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A practical model for research with learning health systems: Building and implementing effective complex case management Chronic Conditions, Health IT, HIPxChange, Learning Health System, Older Adults, Quality and Safety
A team of authors including HIP Investigators, Dr. Maureen Smith and Dr. Menggang Yu describe a model currently used by the University of Wisconsin Health Innovation Program (HIP) that consolidates and enhances existing learning health system frameworks.
Evaluating Integrated Care for Children: A Clarion Call or a Call for Clarity? Children and Young Adults, Chronic Conditions, Patient-Centered Outcomes Research, Quality and Safety, Transitions in Care
Authors Dr. Eyal Cohen and HIP Investigator, Dr. Ryan Coller conducted a broad search strategy to identify randomized controlled trials comparing integrated care with usual care.
Evaluating care for high-need high-cost patients using the National Patient-Centered Clinical Research Network (PCORNet) Health IT, HIP Data, HIPxChange, Learning Health System, Patient-Centered Outcomes Research
A team of authors including HIP Investigators Dr. Maureen Smith and Dr. Menggang Yu sought to determine whether the evaluation of programs for high-need high-cost patients required claims data to match cases to comparison patients.
Reliability and validity of PROMIS® pediatric family relationships short form in children 8-17 years of age with chronic disease Children and Young Adults, Chronic Conditions, Patient-Centered Outcomes Research, Quality and Safety
HIP Investigator, Dr. Elizabeth Cox et al. presented their findings as to whether the Family Relationships measure demonstrates adequate reliability and validity when applied in a clinical population of chronically ill children and their parents.
Variation in Hospitalization Rates Following Emergency Department Visits in Children with Medical Complexity Cancer, Children and Young Adults, Patient-Centered Outcomes Research, Quality and Safety
HIP Investigator Dr. Ryan Coller et al. identified factors associated with admission within ED encounters and quantified both the overall ED admission rate for CMC and admission rate variation across children's hospitals.
Training and Interpreting Machine Learning Algorithms to Evaluate Fall Risk After Emergency Department Visits Health IT, HIPxChange, Learning Health System
HIP Investigator, Dr. Brian Patterson et al. examined the potential utility of automated risk stratification and referral intervention to screen older adults for fall risk after emergency department visits.
Fused comparative intervention scoring for heterogeneity of longitudinal intervention effects Cancer, Chronic Conditions, Health IT, Learning Health System, Mental Health, Patient-Centered Outcomes Research, Quality and Safety
In this work, Dr. Jared Huling and HIP Investigators Dr. Menggang Yu and Dr. Maureen Smith introduced a subgroup identification procedure for long-term interventions whose effects are expected to change smoothly over time.
The Effects of Discrete Work Shifts on a Nonterminating Service System Health IT, Patient-Centered Outcomes Research, Quality and Safety, Transitions in Care
HIP Investigator, Dr. Brian Patterson et al. used data from a large, academic medical center Emergency Department to show that the patients’ rate of service completion varies over the course of the physician shift.
Systems consultation for opioid prescribing in primary care: a qualitative study of adaptation Dissemination and Implementation, Learning Health System, Quality and Safety
HIP Investigator, Dr. Andrew Quanbeck et al. piloted a blended implementation strategy called systems consultation that was tested in four primary care clinics in one US health system.
Diabetic Retinopathy Assessment Variability Among Eye Care Providers in an Urban Teleophthalmology Program Children and Young Adults, Chronic Conditions, Health Equity, Older Adults, Patient-Centered Outcomes Research, Quality and Safety
HIP Investigator, Dr. Yao Liu et al. assessed grading variability between an optometrist, general ophthalmologist, and retinal specialist using images from an urban, diabetic retinopathy teleophthalmology program.
Does Beneficiary Switching Create Adverse Selection For Hospital-Based ACOs? Older Adults, Patient-Centered Outcomes Research, Quality and Safety
HIP Investigator, Dr. Maureen Smith et al. believe that there is an alternative explanation for hospital-based accountable care organizations (ACOs) seemingly poorer financial performance.
By Default: The Effect of Prepopulated Prescription Quantities on Opioid Prescribing in the Emergency Department Patient-Centered Outcomes Research, Quality and Safety
HIP Investigator, Dr. Brian Patterson et al. evaluated opioid prescribing patterns before and after the removal of a default quantity of 20 tablets from ED electronic order entry.
