clinicians: Are We Talking Less? No. 131, Center for Studying Health System Change, Washington, D.C. (April 2010). 10. Felland, Laurie E., Peter J. Cunningham, Genna R. Cohen, Elizabeth A. November and Brian C. Quinn, The Economic Recession: Early Impacts on Health Care Safety Net Providers, Research Brief No. 15, Center for Studying Health System Change, Washington, D.C. (Jan. 2010). 11. Ginsburg, Paul B., Jon B. Christianson, Genna R. Cohen, and Allison Liebhaber, Shifting Ground: Erosion of the Delegated Model in California, California HealthCare Foundation Issue Brief (Dec. 2009). 12. Christianson, Jon B., Ha T. Tu and Genna R. Cohen, Managed Care in California: Cost Concerns Influence Product Design, California HealthCare Foundation Issue Brief (Dec. 2009). 13. November, Elizabeth A., Genna R. Cohen, Paul B. Ginsburg and Brian C. Quinn, Individual Insurance: Insurers Try to Tap Potential Market Growth, Research Brief No. 14, Center for Studying Health System Change, Washington, D.C. (Nov. 2009). 14. Liebhaber, Allison, Debra A. Draper and Genna R. Cohen, Hospital Strategies to Engage Physicians in Quality Improvement, Issue Brief No. 127, Center for Studying Health System Change, Washington, D.C. (Oct. 2009).
6 PAGE 6/9 15. Tu, Ha T., Laurie E. Felland, Paul B. Ginsburg, Allison B. Liebhaber, Genna R. Cohen, and Nicole M. Kemper, Sacramento: Powerful Hospital Systems Dominate a Stable Market, The California HealthCare Foundation Regional Markets Issue Brief (July 2009). 16. Christianson, Jon B., Laurie E. Felland, Paul B. Ginsburg, Allison B. Liebhaber, Genna R. Cohen, and Nicole M. Kemper, San Francisco Bay Area: Downturn Stresses Historically Stable Safety Net, The California HealthCare Foundation Regional Markets Issue Brief (July 2009). 17. Tu, Ha T., Debra A. Draper, Peter J. Cunningham, Nicole M. Kemper, Genna R. Cohen, and Johanna R. Lauer, Fresno: Poor Economy, Poor Health Stress a Fragmented System, The California HealthCare Foundation Regional Markets Issue Brief (July 2009). 18. Christianson, Jon B., Debra A. Draper, Peter J. Cunningham, Nicole M. Kemper, Genna R. Cohen, and Johanna R. Lauer, San Diego: Retreat from Capitation Raises Cost Concerns, The California HealthCare Foundation Regional Markets Issue Brief (July 2009). 19. Cohen, Genna R. and Elizabeth A. November, Medicare Value Based Purchasing for Physician and Other Eligible Professionals: Lessons and Suggestions from the Literature, Draft Report to CMS (July 24, 2009). 20. Pham, Hoangmai H., Genna Cohen, Elizabeth November, Paul B. Ginsburg, Timothy Lake, Christopher Tompkins, Joy Grossman, and Myles Maxfield, Concept Paper on Defining Accountable Care Entities for Medicare Payment and Performance Measurement, Draft Report to CMS (May 29, 2009). 21. O'Malley, Ann S., Ann Tynan, Genna Cohen, Nicole M. Kemper and Matthew M. Davis, Coordination of Care by Primary Care Practices: Strategies, Lessons and Implications, Research Brief No. 12, Center for Studying Health System Change, Washington, D.C. (April 2009). 22. Tu, Ha T. and Genna R. Cohen, Financial and Health Burdens of Chronic Conditions Grow, Tracking Report No. 24, Center for Studying Health System Change, Washington, D.C. (April 2009). 23. Tu, Ha T. and Genna R. Cohen, Checking Up on Retail-Based Health Clinics: Is the Boom Ending? The Commonwealth Fund Issue Brief, Washington, D.C. (Dec. 2008). 24. Grossman, Joy M. and Genna Cohen, Despite Regulatory Changes, Hospitals Cautious in Helping Physicians Purchase Electronic Medical Records, Issue Brief No. 123, Center for Studying Health System Change, Washington, D.C. (Sep. 2008). 25. Tu, Ha T., and Genna R. Cohen, Striking Jump in Consumers Seeking Health Care Information, Tracking Report No. 20, Center for Studying Health System Change, New York, NY (June 2008). 26. Felland, Laurie E., Aaron Katz, Allison Liebhaber and Genna R. Cohen, Developing Health System Surge Capacity: Community Efforts in Jeopardy, Research Brief No. 5, Center for Studying Health System Change, Washington, D.C. (June 2008).
