Ongoing Projects Supported by DARE and Community Benefit Grants

A prediction score model to identify the risk of subsequent keratinocytic carcinomas.
Shabnam Madani . Dermatology. CB. 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. Surgery Orthopedic. DSRP. Ongoing.

ADHD Medication Adherence in the Transition to Adulthood: Disparities and  Associated Adverse Outcomes.
Kavitha Rao . Mental Health. CB. Ongoing.

Adolescent Gender Identity Screening in Primary Care Visits.
Josephine Lau . Maternal and Child Health. CB. Ongoing.

Adverse Outcomes in Infants with Mild Hypoxic Ischemic Encephalopathy (HIE).
Vishnu-Priya Akula. Pediatrics. CB. Ongoing.

An Assessment of the Status and Impact of Influenza and Influenza Vaccination on Patients with Acute Myocardial Infarction in Kaiser Permanente Northern California.
David Miller . Infectious Disease. CB. Ongoing.

An evaluation of the StrokeEXPRESS phase II - thrombectomy program.
Mai Nguyen-Huynh, Andy Avins. Neurology. RAU. Ongoing.

Antidepressant Use and the Risk of Primary Open-Angle Glaucoma.
Eric Jorgenson . Ophthalmology. CB. Ongoing.

Assessing Glycosylated Hemoglobin (HbA1c) Thresholds for Development of Cardiovascular Disease by Racial-Ethnic Groups.
Seema Pursani. Cardiology. CB. Ongoing.

Assessing Trends in Breast Cancer Incidence, Screening and Mortality among Men: A 10-Year Observational Study of a Rare Disease..
Elizabeth Shurell Linehan . Oncology. CB. Ongoing.

Assessment of fracture prevention quality measures.
Kendal Hamann, Joan Lo. AFM. DSRP. Ongoing.

Associations Between Adverse Childhood Experiences and Health Services Utilization in the Pediatric Population Aged 1 to 5 Years.
Judy Lin. Pediatrics. CB. Ongoing.

Benefits of Hepatitis C Virus Cure.
Varun Saxena, Julie Schmittdiel. Gastroenterology. RAU. Ongoing.

CABG vs PCI in Older Acute Coronary Syndrome (ACS) patients: Impact of revascularization strategy on outcomes.
Ahmed Shah. Cardiology. CB. Ongoing.

Cannabinoid Hyperemesis Syndrome in the ED: Characteristics and Determinants of Length of Stay.
Dale Cotton . Emergency Medicine. CB. Ongoing.

Changes in utilization, staging, and treatment after implementation of regionalized care for upper gastrointestinal cancer.
Robert Li, Lisa Herrinton. Oncology. RAU. Ongoing.

Clinical Effects of an Electronic Health Record Based Integrated Smoking Cessation Intervention at Hospital Discharge.
Somalee Banerjee. Hospital Medicine. CB. Ongoing.

Closing gaps in the HIV Preexposure Prophylaxis Continuum of Care.
Jonathan Volk . Infectious Disease. CB. Ongoing.

Colorectal cancer screening in African-American patients.
TR Levin. AFM. DSRP. Ongoing.

Comparative Outcomes and Safety Associated with Implementation of a Subcutaneous Insulin Protocol for Diabetic Ketoacidosis.
Priya Rao . Hospital Medicine. CB. Ongoing.

Comparison of Repair vs. Meniscectomy for Bucker Handle Meniscal Tears.
David Ding. Surgery. CB. Ongoing.

Comprehensive Primary Care Clinic-based Pulmonary Embolism Management.
David Vinson . Internal Medicine. CB. Ongoing.

Current outcomes & management of asymptomatic carotid stenosis.
Bobby Chang, Mai Nguyen-Huynh. Surgery Vascular. PRP. Ongoing.

Delivery of Contraception to Adolescents:  How are we doing with Long-Acting Reversible Contraception.
Josephine Lau. Pediatrics. CB. Ongoing.

