December 2017 Edition
 
Looking back on a momentous year

As 2017 draws to a close, it is worth pausing to reflect on highlights of what our IHPI community has accomplished together.

In the spring we completed the university's very favorable review of the institute's first 5 years, and our budget was renewed for our second 5 years. The review process was a valuable exercise in helping to refine the institute's course and continue to strengthen our top priorities. The committee offered important insights on our successes and challenges to date and recommendations on opportunities for future growth.

In partnership with Michigan Medicine and AARP, we launched the National Poll on Healthy Aging in June. The poll team has already produced five reports on timely topics such as affordability of prescription drugs, dementia caregiving, oral health, and sleep that have gained significant national attention from media and policymakers. The poll continues to highlight U-M as a leading source of expertise on aging-related issues.

In its first full year of operation, Michigan-OPEN has developed into a prominent initiative to curb the opioid epidemic in our state and provide a model for the nation. This year Michigan-OPEN issued the first ever evidence-based guide for acute care opioid prescribing, led a series of successful community medication takeback events, and continues to work with networks of providers and hospitals throughout the state to systematically improve prescribing practices and ensure appropriate post-operative and acute-care pain management.

The Michigan Program on Value Enhancement (MPrOVE) ---- co-sponsored by IHPI and Michigan Medicine ---- is also gaining momentum. A successful Kickoff Challenge was held in September. The event generated ideas for interdisciplinary projects to design and evaluate innovations to promote high-value care and reduce low-value care. Two teams will soon be selected to receive planning funds and in-kind support to further develop their proposals for large-scale grant submissions.

In July the National Clinician Scholars Program fully transitioned from the former Robert Wood Johnson Foundation Clinical Scholars Program, and IHPI has assumed full responsibility for overseeing this highly successful program, which includes the Master's Program in Health and Health Care Research. The IHPI-CSP is now preparing to welcome its third cohort ( read their introductory bios here), and the first cohort will complete their training this summer.

I look forward to your participation in another engaging Member Forum on Wednesday, January 24. Please RSVP today for this important opportunity to come together with colleagues old and new and help refine our shared vision for the institute.

I wish you a peaceful holiday season with family and friends.

John Z. Ayanian, M.D., M.P.P.
 

 
Lack of communication puts older adults at risk of clashes between their medicines

Most older Americans take multiple medicines every day. But new information from the National Poll on Healthy Aging suggests they don't get ---- or seek ---- enough help to make sure those medicines actually mix safely.


That lack of communication could be putting older adults at risk of health problems from interactions between their drugs, and between their prescription drugs and other substances such as over-the-counter medicines, supplements, food, and alcohol. The new poll results show that only about one in three older Americans who take at least one prescription drug have talked to anyone about possible drug interactions in the past two years.

 
 
Lansing Medicaid reform forum brings together state officials and stakeholders

Nearly one in four Michiganders receives health insurance through Medicaid, including the Healthy Michigan Plan approved four years ago this month, and the Children's Health Insurance Program (CHIP). And since Medicaid funding comes from both the federal and state government, pressure from both to explore ways to maximize efficiencies within the program is also expected in the near future.

On December 4 in the Capitol building in Lansing, IHPI teamed with the State of Michigan and the Bipartisan Policy Center (BPC) to bring key players together in a forum focused on current Medicaid challenges. Michigan Department of Health and Human Services Director Nick Lyon and IHPI director John Z. Ayanian, M.D., M.P.P., served as co-hosts.

 
Former CMS director
Gail Wilensky (L),
John Ayanian (C), and MDHHS Director Nick Lyon (R)
 
 
Denton appointed chair of the Department of Industrial and Operations Engineering

Brian Denton, Ph.D., professor of engineering, will become chair of the Industrial and Operations Engineering department in the College of Engineering effective September 1, 2018. In this role he will continue to bring high-impact research, create hands-on learning environments, and research excellence in disease management, healthcare operations, ergonomics, risk analysis, and data analytics.

Stepping down after eight years in the role is Mark Daskin, Ph.D., Clyde W. Johnson Collegiate Professor of Industrial & Operations Engineering, and newly elected member of the National Academy of Engineering. Daskin's leadership enabled IOE's to excel in recruiting and retaining outstanding scholars.
 