Influence of Environmental Design on Team Interactions Across Three Family Medicine Clinics: Perceptions of Communication, Efficiency, and Privacy Learning Health System, PATH, Patient-Centered Outcomes Research, Quality and Safety
The UW PATH collaborative explored how two different primary care clinic physical layouts (onstage/offstage and pod-based [PB] designs) influenced pre- and postvisit team experiences and perceptions.
Rationale and study design of the MyHEART study: A young adult hypertension self-management randomized controlled trial Children and Young Adults, Chronic Conditions, HIP Data, Patient-Centered Outcomes Research, Stakeholder Engagement
HIP Investigator, Dr. Heather Johnson et al. evaluated MyHEART's impact on changes in systolic & diastolic blood pressure compared to usual care after 6 & 12 mo. in geographically & racially/ethnically diverse young adults with uncontrolled hypertension.
Identification of barriers, facilitators and system-based implementation strategies to increase teleophthalmology use for diabetic eye screening in a rural US primary care clinic Chronic Conditions, Older Adults, Patient-Centered Outcomes Research, Quality and Safety
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.
Inpatients Sign On: An Opportunity to Engage Hospitalized Patients and Caregivers Using Inpatient Portals Health IT, Patient-Centered Outcomes Research, Quality and Safety, Stakeholder Engagement
HIP Investigator, Dr. Ryan Coller et al. provided a perspective that inpatient portals are innovative tools poised to engage patients and caregivers during hospitalization and, thus, enhance patient-centered care.
Encounters From Device Complications Among Children With Medical Complexity Children and Young Adults, Chronic Conditions, Health IT, Patient-Centered Outcomes Research, Quality and Safety
Children with CMC are commonly assisted by medical devices, although complications may lead to preventable ED and hospital use. HIP Investigator Dr. Ryan Coller et al. identified predictors of device-complicated ED visits and hospitalizations.
A robust approach to sample size calculation in cancer immunotherapy trials with delayed treatment effect Cancer, Quality and Safety
A group of authors including HIP Investigator, Dr. Menggang Yu et al. presents an approach to calculate sample size based on a maximin efficiency robust test.
Telehealth with remote blood pressure monitoring for postpartum hypertension Chronic Conditions, Patient-Centered Outcomes Research, Quality and Safety
Authors investigate feasibility of telehealth with remote blood pressure monitoring for management of hypertension in postpartum women at risk of severe hypertension after hospital discharge.
Making Time to Coordinate Care for Children With Medical Complexity Children and Young Adults, Patient-Centered Outcomes Research
Care coordination has become the focus of the rapidly expanding field of complex care. Supporting the personnel and infrastructure to successfully coordinate care for CMC is a major sustainability challenge facing complex-care programs today.
Blood Pressure Control and Other Quality of Care Metrics for Patients with Obesity and Diabetes Chronic Conditions, Patient-Centered Outcomes Research, Quality and Safety
Authors examine the relationship between the extent of obesity and the achievement of guideline-recommended blood pressure goals and other quality of care metrics among patients with diabetes.
The relationship of Type 1 diabetes self-management barriers to child and parent quality of life: a US cross-sectional study Children and Young Adults, Chronic Conditions, Patient-Centered Outcomes Research, Quality and Safety
Type 1 diabetes can reduce health‐related QOL for children, adolescents and their parents. This study assesses whether self-management challenges are also associated with QOL for children and adolescents with Type 1 diabetes and their parents.
Social Media Posts by Recreational Marijuana Companies and Administrative Code Regulations in Washington State Children and Young Adults, Public Reporting
Are recreational marijuana companies adhering to the WAC regulations when posting product promotion messages on social media? Authors evaluated the content of social media posts by marijuana companies and assessed the compliance of these posts.
Factors influencing patient adherence with diabetic eye screening in rural communities: A qualitative study Chronic Conditions, Health Equity, Older Adults, Patient-Centered Outcomes Research, Quality and Safety
Current patient education may not fully address multiple barriers to screening faced by rural patients. HIP Investigator Dr. Yao Liu et al. sought to characterize contextual factors affecting rural patient adherence with diabetic eye screening guidelines.
Increasing SBP variability is associated with an increased risk of developing incident diabetic foot ulcers. Chronic Conditions, Older Adults, Patient-Centered Outcomes Research, Quality and Safety
SBP variability may be a target for mitigating end-organ damage associated with vascular disease. HIP Investigator, Dr. Meghan Brennan et al. evaluated the relationship between increased SBP variability and risk of incident diabetic foot ulceration.
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.

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