I am a general internist who specializes in health outcomes and health services research with the goal of improving the health of older, vulnerable adults. Specifically, my research interests include:

1. Measuring axes of vulnerability (physical, cognitive, social) and determining how vulnerability affects utilization of health care services and health outcomes
2. Improving complex clinical decision making for older adults using atrial fibrillation as a model condition
3. Translating research insights into care delivery using alternative payment models to scale implementation

Following clinical training and chief residency, I completed a General Medicine research fellowship and a Health Administrative fellowship within an accountable care organization. Through these fellowships, I developed an interest in understanding how the current fee-for-service structure falls short and how alternative payment models create the opportunity to remedy some of these shortcomings. For example, colleagues and I described how poorly-connected primary care patients perform poorly on measures of population health (e.g., cancer screening, blood pressure control). Subsequently, I worked with the Partners ACO to automate the identification of poorly-connected primary care patients; using this automated platform, I then lead a randomized controlled trial of a targeted intervention to improve their adherence using behavioral economics-based patient navigation.

Currently, I am working to identify social determinants of health unique to older adults using novel computation and causal inference methods to create an index measure of at-risk older adults. The goal is to identify the health risks faced by the older, vulnerable population and to create a survey tool that can be used by population health organizations. Ultimately, the long-term goal is to identify a high-risk subset for targeted high-touch high-cost interventions.