Waters, Teresa Meyer, PhD

Professor
Preventive Medicine

Office: 633 66 Pauline Annex Building
Tel: (901) 448-1189
twaters1@uthsc.edu
https://academic.uthsc.edu/docs/fac_port_cv/Waters_CV_Mar-2012.pdf

Education

  • Ph.D., Vanderbilt University, Economics
  • B.A., Dordt College, Accounting

Research Description

Current Projects (9/2013)

 

CMS/CMMI Waters TM (UTHSC PI)             2012 – 2015                        25 % effort

 

Community Oncology Medical Home (COME HOME)

The purpose of this project is to implement and test a medical home model of care delivery for newly diagnosed or relapsed Medicare and Medicaid beneficiaries and commercially insured patients with breast, lung, or colorectal cancer. Cancer care is complicated, expensive, and often fragmented, leading to suboptimal outcomes, high cost, and patient dissatisfaction with care. Through comprehensive outpatient oncology care, including patient education, team care, medication management, and 24/7 practice access and inpatient care coordination, the medical home model will improve the timelines and appropriateness of care, reduce unnecessary testing, and reduce avoidable emergency room visits and hospitalizations.

 

CMS/CMMI Bailey JE (PI)                               2012 – 2015                         10 % effort

 

Project SAFEMED

The purpose of this project to improve medication adherence and effective medication usage among high-risk patients in the northwest and southwest sections of Memphis, TN. The program will serve vulnerable adults (20-64) and seniors 65+ insured by Medicaid and/or Medicare who have multiple chronic diseases, including hypertension, diabetes, coronary artery disease, congestive heart failure, and chronic lung disease, as well as polypharmacy and high-inpatient utilization. Through teams of pharmacists, nurse practitioners, pharmacy technicians, and licensed practical nurse outreach workers based in outpatient centers, the program will work with primary care physicians and local pharmacies to provide comprehensive medication management. This approach will reduce avoidable prescription drug utilization, prevent adverse drug events, reduce resulting patient morbidity and mortality, reduce avoidable hospital admissions, and lower cost. At the same time it will improve medication adherence, disease management, and patient health.

 

AHRQ Waters TM (PI)                         2011 – 2014                                            40 % effort

 

Hospital Responses to Medicare’s Nonpayment for Preventable Complications

On October 1, 2008, Medicare implemented a new policy that denies incremental payment for eight preventable complications of medical care. Even though this CMS policy is limited in terms of involved conditions, hospital reaction may be substantial because this policy change is viewed by many as the first in a series of CMS payment reforms intended to increase its emphasis on value-based purchasing, using both positive incentives and negative penalties. Our study will examine the impact of Medicare’s new nonpayment rule on hospital behavior for four of the eight conditions identified by CMS as preventable. We will also assess how hospital responses may vary depending on particular circumstances, such as hospital financial health and market conditions.

 

 NIH/NHLBI  Johnson KC (PI)               1993-2015                                          8 % effort

Women''s Health Initiative

A multi-center randomized clinical trial and observational study of post-menopausal women''s health in relation to hormone replacement, low fat diet, or calcium/vitamin D supplementation.

Research Keywords

health economics, health services research, costs, cost analyses, financing, policy, secondary data analyses, Medicare, Medicaid, health insurance, health care markets

Research Interest/Specialty

I am a health economist and health services researcher.  I am interested in how to deliver better health care at a lower cost in a measurable and accountable way. My research primarily focuses on applying economic concepts and tools to health and health care delivery issues, using large databases to examine relationships, assess performance and project solutions.

