Patients and health care systems worldwide have benefited from Ed Wagner, MD, MPH's commitment to transforming health care. Best known for innovations in chronic illness care, Dr. Wagner's work spans a range of topics in health services research and produces results that consistently enhance our nation’s capacity for health systems change.
Translating evidence-based methods of improving care into practice is the tie that binds Dr. Wagner's investigations in preventive medicine, geriatrics, diabetes, cardiovascular disease, and cancer. Another common thread is collaboration—between researchers and health care teams, between health care teams and patients, and between researchers at different health care organizations. Under his leadership, several projects, initiatives, and organizations aimed at improving care have sprung up and flourished.
Kaiser Permanente Washington Health Research Institute's founding director, Dr. Wagner established its MacColl Center for Health Care Innovation in 1992, launching a new effort to move advances in quality improvement research into practice. He and his team developed and disseminated the Chronic Care Model (CCM), an evidence-based framework for health care that delivers safe, effective, and collaborative care to patients.
The CCM is widely recognized for its capacity to guide health care teams in caring for chronically ill patients. Funded as a national program by The Robert Wood Johnson Foundation and led by Dr. Wagner, Improving Chronic Illness Care (ICIC) introduced the Chronic Care Model to a wide spectrum of organizations, with a particular focus on safety net practices. Over the past two decades, he and his colleagues at the MacColl Center have focused on promoting such efforts in quality improvement research to organizations serving safety net populations. Dr. Wagner also served for many years as principal investigator for the Cancer Research Network CRN, a National Cancer Institute-funded consortium of health-plan-based research organizations. The CRN is part of the Health Care System Research Network (formerly called the HMO Research Network), a larger alliance of health care delivery organizations with sophisticated research capabilities that he helped establish in 1996.
Dr. Wagner's professional service is extensive. Locally, he served as co-chair of the task force that led to the creation of the Washington Health Alliance, a regional multi-stakeholder collaboration committed to improving health care quality and reducing costs in the Pacific Northwest.
In 2007, Dr. Wagner received the Health Quality Award from the National Committee for Quality Insurance (NCQA) and was elected into the National Academy of Sciences Institute of Medicine, now National Academy of Medicine. A longstanding champion of patient-centered care, he was also honored in 2007 with the Picker Award for Excellence in the Advancement of Patient-Centered Care—for advocating that respecting patients' values and preferences be central to chronic illness care. He received the William B. Graham Prize for Health Services Research in 2011, and the Lifetime Achievement Award from the National Association of Community Health Centers in 2012. Dr. Wagner has authored two books and more than 300 publications. He is also professor emeritus of health services at the University of Washington School of Public Health.
Dr. Wagner retired in June 2017.
Mayer C, Williams B, Wagner EH, LoGerfo JP, Cheadle A, Phelan EA. Health care costs and participation in a community-based health promotion program for older adults. Prev Chronic Dis. 2010;7(2):A38. Epub 2010 Mar 15. PubMed
Vrijhoef HJ, Berbee R, Wagner EH, Steuten LM. Quality of integrated chronic care measured by patient survey: identification, selection and application of most appropriate instruments. Health Expect. 2009;12(4):417-29. Epub 2009 Aug 26. PubMed
Aiello Bowles EJ, Tuzzio L, Ritzwoller DP, Williams AE, Ross T, Wagner EH, Neslund-Dudas C, Altschuler A, Quinn V, Hornbrook M, Nekhlyudov L. Accuracy and complexities of using automated clinical data for capturing chemotherapy administrations: implications for future research. Med Care. 2009;47(10):1091-7. Epub 2009 Jul 30. PubMed
Tewari AK, Gold HT, Demers RY, Johnson CC, Yadav R, Wagner EH, Field TS, Divine G, Menon M. Effect of socioeconomic factors on long-term mortality in men with clinically localized prostate cancer. Urology. 2009;73(3):624-30. Epub 2009 Jan 23. PubMed
Coleman K, Austin BT, Brach C, Wagner EH. Evidence on the Chronic Care Model in the new millennium. Health Aff (Millwood). 2009;28(1):75-85. PubMed
Gensichen J, Von Korff M, Rutter CM, Seelig MD, Ludman EJ, Lin EH, Ciechanowski P, Young BA, Wagner EH, Katon WJ. Physician support for diabetes patients and clinical outcomes. BMC Public Health. 2009;9:367. PubMed
Reid RJ, Wagner EH. Strengthening primary care with better transfer of information. CMAJ. 2008;179(10):987-8. PubMed
Coleman K, Mattke S, Perrault PJ, Wagner EH. Untangling practice redesign from disease management: how do we best care for the chronically ill? Annu Rev Public Health. 2009;30:385-408. Epub 2008 Oct 16. PubMed
Phelan EA, Genshaft S, Williams B, LoGerfo JP, Wagner EH. A comparison of how generalists and fellowship-trained geriatricians provide "geriatric" care. J Am Geriatr Soc. 2008;56(10):1807-11. PubMed
Stevens DP, Sixta CS, Wagner E, Bowen JL. The evidence is at hand for improving care in settings where residents train. J Gen Intern Med. 2008;23(7):1116-7. PubMed
The MacColl Center’s LEAP project identifies 11 features of effective leadership at primary care practices.
KPWHRI celebrates its founding director’s unwavering focus on science for the public good, writes Dr. Eric B. Larson.
Read it in Healthy Findings.
The first Clare Project study asked about values and care preferences. Project leaders are now building on that foundation.
Dr. Eric B. Larson explores how prevention, testing, and treatment must be tailored to meet the needs of patients in late life.
Medical Economics, Apr 13, 2019