Photo of Alan M. Zaslavsky,  PhD

Alan M. Zaslavsky, PhD

Harvard Medical School

Harvard Medical School
Phone: (617) 432-2441
Fax: (617) 432-0173


zaslavsk@hcp.med.harvard.edu

Alan M. Zaslavsky, PhD

Harvard Medical School

EDUCATIONAL TITLES

  • Professor, Health Care Policy, Harvard Medical School

DF/HCC PROGRAM AFFILIATION

Research Abstract

My research topics in health care policy center on measurement of the

quality of care provided by health plans through consumer assessments and

clinical and administrative data. I am also interested in racial/ethnic

and socioeconomic disparities in quality of care. I am an investigator

on a project in collaboration with the California Cancer Registry and

regional registries that examines quality of care for colorectal cancer

using registry data, patient surveys, and a physician follow-back survey.

In this project we have developed new statistical methodology for correcting

treatment data in Registry records for underreporting. I am currently an

investigator in the NCI-funded CanCORS (Cancer Consortium for Outcomes

Research and Surveillance) study, both as part of the Statistical

Coordinating Center (based at DFCI) and through a research site that is a

collaboration of Harvard Medical School and the Northern California cancer

registries.

To these projects I bring my experience as a lead statistical investigator

in the core development project of the Consumer Assessments of Health

Plans Study (CAHPS), the CAHPS implementation for Medicare managed care,

and an AHRQ-funded project on expansion of the HEDIS clinical quality

measures. My statistical research interests include surveys, census

methodology, small area estimation, official statistics, missing data,

hierarchical modeling, and Bayesian methodology.

