Recent Publications | Health Innovation Program

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Development of a veteran engagement toolkit for researchers. HIPxChange, Patient-Centered Outcomes Research, Stakeholder Engagement
Dr. Nasia Safdar, Nicole Brys, and Dr. Jeff Whittle developed a veteran engagement toolkit that was informed by the work of both VA and non-VA researchers across the USA.
Secure Provider-to-Provider Communication With Electronic Health Record Messaging: An Educational Outreach Study. Dissemination and Implementation, Health IT, Quality and Safety
HIP Investigator, Dr. Christie Bartels et al. aimed to examine the impact of a physician champion educational outreach intervention to promote electronic provider-to-provider communication in a large academic multispecialty group.
If We Don't Ask, They Won't Tell: Screening for Urinary and Fecal Incontinence by Primary Care Providers. Chronic Conditions, Older Adults
HIP Investigator, Dr. Heidi Brown et al. conducted a survey to quantify screening rates, attitudes, beliefs, and behaviors for older adults experiencing urinary (UI) or fecal incontinence (FI) among PCPs in a health care system.
Transitioning from General Pediatric to Adult-Oriented Inpatient Care: National Survey of US Children's Hospitals. Children and Young Adults, Chronic Conditions, Quality and Safety, Transitions in Care
HIP Investigator, Dr. Ryan Coller et al. sought to characterize pediatricadult inpatient care transitions across general pediatric services at US children's hospitals.
Complex Care Hospital Use and Postdischarge Coaching: A Randomized Controlled Trial. Children and Young Adults, Chronic Conditions, Learning Health System, Patient-Centered Outcomes Research, Quality and Safety, Transitions in Care
HIP Investigator, Dr. Ryan Coller et al. sought to examine the effect of a caregiver coaching intervention, Plans for Action and Care Transitions (PACT), on hospital use among children with medical complexity (CMC) within a complex care medical home.
Asset-Based Community Development as a Strategy for Developing Local Global Health Curricula. Children and Young Adults, Dissemination and Implementation, Health Equity, Quality and Safety
HIP Investigator, Dr. Ryan Coller et al. developed a curriculum in the pediatric global health residency track at UW to address gaps in LGH education and to increase resident knowledge about local health disparities for global community members.
Optimal treatment assignment to maximize expected outcome with multiple treatments. Cancer, Health IT, Learning Health System, Patient-Centered Outcomes Research
HIP Investigator, Dr. Menggang Yu et al. propose an outcome weighted learning method that extends estimating individualized treatment rules to multi‐treatment case by using a vector hinge loss as a target function.
Inpatient Portals for Hospitalized Patients and Caregivers: A Systematic Review. Health IT, HIPxChange, Patient-Centered Outcomes Research, Quality and Safety
A team of authors, including HIP Investigator Ryan Coller, conducted a systematic review of the literature evaluating the design, use, and impact of inpatient portals used with hospitalized patients and caregivers.
Longitudinal trends and predictors of statin use among patients with diabetes. Chronic Conditions, Health Equity, Older Adults, Quality and Safety
Statins reduce morbidity and mortality among patients with diabetes, but their use remains suboptimal. In this study, HIP Investigator Dr. Meghan Brennan et al. sought to understand trends in statin use to inform strategies for improvement.
The use of external change agents to promote quality improvement and organizational change in healthcare organizations. Learning Health System, Quality and Safety
HIP Investigator, Dr. Andrew Quanbeck et al. examined the role that external change agents have played within the context of multifaceted interventions designed to promote organizational change in healthcare-specifically, in primary care settings.
Patient Perspectives on Smoking Cessation and Interventions in Rheumatology Clinics. Chronic Conditions, Older Adults, Patient-Centered Outcomes Research, Quality and Safety
HIP Investigator, Dr. Christie Bartels et al. identified themes and categories of patient and health system-level facilitators/barriers to smoking cessation after implementing a rheumatology clinic protocol that increased tobacco quitline referrals.
Scope and Influence of Electronic Health Record-Integrated Clinical Decision Support in the Emergency Department. Health IT, Patient-Centered Outcomes Research, Quality and Safety
HIP Investigator, Dr. Brian Patterson et al. conducted a systematic review to examine the scope and influence of electronic health record-integrated clinical decision support technologies implemented in the emergency department.
