Wharton Business Radio

The Business of Health Care: July 17, 2018

Host Jeff Voigt is joined by Jean Yudin (Director of the Truman G Schnabel In Home Primary Care Program, Penn School of Medicine), Evelyn Granieri (Professor of Medicine, Chief of the Division of Geriatric Medicine and Aging, Columbia University College of Medicine and Dentistry), and Bruce Kinosian (Associate Professor of Medicine, Geriatrics, Perelman School of Medicine) on the Tuesday, July 17, 2018 edition of The Business of Health Care.

Air Date: Tuesday, July 17, 2018 on SiriusXM 132

Hosted By

Dr Bruce Kinosian, Dr. Evelyn Granierim, and Jean Yudin

Air Time: 12:00 pm
Featuring: Jean Yudin, Evelyn Granieri, Bruce Kinosian

Featured Guests

Jean Yudin

Director of the Truman G Schnabel In Home Primary Care Program, Penn School of Medicine

Evelyn Granieri

Professor of Medicine, Chief of the Division of Geriatric Medicine and Aging, Columbia University College of Medicine and Dentistry

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Dr. Evelyn C. Granieri, Chief of the Division of Geriatric Medicine and Aging, began her career as is a clinical and research Registered Dietitian at Northwestern Memorial Hospital. She completed all of her medical training, including residency in Internal Medicine and Fellowship in Geriatric Medicine at Northwestern. After a year on faculty there, she became a member of the faculty at University of Pittsburgh where she directed Geriatric Education at the Medical Center and health-related schools at the University. She was medical director of the teaching nursing home, directed the geriatric medicine fellowship program and was Associate Director of Education and Evaluation for the VA Geriatric Research, Education and Clinical Center (GRECC).

She obtained her Master on Public Health degree while at Pittsburgh. She also completed a Master of Medical Education degree from the University of Southern California, where she also taught medical education. In 2003, Dr. Granieri became Chief of Geriatrics at the Bronx VA Medical Center and the Deputy Vice Chair at the Brookdale Department of Geriatrics and Adult Development at Mount Sinai School of Medicine, and Associate Director of Clinical Care for the GRECC. In 2006, Dr. Granieri helped to establish the Division of Geriatric Medicine and Aging at Columbia.

Dr. Granieri’s interests are in medical and geriatrics education, programmatic development, advocacy and interdisciplinary care of frail and vulnerable older adults.
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Bruce Kinosian

Associate Professor of Medicine, Geriatrics, Perelman School of Medicine

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Bruce Kinosian, MD is a general internist/geriatrician with involvement among a broad group of researchers. He has produced influential cost-effectiveness analyses of interventions for cardiovascular disease in work spanning a decade, developed sophisticated, pioneering models for Alzheimer’s Disease using Grade of Membership techniques, and has been involved in economic evaluations of a range of VA HSRD funded clinical trials. He’s evaluated models of integrated, community based LTC in Philadelphia, and most recently have been involved in the design and implementation of CMMI’s Independence at Home (IAH) demonstration. He has performed a number of effectiveness studies using VA data for home based primary care, and has applied the HCC model, with VA-appropriate modifications, to evaluate demonstration programs in the VA, looking at both VA specific costs as well as total federal spending (VA, Medicare and Medicaid). He previously led a Health Services Research & Development (HSR&D) decision-modeling study in conjunction with the Office of Policy and planning to produce a new Long Term Care Planning Model for the VA that ties together VA and CMS data with national surveys spanning 20 years.

Dr. Kinosian’s current role as Associate Director of the Geriatrics and Extended Care Data and Analysis Center (GEC DAC) stemmed from earlier VA HSR&D research (IIR 02-159), which established rigorous methods to use VA and other data to meet VA operational needs. As part of the Geriatric and Extended Care Data Analysis Center, he has developed cost and utilization projection methods calibrated to frail elderly populations with superior levels of explanatory power for costs utilization. He has validated and refined a frailty index (the JEN frailty index) for use in the VA, and has incorporated the Independence at Home qualifying criteria into the planning process for sizing Home Based Primary Care (HBPC) programs. Along with collaborators in Canandaigua and Palo Alto, he has an HSR&D funded study to replicate the CMS evaluation of IAH in the VA for the home based primary care population.
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