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Dr. Robin R. Gillies

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UC Berkeley
California
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    www.healthaffairs.org/press/septoct0303.htm - [Cached Version]
    Published on: 10/15/2003    Last Visited: 3/16/2008  

    Robin R. Gillies, a project director in the Department of Health Policy and Management in the University of California, Berkeley, School of Public Health, and four colleagues analyzed data from a national survey of the chief executive officers (primarily physician leaders) at more than 1,100 physician organizations with more than 20 physicians.
    ...
    "The data indicating that California physician organizations use more recommended care management processes for patients with chronic illnesses while operating within a stringent managed care environment suggests that others could adopt such processes, even amid renewed emphasis on containing costs," Gillies says."The California performance findings as well as the national data suggest that payment policies designed to reward physician organizations for improved quality, public reporting of quality performance, and arrangements for increasing investment in and use of clinical information technology in care delivery could move the system in desired directions," she says.

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    www.achp.org/pf.asp?article_id=194&folder_id=295 - [Cached Version]
    Published on: 8/21/2006    Last Visited: 1/17/2009  

    The study, "The Impact of Health Plan Delivery System Organization on Clinical Quality and Patient Satisfaction," by Robin Gillies, Ph.D., et al., of the University of California, Berkeley School of Public Health found that the more organized a health plan's delivery system is, the higher the plan performs on women's health screening, immunization rates, heart disease screening, and diabetes screening.Researchers analyzed 272 health plans nationwide using performance data from HEDIS and CAHPS.

    The authors note that more organized physician groups tend to work in teams to target quality improvement, are more likely to have adopted health information technology to track patient care over time and have greater ability to align financial incentives with desired quality outcomes.

    "Distinguishing between high-performing health plan delivery systems and mediocre ones is especially important in the current health care environment which is fraught with serious quality gaps, increasing rates of chronic disease, and mounting pressure from the government, employers and consumers for better quality and cost information on which to make informed decisions about health care," Dr. Gillies said.

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    www.medicalnewsinc.com/news.ez?viewStory=63 - [Cached Version]
    Published on: 3/22/2004    Last Visited: 3/3/2005  

    Robin Gillies, a project director at the university's Department of Health Policy and Management, came to that conclusion after reviewing data drawn from more than 1,100 physician organizations with more than 20 physicians.One in five was based in California, which is dominated by physician groups that are typically bigger and more common than in most other states.

    Gillies and her colleagues found that California medical groups were more likely to employ specially trained hospitalists to coordinate in-patient care: a total of 65.3 percent compared to 46.5 percent outside the state.The same kind of lopsided numbers were reported when it came to the use of preventive tools to reduce hospitalization among patients suffering from a range of well-defined chronic illnesses like diabetes, asthma and congestive heart failure.

    One reason why California physician groups were likely to focus more effectively on quality case management, say the authors, is that 53.3 percent of physician groups in California are compensated in part on quality - compared to only 39.8 percent of the doctor groups outside the state.

    "The data indicating that California physician organizations use more recommended care management processes for patients with chronic illnesses while operating within a stringent managed care environment suggests that others could adopt such processes, even amid renewed emphasis on containing costs," Gillies says."The California performance findings as well as the national data suggest that payment policies designed to reward physician organizations for improved quality, public reporting of quality performance, and arrangements for increasing investment in and use of clinical information technology in care delivery could move the system in desired directions," she says.

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    2006 Key CAPP Activities - [Cached Version]
    Published on: 7/10/2006    Last Visited: 8/15/2007  

    Impact of Health Plan Delivery System Organization on Clinical Quality and Patient Satisfaction - CAPP collaborated with Steve Shortell and Robin Gillies of U.C. Berkeley to complete a paper that examines the impact of health plan organizational characteristics (i.e., tax status, size, age, type of delivery system used to deliver care) on performance in clinical process measures and patient satisfaction measures.

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    3 - GSA ATTENDEES SECTION/ANNUAL MEETING - [Cached Version]
    Published on: 6/28/2003    Last Visited: 12/7/2004  

    Robert Gillis University of California

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    American Health Quality Association - [Cached Version]
    Published on: 10/16/2003    Last Visited: 7/30/2009  

    Robin R. Gillies, a project director in the Department of Health Policy and Management in the University of California, Berkeley, School of Public Health, and four colleagues analyzed data from a national survey of leaders of more than 1,100 physician organizations with more than 20 physicians, 20% of the organizations studied were in California.

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    August 2006 Newsletter | ACHP - [Cached Version]
    Published on: 7/1/2006    Last Visited: 1/30/2009  

    Robin Gillies, Ph.D., of the University of California at Berkeley School of Public Health, and colleagues from that university and around the country, published "The Impact of Health Plan Delivery System Organization on Clinical Quality and Patient Satisfaction" in the August 2006 edition of the journal Health Services Research. They examined 272 health plans nationwide, using the National Committee for Quality Assurance's HEDIS and CAHPS performance data, as well as InterStudy data on the organization of plans.

    Using the most rigorous of research methodologies, Dr. Gillies and her colleagues found that delivery systems do matter.

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    Better Chronic Illness Management, Incentives for... - [Cached Version]
    Published on: 10/15/2003    Last Visited: 11/25/2007  

    Robin R. Gillies, a project director in the Department of Health Policy and Management in the University of California at Berkeley's School of Public Health, and four colleagues analyzed data from a national survey of the chief executive officers (primarily physician leaders) at more than 1,100 physician organizations with more than 20 physicians.
    ...
    "The data indicating that California physician organizations use more recommended care management processes for patients with chronic illnesses while operating within a stringent managed care environment suggests that others could adopt such processes, even amid renewed emphasis on containing costs," Gillies says."The California performance findings as well as the national data suggest that payment policies designed to reward physician organizations for improved quality, public reporting of quality performance, and arrangements for increasing investment in and use of clinical information technology in care delivery could move the system in desired directions," she says.

  • View Online Source
    Better Chronic Illness Management, Incentives for... - [Cached Version]
    Published on: 10/15/2003    Last Visited: 10/24/2006  

    Robin R. Gillies, a project director in the Department of Health Policy and Management in the University of California at Berkeley's School of Public Health, and four colleagues analyzed data from a national survey of the chief executive officers (primarily physician leaders) at more than 1,100 physician organizations with more than 20 physicians.
    ...
    "The data indicating that California physician organizations use more recommended care management processes for patients with chronic illnesses while operating within a stringent managed care environment suggests that others could adopt such processes, even amid renewed emphasis on containing costs," Gillies says."The California performance findings as well as the national data suggest that payment policies designed to reward physician organizations for improved quality, public reporting of quality performance, and arrangements for increasing investment in and use of clinical information technology in care delivery could move the system in desired directions," she says.

  • View Online Source
    November 2006 Newsletter | ACHP - [Cached Version]
    Published on: 11/1/2006    Last Visited: 1/30/2009  

    The study, led by Robin Gilles, Ph.D., of U.C. Berkeley, found that health plans that rely on more organized physician groups score higher by statistically significant amounts on quality of care measures.

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