Individuals with Chronic Care Needs
This research will use digital health tools leveraging patient-reported outcomes and data from electronic health records to engage individuals with multiple chronic conditions to improve understanding of individualized risk of adverse events during care transitions.
This research will implement and scale a tailored interoperable clinical decision support tool and evaluate its impact on improving patient-centered chronic pain care.
This research will evaluate the use of WiseApp, a medication tracker mobile app linked to a smart pill box aimed at improving medication adherence in those living with HIV, focusing on Latinos in the United States and the Dominican Republic.
This research will examine the factors affecting cancer patients’ use of an electronic patient safety event reporting system to communicate adverse medication-related events to their care team.
Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients
This research will integrate cross-sector care alerts and interoperable personalized care planning into the existing Coordinating Transitions Intervention (CTI) tool and evaluate the impact of the revised tool on patient burden, care team collaboration, and utilization value for high-need, high-cost patients.