Associate Professor Adam Elshaug

Associate Professor of Health Care Policy
HCF Research Foundation Principal Research Fellow
Menzies Centre for Health Policy, School of Public Health

Telephone +61 2 9036 7838 or +61 411 537 517

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Curriculum vitae Curriculum vitae

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Biographical details

Associate Professor Adam Elshaug is an internationally recognized researcher and policy advisor with expertise in reducing waste and optimizing value in health care. This involves: (i) defining appropriateness (low- versus high-value care), including from various stakeholder perspectives (patient, clinician, community members, policy); (ii) Measuring patient and provider level prevalence of low-value care within large healthcare datasets; (iii) Working closely with government (including Medicare Australia) and third party payers in health care to design and implement reforms aimed at reducing waste, optimizing heath care safety and value, including the design and evaluation of alternative payment models. A/Prof Elshaug was a 2010-11 Commonwealth Fund Harkness Fellow based at the Agency for Healthcare Research and Quality (AHRQ) in Washington DC. From mid-2011 to mid-2013 he then served as NHMRC Sidney Sax Public Health Fellow in the Department of Health Care Policy, Harvard Medical School, Boston. In parallel, Adam became The Commonwealth Fund's Inaugural Visiting Fellow for 2012-13 in New York City. A/Prof Elshaug is recipient of numerous research awards and over 100 invitations to address conferences, government, academic, insurance and health technology assessment groups internationally. He serves as Associate Editor forBMC Health Services Researchand has first-author publications in journals such as theNew England Journal of Medicine, BMJ, Journal of the American Medical Association, Medical Journal of Australia, BMJ Quality & Safety. His qualifications include: BA; BSc(Hons); MPH; PhD. A link to his peer-reviewed publications is HERE.

Research interests

I maintain a strong profile in the field of disinvestment - identifying and reducing waste in health care. This has overlap across the following areas.
  • Health Policy
  • Disinvestment
  • Eradicating waste and optimizing value in health care
  • Health Technology Assessment
  • Health Services Research
  • Clinical Epidemiology
  • Health Economics
  • Stakeholder engagement in health care policy reform

Teaching and supervision

Including Honours, Masters and Doctoral supervision opportunities in:

  • Health Policy
  • Disinvestment (safety, effectiveness and cost-effectiveness)
  • Clinical Epidemiology
  • Health Service Research
  • Stakeholder engagement in policy reform
  • Public Health

Associations

Associations and Committee Roles:

Member: Safety, Quality and Sustainability Forum. Medical Benefits Division, Australian Government Department of Health and Ageing

Member: Strategic Evaluation Advisory Group. National Prescribing Service [NPS MedicineWise], Australia

Member: Executive Committee. Health Services Research Association of Australia and New Zealand (HSRAANZ)

Co-Chair: Disinvestment Special Interest Sub-Group, Health Technology Assessment International (HTAi)

Member of Planning Committee: Choosing Wisely International

In the media

Health system deserves keener scalpel than GP co-payments. The Australian Financial Review. Print issue 10 June, 2014 Online HERE

International links

Australia

(Association: Health Technology Assessment International (HTAi)) Chair, Disinvestment Special Interest Sub-Group

Canada

(University of Calgary) Project: Health Technology Reassessment - A pragmatic policy framework

United Kingdom

(University of Birmingham) Member: Advisory Group - Decommissioning in Health Care Project

United States

(Department of Health Care Policy, Harvard Medical School) Project: Measuring Low-Value Care in Medicare

United States

(The Lown Institute) Senior Fellow - From Avoidable Care to Right Care Project

Selected grants

2014

  • Comparative effectiveness, comparative value: reducing waste to reinvest in safe, effective and cost-effective care; Elshaug A; HCF Health and Medical Research Foundation/Health Services Research Grants Program.

2013

  • Comparative effectiveness, comparative value: reducing waste to reinvest in safe, effective and cost-effective care; Elshaug A; National Health and Medical Research Council (NHMRC)/Early Career Fellowships (ECF).

2010

  • Enhancing priority decision-making in comparative effectiveness research (CER); Elshaug A; The Commonwealth Fund/Harkness Fellowship.
  • Provision of Literature scanning to identify potential MBS Services for review and, prioritisation statements on MBS review topics; Elshaug A, Willis C, Watt A, Mundy L; Australian Government Department of Health and Ageing - Medical Benefits Division/Research Grant.

