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

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

Assessing adverse events and clinical outcomes in patients with multiple sclerosis on Rituximab versus biosimilar in a large racial-ethnically diverse community cohort
Mai Nguyen-Huynh, Jeffrey Klingman | PRP | 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

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

Comparative effectiveness of outcomes associated with video assisted thoracic surgery (VATS) versus robot assisted thoracic surgery (RATS) for lobectomy in KPNC
Jeffery Velotta, Vinnie Liu | TAP | Ongoing

Crossing the Quality Chasm for Men Under 50 (CQCMU50)
Theodore Levin | PRP | 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De-implementation of Outdated Colonoscopy Surveillance Interval Recommendations Among Patients with Low-risk Adenomas (DESIRE)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

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 the EmbrACE Intervention for Adults with a History of Adverse Childhood Experiences
Kathryn Erickson-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

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

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

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

Implementation and Evaluation of the Kaiser Prostate Cancer Risk Calculator (KPCRC) as a tool for shared-decision-making (SDM), among biopsy-naïve men
Joseph Presti | PRP | Ongoing

Improved Outcomes with Home-Based Cardiac Rehabilitation-Experience from a Large Integrated Heathcare System
Uma Vadlakonda, Mary Reed, Bradley Frueh | RAU | 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 management of emergency department patients with undifferentiated syncope; prospective validation of the Canadian Syncope Risk Score
David R. Vinson, MD | PRP | 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 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 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

Multiple Sclerosis Specialty Care: Effect on Patient Outcomes and Utilization Patterns
Mai Nguyen Huyn, Jessica Fan | TAP | 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

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

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

Perioperative VTE risk in total joint patients who had COVID-19
John Cox, Andy Avins, Lusine Gigoyan | RAU | Ongoing

Polygenic Risk Score and Early-onset Coronary Heart Disease in the GERA Cohort
Jamal Rana, Carlos Iribarren | TAP | 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

Post-Traumatic Stress Disorder Prevalence and Healthcare Utilization in a Large, Integrated Healthcare System
Kelly Young-Wolff, Barney Vaughan | TAP | 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

Prospective Evaluation of Mammography AI to Improve Cancer Detection and Result Efficiency
Vignesh Arasu | PRP | Ongoing

Prospective Mammography AI Evaluation Improved Cancer Detection and Time-to-Detection
Vignesh Arasu, Laurel Habel | PRP | Ongoing

Reducing Blood Culture Contamination and Subsequent Healthcare Reutilization in Pediatrics
Kelsey Childress, Marilyn Kwan, Michael Hartmann | RAU | 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

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

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

Strategies to Tailor Existing Interventions for Depression During Pregnancy
Kathryn Erickson-Ridout | PRP | 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

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

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

Vancomycin area under the curve-guided dosing and monitoring in the outpatient setting
Meredith Silverman, Cynthia Campbell, Rika Alavi | RAU | Ongoing

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

Yearly corticosteroid burden of patients receiving spinal corticosteroid injections
Mamie Air, Julie Schmittdiel, Michael Hartmann | RAU | Ongoing