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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.
Can claims data algorithms identify the physician of record? Health Equity, Health IT, HIP Data, Older Adults
Using HIP's claims and EHR data, this study found that algorithms based on claims data are less likely to identify a patient's PCP among vulnerable populations and those experiencing fragmented care.
Hospitalizations for ambulatory care-sensitive conditions among children with chronic and complex diseases Children and Young Adults, Chronic Conditions, Quality and Safety
In this article, Dr. Ryan Coller et al. evaluated the predictors of ambulatory-care sensitive hospitalizations for children, as well as the influence of medical complexity and ambulatory care characteristics on hospitalization rates.
Stratifying patients with diabetes into clinically relevant groups by combination of chronic conditions Chronic Conditions, HIP Data, Public Reporting
Using HIP data, investigators evaluated the relationship between diabetes quality metrics and patients' combinations of chronic conditions and found that patients in less severe chronic condition classes were less likely to achieve diabetes metrics.
Bridging clinical researcher perceptions and health IT realities: A case study of stakeholder creep Health IT, Stakeholder Engagement
In an article co-authored by Edmond Ramly and Christie Bartels, investigators describe the cause and effects of stakeholder creep in a health information technology implementation project and present a stakeholder planning tool to plan for engagement.
Implementing a mobile health system to integrate the treatment of addiction into primary care Chronic Conditions, Dissemination and Implementation, Health IT, Quality and Safety
In this study, Dr. Andrew Quanbeck et al. describe the implementation of a mobile health system to treat addiction in primary care and discuss the effect of the mHealth system on patients and clinicians.
Survival of sepsis survivors admitted to skilled nursing facilities Older Adults, Quality and Safety, Transitions in Care
Using HIP's Chronic Conditions Warehouse data, investigators found that discharge to a SNF, cognitive impairment, and activities of daily living dependence were each strongly associated with shortened survival for sepsis survivors.
30-day readmission & mortality among Medicare beneficiaries discharged to SNFs after vascular surgery Transitions in Care, Surgery, Older Adults
Using Chronic Conditions Warehouse data, investigators identified several predictors of readmission or death at 30 days for vascular surgery patients discharged to SNFs.
The importance of frequent return visits and hypertension control among young adults Children and Young Adults, Chronic Conditions, Quality and Safety
In a recent study, HIP investigators found that frequent visits are associated with increased hypertension control in young adults with hypertension.
Risk prediction for heterogeneous populations with application to hospital admission prediction Chronic Conditions, HIP Data, Quality and Safety
This article co-authored by Menggang Yu and Maureen Smith discusses risk prediction for hospital admission in heterogeneous populations for diverse and complex patients with chronic conditions.
Validation of an instrument to assess barriers to care-seeking for accidental bowel leakage Chronic Conditions, Older Adults
Dr. Heidi Brown et al. developed and validated a survey instrument to assess barriers to seeking care for accidental bowel leakage in women. The instrument had excellent criterion validity and test-retest reliability.
Insurance Coverage for CT Colonography Screening: Impact on Overall Colorectal Cancer Screening Rates. Cancer, HIP Data, Older Adults, Quality and Safety
Dr. Maureen Smith et al. found that insurance coverage of CT colonography for colorectal cancer screening was associated with a greater likelihood of a patient being screened using CT colonography or colonoscopy.
MyHEART: Development & dissemination of a patient-centered website for young adults with hypertension Stakeholder Engagement, Children and Young Adults, Health IT, Dissemination and Implementation, Chronic Conditions
This article by Dr. Heather Johnson et al. discusses the development and dissemination of the MyHEART website, which provides educational information to young adults with high blood pressure.
Using chief complaint in addition to diagnosis codes to identify falls in the ED Health IT, Older Adults, Quality and Safety, Transitions in Care
A study by Dr. Brian Patterson et al. found that some fall-related ED visits that were missed when using the ICD-9 definition alone could be captured using an expanded definition that includes chief complaint.
Diabetic eye screening: knowledge and perspectives from providers and patients Chronic Conditions
In this review, Dr. Yao Liu summarizes current knowledge and perspectives on screening for diabetic retinopahty to better understand why diabetic eye screening rates remain low, and discusses future directions towards preventing blindness from diabetes.
