Positions

Overview

  • Robert Weech-Maldonado, MBA, PhD was appointed to the L.R. Jordan Endowed Chair in Health Administration in 2008 by the University of Alabama Board of Trustees. He is a Professor in the Department of Health Services Administration. Dr. Weech-Maldonado is a national authority in health disparities, cultural competency tools for healthcare organizations, racial and ethnic differences in patient experiences with care, and long-term care. Imparting this expertise to students, researchers and healthcare leaders may improve management’s ability to fully understand and better address challenges faced by racial/ethnic minorities and the elderly, possibly dramatically improving access and quality of care outcomes for these populations. After receiving his Ph.D. from Temple University in Philadelphia in 1998, Dr. Weech-Maldonado assumed appointments as Assistant Professor, the Pennsylvania State University and tenured Associate Professor, University of Florida prior to joining the UAB faculty in 2008. His extensive research activities include active participation and leadership on 24 federal, state and foundation research projects. Select recent projects for which Dr. Weech-Maldonado has served as Principal Investigator: Performance of High Medicaid Nursing Homes-Contextual and Management Factors, Agency for Healthcare Research and Quality Development and Testing of the Patient Assessments of Cultural Competency Survey, Commonwealth Fund Racial/Ethnic and Language Differences in Patient Assessments of Health Care, Florida Center for Medicaid and the Uninsured Does Hospital’s Adherence to CLAS Standards Influence Patient Experiences with Inpatient Care?, Commonwealth Fund A Longitudinal Study of the Relationship of Quality of Care and Financial Performance of Nursing Homes, Administration on Aging Dr. Weech-Maldonado has already received many academic and professional honors and awards: Graduate School Dean's Award for Excellence in Mentorship, UAB (2013) Joseph F. Volker Outstanding Faculty Award, UAB School of Health Professions (2013) Health Care Management Division's Excellence in Teaching Award, Academy of Management (2012) Paul T. Bruder Best Paper Award (2004), Third International Conference on Healthcare Systems; Excellence in Research on Aging and Rural Health Award (2002), Gerontological Health Section, American Public Health Association Best Theory-to-Practice Paper Award (2002), Health Care Management Division, Academy of Management Distinguished Paper Award (2002), Business & Health Administration Association Health Management Research Award, American College of Healthcare Executives (1999) Dr. Weech-Maldonado has influenced national organizations and health policy through various roles in such national and international healthcare organizations as Academy of Management, Health Services Research (editorial board), AcademyHealth, American College of Healthcare Executives, Agency for Healthcare Research and Quality (study section member), and Office of Minority Health, DHHS.
  • Selected Publications

