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Accomplishments and Impacts Newsletter October-November 2014


Jack Iwashyna was awarded the Staff Award for Investigator Excellence by his staff and the CCMR Staff Advisory Council.


Eve Kerr was inducted into The League of Research Excellence - an honorary society established in 2011 to recognize faculty who have made significant contributions to our research enterprise. The inaugural class of 2011 included Rod Hayward, Amy Kilbourne and Fred Blow. There are 187 League faculty in total.

Sanjay Saint was appointed to Chief of the Medicine Service at the VA Ann Arbor.

In the News

Research by Fred Blow and his team on the high risk of additional violent injuries among assault victims was featured by M Health System. Abstract

Vineet Chopraís work on physician awareness of central venous catheter placement in patients was highlighted by US News & World Report. Abstract You can also see a video about this work here.

Jack Iwashyna was interviewed on Stateside with Cynthia Canty about sepsis and sepsis response systems.

Jack Iwashyna's article on national quality standards and accountability for sepsis care was highlighted by M Health System. Abstract

Jeff Kullgrenís work on financial incentives and fecal occult blood tests was featured by the NY Times Blog Well. Abstract

Ken Langa was quoted by M Health System and HealthDay on his study of older adults and their ability to go online for health-related information. Abstract

Deb Levine and Jack Iwashyna's paper on disability following heart attack and stroke was highlighted by M Health System. This study was also featured in Medpage and Cardiology Today. Ken Langa is a co-author. Abstract

Amy Kilbourne and Laura Damschroder participated in a video thanking Veterans for their service and participation in VA research on behalf of HSR&D.

Brahmajee Nallamothu was quoted by M Health System on his work related to heart attacks and the efficacy of speedier treatment. Tim Hofer is a co-author on this paper. Abstract

Brahmajee Nallamothuís JAMA editorial response to a study about the potential overuse of cardiac imaging machines was highlighted by M Health System.

Edd Post was quoted by USA Today in the Veterans Affairs Special Edition about the success of the VA Primary Care-Mental Health Integration.

Joel Rubensteinís research on the effect of tobacco and alcohol use on esophageal cancer was covered by WCMU Radio. Abstract

Joel Rubenstein was quoted by M Health System discussing his study of medical professional liability claims related to esophageal cancer screening. Abstract

Sanjay Saintís opinion piece on the dangers of overprescribing of antibiotics was featured in the Detroit Free Press

Sanjay Saintís opinion piece on calling troops ďboots on the groundĒ was featured in the Detroit News

Maria Silveira was interviewed by NPR about Brittany Maynardís influence on the debate around assisted suicide.

Grants Funded

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

PI: Sonia Duffy, IIR
Title: Comparative outcomes of pharmacologic treatment for Veteran smokers
Team members: Paul Barnett (Palo Alto), Kip Bohnert, Myra Kim, Paul Pfeiffer, Scott Sherman (New York), Kara Zivin

PI: Amy Bohnert, IIR
Title: Primary care intervention to reduce prescription opioid overdoses
Team members: Matthew Bair (Indianapolis), Fred Blow, Michael Clay, Mark Ilgen, Paul Pfeiffer, Maria Silveira, Maureen Walton, Emily Yeagley

PI: Laura Damschroder, RRP
Title: Develop a tool for tailoring implementation strategies
Team members: Caitlin Reardon, Caitlin Kelley, Leah Gillon, Claire Robinson, Tom Waltz

PI: Mark Ilgen, IIR
Title: Facilitating use of the Veterans Crisis Line in high-risk patients
Team members: Amy Bohnert, Peter Britton (Canandaigua), Stephen Chermack, Jane Forman, Paul Pfeiffer, E. Brooke Pope (Battle Creek)

PI: Eve Kerr, RRP
Title: Promoting appropriate use of services by incorporating provider perspectives
Team members: Laura Damschroder, Angie Fagerlin, Tim Hofer, Sarah Krein, Mandi Klamerus, Caitlin Reardon

National Conference Presentations

Kales H. Assessment and management of neuropsychiatric symptoms of dementia: the need for a targeted and tailored approach. Oral presentation. International College of Geriatric Psychoneuropharmacology Congress, Tsukuba, Japan, October 3, 2014.

