Center for Delivery, Organization, and Markets (CDOM)
Overview
The Center for Organization and Delivery Studies (CODS) was created in 1996 by the Agency for Health Care Policy
and Research (AHCPR, now AHRQ) to provide a locus of expertise and leadership for research on health care markets, delivery
systems, and organizations. In 2003, CODS became the Center for Delivery, Organization, and Markets (CDOM).
CDOM's researchers serve as an
interdisciplinary inhouse team to identify emerging research needs, manage a portfolio of research grants and contracts,
conduct and publish peer-reviewed research, and develop databases and software tools that can be used with the databases.
These activities often are carried out in collaboration with others in the Agency and through partnerships with public and
private decisionmakers outside of the Agency. The ultimate goal of the Center's work is to help improve the quality and efficiency of health care by providing evidence on organization, payment, delivery, and markets that decisionmakers need.
Research Portfolio
From a small but rich body of social science literature, we know that market dynamics, payment and other incentives to providers and consumers, and delivery system organization matter. Through 2 years of external "needs assessment" and internal planning processes, CDOM has developed a
research portfolio that produces findings decisionmakers can tap to understand what the key market and delivery system
variables are and how deliberate or unintended changes in these variables are likely to affect outcomes, quality, access,
cost and use of health care. Four domains of research in the CDOM portfolio are:
- Organizational behavior. How and why do organizations' behavioral responses vary, and what is the impact on quality,
outcomes, access, cost, and use?
- Delivery systems. How are delivery systems structured and organized to provide acute and long-term care, and what is
the impact on quality, outcomes, access, cost, and use?
- Markets. How are markets structured, and what is the impact on quality, outcomes, access, cost, and use?
- External factors. How do external factors (for example, legal, regulatory, and demographic factors) affect health care markets
and delivery systems?
In pursuing data development activities, CDOM focuses on State-level data, patient-level encounter data, and market-level
data. Special attention is paid to building national, State, and market-level capacity for studying priority populations such
as minorities, women, and children. CDOM also supports and develops a small but growing menu of user-friendly tools to
help translate data into meaningful information that policymakers can use to assess the impact of past health decisions, and
to guide the direction of future decisions to improve patient care.
Projects include:
Staff
Director: Irene Fraser, Ph.D., Political Science
Roxanne Andrews, Ph.D., Health Services Research
Cindy Brach, M.P.P., Ph.D. Candidate, Public Policy
P. Hannah Davis, M.S., Public Policy and Management
Jan De La Mare, M.P.Aff., Public Affairs
Anne Elixhauser, Ph.D., Health Services Research
William Encinosa, Ph.D., Economics
Marybeth A. Farquhar, M.S.N., R.N., Quality Indicators
Bernard Friedman, Ph.D., Economics
Michael Hagan, B.A., Ph.D. Candidate, Economics
Michael Harrison, Ph.D., Health Service Organizations Research and Change
Fred Hellinger, Ph.D., Economics
H. Joanna Jiang, Ph.D., Health Services Organization and Research
William J. McAuley, Ph.D., Health Behavior and Administration
Peggy McNamara, M.S.P.H., International Health Care Organization
Ryan Mutter, M.A., Junior Service Fellow
Cynthia Palmer, M.Sc., Health Economics
Mamatha Pancholi, M.S., Social Scientist
Jenny Schnaier, M.A., Counseling Psychology
William Spector, Ph.D., Social Policy
Claudia Steiner, M.D., M.P.H., Medicine, Public Health
Carol Stocks, R.N., M.H.S.A., Health Services Administration
Herbert Wong, Ph.D., Economics
Contact
You can reach the Center for Delivery, Organization, and Markets (CDOM) at:
Center for Delivery, Organization, and Markets (CDOM)
Agency for Healthcare Research and Quality
540 Gaither Road, Suite 5000
Rockville, MD 20850
Phone: (301) 427-1410
E-mail: http://info.ahrq.gov/
Current as of June 2008
Internet Citation:
Center for Delivery, Organization, and Markets (CDOM). June 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/cdom/
540 Gaither Road Rockville, MD 20850