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Current Research Projects

Project Description

Ohio has one of the highest rates of morbidity and mortality for people with high blood pressure, high cholesterol and for people who smoke. The Agency for Health Care Research and Policy has funded us to expand a statewide Ohio cardiovascular health collaborative (Cardi-OH) to improve cardiovascular health and reduce cardiovascular disparities for all Ohioans. To do this, we will work with primary care teams, patients and families and other partners to develop a heart healthy intervention that primary care clinics in Ohio can use to improve care and reduce disparities for patients with high blood pressure, high cholesterol and who smoke.

Key Early Findings (if available)

None

Principal Investigators

Shari Bolen MD, MPH [MetroHealth/Case Western Reserve University (CWRU)]
Aleece Caron, PhD (MetroHealth/CWRU)
Saundra Regan, PhD (UC)
Randell Wexler MD, MPH (OSU)

Collaborating Organizations

Ohio State University (OSU)
University of Cincinnati (UC)
The Health Collaborative
The Healthcare Collaborative of Greater Columbus
Better Health Partnership

Stakeholders

American Heart Association
CVS Health, Minute Clinic
Health Action Council
IPRO
National Association of Community Health Workers - Ohio Ambassador - 
Ohio Academy of Family Physicians
Ohio Academy Of Nutrition and Dietetics
Ohio Association of Community Health Centers
Ohio Association of Physician Assistants
Ohio Association of Health Plans
Ohio Chapter of the American College of Physicians
Ohio Department of Medicaid
Ohio Department of Health
Ohio Nurses Association
Ohio Pharmacists Association
Quality and Safety Education for Nurses Institute

Project Coordinator

Jacqueline Dolata, MBA

Co-Investigators

Jeffrey Albert, PhD
Martha Sajatovic, MD

Project Contact

Stephanie Kanuch, MEd  [email protected]
Catherine Sullivan, RD  [email protected]

Project Description

The Choose2Quit intervention builds on our prior successes with the Ask, Advice, Connect study, but now

  1. allows personalized choice of counseling modality (phone, text, web, in-person);
  2. conveys the value and low/no-cost availability of medications to support quit attempt success and sends providers the patient’s request in e-prescription to transmit to patient’s pharmacy;
  3. assesses patient’s need to manage social barriers to quitting by linking them to United Way 2-1-1; and
  4. uses an initial phone contact from a recognizable local number, will increase the engagement of patients in cessation treatment and in tobacco cessation.

This study aims to:

  1. Test the effect of a traditional eReferral vs. a Choose2Quit personalized guidance and choice approach on the ability to contact patients, and the proportion of patients that initiate tobacco cessation treatment, use tobacco cessation medications and make quit attempts.
  2. Assess the impact of each intervention arm on equitable engagement in tobacco cessation treatment, medication use and quit outcomes across gender, race and age groups. 
  3. Evaluate intervention experience from the patient perspective.
  4. Evaluate the cost to implement, and per engagement and quit outcome in each of the intervention arms.  

Key Early Findings (if available)

None

Principal Investigators

Susan Flocke, Principal Investigator (Oregon Health and Science University
Eileen Seeholzer, MetroHealth Site Principal Investigator and grant Co-Investigator (MetroHealth)

Co-Investigator Names (alphabetical listing by last name)

David Kaelber, Co-Investigator (MetroHealth)
Elizabeth Albert, Co-Investigator, Project Manager (Case Western Reserve University)
Steven Lewis, Quantitative Analyst (MetroHealth)
Thomas Love, Co-Investigator (MetroHealth)

Project Contact

Susan Flocke, PhD - [email protected]  or Eileen Seeholzer, MD, MS - [email protected]

Project Description

This is a randomized controlled trial involving 24 Community Members charged with the task of reviewing 568 manuscripts submitted to two medical journals in order to add community perspectives to the manuscript review process.  Journal editorial will use all reviews to help them make decisions about acceptance, revision, or rejection of manuscripts.  Quantitative and qualitative analyses will compare the content of community and scientific reviews, determine the usefulness of community reviews to journal editors, and explore how community reviewer comments are integrated into published articles.     

