Teleophthalmology is an evidence-based method for diabetic eye screening. It is unclear whether the type of eye care provider performing teleophthalmology interpretation produces significant variability. While teleophthalmology has become increasingly accepted for diabetic eye screening in primary care settings, the availability of adequately trained, qualified readers may limit its widespread implementation. HIP Investigator, Dr. Yao… Read more »
HIP Category: Older Adults
Identification of barriers, facilitators and system-based implementation strategies to increase teleophthalmology use for diabetic eye screening in a rural US primary care clinic
Teleophthalmology for diabetic eye screening is an evidence-based intervention substantially underused in US multipayer primary care clinics, even when equipment and trained personnel are readily available. HIP Investigator, Dr. Yao Liu et al. sought to identify patient and primary care provider (PCP) barriers, facilitators, as well as strategies to increase teleophthalmology use. The team of… Read more »
Reducing Disparities in Healthcare
Overview To identify and reduce disparities in healthcare quality, we are partnering with the Wisconsin Collaborative for Healthcare Quality (WCHQ) and the Collaborative Center for Health Equity to measure and publicly report on disparities in the quality of healthcare in Wisconsin. On September 19, 2019, the 2019 Wisconsin Health Disparities Report was released. This report was… Read more »
Matching Complex Patients with Case Management Programs
Overview To find high-risk patients who might benefit from additional health and social services, we have developed and implemented an artificial intelligence system to identify patients in need of enhanced care coordination in partnership with one of our state’s largest health systems (UW Health). We are currently screening over 120,000 patients in Dane County each… Read more »
Factors influencing patient adherence with diabetic eye screening in rural communities: A qualitative study
Diabetic retinopathy remains the leading cause of blindness among working-age U.S. adults largely due to low screening rates. Rural populations face particularly greater challenges to screening because they are older, poorer, less insured, and less likely to receive guideline-concordant care than those in urban areas. Current patient education efforts may not fully address multiple barriers… Read more »
Increasing SBP variability is associated with an increased risk of developing incident diabetic foot ulcers.
Excessive SBP variability may offer a potential new target for mitigating end-organ damage associated with microvascular and macrovascular disease, such as diabetic foot ulcers. Targeting SBP variability in addition to the absolute value, may help reduce the high risk of vascular complications faced by patients with diabetes. The goal of this study by HIP Investigator,… Read more »
Pascale Carayon and Maureen Smith awarded $2.5 million grant to create patient safety learning lab
Dr. Pascale Carayon, the Procter & Gamble Bascom Professor in Total Quality in the Department of Industrial and Systems Engineering, and Dr. Maureen Smith, professor in the Departments of Population Health Sciences and Family Medicine & Community Health, were recently awarded $2.5 million from the Agency for Healthcare Research and Quality (AHRQ) to create a… Read more »
If We Don’t Ask, They Won’t Tell: Screening for Urinary and Fecal Incontinence by Primary Care Providers.
More than half of older adults experience urinary (UI) or fecal incontinence (FI), but the majority have never discussed symptoms with health care providers. Little is known about primary care providers’ (PCPs’) screening for UI and FI. Given the prevalence and significant negative impact of UI and FI, availability of effective treatment options, and the… Read more »
Meghan Brennan and Heidi Brown awarded ICTR pilot funding
HIP Investigators Meghan Brennan, MD and Heidi Brown, MD were recently awarded pilot funding through the University of Wisconsin – Madison Institute for Clinical and Translational Research (UW ICTR). Dr. Brennan will be identifying strategies to provide integrated care for rural patients with diabetic foot ulcers in collaboration with Dr. Christie Bartels, the Wisconsin Research… Read more »
Elizabeth Cox awarded Baldwin grant to engage families as care partners in nursing homes
Dr. Elizabeth Cox, in collaboration with Tonya Roberts from the School of Nursing, was recently awarded one of eight grants from the Ira and Ineva Reilly Baldwin Wisconsin Idea Endowment. In this two-year project, they will collaborate with stakeholders from community nursing homes in Wisconsin to for a sustainable nursing home network, with the ultimate… Read more »

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