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Health Care Delivery and Policy Studies

 

Comparative Effectiveness of Virtual Care in Dermatology for Diagnosing Rash

The benefit of teledermatology for triaging skin rashes is not adequately understood. The study will assess how implementation of teledermatology (technology and staffing) improves the effectiveness and efficiency of diagnosis, including wait time to diag...
Funder: The Permanente Medical Group
Investigator: Herrinton, Lisa

Targeting Cardiovascular Events to Improve Patient Outcomes After Sepsis

Sepsis is the most common illness leading to hospitalization in the United States, affecting more than 1 million Americans each year. While short-term mortality has improved over prior decades, sepsis survivors face numerous post-hospital sequelae that ne...
Funder: National Heart, Lung, and Blood Institute
Investigator: Liu, Vincent

Using EHR Audit Logs to Capture Diagnostic Pathways and Time to Diagnosis

Rapid expansions in the use of electronic health record (EHR) systems also contribute to large expansions in the availability of metadata. These highly granular metadata may prove particularly useful for understanding how frontline clinicians interact wit...
Funder: Gordon and Betty Moore Foundation
Investigator: Liu, Vincent

Assessing and Optimizing the Impact of an Electronic Clinical Decision Support Tool for Chest Pain Risk Stratification in the Emergency Department STEWARD Project (Phase 3)

Conducted with co-investigator Dustin G. Mark, MD, this study helps emergency physicians with estimates of individual patient risk for patients with chest pain. The research team will evaluate impacts on guideline-supported acute coronary syndrome evaluat...
Funder: The Permanente Medical Group
Investigator: Reed, Mary

It Takes a Network: A Network Science- and Command Center-Based Approach to Hospital Error Detection, Prevention, and Mitigation

​This project aims to develop a set of algorithms for generic error detection, prevention, and mitigation in the hospital setting. The goal is to develop algorithms that can operate in real time so as to support an existing infrastructure (the eHospita...
Funder: Kaiser Foundation Hospitals
Investigator: Escobar, Gabriel

The Initial Care of Younger Adults with Newly Diagnosed Type 2 Diabetes

​In a population of adults with newly diagnosed, early onset type 2 diabetes, this study will identify patient-, provider-, and system-level predictors of inadequate glycemic control within one year following diagnosis. A longitudinal, retrospective co...
Funder: National Institute of Diabetes and Digestive and Kidney Diseases
Investigator: Gopalan, Anjali

Similarities and Differences in Health Indicators and Health Care Use Among Asian Ethnic Groups

​This study will examine whether significant differences across Asian ethnic groups in prevalence of chronic diseases, behavioral/psychosocial risk factors, preventive service use, and patient portal use are masked when statistics are reported for “Asi...
Funder: Northern California Community Benefit Programs
Investigator: Gordon, Nancy

CORAL Meaningful Outcomes & Missed Opportunities

​A relatively small proportion of patients with complex needs represent a major source of cost and utilization. The fundamental principle that distinguishes complex needs patients from other high-cost patients with well-defined medical issues is that &...
Funder: Garfield Memorial Fund
Investigator: Grant, Richard

T32 Training Program in Diabetes Translational Research

​Diabetes remains a leading cause of morbidity and mortality, and it is a significant burden to the U.S. health care system, patients, and their families. The knowledge and skills necessary to overcome the final translational block from evidence into p...
Funder: National Institute of Diabetes and Digestive and Kidney Diseases
Investigator: Grant, Richard; Schmittdiel, Julie

Supplement to T32 Training Program in Diabetes Translational Research

​This administrative supplement solicited by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) will provide two to six medical students with summer training opportunities in translational research. This supplement allows the ...
Funder: National Institute of Diabetes and Digestive and Kidney Diseases
Investigator: Grant, Richard; Schmittdiel, Julie

Predicting and Reducing Future Health Disparities for U.S. Adults with Diabetes

​The clinical and financial impact of diabetes-related interventions and policies may not be quantifiable without the use of simulation models that reflect the long-term course of disease and its complications. Models of diabetes complications are used...
Funder: National Institute on Minority Health and Health Disparities
Investigator: Karter, Andrew

Identifying Pre-Sepsis Opportunities for Early, Targeted Intervention

​This project is designed to pursue pre-sepsis opportunities to identify patients at high-risk for sepsis and develop risk prediction models to mitigate the impact of impending sepsis by leveraging granular electronic health record data.


