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Julie PW Bynum, MD, MPH

Adjunct Professor of The Dartmouth Institute

Additional Titles/Positions/Affiliations
Co-Director, Data Analytic Core
previous Associate Director, Center for Health Policy Research

The Dartmouth Institute

MD Johns Hopkins School of Medicine 1997
MPH Johns Hopkins School of Hygiene & Public Health 1996
BS Union College, Schenectady, NY 1992

The Dartmouth Institute for Health Policy and Clinical Practice


Contact Information

WTRB Level 5
1 Medical Center Drive
Lebanon NH 03756

Phone: 603-653-0827
Fax: 603-653-0896
Email: julie.bynum@dartmouth.edu

Assistant: Kathy Stroffolino
Asst. Phone: 603-653-0881
Asst. Email: kathy.stroffolino@dartmouth.edu

Professional Interests

Julie P.W. Bynum, M.D., M.P.H. is Associate Professor of Medicine at The Dartmouth Institute for Health Policy and Clinical Practice of the Geisel School of Medicine at Dartmouth. Dr. Bynum’s work is focused on healthcare delivery for an aging population. Dr. Bynum has been a Robert Wood Johnson Physician Faculty Scholar and a National Institute of Aging Beeson Scholar to study quality and efficiency of healthcare delivery to high-risk elderly.

One of Dr. Bynum’s contributions to the field has been to develop a method of creating “virtual” physician-hospital networks that were used in the conceptual development of the Accountable Care Organization legislation. She continued her policy-relevant efforts as a 2011-2013 Health & Aging Policy Fellow funded by the Atlantic Philanthropies and as a member of the Institute of Medicine Committee that published “Vital Signs: Core Metrics for Health and Health Care Progress.” She also is the lead author on a Dartmouth Atlas report titled, “Our Parents, Ourselves: Healthcare for an Aging Population.”

Her active NIH-funded research program covers areas related to aging populations including: “Optimizing Osteoporotic Fracture Care Outcomes”; “Efficiency of Care for High Cost High Need Medicare Beneficiaries”; and “Cognitive Decline Relationship with Healthcare Costs and Hospitalization Risk” as well as other studies.

Grant Information

R21 AG045618-01A1, National Institute on Aging (NIA)
Bynum (PI)
Relationship of Cognitive Decline with Healthcare Costs and Hospitalization Risk

The goal of this project is to examine how the spectrum of cognitive decline in older persons relates to healthcare use trajectories and spending. Specifically, after linkage of the NHS to Medicare claims data, this study will compare utilization among NHS participants versus the general Medicare population and then begin to explore how level of cognitive decline relates to costs and utilization.
Role: PI

#2013-0238, The John A. Hartford Foundation, Inc.
Bynum (PI)
High Cost, High Need: Costs and Fragmentation of Care for Older Adults with Multiple Chronic Diseases

The goal of this project is to help policy makers, health systems, and other stakeholders better understand how to improve the quality of care for high-need older adults by studying how primary care is delivered and by which Medicaid and Medicare providers.
Role: PI

P01 AG19783, National Institute on Aging (NIA)
Skinner (PI)
Causes and Consequences of Health Care Efficiency

The goal of this Program Project is to evaluate the U.S. health care system and consider ways to improve its efficiency – better quality and lower costs – using survey and administrative data. Project 1, Healthcare Efficiency among High Need, High Cost Patients, focuses on the effects of fragmentation of care and market changes on people with multimorbidity. The Data Core
Role: Project 1 Lead, Data Core Lead

U01AG046830, National Institute on Aging (NIA)
Skinner (PI)
Technology Diffusion, Health Outcomes, and Healthcare Expenditures

This proposal seeks to measure the impact of technology diffusion in healthcare, whether for highly effective treatments (with a large impact on health outcomes) or for expensive treatments with unknown value (with a large impact on expenditures). The research group will use results from these aims to return to the central hypothesis: can observed differences in treatment-specific diffusion explain observed patterns in regional variations in health outcomes and spending?
Role: Co-Investigator

P60 AR 062799, Musculoskeletal Multidisciplinary Clinical Research Center, NIAMS
Tosteson (Center PI)
Optimizing Fracture Care Outcomes: A Comparative Effectiveness Approach

The goal of this project, as part of the Center grant, is to quantify the potential clinical and economic value of alternative interventions, such as medication use and setting of rehabilitations, to improve post-fracture care using decision-analytic modeling.
Role: CPI Project

R01 AT009003, NCCIH
Davis (PI) - University of Michigan
The Availability of Chiropractic Care and Use of Health Services for Back Pain

The overall objective of this project is to rigorously examine the relationship between availability of chiropractic care and utilization, expenditures, and care for nonspecific back pain.
Role: Sub-award PI

RO1 AG048071, National Institute on Aging (NIA)
Hollenbeck (PI) - University of Michigan
Accountable Care Organizations and the Diffusion of New Surgical Procedures

