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Award Detail

Doing Business As Name:The Texas A&M University System HSC Research Foundation
  • Bita A Kash
  • (979) 436-9462
  • Robert L Ohsfeldt
  • Jane N Bolin
Award Date:07/28/2008
Estimated Total Award Amount: $ 375,000
Funds Obligated to Date: $ 460,999
  • FY 2008=$150,000
  • FY 2013=$19,999
  • FY 2011=$105,000
  • FY 2010=$91,000
  • FY 2012=$95,000
Start Date:08/01/2008
End Date:07/31/2015
Transaction Type:Grant
Awarding Agency Code:4900
Funding Agency Code:4900
CFDA Number:47.041
Primary Program Source:040100 NSF RESEARCH & RELATED ACTIVIT
Award Title or Description:Collaborative Research: Center for Health Organization Transformation
Federal Award ID Number:0832439
DUNS ID:141582986
Program:IUCRC-Indust-Univ Coop Res Ctr

Awardee Location

Street:400 Harvey Mitchell Pkwy S
City:College Station
County:College Station
Awardee Cong. District:17

Primary Place of Performance

Organization Name:The Texas A&M University System HSC
Street:400 Harvey Mitchell Pkwy S
City:College Station
County:College Station
Cong. District:17

Abstract at Time of Award

Full Center Proposal (Phase I) for an I/UCRC for Health Organization Transformation 0832439 Texas A&M University System (lead institution); Larry Gamm 0832390 Georgia Institute of Technology; Eva Lee Texas A &M Health Science Center and Georgia Tech propose a center "Center for Health Organization Transformation"(CHOT)to conduct mixed methodology, applied research on the antecedents, execution, and effects of transformational interventions and strategies that combine evidence-based management, clinical and information technology innovations, and ongoing organizational learning and cultural change. The proposed work can result in improved health care quality and more effective use of financial and system resources in the delivery of health care. The research is designed to produce transformation in a critical industry, and the proposed team makes a credible case that the scope of the problem indicates a need for whole-system, transformative change. Since the health care sector is a significant segment of the US economy, enabling more effective use of resources within this sector could positively impact the economy. More specifically, the proposed research will benefit quality of patient care, operations efficiency of the healthcare delivery systems, and workforce transformation. These successes will be propagateda cross the practicing health systems in the nation through the center's industrial partners as well as the center directors and investigators.Research teams for the proposed center are made up of a diverse set of research faculty and graduate students,working closely with health system leaders. The center activities will support improvements in both masters' and doctoral level education and research. Broader dissemination will occur via professional and academic associations and conferences,and other mechanisms. Both schools are committed to inclusion of a diverse faculty and student body.

Publications Produced as a Result of this Research

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Gregory, S.T., Tan, D., Tilrico, M., Edwardson, N., and Gamm, L "Bedside Shift Reports: A Systematic Literature Review" Journal of Nursing Administration, v., 2014, p..

Kash, B., Zhang, Y., Cline, K., Menser, T., and Miller, T. "The Perioperative Surgical Home (PSH): A Comprehensive Review of U.S. and Non-U.S. Studies Shows Predominantly Positive Quality and Cost Outcomes" Milbank Quarterly, v., 2014, p..

Menser, T., Radcliff, T., and Schuller, K "Implementing a medical screening and referral program for rural emergency departments" Journal of Rural Health, v., 2014, p..

Gregory, S. & Menser, T. "Burnout Among Primary Care Physicians: A Test of the Areas of Worklife Model." Journal of Healthcare Management, v.60, 2015, p..

Kash, B.A., Cline, K., Timmons S., & Miller T.R. "International Comparison of Preoperative Care Protocols, Coordination, and Best Practices: Opportunities for Learning" Advances in Health Care Management, v., 2015, p..

Kash, B.A., Spaulding A., Johnson, C.E., & Gamm, L.D. "Success Factors for Strategic Change Initiatives: A Qualitative Study of Healthcare Administrators' Perspectives." Journal of Healthcare Management, v., 2014, p..

Kash, B.A., Spaulding, A., Johnson, C.E., & Gamm, L.D. "Relevancy of the Resource Based View in Healthcare Strategic Management: A Comparative Case Study" Journal of Strategy and Management, v., 2014, p..

Schuller, K.A, Kash, B.A., & Gamm, L.D. "Studer Group?s Evidence-Based Leadership Initiative: Comparing Success and Sustainability in Two Health Systems" Journal of Health Organization and Management., v., 2015, p..

