Leff, Bruce - Johns Hopkins University

个人简介

Dr. Bruce Leff is a professor of medicine at the Johns Hopkins University School of Medicine. He holds a joint appointment in the department of health policy and management in the Johns Hopkins Bloomberg School of Public Health. Dr. Leff is an internationally recognized leader and researcher in the development, evaluation and dissemination of novel models of care for older adults, including the Hospital at Home, Guided Care, geriatric service line models and medical house call practices. In addition, his research interests extend to issues related to multi-morbidity, performance measurement and case-mix issues. He has a strong interest in health policy issues, is a Health and Aging Policy Fellow of the American Political Science Association, and has served on multiple technical expert panels for the Centers for Medicare and Medicaid Services. An award-winning teacher and mentor, Dr. Leff is involved in directing the basic Medicine Clerkship in the School of Medicine. He currently serves as president of the American Academy of Home Care Physicians as well as a member of the Board of Regents of the American College of Physicians. As medical director of Business Development and Strategic Alliances at the School of Medicine, Dr. Leff represents faculty, clinical staff and researchers at Johns Hopkins and serves as a liaison with the business development team. In this capacity he serves as an advisor to the team for any academic issues and considerations in the ongoing development of projects and products. Dr. Leff received his B.A. from the University of Pennsylvania in 1983 and his M.D. from New York University in 1987. After residency and fellowship training at Johns Hopkins, he served as a medical officer in the US Army in Seoul, Korea, before joining the faculty in the Department of Medicine in 1994. He serves on the scientific advisory board of Amedysis (AMED) and the clinical systems innovation community for the West Health Institute.

研究领域

Home care and medical house calls; Multimorbidity; Development, evaluation, and dissemination of novel models of care for older adults, notably Hospital at Home, Guided care and geriatric "portfolio" models; Case-mix issues; Medical education

