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Events

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

All are welcome.

Left: Baltimore City Health Commissioner Dr. Leana Wen presents at the 17th annual Hilde and Bill Birnbaum Endowed Lecture, June 27, 2016.

Upcoming seminars and events


September 27, 2016

How the intersection of art and medicine can transform patient care

Presenter: Marlaine Gray, PhD, Group Health Research Institute Research Associate

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

Abstract:
This presentation will describe how patient and providers cultivate strategies of resilience amid severe chronic or life-limiting illness diagnoses and traumatic experiences in residency and medical practice.  Drawing upon more than 70 interviews, 20 observations, and deep immersion in the use of creative care in U.S. hospitals, this study illuminates how those who facilitate creative experiences, those who participate in them, and the providers that champion them articulate the value of these experiences in relation to patient and provider care. 

This study also examines the institutional logics of supporting creative experiences within hospitals. Creative experiences include medical students and mid-career professionals learning to look at paintings in national art museums that help them make more accurate clinical diagnoses and learn to sit with uncertainty, providers using poetry to speak to and about patients, and patients manifesting their values and wishes for remembrance at the end of life. The results of this work show how creative experiences provide an important complement to traditional biomedical care.

Coffee and tea will be served.


September 28, 2016

2016 Group Health Data & Analytics Fair

Come see how data is being used at Group Health to improve care, lower costs and understand the health and health care of our members.

Group Health Research Institute, Room 1509

The Group Health Research Institute will host the 2016 Group Health Data & Analytics Fair on Wednesday, September 28th, at GHRI from 2 to 4pm. We’re welcoming posters and presentations from analysts across Group Health Cooperative to share their knowledge, interests and good will. All who love data and would like to learn more about how it is used at Group Health are cordially invited to come see what’s new in the world of data and analytics.

Questions? Suggestions? Please contact us; we’d love to hear from you.


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.


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! 


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)


Past Events

 


September 17, 2016

Poster presentation—Designing for good patient decisions: bringing together data, psychology, and human-centered design to help breast cancer survivors choose a method of post-treatment surveillance.

Presenter: Karen Wernli, PhD, assistant investigator, Group Health Research Institute

Stanford University, Stanford, Calif., 10:10–11:40 a.m., Stanford Medicine X Lower Lobby

Description:
Mammograms are the standard for post-treatment surveillance of breast cancer patients, but the use of MRI is rising due to doctors and women developing anecdotal experience through peers and through its usage in other processes like diagnosis. Few data are available to guide decisions about which method is more effective for individual patients, and many patients are unaware of the important implications of their choice on their time, money, stress, and comfort. Group Health Research Institute (GHRI) and Artefact are working to help fill this important gap by bringing together the first large-scale data analysis of MRI and mammography to support clinical decisions and developing an interactive decision-support system with individually calculated patient results. In this panel discussion, together with GHRI, we will share lessons learned, design principles and behavioral economics strategies that we have deployed to create a platform that can empower more effective and confident decision-making by breast cancer patients.

More info: http://medicinex.stanford.edu/conf/conference/event/788


September 13, 2016

The MATCH Trial: Did Implementation of an Evidence-Based Risk-Stratification Strategy Improve Outcomes of Care for Patients with Back Pain?

Presenter: Daniel C. Cherkin, PhD, senior scientific investigator, Group Health Research Institute

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

Abstract:
This presentation will describe the development, implementation, and evaluation of a strategy for targeting treatment strategies to patients with back pain with different levels of risk of a poor outcome. This “STarTBack” approach was recently developed and tested in the U.K. and found to improve patient outcomes while decrease work loss due to back pain.

Key components of this strategy are collecting data from patients during clinic visits to determine their risk of a poor outcome and then offering treatment options appropriate for each risk level. Because this strategy is perceived as a rational and effective approach to back pain, it has attracted a lot of attention in the U.S. and abroad by offering hope for improving the generally costly and ineffective care for back pain. The MATCH trial is the first rigorous evaluation of the “STarTBack” approach in primary care outside of the U.K.

