Positions

Overview

  • Larry R. Hearld, Ph.D. is an Associate Professor in the Department of Health Services Administration at the University of Alabama at Birmingham. He received his doctorate from the University of Michigan’s School of Public Health with an emphasis in Organizational Studies. His research encompasses two focal areas: 1) the development and sustainability of interorganizational and interpersonal relationships and the effects of these relationships on market-, organization-, and patient-level outcomes and 2) the adoption and implementation of health care innovations. This research has utilized a range of methodological approaches, including mixed methods and longitudinal techniques. He currently teaches courses in research methods, organizational behavior, and dissemination and implementation science.
  • Selected Publications

    Academic Article

    Year Title Altmetric
    2022 Member engagement in multi-sector health care alliancesHealth Services Management Research.  35:146-153. 2022
    2022 Generation and Use of Evidence by Local Health Departments: The Role of Leader AttributesJournal of Public Health Management and Practice.  28:384-392. 2022
    2022 Living Short: New Realities, New ResearchHealth Care Management Review.  47:179. 2022
    2022 The organizational and environmental characteristics associated with hospitals' use of intensivistsHealth Care Management Review.  47:218-226. 2022
    2022 Service Profiles in Substance Use Disorder Treatment: Are Treatment Facilities Consistent In Service Mix and Service Offerings?Journal of Studies on Alcohol and Drugs.  83:374-382. 2022
    2022 Participation in delivery system reform programs and U.S. acute care hospital integration into behavioral health 2022
    2022 Organizational context and the learning and change readiness climate for implementing an evidence-based shared decision-making aid in US rheumatology clinicsJournal of Health, Organization and Management.  36:121-140. 2022
    2022 Predictors of Temporary Profile Days Among U.S. Army Active Duty Soldiers.Military Medicine: international journal of AMSUS2022
    2022 Antecedents of geographical expansion: The case of federally qualified health centersHealth Care Management Review.  47:E32-E40. 2022
    2022 Assessing the Impact of Interorganizational Linkages on Medical Home Model Adoption by U.S. Acute Care HospitalsMedical Care Research and Review2022
    2022 Assessing the Performance Value of the Baldrige Journey: A Comparison of Baldrige Applicants and NonapplicantsJournal of Healthcare Management.  67:266-282. 2022
    2022 Health care management research & health equityHealth Care Management Review.  47:87. 2022
    2022 Organizational Culture and High Medicaid Nursing Homes Financial Performance 2022
    2022 Participation in Value-Based Payment Programs and U.S. Acute Care Hospital Population Health PartnershipsJournal of Healthcare Management.  67:103-119. 2022
    2022 The Value of the Patient-Centered Medical Home in Getting Adults Suffering from Acute Conditions Back to Work: An Integrative Literature ReviewJournal of Ambulatory Care Management.  45:42-54. 2022
    2021 Patient Vs. Soldier-Centered Medical Home: Comparing Access, Continuity, and Communication in the U.S. Army.Military Medicine: international journal of AMSUS2021
    2021 Essentials of publishable qualitative manuscriptsHealth Care Management Review.  46:265. 2021
    2021 A Comparison of Two Diabetes Self-Management Education Programs for the Reduction of Participant A1c LevelsAmerican Journal of Health Promotion.  35:988-990. 2021
    2021 Assessing How Well Hospitals Budget Operating Results by Examining the Relationship Between Budget Variances and Operating MarginJournal of health care finance.  48. 2021
    2021 Do Medicare and Medicaid Payer-Mix Change After the Privatization of Public Hospitals?Medical Care Research and Review.  78:361-370. 2021
    2021 Hospitalists, two decades later: Which US hospitals utilize them?Health Services Management Research.  34:158-166. 2021
    2021 Health care management research & the Learning Health SystemHealth Care Management Review.  46:173. 2021
    2021 Organizational Characteristics and Environmental Factors Associated with Hospitals Identified as Consolidation TargetsJournal of health care finance.  47. 2021
    2021 Publishing in HCMR: What are we looking for in a manuscript?Health Care Management Review.  46:97. 2021
    2021 Implementing the DEcision-Aid for Lupus (IDEAL): study protocol of a multi-site implementation trial with observational, case study design : Implementing the DEcision-Aid for Lupus. 2021
    2021 Publishing World ClarifiedHealth Care Management Review.  46:1. 2021
    2021 The role of organizational slack in buffering financially distressed hospitals from market exitsJournal of Healthcare Management.  66:48-61. 2021
    2020 Burnout and Leadership Style in Behavioral Health Care: a Literature ReviewJournal of Behavioral Health Services and Research.  47:581-600. 2020
    2020 EditorialHealth Care Management Review.  45:277. 2020
    2020 Hospital ownership of postacute care providers and the cost of careHealth Care Management Review.  45:E35-E44. 2020
    2020 Better Together? An Examination of the Relationship between Acute Care Hospital Mergers and Patient ExperienceJournal of Healthcare Management.  65:330-343. 2020
