Thomas D'Aunno
Thomas D'Aunno
Scroll
Professor of Public Health, NYU School of Global Public Health
Professor of Management, NYU Wagner Graduate School of Public Service
-
Professional overview
-
Thomas D'Aunno, Ph.D., is Professor of Management at New York University’s Wagner Graduate School of Public Service and Professor of Public Health at NYU’s School of Global Public Health. His research interests include institutional theory, organizational change, and the performance of healthcare organizations. D’Aunno was previously a faculty member at Columbia University, the University of Chicago, the University of Michigan, and INSEAD, where he held the Novartis Chair in Healthcare Management. He is published in leading management and health journals, including Administrative Science Quarterly, the Academy of Management Journal, Academy of Management Review, Annals of the Academy of Management, the Journal of the American Medical Association, Milbank Quarterly, American Journal of Public Health and Health Affairs. He served as Editor-in-Chief of Medical Care Research and Review, 2014-2018. He also is a past chair of the Academy of Management Division of Health Care Management, and a recipient of its Provan Award for distinguished career contributions to research in healthcare management and the Fottler award for distinguished service to the field.
-
Education
-
Ph.D., Organizational Psychology, University of Michigan, Ann Arbor, MichiganUniversity of Maryland, Community-Clinical Psychology, Baltimore County, MarylandB.A., Psychology, Magna Cum Laude, University of Notre Dame, Notre Dame, Indiana
-
Publications
Publications
Deborah Jamieson and the University College London Hospitals
Battilana, J., Cagna, A.-M., Gilmartin, M., D’Aunno, T., & D’Aunno, T. (n.d.).Publication year
2006Insights from a national survey into why substance abuse treatment units add prevention and outreach services
AbstractWells, R., Lemak, C. H., D’Aunno, T., & D’Aunno, T. (n.d.).Publication year
2006Journal title
Substance Abuse: Treatment, Prevention, and PolicyVolume
1Issue
1AbstractBackground: Previous studies have found that even limited prevention-related interventions can affect health behaviors such as substance use and risky sex. Substance abuse treatment providers are ideal candidates to provide these services, but typically have little or no financial incentive to do so. The purpose of this study was therefore to explore why some substance abuse treatment units have added new prevention and outreach services. Based on an ecological framework of organizational strategy, three categories of predictors were tested: (1) environmental, (2) unit-level, and (3) unit leadership. Results: A lagged cross-sectional logistic model of 450 outpatient substance abuse treatment units revealed that local per capita income, mental health center affiliation, and clinical supervisors' graduate degrees were positively associated with likelihood of adding prevention-related education and outreach services. Managed care contracts and methadone treatment were negatively associated with addition of these services. No hospital-affiliated agencies added prevention and outreach services during the study period. Conclusion: Findings supported the study's ecological perspective on organizational strategy, with factors at environmental, unit, and unit leadership levels associated with additions of prevention and outreach services. Among the significant predictors, ties to managed care payers and unit leadership graduate education emerge as potential leverage points for public policy. In the current sample, units with managed care contracts were less likely to add prevention and outreach services. This is not surprising, given managed care's emphasis on cost control. However, the association with this payment source suggests that public managed care programs might affects prevention and outreach differently through revised incentives. Specifically, government payers could explicitly compensate substance abuse treatment units in managed care contracts for prevention and outreach. The effects of supervisor graduate education on likelihood of adding new prevention and outreach programs suggests that leaders' education can affect organizational strategy. Foundation and government officials may encourage prevention and outreach by funding curricular enhancements to graduate degree programs demonstrating the importance of public goods. Overall, these findings suggest that both money and professional education affect substance abuse treatment unit additions of prevention and outreach services, as well as other factors less amenable to policy intervention.Leadership and Change : Martin McShane at the Moss Valley Practice
Battilana, J., Cagna, A.-M., Gilmartin, M., D’Aunno, T., & D’Aunno, T. (n.d.).Publication year
2006Outpatient substance abuse treatment and HIV prevention : An update
AbstractPollack, H. A., D'Aunno, T., Lamar, B., D’Aunno, T., & D’Aunno, T. (n.d.).Publication year
2006Journal title
Journal of Substance Abuse TreatmentVolume
30Issue
1Page(s)
39-47AbstractTesting and counseling, along with community outreach, have been identified as valuable in the prevention of human immunodeficiency virus (HIV) and other blood-borne diseases. This article assesses the extent to which outpatient substance abuse treatment (OSAT) programs provide such services. Longitudinal data for 1988-2000 were analyzed from the National Drug Abuse Treatment System Survey (NDATSS). Random-effects regression was used to examine factors associated with the provision of prevention services. HIV testing, which had became more common between 1990 and 1995, continued to proliferate between 1995 and 2000. The proportion of units that provide HIV testing and counseling increased from 66% to 86%. The proportion of units that provide HIV community outreach increased significantly before 1995 but then slightly decreased from 77% to 73% between 1995 and 2000. In conclusion, HIV testing and counseling widely proliferated in OSAT care. However, OSAT units remain less likely to offer HIV community outreach services.Robert Jones and the Eastbourne NHS Orthotics Clinic : Make or Buy?
