Ongoing and Completed Projects Supported by Delivery Science Grants Program (DSGP)

Comparative effectiveness of intermittently scanned continuous glucose monitoring (isCGM) vs. self-monitoring of blood glucose (SMBG) among insulin-treated type 2 diabetes patients in Kaiser Permanente
Lisa Gilliam, Andrew Karter | DSGP | Ongoing

De-implementation of Outdated Colonoscopy Surveillance Interval Recommendations Among Patients with Low-risk Adenomas (DESIRE)
T.R. Levin, Jeffrey Fox, Jeffrey Lee | DSGP | Ongoing

Development of a scalable and adaptable clinical workflow for machine learning (ML)-based suicide prevention in mental health care
Honor Hsin, Esti Iturralde, Vincent Liu, Stacy Sterling and Kristine Girard | DSGP | Ongoing

Evaluating patient engagement in "KP Connected Pregnancy Care" and its association with utilization and perinatal outcomes
Mara Greenberg, Monique Hedderson | DSGP | Ongoing

Evaluation of an Electronic Health Record-Based Risk Stratification Algorithm for Perioperative Medicine Triage
Brad Cohn, Vincent Liu | DSGP | Ongoing

Evaluation of the EmbrACE Intervention for Adults with a History of Adverse Childhood Experiences
Kathryn Erickson-Ridout, Lyndsay Avalos | DSGP | Ongoing

Extending Intravenous Tenecteplase Beyond 4.5-hour Window for Patients with Acute Ischemic Stroke
Mai Nguyen-Huynh, Jeff Klingman | DSGP | Ongoing

Gestational Diabetes Screening: Are Changes in Recommended Timing Associate with Perinatal Outcomes?
Assiamira Ferrara, Mara Greenberg | DSGP | Ongoing

Grasshopper: A Novel Clinical Dashboard for Radiologists
Vignesh Arasu, Jason Balkman | DSGP | Ongoing

Identifying Best Practices of Early Phase Pediatric Eating Disorder Care
Josephine Lau, Stacy Sterling | DSGP | Ongoing

Improving Care by Defining the Role of ElectroNic HealTh Record-Based Alerts In a Fully Integrated Health Care Delivery SYstem for Worsening Heart Failure (IDENTIFY-WHF)
Drew Ambrosy | DSGP | Ongoing

Improving Multidisciplinary Care for Patients with Muscle Invasive Bladder Cancer
Andrea Harztark | DSGP | Ongoing

Improving quality by TARGETing LDL using a systems-based approach to evaluate our current performance (TARGET-LDL)
Adam Rogers, Carlos Iribarren | DSGP | Ongoing

Improving Shared Decision Making for Prostate Cancer Screening through use of an E-visit
Joseph Presti, Andy Avins | DSGP | Ongoing

Incorporation of informed-decision making into the e-visit for PSA testing
Joseph Presti, Andy Avins | DSGP | Ongoing

Making the right thing easy to do: automatic risk stratification for hospital-acquired thromboembolism
Elad Neeman | DSGP | Ongoing

Naturalistic longitudinal examination of electroconvulsive therapy, transcranial magnetic stimulation, and intravenous ketamine for treatment-resistant depression in a large integrated healthcare system
Kevin Li , Esti Iturralde | DSGP | Ongoing

Population management for schizophrenia, schizoaffective disorder, and bipolar disorder utilizing trained psychiatric pharmacists
Lisa Fazzolari, Esti Iturralde | DSGP | Ongoing

Population Management of Post Bariatric Surgery Patients to Prevent Micronutrient Deficiencies
Helene Choquet, Sanjoy Dutta | DSGP | Ongoing

Post-Acute Sequelae of SARS-Cov-2 Infection (PASC) in Adult KPNC Members
Mary Reed, Dustin Ballard | DSGP | Ongoing

Predictive Analytics for Newborn Bilirubin Management
Michael Kuzniewicz, Dan Brugger | DSGP | Ongoing