Key Early Findings (if available)

None

Principal Investigators

Ash Sehgal, MD

Project Contact 

Erika Hood
[email protected]

 

Project Description

The proposed project will test the effectiveness of technology-facilitated Customized Adherence Enhancement (CAE) vs. enhanced treatment as usual (eTAU) using a prospective randomized controlled trial design in public mental health care settings and preferentially enrolling poorly adherent/high-risk individuals with Bipolar Disorder (BD). CAE is a modular behavioral intervention that maps onto specific barriers that people with BD may experience that impede optimal medication adherence. Project deliverables include a curriculum-driven adherence enhancement approach that can be implemented in public healthcare settings and which can improve outcomes for the most vulnerable groups of people with BD.   

Key Early Findings (if available)

None

Principal Investigators

Martha Sajatovic, MD
Jennifer Levin, PhD

Co-Investigators

Carol Blixen PhD
Farren Briggs, PhD
Doug Einstadter, MD

Project Contact 

[email protected] 

 

Project Description

Using Latent Variables and Directly Observed Treatment to Improve the Diagnosis and Management of Depression among Hemodialysis Patients

Many hemodialysis patients have depression that is difficult to diagnose and treat. The goal of this project is to develop a screening instrument to improve diagnosis and to test the value of weekly directly observed antidepressant medication in treating depression.

Key Early Findings (if available)

None

Principal Investigators

Ashwini Sehgal, MD
Douglas Gunzler, PhD

Project Coordinator

Jacqueline Dolata, MBA

Co-Investigators

Jeffrey Albert, PhD
Martha Sajatovic, MD

Project Contact

Ashwini Sehgal, MD
[email protected]

Project Description

To design, produce and test a spine board for its ability to reduce pressure at the sacral region, shoulder, heel, and head. Pressure from laying on a spine board for 60 minutes or more, can cause deep tissue injury, which can eventually result in a pressure ulcer.  For persons with spinal cord injury, pressure injury is a major health-care burden and a negative impact on a patient’s quality of life. To have a spine board that could prevent early pressure ulcer development will reduce the health-care burden from pressure injury.

Key Findings

The average pressures on the new Skin Safe Spine Board were significantly lower than on the standard spine board for the head, shoulders, sacral and heel areas.  

Manuscript is under review at Assistive Technology.

Funding Agency

National Institute on Disability, Independent Living and Rehabilitation Research

Principal Investigators

Greg Nemunaitis, MD
Mary Joan Roach, PhD

Project Contact

Mary Joan Roach, MD
[email protected]

 

Funding Agency: National Institute of Nursing Research (NIH-NINR)

Project Description: The proposed project will characterize longitudinal phenotypic patterns among robust biobehavioral impairment measures in multiple sclerosis (MS) and identify distinct phenotypic clusters of individuals with similar impairment patterns, with the goal of facilitating decision making for clinicians and patients.

Key Early Findings (if available): None

Principal Investigators (please include credentials such as MD, MS, PhD, etc):

Douglas D. Gunzler, PhD

Farren B.S. Briggs, PhD

Alessandro S. De Nadai, PhD

Co-Investigator Names (alphabetical listing by last name):

Daniel Ontaneda, MD, PhD

Deborah M. Miller PhD

Project Contact:

Farren B.S. Briggs, PhD
[email protected]

Project Description

To describe the characteristics of traumatic spinal cord injury (SCI) population who received their injury due to falls, and the re-occurrence of falls over time after the initial SCI. Our key findings were that Blood Alcohol Level had a positive association with neurologic recovery in patients with spinal cord injury as measured by the International Standards for Neurological Classification of Spinal Cord Injury exam’s Motor Score Gain during acute rehabilitation.

Funding Agency

National Institute on Disability, Independent Living and Rehabilitation Research

Key Early Findings (if available)

Blood Alcohol Level had a positive association with neurologic recovery in patients with spinal cord injury as measured by the International Standards for Neurological Classification of Spinal Cord Injury exam’s Motor Score Gain during acute rehabilitation. 

