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Steven Farmer

Steven Farmer

Associate Director Office of Clinical Practice Innovation
Associate Professor of Medicine
Associate Professor of Health Policy and Management (Secondary)

Office Phone: 202-741-2233
Email:
Department: Medicine

Education

  • BA, Stanford University, 1994
  • PhD, London School of Hygiene & Tropical Medicine, London, United Kingdom, 2000
  • MD, Yale University School of Medicine, 2003

Biography

Steven Farmer is Associate Professor of Medicine and of Public Health at the George Washington University School of Medicine and Health Sciences.

Dr. Farmer joined the faculty of the George Washington University in 2013. He also serves as Associate Director of the Office of Clinical Practice Innovation (OCPI). The OCPI is dedicated to promoting new health-related research initiatives, dissemination, and implementation of novel methods to organize and deliver medical care.

Training

Residency:
  • University of Pennsylvania, 2003 - 2006
Cardiology Fellowship:
  • University of Pennsylvania, 2003 - 2006

Research

Dr. Farmer’s research addresses contemporary national health policy issues, particularly in relation to variability in medical decision making, health care organizational structure, payment reform, and the costs and outcomes of care. His innovative work incorporates broad multidisciplinary expertise from the fields of cardiology, epidemiology, economics, law, and health policy.

Recent research activities include:

  • Joint Effect of Malpractice Risk and Financial Incentives on Cardiac Testing
  • Development of a Conceptual Model of Heart Failure Hospital Readmissions
  • Variations in use of cardiovascular imaging for incident congestive heart failure

Community Service:

  • NCDR Pinnacle Research & Publications Subcommittee
  • Quality of Care and Outcomes Research Conference Program Committee

Expertise:

  • Noninvasive cardiology
  • General cardiology
  • Health Services Research
  • Health Policy

Presentations:

Centers for Medicare & Medicaid Services “CMS Innovation and Health Care Delivery System Reform”

New/Ongoing Research:

Writing Group (Co-Chair) – Primary Care Cardiology Collaborative Models of Care 2016 Duke – Margolis Center for Health Policy, Duke University 1/16 – 12/16

The Impact of Maryland’s Capitated Hospital Payment Model on Hospital-Based and Ambulatory Surgical Center Care. Robert Wood Johnson Foundation. 9/16 – 01/17

Inter-payer agreement on apparent practice-level composite quality measure performance. American College of Cardiology NCDR (PINN-123). 06/16 – 07/01

Geographic Variation in Cost, Utilization, and Prices. Health Care Service Corporation (HCSC) 07/15 – 01/17

Pricing of Hospital Cardiac Procedures: Impacts of Federal Quality Reports Agency for Health Care Research & Quality. 10/14 – 09/16

Joint Effect of Malpractice Risk and Financial Incentives on Cardiac Testing National Heart, Lung, and Blood Institute 08/13 to 01/17. Principal Investigator (1 R01 HL113550-01A1)

Community Service


Leadership/National Membership:

  • Member, ACC Task Force on Population Health Management 11/15 – 01/17
  • Member, ACC Task Force on MACRA 11/15 – 01/17
  • Member, ACC PINNACLE Registry Research and Publications Subcommittee 2009 – 2016
  • Member, AHA QCOR Conference Program Committee 2014 – 2017
  • Member, AHA Writing Group - Impact of Registries Legislation on Statewide Systems of Care

Division

  • Cardiology

Publications

View publications by this faculty member from January 1, 2013 - present

Bradley, SM, G Hess, P Stewart, E Armstrong, SA Farmer, J Wasfy, J Valle, S Samneet, TMMaddox. Implications of the PEGASUS-TIMI 54 Trial for U.S. Clinical Practice. Open Heart, 2017; 4(1).

Farmer, SA and NA Brown. Value-Based Approaches for Emergency Care in a New Era. Ann Emerg Med, 2017; 69(6): 684-686.

