Ila Hughes Broyles

Transcription

1 Ila Hughes Broyles RESEARCH INTERESTS: post-acute care long-term care Medicare payment policy end-of-life care integrated care models dual eligibles care transitions interaction of long-term care with healthcare systems financing structures for long-term care services EDUCATION University of North Carolina, Chapel Hill, PhD: Public Health December 2014 PhD in Health Policy and Management, Gillings School of Global Public Health Dissertation Title : Community v. Facility Long-Term Care: Impact on Medicare Spending & Service Use Methods: Instrumental variable analysis incorporating survival-adjusted Medicare cost and utilization outcomes Minor Area of Concentration: Quality and Access Honors Awarded in Minor Area Comprehensive Exam University of Virginia, B.A.: Human Biology, History May 2007 Distinguished Major in Human Biology (concentration in Bioethics with emphasis on hard science coursework) Honors for Undergraduate Thesis: A Legitimate Model for Patient Advocacy: Abigail Alliance v. von Eschenbach Cumulative GPA: 3.55, Echols Honors Program, Dean s List, Institute for Practical Ethics Internship Scholarship, Laurie Lee Woolen Scholarship (outstanding 1 st year performance), Phi Eta Sigma, National Society of Collegiate Scholars PROFESSIONAL EXPERIENCE McKinsey, Summer Associate Summer 2013 Global Consulting Firm Highly competitive strategy and operations consulting internship Strategy project with healthcare industry client (state multi-payer payment reform initiative, developing new value-based payment for public sector payer) involving model-building, stakeholder engagement UNC Institute on Aging, Pre-doctoral Fellow August 2012-June 2013 Carolina Program in Health and Aging Research Competitive One Year T32 Fellowship sponsored by the National Institute on Aging to support dissertation research in aging Cecil G. Sheps Center for Health Services Research, Research Assistant May 2011 May 2012 North Carolina Rural Health Research & Policy Analysis Center, UNC Chapel Hill Part of team funded by Health Resources and Services Administration (HHS) grant for ongoing analysis and input on rural health policy issues Conducted literature reviews on costs, use, and case mix for Critical Access Hospital swing beds to inform data analysis and for reference of research team members Compiled components for MedPAC IDIQ grant submission (awarded) Worked on design and execution of analysis of case mix of discharges to Critical Access Hospital swing beds compared to other post-acute settings using National Inpatient Sample Assisted with data analysis and programming for regression discontinuity analysis of changes in hospital swing bed use after conversion to Critical Access Hospital status Researched and assisted with journal manuscript on the evolution of cost-based reimbursement for Critical Access Hospital swing beds (accepted) Researched and summarized feasibility of studying readmission rates from Critical Access Hospital swing beds given available data (including National Inpatient Sample, MedPAR, and Medicare Current Beneficiary Study) for new grant applications UNC Public Health DrPH Program, Program Assistant August 2010 May 2011 Health Policy and Management Department, UNC Gillings School of Global Public Health Assistant to directors of distance executive doctoral program, which targets mid-to-late career professionals in healthcare Provided technical assistance with Adobe Connect software to professors and students to conduct distance learning classes Maintained Blackboard class websites with announcements and materials

