UAlbany School of Public Health - Health Policy, Management & Behavior

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Shadi S. Saleh

Shadi S.Saleh, Ph.D., M.P.H.

Associate Professor, Health Policy and Management
Director, Certificate Programs

Address:
Department of Health Policy, Management, & Behavior
School of Public Health
One University Place
Rensselaer, NY, 12144-3456

ssaleh@albany.edu

HOW DID YOU BEGIN YOUR CAREER IN PUBLIC HEALTH?

“I began my career in public health as an undergraduate student at the American University of Beirut. At the time, I had limited knowledge of the broad impact of public health on various aspects of our lives. My decision to pursue a graduate education in public health was the realization that what we do improves people's lives and future.”

WHY ARE YOU PASSIONATE ABOUT PUBLIC HEALTH?

“My passion for public health comes from the fact that it has a direct influence on communities and populations. From air and water quality to health care access and changing people's risky behavior, every area within public health shapes our lives.”

WHAT MOTIVATES YOU TO DO OUTSTANDING RESEARCH IN YOUR FIELD?

“I find studying the financing and quality of health care services to be a very exciting area in public health. In addition, I always ask myself: ‘Am I making a difference? Are students that I’m teaching and advising more knowledgeable and equipped to go out and have a positive impact in the health care field? Does my research contribute to our quest for the ideal health care system and is it relevant to people's lives and future?’”

Education:

B.S., Public Health, American University of Beirut, 1996
M.P.H., Health Services Administration, American University of Beirut, 1998
Ph.D., Health Management & Policy, University of Iowa, 2001

Research Interests:

Pay for performance (P4P), association between costs and quality of health care services, health care finance, financial performance of hospitals, financial evaluations of health care interventions, cost effectiveness/cost benefit analysis, innovations in managed care, prescription drug utilization and costs.

Current Research Focus:

Association between Hospital-Based Costs and Quality of Coronary Revascularization: A Potential Pay-For-Performance Approach

This project aims to examine the association between costs and outcomes for coronary artery bypass surgery (CABG) and percutaneous coronary interventions (PCI). Furthermore, a potential pay for performance (P4P) approach is explored that identifies hospitals that are top performers in efficiency and quality (The project is funded by the Agency for Healthcare Research and Quality (AHRQ)) .

A Comparative Approach to Examine the Association between Cost and Quality of Coronary Revascularization Procedures: The Use of Administrative vs. Clinical Data

Building on a previous study, this project explores the utility of using administrative data to risk-adjust costs and quality measures. The findings from this study will help validate the use of risk factors derived from administrative data sets for conditions/areas where clinical data sets are not available (The project is funded by the Commonwealth Fund).

Does Good Quality Cost More? Exploring the Association between Performance on HQA Pneumonia Measures and Hospital-based Costs

Many have questioned the financial impact of investing in enhancing quality. This study addresses this issue through examining whether better performance on HQA’s pneumonia measures is associated with higher inpatient costs of pneumonia discharges.

A Multi-Center Financial Evaluation of Regional Clinical Data Exchanges across New York State

A number of health care institutions in New York State have joined to form Regional Health Information Organization (RHIOs). This study evaluates the financial impact of implementing various clinical data exchange approaches (through information technology) across different settings (The project is funded by the Commonwealth Fund).

Teaching:

(HPM500)Health Care Organization, Delivery and Financing - In class
(HPM500)Health Care Organization, Delivery and Financing - Online
(HPM550)Financial Management of Health Care Institutions

Selected Publications (Since 2004)

Saleh SS , Racz M (2008). The Effect of Preoperative and Hospital Characteristics on Costs for Coronary Artery Bypass Graft. Under Review

Saleh SS and Hannan EL (2007). Identifying Centers of Excellence in Efficiency and Quality (CEEQs) in Coronary Revascularization: An Exploratory Approach for Procedure-Specific Value-Based Purchasing Program Design. Under Review

Saleh SS , Hannan EL (2007). The Utility of Using Administrative Data for Risk Adjusting Costs: A Comparison to Clinical Data. Under review

Saleh SS , Weller W & Hannan EL (2007). The Effect of Insurance Type on Prescription Drug Use and Expenditures among Elderly Medicare Beneficiaries. Journal of Health and Human Services Administration, 30(1), 50-74.

Saleh SS & Callan M (2006). Trend in Medicare Disproportionate Share (DSH) Distribution in US Hospitals: 1996-2003. Journal of Healthcare Finance, 33(2), 70-83

Saleh SS & Levin PJ (2006). Another Evolvement of the Cost and Risk Shifting Model: Consumer-Driven Health Plans. Journal of Health and Human Services Administration, 28(3), 386-397

Saleh SS , Washington S, Stapleton D & DiCiccio-Hiller Y (2005). Evaluation of an Integrated State Workers’ Compensation and Managed Care/Health Insurance Pharmacy Benefit Programs: Employee Satisfaction and Health Outcomes. Managed Care Interface , 18(2), 37-42

Saleh SS & Szebenyi S (2005). Resource Use of Elderly Emergency Department Patients with Alcohol-Related Diagnoses. Journal of Substance Abuse Treatment, 29(4), 313-319

Saleh SS , Hannan EL & Ting L (2005). A Multi-State Comparison of Acute Myocardial Infarction: Patient Characteristics, Outcomes, and Treatment Practices. American Journal of Cardiology,96(9), 1190-1196.

