Richard W. Grant , MD, MPH

richard.w.grant@kp.org

Kaiser Permanente Researcher Profiles

Grant, Richard W.

Richard W. Grant, MD, MPH, is a research scientist at the Division of Research, Kaiser Permanente Northern California. Dr. Grant is a board-certified primary care physician. He received his medical degree from University of California, San Francisco, completed his medical residency training at Massachusetts General Hospital, and received his MPH from the Harvard School of Public Health. His research focuses on identifying and overcoming barriers to effective primary care in patients with complex diseases. He has a special interest in type 2 diabetes and related chronic conditions. Dr. Grant has published over 120 peer-reviewed scientific papers and is an Associate Editor for JAMA Internal Medicine. He is the past chair of the American Diabetes Association’s Profession Practice Committee and has served on the editorial board for Diabetes Care.

Current Positions

Section Affiliations

Primary Research Interests

  • Type 2 diabetes and pre-diabetes
  • Primary care redesign
  • Health information technology
  • Clinical application of genomic data

Related Websites

Studies

Pragmatic Clinical Trial of Continuous Glucose Monitoring-based Interventions for Safe Insulin Prescribing in High-Risk Older Patients with Type 2 Diabetes

This 3-arm randomized pragmatic clinical trial will test the efficacy of patient-focused continuous glucose monitoring (Arm 1 – “patient-only CGM”) and patient/provider-focused continuous glucose monitoring (Arm 2 – “patient + provider CGM”) intervention strategies, compared to an active comparator (Arm 3 “usual care”) within Kaiser Permanente Northern California. Our 3-arm design allows us to examine whether patient-education and training alone is sufficient to realize a benefit from continuous glucose monitoring without implementing major workflow changes in busy primary care practices. If successful, this study will improve safety, including reduced incidence of severe hypoglycemia and patient-centered outcomes, and improve care processes for older patients with type 2 diabetes.

Investigator: Grant, Richard

Funder: National Institute of Diabetes and Digestive and Kidney Diseases

Testing a new population management model for hypoglycemia prevention in high-risk KPNC members

This study explores whether using a Hypoglycemia Champion to target high-risk patients with type 2 diabetes is a feasible and effective model of care to reduce hypoglycemia risk in this population. We will develop an evidence-based, expert consensus clinical guideline, Hypoglycemia on a Page, involving stakeholders across multiple KP regions; develop a workflow for use by a Hypoglycemia Champion (HC), a clinical pharmacist who will apply the Hypoglycemia on a Page guideline to manage high-risk patients; and conduct a pragmatic, randomized trial of the proactive HC intervention vs. usual care on diabetes regimen safety among high-risk patients.

Investigator: Grant, Richard

Funder: TPMG Delivery Science Projects Program

A Social Needs Network for Evaluation and Translation (SONNET): Addressing the Social, Economic and Behavioral Needs of Kaiser Permanente Members

Social Needs Network for Evaluation and Translation (SONNET) is a national network of applied researchers who help design, evaluate, and implement effective social health interventions to improve member health across Kaiser Permanente. The SONNET Evaluation and Research Committee (ERC) is responsible for guiding the overall strategic direction and activities of the Network.

Investigator: Grant, Richard

Funder: Kaiser Permanente Program Office

Social Risk Screening and Social Risk Prediction: Research Consultation and Planning

Kaiser Permanente has set a national goal to increase social health screening among members. Dr. Grant and his DOR Complex Care Team will work with KP National Office of Community Health in a consultative role to address barriers and facilitators to social health screening. Work will focus on evaluating and implementing novel informatics-based strategies to guide member self-screening and to inform more intensive screening strategies. An additional goal of this work is to develop potential larger scale implementation and evaluation interventions.

Investigator: Grant, Richard

Funder: KP National Office of Community Health

Social Risk Prediction Working Group

Our DOR Complex Care Team is working with Dr. Anand Shah and his team in a consultative role to address barriers and facilitators to social health screening. This work focuses on evaluating and implementing novel informatics-based strategies to guide member self-screening and to inform more intensive screening strategies. An additional goal of this work is to develop potential larger scale implementation and evaluation interventions. The DOR Complex Care team will also work closely with stakeholders and care redesign partners to address social health screening.

Investigator: Grant, Richard

Funder: Kaiser Permanente Program Office

Barriers and Facilitators to TracFone/CareLink Implementation in Two Kaiser Permanente Regions

This study will evaluate TracFone/CareLink program within Kaiser Permanente (KP) Digital Health Equity portfolio. It will involve engaging local leaders, end users, and KP members in the planning, implementation, and initial assessment of barriers and facilitators of the TracFone/CareLink program.

Investigator: Grant, Richard

Funder: Northern California Community Benefit Programs

Clinical Trial of Expanded Advance Care Planning to Address Regimen Intensity in Older Patients at High Risk for Treatment-Induced Hypoglycemia

The goal of this study is to apply the patient-centered advance care planning paradigm of values elicitation and decision-making and communication preparation to hypoglycemia-related adverse outcomes in vulnerable older patients with type 2 diabetes. This will involve a randomized clinical trial comparing a web-based diabetes-specific advanced care planning tool vs. usual care among patients 75 years and older at increased risk for hypoglycemic events.

Investigator: Grant, Richard

Funder: National Institute on Aging

Prevalence of Social Risks and Association of Social Risks with Health and Well-Being Among Non-Safety Net Middle-Aged and Older Adult Members in Kaiser Permanente Northern California

This study will gather data to estimate the prevalence of several different social and financial risk factors among adults aged 35-84 and assess whether risk factor prevalence significantly differs across age, race, health status, and income groups.

