Medicare
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.
Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults
This research aims to develop and test a voice-activated smart system that will promote self-management and provide coping tools, motivation, and social support to help older adults with multiple chronic conditions.
Use of Push and Pull Health Information Exchange Technologies by Ambulatory Care Practices and the Impact on Potentially Avoidable Health Care Utilization - Final Report
The associations between query-based and directed health information exchange with potentially avoidable use of health care services.
10.1111/1475-6773.13169. [Epub ahead of print]. PMID: 31112303.
Disparities in patient-reported interest in web-based patient portals: survey at an urban academic safety-net hospital.
Seasonal variation in readmission risk for patients hospitalized with cardiopulmonary conditions.
Effect of hospital readmission reduction on patients at low, medium, and high risk of readmission in the Medicare population.
doi: 10.12788/jhm.2936. Epub 2018 Feb 12. PMID: 29455229.
An Evaluation of the Spread and Scale of PatientToc™ from Primary Care to Community Pharmacy Practice for the Collection of Patient-Reported Outcomes
This research will implement in pharmacies a patient-reported outcomes collection tool, PatientToc™, to collect data around medication adherence that can be used by pharmacists to improve adherence.