Spaulding, A., Gamm, L., & Menser, T. "Physician Engagement: Strategic Considerations among Leaders at a Major Health System." Hospital Topics, v., 2014, p..

Spaulding, A., Gamm, L., Kim, J., & Menser, T. "Multiproject Interdependencies in Health Systems Management: A longitudinal qualitative study." Healthcare Management Review, v., 2014, p..

Kash BA, Spaulding A, Gamm L, Johnson CE. "Health care administrators' perspectives on the role of absorptive capacity for strategic change initiatives: A qualitative study." Health Care Manage Rev., v., 2012, p..

Ferris, T. "Evidence-based design and the fields of human factors and ergonomics: Complementary systems-oriented approaches to health care design." Health Environments Research and Design, v., 2013, p.3.

Spaulding, A., Gamm, L. Kim, Menser, T. "Hospital Project Interdependencies and Multi-Project Management: A Longitudinal Qualitative Study" Health Care Management Review, v., 2013, p..

Vest JR, Gamm LD, Ohsfeldt R, Zhao H, Jasperson "Factors associated with HIE system usage in a safety-net ambulatory care clinic setting" Journal of Medical Systems, v., 2012, p..

Alvarado, M.?, Ntaimo, L., Banerjee, A. and Kianfar, K. "Reducing Pediatric Medication Errors: A Survey and Taxonomy" IIE Transactions on Healthcare Systems Engineering, v., 2012, p.. doi: 

Kash BA, A Spaulding, LD Gamm, and CE Johnson "Leadership, Culture, and Organizational Technologies as Absorptive Capacity for Innovation and Transformation in the Healthcare Sector: A Research Framework." Change Management: An International Journal, v., 2013, p..

Vest J; Bolin J; Miller T; Gamm L; Siegrist T; Martinez L "Medical Homes: "Where You Stand on Definitions Depends on Where You Sit"" Medical Care Research and Review, v., 2010, p.. doi:10.1177/1077558710367794 

Vest J; Gamm L "Health information exchange: persistent challenges and new strategies" Journal of the American Medical Informatics Association, v.17, 2010, p.288. doi:10.1136/jamia.2010.003673 

Vest J; Jasperson J "What should we measure? Conceptualizing usage in health information exchange" Journal of the American Medical Informatics Association, v.17, 2010, p.302. doi:10.1136/jamia.2009.000471 

Spaulding A; Gamm L; Griffith J "Studer Unplugged: Identifying Underlying Managerial Concepts" Hospital Topics, v.88, 2010, p.. doi:10.1080/00185860903534125 

Vest J; Gamm L "A critical review of the research literature on Six Sigma, Lean and StuderGroup's Hardwiring Excellence in the United States: the need to demonstrate and communicate the effectiveness of transformation strategies in healthcare" Implementation Science, v.4:35, 2009, p.. doi:10.1186/1748-5908-4-35 

Kash B; Ohsfeldt R; Gamm L "An attempt to forecast hospital market share using admissions data" Journal of Healthcare Management, v.54, 2009, p.44. doi:1096-9012 

Vest, JR; Gamm, LD; Oxford, BA; Gonzalez, MI; Slawson, KM "Determinants of preventable readmissions in the United States: a systematic review" IMPLEMENTATION SCIENCE, v.5, 2010, p.. doi:10.1186/1748-5908-5-8  View record at Web of Science

Bolin, J; Gamm, L; Vest, J; Edwardson, N; & Miller, T "Patient-Centered Medical Homes: Will Health Care Reform Provide New Options for Rural Communities and Providers?" Family & Community Health, v.34:2, 2011, p.93. doi:10.1097/FCH.0b013e31820e0d78 

Spaulding A; Gamm L; Griffith J "Studer Unplugged: Identifying Underlying Managerial Concepts" Hospital Topics, v.88, 2010, p.. doi:10.1080/00185860903534125 

Alvarado, M. M.; Ntaimo, L.; Banerjee, A., & Kianfar, K. "Reducing pediatric medication errors: A survey and taxonomy" IIE Transactions on Healthcare Systems Engineering, v.2, 2012, p.. doi:10.1080/19488300.2012.680799 

Ferris, T. & Shepley, M. "The design of neonatal incubators: A systems-oriented, human-centered approach" Journal of Perinatology, v.33, 2013, p.S24.

Ferris, T. "Evidence-based design and the fields of human factors and ergonomics: Complementary systems-oriented approaches to health care design" Health Environments Research and Design, v.6, 2013, p.3.

