OHSU

Melinda Davis, PhD - Grants

Activating Rural Primary Care Clinics and Patients to Improve Cancer Screening for Adults with Disabilities
Principal Investigator:David Buckley, MD, MPH
This project addresses the important problem of disparities in cancer screening experienced by rural women with physical disabilities.  The study will pilot test an innovative practical approach for overcoming barriers to screening for breast, cervical, and colorectal cancer among rural women with physical disabilities.
Funding Source:DHHS NIH National Cancer Institute
Period:3/01/2012 – 2/28/2014
Role: Co-Investigator, 15% FTE
Total Direct Costs: $275,000


Turning EHRs into Assets for Mental Health and Uniting Practice (Team Up)
Principal Investigator:Deborah Cohen, PhD
This project thoroughly examines an innovative and novel technological solution in the Epic EHR that can be used as a model for documenting, sharing, and monitoring patients' mental and physical health needs and that holds promise for defragmenting current information systems and supporting integrated clinical practice
Funding Source:DHHS NIH NIMH
Period:4/1/2013 - 3/31/2016
Role: Co-Investigator, 15% FTE
Total Direct Costs: $700,743
Current Support - Federal

Community Research Enhancement and Education Development (CREED)
Principal Investigator: Eric Orwoll, MD
Community engagement supplement to use well-established community-based health coalitions and the existing infrastructure of a CTSA practice-based research network (PBRN) to increase the capacity of community members to serve as active partners in the design, execution, and translation of research
Funding: NIH/National Center for Research Resources (NCRR)
Role: Co-Investigator, 30% FTE
Dates of Activity: 7/1/2011 – 12/30/2012
Total Direct Costs: $408,174
Current Support – Foundation/Local


Transforming Outcomes for Patients through Medical home Evaluation and redesign (TOPMED)

Principal Investigator: David Dorr, MD
TOPMED is a randomized controlled trial designed to improve patient outcomes (quality of care, patient experience, utilization) and lower costs by implementing elements of the Patient Centered Medical Home in diverse primary care practices. Practice facilitation and two models of payment will be compared.
Funding Source: The Gordon and Betty Moore Foundation
Funding Type: Grant
Role: Faculty Consultant, 10% FTE
Dates of Activity: 9/1/2011 – 8/31/2014
Total Direct Costs: $N/A


Advancing Care Together: Creating Systems of Care for the Whole Person (ACT) – Evaluation Plan

Principal Investigator: Debbie Cohen, PhD
The ACT evaluation is designed to determine how to optimize the integration of emotional, behavioral, and physical care in primary care and community mental health settings using mixed methods to assess ACT demonstration projects.
Funding Source: The Colorado Health Foundation
Funding Type: Subcontract from University of Colorado, Denver
Role: Evaluation Co-Investigator, 30% FTE
Dates of Activity: 3/1/2011 – 3/1/2014
Total Direct Costs: $500,000


Cancer Prevention and Screening for Disabled Adults in Rural Primary Care
Principal Investigator: David I. Buckley, MD, MPH
The goal of this study to develop and test methods for better understanding and improving cancer screening and prevention services among adults with physical disabilities in rural primary care.
Funding Source: American Cancer Society
Funding Type: Mentored Research Scholar Grant in Applied Clinical Research
Role: Project Co-Investigator, 5% FTE
Dates of Activity: 1/1/2008 –12/31/2012
Total Direct Costs: $653,916
Completed Support – Federal


Clinician Perceptions of Aging Services Technologies (CPAST)
Principal Investigator: Melinda Davis, PhD
The overarching goal of this study is to determine the monitoring needs of, optimal communication formats for, and infrastructure required to enable rural primary care clinicians to incorporate data from aging services technologies into routine patient care.
Funding: NIH/NIA (via Oregon Center for Aging & Technology, ORCATECH)
Role: Principal Investigator, 10% FTE
Dates of Activity: 7/1/2011 – 6/30/2012
Total Direct Costs: $31,350


Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Principal Investigator: Lyle J. Fagnan, MD
Task order to (a) develop a process model for linking primary care clinics with community-based resources for obesity management and (b) disseminate a guidebook for effective linkages.
Funding Source: The Agency for Health Care Research and Quality (AHRQ)
Funding Type: Contract
Role: Co-Investigator, 25% FTE
Dates of Activity: 9/1/2010 –9/1/2012
Total Direct Costs: $421,073


