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Bruce Allen Leff, M.D.

Director, Center on Aging and Health-East; Director, Program in Geriatric Health Services Research; Co-Director, Elder House Call Program
Professor of Medicine

Male

Appointment Phone

410-550-0925

Main Location

Johns Hopkins Bayview Center on Aging and Health

Out-of-State & International Patients +
Out of State Patients

Call 410-464-6641 (8a.m. to 6p.m., EST, Mon-Fri)

Learn more about our out-of-state patient services »

International Patients

Call +1-410-502-7683 (7a.m. to 6p.m., EST, Mon-Fri)

Learn more about our international patient services »

Titles

  • Director, Center on Aging and Health-East; Director, Program in Geriatric Health Services Research; Co-Director, Elder House Call Program
  • Professor of Medicine

Departments

Locations

Johns Hopkins Bayview Center on Aging and Health

Appointment Phone: 410-550-0925

5200 Eastern Avenue
Mason F. Lord Building Suite 722
Baltimore, MD 21224 map
Phone: 410-550-0925
Fax: 410-550-8701

Expertise

Geriatric Medicine, Osteoporosis, Paget's Disease, Polypharmacy, Primary Care of Older Adults

Research Interests

Home care and medical house calls; Multimorbidity; Development, evaluation, and dissemination of novel models of care for older adults, notably Hospital at Home, Guided care and geriatric "portfolio" models; Case-mix issues; Medical education

    Additional Information

  • Education +

    Degrees

    • New York University School of Medicine / MD; Medicine (1987)

    Residencies

    • Johns Hopkins Bayview Medical Center / Internal Medicine (1991)

    Fellowships

    • Johns Hopkins University School of Medicine / Geriatric Medicine and Gerontology (1992)

    Certifications

    • American Board of Internal Medicine / Geriatric Medicine (1994, 2014)
    • American Board of Internal Medicine / Internal Medicine (1991, 2011)
  • Research & Publications +

    Selected Publications

    Leff B, Burton JR. Acute medical care in the home. Editorial in: J Am Geriatr Soc. 44:603-5, 1996.

    Leff B, Burton L, Bynum JW, Harper M, Greenough WB, Steinwachs D, Burton JR. Prospective evaluation of clinical criteria to select older persons with acute medical illness for care in a hypothetical home hospital. J Am Geriatr Soc. 45(9):1066-73, 1997.

    Leff B, Burton L, Guido S, Greenough WB, Steinwachs D, Burton JR. Home hospital program: a pilot study. J Am Geriatr Soc. 47:697-702, 1999.

    Leff B, Burton JR. The future history of home care. J Geront (medical sciences). 56A:M603-8, 2001.

    Leff B, Burton L, Mader S, Naughton B, Burl J, Inouye SK, Greenough WB, Guido S, Langston CA, Frick KD, Steinwachs D, Burton JR. Hospital At Home: Feasibility and Outcomes of a Program to Provide Hospital-Level Care at Home for Acutely Ill Older Patients. Ann Intern Med. 143:798-808, 2005.

    Leff B, Burton L, Mader S, Naughton B, Burl J, Clark R, Greenough WB, Guido S, Steinwachs D, Burton JR. Satisfaction with Hospital at Home Care. J Am Geriatr Soc. 54:1355-1363, 2006.

    Boyd CM, Shadmi E, Leff B, Brager R, Dunbar L, Wolff JL, Boult C. Guided Care for Multi-Morbid Older Adults. The Gerontologist, 47:697-704, 2007.

    25. Weiss CO, Boyd CM, Yu Q, Wolff J, Leff B. A portrait of prevalent major chronic disease multimorbidity among older adults in the United States. JAMA 298:1160-1162, 2007.

    Leff B, Burton L, Mader S, Naughton B, Burl J, Koehn D, Clark R, Greenough WB, Guido S, Steinwachs D, Burton JR. Comparison of stress experienced by family members of patients treated in Hospital At Home with that of those receiving traditional acute hospital care. J Am Geriatr Soc. 2008;56(1):117-23.

    Leff B, Finucane TE. Gizmo idolatry. JAMA, 299:1830-32, 2008.