Denton

 
 
Mukherjee named one of U-M's 2017 AAAS Fellows

Bhramar Mukherjee, Ph.D., M.S., M.Stat., professor of biostatistics, was one of seven U-M faculty members among the 396 newly elected fellows of the American Association for the Advancement of Science.

These scientists and engineers were chosen as AAAS Fellows by their peers for their "efforts toward advancing science applications that are deemed scientifically or socially distinguished," according to AAAS.
 
Mukherjee
 
 
Wei receives K23 award to address multimorbidity in older adults

Melissa Wei, M.D., M.P.H., M.S., a clinical lecturer in internal medicine, has received a Mentored Patient-Oriented Research Career Development Award (K23) from the National Institute on Aging.

Wei's research focuses on multimorbidity (multiple chronic conditions) and functional outcomes in aging and older adults. Under this award, she will produce an improved multimorbidity tool that may be used to help guide and improve the management, quality of care, and prognosis of older adults with multimorbidity.

 
Wei
 
 
Saini receives NQF award to create new colon cancer screening quality measure

A U-M/VA team led by Sameer D. Saini, M.D., M.S., will develop a new measure to assess quality in colorectal cancer screening ---- one that better incorporates individual benefit and patient preferences, and could help ensure more appropriate use of this and other preventive services.

Saini's team received a 2017 National Quality Forum (NQF) Innovation Challenge Award to support the development of the new measure, which builds on a body of work funded by VA Health Services Research & Development

 
Saini
 
 
Telem appointed to SAGES board

Dana Telem, M.D., M.P.H., associate professor of surgery, was appointed chair of the "We R SAGES Task Force" for the Society of American Gastrointestinal and Endoscopic Surgeons.

The society provides surgical education in laparoscopic and endoscopic surgery and aims to improve patient safety through education, research, innovation, and leadership.
 
Telem
 
 
Opioid experts from across IHPI take part in free U-M "teach-out" course

U-M's Office of Academic Innovation, in collaboration with IHPI, hopes to answer questions about the opioid crisis through a free, online "teach-out" that is open to all.


Faculty experts from across the university will share their research and expertise on opioids, and put the epidemic into perspective. The course is posted on Coursera and will be available until the week of December 18.

 
 

Donations of new or gently used items can be dropped off at NCRC B14 G-100 (Clinician Scholars Suite across from the IHPI timeline wall).

Coats will be donated to SOS Community Services. Scarves and gloves will be donated to a local homeless shelter. Questions? Contact Jodie Moore at [email protected].
 
 
 
 
Anna Kratz, Ph.D.
Assistant Professor, Medical School, Physical Medicine & Rehabilitation

A lot of the research that I'm doing right now is looking at how different symptoms affect functioning for people who have chronic conditions. This can inform the design of better interventions to help people manage their own symptoms and live a better quality of life. Keeping patient perspectives and priorities at the front and center of research is very important to me.

VIEW PROFILE
 
  EVENTS
 
 


 
 
November Seminar Video Replay: Precision Health at University of Michigan: Building the Platform Our Patients Need

Speaker: Sachin Kheterpal, M.D., M.B.A., associate dean for Research Information Technology, and co-director, Precision Health at University of Michigan

 
 
Creating Basic Visualizations in Tableau Public

Date: January 17, 2018
Time: 12:00 p.m. --- 1:00 p.m.
Location:  North Campus Research Complex, Building 16, Room B004E 

This session will provide an introduction to creating basic visualizations in Tableau Public. Via a live demo, participants will learn how to upload a dataset, create a line graph, create a map-based visualization, and develop a basic dashboard. Participants will also learn about options for accessing Tableau and finding further assistance at U-M.
 
 
Showcase your work at the 2018 AcademyHealth ARM

Date: June 24 --- 26, 2018
Location: Washington State Convention Center, Seattle, Washington
Submission Deadline: Thursday, January 11 at 5:00 p.m. ET

AcademyHealth is accepting abstract submissions for the 2018 Annual Research Meeting (ARM), the gathering place for more than 2,500 individuals leading the charge to transform delivery systems and health care in a rapidly changing landscape.

