GRIN Research Projects
Title
Principal
Investigator/
Institution
Data Sets
Data Collection Methods
Lee Green, MD, MPH
UM Family Medicine
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 Cognitive Task Analysis
 Task Diagrams
 Knowledge Audits
Jodi Holtrop, PhD,
(formerly of MSU
Family Medicine.
Now with the
University of
Colorado – Denver)
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Currently Funded, Active Studies
Implementation of Clinical
Reminder System By Cognitive
Engineering of Organizational
Routines
Implementing Sustainable Diabetes
Prevention and Self-Management in
Primary Care (PC-MAP)
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Decision Aid to Technologically
Enhance Shared Decision Making
(DATES)
Enhancing Informal Caregiving to
Support Diabetes Self-Management
Jimbo Masahito, MD,
PhD, MPH,
UM Family Medicine
Jim Aikens, PhD,
UM Family Medicine
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Visit workflow
IT use
UDS quality indicator data
Patient clinical measures including:
o HbA1c
o Blood Pressure
o Lipids
o Micro albumin
o BMI measurements
o Fasting blood sugar levels
o Foot exam results
o Eye exam results
o Diet
o Physical activity level
o Alcohol utilization history
o Tobacco utilization history
General economic analysis for practices
including:
o Direct revenues for care management
implementation
o Direct cost of implementation of care
management
o Cost benefit that is attributed to care
management
Quality & Integration and Normalization Process
Theory scores
Impact of interactive behavioral intervention tool
used to increase patient use of colorectal CA
screening.
Basic Demographics
Diagnosis
Blood levels (A1C3, etc.) before and after
intervention
 The Assessment of Chronic Illness Care (ACIC)
Survey
 The patient centered version of the ACIC (PACIC)
 Cognitive Task Analysis
 Task Diagrams
 Practice Information Survey
 Clinician & Practice Member Surveys
 EMR data( NextGen)
 Qualitative Key Informant Interviews
 Qualitative Observation Field Notes
 DPP-Modified (patient related costs)
 EQ-5D (health related quality of life)
 Time/Expenditure Logs (intervention costs)
 Patient Questionnaire (health behaviors,
demographics and depression) – FileMaker data
base
 Web based colorectal screening survey called
Colorectal Web
 Non on-interactive site called Standard Web
 Chart review
 Automated Telemonitoring with data entered on
telephone touch keypad
 Surveys
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 Blood tests
 Semi-structured phone interviews
 ReCHAT (Research: Choosing Health plans All
Together)
 Community member focus groups
Susan Goold, MD,
MHSA, MA,
UM Internal Medicine
 Community views of the tool (ReCHAT) including
fairness of group decisions and processes.
 Whether participation effects knowledge.
 Focus is on methods for successful method to
engage communities in health research while
focusing on ethics and relationships.
Jim Aikens, PhD,
UM Family Medicine
 Basic Demographics
 Mental Health History
 Mood scores before and after intervention
 Chart review
 Automated Telemonitoring with data entered on
telephone touch keypad
 Surveys
 Blood tests
 Semi-structured phone interviews
SEARCH I (Screening, Evaluating
and Assessing Rate CHanges of
diagnosing respiratory conditions in
Primary Care): A prospective,
cluster-randomized study.
William Wadland,
MD, MS,
MSU Family
Medicine
 COPD risk assessment and screening
 Chart review
Impact of Treating Elevated Blood
Pressure in Hospitalized Patients on
Long-term Treatment of
Hypertension in Primary Care
Practices
Alan Weder, MD,
UM MedSport
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DECIDERS
Studies Under Review/Pending
Telemonitoring-Enhanced Support
for Depression Self Management
Funded, Completed Studies
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Ethics and Public Attitudes Toward
the Research Uses of Archived
Biological Samples
Tom Tomlinson, PhD,
MSU Center for Ethics
and Humanities
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Asthma Guideline Implementation
Steps and Tools (GIST)
Tisa Vorce, Michigan
Department of
Community Health
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Gender
Age
DOB
Race/ethnicity
Previous diagnosis and existing conditions
Practice information
Patients admitted for reasons other then HTN.
Frequency of HTN meds prescribed by other
providers.
Types of oral medications prescribed (i.e. beta
blockers, ACEI, alpha-beta blocker, or other meds)
Feelings about safety at discharge.
Percentage of patients with which HTN med is
changes post acute discharge.
Why the patient is unwilling or unsure about donate
tissues.
If they are willing to donate what their confidence
level is in the donation process.
