Dr. Andrew Costa


BSc, PhD
Schlegel Research Chair in Clinical Epidemiology & Aging
Research Lead, Michael G. DeGroote School of Medicine, Waterloo Regional Campus
McMaster University


Biography


Dr. Costa is an Assistant Professor and Schlegel Chair in Clinical Epidemiology & Aging in the Department of Clinical Epidemiology & Biostatistics at McMaster University. He also serves as the Research Lead at the DeGroote School of Medicine, Waterloo Regional Campus. He is an interRAI Fellow where he is engaged in the Network of Excellence in Acute Care (iNEAC) and leads the Emergency Department Working Group. He has received CIHR awards for his research in health services and policy.

 

RESEARCH INTERESTS:

  • Evidence-based care and policy in seniors and geriatric care.
  • Development of better senior care models in home and community care, emergency departments, and acute care.
  • Development of decision support tools and technology for geriatric emergency management and emergency department avoidance.
  • Use of large health care data repositories and pragmatic trial methods to evaluate elder care services and policy across settings.
  • Funding and performance systems in seniors health care reform.

KEY PUBLICATIONS

Lee, L., Patel, T., Costa, A., Bryce, E., Hillier, L.M., Slonim, K., Hunter, S.W., Heckman, G., Molnar, F.J.  Accuracy of gait speed and handgrip strength as a screen for frailty in primary care.  Canadian Family Physician.  Accepted April 2016.

A.P. Costa, S. Ariño-Blasco, V. Boscart, L. Gray, J.P. Hirdes, P.V. Jónsson, S.K. Sinha, N.I.H. Wellens, M. Martin-Khan, G. Heckman, K. Singler, F. Sjostrand, W. Swoboda. interRAI Emergency Department (ED) Assessment System Manual. For Use with the interRAI ED Screener and ED Contact Assessment. User’s Manual, Forms, and Applications, Open Book Systems, Washington, DC, USA, 2015. ISBN: 978-1-9360-75-22-6.

Costa AP, Hirdes JP, Bell CM, Bronskill SE, Heckman GA, Mitchell L, Poss JW, Sinha SK, Stolee P. Derivation and Validation of the DIVERT Scale for Classifying the Risk of Emergency Department Use among Frail Community-Dwelling Older Adults. J Am Geriatr Soc 63:763–769, 2015.

Costa, A.P; Hirdes, J.P.; Bell, C.; Bronskill, S.; Heckman, G; Mitchell, L.; Poss, J.W.; Sinha, S. (2015) The DIVERT Scale: A Method to Identify the Probability of Unplanned Emergency Department Use among Frail Community Dwelling Seniors. Journal of the American Geriatrics Society, 63(4) 763–769.

Costa, A.P; Poss, J.W., McKillop, I. (2015) Contemplating Case Mix: A primer on Case Mix Classification and Management. Healthcare Management Forum, 28(1), 15-21.

Costa, AP; Harkness, K; Haughton, D; Heckman, GA; McKelvie, RS. (2014). Risk of Emergency Department Use among Community-Dwelling Older Adults: A Review of Risk Factors and Screening Methods. Clinical Practice, 11(6), 763-776.

Costa, AP; Hirdes, JP.; Heckman, GA.; Dey, AB.; Jonsson, P.; Lakhan, P.; Ljunggren, G.; Singler, K; Sjostrand, F.; Swoboda, W.; Wellens, N; & Gray, LC. Geriatric Syndromes Predict Post-Discharge Outcomes among Older Emergency Department Patients: Findings from the interRAI Multinational Emergency Department Study. Academic Emergency Medicine. 2014. 21(4): 422-433.

Gray, L.C.; Peel, N.; Costa, A.P; Burkett, E; Dey, A.B.; Jonsson, P.; Lakhan, P.; Ljunggren, G.; Sjostrand, F.; Swoboda, W.; Wellens, N.; & Hirdes, J.P. Profiles of Older Patients in the Emergency Department: Findings from the interRAI Multinational Emergency Department Study. Annals of Emergency Medicine. 2013. 62(5): 467-74.

Bronskill SE, Carter MW, Costa AP, Esensoy AV, Gill SS, Gruneir A, Henry DA, Hirdes JP, Jaakkimainen RL, Poss JW, Wodchis WP. Aging in Ontario: An ICES chartbook of health service use by older adults. Toronto: Institute for Clinical Evaluative Sciences. 2010. ISBN: 978-1-926850-02-3.

Costa, A.P; Hirdes, J.P. Clinical Characteristics and Service Needs of Alternate Level of Care Patients Waiting for Long-term Care in Ontario Hospitals. Healthcare Policy. 2010. 6(1): 32-46.

 

Contact Information

Hamilton Office:
Department of Clinical Epidemiology & Biostatistics
McMaster University
1280 Main Street West, CRL-219
Hamilton, ON L8S 4K1 Canada

Kitchener Office:
IHB/HSC-McMaster 3016
10B Victoria St. S.
Kitchener, ON N2G 1C5 Canada

Email: acosta@mcmaster.ca
Phone: 905-525-9140 x 22067 (Hamilton office); 519-885-5426 x21108 (Kitchener office)