Hewner, Sharon

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

Principal Investigator: 

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

Principal Investigator: 

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

Principal Investigator: 

Frequent emergency department utilization and behavioral health diagnoses.

Principal Investigator: 

Aligning population-based care management with chronic disease complexity.

Principal Investigator: 

Informatics’ role in integrating population and patient-level knowledge to improve care transitions in complex chronic disease.

Principal Investigator: 

Integrating social context into comprehensive shared care plans: A scoping review.

Principal Investigator: 

The roles of chronic disease complexity, health system integration, and care management in post-discharge healthcare utilization in a low-income population.

Principal Investigator: 

Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes - Final Report

Principal Investigator: 

Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes

Description: 

This study aimed to improve care transitions for low-income patients with multiple chronic conditions using health information exchange, and found significant reductions in inpatient and emergency department utilization.

Principal Investigator: 
Project Dates: 
July 15, 2014 to December 31, 2016