Development of the Kaiser prostate cancer risk calculator..
Joe Presti, Stacey Alexeef, Brandon Horton, Stephanie Prausnitz, Andy Avins. . Urology. PRP. Ongoing.

Disparities in Speech Therapy for Voice Disorders in English versus Non-English-Speaking Patients.
Nancy Jiang . Surgery Head and Neck. CB. Ongoing.

Duration of Protection against Mumps After the Second Dose of Measles, Mumps and Rubella Vaccine (MMR).
Ousseny Zerbo . Infectious Disease. CB. Ongoing.

Electronic inbasket strategies.
Jeff East, Mark Moeller, Tracy Lieu. AFM. DSRP. Ongoing.

Epidemiologic Analysis of Chilblains Eruptions in the time of COVID19.
Patrick McCleskey. Dermatology. RAU. Ongoing.

Epidemiology of and Risk Factors for Nontyphoidal Salmonella Bacteremia in Children.
Tara Greenhow. Maternal and Child Health. CB. Ongoing.

Escoje Salud (Choose Health) Effects and Sustainability of a Chronic Pain Self-Management program in Middle to Older age Hispanic Americans.
Amy Gladin . Physical Medicine. CB. Ongoing.

Ethnic Variation in Bone Mineral Density and Vertebral Fracture Outcomes.
Joan Lo. Endocrinology. CB. Ongoing.

Evaluating outcomes and efficiency of consolidated multidisciplinary care for head and neck cancer.
Charles Meltzer, Lori Sakoda. Oncology. DSRP. Ongoing.

Evaluation of a Novel Pharmacy Program for Reducing Variation in Prescribing Biologics for Inflammatory Bowel Disease.
Jennifer Chan . Gastroenterology. CB. Ongoing.

Evaluation of Anesthetic Techniques in Outpatient Total Joint Replacement Surgery in an Integrated Health Care Delivery System.
Edward Yap. Anesthesiology. CB. Ongoing.

Evaluation of Antimicrobial Prophylaxis Prescribing in Post-Operative Neurosurgical Procedures.
Jasmine Reber . Pharmacology. CB. Ongoing.

Evaluation of structured reporting of lung nodules detected on chest CT.
Tom Urbania, Lisa Herrinton. Oncology. RAU. Ongoing.

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. Mental Health. DSRP. Ongoing.

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

Familial hypercholesterolemia II - manuscript.
Richard Birnbaum, Andy Avins. Cardiology. RAU. Ongoing.

Genetic testing of women with hereditary breast and ovarian cancer syndrome.
Bethan Powell, Larry Kushi. Oncology. DSRP. Ongoing.

Genome-wide Pleiotropy Scan across Multiple Cancers.
Doug Corley. Genetics/Oncology. CB. Ongoing.

Health System-Level Physical Activity Interventions and Cardiovascular Risk in Midlife Women.
Sylvia Badon . Womens Health. CB. Ongoing.

Hepatocellular carcinoma and interventional radiology.
Maud Morshedi, Lisa Herrinton. Interventional Radiology. RAU. Ongoing.

Identifying the Determinants and Incidence of Colorectal Neoplasia after a Negative Colonoscopy in Patients with Inflammatory Bowel Disease.
Fernando Velayos . Gastroenterology. CB. Ongoing.

Impact of Changes to Mammographic Screening Guidelines on KPNC Breast Cancer Outcomes.
Vignesh Arasu . Radiology. CB. Ongoing.

Impact of Colonoscopist on Diagnostic Yield of Colonoscopy in Patients with Inflammatory Bowel Disease.
Fernando Velayos . Gastroenterology. CB. Ongoing.

Impact of Metformin use on benign prostatic hyperplasia..
Gene Seto. Urology. CB. Ongoing.

Impact of Opioid Safety Initiative Education on Emergency Department Opioid Prescribing.
Mamata Kene, Mary Reed. Emergency Medicine. RAU. Ongoing.

Implementation of Evidence-Based Surgery for Pediatric Hernia Repair.
Albert Chong, Lisa Herrinton. Surgery Pediatrics. RAU. Ongoing.