Bio:

For the past 30 years, Dr. Daniel Cherkin’s research has focused on identifying more effective strategies for responding to the needs of the many persons with chronic back pain whose pain has not responded to conventional medical treatments. This research highlighted the importance of viewing back pain within a broad bio-psycho-social context in contrast to the largely biomedical view of back pain which has been prevalent for many decades. Because of the complexity of non-specific back pain, no specific treatments have been found highly effective, and it has become increasingly clear that a broader patient-centered “systems” approach will be required to better meet patients’ needs. 

Coffee and tea will be served.


July 26, 2016

Patient-centered approach to surveillance breast imaging: Lessons learned from SIMBA

Presenter: Karen Wernli, PhD, is an epidemiologist and has been at Group Health Research Institute (GRHI) since 2009.

Group Health Research Institute, Room 1509 A, 4  to 5:15 p.m.

Abstract
Dr. Wernli will present on the results from her PCORI-funded CER award on breast imaging in women with a personal history of breast cancer. There are now more than three million women living with a personal history of breast cancer. Women are recommended to receive annual mammography to detect second breast cancer events. The research question begins to address whether the addition of breast MRI adds value to surveillance imaging. 


July 12, 2016

Speak Up!  Addressing the Paradox Plaguing Patient-Centered Care

PresenterThomas H. Gallagher, M.D., is a general internist who is Professor in the Department of Medicine at the University of Washington, where he is Associate Chair for Patient Care Quality, Safety, and Value. He is also a Professor in the Department of Bioethics and Humanities.

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

Abstract
Beneath the patient-centered rhetoric that dominates health care lurks a major paradox. The language of patient-centered care is omnipresent, but the reality is falling short. Patients are bombarded with surveys, calls after discharge, opportunities to share “compliments and concern,” and requests to “speak up.” In reality, patients’ perceptions of care are often ignored and rarely translate into improvements. This presentation will focus on the We Want to Know project, an AHRQ-funded demonstration project at the MedStar Health System that encourages patient-initiated reporting of problems in care and links these reports to real-time responses. Results to date will be presented from interviews with 979 patients, 39 percent of whom reported experiencing at least one care breakdown during their hospitalization. We will also discuss the challenges of engaging a large, diverse health care system in responding to patients’ perceptions of care breakdowns.

Coffee and tea will be provided.


June 26–28, 2016

AcademyHealth Annual Research Meeting

The premier forum for health services research

Boston, Mass.

Join Group Health Research Institute's Dr. Michael Parchman, Dr. Diana Buist, and Dr. Rob Penfold at #ARM16 in Boston. 

Dr. Parchman will present "Taking Practice-Engagement to Scale: Cross-Cooperative Insights from the EvidenceNOW Evaluation (ESCALATES)" on Monday, June 27 in the Hynes Convention Center, Exhibit Hall C/D. More info

Drs. Parchman, Buist and Penfold will present "Supporting Provider Engagement to Reduce Low Value Care" on Monday, June 27 in the Hynes Convention Center, Exhibit Hall C/D. More info

Dr. Penfold will chair "Statistical Methods for Space-Time Surveillance" on Monday, June 27 in the Hynes Convention Center, room 306. More info

Dr. Parchman will participate in a panel discussion: "Career Development Pathways in Implementation Science," Tuesday, June 28, 2016, 9:45 a.m.–11:15 a.m, Hynes Convention Center, Room 202. More info.

#ARM16 event registration information


Monday, June 27, 2016

17th annual Birnbaum Endowed Lecture: "A shared vision: New perspectives on strengthening social determinants of health"

Presenter: Dr. Leana Wen, commissioner of the health for the City of Baltimore 

Seattle Sheraton Hotel—Event begins at 7:15 a.m.

About Dr. Wen

Dr. Leana Wen is a nationally acclaimed TED speaker and health commissioner for the City of Baltimore. She is professor of emergency medicine and health policy at George Washington University and author of the best-selling book, When Doctors Don’t Listen: How to Avoid Misdiagnoses and Unnecessary Tests. Known for creative approaches to tough public-health problems like opioid addiction and disparities in care, Dr. Wen inspires individuals and communities to take a fresh new look at improving health and health care for all.

 


Thursday, June 2, 2016

Webinar: Dissolving the Walls—Clinic Community Connections

Presenter: The Community Health Center, Inc. (CHC), in association with the MacColl Center for Health Care Innovation

Noon Pacific, 3 p.m. Eastern

Summary:

In this final webinar of the Transforming Teams series, this webinar will describe the ways innovative practices keep connected to their communities by offering non-medical services that benefit patients, linking to quality community resources, and acting as advocates in their communities for resources and programs that may be needed.

Register for Dissolving the Walls: Clinic Community Connections


Thursday, May 19, 2016

Webinar: Achieving Full Integration of Behavioral Health and Primary Care

Presenter: The Community Health Center, Inc. (CHC), in association with the MacColl Center for Health Care Innovation

Noon Pacific, 3 p.m. Eastern

Summary:

This webinar will highlight ways to fully integrate behavioral health care into primary care. The role of nurses, medical assistants, behaviorists, lay health workers, and primary care providers will all be discussed along with the use of clinical dashboards and warm hand-offs.

Register for Achieving Full Integration of Behavioral Health and Primary Care

 


Tuesday, May 10, 2016

Studying Pregnancy Outcomes using Electronic Health Data

PresenterSascha Dublin, MD, PhD, Group Health Research Institute Associate Investigator and Group Health Physician, Internal Medicine

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

Abstract

Four million women give birth every year in the U.S. Yet there are enormous gaps in knowledge about the safety and efficacy of many common treatments and interventions in pregnancy. More than 90 percent of women take at least one medication in pregnancy. The quality of evidence about medication safety is rated “good or excellent” for only four percent of medications commonly used in the first trimester.

There is enormous potential to make use of routine clinical data to generate new knowledge about the impact of medication use and other interventions in pregnancy. In 2008, the Food and Drug Administration launched a new research program in which 11 health plans identified women delivering a live birth, linked them with infant records, and obtained state birth certificate data for mother-infant pairs. These data currently include 1.2 million deliveries to 900,000 women from 2001–2008 and provide outstanding opportunities for research on pregnancy outcomes.

Dr. Dublin will present several studies carried out at Group Health and partner organizations that draw on health plan electronic data combined with state birth certificate records, including:

  1. a study examining the safety of trimethoprim-sulfonamide antibiotics in the first trimester, compared to nonteratogenic antibiotics, and
  2. a study of elective induction of labor in term pregnancy compared to expectant management (waiting, with the possibility of intervention in later weeks.)

This talk will emphasize methodologic challenges in pregnancy studies as well as innovative approaches that aim to generate valid results from real-world data. 

Coffee and tea will be provided.


Thursday, May 5, 2016

Webinar: Complex Care Management in Primary Care

Presenter: The Community Health Center, Inc. (CHC), in association with the MacColl Center for Health Care Innovation

Noon Pacific, 3 p.m. Eastern

Summary:

This webinar will investigate the ways that team members can contribute to the care of patients with complex medical and/or social needs. The focus will be on developing the expanded care team and ensuring ready communication between the core and expanded care teams. Models for effective care management will be presented.

Register for Complex Care Management in Primary Care


Tuesday, April 26, 2016

The cat is out of the bag: preliminary findings from studies of animal-assisted activities in pediatric oncology

PresenterJessica Chubak, PhD, Group Health Research Institute Associate Investigator

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

Abstract

Animal-assisted activities—visits from therapy animals and their handlers—are popular and have the potential to reduce distress in children and teens with cancer. However, there has been little research on effectiveness or safety of hospital-based animal-assisted activities in this population. This seminar will describe preliminary findings from a new research program focused on this topic, including results from surveys, interviews, and a pilot study.

Coffee and tea will be provided.


Thursday, April 21, 2016

Webinar: A Team Approach to Prevention and Chronic Illness Management

Presenter: The Community Health Center, Inc. (CHC), in association with the MacColl Center for Health Care Innovation

Noon Pacific, 3 p.m. Eastern

Summary:

This webinar will explore the benefits of teamwork in allowing staff to more effectively deliver preventive services and manage chronic illness. It will build on the content from previous webinars to describe how to optimize the core team to provide population management, self-management support and planned care. Infrastructure considerations to improve team-based care will also be discussed including training, career ladders, and communication management.

