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January 2017 Edition |
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Engaging in multi-pronged efforts to curb the nation's opioid epidemic
(Michigan-OPEN), a new strategic initiative supported by the Michigan Medicaid program and aimed at preventing opioid addiction through collaboration with providers, hospitals, and communities across our state.
Michigan-OPEN's novel preventive approach targets a major factor in the nation's opioid epidemic: opioid prescriptions for patients before and after surgery. We know that opioids prescribed for pain related to surgery are often misused to treat other symptoms, and that the most common complication following surgery is becoming a new, chronic opioid user. Opioids prescribed for surgery are also a key source of medications that are diverted to teenagers and others at risk for misuse and addiction. In Michigan, prescription opioid dependence and abuse results in nearly $2 billion in annual expenditures.
The Michigan-OPEN team, led by
Chad Brummett,
Michael Englesbe, and
Jennifer Waljee, will collect, analyze, and share information about opioid prescribing patterns in Michigan by working with provider networks across the state organized through several of the
Collaborative Quality Initiatives led by IHPI faculty with funding from Blue Cross Blue Shield of Michigan. The Michigan-OPEN team aims to reduce opioid prescribing and dependence by developing targeted strategies for surgeons as well as primary care and specialty physicians who care for surgical patients.
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IHPI has a number of members with strong expertise in the area of opioid policy, particularly through the U-M Injury Center, which hosted an
opioid overdose summit in late 2015 with co-sponsorship by IHPI.
Rebecca Cunningham, director of the U-M Injury Center, was recently appointed to the Michigan Prescription Drug and Opioid Abuse Commission, which will review the recommendations of the governor's Prescription Drug and Opioid Abuse Task Force.
Amy Bohnert recently completed her service as an advisor to this Task Force, and she was a member of the core expert group that provided guidance to the CDC in developing its opioid prescribing guidelines for chronic pain.
Rebecca Haffajee, a new IHPI member, studies the effectiveness of legal and policy levers intended to reduce opioid misuse and overdose, as well as their unintended outcomes. And
Mark Ilgen and team's recent study on opioid prescriptions for Veterans is highlighted later in this newsletter.
In October, the
Michigan Health Policy Forum, with IHPI as an official sponsor, focused on the state's response to the opioid epidemic, and featured Rebecca Cunningham as an expert panel member. As the opioid-related work of the U-M Injury Century and the Michigan-OPEN initiative continue to expand, we look forward to developing new collaborations in the effort to reverse the growing opioid epidemic while promoting effective pain management.
John Z. Ayanian, M.D., M.P.P.
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Video spotlight: IHPI brings together members to help tackle some of the toughest issues in health care
As highlighted in the introduction to our new video about IHPI, "Innovation is at the core of everything we do. It has to be. It takes creativity, imagination and vision to affect change in healthcare. IHPI is a place where intellectual energy and passion for improving public health converge."
See why IHPI is a vibrant home for health services researchers from multiple disciplines who are collaborating to tackle some of the toughest issues in health and health care.
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Medicaid expansion boosts Michigan's economy and will more than pay for itself, IHPI study finds
Michigan's expansion of Medicaid health insurance coverage has boosted the state's economy and budget, and will continue to do so for at least the next five years, according to a new study released by lead author and IHPI Director,
John Ayanian, M.D., M.P.P., and
Helen Levy, Ph.D., research professor at the Institute for Social Research.
The expansion's total economic impact will generate more than enough funds for the state budget to cover the cost of the program in the current fiscal year, the researchers report in the
New England Journal of Medicine
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Military health system will test V-BID concept under newly signed defense bill
Last month, President Obama signed the national defense budget for fiscal year 2017 into law, and set in motion an effort to give active-duty and retired military personnel and dependents access to a health insurance concept developed at U-M by
Mark Fendrick, M.D., professor of internal medicine.
Under the provision in the FY17 National Defense Authorization Act, the TRICARE health insurance program will test the
Value-Based Insurance Design (V-BID) approach in a pilot program.
Meanwhile, on December 6, 2016 the bipartisan Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 was introduced in the Senate. The legislation includes an expansion of the CMS Medicare Advantage V-BID demonstration to all states by January 1, 2019, and requires the Secretary to allocate funds to design, implement, and evaluate the expansion of the model.
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Prescott winner of Jo Rae Wright award
Hallie Prescott, M.D., M.Sc., assistant professor of internal medicine, has been named the 2017 winner of the Jo Rae Wright Award for Outstanding Science. The award will be given at the 2017 American Thoracic Society conference in May. The prize is named after a former ATS president who was known for her commitment to the advancement of science and to mentoring future scientists.