Publications

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  • Haas JS, Linder JA, Park ER, Gonzalez I, Rigotti NA, Klinger EV, Kontos EZ, Zaslavsky AM, Brawarsky P, Marinacci LX, St Hubert S, Fleegler EW, Williams DR. Proactive tobacco cessation outreach to smokers of low socioeconomic status: a randomized clinical trial. JAMA Intern Med 2015; 175:218-26. PubMed
  • Chawla N, Urato M, Ambs A, Schussler N, Hays RD, Clauser SB, Zaslavsky AM, Walsh K, Schwartz M, Halpern M, Gaillot S, Goldstein EH, Arora NK. Unveiling SEER-CAHPS速: A New Data Resource for Quality of Care Research. J Gen Intern Med 2015. PubMed
  • He Y, Landrum MB, Zaslavsky AM. Combining information from two data sources with misreporting and incompleteness to assess hospice-use among cancer patients: a multiple imputation approach. Stat Med 2014. PubMed
  • O'Malley AJ, Elwert F, Rosenquist JN, Zaslavsky AM, Christakis NA. Estimating peer effects in longitudinal dyadic data using instrumental variables. Biometrics 2014. PubMed
  • Lamont EB, Yu M, He Y, Saltz L, Muss H, Zaslavsky AM, . Hospital-based health care use correlates with incidence of adverse events among elderly Medicare patients treated in adjuvant chemotherapy trials (Alliance 70802). 2014. PubMed
  • Ayanian JZ, Landon BE, Zaslavsky AM, Newhouse JP. Racial and ethnic differences in use of mammography between Medicare Advantage and traditional Medicare. Journal of the National Cancer Institute 2013; 105:1891-6. PubMed
  • Loong B, Zaslavsky AM, He Y, Harrington DP. Disclosure control using partially synthetic data for large-scale health surveys, with applications to CanCORS. Stat Med 2013. PubMed
  • Lamont EB, He Y, Subramanian SV, Zaslavsky AM. Do socially deprived urban areas have lesser supplies of cancer care services? J Clin Oncol 2012; 30:3250-7. PubMed
  • Zheng H, Zhang W, Ayanian JZ, Zaborski LB, Zaslavsky AM. Profiling Hospitals by Survival of Patients with Colorectal Cancer. Health Serv Res 2011. PubMed
  • Sequist TD, Zaslavsky AM, Colditz GA, Ayanian JZ. Electronic Patient Messages to Promote Colorectal Cancer Screening: A Randomized, Controlled Trial. Arch Intern Med 2010. PubMed
  • He Y, Zaslavsky A, Landrum M, Harrington D, Catalano P. Multiple imputation in a large-scale complex survey: a practical guide. 2010; 19:653-70. PubMed
  • McWilliams JM, Meara E, Zaslavsky AM, Ayanian JZ. Commentary: Assessing the Health Effects of Medicare Coverage for Previously Uninsured Adults: A Matter of Life and Death? Health Serv Res 2010; 45:1407-22; discussion 1423-9. PubMed
  • Ayanian JZ, Zaslavsky AM, Arora NK, Kahn KL, Malin JL, Ganz PA, van Ryn M, Hornbrook MC, Kiefe CI, He Y, Urmie JM, Weeks JC, Harrington DP. Patients' Experiences With Care for Lung Cancer and Colorectal Cancer: Findings From the Cancer Care Outcomes Research and Surveillance Consortium. J Clin Oncol 2010; 28:4154-61. PubMed
  • Mittler JN, Landon BE, Fisher ES, Cleary PD, Zaslavsky AM. Market variations in intensity of medicare service use and beneficiary experiences with care. Health Serv Res 2010; 45:647-69. PubMed
  • Rutter CM, Zaslavsky AM, Feuer EJ. Dynamic Microsimulation Models for Health Outcomes: A Review. Med Decis Making 2010. PubMed
  • Bitton A, Zaslavsky AM, Ayanian JZ. Health Risks, Chronic Diseases, and Access to Care Among US Pacific Islanders. J Gen Intern Med 2010; 25:435-40. PubMed
  • Min J, Zaslavsky A, Fedele G, McLaughlin SK, Reczek EE, De Raedt T, Guney I, Strochlic DE, Macconaill LE, Beroukhim R, Bronson RT, Ryeom S, Hahn WC, Loda M, Cichowski K. An oncogene-tumor suppressor cascade drives metastatic prostate cancer by coordinately activating Ras and nuclear factor-kappaB. Nat Med 2010; 16:286-94. PubMed
  • Rogers SO, Ayanian JZ, Ko CY, Kahn KL, Zaslavsky AM, Sandler RS, Keating NL. Surgeons' volume of colorectal cancer procedures and collaborative decision-making about adjuvant therapies. Ann Surg 2009; 250:895-900. PubMed
  • McWilliams JM, Meara E, Zaslavsky AM, Ayanian JZ. Medicare spending for previously uninsured adults. Ann Intern Med 2009; 151:757-66. PubMed
  • Friedberg MW, Coltin KL, Safran DG, Dresser M, Zaslavsky AM, Schneider EC. Associations between structural capabilities of primary care practices and performance on selected quality measures. Ann Intern Med 2009; 151:456-63. PubMed
  • McWilliams JM, Meara E, Zaslavsky AM, Ayanian JZ. Medicare Spending for Previously Uninsured Adults. Ann Intern Med 2009. PubMed