ARM is AcademyHealth's premier forum for health services research (HSR) and convenes the foremost experts at the intersection of health, health care, and policy to share important findings and showcase the latest research on how the health system works, what it costs, and how to improve it.
 
 
 
CBSSM Postdoctoral Fellowship application cycle now open

The Center for Bioethics and Social Sciences in Medicine (CBSSM) has an active program for Postdoctoral Research Fellows. Two fellowships are available: Bioethics Post-Doctoral Research Fellow and Decision Sciences Post-Doctoral Research Fellow.

Postdoctoral fellows are expected to collaborate on established projects and are encouraged to conduct independent research with an emphasis on study inception, manuscript writing, and applying for grants. CBSSM's resources and collaborative support enable fellows to build their own research programs. Evaluation of candidates will begin on January 12, 2018 and will be evaluated on a rolling basis until January 31, 2018.

 
 
Delivery System Science Fellowship--- 2018 application cycle open

Deadline: Monday, January 15, 2018 at 11:59 p.m. ET.

The AcademyHealth Delivery System Science Fellowship (DSSF) provides a paid post-doctoral learning experience to help researchers gain more applied experience conducting research in delivery system settings. In 2018, AcademyHealth is offering paid year-long training opportunities at six prestigious host sites across the nation. Students and researchers with an interest in conducting research in delivery system settings are encouraged to apply.

 
 
MLibrary @NCRC

Highlighted resource: PAIS Index

The PAIS Index (formerly the Public Affairs Information Service) is a public affairs database spanning a broad range of disciplines and document types (scholarly journals, books, magazines, grey literature). PAIS defines public policy as "subjects that bear on contemporary issues and the making and evaluating of public policy, irrespective of source or traditional disciplinary boundaries."

Interested in learning more?
Contact MLibrary.
Visit: Building 18, Room G018
View Health Management and Policy Guide.
 
 
 
What's it worth? New shingles vaccine offers a chance to measure the value of prevention

A newly approved shingles vaccine may be much more effective and longer-lasting than the existing vaccine, which has been around for about a decade. The vaccine is expected to be widely available by early 2018 ---- just months after the federal committee that sets national vaccine guidelines voted to recommend immunization for nearly anyone ages 50 and older.

In a rare decision, the committee also narrowly voted to endorse the new vaccine, Shingrix, over the existing one, Zostavax. These policy decisions were based in part on evidence developed by researchers such as Lisa Prosser, Ph.D., M.S., professor of pediatrics and health management, who led an economic evaluation of the new vaccine.

 
Prosser
 
Study: Patients use only about half of opioids prescribed after hysterectomy

Doctors may be prescribing nearly twice the number of opioids than the average patient needs after a hysterectomy, suggests a new study led by Sawsan As-Sanie, M.D., M.P.H., a gynecological surgeon at U-M's Von Voigtlander Women's Hospital and an assistant professor of obstetrics and gynecology at the U-M Medical School.


Researchers tracked opioid use in roughly 100 women two weeks after undergoing a hysterectomy for benign reasons. Women were commonly prescribed about 40 hydrocodone pills but on average had nearly 22 left over. The study contributes to the efforts of the Michigan Opioid Prescribing Engagement Network (Michigan-OPEN), which aims to halve both the number of opioids prescribed to Michigan surgical patients and the number of patients who still use opioids months after surgery.

 
 
Study: People in high-deductible plans aren't acting like consumers, may need more help

More and more Americans have health insurance that requires them to open their wallets for the first few thousand dollars' worth of care they receive every year, before the insurance coverage kicks in. But a new study suggests that despite the rise in these high-deductible health plans (HDHPs), most Americans who have them aren't saving, shopping around for better prices, talking to their doctors about costs, or making other consumer-type moves.

And even when they do, they only get help about half the time, according to the new study published in  JAMA Internal Medicine by lead author  Jeffrey Kullgren, M.D., M.S., M.P.H., an assistant professor of general medicine.