Ferris, T. and Shepley, M "Encouraging developments in incubator design" Journal of Perinatology, v.33, 2013, p.989.

Ferris, T. and Shepley, M. "Encouraging developments in incubator design." Journal of Perinatology, v.33, 2013, p.989.

Kash, B.A., Gamm, L.D., and Spaulding, A.C. "Absorptive Capacity (ACAP) for Transformation in Healthcare: A Framework for Research" Change Management: An International Journal, v.13, 2013, p.1.

Kash, B.A., Spaulding A., Johnson, C.E., and Gamm, L.D "Success Factors for Strategic Change Initiatives: A Qualitative Study of Healthcare Administrators' Perspectives" Journal of Healthcare Management, v.59, 2014, p.65.

Kash, B.A., Spaulding, A., Johnson, C.E., and Gamm, L.D "Relevancy of the Resource Based View in Healthcare Strategic Management: A Comparative Case Study" Journal of Strategy and Management, v.7, 2014, p..

Schuller, KA, Kash, BA, Edwardson, N, and Gamm, LD. "Enabling and Disabling Factors in Implementation of Studer Group?s Evidence-Based Leadership Initiative: A Qualitative Case Study." Journal of Healthcare Management, v.6, 2013, p.90.

Project Outcomes Report


This Project Outcomes Report for the General Public is displayed verbatim as submitted by the Principal Investigator (PI) for this award. Any opinions, findings, and conclusions or recommendations expressed in this Report are those of the PI and do not necessarily reflect the views of the National Science Foundation; NSF has not approved or endorsed its content.

As a National Science Foundation Industry/University Cooperative Research Center (I/UCRC), the Center for Health Organization Transformation (CHOT) is pioneering innovations within healthcare through evidence-based research to support major initiatives in healthcare industry management and in clinical/information technology settings.  Since 2009, CHOT has conducted over 100 research projects which benefitted industry-focused research across more than 50 disciplines.  From the research, CHOT researchers have written over 80 peer-reviewed publications and presented their research at more than 20 national and international conferences.  

Our mission is to advance the knowledge and practice of transformational strategies in evidence-based management and clinical practice and our vision is to be a nationally and internationally recognized leader in advancing research and education on healthcare transformation through a network of university partners working collaboratively with health systems and other health-related industries.

Our current industry members include: Alabama Quality Assurance Foundation, Alacare, American Society of Anesthesiologists, Children's Healthcare of Atlanta, Grady Health System, HealthSouth, Highmark, Main Line Health, Morehouse School of Medicine, Northside Anesthesiology Consultants, LLC, Our Lady of the Lake Regional Medical Center, Partners HealthCare, Restore Medical Solutions, Siemens, Studer Group, LLC, Texas Children's Hospital, UAB Health System, UBRICA, and Verizon. 

CHOT’s research model relies on knowledge and experiences of healthcare
leaders to guide academic research.  We conduct cooperative research among universities, health systems, and other health-related industries.  This
cooperative model ensures that research is not meaningful and applicable to the healthcare industry and provides immediate decision support for CHOT industry members. 

At CHOT, our researchers work alongside the Industry Advisory Board (IAB) to conduct research that advances the efforts of healthcare systems to provide safe, effective, efficient, timely, equitable and patient centered care.  The three main areas in which CHOT conducts research are: 1. Investigative research-informed strategy, 2. Validating innovations in healthcare strategy, and 3. Implementing evidence-based innovation across settings.

Through the research conducted at CHOT, healthcare systems have been able to advance evidence-based management, systems engineering, and innovations in information technology, clinical practice, and organizational learning.  Our research also supports the efforts of other industries to more
effectively advance the health of populations, working independently or in
collaboration with existing health systems.  This enables us to contribute
to the education of students and IAB members in research supporting
transformation in healthcare.  Since 2009. CHOT has funded more than 60 graduate and undergraduate students to assist on research projects.

Industry Testimonials:

By being part of a multi-university NSF I/UCRC we have access to not just universities within the US, but internationally which benefits us in our pursuit of globalizing healthcare.  We also have access to the universities’ students and scholars to help us look at our project needs in more rigorous way than if we hired consultants.  Dr. Macharia Waruingi, UBRICA

Verizon's involvement with CHOT researchers offers great discovery opportunities as Verizon continues to build out its Healthcare practice. The Verizon technology and strategy teams have been able to shape some of the research projectsthrough our participation as the industry partner to Penn State University. We expect these research e...

For specific questions or comments about this information including the NSF Project Outcomes Report, contact us.