Online Manuscript: https://meridian.allenpress.com/tscir/issue/26/4

Principal Investigator

Mary Joan Roach, PhD

Co-Investigators

Michael Kelly, MD
Greg Nemunaitis, MD
Argyrios Stampas, MD
Josephine Volovetz, MD

Project Contact

Mary Joan Roach, PhD
[email protected]

Project Description

This national 3-year, multi-site Patient Centered Outcomes Research Institute (PCORI) multi-phase clinical trial involves studying the integration of behavior health services into primary care clinics. Participating primary care clinics are randomized to early versus delayed integration of behavior health services within the clinics. Standard, low-resource, and scalable techniques are used to integrate behavior health services into the clinics. The degree of co-location and integration of behavior health services in participating primary care clinics is measured at baseline and throughout the study. Participating sites are also evaluated based on improvement in self-identified chronic medical conditions such as diabetes and hypertension. The MetroHealth System has 4 primary care sites enrolled in this study.

Key Early Findings (if available)

Primary Care practices with more integrated behavior health services tend to have better health outcomes for chronic conditions such as diabetes and hypertension.

Principal Investigators

Benjamin Littenberg, MD (University of Vermont)

Project Coordinator

David Kaelber, MD, PhD, MPH 

Co-Investigators

David Kaelber, MD, PhD, MPH 
Terry Stancin, PhD
Kathryn Teng, MD

Project Contact

David Kaelber, MD, PhD, MPH
[email protected]

Project Description

Our center grant provides a combination of research, career development, and community partnership activities. The Administrative Core oversees, manages, and coordinates all proposed activities. The Investigator Development Core operates pilot awards for community-based approaches to understanding and reducing health disparities. Our two research projects (Journal Reviewers and Sleep Apnea Study) involve novel approaches for engaging community members. The Community Engagement and Dissemination Core engages with and disseminates research findings to community members, partner organizations, service organizations, policymakers, and scientists. 

Key Early Findings (if available)

Principal Investigators 

Ash Sehgal, MD

Co-Investigator Names (alphabetical listing by last name)

Jeffrey Albert
Cheryl Killion
Cyleste Collins
Adam Perzynski
Kurt Stange
Daryl Thornton

Project Contact

Jacqueline Dolata, MBA
[email protected]

Development and Validation of Probabilistic Matching Algorithm 

Project Description

Using trauma registry data from 5 Spinal Cord Injury Model Systems (SCIMS) and the corresponding SCI National Database to develop a probabilistic matching algorithm.

Funding Agency

National Institute on Disability, Independent Living and Rehabilitation Research

Findings

The probabilistic algorithm identified 65 of the 91 true-match records (sensitivity, 71.4%) with a positive predictive value (PPV) of 80.2%. The algorithm was validated over 282 SCIMS-trauma pairs across 127 clusters and had a sensitivity of 73.7% and PPV of 81.1%. Post hoc analysis shows the addition of injury date and zip code improved the specificity from 57.9% to 94.7%.  The value in matching patient data from different data sources is that these datasets provide population health researchers the ability to better understand the determinants of health outcomes. Insights gained from these datasets can drive interventions to reduce health disparities. 

Online Manuscript: https://meridian.allenpress.com/tscir/issue/26/4 

Principal Investigator

YuYing Chen, MD, MPH

Co-Investigators

Wendy Huacong, PhD
Russel Griffin, PhD
Michael Kelly, MD
Mary Joan Roach, PhD
 

Project Contact

Mary Joan Roach, PhD
[email protected]

Project Description

About 25-50% of women who undergo breast cancer surgery develop persistent chest wall pain and shoulder mobility limitations following surgery. This NIH funded study seeks to determine whether massage therapy will reduce pain and increase mobility for women experiencing pain or mobility issues in the chest or shoulder after breast cancer surgery.  Women are randomized to licensed massage therapy twice a week for two months versus light touch therapy.

Key Early Findings (if available)

None

Principal Investigators

Ash Sehgal, MD  

Project Contact

Mary Jo Day
[email protected]

Project Description

Launched in 2019, the Medicaid Technical Assistance and Policy Program (MEDTAPP) Diabetes Quality Improvement Project (QIP) is the second statewide quality improvement project that is a part of the Ohio Department of Medicaid’s (ODM) Chronic Conditions Quality Collaborative. The Diabetes QIP, funded by the Ohio Department of Medicaid, promotes the use of evidence-based strategies known to improve diabetes management. The aim of the project is for participating primary care practices to increase the percentage of patients with better blood sugar control (hemoglobin A1c <9) by 15% overall and by 20% in Hispanic and African American populations. Information and best practices related to the QIP are shared in monthly interactive webinars referred to as Action Period calls. With coaching from quality improvement guides, the 22 high volume Medicaid primary care practices across multiple health systems in Ohio are testing strategies related to implementing best clinical practices, such as timely follow-up in staff-led diabetes visits, effective treatment, and outreach to patients with elevated sugars. In addition, all six of ODM’s contracted managed care plans are using quality improvement science tools to test payer-based strategies for improving blood sugar control which are under development. 