2009

  • Changing policy and practice in health care. The ASTUTE Health Study; Hiller J, Elshaug A, Braunack-Mayer A, Moss J, Wale J, Buchan H; National Health and Medical Research Council (NHMRC)/Project Grants.

2008

  • Evaluating the long-term costs and benefits of community-based inititatives; Karnon J, Beilby J, Holton C, Hakendorf P, Ben-Tovim D, Ryan P, Eckermann S, Sawyer M, Roos N, Woollacott A, Banham D, Pegram R, Thompson S, Elshaug A; Australian Research Council (ARC)/Linkage Projects (LP).

2003

  • Implementation and assessment of an efficiency protocol in sleep medicine: resource neutral improvements in patient care; Elshaug A; Queen Elizabeth Hospital (SA) - Division of Medicine/Research Grant.

1997

  • The circadian effects of irregular shiftwork; Elshaug A; A.P.A.W.S./Scholarship for Honours Degree in Medical Research.

Selected publications

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Journals

  • Anstey, M., Elshaug, A., Russell, L., Wells, S. (2014). Can we learn anything from health care in the United States? Medical Journal of Australia, 200(9), 526-528. [More Information]
  • Hodgetts, K., Hiller, J., Street, J., Carter, D., Braunack-Mayer, A., Watt, A., Moss, J., Elshaug, A. (2014). Disinvestment policy and the public funding of assisted reproductive technologies: outcomes of deliberative engagements with three key stakeholder groups. BMC Health Services Research, 14(1), 1-13. [More Information]
  • Lopert, R., Elshaug, A. (2013). Australia's 'fourth hurdle' drug review comparing costs and benefits holds lessons for the United States. Health Affairs, 32(4), 778-787. [More Information]
  • Polisena, J., Clifford, T., Elshaug, A., Milton, C., Russell, E., Skidmore, B. (2013). Case studies that illustrate disinvestment and resource allocation decision-making processes in health care: a systematic review. International Journal of Technology Assessment in Health Care, 29(2), 174-184. [More Information]
  • Scott, I., Elshaug, A. (2013). Foregoing low-value care: how much evidence is needed to change beliefs? Internal Medicine Journal, 43(2), 107-109. [More Information]
  • MacKean, G., Noseworthy, T., Elshaug, A., Leggett, L., Littlejohns, P., Berezanski, J., Clement, F. (2013). Health Technology Reassessment: The art of the possible. International Journal of Technology Assessment in Health Care, 29(4), 418-423. [More Information]
  • Wilson, A., Elshaug, A. (2013). Improving value in health care through practical steps. Australian Family Physician, 42(12), 839-839. [More Information]
  • Elshaug, A. (2013). Letter to the Editor : Over 150 potentially low-value health care practices: an Australian study. Medical Journal of Australia, 198(11), 597-598. [More Information]
  • Elshaug, A. (2013). Reply : Over 150 potentially low-value health care practices: an Australian study. Medical Journal of Australia, 198(2), 85-85. [More Information]
  • Carter, D., Watt, A., Braunack-Mayer, A., Elshaug, A., Moss, J., Hiller, J. (2013). Should there be a female age limit on public funding for assisted reproductive technology? Differing conceptions of justice in resource allocation. Journal of Bioethical Inquiry, 10(1), 79-91. [More Information]
  • Elshaug, A., McWilliams, J., Landon, B. (2013). The Value of Low-Value Lists. JAMA, 309(8), 775-776. [More Information]
  • Willis, C., Metz, M., Hiller, J., Elshaug, A. (2013). Vitamin B12 and folate tests: the ongoing need to determine appropriate use and public funding. Medical Journal of Australia, 198(11), 586-588. [More Information]
  • Treadwell, J., Uhl, S., Tipton, K., Shamliyan, T., Viswanathan, M., Berkman, N., Sun, X., Coleman, C., Elshaug, A., Singh, S., et al (2012). Assessing equivalence and noninferiority. Journal of Clinical Epidemiology, 65(11), 1144-1149. [More Information]
  • Watt, A., Willis, C., Hodgetts, K., Elshaug, A., Hiller, J. (2012). Engaging clinicians in evidence-based disinvestment: role and perceptions of evidence. International Journal of Technology Assessment in Health Care, 28(3), 211-219. [More Information]
  • Elshaug, A., Watt, A., Mundy, L., Willis, C. (2012). Over 150 potentially low-value health care practices: an Australian study. Medical Journal of Australia, 197(10), 556-560. [More Information]
