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Jack Needleman



DepartmentsType of Faculty
Health Policy and ManagementFull Time
Contact Information

UCLA Fielding School of Public Health / Department of Health Policy and Management / 31-236B CHS

Dr. Jack Needleman, PhD, FAAN, is a professor in the Department of Health Policy and Management at the University of California Los Angeles (UCLA) Fielding School of Public Health. He teaches courses in health policy in the master’s programs and research design and research methods to doctoral and MS students, and has previously taught program and policy evaluation and health politics. He received his Ph.D. in Public Policy from Harvard University.

Dr. Needleman’s research focuses on the impact of changing markets and public policy on quality and access to care, and health care provider and insurer responses to market and regulatory incentives. For the past decade, Dr. Needleman’s research has focused on studies of quality and staffing in hospitals and on the evaluation and design of performance improvement activities.  Three of Dr. Needleman’s first authored publications on quality of care and nurse staffing are designated patient safety classics by the Agency for Healthcare Research and Quality. Quality measures he developed have been adopted by AHRQ, Medicare, Joint Commission, and National Quality Forum and his expertise developing, testing and refining quality measures has been tapped by these and other organizations. He was lead evaluator for the Robert Wood Johnson initiative Transforming Care at the Bedside and serves on the Steering Council for the NIH-funded Improvement Science Research Network.

Dr. Needleman’s research extends beyond quality. He has directed projects on a wide range of topics, including studies of for-profit and nonprofit hospitals, the impact of community health centers on hospitalizations for ambulatory care sensitive conditions, and changes in access to inpatient care for psychiatric conditions and substance abuse. He has analyzed the cost, design and impact of expanding insurance, most recently in the development and refinement of the UCLA-Berkeley California Simulation of Insurance Markets modeling. He has had a Robert Wood Johnson Investigator Award to study the future of public hospitals. He studied Canadian provisional systems for paying and regulating hospitals, physicians and supplemental health insurers, and regulating new technology. Prior to coming to UCLA in 2003, Dr. Needleman was on the faculty of the Harvard School of Public Health and before that was Vice President and Co-Director of the Public Policy Practice at Lewin/ICF, a Washington health policy research and consulting firm. While at Lewin/ICF, he conducted studies and served as a consultant to numerous state and federal task forces examining health care costs and access to care, and evaluated or helped design payment systems for hospitals, physicians and nursing homes.

Dr. Needleman’s research on the impact of nurse staffing on patient outcomes in hospitals and the business case for increasing nurse staffing received the first AcademyHealth Health Services Research Impact Award. In recognition of the quality and impact of his research, he was elected to the National Academy of Medicine (formerly the Institute of Medicine) and made an honorary Fellow of the American Academy of Nursing.