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Prescott
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Three members receive named professorships
The Board of Regents recently approved recommendations for new appointments and promotions for regular associate and full professor ranks, with tenure and/or promotion of faculty on the Ann Arbor, Dearborn and Flint campuses. Three IHPI members have received new promotions:
Richard Gonzalez, Ph.D., was named the Amos N. Tversky Collegiate Professor of Psychology and Statistics, College of Literature, Science, and the Arts
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A step closer to precision treatments for chronic liver disease
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Chronic hepatitis C (CHC), a long-term illness that can lead to serious liver problems, affects an estimated 2.7
--- 3.9 million people in the U.S. Several recently approved medications offer highly effective, potentially life-saving treatment for CHC with fewer side effects than previously available options, prompting an increase in demand for these drugs.
But these new medications are costly, and not always immediately available. And rapid treatment does not benefit all CHC patients equally. How can healthcare providers determine which individuals would gain the most from immediate therapy in a way that also considers questions of access and resource use?
New research led by IHPI member
Akbar Waljee, M.D., M.Sc., will develop a risk-based strategy to help providers tailor timing of treatments among CHC Veterans to ensure that those who most need urgent therapy get it as quickly as possible.
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Ruth Carlos, M.D.
Professor of Radiology
"Some of my work tries to understand the drivers of healthcare utilization, particularly with regard to imaging-based screening, and examine how we deliver care and how we can maximize outcomes for the limited resources that we have. One goal is to produce high-level evidence that can help inform coverage and policy decisions about how we include novel imaging technologies within clinical practice."
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Edith (Edie) Kieffer, Ph.D., M.P.H.
Professor of Social Work
"As part of the Healthy Michigan evaluation, we're listening to the voices of people in the communities who are directly affected by the changes unfolding in healthcare reform. From the perspective of new beneficiaries of insurance, we want to know how they are experiencing these changes, and what they think the future impact on their health and the health of their families and community will be."
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If you were unable to attend the 2016 IHPI Member Forum in November, Dr. Ayanian will be giving a reprise State of the Institute Address. Details may be found below.
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A Collaborative Innovation Network for Diabetes Research: Leveraging Mobile Technology and Social Media to Support Open Science
Date: January 23, 2017
Time: 3:00 p.m.
--- 4:00 p.m.
Location: NCRC, Building 10, Research Auditorium
Dr. Lee is a physician, designer, researcher, and the Robert P. Kelch, M.D., Research Professor of Pediatrics. Her work is focused on the creation of learning health systems using the methods of clinical informatics, quality improvement, and patient-centered participatory design, and her research focuses on the design and development of mobile technology, data visualizations, and game design to improve outcomes in diabetes. She co-leads an interdisciplinary collaborative called HealthDesignBy.Us, which supports the creation of maker movement for healthcare, creating opportunities for patients and caregivers to co-create tools, technologies, and systems for healthcare.
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2017 AcademyHealth National Health Policy Conference
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OptumInsight Poster Session, Q&A Panel, and Introduction to New Data
Date: January 20, 2017
Time: 8:30 a.m.
--- 12:00 p.m.
Location: NCRC, Building 10, South Atrium
IHPI is pleased to host a poster session highlighting some of the great research your fellow investigators have completed using the OptumInsight data. The poster session will open with a 90-minute presentation from OptumInsight staff members who will be visiting from Minnesota. The presentation will highlight the new features contained in the data refresh IHPI is receiving in January. There will also be a moderated Q&A panel with IHPI faculty who have utilized OptumInsight data extensively in their research. The half-day event will wrap up with the presentation of a best poster award.
If you are interested in attending, please RSVP to
Barb Hamann.
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Speaking Their Language: Connecting with adolescents in research using social media and text messaging
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Date: January 23, 2017
Time: 10:00 a.m.
--- 11:30 a.m.
Location: Hatcher Graduate Library
--- Gallery Room
Programs designed to address the high prevalence of risky health behaviors among adolescents often miss the mark. Understanding adolescents' thoughts and opinions is challenging, yet vital, in creating programs and policies that promote their health and wellbeing. This talk will discuss one research team's journey to tap into adolescents' everyday lives while minimizing research burden among participants.
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LinkedIn 101
Date:
January 27, 2017
Time:12:00 p.m.
--- 1:00 p.m.