  • Watt, A., Hiller, J., Braunack-Mayer, A., Moss, J., Buchan, H., Wale, J., Riitano, D., Hodgetts, K., Street, J., Elshaug, A. (2012). The ASTUTE Health study protocol: deliberative stakeholder engagements to inform implementation approaches to healthcare disinvestment. Implementation Science, 7, 1-12. [More Information]
  • O'Keefe, M., Elshaug, A., Burgess, T., Peirce, E., Nettelbeck, T. (2012). Use of the Delphi technique to facilitate interdisciplinary consensus on academic program structure. Focus on Health Professional Education: a multi-disciplinary journal, 14(1), 55-65.
  • Hodgetts, K., Elshaug, A., Hiller, J. (2012). What counts and how to count it: physicians' constructions of evidence in a disinvestment context. Social Science & Medicine, 75(12), 2191-2199. [More Information]
  • Watt, A., Elshaug, A., Willis, C., Hiller, J. (2011). Assisted reproductive technologies: A systematic review of safety and effectiveness to inform disinvestment policy. Health Policy, 102(2-3), 200-213. [More Information]
  • Willis, C., Elshaug, A., Milverton, J., Watt, A., Metz, M., Hiller, J. (2011). Diagnostic performance of serum cobalamin tests: a systematic review and meta-analysis. Pathology, 43(5), 472-481. [More Information]
  • Elshaug, A., Garber, A. (2011). How CER could pay for itself - insights from vertebral fracture treatments. The New England Journal of Medicine, 364(15), 1390-1393. [More Information]
  • Street, J., Hennessy, S., Watt, A., Hiller, J., Elshaug, A. (2011). News and social media: windows into community perspectives on disinvestment. International Journal of Technology Assessment in Health Care, 27(4), 376-383. [More Information]
  • Wade, V., Eliott, J., Karnon, J., Elshaug, A. (2010). A qualitative study of sustainability and vulnerability in Australian telehealth services. Studies in Health Technology and Informatics, 161, 190-201. [More Information]
  • Wade, V., Karnon, J., Elshaug, A., Hiller, J. (2010). A systematic review of economic analyses of telehealth services using real time video communication. BMC Health Services Research, 10, 1-13. [More Information]
  • Elshaug, A., Bessen, T., Moss, J., Hiller, J. (2010). Addressing "waste" in diagnostic imaging: some implications of comparative effectiveness research. Journal of the American College of Radiology, 7(8), 603-613. [More Information]
  • Elshaug, A., Hiller, J., Moss, J. (2009). Exploring policy makers' perspectives on a clinical controversy: airway surgery for adult obstructive sleep apnoea. Quality & Safety in Health Care, 18(5), 397-401. [More Information]
  • Elshaug, A., Moss, J., Littlejohns, P., Karnon, J., Merlin, T., Hiller, J. (2009). Identifying existing health care services that do not provide value for money. Medical Journal of Australia, 190(5), 269-273. [More Information]
  • Elshaug, A., Hiller, J., Moss, J. (2008). Exploring policy-makers' perspectives on disinvestment from ineffective healthcare practices. International Journal of Technology Assessment in Health Care, 24(1), 1-9. [More Information]
  • Elshaug, A., Moss, J., Hiller, J., Maddern, G. (2008). Upper airway surgery should not be first line treatment for obstructive sleep apnoea in adults. BMJ, 336(7634), 44-45. [More Information]
  • Elshaug, A., Moss, J., Southcott, A., Hiller, J. (2007). An analysis of the evidence-practice continuum: is surgery for obstructive sleep apnoea contraindicated? Journal of Evaluation in Clinical Practice, 13(1), 3-9. [More Information]
  • Elshaug, A., Hiller, J., Tunis, S., Moss, J. (2007). Challenges in Australian policy processes for disinvestment from existing, ineffective health care practices. Australia and New Zealand Health Policy, 4(1), 1-8. [More Information]
  • Elshaug, A., Moss, J., Southcott, A., Hiller, J. (2007). Redefining success in airway surgery for obstructive sleep apnea: a meta analysis and synthesis of the evidence. Sleep, 30(4), 461-467. [More Information]
  • Elshaug, A., Moss, J., Southcott, A. (2005). Implementation of a split-night protocol to improve efficiency in assessment and treatment of Obstructive Sleep Apnoea. Internal Medicine Journal, 35(4), 251-254.