Demographic information
View on abortion policy
View on homosexuality
If participant or someone they know has donated.
How beneficial or harmful medical research is for
human health and well being.
Cost of the following (in many cases using ICD-9
codes for analysis):
o Pharmacy Claims
 Surveys to physicians
 Survey using Redcap
 Asthma Call-back Survey
 Asthma Mortality Review Project
 Behavioral Risk Factor Surveillance System
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(MDCH)
Clinical Research Network
Feasibility Awards (CRNFA)
Lee Green, MD, MPH,
UM Family Medicine
Survey on Patient Safety (SOPS)
Henry Barry, MD,
MSU Family
Medicine
Depression, Anxiety and Health
Behaviors: What is the Real Scope
of the Problem in Primary Care?
(DAHB)
Jodi Holtrop, PhD,
(formerly of MSU
Family Medicine.
Now with the
University of
Colorado – Denver)
Jodi Holtrop, PhD,
(formerly of MSU
Family Medicine.
Now with the
University of
Colorado – Denver)
Community Health Educator
Referral Liaison (CHERL)
Transition Grant
MCRC: Michigan Clinical Research
Lee Green, MD, MPH,
o Scheduled Office Visits
o Unscheduled Office Visits
o ED/Urgent Care visits
o Hospitalization
o Mortality
 Looking at the following for the above
o Triggers
o Management
o Severity
o Quality of Life
o Access
o Prevalence
o Incidence
 Casual Factors
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Return and response rates
o Depression symptoms for older patients with
diabetes.
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Office perspectives on
 Teamwork
 Organizational learning and training
 Communication
 Patient care tracking an follow up
 Office process and procedure standardization
 Perceived owner/leadership support for safety
 Work pressure and pace
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Overall perceptions of patient safety and quality
 Demographics
 Health Behavior (smoking, alcohol, etc.)
 Mood Disorder diagnosis and medications for
disorders where appropriate
 BMI
 Medical Office Survey on Patient Safety Culture for
outpatient settings.
 Basic demographics
 Health Behaviors including the following:
o History of tobacco use
o Diet score
o BMI
o Physical activity
o Alcohol use
Practice characteristics and environments
 Depression symptoms (PHQ-9)
Michigan Death File
Health School Action Tools
Michigan Data Warehouse (Medicaid)
Michigan Inpatient Database
State Facilities Survey for Certificate of Need
School Health Profiles
Youth Risk Behavior Survey
Youth Tobacco Survey
 Cognitive Task Analysis workflow interviews
 Consecutive patient surveys
 Behavioral Risk Factor Surveillance Survey
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 Computerized support system that tracked the
following:
o Patient calls
o Dates of service
o Clinician feedback
 Prescription for Health study surveys
 International Physical Activity Questionnaire short
form.
 Two PHQ-2 questions added.
Interviews from the Community Health Educator
Prospective longitudinal data (1.5 years) at 2 primary
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Collaboratory
UM Family Medicine
Using Community Based Screening
Mammography Encounters as
Teachable Moments for Cancer
Control and Prevention (Mamm)
Ruth Carlos, MD
UM Radiology
Multi-method Evaluation of the
Physician Group Incentive Program
for PCMH Transition
Chris Wise PhD,
UM Center for
Healthcare Research
and Transformation
Jodi Holtrop, PhD,
(formerly of MSU
Family Medicine.
Now with the
University of
Colorado – Denver)
A Comparison of Provider Versus
Health Plan Delivered Care
Management in Michigan (PDCM)
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Coronary events (urgent cath/angioplasty)
Medications
General demographics
History of following for each participant:
o Colon cancer screening
o If patient has a history of cancer
o Feelings about colon cancer and screening
methods
o General health
o If daughters (if appropriate) have received the
HPV vaccine.
o If a colon screening was completed if
recommended
 Designs and impact of PCMH processes
 Benefits and challenges practices have experienced
care practices
 Patient clinical values (HbA1c, blood pressure,
lipids, BMI, etc.)
 Quality and Integration and Normalization Process
Theory scores
 Claims data
 Patient clinical values
 Patient engagement in Care Management
 Patient assessment of care management
 PO level interviews with key stakeholders
 CTA interviews with practice members including
clinicians
 Clinician surveys
 Qualitative observation field notes
 Patient assessment of care management via
surveys/interviews
 Chart audits/record reviews (clinical values)
 Examination of claims data for selected patients (by
BCBSM)
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 Surveys
 Chart review
 Cognitive Task Analysis
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