Assessing the Clinical Impact and Business Case for Nurse-based Care Management
Principal Investigator: LJ Fagnan, MD
To evaluate the feasibility and acceptability, impact on clinical outcomes, and the business case of implementing Care Management Plus (CMP) in six rural primary care practice settings – four family medicine and two pediatric practices.
Funding Source: Agency for Healthcare Research and Quality
Funding Type: Contract
Role: Practice Enhancement & Research Coordinator/Research Associate, 20% FTE
Dates of Activity: 9/1/2007 – 11/31/2009
Total Direct Costs: $250,000


Rehabilitation Research and Training Center on Health & Wellness in Long-Term Disability
Principal Investigator: Gloria Krahn, PhD, MPH
The goal of this center is to promote the health and wellness of people with disabilities through research, training, technical assistance and dissemination with a focus on three areas: health care access, health promotion, and the measurement of health.We conducted a pilot quality improvement study called Clinic Level Improvements in Preventive Services (CLIPS) designed to improve the receipt of various preventive services among adults with mobility impairments in the primary care setting.
Funding Source: National Institute on Disability and Rehabilitation Research
Funding Type: Center Grant
Role: CLIPS Co-Investigator, 30% FTE
Dates of Activity: 6/1/2008 – 9/30/2009
Total Direct Costs: $608,696 Annual ($3.4 Million over 5 years)


Medication Errors and Adverse Drug Events Reporting System (MEADERS)
Principal Investigator: Lyle J. Fagnan, MD
To field test a web-based reporting system for busy primary care office practices.
Funding Source: Agency for Healthcare Research and Quality
Funding Type: Sub-Contract
Role: Research Assistant, 30% FTE
Dates of Activity: 4/1/2007 – 9/30/2007
Total Direct Costs: $160,000
Completed Support – Foundation/Local


Shared Decision-Making in Rural Oregon Primary Care
Principal Investigator: Lyle J. Fagnan, MD

To identify best practices approaches to implementing DVD decision aids in rural primary care practices, with the objective of improving shared decision making.
Funding Source: Foundation for Informed Medical Decision Making
Funding Type: Grant
Role: Co-Investigator, 10-25% FTE
Dates of Activity: 7/1/2009 – 6/30/2012
Total Direct Costs: $498,000


Practices, Barriers, and Training Needs of Rural Health Care Practitioners Relevant to the Management of Pediatric Obesity
Principal Investigator: Nancy E. Findholt, PhD, RN
The purpose of this study is to explore the perceived barriers, resources, and training needs of rural health care practitioners as these pertain to prevention counseling, evaluation, and treatment of pediatric obesity in relation to 2007 Expert Committee recommendations.
Funding Source: Betty Gray Rural Health Development Foundation, OHSU School of Nursing
Funding Type: Grant
Role: Co-Investigator, 10% FTE
Dates of Activity: 9/1/2008 – 6/30/2009
Total Direct Costs: $15,000


Primary Care Clinician Expectations Regarding Aging and Quality of Care
Principal Investigator: Melinda Davis, PhD
To determine if primary care clinician expectations regarding aging moderate the level of intended preventive counseling for older-aged patients.
Funding Source: McNeil Prevention & Community Psychology Fund
Funding Type: Support for Graduate Student Research in Prevention and Community Psychology
Role: Principal Investigator, FTE Not Applicable
Dates of Activity: 11/1/2008 – 10/30/2009
Total Direct Costs: $1000


Unmet Dental Need in Rural Primary Care
Principal Investigator: Tom Hilton, DMD and Lyle J. Fagnan, MD
This study forms the basis of a community based participatory research project and assesses the severity of oral health conditions and unmet dental needs as they present in rural primary care practice and at the local public health department.
Funding Source: Oregon Clinical and Translational Research Institute (OCTRI)
Funding Type: Research Support
Role: Co-Investigator, 10% FTE
Dates of Activity: 8/1/2007 – 6/30/2008
Total Direct Costs: N/A


Assessing the Influence of the Rural School and Community Environments on the Physical Activity Patterns and Food choices of Rural Children
Principal Investigator: Nancy E. Findholt, PhD, RN
The purpose of this study is to explore the perceptions of rural children regarding environmental factors that influence their physical activity and eating habits using PhotoVoice.
Funding Source: Northwest Health Foundation
Funding Type: Grant
Role: Graduate Research Assistant, FTE Not Applicable
Dates of Activity: 1/1/2007 – 12/30/2007
Total Direct Costs: 57,566