OCHIN BLOG - Research and Innovation

OCHIN Researchers Look Forward to NAPCRG 2017 Annual Meeting

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The North American Primary Care Research Group (NAPCRG) hosts their 45th Annual Meeting this weekend. They anticipate that over 900 primary care researchers will meet for five days in beautiful Montreal, Quebec to discuss the latest in the field.

OCHIN is proud to have a strong presence this year with a total of eight attending staff and 27 posters and presentations represented at the conference.

We asked our NAPCRG 2017 attendees to share what they’re most excited about and here’s what they had to say:

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Megan Hoopes, MPH

Megan Hoopes, MPH

Megan Hoopes is a Biostastician and a member of the OCHIN Scientific Leadership Council. She will be presenting two posters and giving three oral presentations at NAPCRG this year.

“As a data analyst, NAPCRG presents a rare opportunity to interact with providers who work on the ‘front lines’ of health care, serving the very populations that are in our EHR data. And it’s always interesting trying to explain the concept of ‘uninsured’ or ‘churning on and off insurance’ to international attendees who come from countries with health systems very different from our own.

Two of my presentations are focused on safety-net populations with particularly challenging health disparities: foster children and transgender individuals. It is exciting to be part of a team using objective data, in close partnership with patients and providers, to help bring to light the experiences of these groups. OCHIN [is] at the forefront in addressing scientific knowledge gaps which are key for achieving policy change and ultimately health equity for underserved and marginalized people.”

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Thuy Le, MPH

Thuy Le, MPH

Thuy Le is OCHIN’s Research Data Warehouse Programmer. She has three posters at this year’s conference.

Le is looking forward to connecting to other primary care researchers. She said, “I’m excited to learn about what others in our field are doing and interested to hear about their research.”

Her poster on predictors of colorectal cancer screening looks at characteristics associated with up-to-date CRC screening. She noted, “The findings will help inform clinic-based efforts to raise rates of CRC screening, particularly in the community clinic setting.”

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Teresa Schmidt, MS

Teresa Schmidt, MS

Research Analyst, Teresa Schmidt, has three posters and presentations at NAPCRG this year.

One of her presentations is focused on the prevalence and characteristics of cancer survivors in the outpatient safety net. She notes, “Cancer survivors often go back to primary care pretty soon after being diagnosed with cancer. It’s important that primary care providers have access to their survivorship care plans, as they are sometimes important for optimizing primary care delivery. Unfortunately very few people are documented in the EHR as having cancer, (<4% of adults), so we assume that cancer information is often missing or incomplete in the EHR.”

When asked about why she’s excited to attend NAPCRG 2017, she said, “I expect to be inspired and awed by all of the innovative and groundbreaking work that is going on in Primary Care research. I hope to meet and talk with some of the movers and shakers in the field.” She also looks forward to learning more about the Canada Health Act and how it compares to U.S. health care policy and Ruth Wilson’s Health for All? Family Medicine Perspectives from Canada and the World plenary presentation.

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Nate Warren, MPH

Nate Warren, MPH

Nate Warren is a Research Associate and Patient Engagement Co-Coordinator. He has a total of three posters and presentations represented at this year’s conference.

Warren will be presenting on the MyPreventiveCare project. He said, “I’m very passionate about the potential for research to inform how to effectively integrate patient centered health information technology into care through the MyPreventiveCare project. Additionally, I’m grateful for the chance to help advocate on how this research has discovered important implementation support needs for practice champions around the significant workflow, staff resources, and cultural changes that occur in projects such as this.”

When asked about why he’s looking forward to attending NAPCRG, he exclaimed, “I’m excited to collaborate with colleagues on research project partnerships, as well as potentially develop new research connections. Additionally, I’m grateful for the chance to co-present on multiple research projects, receive training in stakeholder engagement/patient and clinic recruitment, and further my professional development around research on social determinants of health, EMR optimization, and patient centered health information technology (focus topics of my RA project work).”

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Stuart Cowburn, MS, MPH

Stuart Cowburn, MS, MPH

Biostatistician, Stuart Cowburn, contributed to seven posters and presentations represented at NAPCRG.

Of the conference, Cownburn said, “The NAPCRG annual meeting provides a great opportunity to network with primary care researchers from around the world and learn first-hand about research that could directly impact OCHIN’s member clinics.”

“The poster I’m presenting is one of three posters/presentations focused on the ASSESS&DO project, which piloted a set of electronic health record (EHR) tools for collecting and acting on patient-reported social determinants of health (SDH). Systematically collecting SDH data in the EHR is important, as it could help enhance care for socioeconomically vulnerable patients seen in community health centers.”

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Katie Dambrun, MPH

Katie Dambrun, MPH

Research Associate, Katie Dambrun, has a total of five NAPCRG posters and presentations.

“I will be presenting results from our study that assesses the impact of patient complexity on health care utilization and performance measures in the safety net clinic setting. This study lays the groundwork for future research in the areas of social determinants of health, payment reform, and health policy.”

