Ongoing Projects Supported by DARE and Community Health Grants

A mixed-methods, longitudinal analysis of a novel telepsychiatry assessment, brief treatment, and referral clinic model
Matthew Hirschtritt, Stacy Sterling, Andrea Altschuler and Esti Iturralde | PRP | Ongoing

A randomized, double-blind noninferiority trial of adductor canal catheters for postoperative pain management among patients undergoing elective unilateral total knee arthroplasty
Adrian Hinman, Andy Avins | DSGP | Ongoing

Accuracy of Prenatal Detection of Clinically Significant Congenital Heart Disease Among Still- and Live-Births at Kaiser Permanente Northern California
Kavin Desai, Lisa Herrinton | RAU | Ongoing

An Organized Hepatitis B Surveillance Program increases Patient Identification and Optimizes Management
Krisna Chai, Joanna Ready, Andy Avins | RAU | Ongoing

Anesthetic Choice and Real-World Outcomes of Electroconvulsive Therapy
Kevin Li, Esti Iturralde | TAP | Ongoing

Assessing the Impact of a Mobile Application Based Supervised Exercise Therapy (SET) Program for Peripheral Arterial Disease (PAD)
Nayan Sivamurthy, Julie Schmittdiel | RAU | Ongoing

Association of Nerve Blocks with Hospital Length of Stay for Surgical Abdominal Procedures
Jonathan Khersonsky, Cynthia Campbell | RAU | Ongoing

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

Cancer outcomes with KPNC vs. national community averages: an overview study
Raymond Liu, Julie Schmittdiel | RAU | Ongoing

Community – associated Clostridium difficile
Tara Greenhow | CB | Ongoing

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

COVID-19 related changes in health care delivery and health outcomes among pregnant women and their newborns
Mara Greenberg, Assiamira Ferrara | 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De-implementation of Outdated Colonoscopy Surveillance Interval Recommendations Among Patients with Low-risk Adenomas (DESIRE)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

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

Development of a prediction algorithm for deteriorating glycemic control in the NCal KP population with diabetes
Lisa Gilliam, Julie Schmittdiel | TAP | 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

Development, Validation and Initial Implementation of the Kaiser Permanente Prostate Cancer Risk Calculator 2.0 in Men with a Prior Negative Biopsy
Joseph Presti, Andrew Avins | DSGP | Ongoing

Does timing to surgery for lung cancer have an effect on outcomes?
Jeffrey Velotta, Julie Schmittdiel | RAU | Ongoing

Dropless Cataract Surgery
Naveen Chandra, Marilyn Kwan | RAU | Ongoing

Effect of Screening for Hepatocellular Carcinoma on cancer-related and all-cause mortality in patients with cirrhosis-a population-based case control study
Sreepriya Balasubramanian, Julie Schmittdiel | RAU | Ongoing

Evaluating novel methods for mental health care that optimize quality and access, including communities with historical challenges in care
Matthew Hirschtritt | PRP | 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 melanoma severity at time of diagnosis prior to and during the COVID-19 pandemic in a multicenter health maintenance organization
Peter Young | CB | Ongoing

Evaluation of the EmbrACE intervention for prenatal patients with a history of adverse childhood experiences
Kathryn Ridout, Lyndsay Avalos | DSGP | Ongoing

Extended window for thrombectomy: Have we extended our resources appropriately and effectively?
Mai Nguyen-Huynh, Alan Go, Bruce Ovbiagele | PRP | Ongoing

HPV self-collection
Betty Suh-Burgmann | PRP | Ongoing

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

Immunity and patterns of disease exposure for COVID-19 across Kaiser Permanente Northern California
Jacek Skarbinski | PRP | Ongoing

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

Implementation success of integrated program on hepatitis B identification, surveillance, and treatment
Krisna Chai & Joanna Ready, Andy Avins | RAU | Ongoing

Improve Quality and Overall Health Outcomes Through Population Management to Treat Schizophrenia, Schizoaffective Disorder, and Bipolar Disorder
Lisa Fazzolari, Esti Iturralde | DSGP | Ongoing

Improved selection of BRCA-negative high-risk women for breast MRI screening through validation of IBIS risk model variants
Vignesh Arasu, Laurel Habel | PRP | 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 Diagnostic Efficiency of Adult Neck Masses
Kevin Wang, Andy Avins | RAU | Ongoing

Improving health outcomes and reducing healthcare costs in individuals with Helicobacter pylori infection in a large, community-based population
Dan Li | PRP | Ongoing

Improving health outcomes and reducing healthcare costs in individuals with Helicobacter pylori infection in a large, community-based population
Dan Li | PRP | Ongoing

Improving management of emergency department patients with undifferentiated syncope; prospective validation of the Canadian Syncope Risk Score
David R. Vinson, MD | PRP | Ongoing

