OHSU

Clinical Research Project Descriptions

Cancer Prevention and Screening for Disabled Adults in Rural Primary Care

PI: Buckley, D.
1/1/2008 - 12/1/2012               
Total Funding to date: $560,615

To better understand, toward ultimately improving, the delivery of cancer screening and preventive services for people with physical disabilities in rural primary care practice.

Accuracy of Breast Pathology & the Impact of Technology and Double Reading

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.

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.

Diabetes  Prevention & Self-Management

PI:  Cohen, D
9/1/2010-6/30/2013
Total funding to date: $182,207

To disseminate, translate, and seek reimbursement for implementing the Chronic Care Model (CCM) for patients with, and at-risk for, diabetes into primary care practices in a fee-for-service payment environment.

The Academy Task Order & Work Force Assessment

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).

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.

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.

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

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.

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.

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.