Dr. Andrew Costa

Division of General Internal Medicine

Andrew Costa

PhD

Assistant Professor, Department of Clinical Epidemiology and Biostatistics

Schlegel Chair in Clinical Epidemiology and Aging

Associate Member, Division of General Internal Medicine, Department of Medicine

Research Lead - Michael G. DeGroote School of Medicine, Waterloo Regional Campus

Member, Centre for Health Economics and Policy Analysis (CHEPA)

 

Education and Professional Standing

Dr. Costa is an Assistant Professor and Schlegel Research Chair in Clinical Epidemiology & Aging in the Department of Clinical Epidemiology & Biostatistics at McMaster University. He also serves as the Research Lead at the DeGroote School of Medicine, Waterloo Regional Campus. He is an interRAI Fellow where he is engaged in the Network of Excellence in Acute Care (iNEAC) and leads the Emergency Department Working Group. He has received CIHR awards for his research in health services and policy.

Academic Interests

Dr. Costa’s research program promotes evidence-based care and policy in seniors and geriatric care. His program of research makes use of health information and technology to develop better models of care and decision support systems in home and community care, emergency departments, and acute care. His current work is focused on the development and evaluation of models of care for avoidable emergency department use and care of the elderly in emergency departments. He is an interRAI Fellow where he is engaged in the Network of Excellence in Acute Care (www.interRAI.org).Dr. Costa’s work makes use of large health care data repositories, multi-site prospective cohort studies, and pragmatic trial methods. He also has an active interest in the development and use of funding and performance systems in health care reform.

Twitter: @andrew_p_costa

Interested graduate students for the Health Research Methodology (HRM) program or Health Policy PhD program are requested to forward their CV and a description of research interests by e-mail.

Research Interests

  • Evidence-based care and policy in seniors and geriatric care.
  • Development of better senior care modelsin home and community care, emergency departments, and acute care.  
  • Development of decision support tools and technology for geriatric emergency management and emergency department avoidance.
  • Use of large health care data repositories and pragmatic trial methods to evaluate elder care services and policy across settings.
  • Funding and performance systems in seniorshealth care reform.

Teaching Interests

  • Evidence-based Health Care
  • Aging and the Health Care System
  • Health Systems Theory and Analytics
  • Applied Statistical Modeling

Selected Publications

  1. Costa, A.P; Hirdes, J.P.; Bell, C.; Bronskill, S.; Heckman, G; Mitchell, L.; Poss, J.W.; Sinha, S. The DIVERT Scale: A Method to Identify the Probability of Unplanned Emergency Department Use among Frail Community Dwelling Seniors. Journal of the American Geriatrics Society (In press).
  2. Costa, A.P; Harkness, K.; Haughton, D.; Heckman, G.A.; McKelvie, R.S. Risk of Emergency Department Use among Community-Dwelling Older Adults: A Review of Risk Factors and Screening Methods. Clinical Practice (In press).
  3. Costa, A.P; Poss, J.W., McKillop, I. Contemplating Case Mix: A primer on Case Mix Classification and Management. Healthcare Management Forum (In press).
  4. Heckman, G.A.; Tannenbaum, C.;Costa, A.P; Harkness, K.; McKelvie, R.S. The Journey of the Frail Older Adult with Heart Failure: Implications for Management and Health Care Systems. Reviews in Clinical Gerontology (In press).
  5. Costa, A.P; Hirdes, J.P.; Heckman, G.A.; Dey, A.B.; Jonsson, P.; Lakhan, P.; Ljunggren, G.; Singler, K; Sjostrand, F.; Swoboda, W.; Wellens, N; & Gray, L.C. (2014) Geriatric Syndromes Predict Post-Discharge Outcomes among Older Emergency Department Patients: Findings from the interRAI Multinational Emergency Department Study. Academic Emergency Medicine, 21(4): 422-433.
  6. Gray, L.C.; Peel, N.; Costa, A.P; Burkett, E; Dey, A.B.; Jonsson, P.; Lakhan, P.; Ljunggren, G.; Sjostrand, F.; Swoboda, W.; Wellens, N.; & Hirdes, J.P. Profiles of Older Patients in the Emergency Department: Findings from the interRAI Multinational Emergency Department Study. Annals of Emergency Medicine (In Press).
  7. Costa, A.P; Poss, J.W., Peirce, T.; & Hirdes, J.P. (2012) Acute Care Inpatients with Long-term Delayed-Discharge: Evidence from a Canadian Health Region. BMC Health Services Research 2012, 12:172.
  8. Costa, A.P; Hirdes, J.P. (2010) Clinical Characteristics and Service Needs of Alternate Level of Care Patients Waiting for Long-term Care in Ontario Hospitals. Healthcare Policy, 6(1): 32-46.
  9. Bronskill, S.E.; Carter, M.W.; Costa, A.P.; Esensoy, A.V.; Gill, S.S.; Gruneir, A.; Henry, D.A.; Hirdes, J.P.; Jaakkimainen, R.L.; Poss, J.W.; Wodchis, W.P. Aging in Ontario: An ICES Chartbook of Health Service Use by Older Adults. Toronto: Institute for Clinical Evaluative Sciences; 2010. ISBN: 978-1-926850-02-3.

Awards and Honours

  • Rising Star Award - CIHR Institute of Health Services and Policy Research
  • Age Plus Prize - CIHR Institute of Aging