PCOR: Brave new world meets old institutional policies Children and Young Adults, Patient-Centered Outcomes Research, Stakeholder Engagement
Patient engagement during research has become increasingly common. A recent article by PROKids discusses the tensions between engagement of patient stakeholders in research and the institutional and legal framework governing engagement.
A family-centered rounds checklist, family engagement, and patient safety Stakeholder Engagement, Quality and Safety, Children and Young Adults, Patient-Centered Outcomes Research, HIPxChange, Dissemination and Implementation
In a recent randomized clinical trial led by Dr. Elizabeth Cox, implementing a checklist during family-centered rounds increased family engagement and the safety of hospitalized children from the perspective of the families.
Barriers to seeking care for accidental bowel leakage: a qualitative study Chronic Conditions, Older Adults
Dr. Heidi Brown et al. conducted focus groups and cognitive interviews to identify barriers to seeking care for accidental bowel leakage and found 12 barriers, including lack of knowledge about the condition, fear of testing/treatment, and others.
Utilization of preoperative endoscopic ultrasound for pancreatic adenocarcinoma Cancer, HIP Data, Surgery
This study used HIP's SEER-Medicare data to examine patterns of preoperative endoscopic ultrasound use and the effect on treatment.
Strategies to reduce hospitalizations of children with medical complexity through complex care Children and Young Adults, Chronic Conditions, Quality and Safety
In this article, Dr. Ryan Coller et al. describe the process used by a complex care medical home program to develop intervention strategies aiming to reduce hospitalizations within their population.
PCP adoption of CT colonography for colorectal cancer screening Cancer, HIP Data
In a study by Dr. Jennifer Weiss et al. to examine factors influencing PCP adoption of CT colonography for colorectal cancer screening, the authors found that substantial variation in the use of CTC for screening existed among PCPs and clinics.
Apples and oranges: 4 definitions of multiple chronic conditions and their relationship to 30-day rehospitalization Chronic Conditions, HIP Data, Learning Health System, Transitions in Care
In this study, authors used HIP's Chronic Conditions Warehouse data to determine the extent of agreement of 4 different definitions of multiple chronic conditions and how well they predict 30-day hospital readmissions.
Diabetic foot ulcer severity predicts mortality in veterans with diabetes Chronic Conditions, Quality and Safety
Dr. Meghan Brennan et al. recently conducted a study of veterans with type 2 diabetes who developed incident diabetic foot ulcers, and found that compared to early-stage ulcers, gangrene was associated with an increased risk of mortality.
Variation in the types of providers participating in breast cancer follow-up care Cancer, Older Adults, Surgery
In this article, researchers used HIP's SEER-Medicare data to describe the types of providers participating in early follow-up care of older breast cancer survivors and what patient characteristics were associated with care from different provider types.
The association between geographic density of infectious disease physicians and limb preservation in patients with diabetic foot ulcers Chronic Conditions, HIP Data, Quality and Safety
A study by Dr. Meghan Brennan found that access to infectious disease physicians may play an important role in preventing major amputation from diabetic foot ulcers.
Endovascular vs. open revascularization for peripheral arterial disease Chronic Conditions, HIP Data, Surgery
Using HIP's Chronic Conditions Warehouse data, investigators found that in the long-term, an endovascular approach was superior to an open revascularization in treating peripheral arterial disease.
"They're younger… it's harder." Primary providers' perspectives on hypertension management in young adults Children and Young Adults, Chronic Conditions, Stakeholder Engagement
Dr. Heather Johnson and team conducted a multi-center qualitative study to explore PCP perspectives on barriers to controlling hypertension among young adults with regular primary care.
Building the learning health system: describing an organizational infrastructure to support continuous learning Primary Care Transformation (PATH), Learning Health System
This article by the UW PATH collaborative describes implementation changes and resulting system-level performance improvements in a learning health system.
PCP perceptions of colorectal cancer screening barriers Cancer, Quality and Safety, Stakeholder Engagement
Dr. Jennifer Weiss et al. conducted a survey of PCPs and examined their colorectal cancer screening rates, and found that high-performing PCPs can more effectively identify CRC screening barriers.

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