Care Coordination

Implementation of Digital Mental Health Tools in Ambulatory Care Coordination

Description: 

This research will adapt and implement a digital mental health intervention to improve care coordination of mental health services in ambulatory care settings.

Principal Investigator: 
Project Dates: 
September 1, 2021 to June 30, 2026

Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities

Description: 

This research aims to determine the effectiveness of a program designed to reduce medication-related issues among patients during the hospital-to-skilled nursing facility transition.

Principal Investigator: 
Project Dates: 
September 30, 2020 to July 31, 2025

A Feasibility Study of Cloud-Based Care Plans for Children with Medical Complexity

Description: 

This research aims to determine the feasibility, acceptability, and outcomes associated with the use of Cloud Care, a cloud-based multidisciplinary care plan for children with medical complexity.

Principal Investigator: 
Project Dates: 
May 1, 2020 to April 30, 2022

Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions

Description: 

This research will support the development and testing of two electronic care plan applications and implementation guide for managing persons with chronic kidney disease and at least one additional chronic condition.

Principal Investigator: 
Project Dates: 
February 7, 2020 to April 30, 2022

Connected Cancer Care: EHR Communication Networks in Virtual Cancer Care Teams

Description: 

This research will develop methods for measuring EHR communication networks—defined as EHR-based information sharing connections among healthcare professionals —in virtual care teams and to examine the relationship between EHR communication networks and care quality.

Principal Investigator: 
Project Dates: 
April 1, 2019 to March 31, 2022

Examining the Clinical Workflow and Outcomes of Integrating Health Information Technology to Educate and Support Dementia Caregivers

Description: 

This project will evaluate the integration into clinical care of CareHeroes, an application to support caregivers of those with Alzheimer’s disease.

Principal Investigator: 
Project Dates: 
September 30, 2018 to September 29, 2022

From Emergency to Community: Implementing a Social Needs Assessment and Referral Infrastructure Using Health Information Technology

Description: 

This research assessed the use of an electronic social needs screening tool integrated into the workflow of an emergency department setting that facilitated referrals for those in need, and found that although only a small subset of patients expressing need received referrals, the strategy showed promise to monitor population health post-discharge.

Principal Investigator: 
Project Dates: 
September 30, 2018 to September 29, 2020

School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services for Children with Special Health Care Needs Living in Rural and Underserved Communities

Description: 

This project will determine the impact of using telemedicine to serve children with special healthcare needs living in rural and underserved communities.

Principal Investigator: 
Project Dates: 
September 30, 2017 to July 31, 2022

Exploring the Utilization of and Outcomes from Health Information Exchange in Emergency Settings

Description: 

This research assessed the use of a health information exchange system in emergency department settings, finding that although overall usage is relatively low, additional functionalities such as single sign on add value to clinical decision making and enable faster retrieval of patient records from external sources compared to traditional methods when embedded into existing workflows.

Principal Investigator: 
Project Dates: 
September 1, 2017 to August 31, 2020

Engaging Diverse Patients in Using an Online Patient Portal

Description: 

Informed by patients, caregivers, and an advisory panel of researchers and clinicians, this research developed, implemented, and evaluated an online patient portal tutorial for patients with chronic conditions.

Principal Investigator: 
Project Dates: 
August 1, 2013 to July 31, 2019