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Events

Kaiser Permanente Washington Health Research Institute hosts regular seminars where our scientists and collaborators present their research findings.

All are welcome.

Left: Senior Investigator David Arterburn, MD, MPH

Upcoming seminars and events

 


March 28, 2017

Do Complete Streets Policies Cause Bike Fatalities while Decreasing Cyclist Fatality Risk?

Kaiser Permanente Washington Health Research Institute, Room 1509A, 4–5 p.m.

Presenter: Steve Mooney, PhD, completed a PhD in epidemiology at Columbia University in 2016. His substantive research focuses on built environment determinants of physical activity and injury, but he aspires to be an epidemiology methodologist as well.

Abstract

"Complete Streets" policies requiring transportation engineers to make provisions for pedestrians, cyclists, and transit users may make cycling safer for each cyclist while increasing overall fatalities by encouraging cycling. We estimate the impact of Complete Streets on cyclist fatality rates, using the parametric g-formula to account for the size of the cycling population under different levels of exposure.

Coffee and tea will be provided.

 


April 28, 2017

Compelling Science Storytelling: A Pacific Northwest Workshop for Science Communicators

A one-day workshop and networking opportunity in Seattle

Where: Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, Seattle, Wash.

This is a one-day workshop and networking opportunity in Seattle for science communicators and public information officers.

The regional conference is supported by the National Association of Science Writers and hosted by Fred Hutchinson Cancer Research Center.

Kaiser Permanente Washington Health Research Institute is proud to be a co-sponsor of this event. Other organizers include science writers and public information specialists from Fred Hutchinson Cancer Research Center, Institute for Health Metrics and Evaluation (IHME), Pacific Northwest National Laboratory, PATH, Public Health–Seattle & King County, Seattle Children’s Research Institute, University of Washington, and Washington Global Health Alliance.

The workshop has proven so popular the event has reached capacity, so registrations are now closed.

Read more on the Workshop Program page. Questions? Contact: storytelling2017@nwscience.org. Follow on Twitter at @scistories17


Past Events

 


March 15, 2017

Families as Consumers: Impact of Strategies to Increase Insurance Coverage and Contain Costs

Kaiser Permanente Washington Health Research Institute, Room 1509A, 3–4 p.m.

Presenter: Alison Galbraith, MD, MPH, Assistant Professor in the Department of Population Medicine at Harvard Medical School and the Harvard Pilgrim Health Care Institute

Abstract

There has been an increasing movement in recent years to promote consumerism in health care. As part of the ACA, health insurance exchanges provide a marketplace for families to shop for coverage and compare plan options based on price, network, and other attributes. So-called consumer-directed health plans with high deductibles have become increasingly prevalent as a means to provide affordable coverage options and contain costs. Price transparency has been promoted by states and payers in an attempt to provide information for patients to make cost-conscious decisions. This talk will explore evidence on the impact of these strategies on family decision making, health care use, and will assess the degree to which families behave as consumers related to health care.

Coffee and tea will be provided.


March 14, 2017

Evaluation of Group Health Risk Reduction Initiatives for Chronic Opioid Therapy Patients (2006-2014): Use of survey, EHR, and state records data for controlled evaluation of health plan initiatives

Kaiser Permanente Washington Health Research Institute, Room 1509A, 4–5 p.m.

Presenter: Michael Von Korff, ScD, Senior Investigator, Kaiser Permanente Washington Health Research Institute

Abstract

We will report results of an evaluation of two major initiatives in the Group Health Integrated Group Practice (GH-IGP) to reduce risks among Chronic Opioid Therapy (COT) patients: (1) dose reduction implemented in mid-2007; and, (2) risk stratification and closer monitoring, implemented in Fall, 2010. The comparison group was COT patients from Group Health Contracted Care (GH-CC) clinics. Using interrupted time series methods, with 22,673 GH-IGP COT patients and 8,469 GH-CC COT patients, we examined adverse events, including opioid overdose (fatal and non-fatal), motor vehicle accidents ascertained with Department of Motor Vehicle records, and medically attended injuries. Using a telephone survey of prevalent COT patients using opioids regularly in GH-IGP or GH-CC for at least one year in 2014-15, we assessed pain severity, perceptions of opioid helpfulness, prevalence of prescription opioid use disorder assessed according to DSM5 criteria, and perceptions of doctor-patient collaboration pertaining to opioid management.

