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​Magnet Hospitals Return High Value Says New Innovative CHOPR Study

AH-010SILBER.pngJanuary 20, 2016 - Better nursing work environments are associated with better patient outcomes and better value, according to a recently published Penn CHOPR study in JAMA Surgery, one of the most widely circulated medical journals in the world. The paper entitled, “Comparison of the Value of Nursing Work Environments in Hospitals Across Different Levels of Patient Risk” was led by Leonard Davis Institute Senior Fellow, Dr. Jeffrey H. Silber, Nancy Abramson Wolfson Endowed Chair in Healt​h Services Research and Director of the Center for Outcomes Research at Children’s Hospital of Philadelphia. Dr. Silber, along with CHOPR Director, Dr. Linda H. Aiken, and CHOPR Associate Director, Dr. Matthew McHugh examined data findings from general surgery patients in 328 hospitals in Illinois, New York, and Texas. They compared outcomes and costs of nearly 26,000 patients at 35 hospitals recognized nationally as having good nurse work environments and high nurse-to-bed ratios against nearly 63,000 patients at 298 hospitals. "A surprising finding was that better nurse staffing throughout the hospital does not have to be more costly", said Dr. Aiken in a press release about the article, "we found that Magnet hospitals achieved lower mortality at the same - or lower - costs."
Above photo shows Dr. Silber delivering the keynote address 
​at the 2015 AcademyHealth Interdisciplinary Research Group on Nursing Issues. Links to the JAMA Surgery paper, the detailed study findings, and the widespread media response can be found below. ​Penn Nursing student and CHOPR research assistant, Leland Perzanowski, contrbuted to the reporting of this story. 

Center Director, Dr. Linda H. Aiken, is the recipient of an Honorary Doctor of Science from King’s College London
Linda-with-4-others.pngNovermber 4, 2015 - Dr. Aiken traveled to London last month to accept the Honorary Doctor of Science for her work as a global leader in nursing, health services and policy research, and for being one of the most high-profile policy thought leaders in health care in the world. Since 2008, King’s College has awarded its own honorary degrees under awarding powers granted by the Privy Council -  a formal body of advisers to the Sovereign of the United Kingdom. The Doctor of Science Honoris Causa was presented during an October 27th ceremony at King’s Strand Campus. Professor Aiken also took part in a question and answer session where faculty and students listened to her thoughts and insights on nursing, policy care and patient outcomes. A few days later she met with other members of the Lancet Commission. Together they convened a public chat on The Future of Nursing on Twitter. The popular 30 minute #LancetNursing discussion was rated 6th on the Top 10 Worldwide Trending List​ for the day. Finally, she headed to the University of Southampton's Centre for Innovation and Leadership in Health Sciences. Soon after her arrival, Aiken delivered the keynote address on international research evidence on nurse staffing and patient outcomes at the Safe Staffing: Research, Policy & Practice Symposium of 2015. Dr. Aiken joins an impressive group of past recipients of the honorary degree including former Presidents and Nobel Prize winners.
From left to right: The new King’s honorary doctors on 27 October 2015: Professor Linda H. Aiken, the Chairman of Council the Duke of Wellington, Dr Andrew Mackenzie, President & Principal Professor Edward Byrne, and Professor Maria Fidela de Lima Navarro
​Center Director, Dr. Linda H. Aiken, has received the Anthony J. Jannetti 'Tony' Award for Extraordinary Contributions to Health Care

linda_pres-tonyawardwinner-glass2015.jpgSeptember 30, 2015 - On September 25 at the 24th Annual Convention of the Academy of Medical-Surgical Nurses, Linda H. Aiken PhD, RN, FAAN, was awarded the Anthony J. Jannetti Award for Extraordinary Contributions to Health Care. This award is the most prestigious honor presented by the Academy of Medical-Surgical Nurses (AMSN). It is granted in recognition of an outstanding nurse leader who promotes the image of the nursing profession and contributes to the enhancement of healthcare as a whole. Dr. Aiken was also honored as the keynote speaker at the conference, leading a discussion on the impact of nursing on quality patient outcomes.
As the Claire M. Fagin Leadership Professor of Nursing and director of the Center for Health Outcomes and Policy Research in the School of Nursing, Dr. Aiken’s work has hugely impacted the discussion surrounding the improvement of health services. Her research emphasizes the need for evidence based policies and interventions to improve patient outcomes and workplace stability in hospitals. The Annual Convention is designed to provide nurses with education on evidence-based learning, research, and knowledge, and a chance to make connections with other med-surg nurses. Above photograph: Jane E. Lacovara, RN, MSN, CMSRN, CNS-BC, and Linda H. Aiken, PhD, RN, FRCN, FAAN, at the 2015 AMSN Annual Convention. FOR MORE ABOUT THE EVENT

CHOPR Research Assistant and Penn student, Jessica Hundly, contributed to the writing of this story.

