Department of Medicine

Department of Medicine

  Division of General Internal Medicine

Division of General Internal Medicine Newsletter

  • GIM News
  • Donna L. Bishop, Editor
  • Next issue:
    May 25, 2018
  • Submission deadline:
    April 20th, 2018
  • E-mail: Donna Bishop


Subject: Launching the PROMIS-Preference (PROPr) score to measure population health outcomes with a single instrument
Principal Investigator: Janel Hanmer, MD, PhD
Sponsor: Robert Wood Johnson Foundation
Purpose of Grant: This project is designed to launch PROPr for population health measurement. The centerpiece of the project is a large, nationally representative survey that will co-administer the PROPr measure with other summary measures of health. This project will make two broad contributions to the area of population health measurement: 1) Creation of crosswalks between PROPr and three older summary measures of health (the EuroQol-5D, Health Utilities Index, and Short Form-6D). 2) Validate the use of PROPr as a measure to quantify the impact of a variety of social determinants of health on health-related quality of life.

Subject: Impact of resident physicians' sitting at the bedside on patient satisfaction and HCAHPS scores
Principal Investigator: Jennifer Corbelli, MD, MS, and Carla Spagnoletti, MD, MS
Sponsor: The Beckwith Foundation
Purpose of Grant: Although some data exist in the hospitalist literature on this topic, the impact of this kind of physician activity in academic centers where physicians round in teams is unknown. We are partnering with Raquel Forsythe, an APD in general surgery, to compare the impact of the same intervention in medicine vs surgery resident teams.

Subject: Developing and Testing a Decision Support Tool for Women Making Tubal Sterilization Decisions
Principal Investigator: Sonya Borrero, MD, MS
Sponsor: NIMHD
Purpose of Grant: Because low-income women's decision making and provider counseling regarding surgical sterilization are often suboptimal, the proposed research seeks to build and test a decision support tool to enhance low-income women's ability to make informed and value-concordant surgical sterilization decisions. In addition to its potential clinical utility, this research has important public health and policy implications as it can inform ongoing efforts to transform the current Medicaid sterilization consent policy by offering an evidence-based tool that is truly able to ensure informed decision making in vulnerable populations. Once we help safeguard women with a process for ensuring informed consent, we can then consider shortening or waiving the 30-day waiting period that has restricted access to sterilization for many low-income women.

Subject: Using Electronic Health Records to Identify Social Determinants of Health among VISN4 Veterans
Principal Investigator: John Blosnich, PhD, MPH
Sponsor: VISN4 Competitive Pilot Project Fund
Purpose of Grant: This mixed-methods pilot project is crucial for developing an VA Merit application to develop and test an instrument to collect social determinants data from patients and to determine strategies for personnel- and system-level interventions(e.g., provider training, EHR-based dashboards) to improve patient treatment plans through integration of social determinants data.

Subject: Using Machine Learning to Predict Problematic Prescription Opioid Use and Opioid Overdose
Principal Investigator: Walid Gellad, MD, MPH
Sponsor: NIDA
Purpose of Grant: Prescription opioid overdose deaths quadrupled from 1999 to 2015, and drug overdose is now the leading cause of injury deaths among adults in the United States. This project will use innovative machine learning methods and readily available data for Medicaid beneficiaries in two states hard hit by the epidemic—Pennsylvania and Arizona—to develop algorithms to accurately predict who is at risk of problematic prescription opioid use and overdose. This information will empower health systems, payers, and policymakers to more effectively target interventions to prevent prescription opioid misuse and its consequences.

Subject: The Associations of Housing Instability and Housing Services Utilization with Suicide Risk among Transgender Veterans
Principal Investigator: John Blosnich, PhD, MPH
Sponsor: National VA Homeless Programs Office
Purpose of Grant: This project seeks to answer the following research questions: (1) what are the characteristics of transgender Veterans utilizing the Veterans Health Administration (VHA) who experience housing instability; (2) among VHA transgender Veterans experiencing housing instability, how frequently do they utilize housing services; and (3) how does utilization of housing services impact suicide risk among transgender Veterans?

Subject: Conservative Prescribing: Prescriber Profiling and Education Project
Principal Investigator: Walid Gellad, MD, MPH
Sponsor: Moore Foundation
Purpose of Grant: This project aims to develop and test new metrics of conservative prescribing; examine differences in conservative prescribing practices among 4 healthcare organizations; correlate conservative prescribing metrics with process and outcome measures; and develop and implement an educational campaign related to conservative prescribing principles.

Subject: The MyPath Reproductive Planning Tool for Women Veterans: A Pilot Study
Principal Investigator: Sonya Borrero, MD, MS (Co-PI)
Sponsor: CHERP Pilot Research Program
Purpose of Grant: This pilot project will assess the acceptability and feasibility of a patient-centered, interactive computerized tool called “MyPath” that delivers individualized information and decision support to facilitate high quality decisions about pregnancy and contraception and effective patient-provider communication.