Survey data assessed differences in pain outcomes and problems with opioids comparing COT patients exposed to both risk reduction initiatives (N=935 COT patients from GH-IGP) or to neither health plan risk reduction initiative (N=653 COT patients from GH-CC). This evaluation demonstrates the potential for evaluation of major health plan initiatives using a combination of longitudinal electronic health care data and state records, and cross-sectional survey data. While this evaluation was conducted comparing Group Health Integrated Group Practice and Contracted Care settings, these methods would be well suited to evaluations comparing process and outcome changes over time for quality improvement initiatives implemented in one Kaiser region but not in another Kaiser region serving comparable patients.

Coffee and tea will be provided.


February 28, 2017

Actions and processes that patients, family members, and physicians associate with patient- and family-centered care

Group Health Research Institute, Room 1509A, 4–5 p.m.

Presenter: Clarissa Hsu, PhD, Group Health Research Institute Assistant Investigator

Abstract

Promoting patient- and family -centered care has become increasingly important in health care. However, the specific actions and/or processes needed to achieve this type of care are unclear, particularly in ambulatory, primary care environments.

To fill this knowledge gap, we conducted focus groups with patients, family members, and physicians in three major U.S. cities to elicit specific actions that health care teams can take to provide optimal patient- and family-centered care (PFCC). We identified a detailed list of specific actions that patients, family members, and physicians associate with PFCC.

This paper elaborates on actions associated with the core concepts of dignity and respect—terms often referred to, but that have been difficult to operationalize. Our work is a critical step toward identifying and measuring PFCC in ambulatory care settings. Applications of our findings include supporting research on whether PFCC affects clinical outcomes, and developing innovative PFCC-oriented policies to support PFCC.

Coffee and tea will be provided.


February 14, 2017

Advancing from the activated patient to the autonomous patient in chronic illness care

Group Health Research Institute, Room 1509A, 4–5 p.m.

Presenter: Mark Daniel Sullivan M.D., UW Medicine

Abstract

It is recognized that patients play a central role in chronic illness care, but the concept of health behavior retards innovation. We seek not just an activated patient, but an autonomous patient who sets and pursues her own vital goals. To fully enlist patients, we must bridge the gap between impersonal disease processes and personal processes. This requires understanding how the roots of patient autonomy lie in the biological autonomy that allows organisms to carve their biological niche. It is time for us to recognize the patient as the primary customer for health care and the primary producer of health. Patient agency is both the primary means and primary end of health care.

Bio

Dr. Mark Sullivan received his M.D. and his PhD in Philosophy from Vanderbilt University. After completing an internship in Family Medicine at University of Missouri, he completed a residency in Psychiatry at the University of Washington in 1988. He is now Professor of Psychiatry and Behavioral Sciences as well as Adjunct Professor of Anesthesiology and Pain Medicine and Adjunct Professor of Bioethics and Humanities at the University of Washington.

Dr. Sullivan has served as attending physician in the UW Center for Pain Relief for more than 25 years, where he is Co-Director of Behavioral Health Services. He has published more than 250 peer-reviewed articles. He has been chair of the Ethics Committee of the American Pain Society and on the editorial board of Pain. He has a new book from Oxford University Press titled, "The Patient as Agent of Health and Health Care."

Coffee and tea will be provided.


January 30, 2017

Webinar: Introducing NIMAA

Register here

An Introduction to the National Institute for Medical Assistant Advancement.

When: 2:00 p.m.–3:00 p.m. EST / 11:00 a.m.–12:00 p.m. PST

Recruiting for NIMAA's second year class has begun. Learn about a groundbreaking new way to train key primary care team members for national leaders, including:

You'll also hear from representatives of health centers in Colorado and Connecticut that piloted the first year class. This training furthers MacColl’s ongoing commitment to working in the safety net. Learn more about the Safety Net Medical Home Initiative


January 24, 2017

Evaluating Implementation Processes and Outcomes at GHRI and Beyond

Presenter: Cara C. Lewis, PhD, Group Health Research Institute Associate Investigator

Group Health Research Institute, Room 1509A, 4 p.m. to 5 p.m.