Key Early Findings (if available)

None

Principal Investigators

Michael W. Konstan, MD
Shari Bolen MD, MPH 

Co-Investigators (alphabetical listing by last name): 

David Aron, MD, MPH
Joseph DaPrano, MD, FAAP, MACP
Douglas Einstadter, MD, MPH
Rose Gubitosi-Klug, MD, PhD
Siran Koroukian, PhD
Jonathan Lever, MPH, NRP
Thomas Love, PhD
Lolita McDavid, MD 
Adam Perzynski, PhD
Elizabeth Pfoh, PhD
Cristina Sanders, MSN, BA, APRN-CNP
Eileen Seeholzer, MD
Kurt Stange, MD, PhD
Mark Votruba, PhD
Sharon Watts, DNP, FNP-BC, CDE
Other collaborators on this project exist within the other 6 medical schools across Ohio, Ohio Colleges of Medicine Government Resource Center and Ohio Department of Medicaid.

Project Contact

Cathy Sullivan, MS, RD
[email protected]

Project Description

The Medicaid Technical Assistance and Policy Program (MEDTAPP) Hypertension Quality Improvement Project (QIP) is the first quality improvement project that is a part of the Ohio Department of Medicaid’s (ODM) Chronic Conditions Quality Collaborative. The Hypertension QIP, funded by the Ohio Department of Medicaid, promotes the use of evidence-based strategies known to improve hypertension management. The aims of the project are for participating primary care practices to increase the percentages of patients with controlled hypertension by 15% and African American patients with controlled hypertension by 20%. Information and best practices related to the QIP are shared via monthly interactive webinars, referred to as Action Period calls. With coaching from quality improvement guides, the 8 Wave 1 primary care practices across multiple health systems in Ohio tested strategies related to implementing best clinical practices, such as accurate blood pressure measurement, timely follow-up in staff-led hypertension visits, and effective treatment. In addition, all six of ODM’s contracted managed care plans utilize quality improvement science tools to test payer-based strategies for improving hypertension control, such as facilitation of medication adherence and home blood pressure monitoring. Wave 2 is underway with 13 additional primary care practices.

Key Early Findings (if available)

Principal Investigators

Michael W. Konstan, MD
Shari Bolen. MD, MPH 

Co-Investigators (alphabetical listing by last name)

Douglas Einstadter, MD, MPH
Douglas Gunzler, PhD
Siran Koroukian, PhD
Adam Perzynski, PhD
Jackson T. Wright, Jr., MD, PhD
Other collaborators include Ohio Colleges of Medicine Government Resource Center and Ohio Department of Medicaid.

Project Contact

Cathy Sullivan, MS, RD
[email protected]

Project Description

Electronic health record (EHR) databases have existed for two decades, introducing many improvements in health care delivery and information management. Yet, their potential as a research tool to enable deeper understanding of unique aspects of health in populations, novel treatment pathways and best practices for data-informed, shared clinical decisions remains to be fully realized. Supported by the National Institute on Aging, the Northeast Ohio Cohort for Atherosclerotic Risk Estimation (NEOCARE) Learning Health Registry is a regional collaboration between MetroHealth and Cleveland Clinic to combine electronic health records and link the merged health records with community data resources. The registry includes health information from more than 3.1 million unique individuals over 20 years.

Key Early Findings (if available)

NEOCARE team members have published findings examining:

  1. how neighborhood socioeconomic status influences cardiovascular health outcomes;
  2. the failure of clinical indicators to predict cardiovascular morbidity among older patients;
  3. patterns of disease and health conditions among homeless persons;
  4. relationships between neighborhood conditions and cognitive decline among older persons;
  5. the association of immune-hematologic markers with cardiovascular and all-cause mortality; and
  6. the structure of neighborhood-level measures of socioeconomic disadvantage.