    Academic Article

    Year Title Altmetric
    2018 Safety of Obese Persons in Nursing Homes.Medical Care.  56:1032-1034. 2018
    2018 Geographic context of black-white disparities in Medicare CAHPS patient experience measures.Health Services Research2018
    2018 Self-Reported Adherence to High Reliability Practices Among Participants in the Children's Hospitals' Solutions for Patient Safety Collaborative.Joint Commission Journal on Quality and Patient Safety2018
    2018 A Comparison of Methods for Classifying and Modeling Respondents Who Endorse Multiple Racial/Ethnic Categories: A Health Care Experience Application.Medical Care2018
    2018 A taxonomy of the scope and organization of local sexually transmitted disease services for policy and practice.International Journal of STD and AIDS.  956462418787621. 2018
    2018 The Privatization of Public Hospitals: Its Impact on Financial Performance.Medical care review.  1077558718781606. 2018
    2018 Longitudinal analysis of high-technology medical services and hospital financial performance.Health Care Management Review.  43:2-11. 2018
    2018 The Role of Assisted Living Capacity on Nursing Home Financial Performance.INQUIRY: The Journal of Health Care Organization, Provision, and Financing.  55:46958018793285. 2018
    2017 Commentary: Copyright Restrictions Versus Open Access to Survey Instruments.Medical Care.  56:107-110. 2017
    2017 Organizational and Environmental Factors Influencing Hospital Community Orientation.Health Care Management Review2017
    2017 Freestanding Emergency Departments Are Associated With Higher Medicare Costs: A Longitudinal Panel Data Analysis.INQUIRY: The Journal of Health Care Organization, Provision, and Financing.  54:46958017727106. 2017
    2017 Hospitals' use of hospitalists: Implications for financial performance.Health Care Management Review.  44:10-18. 2017
    2017 The Relationships Among Socio-Demographics, Perceived Health, and Happiness.Applied Research in Quality of Life.  12:289-302. 2017
    2017 Cost-effectiveness of Antihypertensive Medication: Exploring Race and Sex Differences Using Data From the REasons for Geographic and Racial Differences in Stroke Study.Medical Care.  55:552-560. 2017
    2017 Factor Structure of the Cultural Competence Items in the National Home and Hospice Care Survey.Medical Care.  56:e21-e25. 2017
    2017 Examining the Relationship between Community Orientation and Hospital Financial PerformanceJournal of Organizational Psychology.  17. 2017
    2017 Blueprint for Sustainable Change in Diversity Management and Cultural Competence: Lessons From the National Center for Healthcare Leadership Diversity Demonstration Project.Journal of Healthcare Management.  62:171-183. 2017
    2016 Organizational characteristics associated with the provision of cultural competency training in home and hospice care agencies.Health Care Management Review.  43:328-337. 2016
    2016 Hospital cultural competency as a systematic organizational intervention: Key findings from the national center for healthcare leadership diversity demonstration project.Health Care Management Review.  43:30-41. 2016
    2016 Organizational and Environmental Factors Associated with Hospital Financial Performance: A Systematic ReviewJournal of Healthcare Finance.  43:13-37. 2016
    2016 Socio-demographic differences in risk information seeking sources for non-steroidal anti-inflammatory drugs (NSAIDS).International Journal of Medical Informatics.  94:222-227. 2016
    2016 Country of Birth and Variations in Asthma and Wheezing Prevalence, and Emergency Department Utilization in Children: A NHANES Study.Journal of Immigrant Health.  19:1290-1295. 2016
    2016 Contextual factors associated with hospitals' decision to operate freestanding emergency departments.Health Care Management Review.  42:269-279. 2016
    2016 Evaluating the effectiveness of a patient storytelling DVD intervention to encourage physician-patient communication about nonsteroidal anti-inflammatory drug (NSAID) use.Patient Education and Counseling.  99:1837-1844. 2016
    2016 Racial/Ethnic Disparities in Medicare Beneficiaries' Care Coordination Experiences.Medical Care.  54:765-771. 2016
    2016 Do patient, Hospital, and community characteristics predict variations in overall inpatient experience scores? A multilevel analysis of hospitals in CaliforniaHealth Services Management Research.  29:25-34. 2016
    2016 Hospitalists as a Staffing Innovation: Does it Impact Hospital Efficiency?Innovation and Entrepreneurship in Health.  2:1-8. 2016
    2016 Succession Planning and Financial Performance: Dpes Competition Matter?Journal of Healthcare Management.  May/June. 2016