2 Scheduled students on- campus meetings, including necessary technology and facilities, interfacing with healthcare executives (both students and lecturers) and professors to coordinate schedules and provide resources Avalere Health, Senior Associate July 2009-June 2010 Health Policy Consulting Firm, Washington, DC Read and summarized Medicaid, CHIP, and insurance exchange provisions of all iterations of Patient Protection and Affordable Care Act (ACA), detailing implications across firm clients including pharmaceutical, health plan, foundations, etc. Analyzed and presented impact of ACA to health industry clients, including business strategy presentations to executive-level teams for a variety of health industry clients (health plan, large chain pharmacy, prescription benefit manager, etc.) Liaison between modeling team and website design team to produce long-term care reform scoring model accessible in website form for SCAN Foundation Formulated Medicare demonstration concept and crafted marketing documents for Special Needs Plan seeking waivers to continue certain home and community-based services under Medicare Advantage Authored report on health disparities in quality indicators for DC-area hospitals Tracked and summarized state-level Medicaid and insurance market reforms, considering relevance on pharmaceutical, managed care industries Coordinated formulary analysis of Part D plans on behalf of prescription benefit manager to distribute to nursing homes, assessing coverage and utilization management for drugs frequently used by institutionalized Medicare beneficiaries Avalere Health, Associate July 2008-July 2009 Health Policy Consulting Firm, Washington, DC Served as firm expert on Medicare/Medicaid dual eligibles, monitoring all legislative and administrative policy changes surrounding duals, informing client teams of relevant policy developments Constructed Excel model of Medicaid cost for continuing care retirement community proposing integrated care model (covering Medicare and Medicaid services) to be administered through a Medicaid 1115 waiver, relying on data from the Health and Retirement Survey and interviews with Pennsylvania Medicaid staff, and presented to client Constructed Excel-based enrollment model for dual eligible auto-enrollment (via low-income subsidy) in Medicare Part D prescription drug plans from and participated in selling model to existing clients (pharma and prescription drug plans) Authored report from extensive interview research for a hospital system non-profit on health disparities in local community and role of community organizations Researched and authored report examining unintended consequences of laws requiring a prescription for pseudoephedrine Reviewed all current models for exchange-like web interfaces (including Medicare Part D plans, Massachusetts Exchange, etc.), summarizing and analyzing the level of transparency on health plan s covered benefits and presented to clients Healthcare Group of Crowell & Moring LLP, Project Assistant August 2007-June 2008 Law Firm, Washington, DC Completed research assignments including Medicare/Medicaid regulatory change, competition in healthcare markets, and case law and condensed and translated research into concise summary for attorney use Julia D. Mahoney, J.D., Research Assistant Summer 2006 Law Professor, University of Virginia Authored memos detailing reaction to court cases, newly published books, and articles involving health care and property rights Institute for Practical Ethics, Research Assistant Fall 2005-Summer 2006 University of Virginia Transcribed articles for latest edition of Dictionary for Christian Ethics for leading bioethicist Jim Childress Clarus Consulting Group, Intern Summer 2005 Birmingham, AL Assisted with authoring a grant proposal for new study of economic status of women in Alabama 1917 HIV Clinic, Research Assistant Summer 2005 University of Alabama-Birmingham Extracted key disease markers from thousands of deceased patient files to track medication history and disease progression Compiled database of HIV progression from analysis of physician notes in patient files Medpartners, Intern Summer 2004

3 Birmingham, AL Researched emerging health management organizations and their websites for market possibilities Authored articles about diabetes and cardiovascular disease management PUBLICATIONS Peer Reviewed Journal Articles Reiter, Kristin. Holmes, George Mark. Broyles, Ila. (2013) Medicare, Swing Beds, and Critical Access Hospitals. Medical Care Research and Review 70(2): Sloane, Phillip. Oudenhoven, Mollie. Broyles, Ila. McNabney, Michael. (2014) Challenges to Cost-Effective Primary Care Management of Complex Elderly Patients: Perspectives of PACE Medical Directors. Journal of the American Geriatric Society 62: In Progress Broyles, Ila. Holmes, G. Mark. Federspiel, Jerome. Van Houtven, Courtney. Reiter, Kristin. Sloane, Philip. Weinberger, Morris. Revisiting Long-Term Care Setting: Impacts on Medicare Expenditures on Inpatient and Physician Services. Submitted: Health Services Research. Broyles, Ila. Weinberger, Morris. Federspiel, Jerome. Van Houtven, Courtney. Reiter, Kristin. Sloane, Philip. Holmes, G. Mark. Who Pays the Bill: Facility Long-Term Care and Sub-Acute Medicare Expenditures. Target Journal: Medical Care. Broyles, Ila. Holmes, G. Mark. Van Houtven, Courtney. Reiter, Kristin. Sloane, Philip. Weinberger, Morris. Prior Facility Long-Term Care and Hospital Readmissions. Target Journal: Health Affairs. Broyles, Ila. Sperber, Nina. Van Houtven, Courtney. Konetzka, Tamara. Coe, Norma. Long-Term Care Planning within the Life Course. Target Journal: Journals of Gerontology, Series B. Broyles, Ila. Sloane, Phillip. Zimmerman, Sheryl. Assisted Living and Long-Term Care Trajectories. Target Journal: Journal of the American Geriatric Society. Technical Reports Hammelman, Eric. Tumlinson, Anne. Weier, Scott. Broyles, Ila. (2010) Technical Assumptions Informing an Interactive, Web-based Model of Public Long-Term Care Insurance Programs. Prepared for the Scan Foundation. Prepared by Avalere Health, LLC, Washington, DC. Available at: GRANTS 1R36HS (Broyles) 9/30/2013-2/15/ % National Institutes of Health $40,063 AHRQ Grants for Health Services Research Dissertation Program (R36) The purpose of this research is to determine whether facility long-term care use increases Medicare expenditures and healthcare use for disabled older adults relative to community long-term care. 5T32AG (Dilworth-Anderson) 08/01/ /12/ % National Institute on aging