The overall goal of this study is to develop a better understanding of the effects of ACOs on the diffusion of new surgical procedures, important for anticipating the broader impact of health reform on patient care.
Role: Sub-award PI

R01 DK105050, National Institute of Diabetes, Digestive and Kidney Diseases (NIDDK)
Grodstein (PI) - Brigham and Women’s Hospital
Urinary Incontinence Epidemiology and Care Seeking

The overall goals of this R01 are to provide data to inform decisions about urinary incontience care seeking and management, with the aim of reducing this burden. The study is a collaboration of the Nurse’s Health Study and Dartmouth, combing survey and Medicare claims data.
Role: Sub-award PI

R21 AG051001, National Institute on Aging (NIA)
Kang (PI) - Brigham and Women’s Hospital
Advance Care Planning and Health Care Utilization in Aging Women

The goal of this study is use prospectively collected survey information about discussions and execution of advance care planning in the Nurse’s Health Study to examine the relationship with end-of-life care outcomes measured in Medicare claims data.
Role: Sub-award PI

Selected Publications


The Impact of Nurse Practitioner Care and Accountable Care Organization Assignment on Skilled Nursing Services and Hospital Readmissions.
Meddings J, Gibbons JB, Reale BK, Banerjee M, Norton EC, Bynum JPW
Med Care. 2023 Mar 15; doi: 10.1097/MLR.0000000000001826. Epub 2023 Mar 15.
PMID: 36920180

Mortality After Exposure to a Hurricane Among Older Adults Living With Dementia.
Bell SA, Miranda ML, Bynum JPW, Davis MA
JAMA Netw Open. 2023 Mar 1;6(3):e232043. doi: 10.1001/jamanetworkopen.2023.2043. Epub 2023 Mar 1.
PMID: 36881412

Nursing Home to Nursing Home Transfers During the Early COVID-19 Pandemic.
Chang CH, Park P, Bynum JP, Montoya A
J Am Med Dir Assoc. 2023 Feb 10; pii: S1525-8610(23)00106-8. doi: 10.1016/j.jamda.2023.01.028. Epub 2023 Feb 10.
PMID: 36878263

State Variation in Antipsychotic Use Among Assisted Living Residents With Dementia.
Zhang T, Thomas KS, Zullo AR, Coe AB, Gerlach LB, Daiello LA, Varma H, Lo D, Joshi R, Bynum JPW, Shireman TI
J Am Med Dir Assoc. 2023 Feb 23; pii: S1525-8610(23)00088-9. doi: 10.1016/j.jamda.2023.01.014. Epub 2023 Feb 23.
PMID: 36841263

Behavioral symptoms, depression symptoms, and medication use in Michigan nursing home residents with dementia during COVID-19.
Coe AB, Montoya A, Chang CH, Park PS, Bynum JPW, Shireman TI, Zhang T, McCreedy EM, Gerlach LB
J Am Geriatr Soc. 2023 Feb;71(2):414-422. doi: 10.1111/jgs.18116. Epub 2022 Nov 8.
PMID: 36349415

Time to dementia diagnosis by race: A retrospective cohort study.
Davis MA, Lee KA, Harris M, Ha J, Langa KM, Bynum JPW, Hoffman GJ
J Am Geriatr Soc. 2022 Nov;70(11):3250-3259. doi: 10.1111/jgs.18078. Epub 2022 Oct 6.
PMID: 36200557

Identifying Caregiver Availability Using Medical Notes With Rule-Based Natural Language Processing: Retrospective Cohort Study.
Mahmoudi E, Wu W, Najarian C, Aikens J, Bynum J, Vydiswaran VGV
JMIR Aging. 2022 Sep 22;5(3):e40241. doi: 10.2196/40241. Epub 2022 Sep 22.
PMID: 35998328

Psychotropic medication prescribing in assisted living and nursing home residents with dementia after the National Partnership.
Coe AB, Zhang T, Zullo AR, Gerlach LB, Thomas KS, Daiello LA, Varma H, Lo D, Joshi R, Shireman TI, Bynum JPW
J Am Geriatr Soc. 2022 Dec;70(12):3513-3525. doi: 10.1111/jgs.18004. Epub 2022 Aug 19.
PMID: 35984088

Trends in US Medicare Decedents' Diagnosis of Dementia From 2004 to 2017.
Davis MA, Chang CH, Simonton S, Bynum JPW
JAMA Health Forum. 2022 Apr;3(4):e220346. doi: 10.1001/jamahealthforum.2022.0346. Epub 2022 Apr 1.
PMID: 35977316

State variation in antipsychotic and benzodiazepine prescribing among hospice beneficiaries in the United States.
Gerlach LB, Zhang L, Strominger J, Teno J, Bynum JPW, Maust DT
J Am Geriatr Soc. 2022 Dec;70(12):3637-3640. doi: 10.1111/jgs.17992. Epub 2022 Aug 9.
PMID: 35942950

View more publications on PubMed