These findings will help inform future interventions to improve the cardiovascular health of people who often have the highest cardiovascular risk.

Principal Investigators

Adam T. Perzynski, PhD
Jarrod E. Dalton, PhD

Co-Investigators

Kristen Berg, PHD, CRC
Claudia J. Coulton, PhD
Neal V. Dawson, MD
Douglas Einstadter, MD, MPH
Darcy Freedman, PhD, MPH
Douglas D. Gunzler, PhD
David Kaelber, MD, PhD, MPH, FAAP, FACP, FACMI
Michael B. Rothberg, MD, MPH

Project Contact

Adam Perzynski, PhD  [email protected]

Project Description

The purpose of this collaborative proposal led by NEOMED’s Dept. of Family and Community Medicine is to improve the primary care workforce by enhancing inter-professional training for primary care clinicians, teachers and researchers, with specific attention to underserved populations, across the care continuum. Through this proposal, we will achieve the quadruple aim of improved healthcare quality (specifically for underserved populations), lowered costs, improved patient and family experience, and improved health care provider experience.

We will achieve this goal by implementing a formal curriculum for medical students, faculty, and residents to meet four objectives:

  1. transform healthcare systems by providing the knowledge and skills necessary for improving systems of care, building multidisciplinary teams, increasing quality of skills, and improving the work-life of healthcare providers;
  2. incorporate population health to gain knowledge of strategies and interventions across the continuum of care to improve health at the lowest cost;
  3. reduce disparities by increasing understanding of the causes of disparities and solutions to them, including social, economic, political, cultural, legal and ethical theories related to health disparities; and
  4. develop research expertise to develop collaborative projects to improve access, quality of care, and cost-effectiveness.

This collaborative program engages family medicine, general internal medicine, pediatric and behavioral health departments from one medical school, nine residency programs, and two federally qualified health centers. MetroHealth Services of Cleveland (MHS) will provide training and mentoring in adapting their HRSA-funded PCTE program. We will provide interdisciplinary training to faculty physicians from each residency program and FQHC, with other care team members from each site including NPs, PAs and behavioral health specialists. The goal of this train the trainer model is for each of the training sites to have a minimum of three care team faculty complete the program, with one master trainer in each of the following three areas: transforming health systems, population health management, and reducing health disparities. The faculty experts at their site will champion the work, and train residents and other faculty. 

Key Early Findings (if available)

None

Principal Investigator

John Boltri, MD 

Site PI

Aleece Caron, PhD

Co-Investigators

Nathan Beachy, MD
James Campbell, MD
Adam Perzynski, PhD

Project Contact

Aleece Caron, PhD
[email protected]

Project Description

Founded in 2017, the mission of Cardi-OH is to improve cardiovascular and diabetes health outcomes and eliminate disparities in Ohio's Medicaid population.

  • WHO WE ARE: An initiative of health care professionals across Ohio’s seven medical schools, funded by Ohio Department of Medicaid (ODM).
  • WHAT WE DO: Identify, produce, and disseminate evidence-based cardiovascular and diabetes best practices to primary care teams.
  • HOW WE DO IT: Monthly publications including newsletters, online cardiovascular and diabetes resources available on Cardi-OH.org, webinars, short brief cardiovascular e-mail and online topics called Currents and Capsules, Cardi-OH Radio podcasts, and Project ECHO® TeleECHO Clinics. These TeleECHO clinics are a 12-week virtual training series led by experts that feature didactics and case studies presented by participating primary care teams to enhance their capacity to manage cardiovascular conditions.

Key Early Findings (if available)

None

Principal Investigators

Michael W. Konstan MD
Shari Bolen, MD, MPH 

Site PIs at Ohio’s 6 other medical schools (www.cardi-OH.org)

Co-Investigators

Over 50 experts from across Ohio (www.cardi-OH.org)
Other collaborators on this project exist within the other 6 medical schools across Ohio, Ohio Colleges of Medicine Government Resource Center and Ohio Department of Medicaid.

