2024
Drivers of Variation in Opioid Prescribing after Common Surgical Procedures in a Large Multihospital Healthcare System
Zanocco K, Romanelli R, Meeker D, Mariano L, Shenoy R, Wagner Z, Kirkegaard A, Mudiganti S, Martinez M, Watkins K. Drivers of Variation in Opioid Prescribing after Common Surgical Procedures in a Large Multihospital Healthcare System. Journal Of The American College Of Surgeons 2024, 239: 242-252. PMID: 38690834, PMCID: PMC11321601, DOI: 10.1097/xcs.0000000000001095.Peer-Reviewed Original ResearchElectronic health recordsMultihospital healthcare systemOpioid prescribingHealthcare systemNon-Hispanic black raceMorphine milligram equivalentsPrimary care providersReducing postoperative opioid prescribingOpioid prescribing practicesInfluence pain levelsRandom-effects modelCare providersPatient safetyHealth recordsProvider levelInsurance statusMisuse of prescription opioidsPostoperative opioid prescribingPatient racePrescribing behaviorPrescribing variationGuideline recommendationsPrescribing practicesTargeted prescribingMedicare insuranceA call for community-shared decisions
Doctor J, Meeker D, Fox C, Persell S, Wagner Z, Bouskill K, Zanocco K, Romanelli R, Brummett C, Kirkegaard A, Watkins K. A call for community-shared decisions. BMJ Evidence-Based Medicine 2024, bmjebm-2023-112641. PMID: 38604618, PMCID: PMC11464635, DOI: 10.1136/bmjebm-2023-112641.Peer-Reviewed Original ResearchPeer Comparison or Guideline-Based Feedback and Postsurgery Opioid Prescriptions
Wagner Z, Kirkegaard A, Mariano L, Doctor J, Yan X, Persell S, Goldstein N, Fox C, Brummett C, Romanelli R, Bouskill K, Martinez M, Zanocco K, Meeker D, Mudiganti S, Waljee J, Watkins K. Peer Comparison or Guideline-Based Feedback and Postsurgery Opioid Prescriptions. JAMA Health Forum 2024, 5: e240077. PMID: 38488780, PMCID: PMC10943416, DOI: 10.1001/jamahealthforum.2024.0077.Peer-Reviewed Original ResearchConceptsCluster randomized clinical trialPeer comparison interventionOpioid prescribingEmail feedbackGuideline interventionComparison interventionIntervention periodHealth care delivery systemRandomized clinical trialsOpioid prescriptionsCare delivery systemPeer comparisonExcessive opioid prescribingSocial norm-based interventionsControl groupIntervention monthsMain OutcomesQuantity of opioidsClinical trialsDischarged patientsPeer surgeonsPrescribingOpioid misuseInterventionSurgical specialtiesAntibiotic prescribing for acute respiratory infections during the coronavirus disease 2019 (COVID-19) pandemic: Patterns in a nationwide telehealth service provider
Linder J, Persell S, Kelley M, Friedberg M, Goldstein N, Knight T, Kaiser K, Doctor J, Mack W, Tibbels J, McCabe B, Haenchen S, Meeker D. Antibiotic prescribing for acute respiratory infections during the coronavirus disease 2019 (COVID-19) pandemic: Patterns in a nationwide telehealth service provider. Infection Control And Hospital Epidemiology 2024, 45: 777-780. PMID: 38329093, PMCID: PMC11102822, DOI: 10.1017/ice.2023.292.Peer-Reviewed Original ResearchReducing Care Overuse in Older Patients Using Professional Norms and Accountability : A Cluster Randomized Controlled Trial.
Persell S, Petito L, Lee J, Meeker D, Doctor J, Goldstein N, Fox C, Rowe T, Linder J, Chmiel R, Peprah Y, Brown T. Reducing Care Overuse in Older Patients Using Professional Norms and Accountability : A Cluster Randomized Controlled Trial. Annals Of Internal Medicine 2024, 177: 324-334. PMID: 38315997, DOI: 10.7326/m23-2183.Peer-Reviewed Original ResearchCase-based educationHealth systemOlder primary care patientsCluster randomized controlled trialPrimary care internal medicineClinical decision support toolRates of uncontrolled diabetesClinician decision supportPrimary care patientsPrimary care cliniciansProstate-specific antigenOvertreatment of diabetesNational Institute on AgingMonths of interventionDecision supportRates of PSA testingHemoglobin A<sub>1c</sub>Older adult patientsInstitute on AgingSingle Health SystemUrine testsPSA testingRandomized controlled trialsCare cliniciansEmergency careUse of Telehealth Information for Early Detection: Insights From the COVID-19 Pandemic.
