Faculty

faculty photo
Douglas A. Conrad
Professor
My teaching foci are three-fold: finance and risk and insurance principles and applications (MHA in-residence and Executive-MHA programs) and health economics and finance (area leader) in the PhD Program in Health Services.

PhD  
University of Chicago, 1978
Business, Economics, Finance
MBA  
University of Chicago, 1976
Business Admin, Finance
MHA  
University of Washington, 1973
Health Administration
BS  
University of Washington, 1970
Psychology
Professor, Dental Public Health Sciences
Adjunct Professor, Finance and Business Economics

Department of Health Services Program Affiliations:
  -  Master of Health Administration Program
  -  PhD program in Health Services
  -  Health Policy Analysis and Process Track, (MPH program)

Douglas Conrad's fields of specialization in economics are industrial organization and corporate finance. Dr. Conrad's teaching focuses on risk and insurance principles and managerial finance in health services and managed care, primarily in the MHA and PhD programs of the Department of Health Services. His current research examines the effects of financial incentives on health care quality, physician compensation models in physician group practices, conceptual development and performance of integrated health systems, and the outcomes of community care networks in the United States.

Contact Information
(office)  H660C, Health Sciences Building
University of Washington
1959 NE Pacific
Box:  357660
Seattle, WA 98195-7660
(voice)  206-616-2923     (fax)  206-543-3964
dconrad@u.washington.edu
Teaching Interests
risk and insurance, managerial finance, industrial organization, and health economics
  • HSERV 514
    U.S. Health and Health Care: Health Policy Research
  • HSERV 592
    Health Policy Analysis and Process Track Seminar
  • HSMGMT 500
    Risk and Insurance Seminar
  • HSMGMT 513   (Executive MHA Program)
    Seminar in Health Care Finance
  • HSMGMT 513
    Seminar in Health Care Finance
Research Interests
vertical integration in health services, integrated health systems, impact of financial incentives on physician behavior
Projects
Shared Decision Making Project

The Shared Decision Making Project works with clinical sites to demonstrate and
evaluate the use of shared decision making and patient decision aids. Shared
decision making helps patients make informed decisions about treatment options
for preference-sensitive conditions
http://depts.washington.edu/shareddm/

The Network Study
Research with Kaiser Permanente Georgia (Douglas Roblin, PI: Douglas Conrad, Co-PI): investigates the effects of financial incentives on use of health services and patient satisfaction with care
The Community Care Network Evaluation
Douglas Conrad, Co-PI: project is national evaluation of community care networks in 25 sites. Primary aim of my portion is to assess outcomes (access, care coordination, cost) of the community health partnerships
Medical Group Management Association (MGMA) Research
Dr. Conrad collaborates with the MGMA Center for Research on research projects involving the determinants of efficiency and effectiveness in medical group practice
The Center for Health Management Research (CHMR)
Dr. Conrad serves as co-director of this center sponsored by the National Science Foundation.
http://www.hret.org/hret/programs/chmr/
External Funding (sampling of current and past involvement)
Competitive Continuation of Insurance Financing of Integrated Medicine
National Center for Complementary and Alternative Medicine
PI:   Lafferty           Dates:    09/2005 - 05/2009
This study will measure the extent to which the legislation requiring coverage of every category of healthcare provider has increased the integration of CAM use for specific conditions for which CAM use has proven efficacy.

Maternal Oral Health: Birth Outcomes and Child Health
Health Resources Services Administration
PI:   Milgrom           Dates:    09/2005 - 08/2008
Using a analysis of Medicaid claims, this research will assess the progress of dentists towards a "paradigm shift" in adopting a medical model of care where oral diseases are prevented in contrast to the traditional surgical treatment model.

Evaluation of Washington State Diabetes Collaborative
WA State Department of Health
PI:   Conrad           Dates:    08/2006 - 02/2008
To assess the care supported by the Washington State Diabetes Collaborative by comparing the healthcare costs, utilization, and selected outcomes for patients in the Collaborative clinics with patients in non-Collaborative clinics.