    2020 "Hails and farewells"Health Care Management Review.  45:185. 2020
    2020 Sustaining participation in multisector health care alliances: The role of personal and stakeholder group influenceHealth Care Management Review.  45:196-206. 2020
    2020 The Privatization of Public Hospitals: Its Impact on Financial PerformanceMedical Care Research and Review.  77:249-260. 2020
    2020 Vertical Integration Into Skilled Nursing Facilities and Hospital Readmission RatesJournal for Healthcare Quality.  42:91-97. 2020
    2019 Driving health behavior: The roles of personal health information use and attitudes towards health in women’s cancer screeningsJournal of Hospital Administration2019
    2019 Financial Distress and Bankruptcy Prediction: A Comparison of Three Financial Distress Prediction Models in Acute Care HospitalsJournal of health care finance.  46. 2019
    2019 The Future State of Patient Engagement? Personal Health Information Use, Attitudes Towards Health, and Health BehaviorHealth Services Management Research2019
    2019 Dissemination of quality improvement innovations by multisector health care alliancesJournal of Health, Organization and Management.  33:511-528. 2019
    2019 Where Do We Go From Here? An Examination of the Relationship Between Changes in Social Structure and Strategic Priorities in Cross-Sector Collaborative OrganizationsThe Journal of Applied Behavioral Science.  55:190-212. 2019
    2019 The perceived importance of intersectoral collaboration by health care alliancesJournal of Community Psychology.  47:856-868. 2019
    2019 Market and organizational factors associated with hospital vertical integration into sub-acute careHealth Care Management Review.  44:137-147. 2019
    2019 Sustaining multistakeholder alliancesHealth Care Management Review.  44:183-194. 2019
    2019 Evidence that patient-centered medical homes are effective in reducing emergency department admissions for patients with depressionHealth Services Management Research.  32:26-35. 2019
    2019 A case study: Organizational and environmental factors associated with Alabama rural hospitals' reported levels of financial distressJournal of health care finance.  45. 2019
    2019 CEO Turnover Among U.S. Acute Care Hospitals, 2006-2015: Variations by Type of Geographic AreaJournal of Healthcare Management.  64:28-42. 2019
    2019 High medicaid nursing homes: Organizational and market factors associated with financial performanceINQUIRY: The Journal of Health Care Organization, Provision, and Financing.  56. 2019
    2019 Hospitals' use of hospitalists: Implications for financial performanceHealth Care Management Review.  44:10-18. 2019
    2019 Organizational and environmental factors influencing hospital community orientationHealth Care Management Review.  44:274-284. 2019
    2019 The adoption and spread of hospital care coordination activities under value-based programsAmerican Journal of Managed Care.  25:397-404. 2019
    2019 What happens when a hospital buys a nursing home? An examination of the effects of hospital vertical integration into skilled nursing facilities on hospital operating marginJournal of health care finance.  46. 2019
    2018 Correlates of interorganizational relationship strategies among critical access hospitalsHealth Care Management Review.  43:272-281. 2018
    2018 Trends in US hospital provision of health promotion services, 1996-2014Population Health Management.  21:309-316. 2018
    2018 Funding profiles of multisector health care alliances and their positioning for sustainabilityJournal of Health, Organization and Management.  32:587-602. 2018
    2018 The Impact of Emergency Department RN Staffing on ED Patient ExperienceJournal of Emergency Nursing.  44:394-401. 2018
    2018 Impact of emergency department visit on disease self-management in adults with depressionJournal of Health Psychology.  23:588-597. 2018
    2018 EditorialJournal of Healthcare Management.  63:1-2. 2018
    2018 Hospital vertical integration into subacute care as a strategic response to value-based payment incentives, market factors, and organizational factors: A multiple-case studyINQUIRY: The Journal of Health Care Organization, Provision, and Financing.  55. 2018
    2017 Patient-Centered Medical Home Capacity and Ambulatory Care UtilizationAmerican Journal of Medical Quality.  32:508-517. 2017
    2017 The relationship between the external environment and physician e-mail communication: The mediating role of health information technology availabilityHealth Care Management Review.  42:122-131. 2017
    2017 An Examination of the Relationship between Care Management with Coaching for Activation and Patient OutcomesAmerican Journal of Managed Care.  23:123-128. 2017
    2017 Engaging patients as partners in research: Factors associated with awareness, interest, and engagement as research partners.SAGE Open Medicine.  5:2050312116686709. 2017
    2016 Interorganizational Relationship Trends of Critical Access HospitalsJournal of Rural Health.  32:44-55. 2016
    2016 Aligning Forces for Quality multi-stakeholder healthcare alliances: do they have a sustainable future?American Journal of Managed Care.  22:s423-s436. 2016
    2016 Aligning Forces for Quality multi-stakeholder healthcare alliances: do they have a sustainable future?American Journal of Managed Care.  22:s423-s436. 2016