Investigator: Grant, Richard

Funder: Northern California Community Benefit Programs

Impact of the COVID Pandemic on KP Members with Complex Medical and Social Needs

The COVID epidemic has exposed the fragility of the social network that supports our most complex and vulnerable members. We have established an interdisciplinary team of researchers, clinicians, and operational leaders at KPNC, KPCO, KPWA to study socially determined barriers to care among adult members with complex medical & social needs. Among these patients, we propose to: 1) examine the role of self-reported barriers (e.g. financial need, housing instability, social isolation, frailty) on risk of COVID infection; 2) among COVID infected patients, examine the role of these barriers on disease severity; 3) examine the impact of social distancing & KP care re-organization on chronic medical & mental health care, and 4) re-contact previously interviewed complex patients to investigate in the impact of social distancing & KP care re-organization on their health and care. Results will help inform new care strategies for our most vulnerable members with complex medical and social needs.

Investigator: Grant, Richard

Funder: Garfield Memorial Fund

Complex Patients: DOR Research Team

My team has been working collaboration with The Permanente Medical Group and Kaiser Foundation Health Plan to implement and evaluate care models to improve health outcomes of medically and socially complex patients. We are currently conducting a rapid cycle randmomized clinical trial to evaluate MYQOL, a new care management program developed at KP Central Valley designed to reduce hospital and emergency department readmissions among complex patients. These efforts will help guide TPMG and KFHP plans to improve the care of complex patients.

Investigator: Grant, Richard

Funder: Kaiser Foundation Health Plan

Reducing Treatment Risk in Older Patients with Diabetes: Comparative Effectiveness of Academic Detailing with and without Pre-Visit Patient Preparation

This pragmatic, randomized clinical trial will compare the effect of primary care physician academic detailing with or without patient pre-visit preparation on insulin de-prescribing rates among older patients with type 2 diabetes at high risk for insulin-related hypoglycemia. We will also examine changes in patient-reported diabetes distress, decisional confidence, and perceived quality of care. In a subset of visits from both study arms, we will also compare the content and quality of patient-provider conversations through analysis of visit audio-recordings.

Investigator: Grant, Richard

Funder: Patient-Centered Outcomes Research Institute

Care System Analytics to Support Primary Care Patients with Complex Medical and Social Needs

This study will leverage the rich electronic data sources within Kaiser Permanente to create pragmatic tools for improving health and equity among primary care patients with the highest medical and social needs. Aim 1: Use advanced analytic methods to predict actionable nonmedical barriers to care experienced by patients with multiple chronic conditions; Aim 2: Implement a dashboard linked to the electronic health record that will enable care providers to sort and manage registries of patients with multiple chronic conditions; and Aim 3: Pilot the use and implementation of this dashboard tool in 3 geographically distinct, high-need communities served by three Kaiser Permanente regions (Northern California, Washington, Colorado).

Investigator: Grant, Richard

Funder: Agency for Healthcare Research and Quality

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 “complex needs” is a highly heterogeneous category with poorly defined inclusion criteria and treatment goals. To move this field forward, this 18-month, inter-regional research project aims to better define actionable subgroups of patients with complex care needs. A generalizable typology of distinct subgroups of patients with complex care needs will be created using clinical and patient-reported data and care outcomes across three Kaiser Permanente delivery systems (Kaiser Permanente Northern California, Kaiser Permanente of Colorado, and Kaiser Permanente Washington). Important unmet care needs will be identified for patients within each of the main subgroups, and a novel set of meaningful outcomes that reflect complex patients’ clinical and personal needs will be elicited using interviews and focused chart reviews.

Investigator: Grant, Richard

Funder: Garfield Memorial Fund

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 practice require unique training in the area of delivery science, which includes health services research, translational research, and dissemination and implementation methods. To meet this need, the Kaiser Permanente Northern California Division of Research has created the Diabetes Delivery Science Training Program. This new program will directly address the need to augment the current research workforce by focusing on the skills needed to identify and overcome barriers to effective diabetes care within existing large-scale health care delivery systems. Two post-doctoral scientists will be enrolled per year for a two-year training program.

Investigator: Grant, Richard

Funder: National Institute of Diabetes and Digestive and Kidney Diseases

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 existing T32 program based at the Kaiser Permanente Northern California Division of Research to host students who are participating in a broader NIDDK-administered program for introducing medical students to research in diabetes and diabetes prevention.

Investigator: Grant, Richard; Schmittdiel, Julie

Funder: National Institute of Diabetes and Digestive and Kidney Diseases

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 competing health concerns. In parallel, clinical advances have led to a substantial increase in the number of tasks that primary care providers must perform during each visit. These twin trends present a formidable challenge to effective diabetes primary care. This study addresses the hypothesis that among complex patients not meeting diabetes management goals, an approach to help patients explicitly prioritize all health issues (both related and unrelated to diabetes) prior to each primary care visit will result in more effective diabetes management over time. To test this hypothesis, the project will involve design, implementation, and evaluation of a web-based tool linked to electronic health records that will enable complex patients to easily define care priorities from an inclusive list.

Investigator: Grant, Richard

Funder: National Institute of Diabetes and Digestive and Kidney Diseases

CTSI Institutional Career Development Core

The Clinical and Translational Science Institute (CTSI) facilitates the rapid translation of research to improvements in patient and community health. It is a cross-school, campus-wide institute with scientist leaders at its helm. To achieve its goals, CTSI provides infrastructure, services and training to support clinical and translational research. To advance its mission, it develops broad coalitions and partnerships at the local and national levels to enable a transformation of the research environment.