Krein S. Fowler K, Ratz D, Meddings J, Saint S. Preventing device-associated infections in U.S. hospitals: national surveys from 2005 to 2013. Poster presentation. Infectious Disease Week. Philadelphia, PA, October 10, 2014.

Langa K. The Growing social and economic impact of dementia in the United States. Oral presentation. Cornell University Medical School, New York, NY, May 1, 2014.

Langa K. The changing risk of dementia in the population: are we already preventing it? Oral presentation. UCSD Alzheimerís disease Conference (Robert Katzman Memorial Lecture), San Diego, CA, May 22, 2014.

Langa K. Tracking the social and economic impact of dementia in the U.S.: findings from the Health and Retirement Study. Oral presentation. NIH Office of Behavioral and Social Science Research Lecture Series, Bethesda, MD, September 12, 2014.

Papers Published

Adams MA, Parikh PD, Miller K, Rubenstein JH. Medical professional liability claims related to esophageal cancer screening. JAMA. 2014 Oct 1;312(13):1348-9.

Aikens JE, Trivedi R, Aron DC, Piette JD. Integrating support persons into diabetes telemonitoring to improve self-management and medication adherence. J Gen Intern Med. 2014 Nov 25

Aikens JE, Zivin K, Trivedi R, Piette JD. Diabetes self-management support using mHealth and enhanced informal caregiving. J Diabetes Complications. 2014 Mar-Apr;28(2):171-6.

Aliu O, Auger KA, Sun GH, Burke JF, Cooke CR, Chung KC, Hayward RA. The effect of pre-Affordable Care Act (ACA) Medicaid eligibility expansion in New York State on access to specialty surgical care. Med Care. 2014 Sep;52(9):790-5.

Arthur AE, Peterson KE, Shen J, Djuric Z, Taylor JM, Hebert JR, Duffy SA, Peterson LA, Bellile EL, Whitfield JR, Chepeha DB, Schipper MJ, Wolf GT, Rozek LS. Diet and proinflammatory cytokine levels in head and neck squamous cell carcinoma. Cancer. 2014 Sep 1;120(17):2704-12.

Ayers K, Waljee AK, Saini SD. Short-term use of selective serotonin reuptake inhibitors increases risk of gastrointestinal bleeding in men with psychiatric diagnoses. Gastroenterology. 2014 Sep 17. pii: S0016-5085(14)01132-9.

Becker WC, Ganoczy D, Fiellin DA, Bohnert AS. Buprenorphine/Naloxone dose and pain intensity among individuals initiating treatment for opioid use disorder. J Subst Abuse Treat. 2014 Sep 26. pii: S0740-5472(14)00198-6.

Bernstein SL, Barsky CL, Powell E. Professional societies, political action committees, and party preferences. Am J Public Health. 2014 Nov 13:e1-e4.

Bonar EE, Bohnert KM, Walters HM, Ganoczy D, Valenstein M. Student and nonstudent National Guard Service members/Veterans and their use of services for mental health symptoms. J Am Coll Health. 2014 Oct 22:0.

Bruckel JT, Gurm HS, Seth M, Prager RL, Jensen A, Nallamothu BK. Use of a heart team in decision-making for patients with complex coronary disease at hospitals in michigan prior to guideline endorsement. PLoS One. 2014 Nov 21;9(11):e113241.

Burke JF, Vijan S, Chekan LA, Makowiec TM, Thomas L, Morgenstern LB. Targeting high-risk employees may reduce cardiovascular racial disparities. Am J Manag Care. 2014 Sep;20(9):725-33.

Caverly TJ, Prochazka AV, Combs BP, Lucas BP, Mueller SR, Kutner JS, Binswanger I, Fagerlin A, Matlock DD. Doctors and numbers: an assessment of the Critical Risk Interpretation Test. Med Decis Making. 2014 Nov 5.

