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Accomplishments and Impacts Newsletter May/June 2013

Policy and Practice Impacts

The following is the #4 most viewed article for Implementation Science over the last year and of all time, and the #8 most forwarded article over the last year: Laura Damschroder, David Aron, Rosalind Keith, Susan Kirsh, Jeffery Alexander, Julie Lowery. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Science 2009, 4:50. (Abstract)

The following is the #8 most viewed article for Implementation Science over the last year, and the #9 most viewed article of all time, and #3 most forwarded article of all time: Amy Kilbourne, Mary Neumann, Harold Pincus, Mark Bauer, Ronald Stall. Implementing evidence-based interventions in health care: application of the replicating effective programs framework. Implementation Science 2007, 2:42 (Abstract)


At this year’s annual Internal Medicine dinner, Jack Iwashyna was the recipient of the prestigious Jerome W. Conn Award for Excellence in Research. He is the third member of the Pulmonary Division to receive this award and only the second health services researcher to be honored in this way. The Conn award, first given in 1978, honors the U-M clinical scientist who discovered Conn's Syndrome. It recognizes a lecturer, instructor or assistant professor in the Department of Internal Medicine who has made outstanding research contributions.


Michele Heisler was promoted to professor of internal medicine, Department of Internal Medicine, Medical School, and professor of health behavior and health education, Department of Health Behavior and Health Education, School of Public Health.

Jack Iwashyna was promoted to associate professor of internal medicine, Department of Internal Medicine, Medical School.

Helen Kales was promoted to professor of psychiatry, Department of Psychiatry, Medical School.

Amy Kilbourne was promoted to professor of psychiatry, Department of Psychiatry, Medical School.

John Piette was selected as a Scholar for the prestigious Fulbright Core Scholar Program. The program supports activities and projects that recognize and promote the critical relationship between educational exchange and international understanding. John’s project, “Developing mobile health services for chronic disease management”, will be a combined teaching and research project developing based in Bolivia to develop an evidence base and investigator capacity producing effective interventions for chronic disease management using cell phones (i.e., mobile health or “mHealth” tools). The research component will be implemented in three phases over three years, culminating in a trial of an m-Health service for diabetes and hypertension management. The educational component will include a lecture series on Evidence-Based Medicine and a second lecture series on Health Services Research methods.

Sandeep Vijan was promoted to professor of internal medicine, Department of Internal Medicine, Medical School.

Kara Zivin was promoted to associate professor of psychiatry, Department of Psychiatry, Medical School.

Kara Zivin was chosen as a 2013-14 Health and Aging Policy Fellow. The Health and Aging Policy Fellows Program is a unique opportunity for professionals in health and aging to receive the experience and skills necessary to make a positive contribution to the development and implementation of health policies that affect older Americans.

In the News

Amy Bohnert was interviewed in the IHPI newsletter discussing her work and the practical implications for health care.

Amy Bohnert was featured in the HSR&D “CDA Spotlight”.

Vineet Chopra was quoted by M Health System Headlines discussing his study on peripherally inserted central catheters and the increased risk for blood clots. Abstract

Sarah Hawley was featured in a television report by Detroit station WDIV-TV Channel 4 discussing the debate over breast cancer treatment and women choosing to have double mastectomies.

Mark Ilgen’s large-scale intervention trials to determine the potential efficacy of cognitive behavioral therapy (CBT) to reduce future pain and substance abuse use and improve functioning were highlighted in the IHPI newsletter.

Caroline Richardson’s study on people enrolled in a pedometer-based program as a requirement to receive health insurance discounts was featured in the Ann Arbor Journal. Abstract

Kara Zivin’s study “Evaluation of the FDA warning against prescribing citalopram at doses exceeding 40 mg” was highlighted in the IHPI newsletter. Abstract

National Conference Presentations*

  • Damschroder LJ, Lowery JC. Synthesis of findings from 3 lifestyle behavior change program implementations in VA. Oral presentation, Seattle Implementation Research Conference, Seattle, WA, May 2013.
  • Iwashyna T. At the edge of the evidence: what should I do now? Oral presentation, American Thoracic Society International Conference, Philadelphia, PA, May 2013.
  • Iwashyna T. What was the patient like before their critical illness? Oral presentation, American Thoracic Society International Conference, Philadelphia, PA, May 2013.
  • Iwashyna T. Advancing critical care through new approaches and paradigms. Poster presentation, American Thoracic Society International Conference, Philadelphia, PA, May 2013.
  • Iwashyna T. Saving lives by really using good quality measures. Oral presentation, Washington State 17th Annual Statewide Meeting, Seattle, WA, May 2013.
  • Kales HC, Gitlin L. Managing the behavioral symptoms of dementia: rolling the dice with usual care vs. the interdisciplinary. Oral presentation, grand rounds, Wayne State University, Institute of Gerontology Issues in Aging, Detroit, MI, May 2013.
* Presentations featured were reported to Beverly Hall ( Please let Beverly Hall know about all national conference presentations at the time of their acceptance/invitation.