Joint State Government Commission Emphasizes CHOPR Research to Produce a Staff Study on Professional Bedside Nursing in PA

groupKarenMurphy.jpgJune 30, 2015  - The Joint State Government Commission (JSGC)  recently announced the release of an important report documenting the relationship between hospital nurse staffing levels and patient outcomes; including strong, concise recommendations for improving patient care in Pennsylvania hospitals through laws, practices, and polices. The report, which took one year to complete, was written in response to directives issued by the PA House of Representatives. In a letter to the General Assembly, the JSGC acknowledged CHOPR investigators from the Center for Health Outcomes and Policy Research and Penn's Leonard Davis Institute for "significantly aiding in the completion of the final report." Furthermore, "Dr. Linda Aiken and Dr. Matthew McHugh provided an enormous amount of pertinent survey data and analyses on hospital nurse staffing since the late 1990s, which is widely regarded as an authoritative resource." PA House and Senate Bills were also introduced at the same time of the report's release, and aims to create staffing committees for all Pennsylvania hospitals, as well as mandatory nurse-to-patient ratios.  California is currently the only state with hospital-wide mandated nurse-to-patient ratios, and they have better healthcare statistics involving infection and nurse satisfaction and safety when compared to Pennsylvania. Recommendations based on the research and data include improving nurse workforce data collection, the implementation of a public reporting system for staffing levels, and an increase in nurses with a Bachelor’s of Science Degree in Nursing. Photo from left shown above: Mr. Corey Coleman, Chief of Staff, General Assembly of PA; Dr. Linda H. Aiken, Center Director; Secretary of Health in PA, Ms. Karen Murphy; and, Dr. Matthew McHugh, Center Associate Director.
Penn Nursing student, Mikayla Vague, contributed to the writing of this story.

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​CHOPR Investigators receive Global Engagement Fund Award for Project in Chile
April 28, 2015 - Latin America has long been a priority for Penn’s School of Nursing which was one of the first World Health Organization (WHO) designated Collaborating Centers in Nursing and Midwifery. Yet, it has been difficult to develop sustained health services research when compared to other parts of the world. Our project in Chile is a collaborative effort of multiple Penn schools and research centers, and involves faculty from nursing, sociology, economics, Wharton, and medicine. The study leads are Professor Linda Aiken, Director of the Center for Health Outcomes and Policy Research in the School of Nursing (SON) and Professor Herbert Smith, Director of the Population Studies Center in the School of Arts and Sciences (SAS). Other participating members of the Penn team so far include: Professor Eileen Lake, Dean Antonia Villarruel, and Postdoctoral Fellow, Olga Jarrin in the SON; Professor Jere Behrman, economics/SAS; and Professor Dan Polsky, medicine and Wharton, and Director of the Leonard Davis Institute of Health Economics (LDI). Penn faculty and staff will work with our primary Chilean partner, the School of Nursing at Universidad de los Andes to lay the groundwork to do a full-scale replication of a Penn-Nursing-led research design developed over the past 20 years. The pilot funding will help us work out the feasibility of the study to prove to stakeholders in hospitals, the Ministry, and collaborating partner universities that the proposed research can be successfully carried out, that its results will be valuable and actionable, and that the international collaboration will position investigators in Chile to participate in follow-up research.
​CHOPR launches survey to examine the impact of nursing care on patient safety, policy and practice

shutterstock_lowRes.jpgJanuary 15, 2015 - The Center for Health Outcomes and Policy Research (CHOPR) is pleased to announce the launch of a new survey for Registered Nurses and Nurse Practitioners holding active licenses in California, Florida, New Jersey, and Pennsylvania. The survey, which will contact over 250,000 nurses across four states, will ask questions about patient care and nursing practice. Nurses selected to participate in the study will receive a paper copy of the survey via US mail which they can fill out and return in the prepaid envelope provided. Alternatively, nurses have the option to complete the questionnaire over the internet by inputting the online access code provided with the paper survey. Participants may also receive a recorded phone call or email with more information. Nurses who complete and return the survey (either online or via US mail) will be entered in a drawing to win an iPad Air 2. READ MORE

