Harkness Project Title: Comparison of Interventions to Reduce Hospital Admissions and Readmissions
Mentor: Harlan Krumholz, M.D. (Yale University School of Medicine)
Placement: Yale University School of Medicine
Biography at time of Harkness Fellowship: Adam Steventon, a 2013-14 U.K. Harkness Fellow in Health Care Policy and Practice, is a senior research analyst at the Nuffield Trust. Prior to this appointment, Steventon worked as a senior policy analyst at Pensions Policy Institute in London. With a background in mathematics and actuarial consulting, Steventon has recently focused his work on the use of technology – including telehealth and telecare – to support people with chronic health conditions and the aging population. His work has also dwelt on inequalities and under-provision of health care for vulnerable elderly populations, and in 2009 Steventon served as special advisor to the House of Commons Work and Pensions Committee for their enquiry into pensioner poverty. Steventon holds a master’s of arts with first class honors in mathematics from the University of Cambridge. He is currently working on his Ph.D. at the London School of Hygiene and Tropical Medicine, where his thesis examines methods to increase the validity of evaluations of complex community-based interventions in health care.
Project:Steventon will explore interventions to prevent unnecessary hospitalization for patients with chronic conditions in the U.S. and U.K., and identify the elements associated with success. He will undertake case studies of interventions identified through a literature review; data will be requested from these sites and, where available, a quantitative analysis performed to determine the intervention’s effectiveness. In addition, Steventon will conduct a literature review on strategies to increase the chances of successful hospital avoidance during the implementation phase of an intervention (e.g., technical assistance).
Career Activity since Fellowship:
- Head of Data Analytics, The Health Foundation, 2014
Current Position: (updated 03/2015)
- Head of Data Analytics, The Health Foundation
E-mail: [email protected]
Selected Publications:
Steventon A, Bardsley M, Mays N. Effect of a telephonic alert system (Healthy outlook) for patients with chronic obstructive pulmonary disease: a cohort study with matched controls. J Public Health (Oxf). 2014 Jul 10.
Henderson C, Knapp M, Fernández JL, Beecham J, Hirani SP, Beynon M, Cartwright M, Rixon L, Doll H, Bower P, Steventon A, Rogers A, Fitzpatrick R, Barlow J, Bardsley M, Newman SP. Cost-effectiveness of telecare for people with social care needs: the Whole Systems Demonstrator cluster randomised trial. Age Ageing. 2014 Jun 20.
Steventon A, Bardsley M, Doll H, Tuckey E, Newman SP. Effect of telehealth on glycaemic control: analysis of patients with type 2 diabetes in the Whole Systems Demonstrator cluster randomised trial. BMC Health Serv Res. 2014 Aug 6;14:334.
Hirani SP, Beynon M, Cartwright M, Rixon L, Doll H, Henderson C, Bardsley M, Steventon A, Knapp M, Rogers A, Bower P, Sanders C, Fitzpatrick R, Hendy J, Newman SP. The effect of telecare on the quality of life and psychological well-being of elderly recipients of social care over a 12-month period: the Whole Systems Demonstrator cluster randomised trial. Age Ageing. 2014 May;43(3):334-41.
Steventon A, Krumholz H. Does US health reform reduce hospital readmission rates? BMJ. 2014 Apr 15;348:g2641