Our Research and Publications

 

Research Cases

Hunt, L.S., Sullivan, E.E., Susa, J., Chaufournier, R., Joseph, C.Phillips R.S.Meisinger, K. (2023) Using Rapid-Cycle Change to Improve COVID-19 Vaccination Strategy in Primary Care. MDPI.

Sullivan, E. E., McKinstry, D., Anderson, J., Hunt, L., Phillips R., Linzer, M. (2022). Burnout Among Missouri Primary Care Clinicians In 2021: Roadmap for Recovery? Missouri Medicine.

Naithani, P.K. & Weilnau, T. (2019) Daniel Driscoll Neponset Health Center: Interdisciplinary Approach to Chronic Pain Management. Boston, MA USA: Harvard Medical School Center for Primary Care.

Ellcock-Crayton, J.J. & Weilnau, T. (2019) East Boston Neighborhood Health Center: Together Everyone Achieves More (TEAM). Boston, MA USA: Harvard Medical School Center for Primary Care.

Mahan, K., & Alpert, J.L. (2018). Robert Tepper, MD: Paving a New Path to Patient Impact. Boston, MA USA: Harvard Medical School Center for Primary Care.

Sullivan, E. E., & Alpert J.L., (2017). Navigating Change at Alaska's Southcentral Foundation. North American Case Research Journal, 36(4).

Hesketh, M. & Dwiel, K. (2017). Background Note on Federally Qualified Health Centers (FQHCs). Boston, MA, USA: Harvard Medical School Center for Primary Care.

Hesketh, M. & Dwiel, K. (2017). Background Note on Health Information Technology in Primary Care. Boston, MA, USA: Harvard Medical School Center for Primary Care.

Alpert, J. & Sullivan, E. E. (2017). Desert Senita: A Rural FQHC’s Efforts to Mitigate Resource Scarcity in the Desert. Boston, MA, USA: Harvard Medical School Center for Primary Care.

Alpert, J. & Sullivan E.E. (2017). Omada Health: Designing to Overcome Diabetes. Boston, MA USA: Harvard Medical School Center for Primary Care.

Hesketh, M. & Alpert J.L. (2017). Scaling to Achieve a Vision of Health Equity: CareMessage. Boston, MA USA: Harvard Medical School Center for Primary Care.

Alpert, J. & Sullivan, E. E. (2016). Background Note on Direct Primary Care. Boston, MA, USA: Harvard Medical School Center for Primary Care.

Arabadjis, S., Ibrahim, Z. & Sullivan, E. E. (2016). The Camden Coalition of Healthcare Providers: Weighing Opportunity with Capacity (A). Boston, MA, USA: Harvard Medical School Center for Primary Care.

Arabadjis, S. & Sullivan, E. E. (2016). The Camden Coalition of Healthcare Providers: Mobilizing for Growth (B). Boston, MA, USA: Harvard Medical School Center for Primary Care.

Ibrahim, Z., Kringos, D. & Sullivan, E. E. (2016). Financing a Dutch Lotus for Community Wellness. Boston, MA, USA: Harvard Medical School Center for Primary Care.

Arabadjis, S., Ibrahim, Z. & Sullivan, E. E. (2016). Top to Bottom: Identifying Places to Change in Catalonia, Spain. Boston, MA, USA: Harvard Medical School Center for Primary Care.

Arabadjis, S. & Sullivan, E. E. (2016). The Case of Kaiser Permanente: Specializing Primary Care. Boston, MA, USA: Harvard Medical School Center for Primary Care.

Alpert, J. & Sullivan, E. E. (2016). Qliance Management Inc: Pioneers in Opportunity and Scale. Boston, MA, USA: Harvard Medical School Center for Primary Care.

Ibrahim, Z. & Sullivan, E. E. (2015). Martin’s Point Health Care-Bangor: Pioneers in a Landscape of Constant Change. Boston, MA, USA: Harvard Medical School Center for Primary Care.

Sullivan, E. E., & Hufstader, T. (2015). Human Systems for Southcentral Foundation’s Nuka System of Care (A). Boston, MA, USA: Harvard Medical School Center for Primary Care.

Sullivan, E. E., Hufstader, T., & Arabadjis, S. (2015). Behavioral Health and Financing for Southcentral Foundation’s Nuka System of Care (B). Boston, MA, USA: Harvard Medical School Center for Primary Care.

