2022
Development 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
2019
Patient Commitment to Health (PACT-Health) in the Heart Failure Population: A Focus Group Study of an Active Communication Framework for Patient-Centered Health Behavior Change
Meeker D, Goldberg J, Kim K, Peneva D, De Oliveira Campos H, Maclean R, Selby V, Doctor J. Patient Commitment to Health (PACT-Health) in the Heart Failure Population: A Focus Group Study of an Active Communication Framework for Patient-Centered Health Behavior Change. Journal Of Medical Internet Research 2019, 21: e12483. PMID: 31389339, PMCID: PMC6701162, DOI: 10.2196/12483.Peer-Reviewed Original ResearchConceptsHeart failure populationHeart failureFailure populationHealth coachingDietary habitsMedication adherence barriersPatient-centered themesChronic heart failurePatient focus groupsHealth behavior changeRegimen complexityAdherence barriersMedication adherenceExercise regimensDisease progressionExercise habitsLocal cardiologistsLifestyle changesPatient commitmentCare providersFocus groupsSide effectsSemistructured interview toolPatientsAppropriate exercise
2018
A Novel Stakeholder Engagement Approach for Patient-centered Outcomes Research
Kim K, Khodyakov D, Marie K, Taras H, Meeker D, Campos H, Ohno-Machado L. A Novel Stakeholder Engagement Approach for Patient-centered Outcomes Research. Medical Care 2018, 56: s41-s47. PMID: 30074950, PMCID: PMC6143220, DOI: 10.1097/mlr.0000000000000790.Peer-Reviewed Original ResearchConceptsClinical Data Research NetworkPatient-centered outcomes researchEngagement of patientsOutcomes research studiesConditions of focusStakeholder advisory boardPatient-centered outcomes research studiesKawasaki diseaseHeart failurePatient advocatesPatientsClinical sitesOutcomes researchSignificant differencesHealth researchCliniciansResearch NetworkResearch prioritiesSetting of prioritiesEngagement strategiesAdvisory BoardFavorable opinionObesityEngagement principlesDisease
2016
Comparative analysis of stakeholder experiences with an online approach to prioritizing patient-centered research topics
Khodyakov D, Grant S, Meeker D, Booth M, Pacheco-Santivanez N, Kim K. Comparative analysis of stakeholder experiences with an online approach to prioritizing patient-centered research topics. Journal Of The American Medical Informatics Association 2016, 24: 537-543. PMID: 28011596, PMCID: PMC7651951, DOI: 10.1093/jamia/ocw157.Peer-Reviewed Original ResearchConceptsStudy participationPatient/caregiver experienceKawasaki diseaseHeart failureRating roundsCaregivers' experiencesProfessional stakeholdersMultivariate modelConvenience samplePatientsDelphi panelCliniciansPerson meetingsResearch prioritizationSelf-reported willingnessLittle evidenceParticipants' experiencesStakeholder experiencesObesityDiseaseExperience indexPopulations and Interventions for Palliative and End-of-Life Care: A Systematic Review
Singer A, Goebel J, Kim Y, Dy S, Ahluwalia S, Clifford M, Dzeng E, O'Hanlon C, Motala A, Walling A, Goldberg J, Meeker D, Ochotorena C, Shanman R, Cui M, Lorenz K. Populations and Interventions for Palliative and End-of-Life Care: A Systematic Review. Journal Of Palliative Medicine 2016, 19: 995-1008. PMID: 27533892, PMCID: PMC5011630, DOI: 10.1089/jpm.2015.0367.Peer-Reviewed Original ResearchConceptsCongestive heart failurePalliative careCaregivers' experiencesChronic obstructive pulmonary diseasePalliative care effectivenessObstructive pulmonary diseasePalliative care teamHealth service interventionsSystematic Reviews databasesLower healthcare costsHome-based approachHome-based componentWeb of ScienceHeart failurePulmonary diseaseAdvanced illnessCochrane DatabasePrognostic criteriaCaregiver outcomesCare teamDementia outcomesInclusion criteriaSignificant patientCare planningLife care
2015
Symptom trends in the last year of life from 1998 to 2010: a cohort study.
Singer A, Meeker D, Teno J, Lynn J, Lunney J, Lorenz K. Symptom trends in the last year of life from 1998 to 2010: a cohort study. Annals Of Internal Medicine 2015, 162: 175-83. PMID: 25643305, PMCID: PMC4346253, DOI: 10.7326/m13-1609.Peer-Reviewed Original ResearchConceptsProxy reportsPain intensitySymptom prevalenceLife careProxy-reported painChronic lung diseaseCongestive heart failureManagement of painPrevalence of depressionEnd of lifeCohort studySevere painHeart failureLung diseaseObservational studyTroubling symptomsSudden deathIndividual symptomsAlarming symptomsPainFamily respondentsHRS participantsSymptom trendsPrevalenceRepresentative longitudinal survey
2014
pSCANNER: patient-centered Scalable National Network for Effectiveness Research
Ohno-Machado L, Agha Z, Bell D, Dahm L, Day M, Doctor J, Gabriel D, Kahlon M, Kim K, Hogarth M, Matheny M, Meeker D, Nebeker J, team T, Resnic F, Khodyakov D, Armstead L, Nagler T, Morley S, Anderson N, Cooper D, Phillips D, Heber D, Li Z, Ong M, Patel A, Zachariah M, Burns J, Daniels L, Doan S, Farcas C, Germann-Kurtz R, Jiang X, Kim H, Paul P, Taras H, Tremoulet A, Wang S, Zhu W, Berman D, Rizk-Jackson A, D’Arcy M, Kesselman C, Knight T, Pearlman L, Heidenreich P, Rifkin D, Stepnowsky C, Zamora T, DuVall S, Frey L, Scehnet J, Sauer B, Facelli J, Gouripeddi R, Denton J, FitzHenry F, Fly J, Messina V, Minter F, Nookala L, Sullivan H, Speroff T, Westerman D. pSCANNER: patient-centered Scalable National Network for Effectiveness Research. Journal Of The American Medical Informatics Association 2014, 21: 621-626. PMID: 24780722, PMCID: PMC4078293, DOI: 10.1136/amiajnl-2014-002751.Peer-Reviewed Original ResearchConceptsInitial use caseCommon data modelPatient Centered Outcomes Research InstituteHealth information exchange dataComputing infrastructuresFederated networkUse casesDistributed systemData modelComputation modelExchange dataPatient-powered research networksCommunity-based outpatient clinicsNetworkCongestive heart failureOutcomes Research InstituteEffectiveness researchAsynchronous modeHealth services researchersKawasaki diseaseHeart failureOutpatient clinicVA InformaticsAmbulatory careNational network