Publications

  1. Bailey, JE, Pope, RA, Elliott, EC, Wan, JY, Waters, TM, Frisse, ME. Health information exchange reduces repeated diagnostic imaging for back pain. Ann Emerg Med, 62 (1), 16-24, 2013.
  2. Bouldin, EL, Andresen, EM, Dunton, NE, Simon, M, Waters, TM, Liu, M, Daniels, MJ, Mion, LC, Shorr, RI. Falls among adult patients hospitalized in the United States: prevalence and trends. J Patient Saf, 9 (1), 13-7, 2013.
  3. Shorr, RI, Chandler, AM, Mion, LC, Waters, TM, Liu, M, Daniels, MJ, Kessler, LA, Miller, ST. Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. Ann Intern Med, 157 (10), 692-9, 2012.
  4. Mion, LC, Chandler, AM, Waters, TM, Dietrich, MS, Kessler, LA, Miller, ST, Shorr, RI. Is it possible to identify risks for injurious falls in hospitalized patients. Jt Comm J Qual Patient Saf, 38 (9), 408-13, 2012.
  5. Bailey, JE, Wan, JY, Mabry, LM, Landy, SH, Pope, RA, Waters, TM, Frisse, ME. Does Health Information Exchange Reduce Unnecessary Neuroimaging and Improve Quality of Headache Care in the Emergency Department. J Gen Intern Med, 2012.
  6. Pershad, J, Waters, TM. Use of Tent for Screening During H1N1 Pandemic: Impact on Quality and Cost of Care. Pediatr Emerg Care, 2012.
  7. Myers, AL, Williams, RF, Giles, K, Waters, TM, Eubanks, JW, Hixson, SD, Huang, EY, Langham, MR, Blakely, ML. Hospital Cost Analysis of a Prospective, Randomized Trial of Early vs Interval Appendectomy for Perforated Appendicitis in Children. J Am Coll Surg, 2012.
  8. Waters, TM, Chang, CF, Cecil, WT, Kasteridis, P, Mirvis, D. Impact of high-deductible health plans on health care utilization and costs. Health Serv Res, 46 (1 Pt 1), 155-72, 2011.
  9. Chang, CF, Mirvis, DM, Waters, TM. The effects of race and insurance on potentially avoidable hospitalizations in Tennessee. Med Care Res Rev, 65 (5), 596-616, 2008.
  10. Pershad, J, Steinberg, SC, Waters, TM. Cost-effectiveness analysis of anesthetic agents during peripheral intravenous cannulation in the pediatric emergency department. Arch Pediatr Adolesc Med, 162 (10), 952-61, 2008.
  11. Fox, KC, Somes, GW, Waters, TM. Timeliness and access to healthcare services via telemedicine for adolescents in state correctional facilities. J Adolesc Health, 41 (2), 161-7, 2007.
  12. Waters, TM, Budetti, PP, Claxton, G, Lundy, JP. Impact of state tort reforms on physician malpractice payments. Health Aff (Millwood), 26 (2), 500-9, 2007.
  13. Waters, TM, Warnecke, RB, Parsons, J, Almagor, O, Budetti, PP. The role of the national practitioner data bank in the credentialing process. Am J Med Qual, 21 (1), 30-9, 2006.
  14. Chang, CF, Waters, TM, Mirvis, DM. The economics of prevention in a post-managed-care environment. Appl Health Econ Health Policy, 3 (2), 67-70, 2005.
  15. Waters, TM, Logemann, JA, Pauloski, BR, Rademaker, AW, Lazarus, CL, Newman, LA, Hamner, AK. Beyond efficacy and effectiveness: conducting economic analyses during clinical trials. Dysphagia, 19 (2), 109-19, 2004.
  16. Waters, TM, Studdert, DM, Brennan, TA, Thomas, EJ, Almagor, O, Mancewicz, M, Budetti, PP. Impact of the National Practitioner Data Bank on resolution of malpractice claims. Inquiry, 40 (3), 283-94, 2003.
  17. Waters, TM, Lefevre, FV, Budetti, PP. Medical school attended as a predictor of medical malpractice claims. Qual Saf Health Care, 12 (5), 330-6, 2003.
  18. Waters, TM, Parsons, J, Warnecke, R, Almagor, O, Budetti, PP. How useful is the information provided by the National Practitioner Data Bank. Jt Comm J Qual Saf, 29 (8), 416-24, 2003.
  19. Bazzoli, GJ, Manheim, LM, Waters, TM. U.S. hospital industry restructuring and the hospital safety net. Inquiry, 40 (1), 6-24, 2003.
  20. Budetti, PP, Shortell, SM, Waters, TM, Alexander, JA, Burns, LR, Gillies, RR, Zuckerman, H. Physician and health system integration. Health Aff (Millwood), 21 (1), 203-10, 2002.
  21. Burns, LR, Alexander, JA, Shortell, SM, Zuckerman, HS, Budetti, PP, Gillies, RR, Waters, TM. Physician commitment to organized delivery systems. Med Care, 39 (7 Suppl 1), I9-29, 2001.
  22. Shortell, SM, Zazzali, JL, Burns, LR, Alexander, JA, Gillies, RR, Budetti, PP, Waters, TM, Zuckerman, HS. Implementing evidence-based medicine: the role of market pressures, compensation incentives, and culture in physician organizations. Med Care, 39 (7 Suppl 1), I62-78, 2001.
  23. Alexander, JA, Waters, TM, Boykin, S, Burns, LR, Shortell, SM, Gillies, RR, Budetti, PP, Zuckerman, HS. Risk assumption and physician alignment with health care organizations. Med Care, 39 (7 Suppl 1), I46-61, 2001.
  24. Waters, TM, Budetti, PP, Reynolds, KS, Gillies, RR, Zuckerman, HS, Alexander, JA, Burns, LR, Shortell, SM. Factors associated with physician involvement in care management. Med Care, 39 (7 Suppl 1), I79-91, 2001.
  25. Gillies, RR, Zuckerman, HS, Burns, LR, Shortell, SM, Alexander, JA, Budetti, PP, Waters, TM. Physician-system relationships: stumbling blocks and promising practices. Med Care, 39 (7 Suppl 1), I92-106, 2001.
  26. Waters, TM, Almagor, O, Finkel, S, Harter, K, Bartolozzi, PR, Mitzen, P, Lyons, JS, Edelman, P, Fulton, BR, Hughes, SL. Understanding costs of home and community based services. Manag Care Q, 9 (1), 45-53, 2001.