 

Reports

Primary Care in the COVID-19 Pandemic: Improving access to high quality primary care, accelerating transitions to alternative forms of care delivery, and addressing health disparities. In: Basu S, Alpert JL, Phillips RS, editors. New York, NY: Milbank Memorial Fund, 2021.

 

Innovation

Schiff, G.D., Bearden, T., Hunt, L.S., Azzara, J., Larmon, J., Phillips, R.S., Singer, S., Bennett, B., Sugarman, J.R., Bitton, A. & Ellner, A., (2017). Primary care collaboration to improve diagnosis and screening for colorectal cancer. The Joint Commission Journal on Quality and Patient Safety. 43(7):338-350

Duong, D. B., Sullivan, E. E. E., Minter-Jordan, M., Giesen, L., & Ellner, A. L. (2016). A model for training medical student innovators: the Harvard Medical School Center for Primary Care Abundance Agents of Change program. Medical Education Online21(1).

Koch, U., Bitton, A., Landon, B. E., & Phillips, R. S. (2015). Transforming primary care practice and education: lessons from 6 academic learning collaboratives. Journal of Ambulatory Care Management. 40(2), pp.125-138.

Wu, C. A., Mulder, A. L., Zai, A. H., Hu, Y., Costa, M., Tishler, L. W., Saltzman, J. R., Ellner, A. L., & Bitton, A. (2015). A population management system for improving colorectal cancer screening in a primary care setting. Journal of Evaluation in Clinical Practice, 22(3), 319-328.

Stout, S., & Weeg, S. (2014). The practice perspective on transformation: experience and learning from the frontlines. Medical Care52, S23-S25.

Suzuki, J., Matthews, M. L., Brick, D., Nguyen, M. T., Jamison, R. N., Ellner, A. L., & Weiss, R. D. (2014). Implementation of a collaborative care management program with buprenorphine in primary care: a comparison between opioid-dependent patients and chronic pain patients using opioids non-medically. Journal of Opioid Management10(3), 159.

Bitton, A., Ellner, A., Pabo, E., Stout, S., Sugarman, J. R., Sevin, C., Goodell, K., Bassett, J.S., & Phillips, R. S. (2014). The Harvard Medical School Academic Innovations Collaborative: transforming primary care practice and education. Academic Medicine89(9), 1239-1244.

 

Medical Education

Rotenstein L., Perez K., Wohler D., Sanders S., Im D., Kazberouk A., Phillips R.S. (2019). Preparing health professions students to lead change. Leadership in Health Services, 32, 182-194.

Dwiel, K., Hesketh, M.A., Alpert, J.L., Cellini, J., Goodell, K., Phillips, R.S., Sullivan, E.E. (2018). The Impact of Oral Health Training for Primary Care Clinicians: A Systematic Review. Family Medicine, 51(3), 251-261.

Fazio, S.B., Ledford, C.H., Aronowitz, P.B., Chheda, S.G., Choe, J.H., Call, S.A., Gitlin, S.D., Muntz, M., Nixon, L.J., Pereira, A.G. and Ragsdale, J.W. (2017). Competency-Based Medical Education in the Internal Medicine Clerkship: A Report from the Alliance for Academic Internal Medicine Undergraduate Medical Education Task Force. Academic Medicine.

Remus, K. E., Honigberg, M., Tummalapalli, L., Cohen, L. P., Fazio, S., & Weinstein, A. R. (2016). A chronic disease management student-faculty collaborative practice: educating students on innovation in health care delivery. Academic Medicine, 91(7), 967-971.

Cahn, P. S., Bzowyckyj, A., Collins, L., Dow, A., Goodell, K., Johnson, A. F., Klocko, D., Knab, M., Parker, K., Reeves, S., & Zierler, B. K. (2016). A design thinking approach to evaluating interprofessional education. Journal of Interprofessional Care30(3), 378-380.

Fazio, S. B., Demasi, M., Farren, E., Frankl, S., Gottlieb, B., Hoy, J., Johnson, A., Kasper, J., Lee, P., McCarthy, C., & Miller, K. (2016). Blueprint for an undergraduate primary care curriculum. Academic Medicine, 91(12), 1628-1637.

Ellner, A. L., Stout, S., Sullivan, E. E., Griffiths, E. P., Mountjoy, A., & Phillips, R. S. (2015). Health systems innovation at academic health centers: leading in a new era of health care delivery. Academic Medicine, 90(7), 872-880.