    2016 Association of Medicare Part D coverage gap with medication adherence among Medicare beneficiaries with COPDAmerican Journal of Managed Care.  22. 2016
    2016 Association of part D coverage gap With COPD medication adherenceAmerican Journal of Managed Care.  22:e275-e282. 2016
    2016 Bridging the GapJournal of Ambulatory Care Management.  39:209-219. 2016
    2016 A Systematic Review of the Literature on the Sustainability of Community Health CollaborativesMedical Care Research and Review.  73:127-181. 2016
    2016 The Impact of Privatization on Efficiency and Productivity: The Case of US Public HospitalsJournal of health care finance.  43:105-123. 2016
    2015 Environmental factors associated with physicians engagement in communication activitiesHealth Care Management Review.  40:79-89. 2015
    2015 Public hospitals in financial distress: Is privatization a strategic choice?Health Care Management Review.  40:337-347. 2015
    2015 The strategies and challenges to promoting awareness of multi-sectoral health care alliancesJournal of Communication in Healthcare.  8:119-133. 2015
    2015 Hospital quality of care: Evaluation of resulting financial risk for disclosure in annual reportsJournal of health care finance.  42. 2015
    2015 Leader Perceptions of Multi-Sectoral Healthcare Alliance Response to Health Reform 2015
    2015 Assessing organizational change in multisector community health alliancesHealth Services Research.  50:98-116. 2015
    2014 Patient-physician role relationships and patient activation: The moderating effects of race and ethnicityMedical Care Research and Review.  71:472-495. 2014
    2014 Governance Processes and Change Within Organizational Participants of Multi-sectoral Community Health Care Alliances: The Mediating Role of Vision, Mission, Strategy Agreement and Perceived Alliance ValueAmerican Journal of Community Psychology.  53:185-197. 2014
    2014 Community-level sociodemographic characteristics and patient-centered medical home capacityAdvances in health care management.  16:23-50. 2014
    2014 Pay-for-performance and public reporting program participation and administrative challenges among small- and medium-sized physician practicesMedical Care Research and Review.  71:299-312. 2014
    2013 Variations in patient-centered medical home capacity: A linear growth curve analysisMedical Care Research and Review.  70:597-620. 2013
    2013 Did we learn everything we need to know in school?: An evaluation of executive workplace learning in healthcare organizationsLeadership and Organization Development Journal.  34:164-181. 2013
    2013 Decision-making fairness and consensus building in multisector community health alliances: A mixed-methods analysisNonprofit Management and Leadership.  24:139-161. 2013
    2012 Fostering change within organizational participants of multisectoral health care alliancesHealth Care Management Review.  37:267-279. 2012
    2012 Patient-physician role relationships and patient activation among individuals with chronic illnessHealth Services Research.  47:1201-1223. 2012
    2012 Methods and metrics challenges of delivery-system researchImplementation Science.  7. 2012
    2012 Barriers and Strategies to Align Stakeholders in Health Care AlliancesAmerican Journal of Managed Care.  18:S148-S155. 2012
    2012 Barriers and strategies to align stakeholders in healthcare alliances.American Journal of Managed Care.  18. 2012
    2012 Patient-Centered Care and Emergency Department Utilization: A Path Analysis of the Mediating Effects of Care Coordination and Delays in CareMedical Care Research and Review.  69:560-580. 2012
    2011 The science of quality improvement implementation: Developing capacity to make a differenceMedical Care.  49. 2011
    2011 Consumer trust in sources of physician quality informationMedical Care Research and Review.  68:421-440. 2011
    2011 Measuring leadership in multisector health care alliancesNonprofit Management and Leadership.  21:341-361. 2011
    2010 Challenges of capacity building in multisector community health alliancesHealth Education and Behavior.  37:645-664. 2010
    2010 Outcomes-based Health Management and Policy Education: Baseline Findings from a National Curriculum Development Demonstration ProjectThe Journal of health administration education.  26:171-191. 2010
    2009 What can we learn from quality improvement research?: A critical review of research methodsMedical Care Research and Review.  66:235-271. 2009
    2009 How do system-affiliated hospitals fare in providing community benefit?INQUIRY: The Journal of Health Care Organization, Provision, and Financing.  46:72-91. 2009
    2008 How do hospital organizational structure and processes affect quality of care? A critical review of research methodsMedical Care Research and Review.  65:259-299. 2008
    2008 Governance and community benefit: Are nonprofit hospitals good candidates for sarbanes-oxley type reforms?Journal of Health Politics, Policy and Law.  33:199-224. 2008
    2007 Increasing the relevance of research to health care managers: Hospital CEO imperatives for improving quality and lowering costsHealth Care Management Review.  32:150-159. 2007
    2006 Current marketing practices in the nursing home sectorJournal of Healthcare Management.  51:185-200. 2006

