Roice D. Luke, Ph.D.

Professor

Department of Health Administration
Virginia Commonwealth University
BOX 980203
Richmond, VA 23298

Street address:
1008 East Clay Street, Rm. 201
(The Grant House)

804.828.5215 (V)
804.828.1894 (F)
luker@vcu.edu

Education:

The University of Michigan

1976      Ph.D., Medical Care Organization; Cognate: Health Economics

University of California, Berkeley

1969      M.B.A., Emphasis: Managerial Economics

Bio Sketch:

Dr. Luke is a specialist in strategic management and health care policy and an investigator of local health care systems, networks and markets. He has authored numerous publications and has been an active speaker on a wide range of topics focused on the changing health care industry. He served as Editor and Chief of the journal Medical Care Review and on the editorial boards of the journals Inquiry and Frontiers of Health Services Management.

Currently, Dr. Luke is studying regional systems internationally, which systems he is comparing to the so-called integrated delivery networks or systems that have sprung up in the USA.

Works in Progress:

Book: System Transformation: USA and International Strategies in Healthcare Organization and Policy.

This book will examine the widely adopted pattern in North America, Europe, and other countries of focusing organizational and funding strategies on regional provider clusters. The book will assess these clusters within the frame of regionalization, a concept that has emerged in most of the advanced nations as a structural imperative for health system design. The book will explore how the IDNs in this country -- which range from private, clusters to the federally funded and operated VISNs (Veterans Integrated Service Networks) -- differ from regional models in other countries, many of which are funded and operated by their governments (e.g., Canada, the United Kingdom, France, Italy, Sweden, New Zealand, Australia).

Book: Healthcare System Strategy: Seizing Competitive Advantage

This book examines the concepts of strategy and the methods of strategic analysis, primarily from the perspective of multi-hospital systems and their local and regional clusters. It does this by carefully integrating patterns of competition and system formation across the country into a strategy frame such that students of strategy should be able to answer the overarching question: How can healthcare organizations increase their competitive advantage through formulating and implementing/executing strategy? Co-author: D. Pointer.

Recent Publications:

V. Sikka, R. D. Luke, Y. A. Ozcan, “The Efficiency of Hospital-Based Clusters: Evaluating System Performance Using Data Envelopment Analysis,” Health Care Management Review (In press, 2009).

R. Luke, “System Transformation: USA and International Strategies in Healthcare Organization and Policy,“ International Journal of Public Policy (in press, 2009)

H. Trinh, J. Begun, R. Luke, “Hospital Service Duplication: Evidence on the Medical Arms Race,” Health Care Management Review July/September 2008, Volume 33, Issue 3

R. D. Luke. “Reply to the Rejoinder on Taxonomy of Health Networks and Systems: A Reassessment,” Health Services Research 41 (3) 2006: 640-642.

R. D. Luke. “Taxonomy of Health Networks and Systems: A Reassessment,” Health Services Research 41 (3) 2006: 618-628.

R. Luke and S. Walston. “Healthcare Strategy,” published in S. Shortell and A. Kaluzny (eds.), Health Care Management: Organizational Design and Behavior, 5th edition (New York: Delmar Publishers Inc.) 2005.

R. D. Luke and S. L. Walston, “Strategy in an Institutional Environment: Lessons Learned from the 1990s “Revolution” in Health Care,” in Advances in Health Care Organization Theory, S. S. Mick, M. E. Wyttenbach (eds), (San Francisco: Jossey-Bass, 2003), 289-323.

Luke, R. D., S. L. Walston, and P. M. Plummer, Healthcare Strategy: In Pursuit of Competitive Advantage, Chicago: Health Administration Press, 2003.

P. Olden, S. Roggenkamp, R. Luke, "Strategic Hospital Alliances and the Marketing Concept: Going Beyond the Managed Care Imperative,” Health Care Management Review 27 (Spring 2002): 33-49.

R. D. Luke, "IDN Rankings and Performance: a Comment," International Journal of Integrated Care 1 (June 2001); see: http://roquade.library.uu.nl/integratedcare/index2.html

R, D, Luke, "Review of Health Care in the New Millennium," Inquiry 37 (Spring 2001): 430-431.

R. D. Luke and J. W. Begun, "Have IDNs Failed in Healthcare?" Frontiers of Health Services Management 17 (2001): 47-52.

J. W. Begun and R. D. Luke, "Factors Underlying Organizational Change in Local Health Care Markets, 1982-1995," Health Care Management  Review 26 (Spring 2001): 62-72.

J. W. Begun and R. D. Luke, "The Changing Division of Health Labor," Advances in Health Care Management, vol. 2 (Greenwich, CN: JAI, 2001).