 

Global Health and Community Health Workers

Duong, D.B., Nguyen, T.A., Goodell, K., Osman, N.Y., Nguyen, T.M., Pham, V.T., Vu, L.T., Vu, H.T., Cosimi ,L.A., Pollack, T., Gottlieb, B. (2023) Undergraduate Medical Education Reform in Viet Nam for a Primary Health Care Workforce. Anals of Global Health.

Bailey, G. and Bährer-Kohler, S. (2017). The Promotion and Delivery of Mental Health Services in Primary Care Settings. Global Mental Health (pp. 183-192). Springer, Cham.

Basu, S., Jack, H. E., Arabadjis, S. D., & Phillips, R. S. (2016). Benchmarks for reducing emergency department visits and hospitalizations through community health workers integrated into primary care: a cost-benefit analysis. Medical Care.

Jack, H., Arabadjis, S., Sun, L., Sullivan, E. E., & Phillips, R. (2016). Impact of Community Health Workers on Use of Healthcare Services in the United States: A Systematic Review. Journal of General Internal Medicine, 1-20.  

Vasan, A., Hudelson, C. E., Greenberg, S. L., & Ellner, A. E. (2015). An integrated approach to surgery and primary care systems strengthening in low-and middle-income countries: building a platform to deliver across the spectrum of disease. Surgery157(6), 965-970.

 

Payment Reform

Baum A, Song Z, Landon BE, Phillips RS, Bitton A, Basu S. (2019). Health care spending slowed following state regulation of commercial insurers through Rhode Island’s affordability standards. Health Affairs, 38, 237-245.

Basu S, Phillips RS, Song Z, Bitton A, Landon BE. (2018) Finance and time use implications of team documentation for primary care practices under alternative payment systems: A microsimulation model. The Annals of Family Medicine, 16, 308-313. PMID 29987078.

Basu S, Phillips RS, Song Z, Bitton A, Landon BE. (2017). High Levels of Capitation Payments Needed to Shift Primary Care Toward Proactive Team and Nonvisit Care. Health Affairs, 36(9), 1599-1605.

Basu S, Landon BE, Williams JW Jr, Bitton A, Song Z, Phillips RS. (2017) Behavioral health integration into primary care: A microsimulation of financial implications for practices. Journal of General Internal Medicine, 32, 1330-1342.

Basu, S., Phillips, R. S., Song, Z., Landon, B. E., & Bitton, A. (2016). Effects of new funding models for patient-centered medical homes on primary care practice finances and services: Results of a Microsimulation Model. The Annals of Family Medicine14(5), 404-414.

Basu, S. E., Landon, B. S., Song, Z., Bitton, A., & Phillips, R. (2015). Implications of workforce and financing changes for primary care practice utilization, revenue, and cost: A generalizable mathematical model for practice management. Medical Care, 53(2), 125-132.

Basu, S., Phillips, R., Bitton, A., Song, Z., & Landon, B. (2015). Medicare chronic care management payments and financial returns to primary care practices: a modeling study. Annals of Internal Medicine, 163(8), 580-8.

 

Academic Innovations Collaborative (supported by Center for Primary Care resources)

Chien AT, Kyle MA, Peters AS, Nguyen KH, Rosenthal MB, Tendulkar S, Singer SJ. (2018) Establishing Teams: How Does It Change Practice Configuration, Size, and Composition? Journal of Ambulatory Care Management, 41(2), 146-155.

Meyers, D.J., Chien, A.T., Nguyen, K.H., Li, Z., Singer S.J., Rosenthal, M.B. (2018). Association of Team-Based Primary Care With Health Care Utilization and Costs Among Chronically Ill Patients. JAMA Internal Medicine. Published online Nov 2018.

Song, H., Ryan, M., Tendulkar, S., Fisher, J., Martin, J., Peters, A.S., Frolkis, J.P., Rosenthal, M.B., Chien, A.T. & Singer, S.J (2017). Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: A mixed methods study. Health Care Management Review, 42(1), 28-41.

Sheridan, B., Chien, A. T., Peters, A. S., Rosenthal, M., Brooks, J. V., & Singer, S. J. (2016). Team-Based Primary Care: The Medical Assistant Perspective. Health Care Management Review.

 

 

General Peer-Reviewed Publications

Linzer, M., Sullivan, E. E., Olson, A. P. J., Khazen, M., Mirica, M., Schiff, G. D. (2022). Improving diagnosis: adding context to cognition. Diagnosis.

