Recent key publications

2014

Grembowski D, Schaefer J, Johnson KE, Fischer H, Moore SL, Tai-Seale M, Ricciardi R, Fraser JR, Miller D, Leroy L; AHRQ MCC Research Network. A conceptual model of the role of complexity in the care of patients with multiple chronic conditions. Med Care. 2014 Mar;52 Suppl 3:S7-S14. doi: 10.1097/MLR.0000000000000045. PubMed

Noel PH, Parchman ML, Palmer RF, Romero RL, Leykum LK, Lanham HJ, Zeber JE, Bowers KW. Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis. BMC Fam Pract. 2014 Mar 29;15(1):57. doi: 10.1186/1471-2296-15-57. PubMed

Wagner EH, Ludman EJ, Aiello Bowles EJ, Penfold R, Reid RJ, Rutter CM, Chubak J, McCorkle R. Nurse navigators in early cancer care: a randomized, controlled trial. J Clin Oncol. 2014 Jan 1;32(1):12-8. doi: 10.1200/JCO.2013.51.7359. Epub 2013 Nov 25. PubMed

2013

Arterburn DE, Campos GM, Haneuse S, Sherwood NE, Bogart A, Sidney S, Coleman KJ, Theis MK, O’Connor P, Fisher D. The authors respond: a multisite study of long-term remission and relapse of type 2 diabetes mellitus following gastric bypass. Obes Surg. 2013 Sep;23(9):1456-7. doi: 10.1007/s11695-013-0960-9. PubMed

Boudreau DM, Wirtz H, Von Korff M, Catz SL, St John J, Stang PE. A survey of adult awareness and use of medicine containing acetaminophen. Pharmacoepidemiol Drug Saf. 2013 Mar;22(3):229-40. doi: 10.1002/pds.3335. Epub 2012 Aug 13. PubMed

Chubak J, Aiello Bowles EJ, Tuzzio L, Ludman E, Rutter CM, Reid RJ, Wagner EH. Perspectives of cancer survivors on the role of different healthcare providers in an integrated delivery system. J Cancer Surviv. 2013 Dec 19 [Epub ahead of print]. PubMed

Coleman SM, Katon W, Lin E, Von Korff M. Depression and death in diabetes; 10-year follow-up of all-cause and cause-specific mortality in a diabetic cohort. Psychosomatics. 2013 Sep-Oct;54(5):428-36. doi: 10.1016/j.psym.2013.02.015. Epub 2013 Jun 4. PubMed

Culler SD, Parchman ML, Lozano-Romero R, Noel PH, Lanham HJ, Leykum LK, Zeber JE. Cost estimates for operating a primary care practice facilitation program. Ann Fam Med. 2013;11(3):207-11. doi: 10.1370/afm.1496. PubMed

Daniel DM, Wagner EH, Coleman K, Schaefer JK, Austin BT, Abrams MK, Phillips KE, Sugarman JR. Assessing progress toward becoming a patient-centered medical home: an assessment tool for practice transformation. Health Serv Res. 2013 Dec;48(6 Pt 1):1879-97. doi: 10.1111/1475-6773.12111. Epub 2013 Oct 21. PubMed

Davydow DS, Katon WJ, Lin EH, Ciechanowski P, Ludman E, Oliver M, Von Korff M. Depression and risk of hospitalizations for ambulatory care-sensitive conditions in patients with diabetes. J Gen Intern Med. 2013 Jul;28(7):921-9.doi: 10.1007/s11606-013-2336-1. Epub 2013 Jan 17. PubMed

Finley EP, Pugh JA, Lanham HJ, Leykum LK, Cornell J, Veerapaneni P, Parchman ML. Relationship quality and patient-assessed quality of care in VA primary care clinics: development and validation of the Work Relationships Scale. Ann Fam Med. 2013;11(6):543-9. doi: 10.1370/afm.1554. PubMed

Gensichen J, Petersen JJ, Von Korff M, Heider D, Baron S, Konig J, Freytag A, Krauth C, Gerlach FM, Konig HH. Cost-effectiveness of depression case management in small practices. Br J Psychiatry. 2013 Jun;202:441-6. doi: 10.1192/bjp.bp.112.118257. Epub 2013 Apr 11. PubMed

Griffiths FE, Lindenmeyer A, Borkan J, Donner Banzhoff N, Lamb S, Parchman M, Sturt J. Case typologies, chronic illness and primary health care. J Eval Clin Pract. 2013 Jul 29. doi: 10.1111/jep.12070. [Epub ahead of print]. PubMed

Horner K, Ludman E, McCorkle R, Canfield E, Flaherty L, Min J, Miyoshi J, Lapham B, Bowles EA, Wagner E. An oncology nurse navigator program designed to eliminate gaps in early cancer care. Clin J Oncol Nurs. 2013 Feb 1;17(1):43-8. PubMed

