Florida State University College Medicine Department of Family Medicine & Rural Health Division.
Dr. Caretta is Assistant Professor in Medicine Health Affairs at Florida State University. He also held adjunct teaching positions at Virginia Commonwealth University, in the School of Dentistry and the School of Allied Health Professions.
At the School of Dentistry at Virginia Commonwealth University, he served as research analyst for an evaluation of oral health disparities in children enrolled in publicly financed insurance programs in Virginia and North Carolina. He manipulated and analyzed large claims and enrollment databases. He served as principal investigator and analyst for the national population impact evaluation study for the Controlling Asthma in American Cities Project, which measured changes in hospitalization rates for pediatric asthma in intervention and non-intervention areas of seven states for the years 2000 to 2007. He also prepared technical reports and manuscripts. Prior to that, Dr. Caretta was a Research Instructor in the Department of Health Administration, Virginia Commonwealth University. He worked on several projects, including Controlling Asthma in the Richmond Metropolitan Area Project (CDC 2001-2008), Virginia Department of Health Chronic Disease Prevention and Control (VDH 2001-2007), Virginia Health Professions Workforce Project (VDH 2005-2006), and Primary Care Service Area Project (PCSA) (HRSA 1999-2004).
Background: A change in IRS requirements effective TY 09 requires not-for-profit hospitals (NFPHs) to provide standardized reporting of community benefits (CB). The change in IRS regulations occurs in an era of uncertainty created by health reform legislation. Baseline values for CB provision are needed to guide policymakers & researchers during the transition. Specific Aim: Establish baseline values for CB by hospital/community characteristics. Research Question: How does provision of CB vary by state/hospital/community characteristics? Conceptual Model: Institutional Theory suggests that hospitals react to external pressures. Coercive action by the IRS is forcing NFPHs to formalize accounting processes for CB & to reexamine CB efforts. Methods: A descriptive cross-sectional study of IRS Form 990 Schedule H reports for TY 09/10. Hospital level data inked with American Hospital Association & Area Resource File in order to characterize CB by community and hospital characteristics.
My New Connections Experience
I applied to New Connections because it provided an opportunity to obtain that all-important first competitive award. Academic research is a second career for me so it was important to my career to identify a line of research of interest to me and a good fit with my current position. The New Connections program and the larger body of programs and opportunities offered by the RWJF provide an excellent environment for career enhancement, networking with other professionals, and mentoring one another.
The New Connections program has provided access to a diverse group of junior and senior researchers with expertise in many areas, helped me to identify potential collaborators with similar interests, and provided learning opportunities that I would not otherwise have experienced. My New Connections grant is my first competitive award and has created a focus on a new line of research: Public Health Law.
My research interests lie in the overlapping domains of public health systems research, health services research, and epidemiology. My training in health services organization and research meshes nicely with my New Connections project to examine provision community benefit in not-for-profit (NP) hospitals. This is an important policy area as new IRS regulations and the Accountable Care Act create incentives and responsibilities for NP hospitals to look outward and take responsibility for the health of the population they serve in addition to inpatient care. In the recent past I have examined hospital quality of care and its relationship to hospital organizational characteristics. I also have an interest in chronic disease epidemiology for persons with multiple chronic conditions.
- New Connections Status: Junior Investigator
- Award Year: 2011 PHLR-New Connections
- RWJF Team/Portfolio: Public Health
- Project Name: Provision of community benefits by