She noted that she’s excited for the networking opportunities at the conference, saying, “I am looking forward to the opportunity to share what we have learned in our research and to connect with others interested in and working on similar research topics.”

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Erika Cottrell, PhD, MPP

Erika Cottrell, PhD, MPP

Dr. Erika Cottrell is an OCHIN Investigator and Research Assistant Professor at Oregon Health and Science University (OHSU). She has a total of six posters and presentations at NAPCRG this year.

“It is always fun to have a chance to present all of the exciting work we are doing at OCHIN and to connect with others doing similar work across North America. It is refreshing to learn about research being conducted outside of the U.S. and to get a fresh perspective from those with health systems very different from our own. I am also excited to visit Montreal for the first time!”

Erika will be presenting results from a study that assesses the impact of patient complexity on health care utilization and performance measures in the safety net clinic setting. She notes, “This study lays the groundwork for future research in the areas of social determinants of health, payment reform, and health policy.”

Additionally, she will be presenting the results of a recently completed pilot study to assess the feasibility of developing and implementing EHR-based tools for identifying and addressing patient social determinants of health (SDH) in primary care settings and the results of a mixed-methods to understand changes made after the implementation of an Alternative Payment Methodology (APM) in Oregon community health centers (CHCs). APM shifted payment from a fee-based structure to a per member per month rate.

She is also co-leading two workshops in the area of social determinants of health. The first, led by Dr. Laura Gottlieb, director of the UCSF Social Interventions Research and Evaluation Network, will focus on setting priorities for future research for social determinants of health interventions in primary care. The second, led by Dr. Andrew Pinto, will focus on the use of individual- and community-level SDH data to improve care and reduce inequities.

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Vance Bauer, MA

Vance Bauer, MA

OCHIN’s Vice President of Research, Vance Bauer, has a poster and a presentation at NAPCRG this year.

Bauer is eager to present on the ADVANCE Clinical Data Research Network. The ADVANCE Clinical Data Research Network (CDRN) is led by OCHIN in partnership with Health Choice Network (HCN) and Fenway Health. The goal of ADVANCE is to build and maintain a “community laboratory” of Federally Qualified Health Centers (FQHCs) serving safety net patients, including the uninsured, the under-insured, undocumented immigrants, and other vulnerable populations.

The ADVANCE Research Data Warehouse (RDW) maintains data on over two million patients and is the nation’s most comprehensive dataset on care and health outcomes in safety net patients. These patients are often underrepresented in claims-based datasets and academic hospital-based research studies. ADVANCE is one of 13 CDRNs participating in the Patient Centered Outcomes Research Institute’s (PCORI) distributed research network, called PCORnet.

For a complete list of OCHIN presentations, please see below:

