Cooper, William
Institution: Vanderbilt University, Nashville TN
Grant Title: Medicaid
MCO's and Suboptimal Pediatric Care
Grant Number: K02
HS13076
Duration: 3
years (2003-2006)
Total Award: $508,670
Project Description: The goal of this project was
to examine the effect of Medicaid managed care organizations (MCOs) on access
to specific recommended care for children with asthma, as individual MCOs may
have conflicting incentives for authorizing care or providing resources for
care. The study compared MCOs with respect to suboptimal use of preventive
medications for asthma among approximately 24,000 children with moderate to
serve asthma in Washington State and Tennessee. A Medicaid research database
was used, linked with vital records and U.S. Census data in Washington State and Tennessee.
Career Goals: Dr. Cooper is a pediatrician
committed to improving equity in childhood healthcare outcomes, especially for
low-income children enrolled in Medicaid. Dr. Cooper's career goals include:
- To become a state-of-the-art health services researcher.
- To establish a
child health services research center.
- To increase national visibility for
child health services research in high-risk vulnerable children.
Progress to Date: This K grant was completed in
2006 and suggested that health plans can have an effect on quality of asthma
care. Dr. Cooper suggests efforts to improve asthma management at the plan
level might incorporate physician feedback about prescribing and notification
of asthma events to providers.
Highlights and Specific Accomplishments:
-
Professional Societies:
- American Academy of
Pediatrics.
- Ambulatory
Pediatrics Association.
- Cumberland
Pediatric Foundation.
- Member,
Academy for Health Services Research and Health Policy; steering committee Child Health Services Research (CHSR).
- Society
for Pediatric Research.
-
Secured space and support for a
Child and Adolescent Health Research Unit at Vanderbilt.
-
Mentoring and training of Unit
faculty.
-
Extensive review of responsible
research conduct for teaching of Vanderbilt's M.P.H. students in the Research
Ethics course.
-
Continued service on the Research
Committee of the Ambulatory Pediatric Association, and asked to serve on the
Executive Committee.
K-Generated Publications: None thus far.
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