Impact of Paying for Performance on the Quality and Efficiency of Medical Care
Robert Wood Johnson Foundation
PI:   Conrad           Dates:    10/2007 - 03/2009
This project on quality-based financial incentives for physician group practices takes advantage of a regional natural experiment in paying for quality in Washington State during a 5-year period.

Center for Health Management Research
Health Research and Educational Trust
PI:   Conrad           Dates:    04/2007 - 12/2008
The UW-based Center for Health Management Research was integrated into the HRET in 2006. The purpose of this contract is to facilitate the transfer of leadership and management of CHMR to HRET.

Public Health Funding and Population Health
Robert Wood Johnson Foundation
PI:   Grembowski           Dates:    01/2007 - 06/2008
The primary objective is to establish whether incremental changes in the expenditures of local health departments are associated with changes in the health disparities of the populations in which they serve.

Improving Access to Improve Quality: Evaluation of an Organizational Innovation
Robert Wood Johnson Foundation
PI:   Grembowski           Dates:    11/2004 - 10/2006
The goal of this study is to evaluate the effect on quality of Group Health Cooperative's Access initiative plan.

Collaborative Research: Center for Health Management Research
National Science Foundation
PI:   Conrad           Dates:    08/2001 - 07/2006
To fund the Center for Health Management Research which coordinates research projects for a consortium of universities and private research groups in health services areas.

Diabetes Data Linkage Study
WA State Department of Health
PI:   Conrad           Dates:    12/2004 - 06/2005
This research study will compare selected health outcomes and costs for patients with diabetes who receive care from collaborative and non-collaborative primary care clinics.

Paying for Performance: Incentive Effects on Quality of Health Services
Center for Health Management Research
PI:   Conrad           Dates:    01/2003 - 09/2004
This research is designed to address (1) the effects of financial incentives on the development and implementation of care management practices in medical groups and (2) the effects of financial incentives on individual physician's adoption of specific care management practices related to the quality of medical care for their patients.

Center for Health Management Research: Core Support 03-04
Network for Healthcare Management
PI:   Conrad           Dates:    08/2003 - 07/2004
This contract will provide for focused effort relating to the recruitment of new corporate and academic members and the retention of current members in the Center for Health Management Research.

Updating and Refining Leapfrog's 'Economic Implications'
Leapfrog Group
PI:   Conrad           Dates:    01/2004 - 04/2004
The purpose of this project is to update and refine the savings/cost estimates of the Leapfrog Group's three recommended patient safety practices previously detailed in John Birkmeyer's 2001 report, 'Economic Implications'.

Penetrating the 'Black Box': Mechanisms for Enhancing Health Care Efficiency and Clinical Effectiveness
AHRQ - Agency for Healthcare Research and Quality
PI:   Conrad           Dates:    05/2002 - 02/2004
The major goal of the proposed conference is to evaluate the impact of financial incentives, clinical-managerial-organizational arrangements, and market environments on the quality and cost of health services.

Penetrating the 'Black Box': Mechanisms for Enhancing Health Care Efficiency and Clinical Effectiveness
Robert Wood Johnson Foundation
PI:   Conrad           Dates:    11/2001 - 10/2003
The major goal of the proposed conference is to evaluate the impact of financial incentives, clinical-managerial-organizational arrangements, and market environments on the quality and cost of health services.

Center for Health Management Research: Core Support
Network for Healthcare Management
PI:   Conrad           Dates:    02/2003 - 07/2003
This contract will provide for focused effort relating to the recruitment of new corporate and academic members and the retention of current members in the Center for Health Management Research.

Penetrating the 'Black Box': Mechanisms for Enhancing Health Care Efficiency and Clinical Effectiveness
California HealthCare Foundation
PI:   Conrad           Dates:    04/2002 - 04/2003
The major goal of the proposed conference is to evaluate the impact of financial incentives, clinical-managerial-organizational arrangements, and market environments on the quality and cost of health services.

