HIP Category: Older Adults

Collaborative design and implementation of a clinical decision support system for automated fall-risk identification and referrals in emergency departments

Of the 3 million older adults seeking fall-related emergency care each year, nearly one-third visited the Emergency Department (ED) in the previous 6 months. ED providers have a great opportunity to refer patients for fall prevention services at these initial visits, but lack feasible tools for identifying those at highest-risk. Existing fall screening tools have… Read more »

Smoking associated with reduced odds of Sjögren’s syndrome among rheumatoid arthritis patients

Sjӧgren’s syndrome (SS) is a systemic autoimmune disease with characteristic features of dry eye and dry mouth. Overlap SS is common among RA patients, but the relative impact of risk factors for overlap disease are unknown. This study from HIP Investigator Dr. Christie Bartels analyzed the association between smoking and SS in a large population-based RA… Read more »

Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic

Delaying or missing regular care for chronic conditions could exacerbate long-term complications, although we have limited tools to identify those patients who are most at risk. This concern became particularly acute during the COVID-19 pandemic, as some patients avoided medical attention for their conditions for fear of catching the virus or because they were sheltering… Read more »

International urogynecology consultation chapter 1 committee 2: Epidemiology of pelvic organ prolapse: prevalence, incidence, natural history, and service needs

This narrative review co-authored by HIP Investigator Dr. Heidi Brown describes the existing epidemiologic literature and identifies gaps regarding pelvic organ prolapse (POP) prevalence, incidence, natural history, and current and future service needs. Study findings from studies published in the year 2000 or later were summarized to define what is known, identify gaps in current… Read more »

Analysis of Health System Size and Variability in Diabetic Eye Disease Screening in Wisconsin

Diabetic eye disease remains the leading cause of blindness in the US, largely because of low screening rates. Previous studies have tended to focus on patient-level factors associated with screening. Thus, interventions have emphasized patient education, yielding only modest improvements. In this study, HIP Investigators Dr. Meghan Brennan, Dr. Maureen Smith and Dr. Yao Liu used… Read more »

Disparities in the Use of In-Person and Telehealth Primary Care Among High- and Low-Risk Medicare Beneficiaries During COVID-19

The outbreak of the COVID-19 pandemic rapidly changed the landscape of the healthcare system and the delivery of care services worldwide. However, it remains unclear how older patients’ care utilization was impacted by the pandemic relative to the general population, especially those with higher baseline levels of care utilization. This study from HIP Investigators Dr.… Read more »

Maureen Smith, MD, PhD, MPH

Maureen Smith

Dr. Smith’s research program examines the effectiveness of our health care system for aging and chronically ill persons. Her leadership positions include the Director of the UW Health Innovation Program and Director of the Community Academic Partnerships core of the NIH-CTSA funded Institute for Clinical and Translational Research.

Brian Patterson, MD, MPH

Brian Patterson

Dr. Patterson’s research aims to use informatics approaches, including machine learning for risk stratification and computerized decision support, to improve older adults’ transitions to outpatient care following ED visits. His current research, funded by an AHRQ R18, aims to use these methodologies to identify older adults at high risk of falls and improve their care… Read more »

Elizabeth Cox, MD, PhD

Elizabeth Cox

Dr. Cox’s research program, PROKids, leverages the voices of children and families to deliver safer, higher quality pediatric care. With funding from NIH, AHRQ and PCORI, her portfolio of work includes multiple successful pragmatic trials conducted within pediatric care systems as well as the development, validation and assessment of patient-centered outcomes. Some highlights of her… Read more »

Machine learning-assisted screening for cognitive impairment in the emergency department

Despite a high prevalence and association with poor outcomes, screening to identify cognitive impairment (CI) in the emergency department (ED) is uncommon. Identification of high-risk subsets of older adults is a critical challenge to expanding screening programs. In this study from HIP Investigator Dr. Brian Patterson, researchers developed and evaluated an automated screening tool to… Read more »