Johnson KE, Beaton SJ, Andrade SE, Cheetham TC, Scott PE, Hammad TA, Dahevsky I, Cooper WO, Davis RL, Pawloski PA, Raebel MA, Smith DH, Toh S, Li D, Haffenreffer K, Dublin S. Methods of linking mothers and infants using health plan data for studies of pregnancy outcomes. Pharmacoepidemiol Drug Saf. 2013 Jul;22(7):776-82. doi: 10.1002/pds.3443. Epub 2013 Apr 18. PubMed

Katon WJ, Young BA, Russo J, Lin EH, Ciechanowski P, Ludman EJ, Von Korff MR. Association of depression with increased risk of severe hypoglycemic episodes in patients with diabetes. Ann Fam Med. 2013;11(3):245-50. doi: 10.1370/afm.1501. PubMed

Koh HK, Brach C, Harris LM, Parchman ML. A proposed ‘health literate care model’ would constitute a systems approach to improving patients’ engagement in care. Health Aff (Millwood). 2013;32(2):357-67. doi: 10.1377/hlthaff.2012.1205. PubMed

Labreche MJ, Lee GC, Attridge RT, Mortensen EM, Koeller J, Du LC, Nyren NR, Treviño LB, Treviño SB, Peña J, Mann MW, Muñoz A, Marcos Y, Rocha G, Koretsky S, Esparza S, Finnie M, Dallas SD, Parchman ML, Frei CR. Treatment failure and costs in patients with methicillin-resistant staphylococcus aureus (MRSA) skin and soft tissue infections: a South Texas Ambulatory Research Network (STARNet) study. J Am Board Fam Med. 2013 September-October;26(5):508-17. PubMed

Ladden MD, Bodenheimer T, Fishman NW, Flinter M, Hsu C, Parchman M, Wagner EH. The emerging primary care workforce: preliminary observations from the primary care team: learning from Effective Ambulatory Practices Project. Acad Med. 2013 Dec;88(12):1830-4. doi: 10.1097/ACM.0000000000000027. Epub 2013 Oct 14. PubMed

Lanham HJ, Sittig DF, Leykum LK, Parchman ML, Pugh JA, McDaniel RR. Understanding differences in electronic health record (EHR) use: linking individual physicians’ perceptions of uncertainty and EHR use patterns in ambulatory care. J Am Med Inform Assoc. 2013 May 22. [Epub ahead of print]. PubMed

Li Q, Andrade SE, Cooper WO, Davis RL, Dublin S, Hammad TA, Pawloski PA, Pinheiro SP, Raebel MA, Scott PE, Smith DH, Dashevsky I, Haffenreffer K, Johnson KE, Toh S. Validation of an algorithm to estimate gestational age in electronic health plan databases. Pharmacoepidemiol Drug Saf. 2013 May;22(5):524-32. doi: 10.1002/pds.3407. Epub 2013 Jan 21. PubMed

Parchman ML, Noel PH, Culler SD, Lanham HJ, Leykum LK, Romero RL, Palmer RF. A randomized trial of practice facilitation to improve the delivery of chronic illness care in primary care: initial and sustained effects. Implement Sci. 2013 Aug 22;8(1):93. doi: 10.1186/1748-5908-8-93. PubMed

Reid RJ, Johnson EA, Hsu C, Ehrlich K, Coleman K, Trescott C, Erikson M, Ross TR, Liss DT, Cromp D, Fishman PA. Spreading a medical home redesign: effects on emergency department use and hospital admissions. Ann Fam Med. 2013 May-Jun;11 Suppl 1:S19-26. doi: 10.1370/afm.1476. PubMed

Thielke SM, Turner JA, Shortreed SM, Saunders K, LeResche L, Campbell CI, Weisner CC, Von Korff MV. Do patient-perceived pros and cons of opioids predict sustained higher-dose use? Clin J Pain. 2013 Mar 26 [Epub ahead of print]. PubMed

Tomoaia-Cotisel A, Scammon DL, Waitzman NJ, Cronholm PF, Halladay JR, Driscoll DL, Solberg LI, Hsu C, Tai-Seale M, Hiratsuka V, Shih SC, Fetters MD, Wise CG, Alexander JA, Hauser D, McMullen CK, Scholle SH, Tirodkar MA, Schmidt L, Donahue KE, Parchman ML, Stange KC. Context matters: the experience of 14 research teams in systematically reporting contextual factors important for practice change. Ann Fam Med. 2013 May-Jun;11 Suppl 1:S115-23. doi: 10.1370/afm.1549. PubMed

Turner JA, Shortreed SM, Saunders KW, Leresche L, Berlin JA, Korff MV. Optimizing prediction of back pain outcomes. Pain. 2013 Aug;154(8):1391-401. doi:10.1016/j.pain.2013.04.029. Epub 2013 Apr 18. PubMed

Vitiello MV, McCurry SM, Shortreed SM, Balderson BH, Baker LD, Keefe FJ, Rybarczyk BD, Von Korff M. Cognitive-behavioral treatment for comorbid insomnia and osteoarthritis pain in primary care: the Lifestyles Randomized Controlled Trial. J Am Geriatr Soc. 2013;61(6):947-56. doi: 10.1111/jgs.12275. Epub 2013 May 27. PubMed