近期论文

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Siu AL, Spragens LH, Inouye SK, Morrison RS, Leff B. The ironic business case for chronic care in the acute care setting. Health Aff (Millwood). 28:113-25, 2009. Frick K, Burton L, Clark R, Mader S, Naughton B, Burl J, Greenough WB, Steinwachs D, Leff B. Substitutive Hospital at Home for older persons: effects on costs. Am J Manag Care. 15:49-56, 2009. Burton LC, Skinner EA, Ushcer-Pines L, Lieberman R, Leff B, Clark B, Lemke K, Yu Q, Weiner JP. Health of Medicare Advantage plan enrollees at 1 year after Hurricane Katrina. Am J Manag Care. 15:13-22, 2009. Leff B. Defining and disseminating the hospital at home model. Editorial in: CMAJ. 2009 180:156-7, 2009 Leff B, Burton L, Mader S, Naughton B, Burl J, Guido S, Greenough WB, Steinwachs D. Comparison of functional outcomes associated with hospital at home care and traditional acute hospital care. J Am Geriatr Soc. 2009;57(2):273-8. Marsteller JA, Burton LC, Mader S, Naughton B, Burl J, Guido S, Greenough WB, Steinwachs D, Leff B. Health care provider evaluation of a substitutive model of hospital at home care. Medical Care, 47(9):979-85, 2009. Leff B, Reider L, Frick K, Scharfstein D, Boyd C, Frey K, Karm L, Boult C. The early effects of Guided Care on multimorbid older patients use and cost of health services: a randomized controlled trial. Am J Man Care, 5(8):555-9, 2009. Wolff JL, Meadow A, Boyd CM, Weiss CO, Leff B. Physician evaluation and management of Medicare home health patients. Medical Care, 47 (11):1147-55, 2009. Boult C, Green AF, Boult LB, Pacala JT, Snyder C, Leff B. Successful models of chronic care for older adults with chronic conditions: evidence for the Institute of Medicines Retooling for an Aging America report. J Am Geriatr Soc, In press. Cheng J, Montalto M, Leff B, Hospital at Home. Clinics in Geriatric Medicine. 2009;25(1):79-97. Wolff J, Rand-Giovannetti, Boyd CM, Reider L, Palmer S, Scharfstein D, Marsteller J, Wegner S, Frey K, Leff B, Frick K, Boult C. Effects of guided care on family caregivers. The Gerontologist, 2010;50(4):459-70. Wolff JL, Meadow A, Boyd CM, Weiss CO, Leff B. Physician evaluation and management of Medicare home health patients. Medical Care, 2009;47(11):1147-55. Boyd CM, Reider L, Frey K, Scharfstein D, Leff B, Wolff J, Groves C, Karm L, Wegener S, Marsteller J, Boult C. The effects of guided care on the perceived quality of health care for multi-morbid older persons: 18 month outcomes from a cluster-randomized controlled trial. J Gen Int Med, 2010;25(3):235-42. Marsteller JA, Hsu YJ, Reider L, Frey K, Wolff J, Boyd C, Leff B, Karm L, Scharfstein D, Boult C. Physician satisfaction with chronic care processes: a cluster-randomized trial of guided care. Ann Fam Med. 2010;8(4):308-15. Boult C, Reider L, Leff B, Frick KD, Boyd CM, Wolff JL, Frey K, Karm L, Wegener ST, Mroz T, Scharfstein DO. The effect of Guided Care teams on the use of health services: results from a cluster-randomized controlled trial. Arch Int Med, 2011:171:460-6. Sinha SK, Bessman ES, Flomenbaum N, Leff B. A systematic review and qualitative analysis to inform the development of a new emergency department-based geriatric case management model. Ann Emerg Med, 2011;57(6):672-82. Boyd CM, Leff B, Wolff JL, Yu Q, Zhou J, Rand C, Weiss CO. Informing clinical practice guideline development and implementation: prevalence of coexisting conditions among adults with coronary heart disease. J Am Geriatr Soc. 2011 May;59(5):797-805. PMID: 21568950; Szanton SL, Thorpe RJ, Boyd C, Tanner EK, Leff B, Agree E, Xue QL, Allen JK, Seplaki CL, Weiss CO, Guralnik JM, Gitlin LN. Community aging in place, advancing better living for elders: a bio-behavioral-environmental intervention to improve function and health-related quality of life in disabled older adults. J Am Geriatr Soc. 2011 Dec;59(12):2314-20. Knight AM, Kravet SJ, Kiyatkin D, Leff B. The effect of computerized provider order entry on medical students' ability to write orders. Teach Learn Med. 2012 Jan;24(1):63-70. Giovannetti E.R., Wolff J.L., Xue Q., Weiss C.O., Leff B., Boult C., Hughes T.,Boyd C.M. (2011) Difficulty Assisting with Health Care Tasks Among Caregivers of Multimorbid Older Adults. J Gen Intern Med. 2012 Jan;27(1):37-44. Epub 2011 Aug 27. Weiss CO, Boyd CM, Wolff JL, Leff B. Prevalence of diabetes treatment effect modifiers: the external validity of trials to older adults. Aging Clinical and Experimental Research. 2012 24(4):370-76. Leff B, Spragens LH, Morano B, Powell J, Bickert T, Bond C, DeGolia P, Malone M, Glew C, McCrystle, Allen K, Siu AL. Rapid reengineering of acute medical care for Medicare beneficiaries: The Medicare Innovations Collaborative. Health Aff (Millwood). 2012 Jun;31(6):1204-15. Cryer L, Shannon S, VanAmsterdam M, Leff B. Hospital at Home in New Mexico saved 19 percent with equal or better outcomes compared to similar inpatients. Health Aff (Millwood). 2012 Jun;31(6):1237-43. Fabbri LM, Boyd C, Boschetto P, Rabe KF, Buist AS, Yawn B, Leff B, Kent DM, Schünemann HJ; on behalf of the ATS/ERS Ad Hoc Committee on Integrating and Coordinating Efforts in COPD Guideline Development. How to Integrate Multiple Comorbidities in Guideline Development: Article 10 in Integrating and Coordinating Efforts in COPD Guideline Development. An Official ATS/ERS Workshop Report. Proc Am Thorac Soc. 2012 Dec;9(5):274-281. Dattalo M, Giovannetti ER, Scharfstein D, Boult C, Wegener S, Wolff JL, Leff B, Frick KD, Reider L, Frey K, Noronha G, Boyd C. Who participates in chronic disease self-management (CDSM) programs? Differences between participants and nonparticipants in a population of multimorbid older adults. Med Care. 2012 Dec;50(12):1071-5.