Harkness Project Title:How Health Care Providers Use Comparative Data to Monitor and Improve Care
Mentor: Harold S. Luft, Ph.D.
Host Institution: University of California, San Francisco
Biography at time of Harkness Fellowship: Huw T.O. Davies, a 1998-99 Commonwealth Fund Harkness Fellow in Health Care Policy, is reader in health care policy and management at the University of St. Andrews, Scotland, and associate director of the PharmacoEconomic Research Centre. He was formerly research manager at Tayside Health Board and a research fellow at both Dundee University and South Bank University (London). Dr. Davies’ current research interests include performance measurement and management in health care; health outcomes; health care quality (including medical and clinical audit); health technology assessment; and evidence-based policy and practice. He has a long-standing research interest in the epidemiology and management of acute and chronic pain. He has authored or co-authored two books, five edited collections and over 80 papers on health services research, health care quality and research methodology. Dr. Davies earned a degree in mathematics and statistics from Cambridge University, a M.Sc. in operational research from Sussex University, and a Ph.D. in health services research from Dundee University. He has also completed the Postgraduate Certificate in Health Economics at the University of Aberdeen.
Project: Davies examined similarities and differences in how U.K. and U.S. health care systems use comparative data (including health outcomes) to monitor performance and improve health care quality, with the aim of identifying characteristics associated with successful and unsuccessful programs. He first identified programs measuring health outcomes in California and the U.K., and then conducted interviews with senior managers and front-line clinicians in six California and eight U.K. hospitals on their perception and use of the outcomes data.
Career Activity Since Fellowship:
- Director, Knowledge Mobilisation & Capacity Building, National Institute for Health Research SDO Programme, 2008
- Winner, "Baxter Award" European Book prize, 2005 (shortlisted for same, 2004)
- Professor and Chair of Health Policy and Management, School of Social Sciences, University of St. Andrews, 2001
- Founding Director, Centre for Public Policy and Management, University of St. Andrews, 2001
- Reader in Health Care Management, School of Social Sciences, University of St. Andrews, 2000
- Professor of Health Care Policy & Management, School of Management; Co-Director, Centre for Public Policy & Management; and Associate Director, Research Unit for Research Utilisation, University of St Andrews
- Director, Social Dimensions of Health Institute, Universities of Dundee and St Andrews
(Updated August 2010)
Wilkinson JE, Nutley SM, Davies HT. “An exploration of the roles of nurse managers in evidence-based practice implementation.” Worldviews Evid Based Nurs. 2011 Dec;8(4):236-46.
Cairoli E, Davies HT, Helm J, Hook G, Knupfer P, Wells F. “A syllabus for research ethics committees: training needs and resources in different European countries.” J Med Ethics. 2011 Sep 20.
Kelly DR, Crossley J, Lough M, Rushmer R, Greig GJ, Davies HT. “Diagnosing a learning practice: the validity and reliability of a learning practice inventory.” BMJ Qual Saf. 2011 Mar;20(3):209-15. Epub 2011 Jan 12.
Konteh FH, Mannion R, Davies HT. “Understanding culture and culture management in the English NHS: a comparison of professional and patient perspectives.” J Eval Clin Pract
. 2011 Feb;17(1):111-7.
Hughes CM, Lapane KL, Watson CM, Davies HTO. “Does Organisational Culture Influence Prescribing in Care Homes for Older People?” Drugs and Aging
2007; 24(2): 81.
Davies, H.T.O, Nutley, S.M., Walter, I. Using Evidence: How Research Can Inform Public Services. The Policy Press, University of Bristol, 2007.
Exworthy, M., Bindman, A., Davies, H.T.O., Washington, E.A. “Evidence into Policy and Practice? Measuring the Progress of U.S. and U.K. Policies to Tackle Disparities and Inequalities in U.S. and U.K. Health and Health Care” The Milbank Quarterly 2006; 84 (1): 75–109.
Lavis J, Gruen R, Davies H, Walshe K, Farquahar CM. “Working Within and Beyond the Cochrane Collaboration to Make Systematic Reviews More Useful to Healthcare Managers and Policymakers.” Healthcare Policy, 200g; 1(2): 21-33.
Lavis, J., Davies, H.T.O., Oxman, A., Denis, J-L., Golden-Biddle, K., Ferlie, E. “Towards Systematic Reviews That Inform Health Care Management and Policy-Making.” Journal of Health Services Research and Policy, 2005, Vol 10 (3), suppl 1: 35-48.
