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Center for Healthcare Policy and Research

Center for Healthcare Policy and Research

Research

The Center for Healthcare Policy and Research has conducts a broad array of multidisciplinary projects in health services research, comparative effectiveness, and other research areas related to our Mission. 

Current Research

puzzle pieces

Quality, Safety and Comparative Effectiveness Research Training Program (T32)
Funding Agency: AHRQ
Funding Amount: $2,001,732
Co-PIs: Joy Melnikow, MD, MPH and Patrick S. Romano, MD, MPH

Sacramento Taking Action Against Nicotine Dependence on Community College Campuses
Funding Agency: UCOP
Funding Amount: $239,860
PI: Elisa Tong, MD, MA

Development of Ambulatory Care Outcome Measures
Funding Agency: CMS (Subcontract with Yale University)
Funding Amount: $18.920
PI: Patrick S. Romano, MD, MPH

Innovation Evaluation Center
Funding Agency: UCOP
Funding Amount: $92,940
PI: Patrick S. Romano, MD, MPH

N-of-1 Trials Using mHealth in Chronic Pain
Funding Agency: NIH
Funding Amount: $3,905,813
PI: Richard L. Kravitz, MD, MSPH

Use of administrative data to develop and validate a set of nurse sensitive measures in patients with stroke
Funding Agency: Neuroscience Nursing Foundation
Funding Amount: $10,000
PI: Patricia Zrelak, Ph.D., C.N.R.N., C.N.A.A., B.C.

Acting to Reduce Variations in Utilization: Advance Care Planning for Heart Failure
Funding Agency: CHF/UCLA
Funding Amount: $42,181
PI: Patrick S. Romano, MD, MPH

Provider Training to Support Patient Self-efficacy for Depression Care
Funding Agency: NIH
Funding Amount: $698,602
PI: Anthony F. Jerant, MD

Promoting Patient-centered Counseling to Reduce Inappropriate Diagnostic Tests
Funding Agency: PCORI
Funding Amount: $687,729
PI: Joshua Fenton, MD, MPH

Exploring Disparities: Urinary incontinence Treatment Seeking in Mid-life Women
Funding Agency: NIH
Funding Amount: $418,168
PI: Elaine Waetjen, MD

Symptoms and Care-Seeking Behavior During Acute Stroke, A Descriptive Study 
PI: Patricia Zrelak, PhD, CNRN, NEA-BC. 
Source of Support: Genentech  

Values and Options in Cancer Care (VOICE)
PI: Richard L. Kravitz, M.D., M.S.P.H.
Source of Support: National Cancer Institute (NCI)

AHRQ Quality Indicators Emergency Preparedness Measures
Principal Investigator: Patrick Romano, MD, MPH.
Source of Support: Batelle Memorial Institute
Approved/Proposed Dates: 1/1/08- (contract extensions and modifications ongoing)
Total Costs: $980,672

Recent projects

Better Effectiveness After Transitions for Heart Failure (BEAT-HF) 
PI: Patrick Romano, M.D., M.P.H. 
Source of Support: Agency for Healthcare Research and Quality (AHRQ)

Targeted and Tailored Messages to Enhance Depression Care and Reduce Stigma
Principal Investigator: Richard Kravitz, MD, MSPH
Source of Support: National Institutes of Mental Health
Approved/Proposed Dates: 9/27/07-7/31/12
Total Costs: $2,934,256

Cost-effectiveness Analysis to Inform Breast Cancer Screening Policy
Principal Investigator: Joy Meinikow
Funding Agency: UC California Breast Cancer Research Program

Evidence-Based Policy Tools to Promote Health and Disease Prevention
Principal Investigator: Joy Melnikow
Funding Agency: Centers for Disease Control

Patient Coaching for Care of Cancer Pain
Richard Kravitz, M.D., M.S.P.H.
American Cancer Society

Costs of Occupational Injury and Illness
J. Paul Leigh, Ph.D.
National Institute for Occupational Safety and Health

 

