Assistant Professor of Family Medicine

Hefner2Assistant Director of Resident Clinical Scholarship

Institute for Behavioral Medicine Research
460 Medical Center Drive
Suite 526
Columbus, Ohio 43210
Phone: 614-293-8973

Background

I received my PhD in the Health Services Organization and Policy program from the University of Michigan School of Public Health, after receiving an MPH from the same department. My doctoral education involved strong training in health services research and quantitative research methods, in addition to qualitative methods and health policy studies. My theoretical training is in the area of organizational and medical sociology, which inform my research trajectory. 

Research, Education and Clinical Interests

I am very interested in primary care and hospital care practice transformation to improve patient care and work satisfaction for providers. My research focuses on applying management and organizational theories to the study of healthcare transformation in hospital and primary care settings. My current research interests include understanding how management strategies can facilitate the transformation of primary care practices to PCMH, EHR/PHR integration into patient care and population health management within healthcare organizations. Within these areas of focus, I am particularly interested in the potentially conflicting outcomes of quality – including patient satisfaction, patient safety and provider work satisfaction.

Current Research Projects

The Rules of Engagement, funded by the Department of Family Medicine Crisofi-Monte fund, seeks to understand how patients and providers would like to be trained to communicate via a patient portal with the goal of identifying potential elements of patient portal training. Through interviews with providers and focus groups with patients, the study team will collect ideas about the elements that could be in training for patients or providers from the perspectives of both patients with a portal account and primary care physicians who are frequent users. We will then engage a patient advisory group to develop a set of guidelines that could be implemented in a practice setting as part of a future research effort.

Searching for Management Approaches to Reduce HAI Transmission (SMART), is a study funded by the Agency for Healthcare Research and Quality to develop a bundle of management practices that can be implemented alongside clinical HAI reduction bundles to reduce present between hospital variation in success with HAI reduction. This study includes site visits to up to 30 hospitals across the country and the creation of an online dashboard for hospitals to do a self-assessment and track progress in implementation of supportive management practices.

Active Funding

The Rules of Engagement. 01/01/18–12/31/18 The Crisafi-Monte Endowment Fund. PI: Hefner, JL; Co-Is: Sieck, Rundell. Competitive Grant: $49,377. Role: Principal Investigator

Agency for Healthcare Research and Quality (AHRQ), R01
McAlearney, AS (PI), 04/01/2017-03/31/2022
Searching for Management Approaches to Reduce HAI Transmission (SMART).
Competitive Grant: $1,996,047 Role: Co-Investigator

Agency for Healthcare Research and Quality (AHRQ), P30-HS-024379-01 
Moffatt-Bruce, S (PI) 09/30/2015–09/29/2019 
Patient Safety Learning Laboratories: Information for the Design of Environments Aligned for Patient Safety (IDEA4PS).
Competitive Grant: $3,963,276. Role: Co-Investigator

Agency for Healthcare Research and Quality (AHRQ), R01-HS-024091-01 
McAlearney, Ann S (PI) 09/30/2015–09/29/2019
High Touch and High Tech (HT2): Transforming Patient Engagement Throughout the Continuum of Care by Engaging Patients with Portal Technology at the Bedside.
Competitive Grant: $973,109. Role: Co-Investigator

Education and Training

  • PhD: University of Michigan School of Public Health, 2010 
    Health Services Organization and Policy 
    Dissertation: Children with Special Health Care Needs and the Health Services System

  • MPH: University of Michigan, April 2005 
    School of Public Health, Department of Health Management and Policy
    Cumulative GPA: 4.0/4.0

  • BA: Ohio Wesleyan University, May 2003
    Major: Psychology
    Minor: History 
    Cumulative GPA: 4.0/4.0
    Honors: Phi Beta Kappa, Mortar Board, Psi Chi (psychology honorary)

Select Publications

  • Hefner, JL, Sieck, CJ, Walker, DM, Huerta, TR, McAlearney, AS. 2017. “System-Wide Inpatient Portal Implementation: Survey of Health Care Team Perceptions.” JMIR Medical Informatics. 5(3):e31.

  • Sieck, CJ, Hefner, JL, Schnierle, J, Florian, H, Agarwal, A, Rundell, K, McAlearney, AS. 2017. “The Rules of Engagement: Perspectives of Experienced Ambulatory Patient Portal Users.”  JMIR Medical Informatics. 5(3):e13. 

  • Moffatt-Bruce, SD, Hefner, JL, Mekhjian, H, McGee, JL, McAlearney, JS, Latimer T, Ellison, C, McAlearney, AS. 2017. “What is the Return on Investment for Implementation of a Crew Resource Management Program at an Academic Medical Center?” American Journal of Medical Quality. 32(1):5-11. PMID: 26419392.