Investigator: Grant, Richard

Funder: National Center for Advancing Translational Sciences

Mentored Research to Improve Care for Complex Patients With Diabetes

K24 Midcareer Investigator Awards in Patient-Oriented Research are designed to support established scientists with a track record of mentoring to devote time to research mentorship for junior investigators. The overarching goal of this K24 award is to develop innovative approaches to improving the care of complex patients with type 2 diabetes, including the growing number of Latinos with diabetes, by developing new care models and innovative tools to support patients and providers in achieving more effective diabetes primary care. Specific research aims are to: 1) Examine the relationship between patient visit priorities and PCP care plans; 2) Adapt pre-visit prioritization for Low-English-Proficiency and Spanish-speaking Latinos; and 3) Learn how to effectively implement alternative health IT platforms such as smart phones, interactive voice response, and other novel modalities for pre-visit prioritization. The project will provide ample mentored research opportunities for highly promising mentees with an interest and passion for patient-oriented research to improve the care of patients with type 2 diabetes.

Investigator: Grant, Richard

Funder: National Institute of Diabetes and Digestive and Kidney Diseases

Multi-Component Behavioral Intervention for Complex Patients with CVD Risk

Disease management programs have had success in CVD risk factor control among uncomplicated patients but often fall short in more complex patients. New approaches are needed to address the multiple barriers faced by CVD patients with complex medical and behavioral comorbidity. We propose to develop and implement a multi-component intervention that includes patient activation, patient engagement, broad brush screening for undiagnosed behavioral health conditions, and creation of personal care plans tailored to each individuals unique set of barriers, motivators, and clinical goals. By focusing on core health skills and cross-cutting barriers to care in high risk patients not meeting clinical treatment goals, we are designing this intervention to be widely generalizable to all patients with multiple complex chronic conditions. We will conduct a randomized clinical trial of the intervention vs. usual care to examine effectiveness on proximal outcomes and CVD risk factor control.

Investigator: Grant, Richard

Funder: National Heart, Lung, and Blood Institute

Aligning the Visit Priorities of Complex Patients and their Primary Care Providers

The primary care visit is a key opportunity for catalyzing changes in care for complex patients with multiple heath issues. With too many items to address in the time allotted, however, the decision of which items to focus on requires prioritization. Prior studies have shown that: 1) patients and providers often have discordant priorities, 2) this discordance is associated with less effective care (e.g., poor adherence, lack of medication intensification), and, conversely, 3) collaborative interactions with informed, activated patients and prepared providers lead to better clinical outcomes. We hypothesize that a systematic approach that enables patients and providers to align visit priorities will result in more effective, patient-centered care because explicitly negotiated management decisions that address both patient and provider priorities are more likely to be adopted. This project will include focus groups and a pilot clinical trial examining impact on patient-centered outcomes.

Investigator: Grant, Richard

Funder: Patient-Centered Outcomes Research Institute

Publications

Glycemic control and diabetes complications across health status categories in older adults treated with insulin or insulin secretagogues: The Diabetes & Aging Study

Authors: Lipska, Kasia J;Huang, Elbert S;Liu, Jennifer Y;Parker, Melissa M;Laiteerapong, Neda;Grant, Richard W;Moffet, Howard H;Karter, Andrew J

J Am Geriatr Soc. 2023 Aug 28.

PubMed abstract

Social Risks, Social Needs, and Attitudes Toward Social Health Screening 1 Year Into the COVID-19 Pandemic: Survey of Adults in an Integrated Health Care Delivery System

Authors: Gordon, Nancy P;Shanks, Carmen Byker;Grant, Richard W

Perm J. 2023 Jun 15;27(2):61-74. Epub 2023-04-17.

PubMed abstract

Use of Sepsis Clinical Prediction Models to Improve Patient Care

Authors: Mogri, Murtaza;Grant, Richard W;Liu, Vincent X

JAMA Intern Med. 2023 Jun 01;183(6):612-615.

PubMed abstract

Development and Validation of the Life Expectancy Estimator for Older Adults with Diabetes (LEAD): the Diabetes and Aging Study

Authors: Karter, Andrew J;Parker, Melissa M;Moffet, Howard H;Lipska, Kasia J;Laiteerapong, Neda;Grant, Richard W;Lee, Catherine;Huang, Elbert S

J Gen Intern Med. 2023 May 30.

PubMed abstract

Data-driven classification of health status of older adults with diabetes: The diabetes and aging study

Authors: Huang, Elbert S; Liu, Jennifer Y; Lipska, Kasia J; Grant, Richard W; Laiteerapong, Neda; Moffet, Howard H; Schumm, L Philip; Karter, Andrew J

J Am Geriatr Soc. 2023 Mar 08.

PubMed abstract

Telehealth During COVID-19 for Adults with Multiple Chronic Conditions: Associations with Self-Reported Food Insecurity and with Physical Limitations

Authors: McCloskey, Jodi K; Ellis, Jennifer L; Uratsu, Connie S; Drace, Melanie L; Ralston, James D; Bayliss, Elizabeth A; Grant, Richard W

Telemed J E Health. 2023 Mar 06.

PubMed abstract

Associations between alcohol brief intervention in primary care and drinking and health outcomes in adults with hypertension and type 2 diabetes: a population-based observational study

Authors: Chi, Felicia W; Weisner, Constance M; Satre, Derek D; Grant, Richard W; Metz, Verena E; Sterling, Stacy A; et al.

BMJ Open. 2023 Jan 19;13(1):e064088. Epub 2023-01-19.

PubMed abstract

Associations Between Different Self-reported Social Risks and Neighborhood-level Resources in Medicaid Patients

Authors: Miller-Rosales, Chris; McCloskey, Jodi; Uratsu, Connie S; Ralston, James D; Bayliss, Elizabeth A; Grant, Richard W

Med Care. 2022 08 01;60(8):563-569. Epub 2022-05-30.