    2016 The Effects of Direct to Consumer Advertisting on Medication Use among Medicaid Children with AsthmaHealth Marketing Quarterly.  33:195-205. 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 Do Racial/Ethnic Disparities in Quality and Patient Experience within Medicare Plans Generalize across Measures and Racial/Ethnic Groups?Health Services Research.  50:1829-1849. 2015
    2015 Do Experiences with Medicare Managed Care Vary According to the Proportion of Same-Race/Ethnicity/Language Individuals Enrolled in One's Contract?Health Services Research.  50:1649-1687. 2015
    2015 Public hospitals in financial distress: Is privatization a strategic choice?Health Care Management Review.  40:337-347. 2015
    2015 The presence of hospital-based palliative care programs: A resource dependence perspective.Health Care Management Review.  40:356-362. 2015
    2015 Private equity ownership of nursing homes: Implications for qualityJournal of Health Care Finance.  42. 2015
    2015 Prevalence of Moderate to Severe Obesity Among U.S. Nursing Home Residents, 2000-2010.Research in Gerontological Nursing.  8:173-178. 2015
    2015 Adapting an evidence-based survivorship intervention for Latina breast cancer survivors.Women's Health.  11:109-119. 2015
    2015 Clinician advice to quit smoking among seniors.Preventive Medicine.  70:83-89. 2015
    2015 Do experiences with medicare managed care vary according to the proportion of same-race/ethnicity/language individuals enrolled in one's contract?Health Services Research.  50:1649-1687. 2015
    2015 EHR Adoption and Cost of Care - Evidence from Patient Safety IndicatorsJournal of Health Care Finance.  41. 2015
    2015 Hiring Internationally Educated Nurses in Hospitals: Role of Competition and Resource Availability.Journal of Hospital Administration.  4:79-79. 2015
    2015 Public hospitals in financial distress: Is privatization a strategic choice?Health Care Management Review.  40:337-347. 2015
    2015 The presence of hospital-based palliative care programs: A resource dependence perspectiveHealth Care Management Review.  40:356-362. 2015
    2014 Management involvement on the board of directors and hospital financial performance.Journal of Healthcare Management.  59:429-445. 2014
    2014 The relationship between direct to consumer advertising (DTCA) and asthma-related emergency department use among Medicaid-enrolled children.The Journal of asthma research.  51:922-926. 2014
    2014 Provision Of Cultural Competency Training In The National Home And Hospice Care Survey: The Role Of Organizational And Leadership FactorsValue in Health.  17:A145-A145. 2014
    2014 Technological innovations and hospital performance: a systematic review of the literatureInnovation and Entrepreneurship in Health.  13-13. 2014
    2014 Contextual determinants of US nursing home racial/ethnic diversity.Social Science and Medicine.  104:142-147. 2014
    2014 Employing Nurse Practitioners and Physician Assistants in Nursing Homes: Role of Market FactorsInternational Journal of Health Sciences (IJHS).  2. 2014
    2014 Public hospitals in peril: factors associated with financial distress.Journal of Health Care Finance.  40:14-30. 2014
    2013 Nursing home quality and financial performance: does the racial composition of residents matter?Health Services Research.  48:2060-2080. 2013
    2013 Variations in patient-centered medical home capacity: a linear growth curve analysis.Medical care review.  70:597-620. 2013
    2013 Private equity ownership and nursing home financial performance.Health Care Management Review.  38:224-233. 2013
    2013 Introduction to patient-reported outcome item banks: issues in minority aging research.Expert Review of Pharmacoeconomics and Outcomes Research.  13:183-186. 2013
    2013 The effects of nurse staffing on hospital financial performance: competitive versus less competitive markets.Health Care Management Review.  38:146-155. 2013
    2013 Do Medicaid incentive payments boost quality? Florida's direct care staffing adjustment program.Journal of Aging and Social Policy.  25:65-82. 2013
    2013 Hospital-physician relationships: implications from the professional service firms literature.Advances in health care management.  15:165-184. 2013
    2012 Patient safety culture and the association with safe resident care in nursing homes.Gerontologist.  52:802-811. 2012
    2012 Can hospital cultural competency reduce disparities in patient experiences with care?Medical Care.  50 Suppl:S48-S55. 2012
    2012 Racial/ethnic disparities in Medicare Part D experiences.Medical Care.  50 Suppl:S40-S47. 2012