The effectiveness-implementation hybrid study blends design components of clinical effectiveness and implementation research. Its structure has the potential to enhance knowledge development and application of clinical interventions and implementation strategies in “real world” settings.

In this seminar, Dr. Lewis will reconceptualize two GHRI investigator-led projects as effectiveness-implementation hybrids, in order to reveal opportunities for more quickly bringing changes from research into practice for a positive impact on patients. The seminar also aims to generate knowledge about ways to integrate evidence-based practices into healthcare delivery systems.

Learning objectives:

• Gain exposure to three commonly used implementation models.
• Learn how to apply an implementation outcomes framework.
• Review three effectiveness-implementation hybrid case studies.


January 16, 2017

Mindfulness 101—Resources and self-maintenance tips, with Drs. Elizabeth Lin and Kim Holland

Garfield High School Commons, Seattle, Monday, January 16 at 9:30–10:50 a.m.

As two community docs, we are pleased to share some tools and inform you of resources that may help you learn how to breathe, create focus and have fun staying calm when your work, professional and social lives are very busy. We believe the disciplined practice of Mindfulness-Based Stress Reduction (MBSR) is one way to address the trauma of everyday life and the disparities in health outcomes that exist in 2017 in striking similarity to the problems of 50 years ago.

Science shows that daily practice of the disciplines of MBSR has these benefits:

  • Reduce stress and chronic pain. 
  • Improve mood. 
  • Overcome sleep problems. 
  • Decrease anxiety. 
  • Increase immunity. 
  • Enhance resilience, joy and compassion. 

We introduce the practice of MBSR as one way to promote a community of emotional safety and harness the power and discipline of nonviolence as a health care imperative. The session is limited to adults and the first 20 persons.

Presenters:
Dr. Kim Ionia Holland was one of four black teens who were shot in 1970 by a young white man during protests against police actions in New Bedford, Massachusetts. "We offer an opportunity to seek personal wellbeing, health, justice and reconciliation in the daily practice of MBSR."

Elizabeth H. Lin, MD, is a family medicine physician, a researcher of mind-body health, and a certified Mindfulness-Based Stress Reduction (MBSR) facilitator. Dr. Lin's research on improving depression and anxiety introduced her to the health benefits of mindfulness. She has a daily meditation practice for 25 years, and has learned directly from the founders of evidence-based mindfulness, and compassion/self-compassion programs. Over the past five years, Dr. Lin has been teaching mindfulness and mindful self-compassion courses.


January 10, 2017

UW School of Nursing Research, exploring areas of potential collaboration

Presenters: JoAnne Whitney, PhD, RN, CWCN, FAAN, Tatiana Sadak, PhD, ARNP, PMHNP, Oleg Zaslavasky, PhD, and Kerryn Reding, PhD, MPH—UW School of Nursing

Group Health Research Institute, Room 1509A, 4 p.m. to 5 p.m.

Abstract:

In the session we will share an overview of our research priority areas ( Health Equity, Innovative Methods and Interventions, Lifespan Health, Symptom Science) and strengths and highlight current research projects of the three presenters in dementia care/caregivers of patients with dementia, healthy aging for frail elders and cancer.

The UW SoN typically has $12–15 million in external funding annually (grants with UW SoN faculty as PI) and many other inter-professional collaborations as co-investigators on initiatives. We are very interested in exploring common interests that may lead to future collaborations and connections. 

Biographies:

JoAnne Whitney, PhD, RN, CWCN, FAAN, is Professor of Nursing University of Washington, School of Nursing, Associate Dean for Research and Nurse Scientist at Harborview Medical Center, Seattle. She is co-director for the ITHS TL1 multidisciplinary predoctoral translational research training program (NIH NCATS) and the ITHS Rising Stars mentoring program for early career faculty. Education: BSN Duke University, MS University of Michigan, PhD University of California, San Francisco. Her 30+year research program addresses acute and chronic wounds, including tissue oxygen, perfusion, stress and healing, pressure ulcers, surgical site infection, warming, and mHealth. She is a member of the Western Academy of Nursing and the American Academy of Nursing.