  • Henke RM, Zaslavsky AM, McGuire TG, Ayanian JZ, Rubenstein LV. Clinical inertia in depression treatment. Med Care 2009; 47:959-67. PubMed
  • He Y,Zaslavsky AM. Combining Information from Cancer Registry and Medical Records Data to Improve Analyses of Adjuvant Cancer Therapies. Biometrics 2009; 65:946-52. PubMed
  • SteelFisher GK, Schneider EC, Zaslavsky AM, Blendon RJ. Can quality reports help address health care disparities? Use and awareness of comparative quality information by African Americans. J Health Care Poor Underserved 2009; 20:884-95. PubMed
  • Block JP,He Y,Zaslavsky AM,Ding L,Ayanian JZ. Psychosocial Stress and Change in Weight Among US Adults. Am J Epidemiol 2009; 170:181-92. PubMed
  • Huskamp HA,Keating NL,Malin JL,Zaslavsky AM,Weeks JC,Earle CC,Teno JM,Virnig BA,Kahn KL,He Y,Ayanian JZ. Discussions with physicians about hospice among patients with metastatic lung cancer. Arch Intern Med 2009; 169:954-62. PubMed
  • McWilliams JM,Meara E,Zaslavsky AM,Ayanian JZ. Differences in control of cardiovascular disease and diabetes by race, ethnicity, and education: U.S. trends from 1999 to 2006 and effects of medicare coverage. Ann Intern Med 2009; 150:505-15. PubMed
  • Sequist TD,Zaslavsky AM,Marshall R,Fletcher RH,Ayanian JZ. Patient and physician reminders to promote colorectal cancer screening: a randomized controlled trial. Arch Intern Med 2009; 169:364-71. PubMed
  • He Y, Yucel R, Zaslavsky AM. Misreporting, Missing Data, and Multiple Imputation: Improving Accuracy of Cancer Registry Databases. Chance (N Y) 2009; 21:55-58. PubMed
  • Keating NL,Zaslavsky AM,Goldstein J,West DW,Ayanian JZ. Randomized trial of $20 versus $50 incentives to increase physician survey response rates. Med Care 2008; 46:878-81. PubMed
  • Zaslavsky AM, Zheng H, Adams J. Optimal sample allocation for design-consistent regression in a cancer services survey when design variables are known for aggregates. Survey Methodology 2009; 34:65-78. PubMed
  • Ayanian JZ, Sequist TD, Zaslavsky AM, Johannes RS. Physician Reminders to Promote Surveillance Colonoscopy for Colorectal Adenomas : A Randomized Controlled Trial. J Gen Intern Med 2008; 23:762-7. PubMed
  • Schneider EC, Nadel MR, Zaslavsky AM, McGlynn EA. Assessment of the Scientific Soundness of Clinical Performance Measures: A Field Test of the National Committee for Quality Assurance's Colorectal Cancer Screening Measure. Arch Intern Med 2008; 168:876-82. PubMed
  • Soh CH, Harrington DP, Zaslavsky AM. Reducing bias in parameter estimates from stepwise regression in proportional hazards regression with right-censored data. Lifetime Data Analysis 2008; 14:65-85. PubMed
  • Yost KJ,Hahn EA,Zaslavsky AM,Ayanian JZ,West DW. Predictors of health-related quality of life in patients with colorectal cancer. Health Qual Life Outcomes 2008; 6:66. PubMed
  • Mehrotra A, Zaslavsky AM, Ayanian JZ. Preventive health examinations and preventive gynecological examinations in the United States. Arch Intern Med 2007; 167:1876-83. PubMed
  • Keating NL, Zaslavsky AM, Herrinton LJ, Selby JV, Wolf RE, Ayanian JZ. Quality of diabetes care among cancer survivors with diabetes. Med Care 2007; 45:869-75. PubMed
  • McWilliams JM, Meara E, Zaslavsky AM, Ayanian JZ. Use of health services by previously uninsured Medicare beneficiaries. N Engl J Med 2007; 357:143-53. PubMed
  • Zaslavsky AM. Using hierarchical models to attribute sources of variation in consumer assessments of health care. Stat Med 2007; 26:1885-900. PubMed
  • Zhang W, Ayanian JZ, Zaslavsky AM. Patient characteristics and hospital quality for colorectal cancer surgery. Int J Qual Health Care 2007; 19:11-20. PubMed
  • Rogers SO, Wolf RE, Zaslavsky AM, Wright WE, Ayanian JZ. Relation of surgeon and hospital volume to processes and outcomes of colorectal cancer surgery. Ann Surg 2006; 244:1003-11. PubMed
  • Trivedi AN, Zaslavsky AM, Schneider EC, Ayanian JZ. Relationship between quality of care and racial disparities in Medicare health plans. JAMA 2006; 296:1998-2004. PubMed
  • McGuire TG, Alegria M, Cook BL, Wells KB, Zaslavsky AM. Implementing the Institute of Medicine definition of disparities: an application to mental health care. Health Serv Res 2006; 41:1979-2005. PubMed
  • McMahon PM, Zaslavsky AM, Weinstein MC, Kuntz KM, Weeks JC, Gazelle GS. Estimation of mortality rates for disease simulation models using Bayesian evidence synthesis. Med Decis Making 2006; 26:497-511. PubMed
  • Keating NL, Herrinton LJ, Zaslavsky AM, Liu L, Ayanian JZ. Variations in hospice use among cancer patients. J Natl Cancer Inst 2006; 98:1053-9. PubMed