Location: NCRC, Building 10, The IHPI Collaboratory (Room G079)
Join IHPI communicator Kara Gavin for the next monthly LinkedIn session. Bring a laptop, mobile device, and your lunch for this informal session. If you need help setting up a LinkedIn account, please arrive a bit early.
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Promotion and Tenure: Strategies for Success
Date: January 31, 2017
Time: 5:00 p.m.
Location: Frankel Cardiovascular Center, Danto Auditorium
Margaret R. Gyetko, M.D., senior associate dean for faculty and faculty development, will outline the faculty promotion process, provide a description of what should be included in a promotion package, and include suggestions for preparing for promotion. She also will help faculty understand what they should be doing right now if they are seeking promotion.
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Date: February 15, 2017
Time: 9:30 a.m.
--- 4:00 p.m. with an optional Q&A until 5:00 p.m.
Location: NCRC, Building 10, South Atrium
Presenters: Julie Lowery, Ph.D. and Caitlin Reardon, M.P.H.
The
Consolidated Framework for Implementation Research (CFIR) guides assessment of contextual barriers and facilitators during implementation. This hands-on training will be focused on learning how to use the CFIR to collect and analyze qualitative data. Sponsored by the VA Center for Clinical Management Research.
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Date: February 16, 2017
Time: 1:00 p.m.
--- 2:00 p.m.
Location: NCRC, Building 10, Research Auditorium
Presenter: Elham Mahmoudi Ph.D., M.B.A., M.S., research assistant professor, Department of Surgery, Medical School
Dr. Mahmoudi is a health economist with a keen interest in health-related quality of life (HRQOL) and economic outcomes. She has extensive expertise in applying econometrics modeling and using large secondary datasets to examine treatment variation and related outcome measures. Her other health services research interests encompass disability and healthcare disparities, the economics of aging, cost-effective analysis, economic outcomes of traumatic digit amputation, and patient-centered medical homes.
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New E-Learning course available at U-M for best practices in social and behavioral research
The National Institutes of Health (NIH) recently issued a
new policy stating that NIH-funded investigators and staff should be trained in good clinical practice (GCP). This policy takes effect January 1, 2017. An e-learning course offered at U-M will fulfill this requirement for clinical trial personnel, specifically those involved in social and behavioral research.
The course is designed to help learners apply GCP principles in an engaging course with relevant information and examples for social and behavioral research, as well job aids and best practices that participants will be able to implement in their everyday work.
MICHR developed this course in conjunction with NIH's National Center for Advancing Translational Sciences, and it will eventually be available to clinical trial personnel nationwide.
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MLibrary @NCRC
ONESearch provides consolidated search engine that easily allows you to search NICHSR's databases and web portals all at once. Searched resources include:
HSRProj (Health Services Research Projects in Progress),
HSRR (Health Services and Sciences Research Resources),
HSRIC (Health Services Research Information Central) and
PHPartners (Partners in Information Access for the Public Health Workforce).
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What do health plan deductibles really mean for people with chronic illness?
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For tens of millions of Americans, the start of a new year means the counter has gone back to zero on their health insurance deductible. If they need health care, they'll pay for some of it out of their own pockets before their insurance takes over. In a new article published in
JAMA Internal Medicine, senior author
Jeffrey Kullgren, M.D., M.S., M.P.H., assistant professor of internal medicine, found despite these out-of-pocket costs, few people with chronic illnesses said that costs or insurance coverage issues had gotten in the way of getting the care or prescriptions they needed.
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National VA effort reduced risky opioid prescriptions for veterans
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Fewer veterans received prescriptions for risky dosages of opioid painkillers after a national initiative took aim at reducing high doses and potentially dangerous drug combinations, a new study finds.
The study, published in the journal
Pain and led-by
Mark Ilgen, Ph.D., associate professor of psychiatry, and co-authored by
Amy Bohnert, Ph.D., M.H.S., associate professor of psychiatry, and others, looked at the effect of the Opioid Safety Initiative rolled out by the Veterans Health Administration in late 2013 to promote safer opioid prescribing. The study examined implementation of the OSI across all of the nation's 141 VA hospitals.
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Where hospitals send surgery patients to heal matters a lot for health care costs
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Thousands of times a day, doctors sign the hospital discharge papers for patients who have just had surgery, and send them off to their next destination. About half of those patients will get some sort of post-surgery care to help them heal and get back into life.