Improving Risk Stratification of Emergency Department Patients with Acute Heart Failure: Building and Testing a Machine-learning Platform for Personalized, Accurate, Real-time Risk Prediction
Dana Sax, Mary Reed | PRP | Ongoing

Improving shared decision making for prostate cancer screening
Joseph Presti, Andy Avins | DSGP | Ongoing

Integration of mobile health (mHealth) based interventions in mental health
Samuel Ridout, Cynthia Campbell, Theresa Lin, Kathryn Ridout and Honor Hsin | RAU | Ongoing

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

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

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

Mammographic screening trends and effects on harms and benefits
Vignesh Arasu | CB | 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

Neurotrophic keratopathy: Incidence, presentation, utilization, and outcomes before adoption of corneal neurotization
Catherine J. Choi, Lisa Herrinton | RAU | Ongoing

Optimization of a team-based care model for depression in psychiatry and 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, Constance Weisner, Esti Iturralde | PRP | Ongoing

Optimization of Diagnosis of Serrated Polyps of the Colorectum among KPNC Gastroenterologists and Pathologists
Dan Li | PRP | Ongoing

Optimization of Hepatocellular Carcinoma Surveillance Protocols
Varun Saxena, Julie Schmittdiel | DSGP | Ongoing

Optimizing Abdominal Aortic Aneurysm Surveillance and Intervention to Prevent Rupture
Robert Chang, MD | PRP | Ongoing

Optimizing Acne Care: What is the Impact of Isotretinoin?
Veena Vanchinathan, Andy Avins | RAU | Ongoing

Optimizing Management of Valvular Heart Disease
Matthew Solomon, MD, PhD | PRP | Ongoing

Outcomes of telemedicine in Ophthalmology
I-Hui (Elaine) Wu, Mary Reed | RAU | Ongoing

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

Post-Acute Sequelae of SARS-Cov-2 Infection (PASC) in Adult KPNC Members
Reed, M. and Ballard, D. | DSGP | Ongoing

Pragmatic randomized controlled trial of pharmacist-led intervention,  Patient-Centered Hyperpolypharmacy Deprescribing
Maisha Draves, Lisa Herrinton | DSGP | Ongoing

PREDICT PCCC: PREDICTing Post Colonoscopy Colorectal Cancer
T.R. Levin, Jeffrey Lee, Vincent Liu, Charles Quesenberry, Oleg Sofrygin | PRP | Ongoing

Predicting Serious Colonic Growths to Risk Stratify People Coming Due for Surveillance Colonoscopy
TR Levin | PRP | Ongoing

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

Racial disparity in the treatment of multiple myeloma
Bijay Nair | CB | 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

Refining Shared Decision Making in Prostate Cancer Screening and Detection
Joseph Presti | PRP | Ongoing

Remote Glucose Monitoring in Pregnancies with Gestational Diabetes: Assessing Uptake and Outcomes
Mara Greenberg, Monique Hedderson | TAP | Ongoing

Remote Patient Monitoring Assessment
Mehreen Khan, Mary Reed | RAU | Ongoing

Safety and Efficacy of Corticosteroid Choice in Trigger Finger Injection
Todd Theman, Julie Schmittdiel | RAU | Ongoing

Severely and Persistently Illness Population Management
Lisa Fazzolari, Esti Iturralde | DSGP | Ongoing

Stroke EXPRESS: Transition to TNKase
Jeff Klingman, Abby Eaton | RAU | Ongoing

Study the epidemiology of non-typhoidal Salmonella bacteremia and gastroenteritis in children
Tara Greenhow | CB | Ongoing

Surgical Epilepsy Center Referral Time Within an Integrated Health Care Network
Josiah Ambrose, Cynthia Campbell | RAU | Ongoing

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

The impact of ACEs and resilience on Obstetric health outcomes
Carey Watson, Cynthia Campbell | RAU | Ongoing

Tools for Outpatient and Population Management of SARS-COV-2 Infections (TOPS2)
Gabriel Escobar, Laura Myers, Vincent Liu | DSGP | Ongoing

Trend in treatment location of patients with Covid-19 infection in an integrated health system
Laura Myers, Kevin Ng | TAP | Ongoing

Trends in the use of computed tomographic cerebral angiography for emergency department patients with headache
Dustin Mark, Mary Reed | RAU | Ongoing

Understanding state of hep C infection in KPNC and developing region-wide strategy for screening and staging and curing
Suk Seo | CB | Ongoing

Using continuous glucose monitoring data to predict acute metabolic crises in diabetes 
Lisa Gilliam, Andrew Karter | CB | Ongoing

Utility of ultrasound for palpable lumps in fatty breast women
Dawn Nwamuo, Grace Lin | CB | 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