The PROKids team, led by Elizabeth Cox, MD, PhD, received new NIH funding to develop standard guidance for the use of pediatric PROMIS metrics in ambulatory clinical populations. In collaboration with leadership from prominent child health advocacy organizations and delivery systems nationally, as well as other PROMIS experts and the Institute for Clinical and Translational Research Dissemination and Implementation Program, PROKids will interview healthcare stakeholders... Read more
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We seek to transform advance innovate healthcare delivery and population health
We conduct health systems research that partners University of Wisconsin faculty with healthcare and community organizations to improve health across the state and nation.
Highlighted Program
Primary Care Academics Transforming HealthcareBridging primary care clinical transformation & rigorous scientific study to benefit patients and communities
Latest News
HIP collaborates annually with the Wisconsin Collaborative for Healthcare Quality (WCHQ) to sponsor a learning event on topics of current importance to health in Wisconsin. This year's event will showcase several national and state models that are successfully expanding access and integrating behavioral health services into primary care settings. HIP Investigator Rachel Grob will be speaking about HealthExperiencesUSA and the DIPEx methodology to elevate the patient... Read more
Latest Projects
BP Connect: Improving blood pressure follow-up
Project Description
High blood pressures are the most prevalent and reversible cardiovascular disease risk factors among adults with chronic conditions, who are often vulnerable to gaps between specialty and primary care. Increasing preventive services to address hypertension could prevent more early deaths than any other preventive service. To address these issues, the BP Connect staff protocol was created to connect patients with high blood pressure in a specialty visit back to primary care for timely follow-up.
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Bringing Patients’ Voices to American Healthcare
Project Description
Patient experience is an aspect of health and health care that has received increasing attention in the U.S. For patients and caregivers facing a new diagnosis, or needing to make a health-related decision, other people’s experiences of the same diagnosis, treatments, and impact on the life course have always been valued. With the advent of web-based health information, the influence of patient experience has grown even more rapidly.
Recognizing this gap, researchers at four universities—including UW-Madison—and the Veterans Administration formed a collaboration called the Health Experiences Research Network (HERN) in order to bring an internationally-vetted method of rigorously collecting diverse health experiences to the U.S.
In 2016, they launched www.HealthExperiencesUSA.org with an inaugural module on diverse young adults’ experiences with depression, a disease that can have significant consequences for future social, occupational, and health outcomes.
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Family-Centered Rounds
Project Description
Family-centered care has many benefits, including improved clinical outcomes, increased patient and family engagement and satisfaction, and more effective use of health care resources.
In the hospital setting, one way to achieve these benefits is through family-centered rounds (FCR) at the bedside. In fact, the American Academy of Pediatrics recommends FCRs as part of its policy statement on the pediatrician’s role in patient- and family-centered care.
Despite their benefits, FCRs can be challenging to operationalize at the institutional level. That’s why PROKids has developed a checklist to help implement FCRs effectively and sustainably.
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Healthy Living with Diabetes
Project Description
Management of diabetes lies almost entirely in the hands of those who live with the condition. The Wisconsin Institute for Healthy Aging and the Health Innovation Program are providing individuals with diabetes the resources they need for effective self-management of their disease.
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Helping Young Adults Manage High Blood Pressure
Project Description
Approximately 1 in 15 young adults in the United States have high blood pressure, but young adults have the lowest rates of blood pressure control (achieving a blood pressure <140/90 mmHg) compared to other adult age groups, and many young adults have reported having few resources to address their needs for heart health education.
To address these problems, the MyHEART program was developed with young adults and healthcare team members to address a broad range of topics. MyHEART has multiple components, including young adult education and research programs across multiple healthcare systems.
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Preventing Blindness
Project Description
Diabetic eye disease is the leading cause of blindness among working-age adults in Wisconsin, where there are currently over 135,000 adults with diabetes. Early screening and treatment can prevent 90% of blindness, but only half of adults with diabetes get their recommended yearly eye screening.
In response, Dr. Yao Liu created the UW Teleophthalmology Program that enables patients in rural locations to get screened by their primary care providers during regular clinic visits without having to make a second trip or appointment. The images are then sent to UW-Madison, where eye specialists read the images and send reports back to primary care for local follow-up as needed.
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Primary Care Academics Transforming Healthcare
Project Description
The mission of the UW Health PATH collaborative is to bridge primary care clinical transformation and rigorous scientific study in order to improve our health system for the benefit of patients and communities. We will disseminate learnings locally and nationally, emphasizing scholarly contributions.
We are a multidisciplinary coalition of physicians and change leaders. Primary care Academics Transforming Healthcare (PATH) members are experienced in clinical delivery and span all three primary care departments (family medicine, internal medicine, pediatrics), Quality, Safety, and Innovations, Population Health, and the Center for Patient Partnerships.
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Reducing Opioid Prescribing
Project Description
Opioid misuse and abuse has become a significant public health problem in virtually all areas of the United States, including Wisconsin, where 827 people died from opioid overdoses in 2016-- up 35 percent from the previous year. Clinical guidelines for safer use of opioids were initially proposed in 2009, and have since evolved into the CDC’s widely publicized 2016 guidelines for opioid prescribing. The uptake of these guidelines has been variable across the U.S. healthcare system.
To assist in the uptake of clinical guidelines, University of Wisconsin researchers implemented a program to coach primary care doctors to follow opioid prescribing guidelines. This work was done through the use of a novel implementation strategy, called systems consultation, which was designed to promote clinical guideline implementation for opioid prescribing in primary care.
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Our Partners
Partnerships with healthcare and community organizations are at the heart of our work.
Recent Publications
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Content validity of the PROMIS® family relationships measure for children with chronic illness
Children and Young Adults, Chronic Conditions
Dr. Elizabeth D. Cox et al. conducted a qualitative study of patients and their parents and found the Patient-Reported Outcomes Measurement Information System® Family Relationships measure reflects the experiences of children with chronic illness.
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A simple framework for weighting panels across primary care disciplines
Learning Health System, PATH
The UW PATH collaborative describes the development and application of a utilization-based weighting system that accounts for patient complexity to help health systems understand patient panels and population characteristics
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Medicare shared savings programs: Higher cost ACOs more likely to achieve savings
Learning Health System, Quality and Safety
In a recent study, the PATH collaborative examined results for 220 ACOs from the Medicare Shared Savings Program and found that ACOs with higher baseline expenditures were significantly more likely to generate savings than lower cost ACOs.
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Sociodemographics and hypertension control among young adults
Children and Young Adults, Chronic Conditions, Health Equity, HIP Data, Quality and Safety
Dr. Heather Johnson et al. evaluated the role of sociodemographics in hypertension control among young adults with primary care access and found that young men, non-English primary language speakers, & unmarried people had lower control rates.
Sharing to transform health and healthcare
HIP supports the development and dissemination of tools for evidence-based health system and healthcare change through its website, HIPxChange. On HIPxChange, you’ll find tools to improve patient and family engagement, transitions in care, mental health, cancer screening and care, research tools, and more. Learn more
Our vision is to be the leading organization in the nation that integrates health systems research with clinical practice and community programs. Learn more
We are housed within the University of Wisconsin - Madison School of Medicine and Public Health.
HIP brings together investigators, trainees, and staff from a variety of schools and departments across the University of Wisconsin - Madison to examine current health care issues and identify ways to transform healthcare.
HIP provides investigators the resources they need to conduct health services research and work with our partners—from developing study ideas to disseminating results.
We are frequently looking for faculty, staff, and students to assist us in a variety of projects.