Chan PS, Nallamothu BK, Krumholz HM, Curtis LH, Li Y, Hammill BG, Spertus JA. Readmission rates and long-term hospital costs among survivors of an in-hospital cardiac arrest. Circ Cardiovasc Qual Outcomes. 2014 Oct 28.

Chopra V, Govindan S, Kuhn L, Ratz D, Sweis RF, Melin N, Thompson R, Tolan A, Barron J, Saint S. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern Med. 2014 Oct 21;161(8):562-7.

Chung KC, Nellans KW, Burns PB, Wilgis EF, Burke FD, Fox DA, Kim HM. Patient expectations and long-term outcomes in rheumatoid arthritis patients: results from the SARA (Silicone Arthroplasty in Rheumatoid Arthritis) study. Clin Rheumatol. 2014 Sep 30.

Colla CH, Goodney PP, Lewis VA, Nallamothu BK, Gottlieb DJ, Meara E. Implementation of a pilot accountable care organization payment model and the use of discretionary and nondiscretionary cardiovascular care. Circulation. 2014 Nov 25;130(22):1954-61.

Cooke CR, Iwashyna TJ. Sepsis mandates: improving inpatient care while advancing quality improvement. JAMA. 2014 Oct 8;312(14):1397-8.

Cunningham RM, Carter PM, Ranney M, Zimmerman MA, Blow FC, Booth BM, Goldstick J, Walton MA. Violent reinjury and mortality among youth seeking emergency department care for assault-related injury: a 2-year prospective cohort study. JAMA Pediatr. 2014 Nov 3.

Damschroder LJ, Lutes LD, Kirsh S, Kim HM, Gillon L, Holleman RG, Goodrich DE, Lowery JC, Richardson CR. Small-changes obesity treatment among Veterans: 12-month outcomes. Am J Prev Med. 2014 Sep 9. pii: S0749-3797(14)00314-6.

Damschroder LJ, Robinson CH, Francis J, Bentley DR, Krein SL, Rosland AM, Hofer TP, Kerr EA. Effects of performance measure implementation on clinical manager and provider motivation. J Gen Intern Med. 2014 Sep 19. [Epub ahead of print]

Fazel R, Gerber TC, Balter S, Brenner DJ, Carr JJ, Cerqueira MD, Chen J, Einstein AJ, Krumholz HM, Mahesh M, McCollough CH, Min JK, Morin RL, Nallamothu BK, Nasir K, Redberg RF, Shaw LJ; American Heart Association Council on Quality of Care and Outcomes Research, Council on Clinical Cardiology, and Council on Cardiovascular Radiology and Intervention. Approaches to enhancing radiation safety in cardiovascular imaging: a scientific statement from the American Heart Association. Circulation. 2014 Nov 4;130(19):1730-48.

Govindan S, Iwashyna TJ, Odden A, Flanders SA, Chopra V. Mobilization in severe sepsis: an integrative review. J Hosp Med. 2014 Nov 13.

Grant WB, Levine D, Langa KM, Rogers MA. Acute infection contributes to racial disparities in stroke mortality. Neurology. 2014 Sep 2;83(10):949-50.

Hamstra DA, Johnson SB, Daignault S, Zikmund-Fisher BJ, Taylor JM, Larkin K, Wood A, Fagerlin A. The impact of numeracy on verbatim knowledge of the longitudinal risk for prostate cancer recurrence following radiation therapy. Med Decis Making. 2014 Oct 2.

Heisler M, Choi H, Palmisano G, Mase R, Richardson C, Fagerlin A, Montori VM, Spencer M, An LC. Comparison of community health worker-led diabetes medication decision-making support for low-income latino and african american adults with diabetes using e-health tools versus print materials: a randomized, controlled trial. Ann Intern Med. 2014 Nov 18;161(10 Suppl):S13-22.

Hou JK, Tan M, Stidham RW, Colozzi J, Adams D, El-Serag H, Waljee AK. Accuracy of diagnostic codes for identifying patients with ulcerative colitis and Crohn's disease in the Veterans Affairs Health Care System. Dig Dis Sci. 2014 Oct;59(10):2406-10. doi: 10.1007/s10620-014-3174-7. Epub 2014 May 10.