Implementation of Familial Hypercholoesterolemia and template transition protocol.
Richard Birnbaum, Andy Avins. Cardiology. RAU. Ongoing.

Implementation of Post-Mastectomy Home Recovery Program in a Large, Integrated Health Delivery System.
Brooke Vuong, Julie Schmittdiel. Surgery. RAU. Ongoing.

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

Improved selection of BRCA-negative high-risk women for breast MRI screening through validation of IBIS risk model variants.
Vignesh Arasu, Laurel Habel. Radiology. PRP. Ongoing.

Improving Human Papilloma Virus Immunization Rates.
Janet Lai, Kevin Wang, Andy Avins. AFM. RAU. Ongoing.

Improving Latent Tuberculosis Infection (LTB) Screening and Treatment to Reduce Incidence of Active Tuberculosis (TB) in Kaiser Permanente Northern California.
Jacek Skarbinski . Infectious Disease. CB. Ongoing.

Improving Outcomes and Care Experience among Dual Eligible Members: The Role of Health System Factors.
Somalee Banerjee, Alyce Adams. AFM. DSRP. Ongoing.

Improving risk stratification of E.D. patients with acute heart failure: external validation of the STRATIFY tool.
Dana Sax, Mary Reed. Emergency Medicine. DSRP. Ongoing.

Improving Sleep Apnea Detection Using Electronic Health Records: A Priority for the Cardiovascular Prevention in the KPNC Population..
Emilie Muelly. Internal Medicine. CB. Ongoing.

Improving stroke prevention for high-risk AFib by discharge redesign using electronic clinical decision support.
David Vinson, Mary Reed. Emergency Medicine. PRP. Ongoing.

KP-specific cardiac history and risk summaries: standardizing Emergency Work-ups Around Risk Data (STEWARD) Chest Pain Project - Phase 3.
Dustin Mark, Mary Reed. Emergency Medicine. DSRP. Ongoing.

Long term Follow up of endovascular aortic aneurysm repair in the Kaiser Permanente Northern California region 2000-2009.
Robert Chang. Surgery Vascular. CB. Ongoing.

Management and outcomes of patients with valvular heart disease.
Matt Solomon, Alan Go. Cardiology. PRP. Ongoing.

Manual of Procedures and Pilot-testing a Cluster Randomized Study of the Effectiveness of a Deprescribing Intervention (aka Deprescribing Phase II).
Maisha Draves, Lisa Herrinton. Multispecialty. RAU. Ongoing.

Metformin Initiation and Early Adherence Among KPNC Members with Newly Diagnosed Type 2 Diabetes.
Anjali Gopalan . Internal Medicine. CB. Ongoing.

Metformin to Prevent Diabetes Among Patients with Severe Mental Illness: Treatment Gaps and Implementation Barriers.
Estibaliz Iturralde. Mental Health. CB. Ongoing.

Minimally invasive esophagectomy.
Simon Ashiku, Andy Avins. Surgery. RAU. Ongoing.

Mobile health mindfulness in cancer palliative care.
Tatjana Kolevska, Yan Li, Ai Kubo. Oncology. DSRP. Ongoing.

Myomectomy Rates and Trends: Demographic, Clinical and Healthcare Variations within a Large Integrated Health Care System.
Eve Zaritsky . Womens Health. CB. Ongoing.

Neurocognitive Impairment and Dementia in Patients with and without HIV.
Jennifer Lam . Infectious Disease. CB. Ongoing.

Occult Hepatitis B Virus Infection and Risk of Hepatocellular Cancer and Cirrhosis.
Jamila Champsi . Infectious Disease. CB. Ongoing.

Opioid Exposure and Sepsis.
Andrea Rubinstein. Anesthesiology. CB. Ongoing.

Opioid Safety Initiative (OSI).
Andrea Rubinstein, Cynthia Campbell. AFM. DSRP. Ongoing.

