OHSU

Clinical Research Project Descriptions

Activating Rural Clinics and Women with Disabilities to Improve Cancer Screening

PI:  Buckley, D
03/01/2013 – 02/28/2014
Funding to date:  $127,389

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.

Accuracy of Breast Pathology & the Impact of Technology and Double Reading (B-Path)

PI:  Carney, P
7/1/2009-5/31/2013
Total funding to date: $278,393

To develop measures to assess pathologists interpretation of the slide-based test set and in conducting the analyses; to develop the Web-based tool for pathology interpretation, implementation; and data management; and to quantify at the U.S. population level the extent of harms due to variability among pathologists and resulting false-positive and false-negative interpretations.

Accuracy of the Diagnosis of Melanoma & the Impact of Technology & Double Reading (M-Path)

PI:  Carney, P
8/1/2011-5/31/2013
Total funding to date: $147,181

The goal of this study is to identify the extent of variability in dermatopathologists' interpretations of skin tissue and to test ways to improve it.

Family Medicine Length of Training Pilot Evaluation

PI:  Carney, P
07/01/2013 – 06/30/2020
Total funding to date: $1,999,990

Prevention/Care Management Technical Assistance Center (Westat)

PI: Cohen, D
9/20/2010-9/16/2013
Total funding to date: $375,799

To conduct a formative and summative learning evaluation of The Academy for Integrating Mental Health and Primary Care by assessing both the process of implementing interventions as well as the outcomes, and by communicating and reflecting on key formative insights with collaborative research teams throughout the implementation process.

Advancing Care Together Creating Systems of Care for the Whole Person (ACT)

PI: Cohen, D
12/15/2010-12/14/2014
Total funding to date:$749,750

To learn from a set of demonstration projects what it takes to create working models of integrated care.

Survey Mod

PI: Cohen, D
09/13/2011-9/12/2013
Total funding to date: $24,300

The purpose of this project is to develop materials and provide technical assistance that focus on measures and measurement in QI and evaluation in mental health-primary care integration (integration).

Conducting a Meta-Analysis of Phase 2 Project HealthDesign (Project HealthDesign)

PI:  Cohen, D
4/1/2012-03/31/2014
Total funding to date: $103,549

The goals of this meta-analysis are to enhance uptake and learning from the Project HealthDesign national program.

Turning EHRs into Assets for Mental Health and Uniting Practice (Team Up)

PI:  Cohen, Debbie
05/01/2013 – 04/30/2016
Funding to date: $248,652

The intervention we develop and test can be used as a model for documenting, sharing, and monitoring patients' mental and physical health needs and holds promise for integrating current information systems and supporting integrated clinical practice. This study will shed new light on how EHRs and practices must change to effectively transform how mental health and primary care providers work together to deliver higher quality and more comprehensive services.

Innovative Methods for Parents and Clinics to Create Tools for Kids' Care

PI: Cohen, Debbie
03/01/2013 -- 02/28/2014
Funding to date:

We propose to engage stakeholder groups (including families, policy makers, and CHCs) in an iterative process to develop patient-centered IT tools that facilitate CHCs' ability to conduct public healthinsurance outreach to families of their pediatric patients.

Integrated Care Workforce Competencies Project (Tides Foundation)

PI:  Cohen, D
10/01/2012 – 06/30/14
Funding to date:$149,536

At least one member from the OHSU qualitative team will attend and lead the three California site visits, conduct key informant interviews, and compile field notes. The OHSU qualitative team will ensure that all aspects of data collection are of high quality and consistent with other aspects of the larger AHRQ workforce competencies project

Integrated Care Workforce Competencies Project (Maine Foundation)

PI:  Cohen, D
10/01/2012 – 06/30/14
Funding to date:$149,536

At least one member from the OHSU qualitative team will attend and lead the three California site visits, conduct key informant interviews, and compile field notes. The OHSU qualitative team will ensure that all aspects of data collection are of high quality and consistent with other aspects of the larger AHRQ workforce competencies project.

Assessing a Medicaid Randomized Insurance Experiment within Community Clinics (CARDIAC)

PI: DeVoe, J
08/23/2011-03/31/2015
Total funding to date: $1,423,458

To compare pre-post rates of primary and secondary CVD preventive services utilization among OCHIN patients randomized to the Medicaid coverage group in Oregon‟s Medicaid insurance lottery (intervention group).  To compare post-intervention rates of primary and secondary CVD preventive services utilization among OCHIN patients randomized to the Medicaid coverage group (intervention group), compared to those not in the coverage group (comparison group). To examine longitudinal associations between health insurance continuity and rates of receipt of primary and secondary CVD preventive services among all OCHIN patients.

Back Pain Outcomes Using Longitudinal Data (BOLD)

PI: Deyo, R
9/30.201009/29/2013
Total funding to date: $182,207

To establish a large, nationally-representative, community-based registry of patients with low back pain as a foundation for rigorous controlled observational studies as well as randomized controlled trials (RCTs).

Use of Acupuncture for Chronic Pain within an Integrated Health Plan (RELIEF)

PI: Deyo, R
9/1/2010-8/31/2013
Total funding to date: $99,347

To examine patients with chronic pain who do or do not use acupuncture services for their care.It seeks to identify differences that may predispose people to use acupuncture, and differences in outcomes that may result.

Trajectory of Adverse Events and Analgesia with Opiods in older adults (TAANGO)

PI:  Deyo, R
8/15/2012-7/31/2014
Total funding to date$231,000

The overarching goal of this research is to demonstrate the feasibility of enrolling and following a cohort of older patients having chronic musculoskeletal pain but who are not yet on opioid therapy.

Use of Prescription Monitoring Programs to Improve Patient Care and Outcomes

PI:  Deyo, R
2/15/2012-1/31/2017
Total funding to date: $609,308

The overarching goal of this research is to help providers improve the care of complex patients requesting controlled prescription medication. Specifically, the study examines the potential of a statewide prescription monitoring program (PMP) to help providers assess whether a given patient has a legitimate pain need, an addiction, or intent to divert or misuse controlled substances.

Trial of Lumbar Image Reporting with Epidemiology (LIRE)

PI:  Deyo, R
09/30/2013 – 12/31/2013
Funding to date: $26,913

This proposal will pilot test methods for studying the implementation of a new strategy for reporting imaging results for the lumbar spine. The plan is to provide epidemiologic data regarding the prevalence of certain findings in normal adults, with the goal of reducing unnecessary patient or primary physician alarm.

Collaborative Care for Chronic Pain in Primary Care

PI:  Deyo, R
09/30/2012 – 08/31/2013
Funding to date:$17,296

The goal of this project is to test new strategies for managing challenging patients with chronic pain in primary care.

Dissemination of CVD Risk Factor Treatment Among Diabetic Patients in FQHCs

PI:  John Muench
9/7/2010-8/31/2013
Total funding to date: $81,000

To disseminate CVD risk factor treatment among diabetic patients within Federally Qualified Health Centers (FQHCs) through an intervention called the A.L.L. Initiative.

Understanding Disparities in Preventive Services for Patients with Mental Illness

PI: Muench, J
09/30/2012 – 07/31/2013
Funding to date: $17,758

The Kaiser Center for Health Research is proposing a mixed methods study designed to foster understanding of such disparities by examining preventive services provided to people in two systems of care—one a large integrated health plan, and the second, a consortium of Federally Qualified Health Centers (FQHCs) participating in a common health information network. The goal is to identify modifiable factors that affect preventive service uptake among individuals with serious mental illnesses.