PubMed abstract

Address Changes Are Associated With Unmet Glycemic Targets: Opportunities to Improve Processes and Outcomes of Care Among People With Type 2 Diabetes

Authors: Thomas, Tainayah; Dyer, Wendy; Adams, Alyce; Grant, Richard; Schmittdiel, Julie

Perm J. 2022 06 29;26(2):1-10. Epub 2022-06-15.

PubMed abstract

Accounting for Social Risk Does not Eliminate Race/Ethnic Disparities in COVID-19 Infection Among Insured Adults: a Cohort Study

Authors: McCloskey, Jodi K; Ellis, Jennifer L; Uratsu, Connie S; Drace, Melanie L; Ralston, James D; Bayliss, Elizabeth A; Grant, Richard W

J Gen Intern Med. 2022 04;37(5):1183-1190. Epub 2022-02-02.

PubMed abstract

All in the Family: A Qualitative Study of the Early Experiences of Adults with Younger Onset Type 2 Diabetes

Authors: Gopalan, Anjali; Blatchins, Maruta A; Xu, Karen K; Altschuler, Andrea; Marshall, Cassondra J; Hessler, Danielle M; Fernandez, Alicia; Grant, Richard W

J Am Board Fam Med. 2022 Mar-Apr;35(2):341-351.

PubMed abstract

Engaging patients in population-based chronic disease management: A qualitative study of barriers and intervention opportunities

Authors: Fang, Anya; Abdelgadir, Dana; Gopalan, Anjali; Ross, Thekla; Uratsu, Connie S; Sterling, Stacy A; Grant, Richard W; Iturralde, Esti

Patient Educ Couns. 2022 01;105(1):182-189. Epub 2021-05-04.

PubMed abstract

Racial and Ethnic Differences in Age at Diabetes Diagnosis-A Call for Action

Authors: Gopalan, Anjali; Habib, Anand R; Grant, Richard W

JAMA Intern Med. 2021 12 01;181(12):1560-1561.

PubMed abstract

Updated USPSTF Screening Recommendations for Diabetes: Identification of Abnormal Glucose Metabolism in Younger Adults

Authors: Grant, Richard W; Gopalan, Anjali; Jaffe, Marc G

JAMA Intern Med. 2021 10 01;181(10):1284-1286.

PubMed abstract

Aligning care with the personal values of patients with complex care needs

Authors: Tuzzio, Leah; Berry, Andrew L; Gleason, Kathy; Barrow, Jennifer; Bayliss, Elizabeth A; Gray, Marlaine Figueroa; Delate, Thomas; Bermet, Zoe; Uratsu, Connie S; Grant, Richard W; Ralston, James D

Health Serv Res. 2021 10;56 Suppl 1:1037-1044. Epub 2021-08-25.

PubMed abstract

The Epic Sepsis Model Falls Short-The Importance of External Validation

Authors: Habib, Anand R; Lin, Anthony L; Grant, Richard W

JAMA Intern Med. 2021 08 01;181(8):1040-1041.

PubMed abstract

Sodium-Glucose Cotransporter 2 Inhibitors vs Sulfonylureas: The Price of Prevention

Authors: Guduguntla, Vinay; Grant, Richard W

JAMA Intern Med. 2021 08 01;181(8):1054.

PubMed abstract

Reassessment of Glycemic Goals in Older Patients With Dementia-More Work Is Needed to Do Less

Authors: Claytor, Jennifer D; Grant, Richard W

JAMA Intern Med. 2021 07 01;181(7):994-995.

PubMed abstract

Disclosure of New Type 2 Diabetes Diagnoses to Younger Adults: a Qualitative Study

Authors: Gopalan, Anjali; Blatchins, Maruta A; Altschuler, Andrea; Mishra, Pranita; Fakhouri, Issa; Grant, Richard W

J Gen Intern Med. 2021 06;36(6):1622-1628. Epub 2021-01-26.

PubMed abstract

Visit Content Analysis: Doctor-Patient Communication in Patients with Type 2 Diabetes

Authors: Abdelgadir, Dana A; Rodriguez, Laurie M; Blatchins, Maruta A; Mishra, Pranita; Gopalan, Anjali; Grant, Richard W

Perm J. 2021 05;25.

PubMed abstract

Reappraising Medical Syntax-Does Race Belong in the First Line of the Patient History?

Authors: Ikeme, Jesse C; Salazar, James W; Grant, Richard W

JAMA Intern Med. 2021 03 01;181(3):388-391.

PubMed abstract

Sex-Based Differences Entangling With Electronic Health Record Documentation

Authors: Claytor, Jennifer; Grant, Richard W

JAMA Intern Med. 2021 02 01;181(2):290-291.

PubMed abstract

Use of Latent Class Analysis and k-Means Clustering to Identify Complex Patient Profiles

Authors: Grant, Richard W; McCloskey, Jodi; Hatfield, Meghan; Uratsu, Connie; Ralston, James D; Bayliss, Elizabeth; Kennedy, Chris J

JAMA Netw Open. 2020 12 01;3(12):e2029068. Epub 2020-12-01.

PubMed abstract

Observational Study Design Challenges-The Case of Fluoroquinolones and Aortic Disease

Authors: DeGette, Raphaela Lipinsky; Grant, Richard William; Mph, M D

JAMA Intern Med. 2020 12 01;180(12):1605-1606.

PubMed abstract

Initial Glycemic Control and Care Among Younger Adults Diagnosed With Type 2 Diabetes

Authors: Gopalan A; Mishra P; Alexeeff SE; Blatchins MA; Kim E; Man A; Karter AJ; Grant RW

Diabetes Care. 2020 05;43(5):975-981. Epub 2020-03-04.