Haenchen S, McCabe B, Mack W, Doctor J, Linder J, Persell S, Tibbels J, Meeker D. Use of Telehealth Information for Early Detection: Insights From the COVID-19 Pandemic. American Journal Of Public Health 2024, 114: 218-225. PMID: 38335480, PMCID: PMC10862224, DOI: 10.2105/ajph.2023.307499.Peer-Reviewed Original ResearchConceptsTelehealth dataDistrict of ColumbiaNational Syndromic Surveillance ProgramSyndromic Surveillance ProgramTelemedicine encountersSurveillance infrastructureTelehealthModest improvementsObservational studyUS statesSurveillance programCOVID-19COVID-19 pandemicEarly detectionCase countsService providersForecasts of casesMortalityCOVID-19 casesEncountersStandard forecastForecastingProvidersTelemedicineLong covid and mental and physical health: A cross‐sectional study of adults in California
Mason T, Knight T, Lee R, Herzig S, Meeker D, Doctor J. Long covid and mental and physical health: A cross‐sectional study of adults in California. Public Health Challenges 2024, 3 DOI: 10.1002/puh2.152.Peer-Reviewed Original ResearchLong COVID diagnosisPain interferencePhysical healthSelf-reported long COVIDLong COVID groupLong COVIDCross-sectional study of adultsPhysical functioning problemsPhysical health challengesNegative mental healthCross-sectional studyStudy of adultsAnalysis of covariance modelPhysical functionCOVID diagnosisMental healthCOVID groupHealth challengesMethods AdultsSurvey questionsCOVID-19HealthSignificant symptomsFunctional problemsAnxiety
2023
Development of a social and environmental determinants of health informatics maturity model
Espinoza J, Sehgal S, Phuong J, Bahroos N, Starren J, Wilcox A, Meeker D. Development of a social and environmental determinants of health informatics maturity model. Journal Of Clinical And Translational Science 2023, 7: e266. PMID: 38380394, PMCID: PMC10877515, DOI: 10.1017/cts.2023.691.Peer-Reviewed Original ResearchMaturity modelMaturity levelData collection policiesImprove health equityEnvironmental determinantsDomain expertsStrategic impactAcademic medical centerNational COVID Cohort CollaborativeSelf-assessment toolOnline self-assessment toolHealth equityHealth inequalitiesSubject matter expertsCollection policyCohort CollaborationCommunity meetingsClinical workflowInformaticistsMatter expertsMedical CenterSelf-assessmentData collection methodsExpert groupTechnology platformIntegrating REDCap patient-reported outcomes with the HealtheIntent population health platform: proof of concept
Espinoza J, Tut M, Shah P, Kingsbury P, Nagaraj G, Meeker D, Bahroos N. Integrating REDCap patient-reported outcomes with the HealtheIntent population health platform: proof of concept. JAMIA Open 2023, 6: ooad074. PMID: 37649989, PMCID: PMC10463552, DOI: 10.1093/jamiaopen/ooad074.Peer-Reviewed Original ResearchClinician Job Satisfaction After Peer Comparison Feedback
Doctor J, Goldstein N, Fox C, Linder J, Persell S, Stewart E, Knight T, Meeker D. Clinician Job Satisfaction After Peer Comparison Feedback. JAMA Network Open 2023, 6: e2317379. PMID: 37289454, PMCID: PMC10251208, DOI: 10.1001/jamanetworkopen.2023.17379.Peer-Reviewed Original ResearchConceptsClinician performanceInappropriate antibiotic prescribingSecondary null hypothesisRandomized clinical trialsMean job satisfactionPeer-comparison feedbackIndividual clinician performanceSocial norm feedbackClinician job satisfactionAntibiotic prescribingPrimary outcomeMean ageTrial interventionClinical trialsClinical significanceMonthly emailsMAIN OUTCOMENoninferiority analysisSecondary analysisInternal medicineSatisfaction scoresCliniciansClinicPeer comparisonInterventionSEnDAE: A resource for expanding research into social and environmental determinants of health