Reducing Variation in Hospitalization and Processes of Care in Emergency Department Patients with Atrial Fibrillation: A Stepped Wedge Cluster Randomized Trial
David Vinson, Mary Reed | DSGP | Ongoing

Sexual Health E-visit as a Tool to Improve Access to Prevention and Treatment of Sexually Transmitted Infections
Jacek Skarbinski, Amanda Thornton, Dana Clutter | DSGP | Ongoing

Social Expression in the Treatment of Gender Dysphoria: Longitudinal Outcomes from a Novel Gender Expression Care Program
Andrew Avins, Grace Firtch | DSGP | Ongoing

Testing a new population management model for hypoglycemia prevention in high-risk KPNC members
Lisa Gilliam, Richard Grant | DSGP | Ongoing

Toward Reducing Surgical Complications After Urgent and Emergent Surgery
Edward Yap, Mary Reed | DSGP | Ongoing

Understanding the Risk of Advanced Colorectal Neoplasia in Patients with 3-4 Non-advanced Adenomas Compared to Those with 1-2 Non-advanced Adenomas
Jeff Lee, Theodore Levin | DSGP | Ongoing

Use and outcomes of intrapleural fibrinolytic therapy for complicated parapneumonic pleural effusion and empyema in Kaiser Permanente Northern California
Eduardo Solbes, Laura Myers | DSGP | Ongoing

Validation of a Novel Algorithm for Emergency Department Patients with Possible Acute Coronary Syndromes Following the Transition to a High-Sensitivity Troponin Assay
Dustin Mark, Mary Reed | DSGP | Ongoing

Validation of risk models used for recommending high risk MRI screening
Vignesh Arasu | DSGP | Ongoing

What factors affect time to surgery for lung cancer and moderate its associations with patient outcomes?
Jeffrey Velotta, Lori Sakoda | DSGP | Ongoing

(POEM) Practice of Embracing each Moment
Ai Kubo | DSGP | Completed

A learning health care system in action: Kaiser Permanente Northern California’s response to the COVID-19 pandemic
Gabriel Escobar, Laura Myers, Vincent Liu | DSGP | Completed | View Summary

A Prenatal Care Strategy that Included Telehealth had Similar Outcomes as In-Person Visits
Assiamira Ferrra, Mara Greenberg | DSGP | Completed | View Summary

A Randomized, Multi-Drug De-Prescribing Intervention did not Change Medication Use or Geriatric-Syndrome Diagnoses
Maisha Draves, Lisa Herrinton | DSGP | Completed | View Summary

Adductor Canal Catheters not Superior to Conventional Therapy for Postoperative Pain Management After Total Knee Arthroplasty: A Trial
Adrian Hinman, Andy Avins | DSGP | Completed | View Summary

Assessing practice patterns and potential quality gaps in primary nodule evaluation
Archan Shah, Dinesh Kotek, Lori Sakoda | DSGP | Completed

Automatic risk stratification for hospital-acquired venous thromboembolism to improve utilization of risk-appropriate pharmacological prophylaxis
Raymond Liu, Gabriel Escobar, Vincent Liu | DSGP | Completed

Colorectal cancer screening in African-American patients
TR Levin | DSGP | Completed | View Summary

Complex chronic patients
Julie Sandoval, Richard Grant | DSGP | Completed

COVID-19 related changes in health care delivery and health outcomes among pregnant women and their newborns
Mara Greenberg, Assiamira Ferrara | DSGP | Completed | View Summary

Delivery Science Rapid Analysis Program (RAP)
Rick Dlott, Julie Schmittdiel | DSGP | Completed

Developing a TPMG Pathway for Selective Oncotype Testing in Early Breast Cancer
Veronica Shim, Laurie Habel | DSGP | Completed

Development and implementation of an evidence-based risk calculator for diabetic retinopathy screening and population management
Dariusz Tarasewicz, Oleg Sofrygin | DSGP | Completed | View Summary