Center Director, ​Dr. Linda H. Aiken, receives $2.9m from NINR to conduct large four-state panel study on nursing and patient outcomes
2014-Aiken-pid=107.jpgSeptember 15, 2014 - Center faculty, fellows and staff are gearing up to repeat the multi-state surveys of U.S. registered nurses conducted in 1999 and in 2006. Researchers were authorized by NINR to start immediately on the RN4CAST-US project entitled Panel Study of Effects of Changes in Nursing on Patient Outcomes. The grant funding will help CHOPR investigators design and implement an efficient, innovative extension of the earlier survey, thus creating a larger study of the impact of change in nursing factors on outcomes. Slated to go live in January of 2015, approximately 300,000 registered nurses residing in Pennsylvania, New Jersey, Florida and California will receive the survey via US mail and will record their responses on the paper form or opt to complete it electronically. Researchers plan to analyze data from RNs working in over 600 hospitals and hundreds of nursing homes and home care agencies. The project has already been endorsed by many well known nursing organizations including the PA Action Coalition, NJ Board of Nursing, Florida State Board of Nursing, Natl. Council on State Boards of Nursing, and the CA Institute for Nursing and Health Care. Principal Investigator, Dr. Linda H. Aiken, leads the project with co-investigators: Dr. Matthew McHugh, Dr. Douglas Sloane, Dr. Jeannie Cimiotti, Dr. Ann Kutney-Lee, Dr. Olga Jarrin, Dr. Hilary Barnes, and Dr. Herbert Smith. "Our study will examine organizational-level changes over time in nurse inputs in education, staffing, skill mix, and work environment between 1999, 2006, and 2015," said Dr. Linda Aiken, "the great strength of this project is that in creating a panel of organizational observations, we can see where change has occurred and why." The Center has also secured additional funding for the panel study from the Robert Wood Johnson Foundation, the National Council of State Boards of Nursing, the Hillman Foundation, and the Boettner Center.
Center Director, Dr. Linda H. Aiken, receives the Institute of Medicine's prestigious Lienhard Award for outstanding achievement

October 20, 2014 - Dr. Linda H. Aiken, Claire M. Fagin Leadership Professor of Nursing, Professor of Sociology, and Director of the Center for Health Outcomes and Policy Research at the University of Pennsylvania is the recipient of the 2014 Gustav O. Lienhard Award  from the Institute of Medicine (IOM) of the National Academy of Sciences for illuminating evidence that shows how nurses improve the quality of health care, and for informing health practices and policies. According to IOM president, Victor J. Dzau, M.D., "We believe Dr. Aiken to be a pioneer and innovator in her field. She has made tremendous contributions to the quality of health care here and abroad." Aiken received the medal at the special presentation of the award during the 2014 IOM Annual Meeting inside the historic National Academy of Sciences Building in Washington. The award is accompanied by the medal and $40,000. Dr. Aiken will donate the cash prize to nursing research. This year's selection committee was chaired by Claire Pomeroy, M.D., M.B.A., President of the Albert and Mary Lasker Foundation. Speaking on behalf of the entire committee Pomeroy said, "Dr. Aiken's efforts to inform and advance health practices and policies related to the nursing workforce are incomparable. Her research has demonstrated how nurses improve the quality of health care and shown the need for a well-educated nursing workforce." In accepting the award, Dr. Aiken noted that the arrival of Ebola in the U.S. has illustrated in stark terms what our research has been showing for two decades; work environments in hospitals undermine the effectiveness of care and put patients and nurses at risk.  In a letter to the entire Penn Nursing community, School of Nursing Dean Antonia Villarruel wrote, "This honor puts Dr. Aiken in the company of many other great leaders who have pioneered impactful changes in health care. She has brought global attention to the importance of nursing in improving quality, cost, and safety in health care settings." Upon her acceptance of the award, Dr. Aiken credited her work and successes to many others who have supported her in the twenty-five plus years she has devoted to patient outcomes and policy research. The Lienhard Award is funded by an endowment from the Robert Wood Johnson Foundation.

