Harkness Project Title: Interpretations of Integration in Early Accountable Care Organizations
Mentor: Elliott Fisher, M.D., Professor and Director, Center for Health Policy Research, Dartmouth Medical School
Biography at time of Harkness Fellowship: Sara Kreindler, D.Phil, a 2010-11 Canadian Harkness Associate, is a researcher in the research and evaluation unit at the Winnipeg Regional Health Authority and assistant professor in the department of community health sciences at the University of Manitoba. She has previously served as a research consultant for the Manitoba Institute for Patient Safety and as an instructor at the University of Manitoba as well as at Oxford University. Her research interests include evidence-based medicine and knowledge synthesis/systematic reviews. Kreindler has authored six peer-reviewed journals, including publications in Healthcare Quarterly and Healthcare Policy. She is recipient of a Rhodes Scholarship, and received her D.Phil in social psychology from Pembroke College, University of Oxford.
Project: Kreindler’s project examined and compared case studies of developing accountable care organizations (ACOs), particularly related to the role of social processes in supporting effective organizational change. In-depth qualitative case studies were carried out at four Brookings-Dartmouth ACO Pilot Sites: Monarch Healthcare, an independent practice association; HealthCare Partners, a combined group and independent practice association; Tucson Medical Center (TMC), a hospital engaging community physicians; and Norton Healthcare, an integrated delivery system. One-week site visits were conducted, with semi-structured interviews and/or focus groups with at least 20 to 30 informants (per site), including members of different stakeholder and staff groups.
Career Activity since Fellowship
- Researcher, Research & Evaluation Unit, Winnipeg Regional Health Authority
- Assistant Professor, Department of Community Health Sciences, University of Manitoba
Current position: (updated 7/2017)
- Manitoba Research Chair in Health System Innovation and Assistant Professor, Department of Community Health Sciences, University of Manitoba
Email: [email protected]
Harkness-Related Publications
Breton M, Green M, Kreindler S , Sutherland J, Jbilou J, Wong ST, Shaw J, Crooks VA, Contandriopoulos D, Smithman MA, Brousselle A. “A Comparative Analysis of Centralized Waiting Lists for Patients without a Primary Care Provider Implemented in Six Canadian Provinces: Study Protocol.” BMC Health Services Research, 2017.
Larson BK, Van Citters AD, Kreindler SA, Carluzzo KL, Gbemudu RN, Wu FM, Nelson EC, Shortell SM, Fisher ES. “Insights from Transformations Under Way at Four Brookings-Dartmouth Accountable Care Organization Pilot Sites.” Health Affairs, 2012.
Fisher ES, Shortell SM, Kreindler SA, Van Citters ED, Larson BK. “A Framework for Evaluating the Formation, Implementation, and Performance of Accountable Care Organizations.” Health Affairs, 2012.
Kreindler SA, Larson BK, Wu FM, Carluzzo KL, Gbemudu JE, Struthers A, Van Citters AD, Shortell SM, Nelson EC, Fisher ES. “Interpretations of Integration in Early Accountable Care Organization.” Milbank Quarterly, 2012.
Kreindler SA, Dowd DA, Dana Star N, Gottschalk T. "Silos and social identity: the social identity approach as a framework for understanding and overcoming divisions in health care." Milbank Quarterly, 2012.
Van Citters AD, Larson BK, Carluzzo KL, Gbemudu JN, Kreindler S, Wu FM, Shortell SM, Nelson EC, Fisher ES. “Four Health Care Organizations' Efforts to Improve Patient Care and Reduce Costs.” The Commonwealth Fund, January 2012.