PubMed abstract

Continuation of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers in the Face of Kidney Disease Progression-Safe and Possibly Life Saving

Authors: DeJong C; Grant RW

JAMA Intern Med. 2020 05 01;180(5):727.

PubMed abstract

Exploiting nonsystematic covariate monitoring to broaden the scope of evidence about the causal effects of adaptive treatment strategies

Authors: Kreif N; Sofrygin O; Schmittdiel JA; Adams AS; Grant RW; Zhu Z; van der Laan MJ; Neugebauer R

Biometrics. 2020 Apr 15.

PubMed abstract

Primary Care Practitioners’ Perspectives on Burnout and What to Do About It

Authors: Grant RW; Goitein L

JAMA Intern Med. 2020 03 01;180(3):345-346.

PubMed abstract

Changing Results-Engage and Activate to Enhance Wellness: A Randomized Clinical Trial to Improve Cardiovascular Risk Management

Authors: Iturralde E; Sterling SA; Uratsu CS; Mishra P; Ross TB; Grant RW

J Am Heart Assoc. 2019 12 03;8(23):e014021. Epub 2019-11-30.

PubMed abstract

Use and Discontinuation of Insulin Treatment Among Adults Aged 75 to 79 Years With Type 2 Diabetes

Authors: Weiner JZ; Gopalan A; Mishra P; Lipska KJ; Huang ES; Laiteerapong N; Karter AJ; Grant RW

JAMA Intern Med. 2019 12 01;179(12):1633-1641.

PubMed abstract

Portal Use Among Patients With Chronic Conditions: Patient-reported Care Experiences

Authors: Reed ME; Huang J; Millman A; Graetz I; Hsu J; Brand R; Ballard DW; Grant R

Med Care. 2019 10;57(10):809-814.

PubMed abstract

Association of Anxiety With High-Cost Health Care Use Among Individuals With Type 2 Diabetes

Authors: Iturralde E; Chi FW; Grant RW; Weisner C; Van Dyke L; Pruzansky A; Bui S; Madvig P; Pearl R; Sterling SA

Diabetes Care. 2019 09;42(9):1669-1674. Epub 2019-06-18.

PubMed abstract

Targeted learning with daily EHR data

Authors: Sofrygin O; Zhu Z; Schmittdiel JA; Adams AS; Grant RW; van der Laan MJ; Neugebauer R

Stat Med. 2019 07 20;38(16):3073-3090. Epub 2019-04-25.

PubMed abstract

Patient-Defined Visit Priorities in Primary Care: Psychosocial Versus Medically-Related Concerns

Authors: Santo EC; Vo MT; Uratsu CS; Grant RW

J Am Board Fam Med. 2019 Jul-Aug;32(4):513-520.

PubMed abstract

Primary Care Physician Stress Driven by Social and Financial Needs of Complex Patients

Authors: Weiner JZ; McCloskey JK; Uratsu CS; Grant RW

J Gen Intern Med. 2019 06;34(6):818-819.

PubMed abstract

Prompting Patients with Poorly Controlled Diabetes to Identify Visit Priorities Before Primary Care Visits: a Pragmatic Cluster Randomized Trial

Authors: Vo MT; Uratsu CS; Estacio KR; Altschuler A; Kim E; Alexeeff SE; Adams AS; Schmittdiel JA; Heisler M; Grant RW

J Gen Intern Med. 2019 06;34(6):831-838. Epub 2019-02-11.

PubMed abstract

Evidence supports prediabetes treatment

Authors: Neumiller JJ; Kalyani RR; Herman WH; Grant RW; Wysham CH; Inzucchi SE; Hirsch IB; Fonseca VA; Buse JB; Barrett EJ

Science. 2019 04 26;364(6438):341-342.

PubMed abstract

Translating/Creating a Culturally Responsive Spanish-Language Mobile App for Visit Preparation: Case Study of “Trans-Creation”

Authors: Ruvalcaba D; Nagao Peck H; Lyles C; Uratsu CS; Escobar PR; Grant RW

JMIR Mhealth Uhealth. 2019 04 05;7(4):e12457. Epub 2019-04-05.

PubMed abstract

Association of Medical Scribes in Primary Care With Physician Workflow and Patient Experience

Authors: Mishra P; Kiang JC; Grant RW

JAMA Intern Med. 2018 11 01;178(11):1467-1472.

PubMed abstract

Visit Planning Using a Waiting Room Health IT Tool: The Aligning Patients and Providers Randomized Controlled Trial

Authors: Grant RW; Lyles C; Uratsu CS; Vo MT; Bayliss EA; Heisler M

Ann Fam Med. 2019 03;17(2):141-149.

PubMed abstract

Patients with complex chronic conditions: Health care use and clinical events associated with access to a patient portal

Authors: Reed ME; Huang J; Brand RJ; Neugebauer R; Graetz I; Hsu J; Ballard DW; Grant R

PLoS One. 2019;14(6):e0217636. Epub 2019-06-19.

PubMed abstract

Knowing How to Ask Good Questions: Comparing Latinos and Non-Latino Whites Enrolled in a Cardiovascular Disease Prevention Study

Authors: Torres DX; Lu WY; Uratsu CS; Sterling SA; Grant RW

Perm J. 2019;23.

PubMed abstract

Automated symptom and treatment side effect monitoring for improved quality of life among adults with diabetic peripheral neuropathy in primary care: a pragmatic, cluster, randomized, controlled trial

Authors: Adams AS; Schmittdiel JA; Neugebauer R; Grant RW; et al.

Diabet Med. 2019 01;36(1):52-61. Epub 2018-11-07.

PubMed abstract

Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study

Authors: Gopalan A; Mishra P; Alexeeff SE; Blatchins MA; Kim E; Man AH; Grant RW

Diabet Med. 2018 12;35(12):1655-1662. Epub 2018-09-21.