Development and testing of a mobile-health (m-health) intervention tool to help obese women achieve appropriate gestational weight gain
Tracy Flanagan, Sarah Mandel, Monique Hedderson | DSGP | Completed

Does Centering Pregnancy Impact Patient Satisfaction with Prenatal Care and Maternal Health and Behavioral Outcomes?
Lyndsay Avalos, Joanna Stark | DSGP | Completed

Does timing to surgery for lung cancer have an effect on outcomes?
Jeffrey Velotta, Lori Sakoda | DSGP | Completed | View Summary

Effectiveness and safety of interferon-free treatment for hepatitis C virus (HCV) infection
David Witt, Michael Allerton, Michael Silverberg | DSGP | Completed | View Summary

Effects of prenatal screening biochemical analyte levels on pregnancy outcomes
Leslie Manace Brenmann, Erica Gunderson | DSGP | Completed

Electronic inbasket strategies
Jeff East, Mark Moeller, Tracy Lieu | DSGP | Completed | View Summary

Electronically Identifying Patients at Elevated Risk of HIV Increased Pharmacologic HIV Pre-exposure Prophylaxis Use: A Clinical Trial
Michael Silverberg, Jonathan Volk | DSGP | Completed | View Summary

Evaluate “Centering Pregnancy”, a group prenatal care program, impact on health outcomes and health care utilization.
Joanna Stark, Lyndsay Avalos | DSGP | Completed

Evaluating ASD interventions in KPNC
Meghan Davignon, Lisa Croen | DSGP | Completed

Evaluating outcomes and efficiency of consolidated multidisciplinary care for head and neck cancer
Charles Meltzer, Lori Sakoda | DSGP | Completed | View Summary

Evaluation of a novel equity-focused intervention to optimize thiazide dosing & improve blood pressure control among African Americans
Joe Young, Alyce Adams | DSGP | Completed

Evaluation of More Than Words Program at KPNC
Meghan Davignon, Lisa Croen | DSGP | Completed

Evaluation of the Achieving Depression and Anxiety Patient Centered Treatment (ADAPT PLUS) Program as a model for immediate care delivery to outpatients with depression and anxiety
Kathryn Erickson-Ridout, Connie Weisner. Esti Iturralde, Samuel Ridout | DSGP | Completed | View Summary

Genetic testing of women with hereditary breast and ovarian cancer syndrome
Bethan Powell, Larry Kushi | DSGP | Completed | View Summary

Glyburide vs insulin for the treatment of women with gestational diabetes
Yvonee Crites, Anne Regenstein, Monique Hedderson | DSGP | Completed | View Summary

Heart failure readmission intervention
Keane Lee, Alan Go | DSGP | Completed

Implementation of Artificial Intelligence Algorithm in Breast Imaging for Screening Backlog Management
Vignesh Arasu, Laurel Habel | DSGP | Completed | View Summary

Implementation of Patient Reported Outcomes in Head and Neck Cancer
Jed Katzel, Stephen Van Den Eeden | DSGP | Completed | View Summary

Improving ARDS care
Greg Marelich, Vincent Liu | DSGP | Completed

Improving Outcomes and Care Experience among Dual Eligible Members: The Role of Health System Factors
Somalee Banerjee, Alyce Adams | DSGP | Completed | View Summary

Improving risk stratification of E.D. patients with acute heart failure: external validation of the STRATIFY tool
Dana Sax, Mary Reed | DSGP | Completed | View Summary

Is Peri-Articular Injection Alone Equivalent to Peri-Articular Injection plus Adductor Canal Catheter in the Management of Post-Operative Pain Following Primary Elective Total Knee Arthroplasty
Adrian Hinman, Andy Avins | DSGP | Completed

Kidney Disease Population Care
Sijie Zheng, Alan Go | DSGP | Completed

KP-specific cardiac history and risk summaries: standardizing Emergency Work-ups Around Risk Data (STEWARD) Chest Pain Project - Phase 3
Dustin Mark, Mary Reed | DSGP | Completed | View Summary

