Announcing the finalists for the 2022 NIHCM Awards in Journalism & Research. Congratulations on your extraordinary work! bit.ly/NIHCMAw22 @propublica @statnews @nytimes @voxdotcom @NBCNews @Health_Affairs @JPubEcon @NewsfromScience @medpagetoday @frontlinepbs @PBS

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Laura Barrie Smith Retweeted

Ezra Golberstein

@EGolberstein

Mar 15

Absolutely honored to be a finalist for the

@NIHCMfoundation

Research Award for my paper w/

@seth_freedman

@Laura2smith

, Yao Huang & David Satin. Such an incredible group of papers in the group (a few are already on our phd health econ seminar syllabus!).

nihcm.org

Announcing the Finalists for the 2022 NIHCM Awards in Journalism and Research

The NIHCM Foundation is delighted to announce the finalists for the 2022 NIHCM Awards in Journalism and Research....

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Laura Barrie Smith Retweeted

Another cool

paper from

et al "The effect of a public transportation expansion on no-show appointments" No show rates are very stubborn - could public transportation help? They used a new light rail project to explore. onlinelibrary.wiley.com/doi/10.1111/14

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Laura Barrie Smith Retweeted

Huge thanks to

and

for featuring our paper...and to

@Laura2smith

and Zhiyou (Austin) Yang for leading the work!!

Quote Tweet

Tradeoffs

@tradeoffspod

· Dec 17, 2021

NEWSLETTER DAY

@EmilyG_DC on study by @Laura2smith, Zhiyou Yang @EGolberstein, @PeterHuckfeldt, @Ateevm + @HNeprash on how

can

no-show appts

@am_perdomo recs @earhustlesq and a foolproof holiday ham recipe Sign up now to read free: bit.ly/tradeoffsnewsl

Laura Barrie Smith Retweeted

Tradeoffs

@tradeoffspod

Dec 16, 2021

In tomorrow's newsletter,

@EmilyG_DC

writes about new research in

, Zhiyou Yang

and

on how public transit can ⬇️ no-show appointments. Sign up now to read free on Friday: bit.ly/tradeoffsnewsl

Laura Barrie Smith Retweeted

Sarah Gollust

@sarahgollust

Nov 19, 2021

So excited to see this write-up by

@dylanlscott

of my

@PublicHealthUMN

colleagues' paper! Kudos

@Laura2smith

and coauthors including

@EGolberstein

@PeterHuckfeldt

@HNeprash

Improving public transit makes it easier for people to stay healthy vox.com/policy-and-pol via

@voxdotcom

vox.com

Improving public transit makes it easier for people to stay healthy

A new study found improving public transportation makes it easier for people to make it to their doctor appointments.

Topics to follow

Carousel

Laura Barrie Smith

@Laura2smith

Nov 3, 2021

And of course, huge thank you to the editors and reviewers at

And finally, this paper was a lot of fun to work on & has been a long time in the making! Grateful for an amazing authorship team, the

@UMN_CTSI

BPIC for their awesome data (!!), and support from

🚈

You can find the paper here:

pubmed.ncbi.nlm.nih.gov

The effect of a public transportation expansion on no-show appointments - PubMed

Improvements to public transit may improve access to health care, especially for people with low incomes.

As one of the first studies to examine the link between transportation & no-shows using a large dataset and a quasi-experimental research design, our findings underscore the importance of public transportation in promoting equity in access to health care.

Fewer no-shows means improved care continuity & disease control for patients, esp. for those w/ chronic illness (and prior research finds a correlation between no-shows & future ED/hospital visits). Fewer no-shows also reduces scheduling inefficiencies for providers.

We also found there was a significant increase in same-day appts for patients living near vs. far from the light rail and at clinics located near vs. far from it, after it opened.

We found the probability of no-shows differentially declined by 0.5 percentage points for patients living near vs. far from the light rail, & the effect was stronger for patients on Medicaid, among whom no-shows declined by 1.6 p.p. for patients near vs. far from the rail.

We used EHR data from a large delivery system (representing 3m+ appts at 97 clinics) in the Twin Cities & tested whether no-shows declined differentially for patients living near vs. far from a new light rail line (the Green Line, for my MN friends🙂) after it opened in 2014.

We examined whether a significant public transit expansion reduced the frequency of missed appointments, aka no-shows. Short answer: it did! Especially for patients covered by Medicaid.

🚈 New Research🚈 Super excited to share our new paper on the relationship between public transportation & access to health care, with Zhiyou Yang

MANY thanks to my dissertation advisors

& committee members

; to

for their amazing data; to

@AHRQNews

@urbaninstitute

for their instrumental support; & to many others for their helpful feedback & suggestions!💫 13/13

A key priority for future research will be to examine the longer-term effects of SOP laws on primary care access, quality, & costs, as I was limited to a relatively short “post” period in most states. 12/13

…My findings further suggest that removing SOP restrictions enables NPs to practice with more autonomy, without otherwise affecting the actual delivery of care at primary care practices. 11/13

What does this mean? Many others have found no evidence that removing SOP restrictions adversely affects patient health outcomes… 10/13

Independent billing by NPs is cost-saving, since NP services are billed at ~85% of the physician rate (vs. 100% when services are billed incident-to a supervision physician), & it increases transparency of claims data by reflecting who actually provided the care. 9/13

I also find no evidence that removing SOP restrictions changes patient volume, the complexity of patients that NPs see, nor how often low-value services are provided. 8/13