PubMed abstract

Research to Change Health Delivery Systems: On the Outside Looking in?

Authors: Gopalan A; Grant RW

J Gen Intern Med. 2018 10;33(10):1592-1593.

PubMed abstract

Which Complex Patients Should Be Referred for Intensive Care Management? A Mixed-Methods Analysis

Authors: Garcia ME; Uratsu CS; Sandoval-Perry J; Grant RW

J Gen Intern Med. 2018 09;33(9):1454-1460. Epub 2018-05-24.

PubMed abstract

Association of behavioral health factors and social determinants of health with high and persistently high healthcare costs

Authors: Sterling S; Chi F; Weisner C; Grant R; Pruzansky A; Bui S; Madvig P; Pearl R

Prev Med Rep. 2018 Sep;11:154-159. Epub 2018-06-27.

PubMed abstract

A systematic review of care management interventions targeting multimorbidity and high care utilization

Authors: Baker JM; Grant RW; Gopalan A

BMC Health Serv Res. 2018 01 30;18(1):65. Epub 2018-01-30.

PubMed abstract

Six-Year Diabetes Incidence After Genetic Risk Testing and Counseling: A Randomized Clinical Trial

Authors: Vassy JL; He W; Florez JC; Meigs JB; Grant RW

Diabetes Care. 2018 Jan 05.

PubMed abstract

Crossing the Research to Quality Chasm: A Checklist for Researchers and Clinical Leadership Partners

Authors: Schmittdiel JA; Grant RW

J Gen Intern Med. 2018 01;33(1):9-10. Epub 2017-10-02.

PubMed abstract

‘The Hand on the Doorknob’: Visit Agenda Setting by Complex Patients and Their Primary Care Physicians

Authors: Kowalski, Christine P; McQuillan, Deanna B; Chawla, Neetu; Lyles, Courtney; Altschuler, Andrea; Uratsu, Connie S; Bayliss, Elizabeth A; Heisler, Michele; Grant, Richard W

J Am Board Fam Med. 2018 Jan-Feb;31(1):29-37.

PubMed abstract

CREATE Wellness: A multi-component behavioral intervention for patients not responding to traditional Cardiovascular disease management

Authors: Miller-Rosales C; Sterling SA; Grant RW; et al.

Contemp Clin Trials Commun. 2017 Dec;8:140-146. Epub 2017-10-04.

PubMed abstract

Overcoming barriers to diabetic polyneuropathy management in primary care

Authors: Adams AS; Callaghan B; Grant RW

Healthc (Amst). 2017 Dec;5(4):171-173. Epub 2016-12-07.

PubMed abstract

Communicating Through a Patient Portal to Engage Family Care Partners

Authors: Reed ME; Huang J; Brand R; Ballard D; Yamin C; Hsu J; Grant R

JAMA Intern Med. 2017 Nov 20.

PubMed abstract

Primary care visit preparation and communication for patients with poorly controlled diabetes: A qualitative study of patients and physicians

Authors: Grant RW; Altschuler A; Uratsu CS; Sanchez G; Schmittdiel JA; Adams AS; Heisler M

Prim Care Diabetes. 2017 Apr;11(2):148-153. Epub 2016-12-01.

PubMed abstract

Defining Team Effort Involved in Patient Care from the Primary Care Physician’s Perspective

Authors: Hwang AS; Atlas SJ; Hong J; Ashburner JM; Zai AH; Grant RW; Hong CS

J Gen Intern Med. 2017 Mar;32(3):269-276. Epub 2016-10-21.

PubMed abstract

Identification of the joint effect of a dynamic treatment intervention and a stochastic monitoring intervention under the no direct effect assumption

Authors: Neugebauer R; Schmittdiel JA; Adams AS; Grant RW; van der Laan MJ

J Causal Inference. 2017 03;5(1). Epub 2017-01-18.

PubMed abstract

Association of Patient-Physician Language Concordance and Glycemic Control for Limited-English Proficiency Latinos With Type 2 Diabetes

Authors: Parker MM; Fernández A; Moffet HH; Grant RW; Torreblanca A; Karter AJ

JAMA Intern Med. 2017 Mar 01;177(3):380-387.

PubMed abstract

Influence of Language and Culture in the Primary Care of Spanish-Speaking Latino Adults with Poorly Controlled Diabetes: A Qualitative Study

Authors: Zamudio CD; Sanchez G; Altschuler A; Grant RW

Ethn Dis. 2017 Fall;27(4):379-386. Epub 2017-12-07.

PubMed abstract

Association of Acculturation and Health Literacy with Prevalent Dysglycemia and Diabetes Control Among Latinos in the Boston Area Community Health (BACH) Survey

Authors: López L; Grant RW; Marceau L; Piccolo R; McKinlay JB; Meigs JB

J Immigr Minor Health. 2016 Dec;18(6):1266-1273.

PubMed abstract

The Diabetes Telephone Study: Design and challenges of a pragmatic cluster randomized trial to improve diabetic peripheral neuropathy treatment

Authors: Adams AS; Bayliss EA; Schmittdiel JA; Altschuler A; Dyer W; Neugebauer R; Jaffe M; Young JD; Kim E; Grant RW; Diabetes Telephone Study Team

Clin Trials. 2016 Jun;13(3):286-93. Epub 2016-03-31.

PubMed abstract

Transforming Care for Complex Patients: Addressing Interconnected Medical, Social, and Behavioral Challenges

Authors: Zulman DM; Grant RW

J Gen Intern Med. 2016 Mar;31(3):263-4.