 
Kullgren
 
 
Most who enrolled in Michigan's Medicaid expansion either already work or can't work, study shows

Nearly half of the people who enrolled in Medicaid after it expanded in Michigan have jobs, a new study finds. Another 11 percent can't work, likely due to serious physical or mental health conditions.

About 1 in 4 enrollees are out of work but also are much more likely to be in poor health, according to the findings  published in JAMA Internal Medicine  by lead author  Renuka Tipirneni, M.D., M.Sc. , a clinical lecturer in general internal medicine at U-M, and colleagues from Institute for Healthcare Policy and Innovation.

The findings, from a detailed survey of more than 4,000 people enrolled in Michigan's program for more than a year, may inform discussions of potential work requirements for the poor and near-poor Americans who qualify for expanded Medicaid in the 31 states and the District of Columbia that offer it, and other states that are considering expansion.

 
Tipirneni
 
   
MORE NEWS


CVS eyes Aetna: How a buyout could affect you ( MSN News --- Udow-Phillips)
Healthcare prices hard to find online ( Reuters --- K. Singh)
Female doctors adjust lives to accommodate home (Reuters--- Jagsi)
 
  FUNDING
 
 
IHPI Grant Development update: Important reminder about funder proposal submission requirements

When preparing a research proposal, it is important for investigators and their research administration teams to be mindful of each funder's proposal submission requirements. This includes not only responding to the specific instructions outlined in the funding announcement, but also details such as document layout, font and margin guidelines, page limits, references format, supporting forms and materials, and formatting requirements for uploaded forms and documents. Prior to submitting a proposal, remember to review all available information related to the funding opportunity to make sure nothing has changed since it was first announced. Visit the IHPI Member Internal website (Level 1 password needed) to learn more about complying with proposal submission requirements.
 
 
Geriatrics Center Pilot Grant competition

Deadline: January 15, 2018
Funding: $40,000

The University of Michigan Geriatrics Center announces the availability of funds to support pilot/feasibility research in Geriatrics and in the Biology of Aging. Proposals may involve biomedical science, clinical physiology and pathophysiology, patient-oriented and health services research.

Questions regarding administration of the Pilot Grant Competition should be directed to Ms. Stacy Micou ( [email protected]). Scientific questions relating to the Pepper Center should be addressed to Dr. Lona Mody ( [email protected]).
 
 
U-M Coulter Translational Research Partnership Program "Coulter Program" 2018 Call for Proposals

Deadline: February 2, 2018

The Coulter Program funds collaborative translational research projects between Engineering and Clinical faculty co-investigators. The goal of the program is to accelerate development and commercialization of new medical devices, diagnostics, and other biomedical product concepts that address unmet clinical needs and lead to improvements in healthcare. Projects are actively supported and mentored by Coulter Program Management and a team of industry-experienced experts who proactively work to accelerate Coulter Program objectives. Coulter Program objectives and metrics for success involve developing new product concepts to the point of partnering with industry or forming start-up companies with follow-on investor funding to commercialize new products envisioned from translational research efforts.

For questions, please contact Thomas Marten, Coulter Program Director, at [email protected] or (734) 647-1680.
 
ABOUT IHPI

The Institute for Healthcare Policy and Innovation is committed to improving the quality, safety, equity, and affordability of healthcare services

To carry out our ambitious mission, our efforts are focused in four areas:

  • Evaluating the impact of healthcare reforms
  • Improving the health of communities
  • Promoting greater value in healthcare
  • Innovating in IT and healthcare delivery

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Inside IHPI is published monthly by the University of Michigan Institute for Healthcare Policy & Innovation.
 
CONTACT US

U-M Institute for Healthcare Policy & Innovation
North Campus Research Complex (NCRC)
2800 Plymouth Road, Building 16
Ann Arbor, MI 48109

Eileen Kostanecki
IHPI Government & External Relations Director
[email protected]
202-554-0578

Christina Camilli-Whisenhunt
IHPI Communications Manager
[email protected]

Kara Gavin
IHPI Research & Policy Media Relations Manager
 
Lauren Hutchens
IHPI Communications Specialist

Mark Lubin
IHPI Communications Coordinator