7 PAGE 7/9 POSTERS AND PRESENTATIONS 1. How Ready Are Practices for Meaningful Use Care Coordination Criteria and What Will the Impact Be? Poster presentation at AcademyHealth Annual Research Meeting, Minneapolis, MN The Impact of EHRs on Cost in Patient-Centered Medical Home Practices Panel presentation at the 5th Annual Workshop on Health Information and Economics (WHITE) Alexandria, VA Variation in Clinicians' Use of EHRs Over Time and Its Effect on Productivity Panel presentation at AcademyHealth Annual Research Meeting, San Diego, CA Primary Care Practice Perspectives on EHR-enabled Care Coordination and Stage 3 Meaningful Use Poster presentation at AcademyHealth Annual Research Meeting, San Diego, CA Examining Variation in EHR Use Short presentation at Workshop on Interactive Systems in Healthcare (WISH), Washington, DC Examining Variation in EHR Use Presentation at AMIA Doctoral Consortium on Sociotechnical Issues in Biomedical Informatics, Washington, DC Examining Consistent EHR Use Panel presentation at NRSA Research Trainees Conference and at AcademyHealth Annual Research Meeting, Baltimore, MD Implementing the IT Infrastructure for Health Reform: Adoption of Health IT among Patient- Centered Medical Home Practices Meeting, Baltimore, MD From Partisanship to Partnership: Evaluation of a Statewide Physician Incentive Program in Michigan Meeting, Orlando, FL The Policy Context of Patient Centered Medical Homes: Perspectives of Primary Care Providers Meeting, Orlando, FL 2012
8 PAGE 8/9 11. Physician Practice Responses to Financial Incentives: Mechanisms for Quality Improvement Poster presented at Healthcare Organizational Research Association Meeting, Ann Arbor, MI Physician Organization-Practice Team Integration for the Advancement of Patient-Centered Care Paper presented at Organizational Behaviour in Healthcare Conference, Dublin, Ireland Community Efforts to Develop Surge Capacity for Public Health Emergencies Meeting, Washington, DC Hospital Strategies to Assist Physicians in Purchasing EMRs: Are the Stark HIT Exceptions Having an Impact? Meeting, Washington, DC Health Mindedness during the Transition to Adulthood: How Emerging Adults Utilize and Understand Health Care Services Poster and paper presentation at the Chicago Area Undergraduate Research Symposium, Chicago, IL 2007 TEACHING EXPERIENCE University of Michigan, Ann Arbor, Michigan Guest Lecturer - Program Evaluation in Public Health 2014 Guest Lecturer Organization and Management of Health Nonprofits 2014 Teaching Assistant - Managing Health Informatics 2013 Guest Lecturer - Critical Policy Issues in Health IT 2013 Guest Lecturer - Business & Economics of Health Law 2012 Grader, Tutor, Guest Lecturer - Introduction to Health Informatics MEMBERSHIPS AcademyHealth American Medical Informatics Association Academy of Management, Health Care Management Division Society for Studies in Organizing Healthcare
9 PAGE 9/9 REVIEWER FOR JOURNALS AND CONFERENCES: Journal of the American Medical Informatics Association; American Journal of Managed Care; BMC Health Services Research; Electronic Commerce Research and Applications American Medical Informatics Association Annual Conference ( ); International Organisational Behaviour in Healthcare Conference (2015); AcademyHealth Annual Research Meeting HIT subgroup (2014) SERVICE TO THE DEPARTMENT Health Care Organization Studies Journal Club Founding Chair Social Committee Founding Chair Faculty Search Committee Student Representative Doctoral Committee Student Representative SERVICE TO THE UNIVERSITY University of Michigan School of Public Health Research Committee Student Representative SERVICE TO THE COMMUNITY FindCare Community Relations Committee Support linkages between free- and federally qualified health centers and uninsured and underinsured individuals by liaising with clinics managers, providers and patients.
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