AcademyHealth Annual Meeting, Baltimore, MD, June 2013

  • Forman J, Harrod M, Robinson C, Ott J, Annis-Emeott A, Saffar D, Greenstone L. Building the foundation for a patient-centered medical home in a large VA academic medical center. Poster presentation.
  • Karlawish J, Kullgren J, Harkins K, Zhu J, Asch D. A randomized controlled trial of financial incentives and peer networks to promote walking among older adults. Oral presentation.
  • Kerr, EA. Challenges in measuring appropriateness and overuse. Oral presentation.
  • Kullgren J, Duey KA, Werner RM. A census of state-based consumer health care price websites. Poster presentation.
  • Kullgren J, Lowenstein G, Troxel A, Norton L. A mixed-methods randomized controlled trial of employer matching of deposit contracts to promote weight loss. Oral presentation.
  • Martinez K, Ling B, Vernon S, Partin M, Hawley S. The association between patient preferences for colorectal cancer screening and screening receipt in the VA. Poster presentation.
  • Rosland AM, Krein S, Kim MH, Ratz D, Saffar D, Kerr E. Part-time primary care physician access and continuity in the patient centered medical home. Poster presentation.

Grants Submitted

PI: Amy Bohnert, IIR
Title: Primary care intervention to reduce prescription opioid overdoses
Team members: Matthew Bair (Indianapolis), Frederic Blow, Mark Ilgen, Paul Pfeiffer, Maureen Walton, Dara Ganoczy, Elizabeth Garcia

Kipling Bohnert, CDA (resubmit)
Title: VA healthcare delivery for OEF/OIF Veterans with mental and substance use disorders
Team members: Fred Blow, Jane Forman, Mark Ilgen, John McCarthy, Sheila Rauch, Marcia Valenstein, Karen Austin

PI: Sonia Duffy, IIR
Title: Integrating smoking cessation services in patient aligned care teams
Team members: Beth Cameron (Dayton), Neil Jordan (Hines), Anna Jones Monnett (Dayton), David Ronis, Scott Sherman (New York), Ramon Verdaguer (Dayton), Lee Ewing

PI: Angie Fagerlin, IIR
Title: Testing personalized decision counseling in patients with diabetes
Team members: Larry An, Laura Damschroder, Sarah Hawley, Michele Heisler, Eve Kerr, Myra Kim, Victor Montori (Rochester), Lewis Morgenstern, Sandeep Vijan, Jordan Sparks

PI: Jack Iwashyna, IIR (resubmit)
Title: Recovery after in-hospital cardiac arrest: late outcomes and utilization (RESCU)
Team members: Brahmajee Nallamothu, Steven Bradley (Denver), Christopher Bryson (Seattle), Paul Chan (Kansas City), Michael Ho (Denver), Tim Hofer, Ken Langa, Preeti Malani, Sanjay Saint, Anne Sales, Peter Kaboli (Iowa City), Angela Larkin, Jennifer Davis, Wyndy Wiitala, Kyle Kepreos

PI: Sarah Krein, IIR (resubmit)
Title: Identifying and reducing catheter-related complications
Team members: Sanjay Saint, Suzanne Bradley, Carol Chenoweth, Vineet Chopra, Adi Gundlapalli, John Hollingsworth, Erica Hubenthal, Mary Rogers, Barbara Trautner (Houston)

PI: Jeff Kullgren, CDA
Title: Improving Veteran engagement in diabetes prevention
Team members: Lawrence An, Laura Damschroder, Angie Fagerlin, Jane Forman, Michele Heisler, Erin Krupka, Vijay Nair, Caroline Richardson, Brian Zikmund-Fisher

PI: John Piette, IIR
Title: Patient-centered pain care using artificial intelligence and mobile health tools
Team members: Mark Ilgen, Sarah Krein, Caroline Richardson, Dana Striplin, Nicolle Marinec, Deb Welsh, Sofia Gaudioso, Elizabeth Haas, Alicia Heapy (West Haven), Robert Kerns (West Haven), Joseph Kirlin (West Haven), Crystelle Egan (West Haven)

PI: Sameer Saini, IIR (resubmit)
Title: Promoting Veteran-centered colorectal cancer screening
Team members: Steven Bernstein, Jane Forman, Sarah Hawley, Eve Kerr, Philip Schoenfeld, Sandeep Vijan, Stephanie Moser

PI: Anne Sales, Office of Nursing Services Evaluation Center
Title: VA nursing: effectiveness and entry
Team members: Sarah Krein, Laura Damschroder, Sonia Duffy, Jane Forman, Galen Hamann (Minneapolis), Yu-Fang Li (Seattle), Kara Zivin, Claire Robinson a

PI: Marcia Valenstein, IIR
Title: Veteran peer-assisted computerized cognitive behavioral therapy for depression
Team members: Kristen Abraham, Winnetha Benn-Burton (Detroit), Jay Cohen (Battle Creek), Jane Forman, Clayton Nelson, Paul Pfeiffer, E. Brooke Pope (Battle Creek), Kara Zivin, Heather Walters, Dara Ganoczy

