Hewner, Sharon

A clinical classification framework for identifying persons with high social and medical needs: The COMPLEXedex-SDH.

Citation
Sullivan SS, Ledwin KM, Hewner S. A clinical classification framework for identifying persons with high social and medical needs: The COMPLEXedex-SDH. Nurs Outlook. 2023 Sep-Oct;71(5):102044. doi: 10.1016/j.outlook.2023.102044. Epub 2023 Sep 18. PMID: 37729813.
Principal Investigator
Hewner, Sharon
Project Name
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

Expanding the evidence for cross-sector collaboration in implementation science: Creating a collaborative, cross-sector, interagency, multidisciplinary team to serve patients experiencing homelessness and medical complexity at hospital discharge.

Citation
Anderson AJ, Noyes K, Hewner S. Expanding the evidence for cross-sector collaboration in implementation science: Creating a collaborative, cross-sector, interagency, multidisciplinary team to serve patients experiencing homelessness and medical complexity at hospital discharge. Front Health Serv. 2023 Sep 8;3:1124054. doi: 10.3389/frhs.2023.1124054. PMID: 37744643; PMCID: PMC10515621.
Principal Investigator
Hewner, Sharon
Project Name
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

Ambulatory care coordination data gathering and use.

Citation
Geary CR, Hook M, Popejoy L, Smith E, Pasek L, Heermann Langford L, Hewner S. Ambulatory care coordination data gathering and use. Comput Inform Nurs. 2024 Jan 1;42(1):63-70. doi: 10.1097/CIN.0000000000001069. PMID: 37748014.
Principal Investigator
Hewner, Sharon
Project Name
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

Identifying high need primary care patients using nursing knowledge and machine learning methods.

Citation
Hewner S, Smith E, Sullivan SS. CIC 2022: Identifying high need primary care patients using nursing knowledge and machine learning methods. Appl Clin Inform. 2023 Mar 7. doi: 10.1055/a-2048-7343. Epub ahead of print. PMID: 36882152.
Principal Investigator
Hewner, Sharon
Project Name
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

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

Description

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.

Grant Number
R01 HS028000
Principal Investigator(s)
Hewner, Sharon

Role of Health IT to Improve Care Transitions

Event Date
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AHRQ hosted a free Webinar to discuss how health IT can improve care transitions for patients with complex conditions.

Reducing emergency room visits and in-hospitalizations by implementing best practice for transitional care using innovative technology and big data.

Citation
Hewner S, Sullivan SS, Yu G. Reducing emergency room visits and in-hospitalizations by implementing best practice for transitional care using innovative technology and big data. Worldviews Evid Based Nurs 2018 Mar 23. doi: 10.1111/wvn.12286. [Epub ahead of print]. PMID: 29569327.
Principal Investigator
Hewner, Sharon
Project Name
Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes

Integrating social determinants of health into primary care clinical and informational workflow during care transitions.

Citation
Hewner S, Casucci S, Sullivan S, et al. Integrating social determinants of health into primary care clinical and informational workflow during care transitions. eGEMs 2017;5(2):2. DOI: http://doi.org/10.13063/2327-9214.1282
Principal Investigator
Hewner, Sharon
Project Name
Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes

Comparative effectiveness of risk-stratified care management in reducing readmissions in Medicaid adults with chronic disease.

Citation
Hewner S, Wu YW, Castner J. Comparative effectiveness of risk-stratified care management in reducing readmissions in Medicaid adults with chronic disease. J Healthc Qual 2016 Jan-Feb;38(1):3-16. PMID: 26730804.
Principal Investigator
Hewner, Sharon
Project Name
Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes