How can health care be redesigned to better meet the needs and preferences of the millions of Americans living with chronic conditions? This question is at the heart of James Ralston’s research, compelling him to explore innovative designs of care that take advantage of new information technologies.
A general internist, Dr. Ralston joined Group Health Research Institute (GHRI) in 2003 to lead the Institute’s health informatics research program. But his expertise and interests go far beyond informatics. While much of Dr. Ralston’s work emphasizes information technologies as helpful components of care, they serve his true passion: that is, improving the health and health care of people who have common chronic conditions. This mission requires effectively evaluating new communication technologies that foster continuous care and a closer connection between patients and health care teams. In the past several years, Dr. Ralston has led and contributed to research showing that using new information and communication technologies to move care from the provider’s office to the patient’s home leads to promising outcomes.
Dr. Ralston’s commitment to finding effective redesigns of care spans all stages, from development to complete translation. With a team of GHRI and UW colleagues, he is helping evaluate Group Health’s “access initiative”—a suite of innovations designed to make health care easier to get, in part by leveraging advances in information technology, such as secure member Web sites and electronic medical records (EMRs). Dr. Ralston also collaborates with the informatics department at Group Health, and he sits on the oversight committee that explores how doctors can best use it to help patients.
Dr. Ralston provides outpatient consultation through Group Health Permanente’s Consultative Internal Medicine Group and is a volunteer medical advisor on the Steven’s Pass ski patrol. He is also an affiliate associate professor in health services at the UW, where he serves on student PhD and MPH committees.
Grembowski D, Ralston JD, Anderson ML. Health outcomes of population-based pharmacy outreach to increase statin use for prevention of cardiovascular disease in patients with diabetes. J Manag Care Spec Pharm. 2016;22(8):909-17. doi: 10.18553/jmcp.2016.22.8.909. PubMed
Eschler J, Meas PL, Lozano P, McClure JB, Ralston JD, Pratt W. Integrating the patient portal into the health management work ecosystem: user acceptance of a novel prototype. Proc AMIA Ann Symp, 541-550.
O’Leary KO, Liu L, McClure JB, Ralston J, Pratt W. Persuasive reminders for health self-management. Proc AMIA Ann Symp, 994-1003.
Tieu L, Schillinger D, Sarkar U, Hoskote M, Hahn KJ, Ratanawongsa N, Ralston JD, Lyles CR. Online patient websites for electronic health record access among vulnerable populations: portals to nowhere? J Am Med Inform Assoc. 2016 Jul 8. pii: ocw098. doi: 10.1093/jamia/ocw098. [Epub ahead of print]. PubMed
Bayliss EA, McQuillan DB, Ellis JL, Maciejewski ML, Zeng C, Barton MB, Boyd CM, Fortin M, Ling SM, Tai-Seale M, Ralston JD, Ritchie CS, Zulman DM. Using electronic health record data to measure care quality for individuals with multiple chronic medical conditions. J Am Geriatr Soc. 2016 Jul 7. doi: 10.1111/jgs.14248. [Epub ahead of print]. PubMed
Bell SK, Mejilla R, Anselmo M, Darer JD, Elmore JG, Leveille S, Ngo L, Ralston JD, Delbanco T, Walker J. When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient-doctor relationship. BMJ Qual Saf. 2016 May 18. pii: bmjqs-2015-004697. doi: 10.1136/bmjqs-2015-004697. [Epub ahead of print]. PubMed
In a year of surprises, we could still count on Group Health producing a variety of practical results, to improve people’s health.
Read it in News and Events.
Calls from pharmacists and EHR reminders improved cardiovascular outcomes in Group Health patients with diabetes, Dr. James Ralston and colleagues found.
Read it in Healthy Findings.
On a recent podcast from Vox, health policy commentators wondered why U.S. health IT isn’t better. Dr. James Ralston responds.
Read it in Healthy Findings.