    Chapter

    Year Title Altmetric
    2014 Community-Level Sociodemographic Characteristics and Patient-Centered Medical Home Capacity.  23-50. 2014
    2008 Is the Best Defense a Good Offense? Marketing of Quality by U.S. Nursing Homes.  194-208. 2008

    Research Overview

  • Governance and management of community health alliances, performance effects of inter-organizational relationships, inter-professional cooperation and conflict, facilitators and barriers of organizational change, implementation of complex delivery system innovations.
  • Investigator On

  • A Type 2 Hybrid Effectiveness-Implementation Trial to Evaluate a Population Health Combination Intervention to Meet HIV Testing, Linkage, and Viral Suppression Goals in Coastal Alabama  awarded by National Institute of Allergy and Infectious Diseases/NIH/DHHS
  • Building Learning Health System Capacity: Leveraging Lessons from an Evaluation of a SEPSIS Clinical Decision Support Tool  awarded by Agency for Healthcare Research and Quality/DHHS
  • Center for AIDS Research - EHE Implementation Science Consultation Hub  awarded by National Institute of Allergy and Infectious Diseases/NIH/DHHS
  • DETECT-HIV - Discovering Emerging Trends through Enhanced Community Testing for HIV infection  awarded by ALABAMA DEPARTMENT OF PUBLIC HEALTH
  • Deep South Center to Reduce Disparities in Chronic Diseases  awarded by NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES/NIH/DHHS
  • Deep South Center to Reduce Disparities in Chronic Diseases - Community-Based Strategies to Reduce Cardiometabolic Disease in the Deep South  awarded by NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES/NIH/DHHS
  • Deep South Center to Reduce Disparities in Chronic Diseases - Food Delivery, Remote Monitoring, and coaching-Enhanced Education for Optimized Diabetes Management (FREEDOM)  awarded by NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES/NIH/DHHS
  • Deep South Center to Reduce Disparities in Chronic Diseases - Investigator Development Core  awarded by NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES/NIH/DHHS
  • Enhancing Health Literacy in Surgery (EHLIS) to Eliminate Surgical Disparities for African-Americans with Inflammatory Bowel Disease (IBD)  awarded by NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES/NIH/DHHS
  • Implementation of DEcision-Aid for Lupus in Practice Settings for Shared Decision-Making (SOM): IDEAL Study  awarded by PATIENT CENTERED OUTCOMES RESEARCH INSTITUTE
  • Indefinite-Delivery-Indefinite-Quantity  awarded by Health Resources and Services Administration/DHHS
  • National Center on Health Physical Activity and Disability  awarded by CDC - Centers for Disease Control and Prevention/DHHS
  • Performance of High Medicaid Nursing Homes-Contextual and Management Factors  awarded by Agency for Healthcare Research and Quality/DHHS
  • Planning Grant-I/UCRC for Center for Health Organization Transformation  awarded by NSF - National Science Foundation
  • UAB Center for AIDS Research (CFAR)  awarded by National Institute of Allergy and Infectious Diseases/NIH/DHHS
  • UAB Center for AIDS Research (CFAR) - A Dynamic COVID-19 Community-Engaged Testing Strategy in Alabama (COVID COMET AL)  awarded by National Institute of Allergy and Infectious Diseases/NIH/DHHS
  • UAB Center for AIDS Research (CFAR) - EHE Implementation Science Consultation Hub  awarded by National Institute of Allergy and Infectious Diseases/NIH/DHHS
  • UAB Learning Health System (UAB LHS) Platform  awarded by UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION
  • UAB Site Phase 2: I/UCRC for Center for Health Organization Transformation  awarded by NSF - National Science Foundation
  • Teaching Overview