Von Korff MR. Health care for chronic pain: overuse, underuse, and treatment needs: commentary on: chronic pain and health services utilization-is there overuse of diagnostic tests and inequalities in nonpharmacologic methods utilization? Med Care. 2013 Oct;51(10):857-8. doi: 10.1097/MLR.0b013e3182a53db3. PubMed

Von Korff M. Tailoring chronic pain care by brief assessment of impact and prognosis: comment on "Point-of-care prognosis for common musculoskeletal pain in older adults". JAMA Intern Med. 2013;173(12):1126-7. doi: 10.1001/jamainternmed.2013.6486. PubMed

2012

Fishman PA, Johnson EA, Coleman K, Larson EB, Hsu C, Ross TR, Liss D, Tufano J, Reid RJ. Impact on seniors of the patient-centered medical home: evidence from a pilot study. Gerontologist. 2012 Oct;52(5):703-11. doi: 10.1093/geront/gnr158. Epub 2012 Mar 15. PubMed

Hsu C, Coleman K, Ross TR, Johnson E, Fishman PA, Larson EB, Liss D, Trescott C, Reid RJ. Spreading a patient-centered medical home redesign: a case study. J Ambul Care Manage. 2012;35(2):99-108. PubMed

Lin EH, Von Korff M, Ciechanowski P, Peterson D, Ludman EJ, Rutter CM, Oliver M, Young BA, Gensichen J, McGregor M, McCulloch DK, Wagner EH, Katon WJ. Treatment adjustment and medication adherence for complex patients with diabetes, heart disease, and depression: a randomized controlled trial. Ann Fam Med. 2012 Jan-Feb;10(1):6-14. doi: 10.1370/afm.1343. PubMed

Parchman ML, Wang CP. Initiation of insulin among veterans with type 2 diabetes and sustained elevation of A1c. Prim Care Diabetes. 2012;6(1):19-25. Epub 2011 Aug 12. PubMed

Rich EC, Lipson D, Libersky J, Peikes DN, Parchman ML. Organizing care for complex patients in the patient-centered medical home. Ann Fam Med. 2012 Jan-Feb;10(1):60-2. PubMed

Wagner EH, Coleman K, Reid RJ, Phillips K, Abrams MK, Sugarman JR. The changes involved in patient-centered medical home transformation. Prim Care. 2012;39(2):241-59. Epub 2012 Apr 24. PubMed

Wagner EH, Coleman K, Reid RJ, Phillips K, Sugarman JR. Guiding the transformation to a medical home. The Commonwealth Fund. February 27, 2012.

2011

Horner K, Wagner E, Tufano J. Electronic consultations between primary and specialty care clinicians: early insights. Issue Brief (Commonw Fund). 2011;23:1-14. PubMed

Johnson KE with the HMORN Collaboratory Supplement Team. Research in the HMO Research Network: research process and partnership primer. 2011. Available from http://www.hmoresearchnetwork.org/
resources/toolkit/HMORN_Research-Process-and-Partnership-Primer.pdf
.

McCorkle R, Ercolano E, Lazenby M, Schulman-Green D, Schilling LS, Lorig K, Wagner EH. Self-management: enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin. 2011;61(1):50-62. PubMed

Simon GE, Ludman EJ, Goodale L, Dykstra DM, Stone E, Cutsogeorge D, Savarino J, Pabiniak C, Operskalski B. An online recovery plan program: can peer coaching increase participation? Psychiatr Serv. 2011 Jun;62(6):666-9. doi: 10.1176/appi.ps.62.6.666. PubMed

Wagner EH. Counterpoint: chronic illness and primary care. Med Care. 2011;49(11):973-5. PubMed

2010

Coleman K, Reid RJ, Johnson E, Hsu C, Ross TR, Fishman P, Larson E. Implications of reassigning patients for the medical home: a case study. Ann Fam Med. 2010;8(6):493-8. PubMed

Mayer C, Williams B, Wagner EH, LoGerfo JP, Cheadle A, Phelan EA. Health care costs and participation in a community-based health promotion program for older adults. Prev Chronic Dis. 2010;7(2):A38. Epub 2010 Mar 15. PubMed

Reid RJ, Coleman K, Johnson EA, Fishman PA, Hsu C, Soman MP, Trescott CE, Erikson M, Larson EB. The Group Health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood). 2010;29(5):835-43. PubMed

Schaefer J, Coleman K, Morales L, and Brownlee B. Patient-centered interactions implementation guide, part 1: measuring patient experience. The Safety Net Medical Home Initiative. June 2010.

Schaefer J, Van Borkulo N, Morales L. Patient-centered interactions implementation guide part 2: engaging patients in their health and healthcare. Safety Net Medical Home Initiative. December 2010.

Wagner EH. Academia, chronic care, and the future of primary care. J Gen Intern Med. 2010;25 Suppl 4:S636-8. PubMed

2009
Coleman K, Austin BT, Brach C, Wagner EH. Evidence on the Chronic Care Model in the new millennium. Health Aff (Millwood). 2009;28(1):75-85. PubMed