  • Hefner, JL, Huerta, TR, McAlearney, AS, Barash, B, Latimer, T, Moffatt-Bruce, SD. 2017. “Navigating a Ship with a Broken Compass: The Problems with Using Administrative Data to Measure Patient Safety.” J Am Med Inform Assoc. 24(2):310-315.

  • McAlearney, AS, Sieck, CJ, Hefner, JL, Aldrich, AM, Walker, DM, Rize,r MK, Moffatt-Bruce, SD, Huerta, TR. 2016. “High Touch and High Tech (HT2): Transforming Patient Engagement Throughout the Continuum of Care by Engaging Patients with Portal Technology at the Bedside.” JMIR Research Protocols. 2016; 5(4):e221 http://www.researchprotocols.org/2016/4/e221 doi: 10.2196/resprot.6355.

  • Sieck, CJ, Hefner, JL, Wexler, R, Taylor, CA, McAlearney, AS. 2016. “Why do they do that? Looking beyond typical reasons for non-urgent ED use among Medicaid patients.” Patient Experience Journal. 3(2): 22-30.

  • Hefner, JL, Hilligoss, B, Sieck, C, Walker, DM, Sova, L, Song, P, McAlearney, AS. 2016. “Meaningful Engagement of ACOs with Communities: The New Population Health Management.” Medical Care. 54(11):970-976. 

  • Hefner, JL, Hilligoss, B, Knupp, A, Bournique, J, Sullivan, J, Moffatt-Bruce, SD. 2017. “Cultural Transformation after Implementation of Crew Resource Management:  Is it really possible?” Am J Med Qual. 32(4): 384-390. PMID: 27422314.

  • Hefner, JL, Tripathi, RS, Abel, EE, Farneman, M, Galloway, J, Moffatt-Bruce, SD. 2016. “A Lean Quality Improvement Intervention to Decrease Prolonged Ventilation Rates after Coronary Artery Bypass Surgery.” The American Journal of Critical Care. Sep;25(5):423-30.

  • Wexler, R, Hefner, JL, Sieck, C, Taylor, CA, Lehman, J, Panchal, AR, Aldrich, A, McAlearney, AS. 2015. “Connecting Emergency Department Patients to Primary Care.” Journal of the American Board of Family Medicine. Nov-Dec. 28(6): 722-732.

  • Hefner, JL, McAlearney, AS, Mansfield J, Knupp, AM, Moffat-Bruce, SD. 2015. “A Falls Wheel in a Large Academic Medical Center: An Intervention to Reduce Patient Falls with Harm.” Journal for Healthcare Quality. Nov-Dec; 37(6): 374-80.

Books

  • Hefner, JL, Huerta, TR, McAlearney, AS, Eds.  2014.  Advances in Health Care Management: Population Health Management in Health Care Organizations.  16th Edition, Emerald Press.

Book chapters

  • Hefner, JL, McAlearney, AS. 2018. Improving Quality in Healthcare Organizations. In Shortell    and Kaluzny (ed.). Healthcare Management: Organization Design and Behavior.

  • Hefner, JL, Moffatt-Bruce, SD, McAlearney AS 2017. Short Case 24: Increasing the Focus on Safety at First Medical Center. In McAlearney, AS, and Kovner AR, (ed.). Health Services Management: A Casebook, with Commentaries and Recommended Readings. 11th Edition. Health Administration Press: Chicago, IL. In Press.

  • Hefner, JL, Moffatt-Bruce, SD, McAlearney, AS. 2017. Case N: Managing the Patient Experience: Facing the Tension between Quality Measures and Patient Satisfaction. In McAlearney, AS, and Kovner AR, (ed.). Health Services Management: A Casebook, with Commentaries and Recommended Readings. 11th Edition. Health Administration Press: Chicago, IL. In Press. 

Editorial Activities

  • PCORI grant reviewer, Standing Peer Review Panel, The Patient Centered Outcomes Research Institute
    Section editor, Health Outcomes Research, The International Journal of Academic Medicine   

    Manuscript Review

    Medical Care
    Medical Care Research and Review
    Health Care Management Review
    The Journal of Family Practice
    Journal of the American Board of Family Medicine
    The American Journal of Medical Quality

Professional Memberships

  • Academy of Management (AOM), Healthcare Research Division
  • North American Primary Care Research Group (NAPCRG)
  • Organizational Theory in Healthcare (OTHC)