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Bruce Allen Leff, MD

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-East

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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 +1-410-502-0773 (7a.m. to 6p.m., EST, Mon-Fri)

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Titles

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

Expertise

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

Research Interests

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

Languages

  • English

Memberships

1988 present Member, American College of Physicians
1988 1992 Associate, Society of General Internal Medicine
1991 present Member, American Geriatrics Society
1992 1994 Member, 38th Parallel Medical Society, Seoul, Korea
1995 present
Member, American Academy of Home Care Physicians
Member, Curriculum committee, 1995-6
Clinical Template Project, 1997
1996 - present Member, Gerontological Society of America
2002 present Member, Clerkship Directors in Internal Medicine
2006 American Geriatrics Society Annual National Meeting
Abstract reviewer, epidemiology section
2007 present Board of Directors, American Academy of Home Care Physicians
2007 2008 Committee member, American Geriatrics Society, Health Economics and Technology Committee
2007 present InterRAI, Associate Fellow
2008 2011 Committee Member, American Geriatrics Society, Clinical Practice & Models of Care Committee
2008 present Representative of American Geriatrics Society to the American College of Physicians Council of Subspecialty Societies
2008 present SWAT Team Member, American Geriatrics Society, Public Policy Committee, Care Coordination
2009-2012 Vice Chairman, Council of Subspecialty Societies, American College of Physicians
2009 2012 Board of Governors, American College of Physicians
2009 - 2012 President-elect, American Academy of Home Care Physicians

Additional Resources

Additional Resources +
  • Education +

    Training

    • New York University School of Medicine (New York NY) (1987)

    Residencies

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

    Fellowships

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

    Certifications

    • American Board of Internal Medicine / Internal Medicine (2011)
    • American Board of Internal Medicine / Geriatric Medicine (2004)
  • 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 +
  • Videos & Media +
  • Events +
  • Contact & Locations +

    Locations

    Johns Hopkins Bayview Center on Aging and Health-East
    5200 Eastern Avenue
    Mason F. Lord Building, 7th Floor
    722
    Baltimore, MD 21224
    Phone: 410-550-0925
    Appointment Phone: 410-550-0925
    Fax: 410-550-8701
    Location Map

    Department/Division

    • Medicine - Geriatric Medicine and Gerontology

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