  • Organizational theory, organizational behavior, implementation science, and research methods.
  • Teaching Activities

  • AH701 - Administrative Theory (Fall Term 2017)
  • AH701 - Administrative Theory (Fall Term 2018)
  • AH707 - Research Methods (Spring Term 2010)
  • AH712 - Research Org Behavior (Fall Term 2009)
  • AH712 - Research Org Behavior (Fall Term 2010)
  • AH712 - Research Org Behavior (Fall Term 2011)
  • AH712 - Research Org Behavior (Fall Term 2012)
  • AH712 - Research Org Behavior (Fall Term 2013)
  • AH712 - Research Org Behavior (Fall Term 2014)
  • AH712 - Research Org Behavior (Fall Term 2015)
  • AH712 - Research Org Behavior (Fall Term 2016)
  • AH712 - Research Org Behavior (Fall Term 2017)
  • AH712 - Research Org Behavior (Fall Term 2018)
  • AH712 - Research Org Behavior (Fall Term 2019)
  • AH712 - Research Org Behavior (Fall Term 2020)
  • AH712 - Research Org Behavior (Fall Term 2021)
  • AH720 - Continuing Seminar (Fall Term 2016)
  • AH720 - Continuing Seminar (Spring Term 2015)
  • AH720 - Continuing Seminar (Spring Term 2016)
  • AH755 - Dissem/Implem Sci in HC (Fall Term 2019)
  • AH755 - Dissem/Implem Sci in HC (Fall Term 2020)
  • AH755 - Dissem/Implem Sci in HC (Fall Term 2021)
  • AH790 - Independent Study and Research (Fall Term 2017)
  • AH790 - Independent Study and Research (Fall Term 2018)
  • AH790 - Independent Study and Research (Fall Term 2019)
  • AH790 - Independent Study and Research (Fall Term 2020)
  • AH790 - Independent Study and Research (Spring Term 2014)
  • AH790 - Independent Study and Research (Spring Term 2017)
  • AH790 - Independent Study and Research (Spring Term 2019)
  • AH790 - Independent Study and Research (Spring Term 2020)
  • AH790 - Independent Study and Research (Spring Term 2022)
  • AH790 - Independent Study and Research (Spring Term 2022)
  • AH790 - Independent Study and Research (Summer Term 2014)
  • AH790 - Independent Study and Research (Summer Term 2015)
  • AH790 - Independent Study and Research (Summer Term 2018)
  • AH790 - Independent Study and Research (Summer Term 2020)
  • AH798 - Non-Dissertation Research (Fall Term 2017)
  • AH798 - Non-Dissertation Research (Fall Term 2017)
  • AH798 - Non-Dissertation Research (Fall Term 2018)
  • AH798 - Non-Dissertation Research (Fall Term 2018)
  • AH798 - Non-Dissertation Research (Fall Term 2019)
  • AH798 - Non-Dissertation Research (Fall Term 2019)
  • AH798 - Non-Dissertation Research (Fall Term 2020)
  • AH798 - Non-Dissertation Research (Fall Term 2020)
  • AH798 - Non-Dissertation Research (Spring Term 2017)
  • AH798 - Non-Dissertation Research (Spring Term 2018)
  • AH798 - Non-Dissertation Research (Spring Term 2018)
  • AH798 - Non-Dissertation Research (Spring Term 2019)