Funder: National Institute of General Medical Sciences
Investigator: Liu, Vincent

Benchmarking Hospital Quality - Template Matching

​In this study, Kaiser Permanente Northern California researchers will serve as consultants for U.S. Department of Veterans Affairs (VA) researchers to evaluate the utility of template matching techniques, compared with standard regression techniques, ...
Funder: U.S. Department of Veterans Affairs
Investigator: Liu, Vincent

Predicting Successful Onboarding in the Medi-Cal Population

​The purpose of this project is to examine quality indicators for key chronic conditions such as diabetes and asthma for the Medi-Cal population served by Kaiser Permanente Northern California, and to see how these indicators vary by different populati...
Funder: Kaiser Foundation Hospitals
Investigator: Schmittdiel, Julie

Social and Functional Predictors of Rehospitalization: YCLS and PROMIS (SDH2)

This project aims to determine whether fields included in the National Institutes of Health’s Patient Reported Outcomes Measurement System (PROMIS) questionnaires for cognition and physical function, as well as those in the Your Current Life Situation (YC...
Funder: Kaiser Permanente Program Offices
Investigator: Escobar, Gabriel

Evaluation of the Effectiveness and Implementation of Regionalized Care of Testicular Cancer

This study has three primary aims: 1) to evaluate the effectiveness of Testicular Cancer Redesign on rates of use of guideline-adherent and avoidable utilization; 2) to evaluate users’ ability to adopt and maintain use of Testicular Cancer Redesign wo...
Funder: The Permanente Medical Group
Investigator: Herrinton, Lisa

Does Information about Members’ Social Determinants of Health Improve Prediction of Risk for Hospitalization, Emergency Department Visits, and Outpatient Utilization?

The new Kaiser Permanente Your Current Life Situation (YCLS) screening questionnaire will be mailed to a random sample of 7,000 adult members of Kaiser Permanente Northern California (KPNC), oversampling patients at low to medium risk for hospitalization....
Funder: Kaiser Permanente Program Offices
Investigator: Escobar, Gabriel; Gordon, Nancy

Characterizing and Predicting Adverse Drug Events Outside the Hospital

This study aims to employ machine learning methods to develop predictive models for adverse drug events, or ADEs, that result in patients using the emergency department and/or being hospitalized (non-nosocomial ADEs, NNADEs). Based on work with a pharmaci...
Funder: Gordon and Betty Moore Foundation
Investigator: Escobar, Gabriel

Social and Functional Predictors of Rehospitalization: YCLS and PROMIS

This study aims to determine whether specific items from two questionnaires currently in use at Kaiser Permanente Northern California (the Your Current Life Situation questionnaire and selected functional status questionnaires from the National Institutes...
Funder: Kaiser Permanente Program Offices
Investigator: Escobar, Gabriel

Patient Choice of Telemedicine Encounters


Funder: Agency for Healthcare Research and Quality
Investigator: Reed, Mary

The Role of Bariatric Surgery in the Management of Nonalcoholic Fatty Liver Disease

This project is proposed by University of California, San Francisco (UCSF) gastroenterology fellow Suzanne Sharpton, who is also earning an M.S. in public health. She is supported by Kaiser Permanente gastroenterologist Varun Saxton and bariatric surgeon ...
Funder: East Bay Community Foundation
Investigator: Herrinton, Lisa

FY16 Sentinel Infrastructure, Methods and Surveillance

This project consists of tasks required for data partners in the Food and Drug Administration’s Sentinel Initiative under the initiative’s “Year 4 Infrastructure” statement of work. Most of the requirements involve data partner staff running data requests...
Funder: U.S. Food and Drug Administration
Investigator: Herrinton, Lisa

Does Combining Asians Into One Group Mask Important Ethnic Group Differences in Health and Health Care Use?

This study will examine whether significant differences across Asian ethnic groups in prevalence of chronic diseases, behavioral and psychosocial risk factors, preventive service use, and patient-portal use are masked when statistics are reported for Asia...
Funder: Northern California Community Benefit Programs
Investigator: Gordon, Nancy

Pre-Visit Prioritization for Complex Primary Care Patients with Diabetes

Patients with type 2 diabetes are increasingly living with multiple concurrent conditions and complicated medical regimens. For these patients, diabetes management decisions and treatment goals must be addressed within the larger context of other competin...
Funder: National Institute of Diabetes and Digestive and Kidney Diseases
Investigator: Grant, Richard

Early Detection of Obstetric Complications: Development of Predictive Models Suitable for Real-Time Surveillance During Labor, Delivery, and the Postpartum Period

This is a feasibility study to determine whether data from Kaiser Permanente HealthConnect® can be harnessed to predict obstetric complications in real time. The long-term goal is to develop algorithms that could be instantiated in the electronic record t...
Funder: Kaiser Permanente Program Offices
Investigator: Escobar, Gabriel
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