Marshall, M.N., Davies, H.T.O. “Ensuring Accountability: The Balance between Trusting and Checking.” Quality Assessment in European Family Practice. Ed. Grol, R., 2005.
Mannion, R., Davies, H.T.O., Marshall, M.N. “The Impact of Star Performance Ratings in Acute Hospitals.” Journal of Health Service Research and Policy, 2005, Vol. 10: 18-24.
Mannion, R., Davies, H.T.O., Marshall, M.N. Cultures for Performance in Health, Oxford University Press, 2004.
Marshall, M.N., Romano, P.S., Davies, H.T.O. “How Do We Maximise the Impact of the Public Reporting of Quality of Care?” International Journal for Quality in Health Care 2004; 16:i57-63.
Marshall, MN, Davies, HTO, Cultures for Performance in Health Care : Evidence on the Relationships between Organisational Culture and Organisational Performance in the NHS; University of York, Centre for Health Economics, York, 2003.
Scott, J.T., Mannion, R., Marshall, M.N., Davies, H.T.O. “Does Organisational Culture Help to Explain Health Care Performance? A Review of the Evidence.” Journal of Health Service Research & Policy 2003; 8:105-117.
Scott T, Mannion R, Davies H, and Marshall M. “Implementing Culture Change in Health Care: Theory and Practice,” International Journal of Quality in Health Care 2003; 15(2):111-118.
Marshall MN, Mannion R, Nelson E, Davies HTO. “Managing Change in the Culture of General Practice: Qualitative Case Studies in Primary Care Trusts.” BMJ 2003; 327:599-602.
Marshall, M.N., Shekelle, P.G., Davies, H.T.O., Smith, P.C. “Public Reporting on Quality: Lessons from the United States and the United Kingdom.” Health Affairs 2003; Vol.22 (3):134-148.
Davies, H.T.O., Harrison, S. “Trends In Doctor-Manager Relationships.” British Medical Journal 2003; 326:646-9
Davies, H.T.O., Hodges, C.L., Rundall, T.G. “Views of Doctors and Managers on the Doctor-Manager Relationship in the NHS.” British Medical Journal 2003; 326:626-8
Powell, A.E., Davies, H.T.O., Thomson, R.G. “Using Routine Comparative Data to Assess Health Care Quality: Understanding and Avoiding Common Pitfalls.” Quality & Safety in Health Care 2003; 12(2): 122 – 128
Davies, H.T.O., Washington, A.E., Bindman, A.B. “Health Care Report Cards: Implications for the Underserved and the Organizations Who Provide for Them.” Journal of Health Politics, Policy and Law 2002; 27(3):379-99
Davies, H.T.O. “Understanding Culture in Reforming the National Health Service.” Journal of the Royal Society of Medicine 2002; 95:140-142.
Marshall MN, Davies HTO, “Public Release of Information on Quality of Care: How are the Health Service and the Public Expected to Respond?” Journal of Health Services Research and Policy 6; 158-162, 2001.
Davies, H.T.O., Nutley, S.M. “Developing Learning Organisations in the New NHS.” British Medical Journal 2000; 320:998-1001.
Marshall, M.N., Davies, H.T.O. “Performance Measurement and the Management of Health Care Professionals: Some Topical Issues.” Disease Management and Health Outcomes 2000; 7(6):305-314.
Davies, H.T.O., Nutley, S.M., Mannion, R. “Organisational Culture and Quality of Health Care.” Quality in Health Care 2000; 9:111-19.
Davies, H.T.O., Marshall, M.N. “UK And US Health Care Systems: Divided By More Than a Common Language.” Lancet 2000; 355:336.
Marshall MN, Davies HTO. “Issues in Performance Measurement and Management in Health Care” Disease Management and Health Outcomes 7; 305-314, 2000.
Davies, H.T.O., Marshall, M.N. “Public Disclosure of Performance Data: Does the Public Get What the Public Wants?” Lancet 1999; 353:1639-40.
Davies, H.T.O. “Falling Public Trust in Health Services: Implications for Accountability” Journal of Health Services Research & Policy 1999:4(4):193-4.
Davies, H.T.O., Rennie D. Editorial: “Independence, Governance and Trust” JAMA 1999; 281:2344-6.
Davies, H.T.O., Mannion, R. “Clinical Governance: Striking the Balance between Checking and Trusting”. In: Reforming Markets in Health Care – An Economic Perspective. Smith Pc (Ed) Open University Press, 1999. (Also reproduced as: Clinical Governance: Discussion Paper165. Centre for Health Economics. University Of York, U.K.).