    Ricauda NA, Tibaldi V, Leff B, Scarafiotti C, Zanocchi M, Ciccone G, Molaschi M. Substitutive hospital at home versus inpatient care for elderly patients with exacerbations of chronic obstructive pulmonary disease: a prospective randomized controlled trial. J Am Geriatr Soc, 56:493-500, 2008.

    Boult C, Reider L, Frey K, Leff B, Boyd CM, Wolff J, Wegner S, Marsteller J, Karm L, Scharfstein D. The early effects of guided care on the quality of health care for mulit-morbid older persons: a cluster-randomized trial. J Gerontol A Biol Sci Med Sci. 63:321-7, 2008.

    Wolff JL, Meadow A, Weiss CO, Boyd CM, Leff B. Medicare home health patients transitions through post-acute care settings. Medical Care. 2008;46(11):1188-1193.

    Siu AL, Spragens LH, Inouye SK, Morrison RS, Leff B. The ironic business case for chronic care in the acute care setting. Health Aff (Millwood). 28:113-25, 2009.

    Frick K, Burton L, Clark R, Mader S, Naughton B, Burl J, Greenough WB, Steinwachs D, Leff B. Substitutive Hospital at Home for older persons: effects on costs. Am J Manag Care. 15:49-56, 2009.

    Burton LC, Skinner EA, Ushcer-Pines L, Lieberman R, Leff B, Clark B, Lemke K, Yu Q, Weiner JP. Health of Medicare Advantage plan enrollees at 1 year after Hurricane Katrina. Am J Manag Care. 15:13-22, 2009.

    Leff B. Defining and disseminating the hospital at home model. Editorial in: CMAJ. 2009 180:156-7, 2009

    Leff B, Burton L, Mader S, Naughton B, Burl J, Guido S, Greenough WB, Steinwachs D. Comparison of functional outcomes associated with hospital at home care and traditional acute hospital care. J Am Geriatr Soc. 2009;57(2):273-8.

    Marsteller JA, Burton LC, Mader S, Naughton B, Burl J, Guido S, Greenough WB, Steinwachs D, Leff B. Health care provider evaluation of a substitutive model of hospital at home care. Medical Care, 47(9):979-85, 2009.

    Leff B, Reider L, Frick K, Scharfstein D, Boyd C, Frey K, Karm L, Boult C. The early effects of Guided Care on multimorbid older patients use and cost of health services: a randomized controlled trial. Am J Man Care, 5(8):555-9, 2009.

    Wolff JL, Meadow A, Boyd CM, Weiss CO, Leff B. Physician evaluation and management of Medicare home health patients. Medical Care, 47 (11):1147-55, 2009.

    Boult C, Green AF, Boult LB, Pacala JT, Snyder C, Leff B. Successful models of chronic care for older adults with chronic conditions: evidence for the Institute of Medicines Retooling for an Aging America report. J Am Geriatr Soc, In press.

  • Academic Affiliations & Courses +
  • Activities & Honors +

    Memberships

    • American College of Physicians, 1988
      Member
    • Society of General Internal Medicine, 1988 - 1992
      Associate
    • American Geriatrics Society, 1991
      Member
    • 38th Parallel Medical Society, Seoul, Korea, 1992 - 1994
      Member
    • American Academy of Home Care Physicians, 1995
      Member
    • Curriculum committee, 1995 - 1996
      Member
    • Gerontological Society of America, 1996
      Member
    • Clinical Template Project, 1997
    • Clerkship Directors in Internal Medicine, 2002
      Member
    • American Geriatrics Society Annual National Meeting, 2006
      Abstract reviewer, epidemiology section
    • American Academy of Home Care Physicians, 2007
      Board of Directors
    • American Geriatrics Society, Health Economics and Technology Committee, 2007 - 2008
      Committee member
    • InterRAI, 2007
      Associate Fellow
    • American Geriatrics Society to the American College of Physicians Council of Subspecialty Societies, 2008
      Representative
    • American Geriatrics Society, Clinical Practice & Models of Care Committee, 2008 - 2011
      Committee Member
    • American Geriatrics Society, Public Policy Committee, Care Coordination, 2008
      SWAT Team Member
    • American Academy of Home Care Physicians, 2009 - 2012
      President-elect
    • American College of Physicians, 2009 - 2012
      Board of Governors
    • Council of Subspecialty Societies, American College of Physicians, 2009 - 2012
      Vice Chairman
  • Videos & Media +
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