PhD, Harvard University
MA, Syracuse University, New York
BS, City College of New York, New York
Selected Publications: 
Secola Rita, Azen Colleen, Lewis Mary Ann, Pike Nancy, Needleman Jack, Sposto Richard, Doering Lynn   A crossover randomized prospective pilot study evaluating a central venous catheter team in reducing catheter-related bloodstream infections in pediatric oncology patients Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses, 2013; 29(6): 307-15. 
Wyte-Lake Tamar, Tran Kim, Bowman Candice C, Needleman Jack, Dobalian Aram   A systematic review of strategies to address the clinical nursing faculty shortage The Journal of nursing education, 2013; 52(5): 245-52. 
Needleman Jack   Assessing low mortality in magnet hospitals Medical care, 2013; 51(5): 379-81. 
Secola Rita, Lewis Mary Ann, Pike Nancy, Needleman Jack, Doering Lynn   Feasibility of the use of a reliable and valid central venous catheter blood draw bundle checklist Journal of nursing care quality, 2013; 27(3): 218-25. 
Needleman Jack, Buerhaus Peter I, Vanderboom Catherine, Harris Marcelline   Using Present-On-Admission Coding to Improve Exclusion Rules for Quality Metrics: The Case of Failure-to-Rescue Medical care, 2013; . 
Secola Rita, Lewis Mary Ann, Pike Nancy, Needleman Jack, Doering Lynn   "Targeting to zero" in pediatric oncology: a review of central venous catheter-related bloodstream infections Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses, 2012; 29(1): 14-27. 
Gidwani Risha, Goetz Matthew Bidwell, Kominski Gerald, Asch Steven, Mattocks Kristin, Samet Jeffrey H, Justice Amy, Gandhi Neel, Needleman Jack   A budget impact analysis of rapid human immunodeficiency virus screening in Veterans Administration emergency departments The Journal of emergency medicine, 2012; 42(6): 719-26. 
Quigley Patricia A, Campbell Robert R, Bulat Tatjana, Olney Ronald L, Buerhaus Peter, Needleman Jack   Incidence and cost of serious fall-related injuries in nursing homes Clinical nursing research, 2012; 21(1): 10-23. 
Yee Tracy, Needleman Jack, Pearson Marjorie, Parkerton Patricia, Parkerton Melissa, Wolstein Joelle   The influence of integrated electronic medical records and computerized nursing notes on nurses' time spent in documentation Computers, informatics, nursing : CIN, 2012; 30(6): 287-92. 
Yee Tracy, Needleman Jack, Pearson Marjorie, Parkerton Patricia   Nurse manager perceptions of the impact of process improvements by nurses Journal of nursing care quality, 2011; 26(3): 226-35. 
Needleman Jack, Buerhaus Peter, Pankratz V Shane, Leibson Cynthia L, Stevens Susanna R, Harris Marcelline   Nurse staffing and inpatient hospital mortality The New England journal of medicine, 2011; 364(11): 1037-45. 
Li Yu-Fang, Wong Edwin S, Sales Anne E, Sharp Nancy D, Needleman Jack, Maciejewski Matthew L, Lowy Elliott, Alt-White Anna C, Liu Chuan-Fen   Nurse staffing and patient care costs in acute inpatient nursing units Medical care, 2011; 49(8): 708-15. 
Jacobs Ken, Graham-Squire Dave, Roby Dylan H, Kominski Gerald F, Kinane Christina M, Needleman Jack, Watson Greg, Gans Daphna   Proposed regulations could limit access to affordable health coverage for workers' children and family members Policy brief (UCLA Center for Health Policy Research), 2011; 29(1): 1-11. 
Bowman Candice C, Johnson Linda, Cox Malcolm, Rick Catherine, Dougherty Mary, Alt-White Anna C, Wyte Tamar, Needleman Jack, Dobalian Aram   The Department of Veterans Affairs Nursing Academy (VANA): forging strategic alliances with schools of nursing to address nursing's workforce needs Nursing outlook, 2011; 59(6): 299-307. 
Chung Judith H, Phibbs Ciaran S, Boscardin W John, Kominski Gerald F, Ortega Alexander N, Needleman Jack   The effect of neonatal intensive care level and hospital volume on mortality of very low birth weight infants Medical care, 2010; 48(7): 635-44. 
Needleman Jack, Minnick Ann F   Anesthesia provider model, hospital resources, and maternal outcomes Health services research, 2009; 44(2 Pt 1): 464-82. 
Parkerton Patricia H, Needleman Jack, Pearson Marjorie L, Upenieks Valda V, Soban Lynn M, Yee Tracy   Lessons from nursing leaders on implementing TCAB The American journal of nursing, 2009; 109(11 Suppl): 71-6. 
Liu Chuan-Fen, Sharp Nancy D, Sales Anne E, Lowy Elliott, Maciejewski Matthew L, Needleman Jack, Li Yu-Fang   Line authority for nurse staffing and costs for acute inpatient care Inquiry : a journal of medical care organization, provision and financing, 2009; 46(3): 339-51. 
Needleman Jack, Parkerton Patricia H, Pearson Marjorie L, Soban Lynn M, Upenieks Valda V, Yee Tracy   Overall effect of TCAB on initial participating hospitals The American journal of nursing, 2009; 109(11 Suppl): 59-65. 
Pearson Marjorie L, Needleman Jack, Parkerton Patricia H, Upenieks Valda V, Soban Lynn M, Yee Tracy   Participation of unit nurses: front-line implementation on TCAB pilot units The American journal of nursing, 2009; 109(11 Suppl): 66-70. 
Needleman Jack, Hassmiller Susan   The role of nurses in improving hospital quality and efficiency: real-world results Health affairs (Project Hope), 2009; 28(4): w625-33. 