    2012 Advances in measuring culturally competent care: a confirmatory factor analysis of CAHPS-CC in a safety-net population.Medical Care.  50:S49-S55. 2012
    2012 Does the Consumer Assessment of Healthcare Providers and Systems Cultural Competence Survey provide equivalent measurement across English and Spanish versions?Medical Care.  50:S37-S41. 2012
    2012 Evaluating measurement equivalence across race and ethnicity on the CAHPS Cultural Competence Survey.Medical Care.  50:S32-S36. 2012
    2012 Moving towards culturally competent health systems: organizational and market factors.Social Science and Medicine.  75:815-822. 2012
    2012 Risk factors for reporting poor cultural competency among patients with diabetes in safety net clinics.Medical Care.  50:S56-S61. 2012
    2012 The Consumer Assessment of Healthcare Providers and Systems (CAHPS) cultural competence (CC) item set.Medical Care.  50:S22-S31. 2012
    2012 The relationship between perceived discrimination and patient experiences with health care.Medical Care.  50:S62-S68. 2012
    2012 Validly interpreting patients' reports: using bifactor and multidimensional models to determine whether surveys and scales measure one or more constructs.Medical Care.  50:S42-S48. 2012
    2012 Nursing home financial performance: The role of ownership and chain affiliationHealth Care Management Review.  37:235-245. 2012
    2012 Nursing home financial performance: the role of ownership and chain affiliation.Health Care Management Review.  37:235-245. 2012
    2012 Are there differences in the Medicare experiences of beneficiaries in Puerto Rico compared with those in the U.S. mainland?Medical Care.  50:243-248. 2012
    2012 Cultural competency assessment tool for hospitals: evaluating hospitals' adherence to the culturally and linguistically appropriate services standards.Health Care Management Review.  37:54-66. 2012
    2011 The influence of nurse staffing levels on quality of care in nursing homes.Gerontologist.  51:610-616. 2011
    2011 Enhancing the cultural competency of health-care organizations.Advances in health care management.  10:43-67. 2011
    2011 Exploring the relationship between private equity ownership and nursing home performance: a review.Advances in health care management.  11:63-89. 2011
    2011 The impact of geography on hospital electronic health records implementation in alabama: implications for meaningful use.Applied Clinical Informatics.  2:270-283. 2011
    2011 The role of non-financial performance measures in predicting hospital financial performance: the case of for-profit system hospitals.Journal of Health Care Finance.  38:12-23. 2011
    2010 The unintended consequences of staffing mandates in Florida nursing homes: impacts on indirect-care staff.Medical care review.  67:555-573. 2010
    2010 Patient assessments of care and utilization in Medicaid managed care: PCCMs vs. PSOs.Journal of Health Care Finance.  36:13-23. 2010
    2009 Operating environment and USA nursing homes' participation in the subacute care market: a longitudinal analysis.Health Services Management Research.  22:1-7. 2009
    2008 Reports and ratings of care: black and white Medicare enrollees.Journal of Health Care for the Poor and Underserved.  19:1136-1147. 2008
    2008 Survey response style and differential use of CAHPS rating scales by Hispanics.Medical Care.  46:963-968. 2008
    2008 Language and regional differences in evaluations of Medicare managed care by Hispanics.Health Services Research.  43:552-568. 2008
    2008 Diversity Management in Health: Cross National Organisational StudyThe International Journal on Diversity in Organisations, Communities & Nations.  8:125-138. 2008
    2008 Outsourcing veterans for long-term care: comparison of community and state veterans' nursing homes.Journal of Health and Human Services Administration.  30:441-467. 2008
    2007 Characteristics of community nursing homes serving per diem veterans, 1999 to 2002.Medical care review.  64:673-690. 2007
    2007 Outsourcing veterans for long term care: Comparison of community and state veterans' nursing homesJournal of Health and Human Services Administration.  30:441-467. 2007
    2007 Developing a Spanish-language consumer report for CAHPS health plan surveys.Joint Commission Journal on Quality and Patient Safety.  33:681-688. 2007
    2007 Long-term care providers and their perceptions of the external environment: Rural versus urban differencesJournal of Applied Gerontology.  26:78-94. 2007
    2007 The Balanced Budget Act (1997) and the supplyof nursing home subacute care.Journal of Health Care Finance.  34:38-47. 2007
    2006 Comparison of data quality for reports and ratings of ambulatory care by African American and White Medicare managed care enrollees.Journal of Aging and Health.  18:707-721. 2006