PI: Sandeep Vijan, IIR
Title: Long-term mortality risk prediction in VHA
Team members: Satinder Baveja, Sameer Saini, Jeremy Sussman, Akbar Waljee, Kara Zivin

PI: Kara Zivin, pilot
Title: Assessing chronic antidepressant treatment among depressed VA patients
Team members: Helen Kales, Myra Kim, Paul Pfeiffer, Marcia Valenstein, Jennifer Henry

Grants Funded

PIs: Laura Damschroder, Matthew Samore (Utah), QUERI supplemental funds
Title: NLP for patient-centered communications
Team members: Scott Duvall, Daniel Young, Jorie Butler (Utah)

PIs: Laura Damschroder, Gene Oddone (Durham), CREATE
Title: Will Veterans engage in prevention after HRA-guided shared decision making?
Team members: Mark Olsen, Nina Sperber, Jennifer Gierisch, Angie Fagerlin, Bree Holtz, Jordan Sparks, Caitlin Reardon, Rose Birkmeier (Saginaw), Marin Olsen (Durham), Marsha Turner (Durham)

PI: David Goodrich, additional QUERI supplemental funds
Title: National evaluation of MOVE! outcomes for Veterans with and without mental health diagnoses (AKA: NEMO)
Transforming Prevention into Action CREATE
Team members: Amy Kilbourne, David Goodrich, Karen Austin, Zongshan La,; Lilia Verchinina, Laura Damschroder; Seattle VA: Alyson Littman, Kari Nelson, Kate Hoerster; Mental Health QUERI/MIRECC Consultants: Richard Owen, Kristen Viverito, Richard Goldberg, Elizabeth Klingaman, Amy Cohen, Shira Maguen

PI: Sarah Hawley, IIR
Title: Optimizing Veteran-centered prostate cancer survivorship care
Team Members: Angie Fagerlin, Jeffrey Gingrich (Pittsburgh), Robert Grubb (St. Louis), Tim Hofer, Laura Damschroder, Bruce Ling (Pittsburgh), John Piette, Ted Skolarus, John Wei, Tabitha Metreger, Liz Kaselitz, Jenny Davis

PI: Paul Pfeiffer, RRP
Title: Technology-assisted peer support For recently hospitalized depressed Veterans
Team members: John Piette, Marcia Valenstein, Steven Dobscha (Portland), Jennifer Henry, Laura Damschroder, Jane Forman, Dara Ganoczy, Erin Miller; and a special thanks to the CarePartner team for their support

PI: Ann-Marie Rosland, QUERI supplemental funds
Title: CPACC (CarePartners Clinic Connections) pilot and development.
Team members: John Piette, Sofia Gaudioso, Jessica Fennelly, Sarah Yon

Papers Accepted

  • Burnett-Ziegler I, Kim MH, Chiang C, Kavanagh, Zivin K, Rockefeller, Sirey JA, Kales HC. The association between race and gender, treatment attitudes, and antidepressant treatment adherence. International Journal of Geriatric Psychiatry.
  • Echouffo-Tcheugui JB, Ali MK, Roglic G, Hayward RA, Narayan KMV. Effect of different screening intervals for diabetic retinopathy on the incidence of visual loss: a systematic review. Diabetic Medicine.
  • Hollingsworth JM, Rogers MAM, Krein SL, Hickner A, Kuhn L, Cheng A, Chang R, Saint S. Determining the non-infectious complications of indwelling urethral catheters: a systematic review and meta-analysis. Annals of Internal Medicine.
  • Kerr EA, Hayward RA. Patient-centered performance management: enhancing value for patients and healthcare systems. JAMA.
  • Kiyoshi-Teo H, Krein S, Saint S. Applying mindful evidence-based practice at the bedside: using catheter-associated urinary tract infection as a model. Infection Control and Hospital Epidemiology.
  • Kullgren JT, Duey KA, Werner RM. A census of state health care price transparency websites. JAMA.
  • Lai NM, Chaiyakunapruk N, Lai NA, O’Riordan E, Pau WSC, Saint S. Catheter impregnation, coating or bonding for reducing central venous catheter-related infections in adults. The Cochrane Library.
  • O’Donnell AN, Williams M, Kilbourne AM. From roadblocks to roadmaps: reimbursement strategies for integrated mental health services in primary care. Journal of General Internal Medicine.
  • Rosland AM, Nelson K, Sun H, Dolan E, Maynard C, Bryson C, Stark R, Shear J, Kerr E, Fihn SD, Schectman G. The patient centered medical home in the Veterans Health Administration. Journal of Managed Care.
  • Skolarus TA, Chan S, Shelton JB, Antonio AL, Sales AE, Malin J, Saigal CS. Quality of prostate cancer care among rural men in the Veterans Health Administration. Cancer.
  • Zivin K, Pirraglia PA, McCammon RJ, Langa KM, Vijan S. Trends in depressive symptom burden among older adults in the United States from 1998-2008. Journal of General Internal Medicine.


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