Harkness Project Title: How Do They Do That? What Can We Learn From Everett, WA About How To Constrain Costs and Improve Quality?
Mentor: Elliott Fisher, M.D.
Biography at time of Harkness Fellowship: Kimberlyn McGrail, Ph.D., a 2009–10 Commonwealth Fund Canadian Harkness Associate in Health Care Policy and Practice, is an assistant professor at the University of British Columbia (UBC). She is also associate director of the UBC Centre for Health Services and Policy Research and a senior researcher with Statistics Canada. McGrail's current research interests are in variations in health care services use, understanding health care as a determinant of health, comparative health policy, and the development of health information and technology to improve evidence and practice. She led a research project for the Health Council of Canada that resulted in a well-received report on value for money in Canadian health care. She continues to collaborate with provincial and federal policy- and decision-makers. McGrail holds a Ph.D. in Health Care and Epidemiology from the University of British Columbia, and a master’s degree in Public Health from the University of Michigan.
Project: McGrail’s project explored how Everett, Washington went from having high to low Medicare spending between 1999 and 2006. She conducted a single case study with a holistic design, using community-level data from the Dartmouth Atlas of Health Care, local sources and census information where applicable, qualitative data from interviews with community stakeholders, and other documentation where available.
McGrail K. “Long-Term Care as Part of the Continuum.” Healthcare Papers 2011; 10(4): 39-43.McGrail K, Hebert PC. “Editorial: No more dithering on e-health: Let’s keep patients safe instead.” CMAJ 2010.