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