Project Contact

Ann Nevar, MPH
[email protected]

Project Description

The Ohio Coverdell Stroke Program is a Centers for Disease Control and Prevention (CDC) federally funded program managed by the Ohio Department of Health (ODH). Ohio is one of nine states funded to focus on measurement, tracking, and improvement of quality of care and access to care for patients with stroke from onset of stroke symptoms through rehabilitation and recovery. 

MetroHealth, has received funding from ODH since 2007 to serve as the Clinical Consulting Team. We provide clinical direction to the Coverdell Leadership team, lead statewide quality improvement initiatives and develop and support educational programs for pre-hospital, hospital and post-hospital providers. The Clinical Consulting Team at MetroHealth is responsible for statewide data integrity for data sent to the CDC. This encompasses statewide abstraction training for hospital staff, individual hospital quarterly inter-rater reliability processes and quality improvement strategies for statewide data.  

Key Early Findings (if available)

None

Principal Investigators

Julie Fisher, MHA, BSN, RN, CPHQ
Program Manager, Ohio Coverdell Stroke Program

Co-Investigators

Agnieszka Ardelt, MD, PhD, MBA, FAHA
Tracy Cushler, BSN, RN
Alice Liskay, MPA, BSN, RN
Steven Lewis, MS, MPH, MBA

Project Contact

Julie Fisher, MHA, BSN, RN, CPHQ
[email protected]

Project Description

The purpose of this study is to identify and pilot test novel interventions to improve outcomes for African Americans with obstructive sleep apnea. Phase 1 will identify barriers and facilitators to continuous positive airway pressure (CPAP) use, the most effective treatment available for people with obstructive sleep apnea. Phase 2 will pilot test interventions to improve CPAP adherence and patient sleep quality.

Key Early Findings (if available)

None

Principal Investigators

J. Daryl Thornton, MD, MPH

Project Contact

Marquisha Marbury
[email protected]

Project Description

Implementing a Peer Mentorship program for persons with traumatic Spinal Cord Injury in the acute hospital stay through community re-integration. It is expected that this project will reduce the anxiety and depression persons with SCI and their families experience initially and provide emotional support that can improve patient’s social psychological well-being .

Funding Agency

National Institute on Disability, Independent Living and Rehabilitation Research

Key Early Findings (if available)

None

Principal Investigator

Mary Joan Roach, PhD

Project Contact

Mary Joan Roach, PhD
[email protected]

Project Description

The REACH grant is funded by the Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. This project will help to advance work that was initiated in 2007, with significant progress made during the first REACH grant cycle (2014-2018) in the areas of healthy eating, active living, and clinical and community linkages. The Cuyahoga County Board of Health leads this regional initiative as part of their regional health collaborative called Health Improvement Partnership (HIP)-Cuyahoga. HIP-Cuyahoga hopes to improve healthy food access, physical activity and active transportation opportunities, increase breastfeeding supports, and increase the use of community and health support programs among African Americans in Cuyahoga County. Better Health Partnership in conjunction with PHRI’s Center for Health Care Research and Policy and United Way 2-1-1 HelpLink (UW 2-1-1) lead a project at several clinics linking children with overweight/obesity and/or asthma as well as adults with uncontrolled blood pressure to community resources for self-management and social needs with the ultimate goal of improving health outcomes.

Key Early Findings (if available)

Since the program began, 161 adults with hypertension and 215 children with asthma and/or overweight/obesity have been given a referral to UW 2-1-1. The top three areas of need include: physical activity and recreation, food/meals, and self-management resources. Among the 178 patients reached by UW 2-1-1, 162 clients were given referrals to over 200 community agencies. Of the 162 clients given referrals, 134 (82.7%) clients have at least one need in progress or resolved.   

Here are some stories of patients helped by the program:

  • One mom (Ms. R) was concerned because there was mold and pest issues after plumbing leaks in their rental. The plumbing was eventually fixed but the landlord didn’t correct the damage which was causing the mold and pest issues. UW 2-1-1 referred Ms. R to some resources on tenant rights/legal assistance, as well as resources on mold/pest information and inspection.  She also wanted information on fresh food distributions. Ms. R. was very thankful for the resources.  
  • When circumstances get tough, Mr. W has a go-to phone number that he got in a visit to MetroHealth’s J Glen Smith clinic. When he calls Katie at UW 2-1-1 she helps him find resources he needs in the community, including food pantries and fresh produce markets. Katie also calls him every couple of weeks to check in on him. “Katie has been such a jewel,” said Mr. W. “She’s always trying to find programs that can help me. And when you call her, she calls you back.”