Tatiana Sadak PhD, ARNP, PMHNP, is an Assistant Professor of geriatric mental health at the UW School of Nursing and a neurodegenerative disorders specialist at the Psychiatric Wellness and Dementia Care Clinic. Tatiana is a recipient of John A Hartford and Robert Wood Johnson foundation fellowship awards. She is currently a PI on several NIH funded grants that focus on improving dementia family/friend caregiver activation (readiness, knowledge and skills to manage care recipient's health while maintaining personal wellness) and on creating palliative care pathways and services tailored for dementia patient/caregiver dyads. Dr. Sadak's manuscript about developing caregiver activation measures recently received Springer Publishing award. She is a member of the WA Alzheimer's Plan and the Bree Collaborative workgroups.

Oleg Zaslavasky, PhD, is Assistant Professor of Nursing University of Washington, School of Nursing, Associate Director of Research, de Tornyay Center for Healthy Aging. Education: BSN Haifa University, Israel, MHA Tel Aviv University, Israel, PhD University of Washington, Seattle. His program of research has three interrelated foci: assessing and improving outcomes in older persons at risk for and with frailty; understanding and promoting health equity and healthy aging in communities; and examining the ways in which innovative informatics methods improve outcomes in older and frail persons

Kerryn Reding, PhD, MPH, is an Assistant Professor in the Department of Biobehavioral Nursing and Health Informatics at the University of Washington School of Nursing. Her research focuses on biobehavioral mechanisms and health disparities in health promotion and cancer survivorship.  She is currently the PI of a pilot study to examine a multi-level health promotion intervention for underserved communities, as well as a study to investigate the risk of breast cancer associated with a novel estrogen biomarker in the Women’s Health Initiative. Her research goals are to contribute an understanding of biobehavioral pathways related to nutrition and physical activity, and their influence on multiple chronic conditions.

Coffee and tea will be provided.


December 13, 2016

Comparative safety of sulfonylureas: Clinical sequelae of K(ATP) blockade

Presenter: Charles E. Leonard, PharmD, MSCE: Research Assistant Professor, Biostatistics and Epidemiology, Perelman School of Medicine 

Group Health Research Institute, Room 1509A, 4 p.m. to 5 p.m.

Abstract:

Sulfonylureas remain important in the armamentarium of clinicians treating type 2 diabetes mellitus. Agents within this drug class are at least initially effective, generally well tolerated, and inexpensive. Yet, there are major concerns for serious hypoglycemia and untoward cardiovascular effects. To help inform second-line antidiabetic therapy prescribing decisions, it is critical to understand the safety of individual sulfonylureas. This talk will examine Dr. Leonard’s pharmacoepidemiologic studies elucidating adverse effects of sulfonylureas, including investigations of:

a) serious hypoglycemia potentiated by drug interactions; and

b) sudden cardiac arrest.

Coffee and tea will be served.


November 28, 2016

Accelerated failure time models in the presence of complex censoring with application to Alzheimer’s disease

Presenter: Sebastien Haneuse, PhD, Associate Professor of Biostatistics, Harvard T.H. Chan School of Public Health

Group Health Research Institute, Room 1509A, 10 a.m. to 11 a.m.

Abstract:
Statistical analyses that investigate risk factors for Alzheimer’s disease (AD) are often subject to a number of challenges. Some of these challenges arise due to practical considerations regarding data collection such as when the observation of AD events and time-varying exposures is subject to complex censoring including left truncation and either interval or right censoring. Additional challenges arise due to the fact that study participants are often subject to competing forces, most notably death, that may not be independent of AD.

Toward resolving the latter, researchers may choose to embed the study of AD within the “semi-competing risks” framework for which the recent statistical literature has seen a number of advances including for the so-called illness-death model. To the best of our knowledge, however, the semi-competing risks literature has not fully considered analyses in contexts with complex censoring, as in typical studies of AD. This is particularly the case when interest lies in the accelerated failure time (AFT) model, an alternative to the traditional multiplicative Cox model that places emphasis away from the hazard function. In this work we outline a new Bayesian framework for estimation/inference of an AFT illness-death model for semi-competing risks data subject to complex censoring. An efficient computational algorithm that gives researchers the flexibility to adopt either a fully parametric or a semi-parametric model specification is developed and implemented.