4 National Institute of Aging (NIA) National Research Service Award (NRSA) T-32 Pre-doctoral Traineeship at the Institute on Aging, University of North Carolina-Chapel Hill PRESENTATIONS Refereed poster presentations Broyles, Ila. Holmes, G. Mark. Federspiel, Jerome. Van Houtven, Courtney. Reiter, Kristin. Sloane, Philip. Weinberger, Morris. Estimating Facility Long-Term Care Effects on Medicare Inpatient Expenditures. AcademyHealth Annual Research Meeting Long-Term Care Interest Group, San Diego, CA (June 2014) Sloane, Phillip. Oudenhoven, Mollie. Broyles, Ila. McNabney, Michael Challenges to Primary Care Management in Accountable Payment Systems: Perspectives of PACE Medical Directors. UNC Institute on Aging: Aging Exchange, Chapel Hill, NC (2013) Broyles, Ila. An Instrumental Variable Analysis of Effect of Community-based vs. Institutional Long-Term Care on Medicare Expenditures. AcademyHealth Annual Research Meeting, Orlando, FL (June 2012) Moderated Sessions Broyles, Ila. Frontier Issues in Long-Term Care Services and Supports: Technology and Long-Term Care. Gerontological Society of America Annual Meeting, San Diego, CA (November 2012) Lectures March Presented Learning Styles (guest lecture) to Health Policy and Management graduate course HPM 871 Doctoral teaching seminar (taught by Dr. Bill Zelman), University of North Carolina at Chapel Hill. November Presented Long-Term Care in America (guest lecture) to Health Policy and Management graduate course HPM 754 US Health Care Systems (taught by Dr. Suzanne Havala Hobbs and Dr. Edward Brooks), University of North Carolina at Chapel Hill. PROFESSIONAL SERVICE AcademyHealth, Long-Term Care Interest Group Steering Committee Spring 2011-Spring 2013 Student Representative Program Review AcademyHealth Annual Research Meeting, Abstract Reviewer for the Long-Term Care Theme Session, 2013 Annual Meeting MEMBERSHIPS AcademyHealth, Member (2011-current) AcademyHealth Long-Term Care Interest Group, Member (2011-Current) Gerontological Society of America, Member (2011-Current) GSA Research in Quality of Care Interest Group, Member (2012-Current) GSA Research in Assisted Living Interest Group, Member (2012-Current) COMMUNITY INVOLVEMENT

5 Girls on the Run Fall 2013-Spring 2014 Substitute coach and outreach volunteer for girls character education and running program DurhamCARES, 501(c)3 volunteer and donation clearinghouse Fall 2012 Durham, NC Assisting lead program director in needs assessment of Durham s elderly to help connect volunteers to local programs SKILLS STATA (Preferred Quantitative Software): proficient Atlas T.i (Preferred Qualitative Software): proficient NVivo: proficient SAS: familiar Adobe Connect: proficient Microsoft Excel, PowerPoint, and Word: proficient