OMB No. 0925-0001 and 0925-0002 (Rev. 09/17 Approved Through 03/31/2020)
BIOGRAPHICAL SKETCH
Provide the following information for the Senior/key personnel and other significant contributors.
Follow this format for each person. DO NOT EXCEED FIVE PAGES.
NAME: Ashish K. Jha
eRA COMMONS USER NAME (credential, e.g., agency login): AJHA12
POSITION TITLE: K.T. Li Professor of Health Policy, Harvard T.H. Chan School of Public Health, Director, Harvard Global Health Institute; Professor of Medicine, Harvard Medical School
EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, include postdoctoral training and residency training if applicable. Add/delete rows as necessary.)
INSTITUTION AND LOCATION DEGREE Completion Date FIELD OF STUDY
Columbia University, New York, NY B.A. 1992 Economics
Harvard Medical School, Boston, MA M.D. 1997 Medicine
Harvard School of Public Health M.P.H. 2004 Clinical Effectiveness
A. Personal Statement
I am a practicing physician, researcher, and Professor of Medicine at Harvard Medical School and the K.T. Li Professor of Global Health at the Harvard. T.H. Chan School of Public Health. As a researcher, my work has focused on four primary areas – (1) Public reporting, (2) Pay for performance and value-based care, (3) Health information technology, (4) Leadership – and the roles these play in effecting the delivery of safe, effective, patient-centered care. My research endeavors focus on improving the quality and costs of healthcare systems with a specialized focus on the impact of policies and improving health disparities. I have published over 200 empirical manuscripts on these topics. I am also a member of the National Academy of Medicine. Previously, I have also served as a Special Assistant to the VA Secretary General and have advised multiple governments in health policy and quality of care.
B. Positions and Honors
1997-1998 Internship, Internal Medicine, University of California, San Francisco
1998-2000 Residency, Internal Medicine, University of California, San Francisco
2000-2001 Chief Residency, Internal Medicine, University of California, San Francisco
2002- Associate Physician, Brigham and Women’s Hospital, Boston, MA
2004- Staff Physician, VA Boston Healthcare System
2004- Assistant Professor of Health Policy, Harvard School of Public Health
2005- Assistant Professor of Medicine, Harvard Medical School
2007- Senior advisor for quality and safety, Veterans Health Administration, Washington, DC
2009-2012 Associate Professor of Health Policy, Harvard School of Public Health
2013- Professor of Health Policy, Harvard School of Public Health
2014- Director, Harvard Global Health Institute
2014- Professor of Medicine, Harvard Medical School
2017- Senior Associate Dean, Harvard T.H. Chan School of Public Health
C. Contribution to Science
1. Disparities in Care: Disparities exist across many aspects of clinical care and can have a deleterious impact on the health outcomes of populations with social risk factors, such as race and ethnicity. In my work, I seek to understand the drivers of poor quality of care among vulnerable populations primarily using data derived from Medicare.
a) Figueroa JF, Zheng J, Orav EJ, Epstein AM, Jha AK. Medicare Program Associated With Narrowing Hospital Readmission Disparities Between Black And White Patients. Health Affairs. 2018 April; 37(4):654-661.
b) Joynt KE, Jha AK. Characteristics of hospitals receiving penalties under the Hospital Readmissions Reduction Program. JAMA. 2013 Jan 23; 309(4):342-3. PMID: 23340629.
c) Jha AK, Orav EJ, Epstein AM. Low-quality, high-cost hospitals, mainly in South, care for sharply higher shares of elderly black, Hispanic, and medicaid patients. Health Aff (Millwood). 2011 Oct; 30(10):1904-11. PMID: 21976334.
d) Jha AK, Epstein AM. Governance around quality of care at hospitals that disproportionately care for black patients. J Gen Intern Med. 2012 Mar; 27(3):297-303. PMID: 21948204; PMCID: PMC3286564.
2. Examining Quality of Care in U.S. This proposal requires an understanding of measuring quality of care in the U.S. I have substantial experience evaluating quality of care.
a) Adler-Milstein J, Jha AK. HITECH Act Drove Large Gains in Hospital Electronic Health Record Adoption. Health Affairs (Milwood) 2017 Aug 1; 36(8): 1416-1422.
b) Joynt KE, Harris Y, Orav EJ, Jha AK. Quality of Care and Patient Outcomes in Critical Access Rural Hospitals. JAMA 2011;306(1):45-52.
c) Jha AK, Orav EJ, Zheng J, Epstein AM. Patients' Perception of Hospital Care in the United States. N Engl J Med 2008;359(18):1921-31.
d) Burke LG, Frakt AB, Khullar D, Orav EJ, Jha AK. Association Between Teaching Status and Mortality in US Hospitals. JAMA 2017 May 23; 317(20): 2105-2113.