The proposed methods are motivated by and illustrated with an analysis of data from the Adult Changes in Thought study, an on-going community-based prospective study of incident AD in western Washington State.

Coffee and tea will be served.


November 15, 2016

Obstetric care and birth outcomes: how can we use routinely collected data to improve population health?

Presenter: Jonathan Snowden, PhD, Oregon Health & Science University Ob-Gyn Department and OHSU/PSU School of Public Health

Group Health Research Institute, Room 1509A, 10 a.m. to 11 a.m.

Abstract:
There is a pressing need to increase our collective understanding of the childbirth care, setting, and health care systems factors that affect outcomes for birthing women and their babies. The U.S. has unacceptably high rates of death and harm during childbirth compared to the rest of the industrialized world, and rates of these morbidities are increasing. Although no one factor explains these trends, filling gaps in the evidence base for obstetric care will identify actionable levers to improve birth outcomes and close disparities. Coinciding with recent trends in childbirth care and outcomes (e.g., obstetric procedure use) in recent years, health care systems have been transformed through widespread uptake of health IT.

These health systems changes have caused a proliferation of health-related data, which are largely untapped for improving care and outcomes during childbirth. Among the many potential advantages of these data resources, such research is less cost- and time-intensive than prospective epidemiologic studies.

This talk highlights the current uses and the future potential of administrative data (i.e., routinely collected data, not intended for research purposes) to improve maternal-child health. Specific administrative data sources, data management/transformation techniques, and data-adaptive modeling approaches will be discussed, in the content area of obstetrics. The long-term goal of this research is to provide clinicians, public health officials, and policymakers with the evidence base needed to improve care and outcomes for childbearing women and their babies.

Coffee and tea will be served.


November 8, 2016

Kaiser Permanente’s PHASE initiative: Translating a KP clinical protocol into the safety net

Presenter: Maggie Jones, MPH, Associate Director at the Center for Community Health and Evaluation. 

Group Health Research Institute, Room 1509A, 4 p.m. to 5 p.m.

Abstract:
In 2003, Kaiser Permanente (KP) Northern California launched the PHASE (Preventing Heart Attacks and Strokes Everyday) initiative, which provides an evidenced-based, population management approach for its patients at risk for heart attacks and strokes. As part of its community benefit effort, KP began sharing PHASE with the safety net health care providers in 2006. CCHE has served as KP’s evaluation partner for PHASE since 2012. This presentation will describe the evaluation of PHASE, including design, results, and learnings about translating KP clinical initiatives into other organizational settings. 

Coffee and tea will be served.


November 7, 2016

Health Equity and Access Team (HEAT)

Group Health's panel will convene to discuss local social determinants of health and seek input from the community.

Soundview room at Group Health Capitol Hill (CMG-649), Seattle, Wash. 

HEAT’s next meeting will explore more of the new questions raised at the September 12 event. This meeting will also include discussions of the answers to the original questions from the various small groups. All who are interested in health care access and equity are welcome. Please join us.

Learn more about HEAT in our Healthy Findings blog: "HEAT panel explores social determinants of health." (Sept. 16, 2016)


October 25, 2016

Alzheimer's disease, ACT, and the future?

Presenter: Paul K. Crane, MD, MPHUniversity of Washington Professor, Internal Medicine

Group Health Research Institute, Room 1509A, 4 p.m. to 5 p.m.

Abstract:
In this talk, Dr. Crane will discuss fundamental questions in the history of scientific understanding of Alzheimer's disease and dementia, emphasizing the relevance of prospective cohort studies like the Adult Changes in Thought (ACT) study.  He will review the current status of the project along with ongoing and hoped for initiatives moving forward.  There should be an opportunity at the end to brainstorm ways of further positioning the ACT study at the heart of GHRI strategies around older adults.

Coffee and tea will be served.


October 23–25, 2016

2nd Seattle Symposium on Health Care Data Analytics

Learning from electronic data to advance health and heath care

Hyatt Olive 8 in downtown Seattle

Visit the symposium web page to view meeting details, register, and find hotel accommodation information. Space is limited, so please reserve your spot soon! 