  • Angier H, Marino M, O’Malley JP, Ezekiel D, Heintzman J, Thayer EK, DeVoe JE. The Effect of Capitated Payment on Health Care Utilization in Community Health Centers (Poster on Research in Progress).
  • Bailey S, Marino M, Ezekiel D, Hoopes M, Heintzman J, Angier H, DeVoe J. Smoking cessation assistance and quit rates in Affordable Care Act Medicaid expansion states vs non-expansion states (Poster presentation of a work in progress).
  • Bauer V, Puro J, DeVoe J, Foley P, Krancari M, Rivera P, Warren N, Stover N. OCHIN and the ADVANCE Clinical Data Research Network: Building an Innovative, National, Safety Net Research Community Laboratory (Poster on Research in Progress).
  • Bennett I, Gold R, Bhat A, Bauer A, Gray C, Carney S, Foley P, Oladeji B, Vredvoogd M, Angelo F, Unutzer J. Assessment of Site Readiness for Implementation of Collaborative Care for Perinatal Depression (Oral presentation).
  • Bunce A, Dambrun K, Davis J, Gold R, Cottrell E, Cowburn S. Does systematic EHR-based screening for social determinants of health foster patient-centered care? (Oral presentation).
  • Cottrell E, Krancari K, Dunne MJ, Hatch B, Li V, Chang Weir R. Elevating Patient Voices: Conducting and Disseminating Health Experiences Research in a Community Health Center Research Network (Poster presentation).
  • Cottrell E, Mossman N, Angier H, Thayer EK, Likumahuwa-Ackman S, O’Malley JP, Pinnock W, Heintzman J, DeVoe JE. Understanding and documenting new ways of delivering care under Alternative Payment Methodology (Oral Presentation on Completed Research).
  • Cowburn S, Gold R, Cottrell E, Hollombe C, Dambrun K, Bunce A, Middendorf M, Dearing M, Mossman N, Zambrano M, Mahr P, Melgar G. Acting on patient-reported social determinants of health data in community health centers: Issues associated with documenting and tracking social services referrals in electronic health records (Poster on Research in Progress).
  • Gold R, Cottrell E, Hollombe C, Dambrun K, Bunce A, Middendorf M, Dearing M, Cowburn S, Mossman D, Melgar G, Zambrano M, Mahr P. Pilot Study Results: Adoption of EHR Tools for Collecting and Acting on Social Determinants of Health in Primary Care Community Health Centers (Oral Presentation).
  • Gold R, Cottrell E, Hollombe C, Dambrun K, Bunce A, Middendorf M, Dearing M, Cowburn S, Mossman N, Melgar G, Zambrano M, Mahr P. Adoption of EHR Tools for Collecting and Acting on Social Determinants of Health in Primary Care Community Health Centers (Podium presentation).
  • Gottlieb L, Fitchtenberg C, Cottrell E, Pinto A, Hessler-Jones D, Gold R, Wing H. Social determinants of health interventions in clinical care: Setting priorities for future research (Workshop).
  • Hatch B, Tillotson C, Hoopes M, Huguet N, Marino M, DeVoe JE. (2017) Clinic factors associated with receipt of needed preventive services – Application of a prevention index (Oral presentation on completed research).
  • Hicks E, Hatch B, Huguet N, Nelson J, Pinnock W, Sumic A, Tillotson C, DeVoe J, Cohen D. (2017) Anxiety, ambiguity, and the Affordable Care Act: Frontline enrollment and outreach staff on working with Medicaid clients in 2017 (Poster presentation).
  • Holderness H, Huguet N, Hoopes M, Marino M, Angier H, Schmidt T, DeVoe J. (2017) Affordable Care Act Medicaid expansion and receipt of cancer preventive services in community health centers (Oral presentation on completed research).
  • Hoopes M, Schmidt T, Winters K, Raynor L, Angier H, Marino M, Huguet N. Prevalence and Characteristics of Cancer Survivors in the Outpatient Safety Net (Oral presentation).
  • Hoopes, M, Dunne, M, Raynor, L. The Intersection of Foster Care and Primary Care in Oregon: Characterizing Foster Youth and Their Healthcare Needs in Community Health Centers (Oral Presentation).
  • Hoopes M, Rivera P, Cowburn S, Puro J. Development of an algorithm to identify family linkages using electronic health record data (Poster presentation on completed research).
  • Hoopes M, Rivera P, Raynor L. Reconciling prescribed and dispensed medications for diabetes and cardiovascular disease: an application in the PCORnet common data model (Poster presentation on completed research).
  • Huguet N, Valenzuela S, Marino M, Hatch B, Angier H, Hoopes M, Raynor L, DeVoe J. Who remained uninsured after Medicaid expansion? (Oral presentation).
  • Krist A, Aycock R, Lail Kashiri P, Brooks M, Warren N, Dearing M, Krabbenhoft C, Hochheimer C, Sabo R, Williams R, Parchman M, Stange K, DeVoe J, Iwamoto G, Geissal E. Provision of continuing medical education as a means of engaging practices to implement workflow changes and a patient portal to promote preventive care (Poster on research in progress).
  • Krist A, Aycock R, Lail Kashiri P, Hochheimer C, Sabo R, Warren N, Dearing M, Geissal E, Krabbenhoft C, Williams R, Iwamoto G, Parchman M, Stang K, Day T, DeVoe J, Woolf S. Engaging low income patients online with personalized educational material to promote evidence-based preventive care: Preliminary results from a national practice-level randomized controlled trial (Poster presentation of research in progress).
  • Marino M, Angier H, Springer R, Huguet N, Hoopes M, O’Malley J, Raynor L, DeVoe J. The Affordable Care Act – Effects of Medicaid on Diabetes Biomarker Control (Oral presentation).
  • O’Malley J, Dambrun K, Xu H, Le T, Charlson M, Bazemore A, Tewary S, Ranka D, Puro J, DeVoe J, Sears A. The Impact of Patient Complexity on Emergency Department Utilization by Medicaid Patients Established with Primary Care Providers in Oregon and Florida (Oral presentation).
  • Petrik A, Le T, Keast E, Rivelli J, Bigler K, Green B, Vollmer W, Coronado G. Predictors of Colorectal Cancer Screening Prior to Implementation of a Large Pragmatic Trial in Federally Qualified Healthcare Centers (Poster presentation).
  • Pinto A, Hessler D, Cottrell E, Gold R, Bazemore A, Krist A, Gottlieb L. Individual- and Community-Level Data on the Social Determinants of Health to Improve Care and Reduce Inequities (Workshop).
  • Raynor L, Hoopes M, Reisner S. Characterizing Demographics and Health Disparities in Transgender Patients Receiving Primary Care at 551 Community Health Centers in 19 U.S. States, 2012-2015 (Oral presentation)
  • Raynor L, Hoopes M, Rivera P, Suchocki A, Muench J, Huguet N. Medication Adherence for Chronic Disease Management: Reconciling Ordered and Dispensed Medications for Patients With Diabetes or at Risk for Diabetes (Oral presentation).
  • Springer R, Raynor L, Marino M, O’Malley J, Angier H, Linder S, DeVoe J. Effects of Medicaid Expansion on Oregon Medicaid Patient Expenditures from 2014-2015 (Oral presentation).
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