Register for A Team Approach to Prevention and Chronic Illness Management


Tuesday, April 12, 2016

Propensity Score Methods for Analyzing Observational Data Like Randomized Experiments: Challenges and Solutions for Rare Outcomes and Exposures

Presenter: Michelle Ross, PhD, Perelman School of Medicine, University of Pennsylvania

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

Abstract

Randomized controlled trials are the “gold standard” for estimating the causal effects of treatments. However, it is often not feasible to conduct such a trial because of ethical concerns or budgetary constraints. We expand upon an approach to the analysis of observational data sets that mimics a sequence of randomized studies by implementing propensity score models within each trial to achieve covariate balance, using weighting and matching. The methods are illustrated using data from a safety study of the relationship between second-generation antipsychotics and type 2 diabetes (outcome) in Medicaid-insured children aged 10–18 years across the United States from 2003 to 2007. Challenges in this data set include a rare outcome, a rare exposure, substantial and important differences between exposure groups, and a very large sample size.

Coffee and tea will be provided.


Monday, April 11, 2016

Entendre: Facilitating providers’ nonverbal communication through social signal processing

Presenters: Andrea Hartzler, PhD, GHRI and Rupa Patel, PhD, GoDaddy

  • Andrea Hartzler is an Assistant Investigator at Group Health Research Institute. Her work focuses on human-centered design of personalized technologies that meet the information and communication needs of patients and healthcare stakeholders. She leads projects that leverage patient-generated health data in health care, social computing in peer health networks, and collaborates to design a range of digital technologies from mobile devices for patients to genome-guided decision support for clinicians. Andrea holds a PhD in Biomedical Informatics from University of Washington Division of Biomedical and Health Informatics.
  • Rupa Patel is a User Experience Researcher at GoDaddy. Prior to this role, she completed a PhD in Biomedical & Health Informatics, where she focused on the design and adoption of patient-clinician communication tools for cancer care. Rupa has held various product management and development positions at the Centers for Disease Control and Prevention and healthcare-related startups. She has a master's from the University of Michigan School of Information and a bachelor's from Stanford University in programs that focused on human-computer interaction.

Group Health Research Institute, Room 1509A, 11 a.m. to 12 p.m.

Abstract

Understanding and conveying nonverbal signals is essential to forming empathic relationships in patient-centered care. Although nonverbal cues, such as voice tone, body movement, touch, and facial expression, link to important patient outcomes, practicing effective nonverbal communication skills is challenging in the fast-pace of clinical encounters.

In this talk, we present “Entendre”—a novel approach that uses social signal processing technology to capture nonverbal cues during clinical encounters and to display ambient visual feedback on control and affiliation—two primary, yet distinct dimensions of interpersonal nonverbal communication. Providers can use this feedback to gain awareness and enhance their nonverbal communication with patients.

We will describe our collaboration with scientists at Microsoft Research and Seattle Cancer Care Alliance to design and test user acceptance of Entendre, and future opportunities application of this novel approach. The speakers have been invited to present this work at the National Board of Medical Examiners (NMBE) in April 2016.

A two-minute video that overviews Entendre can be viewed here: https://vimeo.com/104233170

Coffee and tea will be provided.


Thursday, April 7, 2016

Webinar: Data-driven dashboards to support team-based care

Presenter: The Community Health Center, Inc. (CHC), in association with the MacColl Center for Health Care Innovation

Noon Pacific, 3 p.m. Eastern

Summary:

This webinar will highlight the ways that practices can utilize technology to improve individual patient care and track and meet the needs of their whole patient population. By using electronic health record data and clinical dashboards, members of the team can organize visits to resolve care gaps, optimize prevention, and improve clinical outcomes.

Register for Data-driven dashboards to support team-based care

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Health Care Data Analytics Symposium

2nd Seattle Symposium on Health Care Data Analytics

October 23–25, 2016, Hyatt Olive 8 in downtown Seattle.