Farmer, SA, ML Darling, M George, PN Casale, E Hagan, MB McClellan. Existing and Emerging Payment and Delivery Reforms in Cardiology. JAMA Cardiology, 2017; 2(2) 210-217.

Farmer, SA, Borden, WB. Caution is Needed in Designing Pharmacy Coverage. J Am Heart Assoc, 2016; 5(11).

Farmer, SA, S Magasi, P Block, MJ Whelen, LO Hansen, RO Bonow, P Schmidt, A Shah, KL Grady. Patient, Caregiver, and Physician Work in Heart Failure Disease Management: A Qualitative Study of Issues that Undermine Wellness. Mayo Clinic Proceedings, 2016, 91(8): 1056-1065.

Farmer SA, J Shalowitz, M George, F McStay, K Patel, J Perrin, A Moghtaderi, M McClellan. Calculating the Fully Capitated Payment Breakeven Rate for a Mid-Size Pediatrics Practice. Pediatrics, 2016, 138(2).

Pines, JM, M Zocchi, A Moghtaderi, BS Black, SA Farmer, G Hufstetler, K Klauer, R Pilgrim. Medicaid Expansion In 2014 Did Not Increase Emergency Department Use But Did Change Insurance Payer Mix. Health Affairs, 2016, 35(8): 1480-1486.

Fleming, LM, P Jones, P Chan, A Andrei, TM Maddox, SA Farmer. Relationship of Provider and Practice Volume to Performance Measure Adherence for Coronary Artery Disease, Heart Failure, and Atrial Fibrillation. Results from the National Cardiovascular Data Registry. Circ Cardiovasc Qual Outcomes, 2016; 9(1): 48 – 54.

Pines, JM, SA Farmer, JS Akman. “Innovation” Institutes in Academic Health Centers: Enhancing Value and Quality Through Leadership, Education and Engagement. Academic Medicine, 2014. Accepted.

Farmer, SA, J Lenzo, DJ Magid, JH Gurwitz, DH Smith, G Hsu, SH Sung, AS Go. Hospital-level variation in use of cardiovascular testing for adults with incident heart failure: Findings from the Cardiovascular Research Network PRESERVE Study. JACC Imaging, 2014. Accepted.

Rokos, IC, LH Schwamm, M Konig, M Harty, KB Horton, J Ranous, AG Ellrodt, SA Farmer, MR Frankel, TB Ferguson, DC Goff, L Hiratzka, and AK Jacobs. The Variable Impact of State Legislative Advocacy on Registry Participation and Regional System of Care Implementation. Circulation, 2013. 128(16): p. 1799-809.

Matlock, DD, PW Groeneveld, S Sidney, S Shetterly, G Goodrich, K Glenn, S Xu, L Yang, SA Farmer, K Reynolds, AE Cassidy-Bushrow, T Lieu, DM Boudreau, RT Greenlee, J Tom, S Vupputuri, KF Adams, DH Smith, MJ Gunter, AS Go, DJ Magid. Geographic Variation in Cardiovascular Procedure Use Among Medicare Fee-for-Service vs Medicare Advantage Beneficiaries. JAMA, 2013. 310(2): p. 155-62.

Farmer, SA, RO Bonow, BS Black. Tension Between Quality Measurement, Public Quality Reporting, and Pay-For-Performance. JAMA, 2013; 309(4): 349-50.

Farmer, SA, EJ Tuohy, DS Small, Y Wang, and PW Groeneveld. The impact of community wealth on utilization of Cardiac Resynchronization Therapy with Defibrillator for heart failure patients. Circulation Cardiovascular Quality and Outcomes, 2012. 5(6): p. 798-807.

Additional publications published before January 1, 2013 may be available within Himmelfarb Library's database.

Industry Relationships and Collaborations

This faculty member (or a member of their immediate family) has reported a financial interest with the healthcare related companies listed below. These relations have been reported to the University and, when appropriate, management plans are in place to address potential conflicts.

  • None