  • AH798 - Non-Dissertation Research (Spring Term 2019)
  • AH798 - Non-Dissertation Research (Spring Term 2020)
  • AH798 - Non-Dissertation Research (Spring Term 2020)
  • AH798 - Non-Dissertation Research (Spring Term 2021)
  • AH798 - Non-Dissertation Research (Spring Term 2021)
  • AH798 - Non-Dissertation Research (Spring Term 2022)
  • AH798 - Non-Dissertation Research (Spring Term 2022)
  • AH798 - Non-Dissertation Research (Summer Term 2017)
  • AH798 - Non-Dissertation Research (Summer Term 2018)
  • AH798 - Non-Dissertation Research (Summer Term 2018)
  • AH798 - Non-Dissertation Research (Summer Term 2019)
  • AH798 - Non-Dissertation Research (Summer Term 2019)
  • AH798 - Non-Dissertation Research (Summer Term 2020)
  • AH798 - Non-Dissertation Research (Summer Term 2020)
  • AH799 - Dissertation Research (Fall Term 2017)
  • AH799 - Dissertation Research (Fall Term 2018)
  • AH799 - Dissertation Research (Fall Term 2018)
  • AH799 - Dissertation Research (Fall Term 2019)
  • AH799 - Dissertation Research (Fall Term 2020)
  • AH799 - Dissertation Research (Fall Term 2020)
  • AH799 - Dissertation Research (Spring Term 2017)
  • AH799 - Dissertation Research (Spring Term 2018)
  • AH799 - Dissertation Research (Spring Term 2019)
  • AH799 - Dissertation Research (Spring Term 2019)
  • AH799 - Dissertation Research (Spring Term 2020)
  • AH799 - Dissertation Research (Spring Term 2020)
  • AH799 - Dissertation Research (Spring Term 2021)
  • AH799 - Dissertation Research (Spring Term 2021)
  • AH799 - Dissertation Research (Spring Term 2022)
  • AH799 - Dissertation Research (Spring Term 2022)
  • AH799 - Dissertation Research (Summer Term 2017)
  • AH799 - Dissertation Research (Summer Term 2018)
  • AH799 - Dissertation Research (Summer Term 2019)
  • AH799 - Dissertation Research (Summer Term 2019)
  • AH799 - Dissertation Research (Summer Term 2020)
  • AHD707 - Research Methods (Fall Term 2019)
  • AHD707 - Research Methods (Fall Term 2020)
  • AHD707 - Research Methods (Fall Term 2021)
  • AHD707 - Research Methods (Summer Term 2011)
  • AHD707 - Research Methods (Summer Term 2012)
  • AHD707 - Research Methods (Summer Term 2013)
  • AHD707 - Research Methods (Summer Term 2014)
  • AHD707 - Research Methods (Summer Term 2015)
  • AHD707 - Research Methods (Summer Term 2016)
  • AHD707 - Research Methods (Summer Term 2017)
  • AHD707 - Research Methods (Summer Term 2018)
  • AHD707 - Research Methods (Summer Term 2019)
  • AHD718 - Strategic Implem & Evaluation (Spring Term 2015)
  • AHD718 - Strategic Implem & Evaluation (Spring Term 2017)
  • AHD718 - Strategic Implem & Evaluation (Spring Term 2019)
  • AHD718 - Strategic Implem & Evaluation (Spring Term 2021)
  • HQS678 - Spec Topics in HQS (Fall Term 2021)
  • Full Name

  • Larry Hearld