October 20, 2016

National Institutes of Health, Office of Disease Prevention webinar: Guidelines for screening in children

Presenter: David C. Grossman, MD, MPH, Group Health Research Institute Senior Investigator, Group Health Executive Medical Director, Population & Purchaser Strategy, Health Plan, Group Health Cooperative Pediatrician, Factoria Clinic

Webinar, Thursday, Oct. 20, 8 a.m. to 9 a.m. Pacific

More info: This seminar will be presented as a webinar on the NIH VideoCast page.

Abstract:
Prevention is often viewed as the cornerstone of pediatrics and child health. This view is supported by the tremendous advances in the prevention of infectious diseases and even some non-chronic conditions, such as many types of injuries. Infectious disease prevention has resulted largely from advances in immunizations and the use of preventive medication. Injury deaths have largely been reduced by advances in environmental health and engineering, and not through clinical services.

Despite these recognized advances, there are still significant gaps in our understanding of pediatric clinical preventive services, largely in the domains of screening asymptomatic children and providing behavioral interventions to improve healthful activities. The U.S. Preventive Services Task Force has identified a number of key evidence gaps in these areas and issued a call for research to close these gaps. This seminar will focus on the evidence gaps in children’s clinical preventive services and will address how these gaps might be filled through a combination of different study designs that best address these gaps, including screening trials, treatment trials and observational evidence across a broad variety of conditions.

Registration, although not required, is encouraged for planning purposes.


October 11, 2016

The Consolidated Framework for Implementation Research: Should you use it in your next grant application?

Presenters: Michael Parchman, MD, MPH Paula Lozano, MD, MPH

Group Health Research Institute, Room 1509A, 4 p.m. to 5 p.m.

Abstract:
The Consolidated Framework for Implementation Research (CFIR) is a comprehensive framework that consolidates constructs found in a broad array of published implementation science theories. Used as a guiding framework in more than 400 peer-reviewed published studies, it facilitates the identification and understanding of the myriad potentially relevant constructs that influence successful implementation efforts and how they may apply in a particular context.

This seminar will introduce CFIR, discuss its application to hypothesis-driven research, and explore how it might be incorporated into future grant applications. In the interest of promoting greater GHRI involvement in implementation science, we will allow ample time for participants to talk about opportunities they may be considering and questions they may have about getting started in this arena.

Presenters:
Michael Parchman, MD, MPH,  is Director of the MacColl Center for Healthcare Innovation within the Group Health Research Institute. For over 20 years his research and work has focused on improving the dissemination and implementation of innovations into primary care settings. He currently leads a Robert Wood Johnson Foundation-funded project to identify and spread innovative approaches to support provider engagement in reducing low-value care. In other work, he is testing methods to build QI capacity across 320 smaller primary care practices with a goal of improving cardiovascular risk factors. He also leads a study team to improve the safety of opioid prescribing in rural health clinics across Eastern Washington and Central Idaho.

Prior to joining MacColl Dr. Parchman served as a project officer at the Agency for Healthcare Research and Quality, and was on the faculty in the Department of Family & Community Medicine at the University of Texas Health Sciences Center in San Antonio.

Paula Lozano, MD, MPH is Associate Medical Director for Research and Translation at Group Health Physicians, a practicing pediatrician at Group Health, and a Senior Investigator at the Group Health Research Institute (GHRI). Working at the intersection of research, care delivery, and coverage, Dr. Lozano serves as a bridge between GHRI and the Group Health enterprise. She works to help Group Health fulfill its promise of being a learning healthcare system—a place where research informs practice, and practice informs research. She facilitates research projects and their operations in the group practice and the health plan.

Dr. Lozano also promotes research translation and innovation within the delivery system, helping to integrate research findings into practice in support of the Quadruple Aim: to enhance patient experience, improve health, reduce costs, and improve the life of care providers. Dr. Lozano conducts research in obesity treatment in primary care settings, behavioral health integration, pediatric chronic conditions and health behavior change counseling.  Her work has focused on improving health care quality through primary care team redesign, supporting clinical decision-making by providers, and supporting patients and parents in health behavior change. She has conducted research on the care of children with asthma, ADHD, depression and other chronic conditions, quality of care and the delivery of health services to disadvantaged children.

Coffee and tea will be served.