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Ann Barry Flood, PhD

Title(s):
Active Emeritus Professor of Radiology
Active Emeritus Professor of Community and Family Medicine
Active Emeritus Professor of The Dartmouth Institute

Department(s):
Radiology
Community and Family Medicine
The Dartmouth Institute

Education:
Stanford University, PhD 1977 [Sociology]Stanford University, MA 1968 [Sociology]U. of Kansas, BA 1965 [Mathematics and Sociology]NIMH Postdoctoral Fellow, Stanford U, 1977-9Robert Wood Johnson Health Policy Fellow, 1988-89

Programs:
The Dartmouth Institute for Health Policy and Clinical Practice

Websites:
http://www.hsr.org/
Dr. Flood is Editor-in-Chief (with Jose Escarce) of Health Services Research.

Contact Information:

35 Centerra Parkway, Room 3030
Lebanon NH 03766

Office: TDI
Phone: 603-653-0854
Fax: 603-653-0896
Email: ann.b.flood@dartmouth.edu

Assistant: none


Professional Interests:

Dr. Flood's area of expertise involves the theoretical and policy implications regarding professional and organizational factors which influence the outcomes of health care. Besides using outcomes to evaluate quality of care, she investigates the effects of financial incentives and managed care techniques on clinical decision-making and resource use and how clinical organizations respond to insurance incentives. She participated in “The Institutional Differences Study”, a major study of quality of surgical care in US hospitals sponsored by the National Academy of Sciences (ref 1). This work spawned a major line of inquiry about the relationship between the volume of cases performed and better outcomes (ref 2). Her work on the Prostate Disease PORT grant continued a focus on surgical outcomes and the role of patient preferences in choosing treatment. Her recent work involves attempts to improve shared decision making under uncertainty, examining the decision to undergo periodic screening for prostate cancer. She was also the principal investigator on a study funded by the AHCPR, Commonwealth, and the Robert Wood Johnson Foundation to investigate factors which effect physicians' practice decisions, their treatment of HMO and fee-for-service patients, and their reactions to some major administration changes in financial incentives introduced into their group practice. This study used billing records to compare styles of generalists and specialists in using outpatient resources to treat episodes of seven common illnesses and their reactions to insurance-based incentives. Current work includes investigation of effective strategies to increase up-to-date screening for cancer among poor women; analysis of gender and racial variations in choice of treatment for knee arthroplasty; and factors influencing patient ratings of health care insurers.

Courses Taught:

ECS 100: Health Policy; Director of Thesis and Directed Readings and Directed Research; Chair, Ph.D. Program at TDI and Chair, NRSA Postdoctoral Program at TDI HUB 3:Scientific Controversies in Health: Making Decisions When Experts Disagree


Selected Publications:

 

  • Flood AB, Fremont AM, Jin K, et al. How do HMOs achieve their savings? The effectiveness of one organization's strategies. Health Services Research, 1998; 33 (1): 79-99.

  • Flood AB, Zinn, J, Scott WR, Shortell SM. Organizational performance: Managing for efficiency and effectiveness. In Essentials of Health Care Management. Shortell, Stephen M. and Arnold Kaluzny (editors). Albany, NY: Delmar Pub., 2000.

  • Flood, Ann Barry; Bott, David M.; Goodrick, Elizabeth. The promise and pitfalls of explicitly rewarding physicians based on patient insurance. The Journal of Ambulatory Care Management 23(1):55-70, 2000.

  • Flood AB, Bott DM, Goodrick E. The Promise and Pitfalls of Explicitly Rewarding Physicians Based on Patient Insurance. The Journal of Ambulatory Care Management, 2000; 23(1):55-70.

  • Partin MR, Nelson DN, Flood AB, Friedemann-Sanchez G, Wilt TJ. Who uses decision aids? Subgroup analyses from a randomized controlled effectiveness trial of two prostate cancer screening decision support interventions. Health Expectations 9(3): 285-295, 2006.

  • Flood, AB; S Bhattacharya, RJ Nicolalde, HM Swartz Implementing EPR Dosimetry for Life-Threatening Incidents: Factors Beyond Technical Superiority. J of Radiation Measurements Vol 42(6-7): 1099-1109, 2007.

  • Beach ML, Flood, AB, Robinson CM, Cassells AN, Tobin JN, Dietrich AJ Can Language-Concordant Prevention Care Managers Improve Cancer Screening Rates? Forthcoming in Cancer Epidemiology, Biomarkers and Prevention. October 2007.