Associate Professor of Health Policy and Management
Health Policy, Management, and Behavior
Associate Professor of Public Administration and Policy
Public Administration and Policy, Rockefeller College
Center for Social and Demographic Analysis
University at Albany, School of Public Health
One University Place, Room 181
Rensselaer, NY 12144-3456
Phone Number: (518) 402-6512
Fax Number: (518) 402-0414
Ph.D. Public Administration and Policy University at Albany, SUNY 1997
B.S. Business Administration University at Albany, SUNY 1987
Health care is a dynamic field in which to study. It is vital to our national economy, greatly affects people’s lives on an everyday basis, spends more of our national wealth than anything else except the military, and is now subject to the largest reform effort since the advent of Medicare and Medicaid in the 1960s. As someone who worked in health care before arriving at academia, I appreciate the challenges facing the system in providing high quality, cost-effective patient care. Working in hospital administration, I saw first-hand the difficulties associated with providing care in a fragmented system. Working in the public sector, I experienced both the possibilities and limits associated with government involvement in health care. Upon arriving in academia, this real world focus shaped my research interests and the questions I have chosen to study. I focus much of my research on health care quality because this remains the ultimate yet elusive goal of our system. I study physician behavior and work structures because these professionals and their settings are at the heart of providing high quality care.
Courses Frequently Taught
HPM641 Principles of Health Organization Management
HPM650 Strategic Planning and Decision Making in Health Care
My current research interests are in the areas of health reform implementation, health care quality, primary care, and physician behavior. This research has been fortunate enough to receive several national awards, and has led to a number of publications and presentations. I recently completed a book on the U.S. primary care system that analyzes the current state of primary care work and the prospects for reforming that part of the system for effective health reform. This book has received favorable reviews in top health care journals such as Health Affairs and the Journal of the American Medical Association, and from leading health services scholars. I am doing work evaluating patient-centered medical home approaches and their efficacy with different patient population groups such as the elderly, and recently guest edited an issue of the journal Medical Care Research and Review focused on the medical home. I also am participating in a study with collaborators from Harvard Medical School and the Veterans Administration examining how hospitals are adapting to the new CMS policy of non-reimbursement for hospital-acquired infections.
Hoff, T. (2010). Practice Under Pressure: Primary Care Physicians and Their Medicine in the 21st Century. Critical Issues in Health and Medicine Series. Rutgers University Press.
Hoff, T. (forthcoming). Toward thinking qualitatively in health services research. Medical Care Research and Review.
Hoff, T. and C. Soerensen. (forthcoming). No payment for preventable complications: Reviewing the early literature for content, guidance, and impressions. Quality Management in Health Care.
Weiner, B., Amick, H., Lund, J., Lee, S., and T. Hoff. (forthcoming). Use of qualitative methods in published health services and management research: A Ten-Year Review. Medical Care Research and Review.
Hoff, T. (2010). The patient-centered medical home: What we need to know more about. Medical Care Research and Review, 67(4): 383-392.
Hoff, T. (2010). The shaky foundation of the patient-centered medical home. American Journal of Managed Care, 16(6): e134-e136.
Hoff, T. (2010). Managing the negatives of experience in physician teams: A case study of an academic medical center. Health Care Management Review, 35(1): 65-76.
Nembhard, I., Alexander J., Hoff, T., and R. Ramanujaum. (2009). Understanding implementation failure in health care delivery: A role for organizational research and theory. Academy of Management Perspectives, 23(1): 24-42.
Hoff, T. (2008). How work context shapes physician approach to safety and error. Quality Management in Health Care, 17(2): 140-153.
Hoff, T. (2008). Long-term follow-up culture in state newborn screening programs. Genetics in Medicine, 10(6): 396-403.