November 2017 Edition
 
Striving to improve mental health care and outcomes

Last month included a number of annual events recognizing the importance of mental health and mental health care, including World Mental Health Day, National Day Without Stigma, National Depression Screening Day, and Mental Illness Awareness Week.

At IHPI, we appreciate our many members and their teams who are engaged in work to improve services and outcomes for those living with mental/behavioral health conditions.



As one highlight, in October the Michigan Department of Health and Human Services awarded a contract to IHPI to evaluate a new effort to improve the coordination of physical health services and behavioral health services within the state under the Section 298 Initiative. A team of IHPI members led by Kara Zivin, Ph.D., M.S., M.A., will conduct the evaluation of up to three pilots and one demonstration model to test the integration of physical health and behavioral health services.

Also last month, the National Institute of Mental Health awarded a $3.9 million grant to a Department of Psychiatry team led by Amy M. Kilbourne, Ph.D., M.P.H., for a new study of student mental health. This randomized controlled trial will study the effectiveness of different strategies to implement school-based Cognitive Behavioral Therapy as a way to improve access to evidence-based mental health care for students with depression and anxiety throughout the state of Michigan.

Numerous IHPI members are part of the  Program for Mental Health Innovation, Services and Outcomes (MHISO) co-led by Amy Bohnert and Paul Pfeiffer in the Department of Psychiatry. MHISO conducts policy-relevant health services research aimed at improving the care and well-being of people living with mental health and substance use conditions, including developing, identifying, evaluating, and promoting effective practices and interventions. The Serious Mental Illness Treatment Resource and Evaluation Center (SMITREC) led by John McCarthy, is a national program evaluation center in the Department of Veterans Affairs Office of Mental Health Operations. It includes many IHPI members engaged in the center's work in population monitoring, program evaluation, performance assessment, and comparative effectiveness analyses.

We will continue to seek ways to improve outcomes for individuals with complex care needs and ensure that mental/behavioral health care services are effective in meeting their needs.

John Z. Ayanian, M.D., M.P.P.
 
New poll: Dementia caregivers---- Juggling, delaying, and looking forward

Family caregivers play a vital role in providing support to older adults living with dementia and other cognitive impairments. A new report from our National Poll on Healthy Aging focuses on unpaid dementia caregivers ---- family and friends who provide personal care help to people with memory problems and help them to manage health issues.


 
 

Nominations Deadline: November 17, 2017 by 5:00 p.m.
The IHPI Impact Accelerator is pleased to announce the call for nominations for the 2017 Impact Accelerator Award. This award will be given to an IHPI faculty member, regardless of career stage, who has demonstrated a commitment to making a policy or practice impact with their work. Winner(s) will be honored at the annual IHPI member forum on January 24, 2018. Self-nominations are accepted and encouraged.

Award applications will be accepted from now through November 17, 2017 at 5:00 p.m. The award winner will be notified on or before January 5, 2018. For more details on the award information, nomination criteria, and to apply, please visit the IA Awards information Web page (requires Level-1 login).
 
 
Violence, addiction, suicide & beyond: Ilgen helps Capitol Hill audience understand current knowledge

Amid a national crisis of substance use and overdose, and rising suicide rates, the National Injury and Violence Prevention Network sponsored a briefing for members of Congress and their staff on the intersections between these issues on Oct. 24. IHPI member Mark Ilgen, Ph.D., U-M professor of psychiatry, who has studied these issues, spoke about the current state of knowledge and called for further research.

 
Ilgen
 
 
V-BID Center receives 2017 National Forum Public Policy Award

The Center for Value-Based Insurance Design was recently recognized by the National Forum for Heart Disease & Stroke Prevention for advancing value-based care and prevention through legislation and executive policy making. The Center's development of policy proposals and persistence in educating policy makers has led to action by both Congress and the Administration, resulting in more people benefiting from high-value health care.

 
V-BID Center Director, A. Mark Fendrick, M.D. and Executive Director of the National Forum, John Clymer 
 
 
Adolescent health survey informing policy decision-making

Tammy Chang, M.D., M.P.H., M.S., assistant professor of family medicine, and collaborators Michelle Moniz, M.D., M.Sc., assistant professor of obstetrics and gynecology, and Kendrin Sonneville, Ph.D., assistant professor of nutritional sciences and research assistant professor at the Center for Human Growth and Development recently showcased MyVoice at the MCubed Symposium.

MyVoice is an adolescent health and well-being research project. In just a year, MyVoice has deployed 90 unique text message-based surveys to a population of over 1,000 adolescents and young adults across the United States. And the project is starting to gain national attention. The project is a recipient of MCubed 2.0 seed funding.


Chang (left), Moniz (middle) and Sonneville (right).
Photo by Joesph Xu College of Engineering.
 
 
Brummett receives Cottrell Presidential Award

Chad Brummett, M.D., associate professor of anesthesiology, received the 2017 James E. Cottrell Presidential Scholar Award from the American Society of Anesthesiologists. The award was in recognition of his outstanding career as a leading academic physician anesthesiologist, whose research in pain medicine has significantly contributed to the field of anesthesiology.