2014

  • Anstey, M., Elshaug, A., Russell, L., Wells, S. (2014). Can we learn anything from health care in the United States? Medical Journal of Australia, 200(9), 526-528. [More Information]
  • Hodgetts, K., Hiller, J., Street, J., Carter, D., Braunack-Mayer, A., Watt, A., Moss, J., Elshaug, A. (2014). Disinvestment policy and the public funding of assisted reproductive technologies: outcomes of deliberative engagements with three key stakeholder groups. BMC Health Services Research, 14(1), 1-13. [More Information]

2013

  • Lopert, R., Elshaug, A. (2013). Australia's 'fourth hurdle' drug review comparing costs and benefits holds lessons for the United States. Health Affairs, 32(4), 778-787. [More Information]
  • Polisena, J., Clifford, T., Elshaug, A., Milton, C., Russell, E., Skidmore, B. (2013). Case studies that illustrate disinvestment and resource allocation decision-making processes in health care: a systematic review. International Journal of Technology Assessment in Health Care, 29(2), 174-184. [More Information]
  • Scott, I., Elshaug, A. (2013). Foregoing low-value care: how much evidence is needed to change beliefs? Internal Medicine Journal, 43(2), 107-109. [More Information]
  • MacKean, G., Noseworthy, T., Elshaug, A., Leggett, L., Littlejohns, P., Berezanski, J., Clement, F. (2013). Health Technology Reassessment: The art of the possible. International Journal of Technology Assessment in Health Care, 29(4), 418-423. [More Information]
  • Wilson, A., Elshaug, A. (2013). Improving value in health care through practical steps. Australian Family Physician, 42(12), 839-839. [More Information]
  • Elshaug, A. (2013). Letter to the Editor : Over 150 potentially low-value health care practices: an Australian study. Medical Journal of Australia, 198(11), 597-598. [More Information]
  • Elshaug, A. (2013). Reply : Over 150 potentially low-value health care practices: an Australian study. Medical Journal of Australia, 198(2), 85-85. [More Information]
  • Carter, D., Watt, A., Braunack-Mayer, A., Elshaug, A., Moss, J., Hiller, J. (2013). Should there be a female age limit on public funding for assisted reproductive technology? Differing conceptions of justice in resource allocation. Journal of Bioethical Inquiry, 10(1), 79-91. [More Information]
  • Elshaug, A., McWilliams, J., Landon, B. (2013). The Value of Low-Value Lists. JAMA, 309(8), 775-776. [More Information]
  • Willis, C., Metz, M., Hiller, J., Elshaug, A. (2013). Vitamin B12 and folate tests: the ongoing need to determine appropriate use and public funding. Medical Journal of Australia, 198(11), 586-588. [More Information]

2012

  • Treadwell, J., Uhl, S., Tipton, K., Shamliyan, T., Viswanathan, M., Berkman, N., Sun, X., Coleman, C., Elshaug, A., Singh, S., et al (2012). Assessing equivalence and noninferiority. Journal of Clinical Epidemiology, 65(11), 1144-1149. [More Information]
  • Treadwell, J., Uhl, S., Tipton, K., Singh, S., Santaguida, L., Sun, X., Berkman, N., Viswanathan, M., Coleman, C., Shamliyan, T., et al (2012), Assessing Equivalence and Noninferiority. Methods Research Report. , , , i-152.
  • Watt, A., Willis, C., Hodgetts, K., Elshaug, A., Hiller, J. (2012). Engaging clinicians in evidence-based disinvestment: role and perceptions of evidence. International Journal of Technology Assessment in Health Care, 28(3), 211-219. [More Information]
  • Elshaug, A., Watt, A., Mundy, L., Willis, C. (2012). Over 150 potentially low-value health care practices: an Australian study. Medical Journal of Australia, 197(10), 556-560. [More Information]
  • Watt, A., Hiller, J., Braunack-Mayer, A., Moss, J., Buchan, H., Wale, J., Riitano, D., Hodgetts, K., Street, J., Elshaug, A. (2012). The ASTUTE Health study protocol: deliberative stakeholder engagements to inform implementation approaches to healthcare disinvestment. Implementation Science, 7, 1-12. [More Information]
  • O'Keefe, M., Elshaug, A., Burgess, T., Peirce, E., Nettelbeck, T. (2012). Use of the Delphi technique to facilitate interdisciplinary consensus on academic program structure. Focus on Health Professional Education: a multi-disciplinary journal, 14(1), 55-65.
  • Hodgetts, K., Elshaug, A., Hiller, J. (2012). What counts and how to count it: physicians' constructions of evidence in a disinvestment context. Social Science & Medicine, 75(12), 2191-2199. [More Information]

