Ula Hwang, MD, MPH
Professor Adjunct of Emergency MedicineDownloadHi-Res Photo
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Professor Adjunct of Emergency Medicine
Biography
Ula is an emergency physician and researcher interested in the quality of emergency care that older adults receive. She wrote the article first describing “The Geriatric Emergency Department,” co-lead the development of the 2014 Geriatric ED Guidelines that are endorsed by national Emergency Medicine and Geriatrics organizations, serves on the Board of Governors for the American College of Emergency Physician's Geriatric Emergency Department Accreditation program. She is the co-PI of the Geriatric ED Collaborative (GEDC), a national implementation program supported by the John A. Hartford Foundation and the West Health Institute to educate, implement, and evaluate geriatric emergency care and is the PI of the National Institute on Aging funded Geriatric Emergency care Applied Research (GEAR) Network.
Education & Training
- Robert Wood Johnson Clinical Scholar
- Yale School of Medicine (2004)
- Resident
- Mount Sinai Medical Center (2002)
- MPH
- Harvard School of Public Health (1999)
- MD
- New York University School of Medicine (1997)
Board Certifications
Emergency Medicine
- Certification Organization
- AB of Emergency Medicine
- Original Certification Date
- 2005
Research
Overview
Medical Research Interests
Geriatrics
ORCID
0000-0002-3715-3073
Research at a Glance
Yale Co-Authors
Frequent collaborators of Ula Hwang's published research.
Publications Timeline
A big-picture view of Ula Hwang's research output by year.
Research Interests
Research topics Ula Hwang is interested in exploring.
Cameron Gettel, MD, MHS
Arjun Venkatesh, MD, MBA, MHS
Cynthia Brandt, MD, MPH
Andrew Taylor, MD, MHS
Craig Rothenberg
Joan K Monin, PhD
160Publications
5,390Citations
Geriatrics
Publications
Featured Publications
Detecting Cognitive Impairment and Dementia in the Emergency Department: A Scoping Review
Nowroozpoor A, Dussetschleger J, Perry W, Sano M, Aloysi A, Belleville M, Brackett A, Hirshon JM, Hung W, Moccia JM, Ohuabunwa U, Shah MN, Hwang U, Network G, Aggarwal N, Bellolio M, Betz M, Biese K, Brandt C, Bruursema S, Carnahan R, Carpenter C, Carr D, Chin-Hansen J, Daven M, Degesys N, Dresden S, Ellenbogen M, Falvey J, Foster B, Gettel C, Gilmore-Bykovskyi A, Goldberg E, Han J, Hardy J, Hastings S, Hogan T, Isaacs E, Jaspal N, Johnson J, Kelly K, Kennedy M, Kind A, Malone M, Moreno M, Morrow-Howell N, Oiyemhonlan B, Resendez J, Rising K, Savage B, Suyama J, Swartzberg J, Tolia V, Vann A, Webb T, Weintraub S. Detecting Cognitive Impairment and Dementia in the Emergency Department: A Scoping Review. Journal Of The American Medical Directors Association 2022, 23: 1314-1315.e55. PMID: 35940682, PMCID: PMC10804640, DOI: 10.1016/j.jamda.2022.03.019.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsSix-Item ScreenerEmergency departmentCognitive impairmentED settingConsensus conferenceScoping ReviewHigh negative predictive valueAdult ED patientsNegative predictive valueMedical research databasesOttawa 3DYSystematic scoping reviewED patientsResearch funding prioritiesClinical careResearch DatabasePredictive valueCare partnersResearch prioritiesDementiaImpairmentConsensus processPractice gapTask ForceFuture research prioritiesAdapting Emergency Care for Persons Living With Dementia: Results of the Geriatric Emergency Care Applied Research Network Scoping Review and Consensus Conference
Carpenter CR, Dresden SM, Shah MN, Hwang U. Adapting Emergency Care for Persons Living With Dementia: Results of the Geriatric Emergency Care Applied Research Network Scoping Review and Consensus Conference. Journal Of The American Medical Directors Association 2022, 23: 1286-1287. PMID: 35940679, DOI: 10.1016/j.jamda.2022.05.016.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsThe Geriatric Emergency Care Applied Research (GEAR) network approach: a protocol to advance stakeholder consensus and research priorities in geriatrics and dementia care in the emergency department