3. Examining Costs of Care: There is an increasing focus on reducing waste and controlling rising health care costs. I have worked on understanding drivers of high health spending in the U.S. and strategies to reduce unnecessary health care utilization.
a) Figueroa JF, Joynt Maddox KE, Beaulieu N, Wild RC, Jha AK. Concentration of Potentially Preventable Spending Among High-Cost Medicare Subpopulations: An Observational Study. Ann Intern Med. 2017 Nov 21; 167(10):706-713.
b) Papanicolas I, Woskie LR, Jha AK. Health Care Spending in the United States and Other High-Income Countries. JAMA 2018 March 13; 319(10): 1024-1039.
c) Tsai TC, Jha AK. Surgical-readmission rates and quality of care. N Engl J Med. 2013 Dec 19; 369(25):2460-1.
d) Figueroa JF, Lyon Z, Zhou X, Grabowski DC, Jha AK. Persistence and Drivers of High-Cost Status Among Dual-Eligible Medicare and Medicaid Beneficiaries: An Observational Study. Ann Intern Med. 2018 Oct 16; 169(8):528-534.
4. Evaluation of public reporting and value-based care: In recent years, there is a growing shift for transparency in health and also an increasing shift from paying for volume to paying for value. In my work, we have examined whether some national efforts are working, including accountable care organizations.
a) Jha AK, Joynt KE, Orav EJ, Epstein AM. The Long-Term Effect of Premier Pay for Performance on Patient Outcomes. N Engl J Med 2012; 366:1606-1615.
b) Figueroa JF, Tsugawa Y, Zheng J, Orav EJ, Jha AK. Association between the Value-Based Purchasing pay for performance program and patient mortality in US hospitals: observational study. BMJ. 2016 05 09; 353:i2214.
c) Jha AK, Orav EJ, Epstein AM. Public reporting of discharge planning and rates of readmissions. N Engl J Med. 2009 Dec 31; 361(27):2637-45.
d) Lee GM, Kleinman K, Soumerai SB, Tse A, Cole D, Fridkin SK, Horan T, Platt R, Gay C, Kassler W, Goldmann DA, Jernigan J, Jha AK. Effect of nonpayment for preventable infections in U.S. hospitals. N Engl J Med. 2012 Oct 11; 367(15):1428-37.
My complete bibliography can be found at http://www.ncbi.nlm.nih.gov/pubmed/?term=Jha+AK.
D. Research Support
76391 04/15/2019 – 04/14/2020
Robert Wood Johnson Foundation
Developing a Research Agenda to Update Knowledge of the Social and Health-System Factors that Affect Health
2017-263684
The Bill and Melinda Gates Foundation 09/7/2017—06/30/2021
Towards Evidence-Based Health System Reform
Role: Co-Investigator
2018-373679
Climate Change Solutions Fund 01/15/2018—01/14/2020
Association of Extreme Weather Events and Healthcare Spending
1R21MD011701-01 09/26/2017—05/31/2019
NIH/NIMHD
Trends in Racial Disparities in Surgical Readmissions and Strategies to Narrow the Gap
Role: Primary Investigator
20171084
The Commonwealth Fund 01/01/2018 – 06/30/2019
Using Segmentation and Data Analytics to Improve Care for High-Need, High-Cost Patients in ACOs
Role: Primary Investigator
20181326 01/01/2018—05/31/2019
The Commonwealth Fund
Managing High-Need, High-Cost Patients: An International Perspective
Role: Primary Investigator
2017-0065
The John A. Hartford Foundation 07/01/2017 – 06/30/2019
Understanding Information Continuity and its Impact on Care for Older Adults
Role: Primary Investigator
Completed Research Support
20160620
The Commonwealth Fund 05/01/2016 – 10/31/2018
Understanding Who Becomes and Remains High-Cost/High Need Over Time:
The Role of Mental Health and Social Factors
Role: Primary Investigator
61569153-126906 07/01/2017—12/31/2017
Stanford
Bright Spots in Care Deliver to High-Need, High-Cost Patients
MED17P0035111 06/20/2015 – 09/30/2017
Medicare Payment Advisory Commission (MedPAC)
Phase 2 of development of healthy days at home population-level quality measure
Role: Primary Investigator
2014-0136 06/01/2015 – 10/31/2017
The John A. Hartford Foundation
Understanding Health IT-Enabled Performance Improvement for Older Adults
Role: Primary Investigator
6979247 07/01/2015 – 06/30/2017
Association of American Medical Colleges
Understanding the Value of Academic Medical Centers
Role: Primary Investigator
2015-EBO-310 06/01/2015 – 04/30/2016
The Rockefeller Foundation
An Independent Panel on the Global Response to Ebola
Role: Primary Investigator
15032 11/01/2014 – 08/31/2016
Peterson Center on Healthcare
High Cost/High Risk Patients
Role: Primary Investigator
RX Foundation 01/01/2014 – 12/31/2015
The Impact of Insurance Expansion on Medicaid Patients
Role: Primary Investigator
620140227 12/01/2013 – 04/30/2016
The Commonwealth Fund
Care Utilization and Spending Patterns for High-Cost Medicare
Role: Primary Investigator
12-04749 01/01/2013 – 05/31/2016
Blue Cross Blue Shield of Massachusetts Foundation
Understanding High-Cost Patients in Massachusetts
Role: Primary Investigator
1 R01 HL113567 04/01/2012 – 03/31/2016 NIH/National Heart, Lung, and Blood Institute
Identifying Ways to Reduce Readmissions Among Minority-Serving U.S. Hospitals
Role: Primary Investigator
1 R01 MD006230 04/01/2012 – 12/31/2016 NIH/NIMHD
Understanding Disparities in Patient-Centered Hospital Care
Role: Primary Investigator