Optimization and Personalization of Diabetic Retinopathy Screening.
Dariusz Tarasewicz. Ophthalmology. CB. 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. Mental Health. PRP. Ongoing.

Optimization of diagnosis, surveillance of colonic sessile serrated adenomas.
Dan Li, Lisa Herrinton. Gastroenterology. PRP. Ongoing.

Outcomes Following Policy-Mandated Neonatal Intensive Care Unit Admissions for Healthy Infants Born at 350/7-366/7Weeks Gestation.
Andrea Wikremasinghe . Maternal and Child Health. CB. Ongoing.

Outcomes of door-to-needle times in stroke patients.
Alex Flint, Jeff Klingman, Mai Nguyen-Huynh. Neurology. DSRP. Ongoing.

Particulate Air Pollution and Risk of Future Cardiovascular Events Among Those with a History of CVD or COPD.
Stacey Alexeeff . Pulmonology. CB. Ongoing.

Patient reported outcomes in pancreatic cancer.
Piyush Srivastava, Stephen Van Den Eeden. Oncology. DSRP. Ongoing.

Posterior Vitreous Detachment and Risk of Retinal Detachment.
Michael Seider . Ophthalmology. CB. Ongoing.

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

Predictors of Serious Bacterial Infection and Invasive Bacterial Infection in Febrile Infants 7-60 Days Old.
Beverly Young . Maternal and Child Health. CB. Ongoing.

Prenatal Depression and Its Treatment: Effects on Child Speech and Language Disorders.
Lyndsay Avalos . Maternal and Child Health. CB. Ongoing.

Prevalence of Psychiatric Disorders Following Mild Traumatic Brain Injury in the Pediatric Population.
Richard Delmonico . Rehabilitation Medicine. CB. Ongoing.

Preventative Health Care Utilization in High Risk Patients with Inflammatory Bowel Disease.
Benjamin Hassid . Gastroenterology. CB. Ongoing.

PRognostic Information SysteM (PRISM): refinement and testing in actual practice.
David Baer,Tracy Lieu. Oncology. DSRP. Ongoing.

Promoting Family-Integrated Care during Inpatient Rehabilitation through Assessing and Addressing the Needs of Family Caregivers.
Michelle Camicia . Family Medicine. CB. Ongoing.

Prospective Validation of the Kaiser Permanente Prostate Cancer Risk Calculator.
Joe Presti. Urology. CB. Ongoing.

Rapid case ascertainment and review for bladder cancer.
Andrea Harzstark, Liyan Liu. Oncology. RAU. Ongoing.

Reducing SABA at KPNC and Its Effect on Asthma.
Peg Strub. Allergy. CB. Ongoing.

Regionalization of testicular cancer.
Andrea Harzstark, Lisa Herrinton. Oncology. DSRP. Ongoing.

Relative Risk of Active Tuberculosis Among Patients with Latent Tuberculosis Infection and Immunosuppressive Conditions.
Jacek Skarbinski. Infectious Disease. CB. Ongoing.

Risk factors for hip arthroscopy failure.
Adrian Hinman, Andy Avins. Surgery Orthopedic. RAU. Ongoing.

Risk of Diabetes in Youth with Prediabetes.
Francis Hoe. Pediatrics. CB. Ongoing.

Risk of Metachronous Advanced Neoplasia After Colonoscopic Polypectomy in Younger Patients.
Gene Ma. Gastroenterology. CB. Ongoing.

Safety of Epithelial Debridement in FDA-Approved Epithelium-Off Corneal Cross-Linking (Epi-Off CXL).
Sivapuia Chandra . Ophthalmology. CB. Ongoing.

Screening for adverse childhood experiences in pediatric primary care.
Paul Espinas, Stacy Sterling. Pediatrics. DSRP. Ongoing.

Severe Hypoglycemia and Risk of Atherosclerotic Cardiovascular Disease (ASCVD) in Patients with Diabetes.
Jamal Rana. Cardiology. CB. Ongoing.