    2006 The impact of interpreters on parents' experiences with ambulatory care for their children.Medical care review.  63:110-128. 2006
    2006 The relationship between quality of care and costs in nursing homes.American Journal of Medical Quality.  21:40-48. 2006
    2005 Low-income children's preventive services use: implications of parents' Medicaid status.Health Care Financing Review.  26:81-94. 2005
    2005 Market competition and quality of care in the nursing home industry.Journal of Health Care Finance.  32:67-81. 2005
    2004 Hispanic ethnicity, language, and patient experiences with medicare managed careGerontologist.  44:294-294. 2004
    2004 Racial and ethnic diversity and organizational behavior: a focused research agenda for health services management.Social Science and Medicine.  59:961-971. 2004
    2004 Nurse staffing patterns and quality of care in nursing homes.Health Care Management Review.  29:107-116. 2004
    2004 Health plan effects on patient assessments of Medicaid managed care among racial/ethnic minorities.Journal of General Internal Medicine.  19:136-145. 2004
    2004 Nursing home costs and quality of care: is there a tradeoff?Expert Review of Pharmacoeconomics and Outcomes Research.  4:99-110. 2004
    2004 Medicaid Managed Care and Racial Disparities in AIDS Treatment.Health Care Financing Review.  26:119-132. 2004
    2003 Racial/ethnic disparities in adult preventive dental care use.Journal of Health Care for the Poor and Underserved.  14:516-534. 2003
    2003 Psychometric Properties of the Spanish Consumer Assessment of Health Plans Survey (CAHPS)Hispanic Journal of Behavioral Sciences.  25:386-409. 2003
    2003 Does quality of care lead to better financial performance?: the case of the nursing home industry.Health Care Management Review.  28:201-216. 2003
    2003 Organizational strategy and diversity management: diversity-sensitive orientation as a moderating influence.Health Care Management Review.  28:243-253. 2003
    2003 Evaluating the effectiveness of community health partnerships: A stakeholder accountability approachJournal of Health and Human Services Administration.  26:58-92. 2003
    2003 Race/ethnicity, language, and patients' assessments of care in Medicaid managed care.Health Services Research.  38:789-808. 2003
    2003 Evaluating the effectiveness of community health partnerships: a stakeholder accountability approach.Journal of Health and Human Services Administration.  26:58-92. 2003
    2003 The relationship between quality of care and financial performance in nursing homes.Journal of Health Care Finance.  29:48-60. 2003
    2003 The role of value in provider-patient-payer relationships.Hospital Topics.  81:21-27. 2003
    2002 Strategic relatedness in mergers and financial performance: the case of the health maintenance organization industry in the United States.Health Services Management Research.  15:264-273. 2002
    2002 Health risks of Latino children.Journal of the American Medical Association.  288:1982-1983. 2002
    2002 Racial/ethnic diversity management and cultural competency: the case of Pennsylvania hospitals.Journal of Healthcare Management.  47:111-124. 2002
    2002 Impact of HMO mergers and acquisitions on financial performance.Journal of Health Care Finance.  29:64-77. 2002
    2001 The performance impact of context in TQM implementation: the nursing facility industry.Health Services Management Research.  14:147-158. 2001
    2001 Differences in CAHPS adult survey reports and ratings by race and ethnicity: an analysis of the National CAHPS benchmarking data 1.0.Health Services Research.  36:595-617. 2001
    2001 Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care.Health Services Research.  36:575-594. 2001
    2000 Building partnerships with the community: lessons from the Camden Health Improvement Learning Collaborative.Journal of Healthcare Management.  45:189-205. 2000
    1999 Managerial implications of corporate board involvement and perceived market competition for quality improvement in nursing homes.Journal of Healthcare Management.  44:382-395. 1999
    1998 Resource dependence and institutional elements in nursing home TQM adoptionHealth Services Research.  33:261-273. 1998
    1998 Resource dependence and institutional elements in nursing home TQM adoptionHealth Services Research.  33:261-273. 1998
    1998 Resource dependence and institutional elements in nursing home TQM adoption.Health Services Research.  33:261-273. 1998
    1997 Quality improvement in nursing care facilities: extent, impetus, and impact.American Journal of Medical Quality.  12:51-61. 1997

