HOMERuN Hospital Medicine Collaborative Research Group

Research Collaboration Proposals

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This is the project submission page for the HOMERuN Hospital Medicine Cooperative Research Group. All HOMERuN affiliated individuals - site leads, researchers, organizational members, and patients - are welcome and encouraged to submit ideas and comment.

  • May-June Open Submission Phase

    This Open Submission process is intended to allow researchers from HOMERuN CRG sites to submit their ideas and receive feedback intended to improve the science proposed, identify interested sites, and get practical feedback on issues such as feasibility and usefulness.  

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Proposals (10 total)

Displaying 1 - 10

Prevalence of academic hospitalists who experience discrimination based on their race, ethnicity, religion, or gender while working in the hospital.

Primary Author: Renuka Gupta
Proposal Status: 

 

Principal Investigator:
Renuka Gupta, Assistant Professor, Weill Cornell Medicine.

Co-Investigator:

Arthur Evans, Professor, Weill Cornell Medicine

Plan:
Measure the magnitude of the problem within academic hospital medicine, and, based on the type, source and magnitude of discrimination, identify appropriate policies and strategies to address the problem.  

The effect of patient values clarification and communication of patient preferences to inpatient physicians on patient satisfaction and utilization

Proposal Status: 

Specific Aims:
(1) To describe the goals of care and characteristics of clinical encounters (e.g. thoroughness, explanation, listening, respect, waiting time) valued most greatly by hospitalized patients, stratified by certain important patient characteristics, such as gender, race, preferences for shared decision-making, and health status.

A Scalable Physician Engagement and Assessment Platform

Proposal Status: 

PIs:  Auerbach, Najafi (UCSF)

Co-Investigators (see below): Raman Khanna UCSF, Arora (Univ Chicago), Gupta (UCLA), Moriates (UT Austin).

Although there is intense scrutiny on costs of care and improving healthcare value, there are few data to describe how trainees and attending physicians’ day-to-day workload, local culture, and training interact to produce variations in the value of care delivered.  As a result, there is a substantial gap in our ability to train physicians towards a value-focused future practice style.

Use of a modified early warning score to predict in-hospital mortality and alert clinicians to potential decompensation

Proposal Status: 

We are proposing a project in two phases. Phase 1 is a multi-centered, retrospective study evaluating the association of a patient's maximum early warning score during admission with inpatient mortality. Phase 2 is a multi-centered prospective, pre-post implementation study evaluating the effect of a modified early warning score system on inpatient hospital length of stay, time to anti-infectives, direct cost, and ICU length of stay.  Please see attached documents for details; application in PDF format is attached.

Improving Patient Centered Outcomes through Accountable Care Units: A Comparative Effectiveness Trial of Traditional Care Model to Accountable Care Unit Model

Proposal Status: 

PI name and affiliations: Marisha A. Burden, MD, Denver Health and Hospital Authority, University of Colorado School of Medicine; Angela Keniston, MSPH, Denver Health and Hospital Authority

Site PI name and affiliations: Flora Kisuule, MD, MPH, Johns Hopkins School of Medicine; David Paje, MD, MPH, University of Michigan; Keri Holmes-Maybank, MD, Medical University of South Carolina; Hemali Patel, MD, University of Colorado Hospital, University of Colorado School of Medicine; Jeremy Schwartz, MD, Yale School of Medicine

Identification and validity of hospital observation encounters in administrative data

Proposal Status: 

PI name/affiliations:

Ann Sheehy, MD, MS

Associate Professor and Division Head, Hospital Medicine

University of Wisconsin Department of Medicine

Potential Co-investigators: Would seek investigators with interest in observation hospital policy to study a representative sample of United States hospitals. This would ideally include urban/rural/community sites, academic/community hospitals, and geographically diverse institutions.

Vital Signs Are Still Vital: Epidemiology and Interventions for Vital Sign Instability on Discharge to Improve Care Transitions, Outcomes, and Patient Safety

Proposal Status: 

1. PI Name And Affiliations

Oanh Kieu Nguyen, MD, MAS
Assistant Professor of Internal Medicine
UT Southwestern Medical Center, Dallas, Texas

2. Potential Co-Investigators

Anil N. Makam, MD, MAS, Assistant Professor of Internal Medicine, UT Southwestern (Co-PI)
Ethan A. Halm, MD, MPH, Professor of Internal Medicine, UT Southwestern
Potential Co-Investigators from collaborating HOMERuN and/or PCORnet CRG partner institutions TBD

Care of the Hospitalized Geriatric Patient: Inpatient care models and patient outcomes

Proposal Status: 

PI name and affiliations Andrew Auerbach, MD; Professor, Division of Hospital Medicine, University of California San Francisco (UCSF), Christine Ritchie, MD; Professor, Division of Geriatrics, UCSF

Predictors of Outcomes Among Transferred Patients

Primary Author: Stephanie Mueller
Proposal Status: 

PI NAME + AFFILIATION: Stephanie K. Mueller, MD MPH, Associate Physician, Brigham and Women’s Hospital (BWH), Instructor of Medicine, Harvard Medical School

 

POTENTIAL CO-INVESTIGATORS:

Improving use of erythropoeitin stimulating agents in patients with acute kidney injury

Primary Author: Chi-Yuan Hsu
Proposal Status: 

PI name and affiliations Chi-yuan Hsu, MD, MSc; Professor and Chief, Division of Nephrology, University of California San Francisco (UCSF)

Potential Co-investigators Andrew Auerbach, MD; Professor, Division of Hospital Medicine, UCSF

Kathleen Liu, MD, PhD; Professor, Division of Nephrology, UCSF

Raymond Hsu, MD; Assistant Professor, Division of Nephrology, UCSF