Lymphatic Microsurgical Preventative Healing Approach to Prevent Lymphedema in Patients Undergoing Axillary Lymph Node Dissection for Breast Cancer
Amanda Graff-Baker, Marilyn Kwan | DSGP | Completed

Mobile health mindfulness in cancer palliative care
Tatjana Kolevska, Yan Li, Ai Kubo | DSGP | Completed

No Differences in ED Visits, Hospitalizations, or Mortality Among Heart Failure Patients with Remote Telemonitoring
Amir Axelrod, Andrew Ambrosy, Alan Go | DSGP | Completed | View Summary

Novel KP Prostate Cancer Risk Calculator Leads to Better Selection of Men Needing a Biopsy in Those with Mild PSA Elevations
Joseph Presti, Andrew Avins | DSGP | Completed | View Summary

Novel Risk Stratification Optimizes Hepatocellular Carcinoma Surveillance Protocols and Guidelines
Varun Saxena, Julie Schmittdiel | DSGP | Completed | View Summary

Opioid Safety Initiative (OSI)
Andrea Rubinstein, Cynthia Campbell | DSGP | Completed

Outcomes of door-to-needle times in stroke patients
Alex Flint, Jeff Klingman, Mai Nguyen-Huynh | DSGP | Completed | View Summary

Outreach to Enhance COVID-19 Vaccination Among Hesitant Elderly
Tracy Lieu | DSGP | Completed | View Summary

Patient experiences with video visits
Irwin Barr, Craig Wargon, Rahul Parikh, Mary Reed | DSGP | Completed

Patient reported outcomes in pancreatic cancer
Piyush Srivastava, Stephen Van Den Eeden | DSGP | Completed | View Summary

Pediatric Obstructive Sleep Apnea: Predictive Modeling to Streamline Care
Mustafa Bseikri, Elizabeth Feliciano | DSGP | Completed

Physical Function in Pancreatic Cancer Patients
Stephen Van Den Eeden, | DSGP | Completed

Population management reports
Quality & Operations Support, Lisa Herrinton | DSGP | Completed

Predicting Adverse Outcomes and Poorer Quality of Life After TAVR is Challenging in Real World Populations
Ed McNulty, Alan Go | DSGP | Completed | View Summary

PRognostic Information SysteM (PRISM): refinement and testing in actual practice
David Baer,Tracy Lieu | DSGP | Completed | View Summary

Real-time decision support algorithms for pulmonary embolism in the ED
CREST Network, Mary Reed | DSGP | Completed | View Summary

Regionalization of testicular cancer
Andrea Harzstark, Lisa Herrinton | DSGP | Completed | View Summary

Robotic hysterectomy for benign gynecologic disease - Phase 1 feasibility
Fred Ramos, Tina Raine-Bennett, Lisa Herrinton | DSGP | Completed

Screening for adverse childhood experiences in pediatric primary care
Paul Espinas, Stacy Sterling | DSGP | Completed

Strategies for optimizing video care in a diverse population
Irene Chen, Tracy Lieu | DSGP | Completed

Targeted Outreach Improve Treatment Initiation Post-Fracture
Joan Lo, Kendal Hamann | DSGP | Completed | View Summary

Tele-dermatology to diagnose rash
Sangeeta Marwaha, Lisa Herrinton | DSGP | Completed | View Summary

The relationship of robotic approach and surgical volume with outcomes of hysterectomy for benign gynecologic disease (Phase 2)
Fred Ramos, Tracy Flanagan, Lisa Herrinton | DSGP | Completed

Use and outcomes of CT angiography
Jamal Rana, Alan Go | DSGP | Completed | View Summary

Use of a modified Eat, Sleep, Console tool for management of Neonatal Abstinence Syndrome
Lisa Chyi, Michael Kuzniewicz | DSGP | Completed

VentViz: mechanical ventilation and ARDS care through data visualization
Greg Marelich, Vincent Liu | DSGP | Completed