Mark Diana
Associate Professor & Chair
- New Orleans LA UNITED STATES
- Public Health
Mark Diana is a healthcare policy expert. His research has focused on the organizational impact of health information systems.
Media
Social
Biography
Areas of Expertise
Accomplishments
The James P. Baker Award, Virginia Society for Respiratory Care
1997
Virginia Commonwealth University Department of Health Administration
2007
James W. Begun Award
Awarded for excellence in doctoral studies in health administration
Education
Virginia Commonwealth University
Ph.D.
Virginia Commonwealth University
M.S.I.S.
Shenandoah University
M.B.A.
Shanandoah University
B.S.
Media Appearances
Morgan Stanley report suggests hundreds of hospitals are at-risk of closure
FOX 8 online
2018-09-05
Louisiana has more hospitals per capita than most states, and rural areas hold a major share of the state’s hospitals, according to University of New Orleans health care economist Walter Lane. Additionally, the state’s rural areas hold a major share of Louisiana’s hospitals, according Mark Diana, Chair of the Department of Global Health Management and Policy of Tulane University’s School of Public Health.
"Probably half of the hospitals in Louisiana , acute care general hospitals are in rural settings and we’re generally a poorer state and so when you combine those two things it’s very difficult for hospitals, when you add the competitiveness it’s hard for them to survive particularly if they’re on their own,” Diana said.
Why is Louisiana’s Healthcare so Bad?
Health Line online
2017-08-22
Mark Diana, PhD, chair of Tulane University Department of Global Health Management and Policy, told Healthline that while he’s not happy with the rankings, he’s not surprised by them.
“I think it’s true that it’s fairly consistent that Louisiana ranks near the bottom in most efforts to evaluate the general health of states,” he said. “Typically we go back and forth with Mississippi for 49 and 50.”
“Louisiana is a poor state, and it’s a very rural state,” said Diana. “Those two things tend to go hand in hand, and they also go hand in hand with poorer health outcomes.”
Articles
Effects of Early Dual-Eligible Special Needs Plans on Health Expenditure.
Health Services Research Journal2018
To determine the relationship between health status and the magnitude of black-white and Hispanic-white disparities in the likelihood of having any office-based or hospital outpatient department visits, as well as number of visits.
Analyzing Determinants of Hospitals' Accountable Care Organizations Participation: A Resource Dependency Theory Perspective
Medical Care Research Review2015
Accountable care organizations (ACOs) are rapidly being implemented across the United States, but little is known about what environmental and organizational factors are associated with hospital participation in ACOs. Using resource dependency theory, this study examines external environmental characteristics and organizational characteristics that relate to hospital participation in Medicare ACOs. Results indicate hospitals operating in more munificent environments (as measured by income per capita: β = 0.00002, p < .05) and more competitive environments (as measured by Health Maintenance Organization penetration: β = 1.86, p < .01) are more likely to participate in ACOs. Organizational characteristics including hospital ownership, health care system membership, electronic health records implementation, hospital type, percentage of Medicaid inpatient discharge, and number of nursing home beds per 1,000 population over 65 are also related to ACO participation. Should the anticipated benefits of ACOs be realized, findings from this study can guide strategies to encourage hospitals that have not gotten involved in ACOs.
Factors related to health information exchange participation and use
Journal of Medical Systems2014
This study examines factors facilitating and delaying participation and use of the Health Information Exchange (HIE) in Louisiana. Semi-structured qualitative interviews were conducted with health care representatives throughout the state. Findings suggest that Meaningful Use requirements are a critical factor influencing the decision to participate in the HIE, specifically the mandate that hospitals be able to electronically transfer summary of care documents. Creating buy-in within a few large hospital networks legitimized the HIE and hastened interest in those markets. Fees charged by electronic health record (EHR) vendors to develop HIE interfaces have been prohibitive. Funding from the federal incentive program is intended to offset the costs associated with EHR implementation and increase the likelihood that HIEs can provide value to the population; however, costs and time delays of EHR interface development may be key barriers to fully integrated HIEs. State HIEs may benefit from targeted involvement of state health care leaders who can champion the potential value of the HIE.
Overcoming challenges to achieving meaningful use: insights from hospitals that successfully received Centers for Medicare and Medicaid Services payments in 2011.
Journal of American Medical Information Association2013
In an effort to understand better the federal electronic health record (EHR) incentive programme's challenges, this study compared hospitals that did and did not receive meaningful use (MU) payments in the programme's first year based on the challenges they anticipated a year before.
An assessment of Health Care Information and Management Systems Society and Leapfrog data on computerized provider order entry
Health Services Research Journal2011
To assess the internal consistency and agreement between the Health Care Information and Management Systems Society (HIMSS) and the Leapfrog computerized provider order entry (CPOE) data.