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Ann Barry Flood, PhD

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

Additional Titles/Positions/Affiliations:
[Past] Associate Director of the EPR Center at Dartmouth, 2010-2018

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, 1977-9
Robert Wood Johnson Health Policy Fellow, 1988-89

Programs:
The Dartmouth Institute for Health Policy and Clinical Practice

Websites:


Contact Information:

NH

Email: ann.barry.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.
Her recent work has been in the development of the technology for clinical applications of Electron Paramagnetic Resonance (EPR) for purposes of biodosimetry (in the event of a largescale radiation event such as a nuclear power plant accident or terrorist event involving ionizing radiation) and oximetry (for purposes of assessing tissue oxygen as an adjunct for treatment planning in cancer, diabetes, wound healing, etc.)

Rotations and Thesis Projects:

see mentoring

Grant Information:

Current NCI PO1CA190193 07/01/15 - 06/30/20
Direct and Repeated Clinical Measurement of pO2 for Enhancing Cancer Therapy
Immediate past:
Director of Pilot Programs for Radiation Dosimetry; Co-director of Dartmouth’s Physically-Based Biodosimetry Center for Medical Countermeasures Against Radiation
Principal Investigator: Harold M. Swartz
Funding: NIAID Center for Radiation Dosimetry, NIH
$13.3 million, # U19AI091173 2010-2016

20. Principal Investigator.
Evaluating the Guidelines and the VA’s Role in Disaster Planning for Large-scale Radiological Events
Funding: Veterans Administration Engineering Center
$30,000 Coeus Award # 015129 2010-2011

21. Co-Principal Investigator
In vivo Electron Paramagnetic Resonance (EPR) Tooth Dosimetry for Rapid Point-of-Care Diagnostic Assessment of Absorbed Doses of Ionizing Radiation
Principal Investigator: Harold M. Swartz
Funding: Biomedical Advanced Research and Development Authority (BARDA), DHHS BARDA HHSO100201100024C
$30,000,000 [including options] 2011-2015

22. Principal Investigator
Developing and Analyzing Evidence on Comparative Effectiveness of Biodosimetric Methods for Assessing Unknown Radiation Dose
Funding: Norris Cotton Cancer Center Prouty Pilot Project


Courses Taught:

Health Policy, Healthcare Decision-Making, Doctoral Seminars, [Research Ethics and Professional Skills, Workshop on Critical Appraisal and Research Design], Health Care Organizations and Delivery Systems; Scientific Controversy: When Experts Disagree (Dartmouth College); Medicine and Society; Second Year Sociomedicine for medical students; Medical Sociology; Social Issues in Health Care; Cancer and Sexuality.

Mentoring Information:

Past Chair, Ph.D. Program at TDI and Past Chair, NRSA Postdoctoral Program at TDI
Thesis director of PhDs and MD-PhDs for ~ 15 students at Dept of Sociology, University of Illinois at Champaign-Urbana or at TDI, Dartmouth


Selected Publications:

 

View more publications on PubMed