But a new study led by
Lena Chen, M.D., M.S., assistant professor of internal medicine, finds huge variation in where they end up, depending on where they had their operation. And that variation in turn leads to huge differences in how much their care costs, the research shows. Additional IHPI member authors included
Scott Regenbogen , M.D., M.P.H.,
Edward Norton , Ph.D., and
Mousumi Banerjee , Ph.D., M.S.
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Michigan Mental Health Integration Partnership (MIP) Scholars Award
Deadline: January 23, 2017
The University of Michigan Depression Center is requesting proposals for the 2017 Michigan Mental Health Integration Partnership (MIP) Scholars program. The purpose of this program is to support U-M faculty who are interested in implementing and evaluating mental health services or clinical interventions that promote integrated care and seek to improve access to evidence-based practices for lower income and Medicaid eligible populations with behavioral health care needs in the state of Michigan.
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Michigan Department of Health and Human Services: Request for Proposals (RFP) Minority Health Grant Program---- 2017
Applications due: February 2, 2017
The Michigan Department of Health and Human Services (MDHHS), Health Disparities Reduction and Minority Health Program, has released a Request for Proposals (RFP) for one-time project funds of $10,000 to applicants interested in developing collaborative projects designed to achieve health equity for Michigan's racial and ethnic populations.
All proposal responses with related materials must be submitted electronically using the MI E-Grants system located at
http://egrams-mi.com/dch. Agencies interested in applying for this Request for Proposal must first register both the agency and users, and process a Project Director Request in
http://egrams-mi.com/dch and submit their proposal by 02/01/2017 at 15:00.
For technical assistance when completing registration or entering applications, contact the Bureau of Purchasing Helpdesk at (517) 373-9816 or email
[email protected].
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NIHCM Foundation 23rd Annual Health Care Research Award
Deadline: February 15, 2017
The NIHCM Foundation Health Care Research Award recognizes outstanding published work from researchers furthering innovation in health care financing, delivery and organization or the implementation of health care policy. The 23-year-old award carries a $10,000 prize and is judged by an independent panel of experts.
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Michigan Health Endowment Fund
Deadline: February 6, 2017
The Michigan Health Endowment Fund has opened the 2017 Behavioral Health grant round. Its aim is to improve access to high quality, person-centered, and integrated mental health and substance use disorder services for Michigan residents. In order to achieve these improvements, the fund is looking to support strategies and service delivery models that integrate behavioral health services in to other health systems; develop innovative approaches through technology; implement community based responses to the opioid epidemic; and implement new strategies to address behavioral health workforce challenges.
For more information, contact Colleen Sherman in UMHS Foundation Relations at
[email protected].
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Robert Wood Johnson Foundation Research and Leadership Awards
The Robert Wood Johnson Foundation has issued a handful of calls for applications to programs that support both clinical health research and leadership work that builds a culture of health. Deadlines range from mid-February to the end of March. They include:
For more information, contact Colleen Sherman in UMHS Foundation Relations at
[email protected].
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BUILD HEALTH Challenge: 18 grants to communities across the country
Deadline: February 21, 2017
The BUILD HEALTH Challenge seeks applications to fund partnerships that team a hospital or health system with a local health department and a nonprofit community organization.
These awards, funded by a collective group of professional foundations, are designed to support the advancement of community collaborations ready to put upstream, integrated, local and data-driven plans in place. The grants award $250K over a two-year period.
For more information, contact Colleen Sherman in UMHS Foundation Relations at
[email protected].
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RFA: The Role of Healthcare and Insurance in Improving Outcomes in Cancer Prevention, Early Detection and Treatment
Deadline: April 1 and October 15
The American Cancer Society is seeking proposals that
evaluate the impact of the many changes now occurring in the healthcare system with a particular focus on cancer prevention, control, and treatment. Efforts focusing on improving access to care may also impact inequities that contribute to health disparities. New health public policy initiatives such as the new federal and state marketplaces that have expanded insurance coverage, as well as Medicaid expansion in some states, create natural experiments ripe for evaluation. Research to be funded by this RFA should focus on the changes in national, state, and/or local policy and the response to these changes by healthcare systems, insurers, payers, communities, practices, and patients.
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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
SUPPORT IHPI
If you are interested in supporting health services and health policy research at the University of Michigan,
click here.
Inside IHPI is published monthly by the University of Michigan Institute for Healthcare Policy & Innovation.
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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
202-554-0578
Kara Gavin
IHPI Research & Policy Media Relations Manager
Lauren Hutchens
IHPI Communications Specialist
Mark Lubin
IHPI Communications Coordinator
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