White, T., Aronson, M.D., Sternberg S. B, Shafiq, U., Berkowitz, S. J., Benneyan, J., Phillips, R.S., Schiff, G.D. (2022). Analysis of Radiology Report Recommendation Characteristics and Rate of Recommended Action Performance. JAMA Network

Song, Z., Chokshi, D. A., Press, M. J., (2022). Primary Care and Financial Risk — Navigating the Crossroads. New England Journal of Medicine.

Sullivan, E. E., Stephenson, A. L., Hoffman, A. R. (2022). Engaging Physicians in Leadership: Motivations, Challenges, and Identity-Based Considerations. Pubmed.gov.

Khazen, M., Sullivan, E. E, Ramos, J., Mirica, M., Linzer, M, Schiff, G. D., & Olson, A. P. J., (2022). Anatomy of diagnosis in a clinical encounter: how clinicians discuss uncertainty with patients. Springer Link.

Stephenson, A. L., Sullivan, E. E., Hoffman, A. R., (2022) Primary care physician leaders’ perspectives on opportunities and challenges in healthcare leadership: a qualitative study. BMJ Leader.

Yang, Z., Ganguli, I., Davis, C., Dai, M., Shuemaker, J., Peterson, L., Bazemore, A., Phillips, R., Chung Y. K. (2022). Physician- versus practice-level primary care continuity and association with outcomes in Medicare beneficiaries Health Services Research.

Sullivan, E. E., Breton, M., McKinstry, D., Phillips, R. S. (2022) COVID-19's Perceived Impact on Primary Care in New England: A Qualitative Study. Journal of the American Board of Family Medicine. 

Breton, M., Sullivan, E.E., Deville-Stoetzel, N. et al. Telehealth challenges during COVID-19 as reported by primary healthcare physicians in Quebec and Massachusetts. BMC Fam Pract 22, 192 (2021). https://doi.org/10.1186/s12875-021-01543-4

Dwiel, K., Weilnau, T., Hunt, L., Azzara, J., Phillips, R., & Sullivan, E. (2019). Building Improvement Capacity to Create Strong, Effective Primary Care Teams in Community Health Centers. Joint Commission Journal on Quality and Patient Safety.

Sullivan, E. E., Arabadjis, S., Alpert, J., Ellner, A. (2018). Culture: The Unexpected Key to Exemplary Primary Care. Journal of Organizational Psychology, 18(5), 108-120.

Singer SJ, Kerrissey M, Friedberg M, Phillips RS. (2018). A comprehensive theory of integration. Med Care Res Rev. PMID29606036. [E-publication ahead of print]

Basu S, Berkowitz SA, Phillips RL, Bitton A, Landon BE, Phillips RS. (2018). Primary care physician supply and population mortality in the United States, 2005-2015. JAMA Internal Medicine.

Ellner, A., & Phillips, R. (2017). The coming primary care revolution. Journal of General Internal Medicine, 32(4), 380-386.

Himmelstein, D. U., & Phillips, R. S. (2016). Should we abandon routine visits? There is little evidence for or against. Annals of Internal Medicine, 164(7), 498-499.

Sullivan, E. E., Ibrahim, Z., Ellner, A., & Giesen, L. (2016). Management lessons for high-functioning primary care teams. Journal of Healthcare Management, 61(6), 449-465.

Koch, U., Stout, S., Landon, B. E., & Phillips, R. S. (2016). From healthcare to health: a proposed pathway to population health. Healthcare. Elsevier.

Reynolds, P. P., Klink, K., Gilman, S., Green, L. A., Phillips, R. S., Shipman, S., Keahey, D., Rugen, K., & Davis, M. (2015). The patient-centered medical home: preparation of the workforce, more questions than answers. Journal of General Internal Medicine30(7), 1013-1017.

 

Commentary

Gergen-Barnett, K. A., Phillips, R. S. (2022). Deal between Amazon and One Medical has massive implications for the future of primary care. Stat News.

Phillips, R. S., Cavender, K., (2022). Flip the axis: primary care rotations. KevinMD.

Ellner, A. (2017). Medical education needs management training. KevinMD.com, Online.

Phillips, R. (2017). Investment in primary care is needed to achieve the triple aim. Health Affairs Blog.

Arabadjis, S. & Sullivan, E. E. (2017). How one California medical group is decreasing physician burnout. Harvard Business Review.

Alpert, J. & Sullivan, E. E. (2017). How digital health care can help prevent chronic diseases like diabetes. Harvard Business Review.

Sullivan, E. E. & Ellner, A. (2015). Strong patient-provider relationships drive healthier outcomes. Harvard Business Review.

 

[1] Cases are listed chronologically and in Harvard Business School case study citation format.