Cagna, A.-M., D’Aunno, T., D’Aunno, T., & Gilmartin, M. (n.d.).Publication year
2006Service Redesign at South Devon NHS Trust (A&B) : Make or Buy?
Failed retrieving data.The role of organization and management in substance abuse treatment : Review and roadmap
Failed retrieving data.Factors associated with interorganizational relationships among outpatient drug treatment organizations 1990-2000
AbstractWells, R., Lemak, C. H., D'Aunno, T. A., D’Aunno, T., & D’Aunno, T. (n.d.).Publication year
2005Journal title
Health Services ResearchVolume
40Issue
5 IPage(s)
1356-1378AbstractObjective. To identify the factors associated with drug abuse treatment center participation in interorganizational relationships (IORs). Data Sources. Three nationally representative samples of outpatient drug abuse treatment units surveyed in 1990, 1995, and 1999/2000 as part of the National Drug Abuse Treatment System Survey (NDATSS), stratified by public/private status, treatment modality (methadone or nonmethadone), and organizational affiliation. Study Design. Probit analyses on 647 lagged treatment center-year observations from the years 1990 to 1995 with outcomes in 1995 and 2000, respectively. Standard errors were adjusted for clustering of center-year observations within centers. Principal Findings. Centers with greater motivation to form IORs (e.g., as a result of client diversity or government revenue) were more likely to do so, as were centers with greater opportunities to form IORs (e.g., centers whose directors participated in policy making). Conclusions. Both motivating and enabling factors promoted the formation of IORs by drug abuse treatment centers. Managed care also played a distinct role, in this case appearing to undermine interorganizational cooperation. Because IORs can improve access to care and quality, policy makers should consider using both incentives and support such as management training to promote IOR formation.Factors Associated with Interorganizational Relationships among Outpatient Drug Treatment Organizations 1990-2000 : IORs among Outpatient Drug Treatment Organizations
Wells, R., Lemak, C. H., D'aunno, T. A., D’Aunno, T., & D’Aunno, T. (n.d.).Publication year
2005Journal title
Health Services ResearchVolume
40Issue
5p1Page(s)
1356-1378Management scholars and public policy : A bridge too far?
D'Aunno, T., D’Aunno, T., & D’Aunno, T. (n.d.).Publication year
2005Journal title
Academy of Management JournalVolume
48Issue
6Page(s)
949-951Organizational survival in the outpatient substance abuse treatment sector, 1988-2000
Failed retrieving data.Perspectives on how goverments matter
Failed retrieving data.Gender differences in the impact of comprehensive services in substance abuse treatment
AbstractMarsh, J. C., Cao, D., D'Aunno, T., D’Aunno, T., & D’Aunno, T. (n.d.).Publication year
2004Journal title
Journal of Substance Abuse TreatmentVolume
27Issue
4Page(s)
289-300AbstractThis study examines the impact of comprehensive services on treatment outcomes for women and men. The study uses data collected from 1992 to 1997 for the National Treatment Improvement Evaluation Study, a prospective, cohort study of substance abuse treatment programs and their clients. The analytic sample consists of 3,142 clients (1,123 women and 2,019 men) from 59 treatment facilities. The results show that substance abuse treatment benefits both women and men. Further, both women and men benefit from comprehensive services provided as part of substance abuse treatment: specifically, the receipt of educational, housing and income support services is related to reduced post-treatment substance abuse for both women and men. Gender differences are revealed by the fact that, overall, greater proportions of women receive services and, when individual, service, and treatment organizational characteristics are controlled, women show greater reductions in post-treatment substance use. Further, women and men differ in their responsiveness to organizational characteristics: the availability of on-site services and the frequency of counseling significantly predict reduced post-treatment substance use for men but not for women.Globalization and its many faces : The case of the health sector
AbstractBurns, L. R., D’Aunno, T., D’Aunno, T., & Kimberly, J. R. (n.d.).Publication year
2004Page(s)