  • Malin JL, Ko C, Ayanian JZ, Harrington D, Nerenz DR, Kahn KL, Ganther-Urmie J, Catalano PJ, Zaslavsky AM, Wallace RB, Guadagnoli E, Arora NK, Roudier MD, Ganz PA. Understanding cancer patients' experience and outcomes: development and pilot study of the Cancer Care Outcomes Research and Surveillance patient survey. Support Care Cancer 2006; 14:837-48. PubMed
  • Zheng H, Yucel R, Ayanian JZ, Zaslavsky AM. Profiling providers on use of adjuvant chemotherapy by combining cancer registry and medical record data. Med Care 2005; 44:1-7. PubMed
  • Elliott MN, Zaslavsky AM, Cleary PD. Are finite population corrections appropriate when profiling institutions? Health Ser Out Res Meth 2006; 6:153-156.
  • Zanutto E, Zaslavsky AM. A model for estimating and imputing nonrespondent census households under sampling for nonresponse follow-up Survey Methodology 2006; 32:65-76.
  • Zheng H, Yucel R, Ayanian JZ, Zaslavsky AM. Profiling Colorectal Cancer Care Providers by Combining Cancer Registry and Physician Survey Data Med Care 2006; 44:1-7.
  • Ayanian JZ, Zaslavsky AM, Guadagnoli E, Fuchs CS, Yost KJ, Creech CM, Cress RD, O'Connor LC, West DW, Wright WE. Patients' perceptions of quality of care for colorectal cancer by race, ethnicity, and language. J Clin Oncol 2005; 23:6576-86. PubMed
  • Cole BF, Bonetti M, Zaslavsky AM, Gelber RD. A multistate Markov chain model for longitudinal, categorical quality-of-life data subject to non-ignorable missingness. Stat Med 2005; 24:2317-34. PubMed
  • Solomon LS, Hays RD, Zaslavsky AM, Ding L, Cleary PD. Psychometric properties of a group-level Consumer Assessment of Health Plans Study (CAHPS) instrument. Med Care 2005; 43:53-60. PubMed
  • Schneider EC, Zaslavsky AM, Epstein AM. Use of high-cost operative procedures by Medicare beneficiaries enrolled in for-profit and not-for-profit health plans. N Engl J Med 2004; 350:143-50. PubMed
  • Ayanian JZ, Zaslavsky AM, Weissman JS, Schneider EC, Ginsburg JA. Undiagnosed hypertension and hypercholesterolemia among uninsured and insured adults in the Third National Health and Nutrition Examination Survey. Am J Public Health 2003; 93:2051-4. PubMed
  • Cress RD, Zaslavsky AM, West DW, Wolf RE, Felter MC, Ayanian JZ. Completeness of information on adjuvant therapies for colorectal cancer in population-based cancer registries. Med Care 2003; 41:1006-12. PubMed
  • McWilliams JM, Zaslavsky AM, Meara E, Ayanian JZ. Impact of Medicare coverage on basic clinical services for previously uninsured adults. JAMA 2003; 290:757-64. PubMed
  • Hodgson DC, Zhang W, Zaslavsky AM, Fuchs CS, Wright WE, Ayanian JZ. Relation of hospital volume to colostomy rates and survival for patients with rectal cancer. J Natl Cancer Inst 2003; 95:708-16. PubMed
  • Ayanian JZ, Zaslavsky AM, Fuchs CS, Guadagnoli E, Creech CM, Cress RD, O'Connor LC, West DW, Allen ME, Wolf RE, Wright WE. Use of adjuvant chemotherapy and radiation therapy for colorectal cancer in a population-based cohort. J Clin Oncol 2003; 21:1293-300. PubMed
  • Buchanan JL, Andres PL, Haley SM, Paddock SM, Zaslavsky AM. An assessment tool translation study. Health Care Financ Rev 2003; 24:45-60. PubMed
  • Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, Howes MJ, Normand SL, Manderscheid RW, Walters EE, Zaslavsky AM. Screening for serious mental illness in the general population. Arch Gen Psychiatry 2003; 60:184-9. PubMed
  • Zaslavsky AM, Cleary PD. Dimensions of plan performance for sick and healthy members on the Consumer Assessments of Health Plans Study 2.0 survey. Med Care 2002; 40:951-64. PubMed
  • Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 2002; 32:959-76. PubMed
  • Zaslavsky AM, Zaborski LB, Cleary PD. Factors affecting response rates to the Consumer Assessment of Health Plans Study survey. Med Care 2002; 40:485-99. PubMed
  • Zaslavsky AM, Shaul JA, Zaborski LB, Cioffi MJ, Cleary PD. Combining health plan performance indicators into simpler composite measures. Health Care Financ Rev 2002; 23:101-15. PubMed
  • Solomon LS, Zaslavsky AM, Landon BE, Cleary PD. Variation in patient-reported quality among health care organizations. Health Care Financ Rev 2002; 23:85-100. PubMed
  • Zaslavsky AM, Buntin MJ. Using survey measures to assess risk selection among Medicare managed care plans. Inquiry 2002; 39:138-51. PubMed
  • Fowler FJ, Gallagher PM, Stringfellow VL, Zaslavsky AM, Thompson JW, Cleary PD. Using telephone interviews to reduce nonresponse bias to mail surveys of health plan members. Med Care 2002; 40:190-200. PubMed