 
Brummett
 
 
Haymart receives Van Meter Award

Megan R. Haymart, M.D., assistant professor of internal medicine, was the recipient of the 2017 Van Meter Award given by The American Thyroid Association. The award recognizes outstanding contributions to research on the thyroid gland or related subjects by an investigator who is age 45 or under. Haymart also delivered the Van Meter Lecture titled "Implications of Diagnosing Low-Risk Thyroid Cancer."

Haymart was also installed as a board member of the American Thyroid Association during their annual meeting.

 
Haymart
 
 
Precision Health Initiative and Data Office for Clinical and Translational Research

University of Michigan President Mark Schlissel recently announced the launch of U-M's Precision Health Initiative. This campus-wide endeavor will bring together existing resources, people, and technologies aimed at finding personalized solutions to improve the health and wellness of individuals and communities.

The Data Office will play a supportive role by connecting researchers with clinical health data, genetic data, patient-reported data, and the researcher's own data in a secure and reproducible way:
  1. Enhance data services and tools (like DataDirect) to support discovery, analytics, and translation.
  2. Continue to function as a "front door" to data access and honest broker services like maintaining crosswalks of patient IDs, submitting data securely to partners across the university, and connecting researchers and their data to high-performance analytic platforms.
 
 
Michigan Opioid Prescribing Engagement Network (OPEN) creates video to promote safe drug disposal event

To help turn the tide on the opioid epidemic, Michigan OPEN works to prevent opioid abuse before it starts. Increasing safe and convenient opportunities for community members to dispose of their unused and leftover medications is essential.

In this new video, the Michigan OPEN team describes how community opioid and medication take-back events provide a safe process for disposing of unused medications while protecting communities, children and environment.


 
 
New journal advancing the science behind learning health systems 


The concept of learning health systems is gaining widespread attention as both an ideal and an emerging reality that many initiatives in the U.S. and around the world are striving to achieve. 

Now, an international, open-access, peer-reviewed journal is further advancing the science underpinning the learning health systems movement, with an ambitious goal of achieving continuous rapid improvement in health and healthcare and transforming organizational practice. The  Learning Health Systems (LHS) journal, edited by Charles Friedman, Ph.D., seeks article submissions on important and timely issues in the form of research reports, experience reports, technical reports, briefs, and commentaries.

 
 
 
 
Christopher Petrilli, M.D.
Clinical Assistant Professor, Department of Internal Medicine, Medical School

My goal is to provide patients with all of the care they need and none of the care they don't. My team and I have been looking at multiple areas of overuse and misuse of healthcare resources to find the root cause of their overutilization and develop multidisciplinary directed solutions that involve provider education and electronic health record optimization.

VIEW PROFILE
 
  EVENTS
 
 
 
 
NOVEMBER SEMINAR: Precision Health at the University of Michigan: Building the Platform Our Patients Need

Date: November 16, 2017
Time: 4:00 p.m. --- 5:00 p.m.
Location: North Campus Research Complex (NCRC), Building 10, Research Auditorium
Speaker: Sachin Kheterpal, M.D., M.B.A., associate professor of Anesthesiology, and associate dean, Office of Research, Medical School
Reception to immediately follow
WEBSITE

Dr. Kheterpal is associate professor of anesthesiology and associate dean for research information technology at the University of Michigan Medical School. He received his bachelor's, medical degree, and master's in business administration from the University of Michigan. Kheterpal's career has been focused on the novel use of IT and electronic health records for patient care, quality improvement, and research. He is recognized as a national leader in perioperative large dataset clinical research and has published numerous articles, editorials, and book chapters regarding intraoperative management and long-term postoperative outcomes. Using innovative techniques to integrate administrative, EHR, and registry data across institutions, he leads the Multicenter Perioperative Outcomes Group, a research and quality improvement consortium of more than 40 anesthesiology and surgical departments.

To record CME activity, visit  www.umhscme.com (login required) using the following program ID: IHPI Research Seminar Series ---- 05182
 
 
Ethical, Legal, and Social Implications of Learning Health Systems Symposium

Date: November 15, 2017
Time: 8:00 a.m. --- 4:00 p.m.
Location: Palmer Commons

This year's events focus on the ELSI of data and knowledge sharing. Speakers currently scheduled include John Wilbanks, Elizabeth Pike, Kenneth Goodman, Debra Matthews, Peter Embi, and Joon-Ho Yu, with more to come.
 
 

CLICK HERE TO REGISTER
 
 
Constructing and reporting searches for comprehensive literature reviews

Date: November 20, 2017
Time: 2:00 p.m. --- 3:00 p.m.
Location: North Campus Research Complex, Building 10, G063

The session will cover the advanced literature search process, from constructing an effective search to reporting the process sufficiently for publication. Please bring your laptop for the hands-on portions of the class.
 
 
IRBMED Seminar Series: Revisions to the Federal Policy for the Protection of Human Subjects

Date: November 21, 2017
Time: 9:00 --- 10:30 a.m. & 2:00 --- 3:30 p.m.
Location: University Hospital, Ford Auditorium

The U-M Human Research Protections Program (HRPP), the four U-M IRB Offices, ITS eResearch teams, and members of the research community are working collectively to interpret the new Common Rule elements and update the University's policies, business processes, and eResearch systems to accommodate the changes, while maintaining a high-level of subject protection.