The importance of health insurance claims data in creating learning health systems: evaluating care for high-need high-cost patients using the National Patient-Centered Clinical Research Network (PCORNet) Chronic Conditions, Health IT, Learning Health System, Older Adults, Quality and Safety
HIP Investigator, Dr. Maureen Smith et al. sought to determine whether the evaluation of programs for high-need high-cost patients required claims data to match cases to comparison patients in the paper.
Scaling Up Teleophthalmology for Diabetic Eye Screening: Opportunities for Widespread Implementation in the USA Chronic Conditions, Dissemination and Implementation, Health IT, Older Adults
HIP Investigator Dr. Yao Liu et al. discuss opportunities to address key barriers to widespread implementation of teleophthalmology programs for diabetic eye screening in the United States.
Broadening Medical Students' Exposure to the Range of Illness Experiences: A Pilot Curriculum Focused on Depression Education Children and Young Adults, Chronic Conditions, Mental Health, Patient-Centered Outcomes Research, Quality and Safety
Dr. Rachel Grob et. al developed, implemented, and evaluated a self-directed online curriculum followed by a small group discussion focused on depression education.
Engaging Patients in Primary Care Quality Improvement Initiatives: Facilitators and Barriers PATH, Patient-Centered Outcomes Research, Quality and Safety
The UW PATH collaborative used a pilot study to determine the most effective strategies for disseminating a previously successful single-system patient engagement in quality improvement intervention.
Why Physicians Should Trust in Patients Patient-Centered Outcomes Research, Quality and Safety
Dr. Rachel Grob et al. discusses the efficacy of patient-physician partnerships and co-produced care to improve quality and safety of care, patient health outcomes, and patient experience.
What Words Convey: The Potential for Patient Narratives to Inform Quality Improvement Patient-Centered Outcomes Research, Quality and Safety
Dr. Rachel Grob et al. explored the potential of systematically elicited narratives about experiences with outpatient care to enrich quality improvement and found that most narratives convey experiences that are potentially actionable by those committed.
Developing primary care teams prepared to improve quality: a mixed-methods evaluation Learning Health System, PATH, Quality and Safety
The UW PATH collaborative describes the implementation, mixed-methods evaluation results, and lessons learned from instituting a Microsystems approach across 6 years with 58 primary care teams at a large academic health system.
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.
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
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.
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.
Variability in care management programs in Medicare ACOs Chronic Conditions, Quality and Safety
In this study co-authored by Dr. Maureen Smith and Peter Nordby, investigators surveyed leaders in 15 care management programs and found high variability across programs and that most programs use cost & utilization measures to determine outcomes.
Connecting rheumatology patients to primary care for high blood pressure Chronic Conditions, Dissemination and Implementation, HIPxChange
Dr. Christie Bartels et al. developed a staff protocol to improve primary care follow-up after high blood pressures were documented in specialty care, and the protocol decreased follow-up time and reduced visits with high blood pressure by 9%.
Frequency and predictors of communication about high blood pressure in RA visits Chronic Conditions, HIP Data, Quality and Safety
Dr. Christie Bartels et al. conducted a study of patients with rheumatoid arthritis and found that although there is heightened cardiovascular disease risk among patients with RA, most RA clinic visits lacked documented communication about blood pressure.
Assessing unwanted variations in rheumatology clinic previsit rooming Chronic Conditions, Quality and Safety
Edmond Ramly et al. conducted a cross-sectional time-study and work-system analysis to measure rooming workflows in rheumatology clinics and found significant variations across clinics, prompting clinic leaders to modify their policies.
Primary care colorectal cancer screening correlates with breast cancer screening Cancer, Chronic Conditions, HIP Data, Older Adults, Quality and Safety
Dr. Jennifer Weiss et al. examined whether PCPs' colorectal cancer screening practices correlate with several other preventive & chronic care metrics and found that PCP CRC screening rates strongly correlate with breast cancer screening rates.
Hypertension control after an initial cardiac event among Medicare patients with diabetes Chronic Conditions, HIP Data, Older Adults
In this study co-authored by Drs. Heather Johnson and Maureen Smith, investigators examined EHR and Medicare data to determine rates & predictors of achieving hypertension control among patients with diabetes after hospital discharge for a cardiac event.
Using the Hendrich II inpatient fall risk screen to predict outpatient falls after ED visits Health IT, Older Adults, Quality and Safety, Transitions in Care
Dr. Brian Patterson et al. found that using a fall risk screening instrument during ED visits can predict future ED visits for falls, but is most useful when combined with routinely collected data on other fall risk factors.

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