    Chapter

    Year Title Altmetric
    2013 Medicare and Health Care Utilization 2013
    2012 Implementing, Spreading, and Sustaining Organizational Change 2012
    2001 Cross-Cultural Adaptation of Survey Instruments: The CAHPS Experience.  75-82. 2001

    Principal Investigator On

  • Deep South Resource Center in Minority Aging Research (RCMAR) - Analysis Core  awarded by National Institute on Aging/NIH/DHHS 2018 - 2023
  • National Implementation of Medicare Advantage and Prescription Drug Plan CAHPS Surveys  awarded by RAND 2017 - 2020
  • UAB Site Phase 2: I/UCRC for Center for Health Organization Transformation  awarded by NSF - National Science Foundation 2016 - 2019
  • Performance of High Medicaid Nursing Homes-Contextual and Management Factors  awarded by Agency for Healthcare Research and Quality/DHHS 2014 - 2019
  • Developing a Long-Term Evaluation Framework for the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care  awarded by RAND 2016 - 2018
  • National Implementation of Medicare Advantage and Prescription Drug Plan CAHPS Survey  awarded by RAND 2014 - 2017
  • Improving the Reach and Effectiveness of STD Prevention, Screening, and Treatment Services in Local Public Health Systems  awarded by PUBLIC HEALTH INSTITUTE (PHI) 2014 - 2016
  • Planning Grant-I/UCRC for Center for Health Organization Transformation  awarded by NSF - National Science Foundation 2014 - 2015
  • National Implementation of Medicare Advantage and Prescription Drug Plan CAHPS Survey  awarded by RAND 2011 - 2014
  • Private Equity Acquisition of Nursing Homes-Implications for Quality and Finance  awarded by National Institute on Aging/NIH/DHHS 2011 - 2014
  • CAHPS Cultural Competency and Health Literacy Surveys (Medical Care Special Issue)  awarded by Commonwealth Fund 2011 - 2012
  • Investigator On

  • Deep South Resource Center For Minority Aging Research (RCMAR)  awarded by National Institute on Aging/NIH/DHHS 2018 - 2023
  • Implementation of DEcision-Aid for Lupus in Practice Settings for Shared Decision-Making (SOM): IDEAL Study  awarded by PATIENT CENTERED OUTCOMES RESEARCH INSTITUTE 2018 - 2021
  • Deep South Resource Center for Minority Aging Research (RCMAR)  awarded by National Institute on Aging/NIH/DHHS 2013 - 2018
  • Deep South Resource Center for Minority Aging Research - Analysis Core  awarded by National Institute on Aging/NIH/DHHS 2013 - 2018
  • Comprehensive Minority and Health Disparities Research Center - Phase III - Research Core  awarded by NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES/NIH/DHHS 2012 - 2018
  • An Intervention to Address Racial Bias in Non-Physician Healthcare Staff  awarded by National Heart, Lung, and Blood Institute/NIH/DHHS 2013 - 2016
  • The Impact of Public Hospitals' Privatization on Nurse Staffing  awarded by GOVERNOR'S STATE UNIVERSITY 2015 - 2016
  • Indefinite-Delivery-Indefinite-Quantity  awarded by Health Resources and Services Administration/DHHS 2013 - 2015
  • Deep South Resource Center for Minority Aging Research  awarded by National Institute on Aging/NIH/DHHS 2012 - 2014
  • Deep South Resource Center for Minority Aging Research - Analysis Core  awarded by National Institute on Aging/NIH/DHHS 2012 - 2014
  • Cost Effectiveness of the Rural Breast Cancer Survivor Intervention Package  awarded by National Institute of Nursing Research/NIH/DHHS 2009 - 2013
  • Full Name

  • Robert Weech-Maldonado
  • Fax

  • 205-975-6608
  • Blazerid

  • rweech