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Medicaid

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

Language-concordant automated telephone queries to assess medication adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims.

Citation
Ratanawongsa N, Quan J, Handley MA, et al. Language-concordant automated telephone queries to assess medication adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims. BMC Health Serv Res 2018 Apr 6;18(1):254. PMID: 29625571.
Principal Investigator
Handley, Margaret
Project Name
Implementation Outcomes of a Health Information Technology Program For Vulnerable Diabetes Patients

Language-concordant automated telephone queries to assess medication adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims.

Citation
Ratanawongsa N, Quan J, Handley MA, et al. Language-concordant automated telephone queries to assess medication adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims. BMC Health Serv Res 2018 Apr 6;18(1):254. PMID: 29625571.
Principal Investigator
Schillinger, Dean
Project Name
Harnessing Health Information Technology for Self-Management Support and Medication Activation in a Medicaid Health Plan

Effect of hospital readmission reduction on patients at low, medium, and high risk of readmission in the Medicare population.

Citation
Blecker S, Herrin J, Kwon JY, Grady JN, Jones S, Horwitz LI. Effect of hospital readmission reduction on patients at low, medium, and high risk of readmission in the Medicare population. J Hosp Med. 2018 Aug 1;13(8):537-543.
doi: 10.12788/jhm.2936. Epub 2018 Feb 12. PMID: 29455229.
Principal Investigator
Blecker, Saul B.
Project Name
Health Information Technology in Heart Failure Care

Disparities in patient-reported interest in web-based patient portals: survey at an urban academic safety-net hospital.

Citation
Sadasivaiah S, Lyles CR, Kiyoi S, Wong P, Ratanawongsa N. Disparities in patient-reported interest in web-based patient portals: survey at an urban academic safety-net hospital. J Med Internet Res. 2019 Mar 26;21(3):e11421. doi: 10.2196/11421. PMID: 30912747.
Principal Investigator
Lyles, Courtney
Project Name
Engaging Diverse Patients in Using an Online Patient Portal

Engaging Disadvantaged Patients in Sharing Patient-Generated Health Data and Patient-Reported Outcomes through Health Information Technology - Final Report

Citation
Moore S. Engaging Disadvantaged Patients in Sharing Patient-Generated Health Data and Patient-Reported Outcomes through Health Information Technology - Final Report. (Prepared by Denver Health and Hospital Authority under Grant No. R21 HS025505). Rockville, MD: Agency for Healthcare Research and Quality, 2020.
Principal Investigator
Moore, Susan Louise
Project Name
Engaging Disadvantaged Patients in Sharing Patient-Generated Health Data and Patient-Reported Outcomes Through Health Information Technology

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