2011

  • Watt, A., Elshaug, A., Willis, C., Hiller, J. (2011). Assisted reproductive technologies: A systematic review of safety and effectiveness to inform disinvestment policy. Health Policy, 102(2-3), 200-213. [More Information]
  • Willis, C., Elshaug, A., Milverton, J., Watt, A., Metz, M., Hiller, J. (2011). Diagnostic performance of serum cobalamin tests: a systematic review and meta-analysis. Pathology, 43(5), 472-481. [More Information]
  • Elshaug, A., Garber, A. (2011). How CER could pay for itself - insights from vertebral fracture treatments. The New England Journal of Medicine, 364(15), 1390-1393. [More Information]
  • Street, J., Hennessy, S., Watt, A., Hiller, J., Elshaug, A. (2011). News and social media: windows into community perspectives on disinvestment. International Journal of Technology Assessment in Health Care, 27(4), 376-383. [More Information]

2010

  • Wade, V., Eliott, J., Karnon, J., Elshaug, A. (2010). A qualitative study of sustainability and vulnerability in Australian telehealth services. Studies in Health Technology and Informatics, 161, 190-201. [More Information]
  • Wade, V., Karnon, J., Elshaug, A., Hiller, J. (2010). A systematic review of economic analyses of telehealth services using real time video communication. BMC Health Services Research, 10, 1-13. [More Information]
  • Elshaug, A., Bessen, T., Moss, J., Hiller, J. (2010). Addressing "waste" in diagnostic imaging: some implications of comparative effectiveness research. Journal of the American College of Radiology, 7(8), 603-613. [More Information]

2009

  • Elshaug, A., Hiller, J., Moss, J. (2009). Exploring policy makers' perspectives on a clinical controversy: airway surgery for adult obstructive sleep apnoea. Quality & Safety in Health Care, 18(5), 397-401. [More Information]
  • Elshaug, A., Moss, J., Littlejohns, P., Karnon, J., Merlin, T., Hiller, J. (2009). Identifying existing health care services that do not provide value for money. Medical Journal of Australia, 190(5), 269-273. [More Information]
  • Elshaug, A., Watt, A., Moss, J., Hiller, J. (2009), Policy Perspectives on the Obsolescence of Health Technologies in Canada: Discussion Paper. , , , i-26.

2008

  • Elshaug, A., Hiller, J., Moss, J. (2008). Exploring policy-makers' perspectives on disinvestment from ineffective healthcare practices. International Journal of Technology Assessment in Health Care, 24(1), 1-9. [More Information]
  • Elshaug, A., Moss, J., Hiller, J., Maddern, G. (2008). Upper airway surgery should not be first line treatment for obstructive sleep apnoea in adults. BMJ, 336(7634), 44-45. [More Information]

2007

  • Elshaug, A., Moss, J., Southcott, A., Hiller, J. (2007). An analysis of the evidence-practice continuum: is surgery for obstructive sleep apnoea contraindicated? Journal of Evaluation in Clinical Practice, 13(1), 3-9. [More Information]
  • Elshaug, A., Hiller, J., Tunis, S., Moss, J. (2007). Challenges in Australian policy processes for disinvestment from existing, ineffective health care practices. Australia and New Zealand Health Policy, 4(1), 1-8. [More Information]
  • Elshaug, A., Moss, J., Southcott, A., Hiller, J. (2007). Redefining success in airway surgery for obstructive sleep apnea: a meta analysis and synthesis of the evidence. Sleep, 30(4), 461-467. [More Information]

2005

  • Elshaug, A., Moss, J., Southcott, A. (2005). Implementation of a split-night protocol to improve efficiency in assessment and treatment of Obstructive Sleep Apnoea. Internal Medicine Journal, 35(4), 251-254.

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