Hwang S, Jayadevappa R, Zee J, Zivin K, Bogner HR, Raue PJ, Bruce ML, Reynolds CF 3rd, Gallo JJ. Concordance between clinical diagnosis and Medicare claims of depression among older primary care patients. Am J Geriatr Psychiatry. 2014 Aug 27. pii: S1064-7481(14)00245-0.

Kotagal V, Langa KM, Plassman BL, Fisher GG, Giordani BJ, Wallace RB, Burke JR, Steffens DC, Kabeto M, Albin RL, Foster NL. Factors associated with cognitive evaluations in the United States. Neurology. 2014 Nov 26.

Kozminski MA, Palapattu GS, Mehra R, Montgomery JS, Weizer AZ, Skolarus TA, Hollenbeck BK, Miller DC, He C, Tomlins S, Montie JE, Feng FY, Wood DP, Kunju LP, Morgan TM. Understanding the relationship between tumor size, gland size, and disease aggressiveness in men with prostate cancer. Urology. 2014 Aug;84(2):373-8.

Krause N, Hayward RD. Religious involvement and death anxiety. Omega (Westport). 2014;69(1):59-78.

Kullgren JT, Dicks TN, Fu X, Richardson D, Tzanis GL, Tobi M, Marcus SC. Financial incentives for completion of fecal occult blood tests among veterans: a 2-stage, pragmatic, cluster, randomized, controlled trial. Ann Intern Med. 2014 Nov 18;161(10 Suppl):S35-43.

Kullgren JT, Harkins KA, Bellamy SL, Gonzales A, Tao Y, Zhu J, Volpp KG, Asch DA, Heisler M, Karlawish J. A mixed-methods randomized controlled trial of financial incentives and peer networks to promote walking among older adults. Health Educ Behav. 2014 Oct;41(1 Suppl):43S-50S.

Levine D, Kressel HY. Exploring the evolution of imaging. Radiology. 2014 Nov;273(2 Suppl):5A-7A.

Levine DA, Davydow DS, Hough CL, Langa KM, Rogers MA, Iwashyna TJ. Functional disability and cognitive impairment after hospitalization for myocardial infarction and stroke. Circ Cardiovasc Qual Outcomes. 2014 Nov;7(6):863-71.

Levy H, Janke AT, Langa KM. Health literacy and the digital divide among older Americans. J Gen Intern Med. 2014 Nov 12. [Epub ahead of print]

Lo E, Nicolle LE, Coffin SE, Gould C, Maragakis LL, Meddings J, Pegues DA, Pettis AM, Saint S, Yokoe DS. Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol. 2014 Sep;35 Suppl 2:S32-47.

Masheb RM, Lutes LD, Kim HM, Holleman RG, Goodrich DE, Janney CA, Kirsh S, Richardson CR, Damschroder LJ. High-frequency binge eating predicts weight gain among Veterans receiving behavioral weight loss treatments. Obesity (Silver Spring). 2014 Nov 11.

Maust DT, Zivin K. Do organizations forming ACOs have mental health providers? Psychiatr Serv. 2014 Oct 1;65(10):1286-7. doi: 10.1176/ No abstract available.

McGlynn EA, Schneider EC, Kerr EA. Reimagining quality measurement. N Engl J Med 2014; 371:2150-2153

McMahon LF Jr, Beyth RJ, Burger A, Chopra V, Feldstein D, Korenstein D, Subramanian U, Sussman J, Petty B, Tice J. Enhancing patient-centered care: SGIM and choosing wisely. J Gen Intern Med. 2014 Mar;29(3):432-3.

O'Connor PJ, Schmittdiel JA, Pathak RD, Harris RI, Newton KM, Ohnsorg KA, Heisler M, Sterrett AT, Xu S, Dyer WT, Raebel MA, Thomas A, Schroeder EB, Desai JR, Steiner JF. Randomized trial of telephone outreach to improve medication adherence and metabolic control in adults with diabetes. Diabetes Care. 2014 Oct 14.