Using Social Risk to Guide CHD Preventive Treatment
Peter Franks, M.D.
National Institutes of Health (Subcontract w/U of Rochester)

 

Targeted and Tailored Messages to Enhance Depression Care and Reduce Stigma
Richard Kravitz, M.D., M.S.P.H.
National Institutes of Mental Health 

 

Support of ongoing work on the validity and usefulness of the AHRQ Patient Safety Indicators
Patrick Romano, M.D., M.P.H.             
Moore Foundation

 

Migrant agricultural workers’ mental health needs and barriers to care:  A pilot study
Natalia Deeb-Sossa, Ph.D. 
CHPR/CTSC

 

Validation of a parent exit interview survey to assess physician counseling on diet and physical activity during pediatric well child visits
Ulfat Shaikh, M.D., M.P.H.
CHPR/CTSC

 

Designing Sustainable Educational Materials for Community-based Programs
Ben Rich, J.D., Ph.D.
CHPR/CTSC

 

What should doctors say when giving prescriptions?  The use of persuasive strategies in medical recommendations
Bo Feng, Ph.D.
CHPR/CTSC

 

Validating methods for assessing vitamin D status in different ancestry groups
Sheri Zidenberg-Cherr, Ph.D.
CHPR/CTSC

 

Social attachment and neurocognitive function as predictors of parental dysfunction in at-risk mothers
Michael J. Minzenberg, Jon Caldwell
CHPR/CTSC
 
T2D2 Dissemination Conference
Richard Kravitz, M.D., M.S.P.H.
SAMHSA

 

New  Technology for Breast Cancer Screening:  Impact on the State Safety Net Program for the underserved
Joy Melnikow, M.D., M.P.H.
California Program on Access to Care

 

Development of a Diabetes Self-Management Education Program via Telemedicine for Patients in Rural Underserved Communities in California
James Nuovo, M.D.

California Medical Board

 

Indicator Revisions for Present on Admission (POA)
Patrick S Romano, M.D., M.P.H.

Battelle Memorial Institute/AHRQ

 

Adverse Events Reporting
Patrick S Romano, M.D., M.P.H.

California Department of Public Health

 

Nurse to Patient Ratios
Patrick S Romano, M.D., M.P.H.
California Department of Public Health

 

Pediatric Emergency Care Applied Research Network Nathan Kuppermann, M.D., M.P.H.
Conducts high priority research into the prevention and management of acute illness and injuries in children and youth of all ages.

Childhood Head Trauma: A Neuroimaging Decision Rule Nathan Kuppermann, M.D., M.P.H.
Aims to develop a highly accurate decision rule for the evaluation of children with blunt head trauma.

Less Recent Projects

Pediatric Emergency Care Applied Research Network Nathan Kuppermann, M.D., M.P.H.
Conducts high priority research into the prevention and management of acute illness and injuries in children and youth of all ages.

 

Childhood Head Trauma: A Neuroimaging Decision Rule Nathan Kuppermann, M.D., M.P.H.
Aims to develop a highly accurate decision rule for the evaluation of children with blunt head trauma.

 

Simultaneous Care: Linking Palliation to Clinical Trials Frederick J. Meyers, M.D.
Investigates methods for providing cancer patients enrolled in clinical trials with improved problem-solving and decision-making skills to decrease patient stress and increase the volume and quality of doctor-patient communication.



Interactive ELSI Curriculum for Primary Care Residents Michael S. Wilkes, M.D., Ph.D.
Development and evaluation of Web-based curriculum on the ELSI related to genetics for primary care residents in IM and PEDs.


Social Influences on Practice Richard Kravitz, M.D., M.S.P.H.
Examines the effects of patient request style on physician prescribing behavior.


Micro-level Barriers in Accrual to Cancer Clinical Trials Primo N. Lara, M.D. & Debora Paterniti, Ph.D.
A "bottom-up" approach to addressing interactional breakdown as a critical component of understanding and eliminating barriers to early phase clinical trials.