Support for the Center for Health Management Research
Network for Healthcare Management
PI:   Conrad           Dates:    05/2002 - 10/2002
The primary goal of this project is to build on efforts relating to the recruitment of new corporate and academic members and the retention of current members in the Center for Health Management Research.

MGMA: Proposal Development and Survey Enhancement
Medical Group Management Association
PI:   Conrad           Dates:    02/2001 - 12/2001
The major goal of this project is to enhance the processes of survey content, design, implementation, and follow-up for two major MGMA surveys.

Alternative Methods of Primary Care Physician Reimbursement with a Managed Care Organization: Associations with Health Services Use and Patient Satisfaction
Kaiser Permanente
PI:   Conrad           Dates:    03/2001 - 05/2001
To design and interpret analyses of the effects on health services utilization and cost and patient satisfaction.

Physician Compensation & Risk-bearing Arrangements In Medical Groups
Robert Wood Johnson Foundation
PI:   Conrad           Dates:    02/2000 - 06/2000
To assess impact of compensation methods on physician productivity and reaction of local markets providing physician services.

Physician Compensation and Risk-Bearing Arrangements in Medical Groups: II
Robert Wood Johnson Foundation
PI:   Conrad           Dates:    09/1997 - 11/1999
To estimate the impact of different physician compensation and risk-bearing arrangements on physician practice productivity and assess qualitatively the anticipated future changes in those compensation and risk-bearing arrangements.

Effectiveness of Treatment Strategies for Low Back Pain (Year 3 of 4)
AHRQ - Agency for Healthcare Research and Quality
PI:   Deyo           Dates:    08/1994 - 08/1998
Compare long-term functional and work-related outcomes of alternative surgical and non-surgical treatments and to assess the impact of back pain guidelines and health reform efforts on regional and national trends in back surgery rates, re-operation rates, spinal fusion rates, and non-surgical hospitalization rates.


Selected Publications

Conrad, D.A., Sales, A.M., Chaudhuri, A., Liang, S., Maynard, C., Pieper, L., Weinstein, L., Gans, D., Piland, N. The Impact of Financial Incentives on Physician Productivity in Medical Groups. Health Services Research, Vol. 37, August 2002.

Conrad D. Ambulatory Care Efficiency: A Conceptual Essay and Empirical Assessment. Journal of Ambulatory Care Management, Vol. 25 (1), January 2002.

Conrad, Douglas A., Koos, Shaun, Haase, Martin, Harney, Alan. "Physician Practice Management Companies: Prospects and Performance." Medical Care Research and Review, September 1999.

Conrad, Douglas A. "Risk-Bearing Arrangements and Capital Financing Strategies for Integrated Health Systems." Quarterly Review of Economics and Finance, Vol. 39 (4): September 1999.

Conrad, Douglas A., Maynard, Charles, Cheadle, Allen, et al. "Primary Care Physician Compensation Method in Medical Groups: Does It Influence the Use and Cost of Health Services for Enrollees of Managed Care Organizations?" JAMA. (March 18, 1998)

Shortell S., Zukoslei A., Alexander J., Bazzoli G., Conrad D., Hasuai U., Wynia R., Sofaes S., Chan B., Casey E., Margolin F. Evaluating Partnerships for Community Health Improvement: Tracking the Footprints. Journal of Health Politics, Policy, and Law, Vol. 27(1) 49-95, February 2002.

Tufano, James, Conrad, Douglas A., Sales, Anne, Maynard, Charles, Noren, J., Kezirian, E., Schellhase, K., Liang Su-Ying. "Effects of Compensation Method on Physician Behaviors." American Journal of Managed Care. Volume 7 (4), April 2001: pp. 363-373.

Selected Dissertation, Thesis and Capstone Committees (recent graduates)
2008
Member, thesis committee for John Scoggins
A Rate-of-Return Test of Third –Party Payor Efficiency

2007
Member, dissertation committee for Beverly Court
Critical access hospital legislation: Impact on rural hospitals and rural residents