Petrilli C, Pilie P, Saint S, Kaul D, Odden A. Bigger than his bite. J Hosp Med. 2014 Oct 18.

Pignone MP, Crutchfield TM, Brown PM, Hawley ST, Laping JL, Lewis CL, Lich K, Richardson LC, Tangka F, Wheeler SB. Using a discrete choice experiment to inform the design of programs to promote colon cancer screening for vulnerable populations in North Carolina. BMC Health Serv Res. 2014 Nov 30;14(1):611

Prescott HC, Langa KM, Liu V, Escobar GJ, Iwashyna TJ. Increased 1-year healthcare use in survivors of severe sepsis. Am J Respir Crit Care Med. 2014 Jul 1;190(1):62-9.

Regenbogen SE, Veenstra CM, Hawley ST, Banerjee M, Ward KC, Kato I, Morris AM. The personal financial burden of complications after colorectal cancer surgery. Cancer. 2014 Oct 1;120(19):3074-81.

Saini SD, van Hees F, Vijan S. Smarter screening for cancer: possibilities and challenges of personalization. JAMA. 2014 Dec 3;312(21):2211-2212.

Sales AE, Schalm C, Baylon M, Fraser KD. Data for improvement and clinical excellence: report of an interrupted time series trial of feedback in long-term care. Implement Sci. 2014 Nov 11;9(1):161.

Sauser K, Burke JF, Reeves MJ, Barsan WG, Levine DA. A systematic review and critical appraisal of quality measures for the emergency care of acute ischemic stroke. Ann Emerg Med. 2014 Sep;64(3):235-244.e5.

Schroeck FR, Kaufman SR, Jacobs BL, Skolarus TA, Miller DC, Montgomery JS, Weizer AZ, Hollenbeck BK. Adherence to performance measures and outcomes among men treated for prostate cancer. J Urol. 2014 Sep;192(3):743-8.

Skolarus TA, Wolf AM, Erb NL, Brooks DD, Rivers BM, Underwood W 3rd, Salner AL, Zelefsky MJ, Aragon-Ching JB, Slovin SF, Wittmann DA, Hoyt MA, Sinibaldi VJ, Chodak G, Pratt-Chapman ML, Cowens-Alvarado RL. American Cancer Society prostate cancer survivorship care guidelines. CA Cancer J Clin. 2014 Jul-Aug;64(4):225-49.

Squires JE, Graham ID, Hutchinson AM, Linklater S, Brehaut JC, Curran J, Ivers N, Lavis JN, Michie S, Sales AE, Fiander M, Fenton S, Noseworthy T, Vine J, Grimshaw JM. Understanding context in knowledge translation: a concept analysis study protocol. J Adv Nurs. 2014 Nov 28.

Sripada RK, Pfeiffer PN, Rauch SA, Bohnert KM. Social support and mental health treatment among persons with PTSD: results of a nationally representative survey. Psychiatr Serv. 2014 Oct 1. doi: 10.1176/ [Epub ahead of print]

Sripada RK, Pfeiffer PN, Valenstein M, Bohnert KM. Medical illness burden is associated with greater PTSD service utilization in a nationally representative survey. Gen Hosp Psychiatry. 2014 Sep 20. pii: S0163-8343(14)00221-7.

Veenstra CM, Regenbogen SE, Hawley ST, Griggs JJ, Banerjee M, Kato I, Ward KC, Morris AM. A composite measure of personal financial burden among patients with stage iii colorectal cancer. Med Care. 2014 Nov;52(11):957-62.

Walton MA, Chermack ST, Blow FC, Ehrlich PF, Barry KL, Booth BM, Cunningham RM. Components of brief alcohol interventions for youth in the emergency department. Subst Abus. 2014 Sep 15:0. [Epub ahead of print]

Wittmann D, Carolan M, Given B, Skolarus TA, Crossley H, An L, Palapattu G, Clark P, Montie JE. What couples say about their recovery of sexual intimacy after prostatectomy: toward the development of a conceptual model of couples' sexual recovery after surgery for prostate cancer. J Sex Med. 2014 Oct 31. doi: 10.1111/jsm.12732.


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