PennRecept01LORES.jpgUpdate - November 12, 2014 - Key Penn executives, School of Nursing faculty, as well as deans and professors from around the university attended the reception to honor the recipient of the Gustav O. Lienhard Award, Center for Patient Outcomes and Policy Research Director, Dr. Linda H. Aiken. Penn President Amy Gutmann and the newly appointed Margaret Bond Simon Dean of Penn’s School of Nursing, Antonia Villarruel, hosted the function which took place at the Annenberg School for Communication. In her opening remarks Gutmann emphasized how Dr. Aiken, “has advanced healthcare and health science to new heights,” and “brought everybody at the Institute of Medicine to their feet.” Gutmann spoke in glowing terms of how Aiken represents the best of the dynamic, powerful, and unique spirit of Penn Nursing by “[bringing] together the scholarly and practical” which “is  the signature of Penn's strength.” She continued to highlight how Aiken’s “work informs policy decisions and public awareness around the importance of well-educated nurses and the conditions in which they work." Dean Villarruel introduced the honoree by acknowledging Aiken's significant contributions to public health policy and sharing insightful comments from our nation's healthcare leaders, including statements from Robert Blendon, Associate Dean of Harvard School of Public Health; Gail Warden, the Detroit and the Ford Health System; and, most notably Donna Shalala, the former secretary of Health and Human Services who said in a statement, "It's obvious today that nursing care is a building block between high-quality and high-level healthcare[…] because of Dr. Aiken’s near focused research and its immense impact on nurses' evolving roles in leadership in healthcare. [Aiken] is without a doubt one of the most influential leaders in healthcare in the US and globally.” In her closing remarks, Dr. Aiken thanked the University for fostering the conditions to facilitate interdisciplinary research including allowing ideas to flourish, people to work across disciplines, and subjects to attract the very best staff. "We wouldn’t be able to do the very great research without our panelists, our administrative staff, all of the people who support us."

From left: Ralph W. Muller, Chief Executive Officer, UPHS; Dr. Antonia Villarruel, Penn Nursing Dean; Dr. Linda H. Aiken, Director, Center for Health Outcomes and Policy Research; Dr. Amy Gutmann, President of the University of Pennsylvania; and, Dr. Vincent Price, Penn Provost and Chief Academic Officer of the University of Pennsylvania.

For more information

Dr. Martin McKee, Professor of European Public Health at the London School of Hygiene and Tropical Medicine, is slated to meet with CHOPR faculty and fellows in September

mcKee.pngAugust 12, 2014 - Dr. McKee is founding director of the WHO European Centre on Health of Societies in Transition which comprises the largest team of researchers working on health and health policy in central and eastern Europe and the former Soviet Union. He is also the research director of the European Observatory on Health Systems and Policies, which is a unique partnership of universities, national and regional governments, and international agencies. McKee extends his reach even further as the President-elect of the European Public Health Association, an umbrella organization for public health associations and institutes in Europe. He is also a prolific writer and has published over 760 scientific papers and 42 books. You can find Dr. McKee every fall semester at the London school teaching the course he established on the issues of public health. "This course seeks to show that public health can actually be exciting and stimulating," says McKee. "It is intended for people who want to make the world a better, and fairer place to live in." He is a long time CHOPR research collaborator and serves with Dr. Aiken on the current Lancet Commission on Nursing in England. Dr. McKee will speak at noontime to Center faculty and fellows on Monday, September 22 about the "Quality Storm and Public Perceptions of Nurses in the UK." Follow the below links to learn more about the work of the Lancet Commission. Readers can also scroll down this page to read the initial story of the Lancet Commission's formation and appointment of Dr. Aiken.