395-421AbstractPrevious chapters in this book have addressed particular challenges that firms face as they globalize, such as governance or branding or supply chain management. Or they have addressed themes in globalization such as the cross-border funding of entrepreneurial ventures or government responses to globalization issues. This chapter addresses the many faces of globalization as they play out in the management decisions within a particular sector of national economies- healthcare. The authors examine the complex forces driving and impeding globalization, and the opportunities they create for different players in different places in the world. Rolf Schmidt, the CEO of a major global pharmaceutical company, looks out of his office at the twinkling lights of a major European city that has been its home for more than a century. The current conglomerate that occupies these offices bears little relationship to the sleepy little chemical company that was founded in the historic offices where the chief executive now paces late into the night. The company now operates across a global patchwork of complex regulations governing its pricing, advertising, and drug development and approval. Its research and development organization is stretched across diverse centers in the United States, Europe, and Asia. Its marketing initiatives are a combination of resource-intensive global brands and increasingly tightly tailored local brands. Its global supply chains and financing create new risks and make the company susceptible to unexpected shocks as it gears up for the rapid production of new drugs that have an ever-narrower window of opportunity.Globalization in the health care sector
D’Aunno, T., D’Aunno, T., Burns, L., & Kimberly, J. R. (n.d.).Publication year
2004Accessibility of addiction treatment : Results from a national survey of outpatient substance abuse treatment organizations
Failed retrieving data.Alternative perspectives on institutional and market dynamics in the US healthcare sector
D’Aunno, T., D’Aunno, T., & Alexander, J. A. (n.d.).Publication year
2003Community referral sources and entry of treatment-naïve clients into outpatient addiction treatment
Failed retrieving data.Trends in comprehensive service availability in outpatient drug abuse treatment
Failed retrieving data.Changes in methadone treatment practices : Results from a national panel study, 1988-2000
Failed retrieving data.Patient-physician communication as organizational innovation in the managed care setting
AbstractLevinson, W., D'Aunno, T., Gorawara-Bhat, R., Stein, T., Reifsteck, S., Egener, B., Dueck, R., D’Aunno, T., & D’Aunno, T. (n.d.).Publication year
2002Journal title
American Journal of Managed CareVolume
8Issue
7Page(s)
622-630AbstractDespite changes in the healthcare system, the relationship between patients and physicians remains fundamental to high-quality care. Managed care rules and restrictions, such as constraints on choice of providers, review processes, and decreasing length of visits, are creating potential conflicts between patients and their physicians. To strengthen the patient-physician relationship, some managed care organizations are implementing communication skills training for physicians. This article provides case studies describing how 2 large managed care organizations successfully incorporated communication skills training into their environments. An organizational perspective is used to delineate the 3 stages - adoption, implementation, and institutionalization - that managed care organizations generally traverse in incorporating communication skills programs and making them an integral part of their organizational culture. Specific suggestions are provided for physician leaders and administrators who are considering similar programs in their settings.Linkage to Medical Services in the Drug Abuse Treatment Outcome Study
Failed retrieving data.Managing the care of health and the cure of disease : Arguments for the importance of integration
D'Aunno, T., D’Aunno, T., & D’Aunno, T. (n.d.).Publication year
2001Journal title
Health Care Management ReviewVolume
26Issue
1Page(s)
85-87Selective contracting in managed care : The case of substance abuse treatment
AbstractLemak, C. H., Alexander, J. A., D'Aunno, T. A., D’Aunno, T., & D’Aunno, T. (n.d.).Publication year
2001Journal title
Medical Care Research and ReviewVolume
58Issue
4Page(s)
455-481AbstractThe authors address two critical questions concerning managed care and outpatient substance abuse treatment organizations. Specifically, they consider (1) to what extent selective contracting occurs between managed care firms and treatment providers and (2) what attributes of treatment providers and their operating environments are associated with selective contracting. Using data from a nationally representative sample of outpatient treatment organizations, the authors find evidence of systematic selection. Several indicators of providers' quality and costs, including accreditation status, private ownership, size, and prior experience with managed care, are positively associated with managed care contracting. By contrast, units providing methadone treatment are less likely to be involved in managed care. To a lesser extent, characteristics of treatment providers' operating environment, including extent of competition based on costs and attributes of the Medicaid managed care program, are also positively associated with managed care contracting.The organization of service delivery. Overview.
D'Aunno, T., D’Aunno, T., & D’Aunno, T. (n.d.).Publication year
2001Journal title
Recent developments in alcoholism : an official publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on AlcoholismVolume
15Page(s)
3-7
Contact
tdaunno@nyu.edu
New York, NY