Saleh SS & Washington S (2005). Cost Savings Associated With a Workers' Compensation Managed Care Pharmacy Benefit Program. Benefits and Compensation Digest, 42(1), 1-5.

Saleh SS & Hannan EL (2004). Carotid Endarterectomy Utilization and Mortality: A Comparison of Ten States. American Journal of Surgery,187 (1), 14-19.

Saleh SS , Williams D & Balougan M (2004). Public Heath Leadership Training: Effect on Skills and Practice. American Journal of Public Health, 94(7), 1245-1249

Selected Presentations (Since 2004)

Saleh SS , Hannan EL, Racz M. Identifying Centers of Excellence in Efficiency and Quality (CEEQS): A Potential Approach for Pay for Performance Program Design. Presented at Academy for Health Services Research and Health Policy Annual Meeting. Orlando, FL June 3-5, 2007.

Saleh SS. Working to Be Healthy - Financing our Health Care System through Private Health Insurance. Albany Medical Center Lecture Series. Albany, NY November 15, 2006.

Saleh SS. Pay-for-performance: Is the health care system ready or nut? Capital District Medical Decision Making Group. Albany, NY October 3, 2006

Saleh SS & Szebenyi S. Resource Use of Elderly Emergency Department Patients with Alcohol-Related Diagnoses. Presented at Academy for Health Services Research and Health Policy Annual Meeting. Seattle, WA June 24-26, 2006.

Saleh SS. Use and Utility of Publicly Available Datasets in Strategic Financial Decision Making.. Healthcare Association of New York State Data Academy Leadership Series. Albany, NY 2004-2006.

Saleh SS. Evaluation Strategies for Community-Based Interventions. Capital District African American Coalitions on AIDS. Albany, NY February 12, 2006.

Saleh SS. A Case Study in Evaluating the Financial Effects of Specialty Centers on Local Hospitals. Healthcare Association of New York State Data Academy Leadership Series. Albany, NY 2004-2006 .

Saleh SS & Washington S. Cost Savings Associated With a Workers' Compensation Managed Care Pharmacy Benefit Program. Presented at Academy for Health Services Research and Health Policy Annual Meeting. Boston, MA June 26-28, 2005.

Saleh SS. Data Management, Analysis and Report Preparation . Northeastern Public Health Leadership Institute. Rensselaerville, NY July 22, 2004.

Saleh SS & Hannan EL. Carotid Endarterectomy Utilization and Mortality: A Comparison of Ten States. Presented at Academy for Health Services Research and Health Policy Annual Meeting. San Diego, CA June 6-8, 2004.

Saleh SS, Vaughn TE, Hall JA, Levey S, Fuortes L, & Uden-Holmen, T. Cost-effectiveness of Case Management in Substance Abuse Treatment. Presented at Academy for Health Services Research and Health Policy Annual Meeting. San Diego, CA June 6-8, 2004.

Funded Projects

Role: Co-Principal Investigator/site-specific Principal Investigator (PI: Rainu Kaushal)
Project: A Multi-Center Financial Evaluation of Regional Clinical Data Exchanges across New York State
Source: Commonwealth Fund
Period: August 1, 2006- July 31, 2008
Total Funding: $348,590

Role: Principal Investigator
Project: Managed Addiction Treatment Services (MATS) Project Evaluation
Source: New York State Office of Alcoholism and Substance Abuse Services
Period: April 1, 2006- March 31, 2009
Total Funding: $896,105

Role: Principal Investigator
Project: A Comparative Approach to Examine the Association between Cost and Quality of Coronary Revascularization Procedures: The Use of Administrative vs. Clinical Data
Source: Commonwealth Fund
Period: March 1, 2006- February 28, 2007
Total Funding: $49,275

Role: Principal Investigator
Project: Association between Hospital-Based Cost and Quality of Coronary Revascularization: A Potential Pay-For-Performance Approach
Source: Agency for Healthcare Research and Quality
Period: September 30, 2005- September 26, 2006
Total Funding: $99,999

Role: Academic Program Development (PI: Levin P)
Project: UAlbany Center for Public Health Preparedness
Source: Centers for Disease Control and Prevention (CDC)
Period: September 1, 2005-August 31, 2010
Total Funding: $5,100,000

Role: Principal Investigator
Project: Prevalence and Effect of Concomitant Alcohol and ‘High-Risk’ Prescription Drug Intake Among Older Adults in Primary Health Care Practices
Source: SUNY-Albany Faculty Research Award Program
Period: April 15, 2005-April 14, 2006
Total Funding: $9,145

Honors and Awards

Certificate of Appreciation. Healthcare Association of New York State (HANYS) Data Academy, 2007

Golden Apple Award for Excellence in Teaching. School of Public Health, State University of New York at Albany, 2005/ 2006

Delta Omega (Alpha Gamma chapter). National Public Health Honorary Society. Inducted 2006

Golden Apple Award for Excellence in Teaching. School of Public Health, State University of New York at Albany, 2001/2002

Individual Development Award. New York State/United University Professions. Spring 2002

University of Iowa Health Care Award for Institutional-based Care Research. Iowa City, April 24, 2000.