R. D. Luke, J. W. Begun, and S. L. Walston, “Strategy in Health Care Organizations and Markets,” in S. Shortell and A. Kaluzny (eds.), Health Care Management:  Organizational Design and Behavior, (New York:  Delmar Publishers Inc., 2000).

R. D. Luke and R. K. Shukla, “Strategy Analysis in Healthcare: Implications for Information System Strategy,” chapter in: Performance Improvement through Information Management, (NY: Springer, 1999), M. J. Ball and J. V. Douglas (eds).

R. D. Luke and R. K. Shukla, “Market Structure in Health Care,” chapter in: Performance Improvement through Information Management, (New York:  Springer, 1999), M. J. Ball and J. V. Douglas (eds).

M. J. McCue, J. P. Clement, and R. D. Luke, “Strategic Hospital Alliances Do the Type and Market Structure Matter?" Medical Care 37 (1999), pp. 1013-1022.

R. D. Luke and D. R. Wholey, “Commentary On A Taxonomy of Healthcare Networks and Systems: Bringing Order Out of Chaos,” Health Services Research (February 1999).

R. D. Luke, P. C. Olden, J. D. Bramble, "Strategic Hospital Alliances: Countervailing Responses to Restructuring Health Care Markets," chapter in: Handbook of Health Care Management, W. J. Duncan, P. M. Ginter, and S. E. Swayne (eds) (Malden, MA: Blackwell Publishers Inc., 1998), pp. 81-116.

J. Clement, M. McCue, R. Luke, and others, “Strategic Hospital Alliances: Impact on Financial Performance,” HealthAffairs (December 1997): 193-203.

R. D. Luke and J. Begun, “Permeating Organizational Boundaries: The Challenge of Integration in Healthcare,” Frontiers of Health Services Mgt (Fall 1996), pp. 46-49.

R. D. Luke and J. D. Bramble, “COTH Hospitals: Building Systems in Highly Consolidating Markets,” COTH Reports 30, Spring 1996: pp. 1-4.

R. D. Luke, Y. A. Ozcan, and P. C. Olden,  “Local Markets and Systems: Hospital Consolidations in Urban Areas,” Health Services Research (October 1995): 555-575.

R. D. Luke and P. C. Olden, "Local Hospital Cluster and HMO Penetration:  The Twin Towers of Health Care Restructuring," Medical Interface:  The Journal of the Managed Care Industry (September 1995): 71-75.

R. D. Luke and P. C. Olden, "Timing Is Everything:  Role of Information Systems in the Forming Integrated Delivery Systems,"  Health Management Technology (July 1995).

J. W. Begun and R. D. Luke, "Professionals in Society," in Professionals: Key Issues, R. A. Stebbins, M. Rosenberg, and A. Turowetz, (eds.), U of Toronto Press (1994).

R. D. Luke and J. W. Begun, “Strategy Making in Health Care Organizations,” in S. Shortell and A. Kaluzny (eds.), Health Care Management:  Organizational Design and Behavior, (New York:  Delmar Publishers Inc., 1994), pp. 355-391.

Courses:

Health Systems Strategy and Research (Ph.D.)
Health Care Strategic Management (MHA)
Health Care Strategic Management (MSHA)

Community Service - History:

History of the W. H. Grant House and family at 1008 E. Clay Street, Richmond, VA (1986 – present); in collaboration with E. Rusk and N. Luke.

Op-eds – seven editorials published between 2006-2009 in the Richmond Times Dispatch; these link the Freedmen period (1865-1872) to current American and/or Richmond social/political issues; for examples, see: Lincoln at Tredegar and Katrina and the Freedmen.

VCU’s 400th Anniversary Commemoration of the Founding of Jamestown – entitled Historical Perspectives on Health Disparities and African Americans in Virginia,” Nov 1, 2007; participant in planning and arranging the program; co-presenter with S. Garland of: “The Freedmen, Jim Crow, and Hospital Segregation in Richmond and the Nation.”

Virginia Freedmen Project (2006 – present) -- designed, and organized the “Whispers from the Dust” presentation (history and records of the Freedmen’s Bureau and Freedman’s Bank), in collaboration with D. Walden, S. Scott, and N. Luke. With D. Walden and N. Luke, also worked with the Governor’s office, the Black History Museum and Cultural Center of Virginia, and the Genealogical Society of Utah to bring to Virginia and then to conduct the Virginia Freedmen Extraction and Indexing Project (2006-2009) -- see the FAQs on the project. Worked with the Governor’s office to locate the historic Virginia Freedmen’s Bureau headquarters and to have placed a historic marker recognizing the Bureau (placed just outside the Capital grounds in Richmond).

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