Honora L. Englander, MD
Associate Professor of Medicine
Medical Director of OHSU Care Transitions Innovation
Medicine Teaching Service
MD: University of Massachusetts Medical School, Worcester, MA, 2003
BA: Williams College, Biology (Magna Cum Laude), Williamstown, MA, 1998
Residency: Oregon Health & Science University, Portland, OR, 2006
Internship: Oregon Health & Science University, Portland, OR, 2004
Dr Englander's research focuses on transitional care for uninsured and low-income publicly insured patients. She is currently the co-Principle Investigator and Medical Director of the Care Transitions Innovation (C-TraIn), a transitional care quality improvement program. C-TraIn is a complex, multi-component transitional care intervention that includes four main components including:
- Care from a transitional care nurse who sees patients in the hospital, does home visits, and helps coordinate care in the 30 days post-discharge
- Inpatient pharmacy consultation and prescription medications at discharge from a low-cost value-based formulary
- Medical home linkages whereby OHSU partners with and provides payment to three community clinics to provide primary care for uninsured patients who lack a usual source of care
- Monthly implementation team meetings that convene diverse healthcare stakeholders to integrate elements of the healthcare system and engage in ongoing quality improvement
Dr Englander will lead C-TraIn expansion across OHSU surgical populations and within the Legacy Health system at Legacy Emmanuel, Legacy Good Samaritan and Legacy Mount Hood. This work will be supported through funding from the Center for Medicare and Medicaid Innovation (CMMI) and is part of an effort to jumpstart CCO development.
Dr Englander is also interested in risk prediction models for hospital readmissions, and in understanding social determinants that contribute to readmission risk.
Dr Englander teaches residents and medical students on the OHSU medicine wards and at the Old Town Clinic. In Spring of 2009 and 2010, Dr Englander served as an Honorary Senior Lecturer at Mbarara University of Science and Technology (MUST) in Mbarara, Uganda, where she collaborated with students to develop ‘The Art of Medicine’ in East Africa, a curriculum that explores issues of provider-well being, professionalism, and healthcare ethics.
Englander H, Michaels M, Chan B, Kansagara D. The Care Transitions Innovation (C-TraIn) for Socioeconomically Disadvantaged Adults, Results of a Cluster Randomized Controlled Trial. JGIM, online first, 2014. DOI 10.1007/s11606-014-2903-0
Arbaje AI, Kansagara D, Englander H, Salanitro A, Kripalani S, Jencks S, Lindquist L. Regardless of Age: Incorporating Principles from Geriatric Medicine to Improve Care Transitions for Patients with Complex Needs, JGIM, Feb 21, 2014 [E-pub ahead of print]. PMID:24557511
Davis, M, Devoe, M, Kansagara, D, Nicolaidis, C, Englander, H. "Did I Do as Best as the System Would Let Me?" Healthcare Professional Views on Hospital to Home Care Transitions. Journal of General Internal Medicine, Journal of General Internal Medicine. 27(12):1649-56, 2012 Dec. PMID: 22829294
Oregon Public Broadcasting: Morning Edition. Program Aids to Keep Patients Out of Hospital After Release. Segment highlights the Care Transitions Innovation (C-TraIn) as a centerpiece for regional health reform. June 24, 2013
ACP Hospitalist, "Take the C-TraIn: Hospital-funded transitions-of-care program targets underserved patients." Jessica Berthold, March 2012
Englander, H, Kansagara, D. Planning and Designing the Care Transitions Innovation (C-TraIn) for Uninsured and Medicaid Patients, Journal of Hospital Medicine, 12 Mar 2012, DOI: 10.1002/jhm.1926
Kansagara, D, Englander, H, Salanitro, A, Kagen, D, Theobald, C, Freeman, M, Kripalani, S.. Risk Prediction Models for Hospital Readmission, A Systematic Review. JAMA. 2011;306(15):1688-1698