Pharmacokinetics and Efficacy of Lorazepam in the Treatment of Pediatric Status Epilepticus Jim Chamberlain & Cheryl Vance, M.D.
Study aimed at determining the pharmacokinetics of lorazepam in children.


California Coronary Artery Bypass Graft (CABG) Project Zhongmin Li, Ph.D.
Study accessing several issues related to Coronary Artery Bypass Graft Surgery and current available measurement tools.


Prescription Drug Information Project: Phase II Richard Kravitz, M.D.
Second phase of an initiative to provide easily accessible, reliable and objective information to health care decision makers concerning treatment options for 6 medical conditions treated with 8 drug classes

Clinical Reviews and IMR Outreach Edward Callahan, Ph.D.
Provides IMR information to physicians and patients while monitoring and evaluating DMHC outreach efforts.


Improving Palliative Care in Assisted Living Anthony Jerant, M.D.
Examines and compares two TLC models of palliative care delivery for elderly assisted living residents.


Comparative Information on Prescription Drugs Advertised Directly to Consumers Richard Kravitz, M.D., M.S.P.H. Establishes effective strategies for assisting consumers in selecting optimal drug and treatment regimens.


Tamoxifen Prevention of Breast Cancer: What is Cost Effective? Joy Melnikow, M.D., M.P.H.
A cost effectiveness analysis of the use of tamoxifen for breast cancer risk reduction.


Evaluation of the California Quality of Care Report Card Julie Rainwater, Ph.D.
A comprehensive evaluation of California's Quality of Care Report Card by CHSRPC.


Support for AHRQ Quality Indicators Patrick Romano, M.D., M.P.H.
Assists the US Agency for Healthcare Research and Quality with refinement and support of the AHRQ Quality Indicators.

Information about Quality in a Randomized Evaluation Patrick Romano, M.D., M.P.H.
Examines the effect of the presentation of quality of care information on consumer health care decisions.


Construct OB Outcomes Data and Reports Patrick Romano, M.D., M.P.H.
Development of a multi-indicator report card on obstetric performance for all California hospitals.


Traumatic Brain Injury Surveillance Patrick Romano, M.D., M.P.H.
A wide-scale evaluation of the state's Traumatic Brain Injury (TBI) surveillance system.


Public Response to Implementation of AB 394 Patrick Romano, M.D., M.P.H.
Provision of analytic and technical support for the California State Department of Health Services regarding California Assembly Bill 394.


Study on Emergency Department Usage Richard Kravitz, M.D.
Examined utilization rates of the UC Davis Emergency Department (ED) over an 18 month period and how those utilization rates varied according to patient characteristics already routinely collected in patient records


Minority Substance Abuse Prevention and HIV Prevention Services Program Edward Callahan, Ph.D.
Aimed at reducing substance abuse and HIV infection among minority youth in Sacramento County.


Medicare + Choice and Minority Elderly Debora Paterniti, Ph.D.
Examines Medicare benefit package availability and individual level characteristics of elderly Medicare recipients across race and ethnicity.


Informatics tools to reduce warfaring dosing errors Richard H. White, M.D.
Evaluation of the efficacy of a PDA-based tool to assist in accurately prescribing warfarin.


Assessing Costs of Policy Changes to Medi-Cal Paul Leigh, Ph.D.
Aimed at estimating the cost savings to the state government of Medi-Cal changes.


Estimating Expenditure and Enrollment Impacts of Selected Medi-Cal Redesign Policy Changes Paul Leigh, Ph.D.
Focuses on specific Medi-Cal Redesign Policy changes, including those suggested as options by the State in February 2005.


Intervening to Increase Follow-up to Abnormal Mammograms Debora Paterniti, Ph.D.
Seeks to develop an intervention that will assist health professionals and women to communicate about barriers to timely abnormal mammogram follow-up.


Health Policy Conference Yali Bair, Ph.D.
The conference will bring together researchers, clinicians, legislative and state department representatives to discuss solutions to California's emergency health care services challenges.