  • Schneider EC, Cleary PD, Zaslavsky AM, Epstein AM. Racial disparity in influenza vaccination: does managed care narrow the gap between African Americans and whites? JAMA 2001; 286:1455-60. PubMed
  • Hargraves JL, Wilson IB, Zaslavsky A, James C, Walker JD, Rogers G, Cleary PD. Adjusting for patient characteristics when analyzing reports from patients about hospital care. Med Care 2001; 39:635-41. PubMed
  • Kao AC, Zaslavsky AM, Green DC, Koplan JP, Cleary PD. Physician incentives and disclosure of payment methods to patients. J Gen Intern Med 2001; 16:181-8. PubMed
  • Landon BE, Zaslavsky AM, Beaulieu ND, Shaul JA, Cleary PD. Health plan characteristics and consumers' assessments of quality. Health Aff (Millwood) 2001; 20:274-86. PubMed
  • Ayanian JZ, Weissman JS, Schneider EC, Ginsburg JA, Zaslavsky AM. Unmet health needs of uninsured adults in the United States. JAMA 2000; 284:2061-9. PubMed
  • Stern A, Wolfe J, Daley J, Zaslavsky A, Roper SF, Wilson K. Changing demographic characteristics of women veterans: results from a national sample. Mil Med 2000; 165:773-80. PubMed
  • Zaslavsky AM, Hochheimer JN, Schneider EC, Cleary PD, Seidman JJ, McGlynn EA, Thompson JW, Sennett C, Epstein AM. Impact of sociodemographic case mix on the HEDIS measures of health plan quality. Med Care 2000; 38:981-92. PubMed
  • Zaslavsky AM, Zaborski L, Cleary PD. Does the effect of respondent characteristics on consumer assessments vary across health plans? Med Care Res Rev 2000; 57:379-94. PubMed
  • Guadagnoli E, Epstein AM, Zaslavsky A, Shaul JA, Veroff D, Fowler FJ, Cleary PD. Providing consumers with information about the quality of health plans: the Consumer Assessment of Health Plans demonstration in Washington State. Jt Comm J Qual Improv 2000; 26:410-20. PubMed
  • Zaslavsky AM, Landon BE, Beaulieu ND, Cleary PD. How consumer assessments of managed care vary within and among markets. Inquiry 2000; 37:146-61. PubMed
  • Keating NL, Zaslavsky AM, Ayanian JZ. Physicians' reports of focused expertise in clinical practice. J Gen Intern Med 2000; 15:417-20. PubMed
  • Cleary PD, Zaslavsky AM, Cioffi M. Sex differences in assessments of the quality of Medicare managed care. Womens Health Issues 2000; 10:70-9. PubMed
  • Zaslavsky AM, Beaulieu ND, Landon BE, Cleary PD. Dimensions of consumer-assessed quality of Medicare managed-care health plans. Med Care 2000; 38:162-74. PubMed
  • Rao SR, Graubard BI, Schmid CH, Morton SC, Louis TA, Zaslavsky AM, Finkelstein DM. Meta-analysis of survey data: application to health services research 2008; 8:98-114.
  • Goggins WB, Finkelstein DM, Zaslavsky AM. Applying the Cox proportional hazards model for analysis of latency data with interval censoring. Stat Med 1999; 18:2737-47. PubMed
  • Goggins WB, Finkelstein DM, Zaslavsky AM. Applying the Cox proportional hazards model when the change time of a binary time-varying covariate is interval censored. Biometrics 2001; 55:445-51. PubMed
  • Williams TV, Zaslavsky AM, Cleary PD. Physician experiences with, and ratings of, managed care organizations in Massachusetts. Med Care 1999; 37:589-600. PubMed
  • Zaslavsky AM, Williams TV, Cleary PD. Sample allocation for overlapping domains in a physician survey with a limited population. Stat Med 1999; 18:935-46. PubMed
  • Keating NL, Cleary PD, Rossi AS, Zaslavsky AM, Ayanian JZ. Use of hormone replacement therapy by postmenopausal women in the United States. Ann Intern Med 1999; 130:545-53. PubMed
  • Shaul JA, Fowler FJ, Zaslavsky AM, Homer CJ, Gallagher PM, Cleary PD. The impact of having parents report about both their own and their children's experiences with health insurance plans. Med Care 1999; 37:MS59-68. PubMed
  • Veroff DR, Gallagher PM, Wilson V, Uyeda M, Merselis J, Guadagnoli E, Edgman-Levitan S, Zaslavsky A, Kleimann S, Cleary PD. Effective reports for health care quality data: lessons from a CAHPS demonstration in Washington State. Int J Qual Health Care 1999; 10:555-60. PubMed
  • Kao AC, Green DC, Zaslavsky AM, Koplan JP, Cleary PD. The relationship between method of physician payment and patient trust. JAMA 1998; 280:1708-14. PubMed
  • Keating NL, Zaslavsky AM, Ayanian JZ. Physicians' experiences and beliefs regarding informal consultation. JAMA 1998; 280:900-4. PubMed
  • Fern. Risk factors for pancreatic cellular injury after cardiopulmonary bypass. N Engl J Med 1991; 325:382-7. PubMed
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