PubMed abstract

Pre-visit prioritization for complex patients with Diabetes: Randomized Trial Design and Implementation within an Integrated Health Care system

Authors: Grant RW; Uratsu CS; Estacio KR; Altschuler A; Kim E; Fireman B; Adams AS; Schmittdiel JA; Heisler M

Contemp Clin Trials. 2016 Mar;47:196-201. Epub 2016-01-26.

PubMed abstract

User-Centered Design of a Tablet Waiting Room Tool for Complex Patients to Prioritize Discussion Topics for Primary Care Visits

Authors: Lyles CR; Altschuler A; Chawla N; Kowalski C; McQuillan D; Bayliss E; Heisler M; Grant RW

JMIR Mhealth Uhealth. 2016;4(3):e108. Epub 2016-09-14.

PubMed abstract

Evaluating a Model to Predict Primary Care Physician-Defined Complexity in a Large Academic Primary Care Practice-Based Research Network

Authors: Hong CS; Atlas SJ; Ashburner JM; Chang Y; He W; Ferris TG; Grant RW

J Gen Intern Med. 2015 Dec;30(12):1741-7.

PubMed abstract

Health IT-assisted population-based preventive cancer screening: a cost analysis

Authors: Levy DE; Munshi VN; Ashburner JM; Zai AH; Grant RW; Atlas SJ

Am J Manag Care. 2015 Dec;21(12):885-91.

PubMed abstract

Changes in physical activity among adults with diabetes: a longitudinal cohort study of inactive patients with Type 2 diabetes who become physically active

Authors: Palakodeti S; Uratsu CS; Schmittdiel JA; Grant RW

Diabet Med. 2015 Aug;32(8):1051-7. Epub 2015-04-10.

PubMed abstract

Building a Career as a Delivery Science Researcher in a Changing Health Care Landscape

Authors: Grant RW; Schmittdiel JA

J Gen Intern Med. 2015 Jul;30(7):880-2.

PubMed abstract

Building Equity Improvement into Quality Improvement: Reducing Socioeconomic Disparities in Colorectal Cancer Screening as Part of Population Health Management

Authors: Berkowitz SA; Percac-Lima S; Ashburner JM; Chang Y; Zai AH; He W; Grant RW; Atlas SJ

J Gen Intern Med. 2015 Jul;30(7):942-9. Epub 2015-02-13.

PubMed abstract

Community Health Workers: A Missing Piece of the Puzzle for Complex Patients With Diabetes?

Authors: Garcia ME; Grant RW

J Gen Intern Med. 2015 Jul;30(7):878-9.

PubMed abstract

Electronic Health Records and the Evolution of Diabetes Care: A Narrative Review

Authors: Patel V; Reed ME; Grant RW

J Diabetes Sci Technol. 2015 May;9(3):676-80. Epub 2015-02-23.

PubMed abstract

Randomized Trial of a Health IT Tool to Support Between-Visit-Based Laboratory Monitoring for Chronic Disease Medication Prescriptions

Authors: Grant RW; Ashburner JM; Jernigan MC; Chang J; Borowsky LH; Chang Y; Atlas SJ

J Gen Intern Med. 2015 May;30(5):619-25. Epub 2015-01-06.

PubMed abstract

Patients who self-monitor blood glucose and their unused testing results

Authors: Grant RW; Huang ES; Wexler DJ; Laiteerapong N; Warton ME; Moffet HH; Karter AJ

Am J Manag Care. 2015 Feb 01;21(2):e119-29. Epub 2015-02-01.

PubMed abstract

The Study to Understand the Genetics of the Acute Response to Metformin and Glipizide in Humans (SUGAR-MGH): Design of a pharmacogenetic Resource for Type 2 Diabetes

Authors: Walford GA; Grant RW; Florez JC; et al.

PLoS ONE. 2015;10(3):e0121553. Epub 2015-03-26.

PubMed abstract

Trends in the Evidence Level for the American Diabetes Association’s “Standards of Medical Care in Diabetes” From 2005 to 2014

Authors: Grant RW; Kirkman MS

Diabetes Care. 2015 Jan;38(1):6-8.

PubMed abstract

Association of African genetic ancestry with fasting glucose and HbA1c levels in non-diabetic individuals: the Boston Area Community Health (BACH) Prediabetes Study

Authors: Meigs JB; Grant RW; Piccolo R; López L; Florez JC; Porneala B; Marceau L; McKinlay JB

Diabetologia. 2014 Sep;57(9):1850-8. Epub 2014-06-19.

PubMed abstract

Individualizing HbA1c targets for patients with diabetes: impact of an automated algorithm within a primary care network

Authors: Berkowitz SA; Atlas SJ; Grant RW; Wexler DJ

Diabet Med. 2014 Jul;31(7):839-46. Epub 2014-04-11.

PubMed abstract

Non-visit-based cancer screening using a novel population management system

Authors: Atlas SJ; Zai AH; Ashburner JM; Chang Y; Percac-Lima S; Levy DE; Chueh HC; Grant RW

J Am Board Fam Med. 2014 Jul-Aug;27(4):474-85.

PubMed abstract

Novel Use and Utility of Integrated Electronic Health Records to Assess Rates of Prediabetes Recognition and Treatment: Brief Report From an Integrated Electronic Health Records Pilot Study

Authors: Schmittdiel JA; Adams SR; Segal J; Griffin MR; Roumie CL; Ohnsorg K; Grant RW; O'Connor PJ

Diabetes Care. 2014 Feb;37(2):565-8. Epub 2013-11-22.

PubMed abstract

Exercise as a Vital Sign: A Quasi-Experimental Analysis of a Health System Intervention to Collect Patient-Reported Exercise Levels

Authors: Grant RW; Schmittdiel JA; Neugebauer RS; Uratsu CS; Sternfeld B

J Gen Intern Med. 2014 Feb;29(2):341-8. Epub 2013-12-06.