​​CHOPR Study reveals how close Pennsylvania hospitals are to meeting IOM goals for an 80% BSN-prepared workforce
July 7, 2014 - Nearly four years after the release of the Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health, many states are continuing their work to increase the proportion of baccalaureate-prepared nurses (BSNs) to the recommended 80% level. This work is being accomplished primarily through the work of state-based action coalitions that are working locally to enact the recommendations. However, data to inform the decisions and recommendations of these working groups are difficult to find and is rarely carried out. Utilizing CHOPR's unique nurse survey from 2006, Assistant Professor of Nursing, Dr. Ann Kutney Lee, predoctoral fellow, Shweta Singh and Center Director, Dr. Linda H. Aiken, recently crafted a white paper that provides baseline data to the Pennsylvania Action Coalition on the number of BSNs working in hospitals in each of the nine regional action areas in the state. The research brief allows local agencies to benchmark themselves with respect to other hospitals in their region, and also outlines a set of recommendations for agencies and targets for policy intervention.
Links for Additional Information
•Representation of Baccalaureate-Prepared Nurse in PA Hospitals:ResearchBrief.pdf
•Follow the link & scroll down for more info about the CHOPR study
​Center Director, Dr. Linda H. Aiken, delivers keynote to the Association of Health Professionals of Sweden
withSineva.jpgMay 30, 2014 ​​- The CHOPR Center Director visited Stockholm, Sweden in early May to help examine the results of the RN4Cast EU-funded study of the hospital nurse workforce. The survey findings in Sweden were reviewed on May 5th at the Nobel Forum, and again on May 6th to the Association of Health Professonals of Sweden, sponsored by the Karolinska Institutet. The day long conference "Producing High Quality Health Care: Research on the Impact of Nursing" brought together key RN4Cast research partners including professors Peter Griffiths from the University of Southampton, Carol Tishelman from the Karolinska Institutet, and Jane Ball from Kings College in London. The symposium was hosted and moderated by Vårdförbundet president, Sineva Ribiero (pictured above with Linda H. Aiken); Kerstin Tham, vice-president of Karolinska Institutet; and, professor of nursing, Dr. Carol Tishelman. Dr. Aiken's keynote address entitled, "Impact on Nursing on Patient Outcomes" revealed some of the most pertinent issues surrounding the large study in Sweden. Dr. Griffiths helped bring clarity to organizing the nursing workforce for the best outcomes with his view from England. The afternoon panel discussion on the "Implications for Swedish Health Care" was populated by experts and officials in health care and government including the Stockholm County Council, the Karolinska Hospital, the Division for Public Health and Health Care, and the Health and Social Care Inspectorate.
Pennsylvania Hospital Senior Leadership listen to Brief on the Economic Value of Improving Nurse Staffing

PAhosp.jpgMarch 17, 2014 - Dr. Linda H. Aiken and a team of nurse scientists collaborated with Pennsylvania Hospital Research Scholars in order to present a brief on the business case for improving nurse staffing. The nurse scholars reported their findings   to the senior management team of Pennsylvania Hospital (PAH) as a part of the hospital's budget preparation process. Preparing a hospital budget is always a complex procedure and requires the participation and input from a broad cross section of hospital officials and departments. Clinical Nurses, Lindsay Verica and Lauren Ellis presented the literature and their professional insights on behalf of patients and in support of the profession of nursing. In addition, PAH Nursing Quality Coordinator for Quality and Safety, Katie Farrell, offered her observations in a speech entitled "Quality Nursing Outcomes, The Value Equation," which focused on the business case for nurse staffing. CHOPR nursing scientists, Dr. Sunny G. Hallowell and Dr. Ann Kutney-Lee helped lead the briefing. "We will most certainly utilize the evidence provided today and the work of the Exemplary Practice Budget Team to inform our investment decisions," said PAH Chief Nurse Executive, Mary Del Guidice, following the presentation. "It is vitally important every dollar be spent wisely and this work affords us the ability to do so."

Photo: PAH scholars and nurse colleagues are pictured above following a briefing with the hospital's senior leadership team, including CEO Dr. Michael Buckley (far right).

​CHOPR International Study Confirms Strong Link Between Nursing Education and Patient Outcomes

Europe-020v3.jpgFebruary 26, 2014 - New research published in The Lancet, shows that patients experiencing complications after surgery are more likely to survive if treated in hospitals with adequate nurse staffing levels and higher numbers of nurses prepared at the baccalaureate degree level. To determine whether differences in patient-to-nurse workloads and nurses’ educational qualifications affect patients’ survival after surgery, Professor of Nursing and Center Director, Linda H. Aiken along with the RN4Cast Consortium, analyzed responses from more than 26,000 nurses. The team led by Aiken reviewed the medical records of almost 500,000 patients (aged 50 years or older) who were discharged following a general surgical procedure in hospitals across nine European countries. The patient outcomes signal that in Europe, as in the U.S., failing to invest in bachelor’s nurse education and cutting costs by reducing nurse staffing may put hospitalized patients at greater risk of dying. The striking results show that every extra patient added to a nurse’s average workload increases the chance of surgical patients dying within 30 days of admission by 7%. Interestingly, a 10% increase in the proportion of nurses holding a bachelor degree is associated with a 7% decrease in the risk of death. “Our findings emphasize the risk to patients that could emerge in response to nurse staffing cuts under recent austerity measures, and suggest that an increased emphasis on bachelor’s education for nurses could reduce hospital deaths”, says Professor Linda H. Aiken speaking from the Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, “A safe level of hospital nursing staff might help to reduce surgical mortality, and challenge the widely held view that nurses' experience is more important than their education.”

Photo (shown above): Co-directors of RN4Cast, Professors Linda H. Aiken and Walter Sermeus with resesarchers from Switzerland.


