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The opinions, findings, and conclusions or recommendations expressed are those of the Center author(s) and do not necessarily reflect the views of the National Science Foundation.

Center Overview

The Center for Health Organization Transformation (CHOT) conducts research that supports major management, clinical, and information technology innovations in health care. CHOT's mission is to advance the knowledge and practice of transformational strategies in evidence-based management and clinical practice.

Management research in health care is plentiful but has offered little to effectively address questions about how and why certain innovations work. There are many prescriptions in publications and management seminars on what to do and how to it. There are publications providing very thoughtful postmortems on failed electronic medical record systems, failed health information exchanges, short-lived and unsuccessful applications of management improvement techniques, and - on a grand scale - failed attempts at mergers or integrated delivery systems. There are fewer examples of carefully structured health care innovation efforts accompanied by real-time formative evaluation, comparing across sites or over time via quasi-experimental models, and providing scientific evidence of effectiveness or return on investment.

The promise of CHOT, and where it has proved itself, is in its ability to powerfully connect health systems with university researchers and students. CHOT's research model relies on the knowledge and experience of health care leaders to guide academic research. Such connections promise to bring more resources to the health systems to better address their management and clinical innovation interventions and broader transformational efforts. This cooperative model ensures that the research is both meaningful and applicable to the health care industry and provides immediate support for decision-making by CHOT members.


  • University of Washington
  • Pennsylvania State University
  • Texas A&M University
  • University of Louisville
  • University of Alabama
View Center Website

Center Personnel

Robert Weech-Maldonado
Center Staff
+1 205 934 5266

Christina Mastrangelo
Center Staff
+1 206 543 4043

Bita Kash
Center Staff
+1 979 862 6777

Christopher Johnson
Center Staff
+1 502 852 3788

Research Focus

CHOT supports major management, clinical, and information technology innovations in health care. Its cooperative research among universities, health systems, and other health-related industries relies on a multidisciplinary approach to advance and link system design and organizational technologies in innovation research. The three main areas in which CHOT conducts research are:

  • Implementing evidence-based innovation across settings.
  • Investigating research-informed strategy.
  • Validating innovations in health care delivery.