Hwang U, Carpenter C, Dresden S, Dussetschleger J, Gifford A, Hoang L, Leggett J, Nowroozpoor A, Taylor Z, Shah M, Bellolio M, Biese K, Binkley C, Bott N, Brody A, Carpenter C, Clark S, Dresden S, Forester S, Gettel C, Goldberg E, Greenberg A, Hammouda N, Han J, Hastings N, Hogan T, Hung W, Hwang U, Kayser J, Kennedy M, Ko K, Lesser A, Linton E, Liu S, Malsch A, Melady C, Morrow-Howell N, Nassisi D, Nerbonne L, Nyamu S, Ohuabunwa U, Platts-Mills T, Ragsdale L, Richardson L, Ringer T, Rosen A, Rosenberg M, Shah M, Skains R, Skees S, Souffront K, Stabler L, Sullivan C, Suyama J, Vargas S, Vaughan E, Voils C, Wei D, Allore H, Aloysi A, Belleville M, Bellolio M, Betz M, Biese K, Brandt C, Carnahan R, Carr D, Chin-Hansen J, Daven M, Degesys N, Ellenbogen M, Escobedo M, Falvey J, Gill T, Gilmore-Bykovskyi A, Goldberg E, Han J, Hardy J, Hastings S, Hirshon J, Hogan T, Hung W, Isaacs E, Kelly K, Kennedy M, Kind A, Malicki C, Malone M, Marottoli R, Moccia M, Mor V, Morris J, Howell N, Nowroozpoor A, Ohuabunwa U, Oiyemhonlan B, Perry W, Raven M, Rising K, Sano M, Stabler L, Sullivan C, Suyama J, Swartzberg J, Tolia V, Vann A, Weintraub S, Zieman S, Dussetschleger J, Gifford A, Leggett J, Nowroozpoor A, Taylor Z. The Geriatric Emergency Care Applied Research (GEAR) network approach: a protocol to advance stakeholder consensus and research priorities in geriatrics and dementia care in the emergency department. BMJ Open 2022, 12: e060974. PMID: 35459682, PMCID: PMC9036447, DOI: 10.1136/bmjopen-2022-060974.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsEmergency departmentOlder adultsEmergency careEmergency care needsGeriatric emergency carePriority topic areasPeer-reviewed journalsClinical gapsCare needsResearch prioritiesCare partnersConsensus workshopSystematic reviewHealthcare needsDementia careIntervention impactDissemination of findingsTrial evaluationCareImplementation scienceAdultsResearch NetworkReviewStandardised searchHuman subjects researchAssociation of a Geriatric Emergency Department Innovation Program With Cost Outcomes Among Medicare Beneficiaries
Hwang U, Dresden SM, Vargas-Torres C, Kang R, Garrido MM, Loo G, Sze J, Cruz D, Richardson LD, Adams J, Aldeen A, Baumlin KM, Courtney DM, Gravenor S, Grudzen CR, Nimo G, Zhu CW, Abraham G, Amoko C, Genes N, Morano B, Nassisi D, Ortiz J, Rivera-Reyes L, Sanon M, Shapiro J, Winkel G, Malik S, Rosenberg M, Christensen M, Karounos M, Schultz R, Sumberg D. Association of a Geriatric Emergency Department Innovation Program With Cost Outcomes Among Medicare Beneficiaries. JAMA Network Open 2021, 4: e2037334. PMID: 33646311, PMCID: PMC7921898, DOI: 10.1001/jamanetworkopen.2020.37334.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsMeSH KeywordsAgedAged, 80 and overCost SavingsCross-Sectional StudiesEmergency Medical ServicesEmergency Service, HospitalFee-for-Service PlansGeriatric AssessmentHealth Services for the AgedHospital CostsHospitalsHumansMedicarePatient CareReferral and ConsultationSocial WorkTransitional CareUnited StatesConceptsTransitional care nursesFirst ED visitIndex ED visitED visitsMAIN OUTCOMEMedicare feeMedicare beneficiariesService beneficiariesEmergency department programComparison groupCross-sectional studyUnique Medicare beneficiariesLower Medicare expendituresMost patientsMean ageCare nursesVisit encountersCare programGeriatric treatmentCost outcomesPatient careMedicare expendituresHealth systemMean savingsPatients
2024
System-level Variability in Trauma Center Utilization for Seriously Injured Older Adults
Ordoobadi A, Castillo-Angeles M, Tabata-Kelly M, Jenkins P, Hwang U, Cooper Z, Jarman M. System-level Variability in Trauma Center Utilization for Seriously Injured Older Adults. Journal Of Surgical Research 2024, 305: 10-18. PMID: 39616785, DOI: 10.1016/j.jss.2024.10.047.Peer-Reviewed Original ResearchConceptsInjured older adultsTrauma service areasSystem-level factorsOlder adultsMultivariable hierarchical logistic regressionHierarchical logistic regressionTrauma centerLogistic regressionRate of undertriageLevel IRetrospective cross-sectional studyCross-sectional studyUnited States countiesHospital destinationInjury characteristicsTrauma center utilizationMedicare dataSystem-level variablesPatient demographicsRandom interceptStates countiesUndertriagePrimary outcomeRural regionsCenter utilizationScreening for cognitive impairment in the emergency department: agreement between older adult patient- and informant-completed Ascertain Dementia 8 tool.