PubMed abstract

Establishing visit priorities for complex patients: A summary of the literature and conceptual model to guide innovative interventions

Authors: Grant RW; Adams AS; Bayliss EA; Heisler M

Healthc (Amst). 2013 Dec;1(3-4):117-122.

PubMed abstract

Branched chain and aromatic amino acids change acutely following two medical therapies for type 2 diabetes mellitus

Authors: Walford GA; Grant RW; Florez JC; et al.

Metab Clin Exp. 2013 Dec;62(12):1772-8. Epub 2013-08-15.

PubMed abstract

Lower blood pressure associated with higher mortality in retrospective study of patients with newly diagnosed type 2 diabetes

Authors: Grant RW; Wexler DJ

Evid Based Med. 2013 Aug;18(4):e35. Epub 2012-11-20.

PubMed abstract

Genetic susceptibility testing for chronic disease and intention for behavior change in healthy young adults

Authors: Vassy JL; Donelan K; Hivert MF; Green RC; Grant RW

J Community Genet. 2013 Apr;4(2):263-71. Epub 2013 Feb 24.

PubMed abstract

Characteristics of Primary Care Safety-Net Providers and Their Quality Improvement Attitudes and Activities: Results of a National Survey of Physician Professionalism

Authors: López L; DesRoches CM; Vogeli C; Grant RW; Iezzoni LI; Campbell EG

Am J Med Qual. 2013 Mar-Apr;28(2):151-9. Epub 2012-10-12.

PubMed abstract

Intensification of diabetes medication and risk for 30-day readmission

Authors: Wei NJ; Wexler DJ; Nathan DM; Grant RW

Diabet Med. 2013 Feb;30(2):e56-62.

PubMed abstract

Personalized Genetic Risk Counseling to Motivate Diabetes Prevention: A randomized trial

Authors: Grant RW; Meigs JB; et al.

Diabetes Care. 2013 Jan;36(1):13-9. Epub 2012 Aug 28.

PubMed abstract

Adults with diabetes who perceive family members’ behaviour as unsupportive are less adherent to their medication regimen

Authors: Grant RW; Schmittdiel JA

Evid Based Nurs. 2013 Jan;16(1):15-6. Epub 2012 Sep 5.

PubMed abstract

Genetic Counseling as a Tool for Type 2 Diabetes Prevention: A Genetic Counseling Framework for Common Polygenetic Disorders

Authors: Waxler JL; O'Brien KE; Delahanty LM; Meigs JB; Florez JC; Park ER; Pober BR; Grant RW

J Genet Couns. 2012 Oct;21(5):684-91.

PubMed abstract

Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial

Authors: Schnipper JL; Gandhi TK; Wald JS; Grant RW; Poon EG; Volk LA; Businger A; Williams DH; Siteman E; Buckel L; Middleton B

J Am Med Inform Assoc. 2012 Sep-Oct;19(5):728-34. Epub 2012 May 3.

PubMed abstract

Diabetes differentially affects depression and self-rated health by age in the U.S

Authors: Wexler DJ; Porneala B; Chang Y; Huang ES; Huffman JC; Grant RW

Diabetes Care. 2012 Jul;35(7):1575-7. Epub 2012 May 18.

PubMed abstract

Characteristics of ‘complex’ patients with type 2 diabetes mellitus according to their primary care physicians

Authors: Grant RW; Wexler DJ; Ashburner JM; Hong CS; Atlas SJ

Arch Intern Med. 2012 May 28;172(10):821-3.

PubMed abstract

Personalized medicine in Type 2 diabetes: what does the future hold?

Authors: Grant RW; Wexler DJ

Diabetes Manag (Lond). 2012 May;2(3):199-204.

PubMed abstract

Closing the gap: eliminating health care disparities among Latinos with diabetes using health information technology tools and patient navigators

Authors: Lopez L; Grant RW

J Diabetes Sci Technol. 2012 Jan 1;6(1):169-76.

PubMed abstract

Implementation of a web-based tool for patient medication self-management: the Medication Self-titration Evaluation Programme (Med-STEP) for blood pressure control

Authors: Grant RW; Pandiscio JC; Pajolek H; Woulfe A; Pelletier A; Kvedar J; Park ER

Inform Prim Care. 2012;20(1):57-67.

PubMed abstract

​Defining patient complexity from the primary care physician’s perspective: a cohort study.

Authors: Grant RW; Ashburner JM; Hong CS; Chang Y; Barry MJ; Atlas SJ;

Ann Intern Med. 2011 Dec 20;155(12):797-804. doi: 10.7326/0003-4819-155-12-201112200-00001.

PubMed abstract

Relationship between patient panel characteristics and primary care physician clinical performance rankings.

Authors: Hong CS; Atlas SJ; Chang Y; Subramanian SV; Ashburner JM; Barry MJ; Grant RW;

​JAMA. 2010 Sep 8;304(10):1107-13. doi: 10.1001/jama.2010.1287.

PubMed abstract

Practice-linked online personal health records for type 2 diabetes mellitus: a randomized controlled trial

Authors: Grant RW; Wald JS; Schnipper JL; Gandhi TK; Poon EG; Orav EJ; Williams DH; Volk LA; Middleton B;

​Arch Intern Med. 2008 Sep 8;168(16):1776-82. doi: 10.1001/archinte.168.16.1776.

PubMed abstract

Medication adherence and racial differences in A1C control

Authors: Adams AS; Trinacty CM; Zhang F; Kleinman K; Grant RW; Meigs JB; Soumerai SB; Ross-Degnan D

​​Diabetes Care. 2008 May;31(5):916-21. doi: 10.2337/dc07-1924. Epub 2008 Jan 30.

PubMed abstract

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