Center Director, Dr. Linda H. Aiken, appointed to a special two-year Lancet Commission
January 22, 2014 - Dr. Linda H. Aiken, along with other international nurse leaders and executives have been authorized by the world's leading medical journal, The Lancet, to tackle the poor perception of nursing in the United Kingdom. Dr. Roger Watson, professor of nursing at the University of Hull will lead the commissioners and charge them with examining nursing education, practice, image, and workforce. The assignment was born out of the need to understand why the public carries a lower than average view of the nursing profession in the United Kingdom, especially when compared to other countries. For example, nursing in the United States comes out at the top of a Gallop poll for most trustworthy professions, and has been consistently graded so for the past twelve years. The fourteen high-profile nurse commissioners will study how to improve the poor public image of nursing in the UK. The Lancet publishes a weekly journal and six monthly specialty journals in the fields of global health, diabetes and endocrinology, oncology, neurology, respiratory medicine, and infectious diseases, and frequently holds Commissions on health issues.

Center Fellows discuss CHOPR'S diverse research projects with National Institute of Nursing Research Director, Dr. Patricia Grady

Pat Brady 003a.jpgNovember 6, 2013 - Internationally recognized nurse researcher and Director of the National Institute of Nursing Research (NINR), Dr. Patricia Grady, joined faculty and fellows of the Center for Health Outcomes and Policy Research for a roundtable discussion before facilitating the highly anticipated School of Nursing colloquium on “Nursing Science: Looking Ahead”. CHOPR fellows shared updates on their NINR-supported research and the potential these studies have to impact both clinical practice and healthcare policy. As discussed at the roundtable, CHOPR researchers are continuing to search for opportunities to use the Center’s innovative four-state nurse survey and existing clinical data resources in order to further inform patient care. Highlights of the discussion included Dr. Hallowell's collaboration with the Vermont Oxford Network to study the impact of nurse work environment on human breast milk support in the NICU for the most vulnerable of infants, Dr. Rochman’ s work with the American Heart Association’s "Get With The Guidelines" to examine nursing factors associated with in-hospital cardiac arrest survival, and the ways in which the Center is exploring ways to use the four-state survey in combination with patient level data to study a variety of clinical outcomes. The mission of the NINR is to promote and improve the health of individuals, families, and communities.

Above photo from left: Dr. Sunny G. Hallowell, Postdoctoral Fellow; Danielle Altares Sarik, Predoctoral Fellow; Jill Vanak, Predoctoral Fellow; Dr. Linda H. Aiken, Center Director, CHOPR; Dr. Patricia Grady, Director, NINR; Dr. Matthew D. McHugh, Associate Director, CHOPR; Dr. Olg Jarrín, Postdoctoral Fellow; Dr. Monica Rochman, Predoctoral Fellow.