Kingsbury P, Abajian H, Abajian M, Angyan P, Espinoza J, MacDonald B, Meeker D, Wilson J, Bahroos N. SEnDAE: A resource for expanding research into social and environmental determinants of health. Computer Methods And Programs In Biomedicine 2023, 238: 107542. PMID: 37224727, DOI: 10.1016/j.cmpb.2023.107542.Peer-Reviewed Original Research
2022
Corrigendum to “The protocol of Improving Safe Antibiotic Prescribing in Telehealth: A randomized trial [Contemporary Clin Trials, Volume 119 (2022), p.1/106834]
McCabe B, Linder J, Doctor J, Friedberg M, Fox C, Goldstein N, Knight T, Kaiser K, Tibbels J, Haenchen S, Persell S, Warberg R, Meeker D. Corrigendum to “The protocol of Improving Safe Antibiotic Prescribing in Telehealth: A randomized trial [Contemporary Clin Trials, Volume 119 (2022), p.1/106834]. Contemporary Clinical Trials 2022, 121: 106927. PMID: 36156262, DOI: 10.1016/j.cct.2022.106927.Peer-Reviewed Original ResearchEthnic and Racial Inequities in Cancer Screening During the COVID-19 Pandemic: a multi-site observational study in the United States
Idossa D, Borno H, Wang K, Pletcher M, Gresham G, Canchola A, Bell D, Matheny M, Schilling L, Perkins A, Zheng K, Ohno-Machado L, Kim J, Soohoo S, Meeker D, Gomez S. Ethnic and Racial Inequities in Cancer Screening During the COVID-19 Pandemic: a multi-site observational study in the United States. International Journal Of Cancer Care And Delivery 2022, 2 DOI: 10.53876/001c.37412.Peer-Reviewed Original ResearchCancer screeningBlack individualsProstate cancer screeningSARS-CoV2 infectionColon cancer screeningMulti-site observational studyCOVID-19 pandemicRelative reductionSurgical resectionProstate resectionProstate cancerCurrent COVID-19 pandemicObservational studyColon cancerSARS-CoV2Largest relative declineLargest relative reductionInfection rateDiagnostic mammogramsDiagnostic proceduresScreening activitiesBreastStudy periodDiagnostic mammographyColonDevelopment and pilot testing of EHR-nudges to reduce overuse in older primary care patients
Rowe T, Brown T, Lee J, Linder J, Meeker D, Doctor J, Goldstein N, Fox C, Persell S. Development and pilot testing of EHR-nudges to reduce overuse in older primary care patients. Archives Of Gerontology And Geriatrics 2022, 104: 104794. PMID: 36115068, PMCID: PMC9682472, DOI: 10.1016/j.archger.2022.104794.Peer-Reviewed Original ResearchConceptsProstate-specific antigenUA/UCCDS alertsOlder adultsCommon conditionUnnecessary testingOlder primary care patientsClinical decision support alertsNon-specific reasonsOral hypoglycemic medicationsOvertreatment of diabetesPrimary care patientsPrimary care physiciansLarge health systemDecision support alertsHypoglycemic medicationsOveruse measuresCare patientsCare physiciansSignificant morbidityUrine cultureProstate cancerAmbulatory careClinical actionsAdult menA Qualitative Description of Clinician Free-Text Rationales Entered within Accountable Justification Interventions
Brown T, Zelch B, Lee J, Doctor J, Linder J, Sullivan M, Goldstein N, Rowe T, Meeker D, Knight T, Friedberg M, Persell S. A Qualitative Description of Clinician Free-Text Rationales Entered within Accountable Justification Interventions. Applied Clinical Informatics 2022, 13: 820-827. PMID: 36070799, PMCID: PMC9451951, DOI: 10.1055/s-0042-1756366.Peer-Reviewed Original ResearchConceptsClinical content areasClinical appropriatenessClinical decision support alertsPrimary care physiciansDecision support alertsAppropriate clinical decisionsUnique cliniciansOpioid prescribingCare physiciansClinical detailsAccountable justificationCDS alertsPilot interventionClinical decisionClinical casesCliniciansParticular diagnosisOlder adultsInterventionPhysiciansDelphi techniquePolypharmacyPrescribingPatientsSymptomsCase report: evaluation of an open-source synthetic data platform for simulation studies