I find evidence that NPs have more autonomy after SOP restrictions are removed – specifically, NPs bill independently, rather than incident-to a supervising physician, more often. 7/13

I use claims & EHR data from

@athenahealth

that circumvent this issue by recording both the rendering & billing clinicians for all services, enabling a novel, granular look at NP-provided services at a national sample of primary care practices from 2011-2017. 6/13

Historically, these things have been hard to study b/c NP-provided services are often billed under physician ID’s (i.e., “incident-to billing”), meaning they are attributed to physicians rather than NPs in traditional claims datasets (e.g., Medicare claims). 5/13

I examine the effects of relaxing SOP laws (i.e., removing requirements for physician oversight) on NPs’ day-to-day autonomy, workload & allocation of patients to NPs vs. physicians, & the provision of low-value services at primary care practices. 4/13

However, in many states, scope of practice (SOP) laws & regs restrict NPs from practicing to the full extent of their training & ability, requiring them to practice with physician oversight. 3/13

Nurse practitioners (NPs) are an integral, rapidly-growing part of the primary care workforce and are shown to provide safe, high-quality, & cost-effective primary care. 2/13

💫New research💫 I'm excited to share my paper on the effects of nurse practitioner scope of practice laws in primary care, newly published in Health Economics. Check it out here: doi.org/10.1002/hec.44 🧵1/13

107

Help

grow the field of researchers building evidence to accelerate racial justice and strengthen equity. Deadline is June 1 to apply to the Equity Scholars program, launching January 2022 urbn.is/3xxvOBp

Laura Barrie Smith

@Laura2smith

Apr 9, 2021

Anybody working on a paper related to transportation and health / access to care / SDOH? Let me know—hoping to create a (very!) last-minute APPAM panel!

@EGolberstein

Laura Barrie Smith Retweeted

Emily M. Johnston

@_EMJohnston

Mar 15, 2021

Exciting to see an option for postpartum Medicaid extension in the #ARP! and to see our

@urbaninstitute

work contributing to the excellent body of evidence supporting this policy

Quote Tweet

The Upshot

@UpshotNYT

· Mar 15, 2021

Expanding postpartum Medicaid is another stimulus policy that bolsters the safety net supporting low-income parents in the United States. nyti.ms/2NnTCFE

Laura Barrie Smith

@Laura2smith

Feb 24, 2021

This paper has been years in the making -- thrilled to say it's published! I couldn't describe it any better than

@EGolberstein

does here. Grateful for mentorship from Ezra,

@seth_freedman

, and David Satin, and the RA camaraderie (and genius Stata skills) of Yao Huang.

Quote Tweet

Ezra Golberstein

@EGolberstein

· Feb 24, 2021

New Paper Alert!

Really excited to share “Docs with their Eyes on the Clock? The Effect of Time Pressures on Primary Care Productivity,” now out as a pre-proof at @JHealthEcon!

1/12

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Laura Barrie Smith Retweeted

Urban Institute

@urbaninstitute

Jan 12, 2021

Report: 1 in 3 adults used telehealth during the first 6 months of the pandemic, but unmet needs for care persisted urbn.is/3qeBsnk

Laura Barrie Smith Retweeted

Rachel R. Hardeman, PhD, MPH

@RRHDr

Sep 27, 2020

I wrote this piece with the incredible ⁦

@BeahboutIT

⁩. I am so grateful to work with such brilliant and BRAVE doctoral students like J’Mag. Its not easy to critique ones own discipline.

onlinelibrary.wiley.com

Examining racism in health services research: A disciplinary self‐critique

Click on the article title to read more.

119

335

Laura Barrie Smith Retweeted

Dr. Sara Hunt, DNP, FNP-C

Replying to

Bravo! Thanks for sharing this. Sounds about right 👏👏👏 Nurse practitioners are here to help! Let us help patients! Got Medicaid? Yep! We want to see you! 😊 No insurance? No problem. We want to see you!

@AANP_NEWS

See thread!👌 #NPslead #NursePractitioner #Nursing #nurses #NP

Laura Barrie Smith Retweeted

Hannah Neprash

@HNeprash

Sep 21, 2020

Ever wondered if physicians and nurse practitioners (NPs) function as substitutes or complements in primary care? Me too! New in

with

Bethany Sheridan of

– descriptive evidence exploring this tinyurl.com/y5g6r52b

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Laura Barrie Smith Retweeted

In our new

blog post, we (

) discuss systemic racism in the healthcare workforce, the historical devaluation of BIPOC workers, how statements of solidarity are not enough, and the need for antiracist policies.

Quote Tweet

Janette Dill

@janette_dill

· Sep 10, 2020

I have a new blog post up at @Health_Affairs with my fabulous coauthors @odiakosionu @BeahboutIT @Carrie_H_S about systemic racism in the health care workforce. Thread

healthaffairs.org/do/10.1377/hbl

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Laura Barrie Smith Retweeted

U of MN Rural Health

@UMNRHRC

Jul 30, 2020

Great thread 👇 highlighting key findings from a new #ruralhealth paper on team-based primary care, led by our colleague & collaborator @hannahneprash! cc co-authors:

Bethany Sheridan

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Hannah Neprash

@HNeprash

· Jul 30, 2020

New Paper Thread!

Nurse Practitioner Autonomy and Complexity of Care in Rural Primary Care journals.sagepub.com/doi/10.1177/10 This @MCRRSage piece was a super fun @UMNRHRC collaboration with @Laura2smith Bethany Sheridan of @athenahealth @IMoscovice @shaileyprasad @katybkoz

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