​CHOPR Announces New Study to Focus on Nursing and Quality of Hospital Care in Israel
Group2_Web.jpgOctober 5, 2013 - A collaboration between nurse leaders from Jerusalem and CHOPR fac​ulty led by Center Director, Dr. Linda H. Aiken, was recently established and aims to replicate the work of the RN4Cast Consortium in the European Union. The new partnership promises to produce compelling recommendations on how to improve nursing care and patient outcomes in hospital settings in the country of Israel. The study findings will help the principal parties influence national policy changes to improve care.​ Dr. Hanna Admi, an expert in nursing management and clinical pediatric nursing traveled to the Center with her team in early October to help design and implement the study, "We are very excited to take this project to the next level," she said. Admi has been actively involved in the Association of Hospital Nursing Directors and is devoted to improving the quality of nursing care in Israel through nursing education, administration and research. The team also met with nursing school dean, Dr. Afaf Meleis, who was instrumental in securing a portion of the funding from the University of Pennsylvania. Photo shown above from left: Dr. Matthew D. McHugh, Associate Director of CHOPR; Dr. Hanna Admi, Director of Nursing, Rambam Health Care Campus, Haifa Israel; Dr. Linda H. Aiken, Director, Center for Health Outcomes and Policy Research; Dr. Orly Toren, Assistant Director of Nursing, Hadassah Medical Organization; and, Dr. Anat Peles Bortz, Nurse Researcher at Nurse Research at Clalit Health Services.
Center Assistant Professor of Nursing. J. Margo Brooks Carthon, Ph.D., A.P.R.N. selected as a 2013 Robert Wood Johnson Foundation Nurse Faculty Scholar
September 11, 2013 - Center Assistant Professor of Nursing, Dr. Margo Brooks Carthon, is one of just 12 nursing educators from across the United States to win a highly competitive grant from the Robert Wood Johnson Foundation (RWJF) Nurse Faculty Scholars program this year. “This award from Robert Wood Johnson Foundation provides a wonderful opportunity to examine a serious public health problem that affects thousands of older minorities—avoidable re-hospitalizations. Results from the study will identify the post-discharge health needs of older minorities and elicit how nurse resources are best employed to reduce readmission disparities,” Brooks Carthon added. The RWJF Nurse Faculty Scholars program strives to strengthen the academic productivity and overall excellence of nursing schools by developing the next generation of leaders in academic nursing. Brooks Carthon is part of the program’s sixth cohort. Center faculty, Dr. Nancy Hanrahan, The Kurlowicz Term Associate Professor of Nursing; and, Dr. Matthew McHugh, The Rosemarie Greco Associate Professor in Advocacy, both held the position of RWJF Nurse Faculty Scholar in the past. According to RWJF, the support of junior nurse faculty will help curb a shortage of nurse educators, the lack of which could undermine the health and health care of all Americans. It is a well known fact that the Affordable Care Act is vastly increasing the number of people who can access health care in the United States. As the number of patients increases, there will be greater demand for skilled nurses as well as faculty to educate them. Folow this link to read more about Dr. Brooks Carthon's three-year funded study.
​Center Associate Director, Dr. Matthew McHugh, PhD, JD, RN, MPH, CRNP, FAAN, named The Rosemarie Greco Term Endowed Associate Professorship in Advocacy
September 3, 2013 - Dr. Matthew McHugh’s research focuses on the effects of policy and organizational factors on nursing practice and health outcomes. In a letter to the entire nursing school community announcing the prestigious appointment of Dr. McHugh, Dean Afaf Meleis writes, "[Dr. McHugh's] expertise in nursing, law, and public health brings an interdisciplinary eye to measuring the success of organizational structures and governmental actions in improving health outcomes and decreasing health disparities." Dr. McHugh is also a Senior Fellow of the Leonard Davis Institute of Health Economics at the University of Pennsylvania, a Senior Fellow at Penn's Center for Public Health Initiatives, a Fellow at the University of Pennsylvania Institute on Aging, and an RWJF Nurse Faculty Scholar. The purpose of the term endowed Fund is to provide financial support to a faculty member at the Nursing School with an interest in policy and advocacy. Rosemarie Greco, for whom the chair is named, is immediate past chair of Penn Nursing’s Board of Overseers. Most recently she served as the Senior Advisor to the Governor on Pennsylvania's Health Care Reform Policy and has a very strong interest in working with Dr. McHugh on advocacy and policy changes. The endowment is sponsored by Excelon in honor of Greco's service to its Board of Directors for over 14 years.
CHOPR Director, ​Dr. Linda H. Aiken, oversaw the Project Workshop on Community Health Nursing in Chengdu, Sichuan China
China2013v3.jpgMay 10, 2013 - Members of the CMB (China Medical Board) Nursing Network from eight provinces in China assembled recently with Dr. Linda H. Aiken, Senior Advisor on Nursing for the CMB; and, Dr. Thomas Mackey, Associate Dean for Practice, and Director of the University of Texas Health Service. The purpose of the meeting was to design a multi-site model for expanded roles for nurses in community care. The CMB China Nursing Network is a collaboration between eight university nursing schools and their faculty. The CMB created the China Nursing Network (CNNN) in order to revise and update current nursing curricula, strengthen faculty, promote research, and experiment with new models of service delivery. The above photo taken with Drs. Aiken and Mackey include nurses and other officials from the West China Nursing School of Sichuan University in Chengdu; the Xi’an Jiaotong University School of Nursing; the Central South University School of Nursing; and, the China Medical University School of Nursing. Follow this link to learn more about CHOPR's research and work in China.
​The Center for Health Outcomes and Policy Research and the Pennsylvania Hospital Department of Nursing kickoff new collaborative research initiative
PAKickoff.jpgApril 22, 2013 - The Pennsylvania Hospital Nursing Research Scholarship Program was developed to provide clinical nurses the opportunity to learn and participate in scholarly research projects. Under the guidance of Dr. Linda H. Aiken and her team, nurses will receive education, mentoring and support. The Program, utilizing the tenants of the Magnet® Framework for Nursing Excellence, seeks to develop participants as research mentors for the staff at Pennsylvania Hospital, foster professional growth, develop a culture of research appreciation and utilization in clinical practice, and increase the amount of research conducted by direct care nurses at Pennsylvania Hospital. Photo from Left: Dr. Ann Kutney Lee, Assistant Professor of Nursing, CHOPR; Dr. Linda Hatfield, Director of Research and Evidence-Based Practice, Pennsylvania Hospital; Dr. Linda H. Aiken, Director, Center for Health Outcomes and Policy Research; Dr. Michael Buckley, Executive Director, Pennsylvania Hospital; and, Mary Del Guidice, Chief Nursing Officer, Pennsylvania Hospital.
Center Director, Dr. Linda H. Aiken, is the recipient of the inaugural 2013 Velji Global Health Project of the Year Award
LindaAward-003v1.jpgApril 15, 2013 - The CUGH Awards Committee has selected Dr. Linda H. Aiken, as the recipient of the Velji Project of the Year Award for 2013. The Consortium of Universities for Global Health (CUGH) honors individuals who have made exceptional contributions to the field of global health. The Award was presented to Dr. Aiken - a leader who exemplifies CUGH’s mission of building collaborations and exchange of knowledge across disciplines - at the Fourth Annual CUGH Conference in Washington, DC, entitled Global Health: Innovation, Implementation, Impact.