Meeker D, Kallem C, Heras Y, Garcia S, Thompson C. Case report: evaluation of an open-source synthetic data platform for simulation studies. JAMIA Open 2022, 5: ooac067. PMID: 35958672, PMCID: PMC9360775, DOI: 10.1093/jamiaopen/ooac067.Peer-Reviewed Original ResearchThe protocol of improving safe antibiotic prescribing in telehealth: A randomized trial
McCabe B, Linder J, Doctor J, Friedberg M, Fox C, Goldstein N, Knight T, Kaiser K, Tibbels J, Haenchen S, Persell S, Warberg R, Meeker D. The protocol of improving safe antibiotic prescribing in telehealth: A randomized trial. Contemporary Clinical Trials 2022, 119: 106834. PMID: 35724841, DOI: 10.1016/j.cct.2022.106834.Peer-Reviewed Original ResearchConceptsAcute respiratory infectionsInappropriate antibiotic prescribingAntibiotic prescribing ratesAntibiotic prescribingPrescribing ratesRandomized quality improvement trialAntibiotic stewardship interventionsInappropriate antibiotic prescriptionsUrgent care visitsPrevious randomized trialsPrimary care clinicsQuality improvement trialEffective antibiotic useElectronic health recordsARI visitsInappropriate prescribingAntibiotic prescriptionsCare visitsSecondary outcomesPrimary outcomeRespiratory infectionsCare clinicsRandomized trialsStewardship interventionsAntibiotic useAdvancing Interoperability of Patient-level Social Determinants of Health Data to Support COVID-19 Research.
Phuong J, Hong S, Palchuk M, Espinoza J, Meeker D, Dorr D, Lozinski G, Madlock-Brown C, Adams W. Advancing Interoperability of Patient-level Social Determinants of Health Data to Support COVID-19 Research. AMIA Joint Summits On Translational Science Proceedings 2022, 2022: 396-405. PMID: 35854720, PMCID: PMC9285174.Peer-Reviewed Original ResearchExtracting Patient-level Social Determinants of Health into the OMOP Common Data Model.
Phuong J, Zampino E, Dobbins N, Espinoza J, Meeker D, Spratt H, Madlock-Brown C, Weiskopf N, Wilcox A. Extracting Patient-level Social Determinants of Health into the OMOP Common Data Model. AMIA Annual Symposium Proceedings 2022, 2021: 989-998. PMID: 35308947, PMCID: PMC8861735.Peer-Reviewed Original ResearchDevelopment of High-Risk Geriatric Polypharmacy Electronic Clinical Quality Measures and a Pilot Test of EHR Nudges Based on These Measures
Persell S, Brown T, Doctor J, Fox C, Goldstein N, Handler S, Hanlon J, Lee J, Linder J, Meeker D, Rowe T, Sullivan M, Friedberg M. Development of High-Risk Geriatric Polypharmacy Electronic Clinical Quality Measures and a Pilot Test of EHR Nudges Based on These Measures. Journal Of General Internal Medicine 2022, 37: 2777-2785. PMID: 34993860, PMCID: PMC9411452, DOI: 10.1007/s11606-021-07296-1.Peer-Reviewed Original ResearchConceptsHigh-risk criteriaNon-dihydropyridine calcium channel blockersMore high-risk criteriaSingle large health systemThree-arm pilotChronic kidney diseaseHigh-risk medicationsCalcium channel blockersLarge health systemDrug-drug interactionsClinical quality measuresElectronic health recordsEHR alertMain MeasuresRatesMore medicationsPatients 65Older patientsHeart failureKey ResultsAmongKidney diseaseNovel electronic health recordPolypharmacyChannel blockersFall historyPatients