Leibson Cynthia L, Needleman Jack, Buerhaus Peter, Heit John A, Melton L Joseph, Naessens James M, Bailey Kent R, Petterson Tanya M, Ransom Jeanine E, Harris Marcelline R   Identifying in-hospital venous thromboembolism (VTE): a comparison of claims-based approaches with the Rochester Epidemiology Project VTE cohort Medical care, 2008;
46(2): 127-32. 
Shiotani Lori M, Parkerton Patricia H, Wenger Neil S, Needleman Jack   Internal medicine work hours: trends, associations, and implications for the future The American journal of medicine, 2008; 121(1): 80-5. 
Needleman Jack   Is what's good for the patient good for the hospital? Aligning incentives and the business case for nursing Policy, politics & nursing practice, 2008; 9(2): 80-7. 
Minnick Ann F, Needleman Jack   Methodological issues in explaining maternal outcomes: anesthesia provider characterizations and resource variation Western journal of nursing research, 2008; 30(7): 801-16. 
Pearson Marjorie L, Upenieks Valda V, Yee Tracy, Needleman Jack   Spreading nursing unit innovation in large hospital systems The Journal of nursing administration, 2008; 38(3): 146-52. 
Sales Anne, Sharp Nancy, Li Yu-Fang, Lowy Elliott, Greiner Gwendolyn, Liu Chuan-Fen, Alt-White Anna, Rick Cathy, Sochalski Julie, Mitchell Pamela H, Rosenthal Gary, Stetler Cheryl, Cournoyer Paulette, Needleman Jack   The association between nursing factors and patient mortality in the Veterans Health Administration: the view from the nursing unit
level Medical care, 2008; 46(9): 938-45. 
Upenieks Valda V, Needleman Jack, Soban Lynn, Pearson Marjorie L, Parkerton Pat, Yee Tracy   The relationship between the volume and type of transforming care at the bedside innovations and changes in nurse vitality The Journal of nursing administration, 2008; 38(9): 386-94. 
Bendavid Eran, Kaganova Yevgenia, Needleman Jack, Gruenberg Leonard, Weissman Joel S   Complication rates on weekends and weekdays in US hospitals The American journal of medicine, 2007; 120(5): 422-8. 
Needleman Jack, Buerhaus Peter I   Failure-to-rescue: comparing definitions to measure quality of care Medical care, 2007; 45(10): 913-5. 
Needleman Jack, Kurtzman Ellen T, Kizer Kenneth W   Performance measurement of nursing care: state of the science and the current consensus Medical care research and review : MCRR, 2007; 64(2 Suppl): 10S-43S. 
Falik Marilyn, Needleman Jack, Herbert Robert, Wells Barbara, Politzer Robert, Benedict M Beth   Comparative effectiveness of health centers as regular source of care: application of sentinel ACSC events as performance measures The Journal of ambulatory care management, 2006; 29(1): 24-35. 
Berney Barbara, Needleman Jack   Impact of nursing overtime on nurse-sensitive patient outcomes in New York hospitals, 1995-2000 Policy, politics & nursing practice, 2006; 7(2): 87-100. 
Needleman Jack, Buerhaus Peter I, Stewart Maureen, Zelevinsky Katya, Mattke Soeren   Nurse staffing in hospitals: is there a business case for quality? Health affairs (Project Hope), 2006; 25(1): 204-11. 
Lindrooth Richard C, Bazzoli Gloria J, Needleman Jack, Hasnain-Wynia Romana   The effect of changes in hospital reimbursement on nurse staffing decisions at safety net and nonsafety net hospitals Health services research, 2006; 41(3 Pt 1): 701-20. 
Berney Barbara, Needleman Jack, Kovner Christine   Factors influencing the use of registered nurse overtime in hospitals, 1995-2000 Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau, 2005; 37(2): 165-72. 
Poulose Benjamin K, Ray Wayne A, Arbogast Patrick G, Needleman Jack, Buerhaus Peter I, Griffin Marie R, Abumrad Naji N, Beauchamp R Daniel, Holzman Michael D   Resident work hour limits and patient safety Annals of surgery, 2005; 241(6): 847-56; discussion 856-60. 
Berney Barbara, Needleman Jack   Trends in nurse overtime, 1995-2002 Policy, politics & nursing practice, 2005; 6(3): 183-90. 
Mattke Soeren, Needleman Jack, Buerhaus Peter, Stewart Maureen, Zelevinsky Katya   Evaluating the role of patient sample definitions for quality indicators sensitive to nurse staffing patterns Medical care, 2004; 42(2 Suppl): II21-33. 
Bazzoli Gloria J, Lindrooth Richard C, Hasnain-Wynia Romana, Needleman Jack   The Balanced Budget Act of 1997 and U.S. hospital operations Inquiry : a journal of medical care organization, provision and financing, 2004; 41(4): 401-17. 
Needleman Jack, Buerhaus Peter I, Mattke Soeren, Stewart Maureen, Zelevinsky Katya   Measuring hospital quality: can medicare data substitute for all-payer data?Health services research, 2003; 38(6 Pt 1): 1487-508. 
Needleman Jack, Buerhaus Peter   Nurse staffing and patient safety: current knowledge and implications for action International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua, 2003; 15(4): 275-7. 
Kovner Christine, Needleman Jack   Nursing burnout and patient safety JAMA : the journal of the American Medical Association, 2003; 289(5): 550; author reply 550-1. 
Buerhaus Peter I, Needleman Jack, Mattke Soeren, Stewart Maureen   Strengthening hospital nursing Health affairs (Project Hope), 2003; 21(5): 123-32. 
Needleman Jack, Buerhaus Peter, Mattke Soeren, Stewart Maureen, Zelevinsky Katya   Nurse-staffing levels and the quality of care in hospitals The New England journal of medicine, 2002; 346(22): 1715-22.