Principal Investigators

Cuyahoga County Board of Health
Martha Halko, MS, RD, LD

Clinic to Community Linkages Project Leads
Shari Bolen MD, MPH
Jonathan Lever, MPH, NRP

Funded partners on this grant include:

Contact for the Clinic to Community Linkage project

Jonathan Lever, MPH, NRP
[email protected]

Project Description

African-Americans have substantially higher stroke rates, compared to any other racial-ethnic group and racial disparities in stroke outcomes are particularly high among AA men. This project will test a nurse and patient co-led, curriculum-guided, self-management support approach, “TargEted MAnageMent” (TEAM) focused specifically on African-American men at high risk for stroke.

Key Early Findings (if available)

None

Principal Investigators

Martha Sajatovic, MD
Carolyn Harmon Still, PhD

Co-Investigators

Christopher Burant, PhD
Douglas Einstadter, MD
Cheryl Killion, PhD
Shirley Moore, PhD
Sophia Sundararajan, MD

Project Contact

[email protected] 

 

 

Project Description

The goal of our work is to optimize primary care faculty and trainee academic productivity, job satisfaction, and retention rates in a large, urban safety-net hospital with 14 community-based practice sites. Within that frame, we describe specific goals in our work toward patient centeredness, integrating systems of care, quality improvement, clinical teaching and mentoring, and the elimination of health disparities. This proposal has 5 specific aims to develop scholarship in primary care with emphasis on areas critical to the faculty and residents that provide care for an underserved population. These aims are:

  1. Care of the underserved: a formal curriculum reviewing social, political, economic, cultural, legal and ethical theories related to disparities in general, with a central focus on health disparities;
  2. Teaching: a formal curriculum to facilitate faculty who are already active in teaching to improve teaching skills and gain skills in program development and teaching evaluation;
  3. Quality Improvement: a formal curriculum for faculty and residents to gain skills necessary to improve systems of care and function in multidisciplinary teams;
  4. Core content expertise development and enhancement in three areas important to caring for vulnerable populations; and
  5. Improve academic productivity for faculty through protected time and mentorship to allow faculty who are clinically active and community-based to pursue scholarship.

This collaborative program will be offered to faculty and trainees in family medicine, geriatrics, general internal medicine, general pediatrics, internal medicine/pediatrics, and obstetrics/gynecology. Faculty will have 10% protected time to participate for two years and residents will participate during years 2 and 3 of their training. Each participant will:

  1. Complete all 5 cores listed above;
  2. Complete individualized development plans in teaching skills;
  3. Complete a Quality Improvement project;
  4. Complete a Health Disparities Case Narrative; and
  5. Complete a personalized philosophy of teaching plan.

Faculty will receive individualized mentoring, develop long- and short-term career goals with measurable outcomes, and work with the project team and their residency programs to establish a robust, formal mentoring program for their specialty.

Key Early Findings (if available)

None

Principal Investigators

Aleece Caron, PhD

Co-Investigators 

Nathan Beachy, MD
James Campbell, MD
Adam Perzynski, MD

Project Contact

Aleece Caron, PhD
[email protected]

Project Description

This project will evaluate the efficacy of a personalized and automatized m-Health intervention targeting both intentional and non-intentional nonadherence, iTAB-CV + Self-Monitoring, compared to Self-Monitoring alone to improve medication adherence and lower systolic blood pressure in individuals with bipolar disorder (BD) and hypertension. Given the serious negative consequences of uncontrolled hypertension, including early mortality, an intervention that successfully improves adherence to antihypertensive medications while simultaneously addressing psychiatric medication adherence and which can be administered via text messaging would be of substantial public health benefit.

Key Early Findings (if available)

None

Principal Investigators

Jennifer Levin, PhD
Martha Sajatovic, MD

Co-Investigators

Farren Briggs, PhD
Doug Einstadter, MD
Mahboob Rahman, MD

Project Contact

[email protected]