Galske J, Sather A, Chera T, Hwang U, Carpenter C, Babcock M, Gettel C. Screening for cognitive impairment in the emergency department: agreement between older adult patient- and informant-completed Ascertain Dementia 8 tool. Dementia And Geriatric Cognitive Disorders 2024, 1-13. PMID: 39616991, DOI: 10.1159/000542895.Peer-Reviewed Original ResearchConceptsAscertain Dementia 8Intraclass correlation coefficientEmergency departmentCognitive impairmentTrained research assistantsDiagnosis of dementiaClinicians providing careModerate agreementSuspected CIEmergency careOlder adultsAnalytic sampleResearch assistantsED patientsCareScreening protocolSelf-identifyEarly interventionDementiaScoresCorrelation coefficientDepartmentDyadsPatientsImpairmentMoving beyond tokenism: Sustaining engagement of persons living with dementia in identifying emergency research priorities
Sandoval J, Gilmore‐Bykovskyi A, Carpenter C, Shah M, Dussetschleger J, Dresden S, Ellenbogen M, Gil H, Jaspal N, Jobe D, Vann A, Webb T, Hwang U. Moving beyond tokenism: Sustaining engagement of persons living with dementia in identifying emergency research priorities. Journal Of The American Geriatrics Society 2024 PMID: 39576051, DOI: 10.1111/jgs.19269.Peer-Reviewed Original ResearchAltmetricConceptsCare partnersEmergency careResearch prioritiesCommunity-engaged approachCare of personsVirtual consensus conferenceEngagement of personsConsensus conferenceSemi-structured interviewsDementia carePLWDsFacilitation techniquesResearch partnersCareCognitive impairmentIdentification of research gapsDementiaParticipantsBest practicesSustained engagementMultiple opportunitiesConsensus buildingPriorityConsensus participantsEmergencyEnd‐of‐life emergency department use and healthcare expenditures among older adults: A nationally representative study
Gettel C, Kitchen C, Rothenberg C, Song Y, Hastings S, Kennedy M, Ouchi K, Haimovich A, Hwang U, Venkatesh A. End‐of‐life emergency department use and healthcare expenditures among older adults: A nationally representative study. Journal Of The American Geriatrics Society 2024 PMID: 39311623, DOI: 10.1111/jgs.19199.Peer-Reviewed Original ResearchAltmetricConceptsEnd-of-lifeOut-of-pocket spendingED visitsTotal healthcare spendingMedicare beneficiariesHealthcare spendingEmergency departmentOlder adultsMedicare Current Beneficiary Survey dataAnalysis of Medicare beneficiariesPooled cross-sectional analysisEmergency department usePrimary outcomeDecreased likelihoodDiagnosis of dementiaOut-of-pocket costsNationally representative studyNationally representative sampleAdult decedentsHospice statusDepartment useED useED servicesHealth careHealthcare expendituresRacial, Ethnic, and Age-Related Disparities in Sedation and Restraint Use for Older Adults in the Emergency Department
Jivalagian P, Gettel C, Smith C, Robinson L, Brinker M, Shah D, Kumar A, Faustino I, Nath B, Chang-Sing E, Taylor R, Kennedy M, Hwang U, Wong A. Racial, Ethnic, and Age-Related Disparities in Sedation and Restraint Use for Older Adults in the Emergency Department. American Journal Of Geriatric Psychiatry 2024 PMID: 39054237, DOI: 10.1016/j.jagp.2024.07.004.Peer-Reviewed Original ResearchCitationsAltmetricConceptsPhysical restraint useRestraint useOlder adultsED visitsPhysical restraintEmergency departmentElectronic health record dataHealth record dataBlack non-HispanicPatient-level characteristicsAge-related disparitiesAssociated with increased useRegional hospital networkCross-sectional studyLogistic regression modelsChemical sedationRetrospective cross-sectional studyNon-Hispanic groupNon-HispanicAgitation managementHospital sitesHospital networkRecord dataWhite non-Hispanic groupPrimary outcomeDaily care hours among caregivers of older emergency department patients with dementia and undiagnosed cognitive impairment
Galske J, Chera T, Hwang U, Monin J, Venkatesh A, Lam K, Leggett A, Gettel C. Daily care hours among caregivers of older emergency department patients with dementia and undiagnosed cognitive impairment. Journal Of The American Geriatrics Society 2024, 72: 3261-3264. PMID: 38970304, PMCID: PMC11461120, DOI: 10.1111/jgs.19062.Peer-Reviewed Original ResearchCitationsAltmetric
Academic Achievements & Community Involvement
honor Pioneer Award
National AwardAcademy of Geriatric Emergency Medicine (AGEM)Details06/27/2022United Stateshonor Mentorship Award
National AwardAcademy of Geriatric Emergency Medicine (AGEM)Details06/27/2022United States
News
News
- July 10, 2024
Iscoe Receives YCCI Scholar Award for AI Research on Drug Reactions
- May 25, 2023
Yale Community Showcased at AGS Conference
- March 29, 2023
Yale Emergency Medicine Ranks First for NIH Grants Funding According to National Report
- August 04, 2022
Hwang spearheads Yale New Haven Health System hospitals earning special geriatric accreditation
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