ACF funded 18 grantees to develop and test comprehensive programs to reduce homelessness among former foster youth. Mathematica is providing implementation technical assistance to six grantees to strengthen their abilitly to use data to make evidence-based decisions.
- Implementation research
- Qualitative methods
- Organizational change and transformation
- Patient-centered medical home
- Care Delivery Systems
- Population Health
Rosalind Keith studies implementation in a variety of organizational contexts, including primary care practices, integrated health systems, early childhood education centers, charter schools, and child welfare agencies. She has expertise in implementation science and qualitative methods.
Keith’s notable health research includes two projects funded by the Health Care Innovation Awards initiative of the Center for Medicare & Medicaid Innovation. For these evaluations, which focused on innovative service delivery and payment models, she led the implementation evaluation of population health, care management, and care coordination programs. She has a key role on the implementation study of the CMS-funded Evaluation of the Comprehensive Primary Care initiative, which promotes practice transformation modeled around the patient-centered medical home in approximately 500 primary care practices.
Keith’s other notable research includes two projects funded by the Administration for Children and Families. She is leading the evaluation of the Youth at Risk of Homelessness implementation grants. These grants are funding efforts to enhance the evidence base of interventions designed to prevent homelessness among youth and young adults with child welfare involvement. This evaluation includes an assessment of the multi-phase grant effort designed to support grantees in implementing and preparing for rigorous evaluation of such interventions. She also has a key role on the study of the ACF- funded Assessing the Cost and Implementation of High Quality Early Care and Education study, which is focused on developing an instrument to measure the cost and implementation of quality in early childhood education centers.
Before joining Mathematica in 2012, Keith held a research position for the Ann Arbor Veterans Affairs Medical Center. Her work has been published in Implementation Science and the Journal of Patient Safety, and she has presented research at several health services research and implementation science conferences. Keith holds a Ph.D. in health services organization and policy from the University of Michigan.
Building Capacity to Evaluate Interventions for Youth with Child Welfare Involvement at Risk of Homelessness: Phase I and II
Evaluation of the Harlem Children's Zone Healthy Harlem Initiative
The Healthy Harlem initiative is a model for promoting healthy lifestyles in the charter schools, early childhood programs, and afterschool programs operated by the Harlem Children’s Zone® (HCZ). Mathematica's evaluation includes both an implementation/process study and an impact study.
Evaluation of the Comprehensive Primary Care Initiative
Mathematica and its partner, Group Health Cooperative, are evaluating the effects of CPC on cost, quality, utilization, and patient and provider experience. We are providing rapid cycle (quarterly) feedback to participating practices, CMS, and CMS’s regional partners.
HCIA Evaluations: Primary Care Redesign
Mathematica is evaluating the 14 primary care redesign programs, which operate at different levels (that is, physician practices, hospitals, or health systems). The evaluation team is assessing improvements in the coordination, efficiency, and quality of patient care.
HCIA Evaluations: Behavioral Health/Substance Abuse
Mathematica is evaluating the impacts of projects being implemented by the 10 HCIA awardees focused on mental health and substance abuse services. These awardee demonstrations address a wide array of interventions and target different subgroups within this broad priority population.