Questions? Contact IRBMED at [email protected].
 
 
2017 AcademyHealth Meeting of the Members Webinar: What's New in Washington

Date: November 27, 2017
Time: 4:00 --- 5:00 p.m. 

This webinar is available exclusively to AcademyHealth members

Join AcademyHealth's Board of Directors and staff for a unique glimpse of the year ahead-based on the progress made thus far in 2017 - during the annual Meeting of the Members webinar.  Board Chair Darrell Gaskin will begin the webinar by providing participants with an overview of the 'state of the organization' for AcademyHealth. Following his remarks, Dr. Lisa Simpson will discuss the landscape for health services research and how AcademyHealth is navigating the climate in Washington, D.C., and Vice President Kristin Rosengren will discuss AcademyHealth's advocacy and public policy efforts.
 
 
 
 
The Art of Leading a Research Group

Date: December 1, 2017
Time: 9:30 a.m. --- 12:00 p.m.
Location: Palmer Commons, Great Lakes Central
Host: Robert Kennedy, Chair, Department of Chemistry


This workshop is designed to provide assistant professors with helpful information about successfully managing an effective research group, whether large or small. New principal investigators are usually surprised by the many different demands that go into leading a research group: juggling managing a project, their time, a laboratory, administrative tasks, and lab personnel, including graduate and undergraduate students as well as paid staff. In this workshop we will explore ways to lead your research group that support the outstanding teaching and research you want and need to do, without requiring your attention 24/7. Several faculty will share their experiences and best practices in this workshop.
 
 

Registration Deadline: December 11, 2017

The NHPC brings together health care decision makers, advocates, consumers, patients, researchers, and leaders from the public and private sectors to discuss the most critical issues and immediate policy priorities in United States health care using the latest evidence and examples from science and practice.
 
 
 
MLibrary @NCRC

Highlighted resource: World RePORT

This mapping tool of global research investments shows research funded by the Heads of International Research Organizations (HIRO). Data from 2016 onward includes direct awards and indirectly funded collaborations in every country worldwide.

Interested in learning more?
Contact MLibrary.
Visit: Building 18, Room G018
View Health Management and Policy Guide.
 
 
Computational Social Science (CSS) Initiative and Workshops

The College of Literature, Science & Arts' Computational Social Science (CSS) Initiative is developing a community where Michigan faculty and students can discuss topics of mutual interest, learn new skills, and create interdisciplinary collaborations. As part of this effort, a series of methods workshops are being offered to provide introductions to important CSS-related models and techniques.

All sessions are from 9:00 a.m. to 4:30 p.m. in Room 747 Weiser Hall. Visit the website for the list of dates, topics, and speakers.
 
 
 
Dangerous falls in middle age: What's sight got to do with it?

Falls are a major public health issue because of the burden and costs of helping people recover. But, despite the preconceived notion, researchers at the University of Michigan contend that the problem of falling is not unique to older adults.

With their personal and professional experiences in mind, U-M researchers set out to determine the relationship between vision, physical functioning, and falls in middle age.

First, to determine the incidence of vision programs in middle age, U-M epidemiology expert, IHPI member, and professor of obstetrics and gynecology Sioban D. Harlow, Ph.D., tapped data from the population-based Michigan SWAN study (Study of Women's Health Across the Nation) she leads.

 
Harlow
 
All together now: ICU patients benefit from diverse care teams

Findings point to need for greater coordination among team members to ensure routine implementation of evidence-based interventions.

Collaborative teamwork among the many healthcare professionals who work in the intensive care unit (ICU) is essential for ensuring better outcomes among critically ill patients. Yet coordination and communication among team members can be difficult in the complex, dynamic, often fast-moving care environment of the ICU.


A new study led by Deena Costa, Ph.D., R.N., assistant professor of nursing, and published online ahead of print in the  Journal of Critical Care confirms the importance of interprofessional collaboration in standardizing care, finding that a series of interventions performed to manage delirium and weakness among adult ICU patients is more successfully implemented when diverse teams are frequently involved in those activities.

 
 
Prenatal Medicaid benefits boost health gains across generations

The expansion of Medicaid to provide low-income women with prenatal care in the 1980s and 1990s was a success in improving birth outcomes. Children with mothers who benefited from this program were not only healthier at birth, but also more likely to graduate high school and have higher incomes.

Sarah Miller, Ph.D., assistant professor of business, and colleagues examined how large-scale U.S. health interventions affected later generations. They found that people whose mothers received this prenatal care are now having children themselves with higher birth weights and fewer cases of very low birth weight.

 
Miller
 
  
MORE NEWS



Increasing rates of chronic conditions putting more moms, babies at risk
( Michigan Medicine ----Admon, Dalton, Moniz)
The importance of a partner in cancer therapy ( National Comprehensive Cancer Network ---- Veenstra)

'Unbelievable' Heart Stents Fail to Ease Chest Pain (New York Times -- Nallamothu)
 
  FUNDING
 
 
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