Significance of borderline high and high serum calcium levels in high risk kidney stone patients in a community practice. Emphasis on high normal serum calcium levels.
Mark Gasparini, Stephen Van Den Eeden. Urology. TAP. Ongoing.

Surgical referral and outcomes of standardized ultrasound reporting of adnexal masses.
Betty Suh-Bergmann, Lisa Herrinton. Gynecologic Oncology. PRP. Ongoing.

Sustainability of Electronic Clinical Decision Support System Effects: an Evaluation of Two Use Cases.
Dustin Ballard . Emergency Medicine. CB. Ongoing.

Tele-dermatology to diagnose rash.
Sangeeta Marwaha, Lisa Herrinton. Dermatology. DSRP. Ongoing.

The Adult Neck Mass: Predictors of Malignancy.
Kevin Wang . Surgery Head and Neck. CB. Ongoing.

The Association of Central Centrifugal Cicatricial Alopecia and Other Fibrotic Disorders.
Aman Samrao . Dermatology. CB. Ongoing.

The Effect of Fluid Status on Outcomes in Severe Sepsis: The EF SOS Study.
Michael Yoo. Hospital Medicine. CB. Ongoing.

The impact of the use of anticoagulants and antiplatelets on the risk of hospitalization and mortality in patients with COVID-19.
Ashok Pai, Julie Schmittdiel, Jenny Dusendang. Oncology. RAU. Ongoing.

The Incidence of Gastric Adenocarcinoma after Helicobacter Pylori Eradication Therapy in a Large U.S. Population.
Dan Li . Gastroenterology. CB. Ongoing.

The MEND Study: Mitigating the Effects of Natural Disaster with Telehealth Services.
Rachel Friedman . Family Medicine. CB. Ongoing.

The Relationship Between Adverse Childhood Experiences (ACEs), Resilience and Maternal Health Outcomes.
Carey Watson. Womens Health. CB. Ongoing.

Ticagrelor vs. Clopidogrel in Acute Coronary Syndromes: A Real-World, Community-Based Comparison of Ischemic and Bleeding Outcomes.
Amit Sachdeva. Cardiology. CB. Ongoing.

Time Trends in Therapies and Outcomes for a Community-based Population of Adults with Acute Myeloid Leukemia, 2013-2017.
Lisa Law, Lisa Herrinton. Oncology. RAU. Ongoing.

Transcatheter aortic valve replacement – Personalizing risk for quality of life, developing complications, total mortality, and utilization (TAVR - PREDICT) Study.
Ed McNulty, Alan Go. Cardiology. DSRP. Ongoing.

Ultrasound Characterization of Early Stage High Grade Ovarian Cancer.
Betty Suh-Burgmann . Womens Health. CB. Ongoing.

Use and outcomes of CT angiography.
Jamal Rana, Alan Go. Cardiology. DSRP. Ongoing.

Utility of Fluid Resuscitation in Low-Risk Patients with Severe Sepsis.
Todd Seigel . Emergency Medicine. CB. Ongoing.

Utilization of Computed Tomography Pulmonary Angiograms at KPNC: Predictors of Higher Yield and Comparison to National Rates.
Mamata Kene . Emergency Medicine. CB. Ongoing.

Variable Phenotypes of Eosinophilic Esophagitis: Does Gender, Age and Race Play a Role?.
Pauline Mysliwiec . Gastroenterology. CB. Ongoing.

Virtual care in Gastroenterology: An Observational, Cross Sectional study in a community based, integrated health care system.
Craig Munroe, Doug Corley. Genetics/Oncology. RAU. Ongoing.

Will Standardized Treatment of Iron-Deficiency Anemia in Pregnancy Decrease Rates of Anemia at Delivery and/or Rates of Post-Partum Small Volume Blood Transfusions.
Justine Chang. Maternal and Child Health. CB. Ongoing.

Young Children Presenting to the Emergency Department with Food Allergy Reactions: Triggers, Treatment, Healthcare Utilization, and Outcomes.
Jimmy Ko. Allergy. CB. Ongoing.