Follow this link to find out more about CUGH

​Standing Faculty from the School of Nursing with Leonard Davis Institute of Health Economics Executive Director, Dr. Daniel Polsky
​January 10, 2013 - Photo shown above from left: Dr. Eileen Lake, Associate Director, CHOPR; Daniel Polsky, Executive Director, LDI; Dr. Linda H. Aiken, Director, CHOPR; and Dr. Yvonne Patterson, PhD, Associate Dean for Research, UPENN School of Nursing.
A Keynote Address Deliverd by Center Director, Dr. Linda H. Aiken, Garnered Media Attention Overseas

Dr. Aiken delivered the keynote address at the Norwegian Nurses Organization's Centenary Jubillee in Oslo, Norway in celebration of the organization's 100th Anniversary.

Graduate Nurse Education Network of Greater Philadelphia to Produce More Advanced Practice Nurses
August 6, 2012 - The Hospital of the University of Pennsylvania has been funded by the federal government to facilitate an increase in the numbers of nurse practitioners, nurse anesthetists, nurse midwives, and clinical nurse specialists educated in the Greater Philadelphia Region. The following nine nursing schools are participating. Interested applicants are referred to their websites for more information about applying.
HUP awarded funding to carry out Graduate Nurse Education Demonstration

HUP with CHOPR OfficialsAugust 3, 2012 - HUP officials gathered with CHOPR principals for the first time after learning that Penn is one of five hospitals selected to carry out the Graduate Nurse Education Demonstration. The primary goal of the demonstration is to increase the provision of qualified training to APRN students. The clinical training included in this demonstration will provide APRNs with the clinical skills necessary to provide primary care, preventive care, transitional care, chronic care management, and other services appropriate for Medicare beneficiaries.

Photo shown from left: Amy Miller, Research Center Administrator; Garry Scheib, Executive Director, HUP; Victoria Rich, Chief Nursing Officer, HUP; Dr. Linda H. Aiken, Center Director; Dr. Matthew McHugh, Assistant Professor of Nursing.


The Center For Health Outcomes And Policy Research, also known as CHOPR, is a research and research training enterprise focusing on the outcomes of health care and health workforce policy. Established at the University of Pennsylvania in 1989, the Center is a unique community within the School of Nursing drawing together faculty, students, and pre- and post-doctoral fellows from nursing, sociology, demography, medicine, management, economics, and other related disciplines. With collaborators from around the world, Center researchers study health system reorganization and policy changes and aim to produce research evidence to improve the quality of health care.

Our Program of Research

Nursing workforce issues - the supply of nurses, nurse education, and scope of practice

The impact of legislation and policy, hospital organization and staffing, and hospital economic, geographic and social context on patient outcomes like mortality, adverse events, and hospital readmissions and nurse outcomes like job satisfaction and burnout.

The impact of policy, hospital organizational traits and context on racial, ethnic and socioeconomic disparities in health care outcomes

The impact of changing hospital populations -namely patients with increasingly complex and chronic conditions-on the organization of nursing care and patient and nurse outcomes.

Our studies have always involved adult medical/surgical patients and over the years we have expanded our focus to include pediatric, neonatal, psychiatric, oncology, ICU, the elderly, the chronically ill and other specialty populations.