the Program

PROGRAM FACTS

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SCHOLARSHIP

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The Journal of Patient-Centered Research and Reviews

Editor-In-Chief: Dennis Baumgardner, MD

Aurora Health Care's Journal of Patient-Centered Research and Reviews (JPCRR) is a scientific journal focused on scholarly works devoted to improving patient care through research and discovery. A quarterly publication indexed by the U.S. Library of Congress, JPCRR features original research and reviews for a multidisciplinary audience in medicine, health care, disease prevention, and translational and basic science. This broad scope makes the journal an appealing source of clinical guidance to both specialists and primary care physicians.

Everyone from students to clinicians can access JPCRR content from current and archived issues at www.aurora.org/jpcrr. New submissions by authors from any institution are encouraged, and the journal's double-blind peer-review process ensures unbiased evaluation of manuscripts.

To submit a paper, follow the author instructions provided at www.aurora.org/jpcrr. For other inquiries, please contact JPCRR Editor-in-Chief Dennis Baumgardner, MD, at dennis.baumgardner@aurora.org.

 

JPCCR

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Asthma Scholarship

Lead Co-Investigator: Lisa Sullivan Vedder, MD

Asthma Research

The Best African American Response to Asthma Drugs (BARD) and Step-up Yellow Zone Inhaled Corticosteroids to Prevent Exacerbations (STICs) research studies are NIH funded randomized control trials aimed to identify the best asthma treatment for African American children and adults (BARD) and children age 5-11 of all ethnicities (STICS). These are multi-center trials that are part of AsthmaNet, a collaboration of top universities and research centers selected by the National Heart, Lung and Blood Institute.  Dr. Sullivan Vedder is the lead Co-Investigator for our Milwaukee site and recruitment for these studies is based out of the Aurora Sinai Family Care Center residency clinic.

Asthma Part IV MOC

The faculty of Aurora Family Medicine Residency have developed a training tool to meet the ABFM Part IV Maintenance of Certification requirements.  The “Increasing use of the Asthma Control Test” is free and available online to all Aurora physicians.

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Resident Research Examples

Medication Reconciliation Quality Improvement

Resident Lead: Loras Even, DO

This research project is focused on patient safety and quality, emphasizing the medication reconciliation process. Medication reconciliation was chosen for a quality improvement initiative due to the broad impact this area of the Electronic Medical Record (EMR) has on patient safety. We initially identified controllable sources of error in the medication reconciliation process and specifically identified EMR training for providers and general clinical competency in the medication reconciliation workflow as areas of opportunity.  Interventions then included: 1) Provider (MAs, MDs, DOs, RNs) education on EPIC medication reconciliation symbols and tools with the help of EPIC support specialists, 2) Provider education on the ideal medication reconciliation work flow developed as a part of a multispecialty collaboration, and 3) Pre- and post-intervention assessments.  Result analysis is underway and preliminary data suggest accuracy of medication lists within the EMR have improved significantly following these simple training interventions. Next steps for this project will include repeating the PDSA cycle to reinforce the work flow and to capture new hires and incoming residents.

Identifying and Targeting Age-Related Colorectal Cancer Screening Rate Disparities in Family Medicine Residency Clinics

Resident Leads: Jasmine Wiley, MD, JJ Blaza, MD, Matthew Gill, DO

Background: Health care systems continuously seek to improve patient care through population level analysis of clinical quality metrics and patient characteristics to identify disparities in care. Nationally, disparities in colorectal cancer (CRC) screening rates have been identified with lower screening rates reported for patients who are uninsured and/or lower socioeconomic status, African American/Black, Asian, and non-English speaking Hispanic patients. No age-related CRC screening rate disparities with associated interventions have been reported. Purpose: To determine and address colorectal cancer (CRC) screening disparities in care provided to eligible patients > 50 in two primary care residency clinics. Methods: Retrospective analysis using REAL-G categories (race, ethnicity, age, preferred language, gender) and insurance coverage was completed on a 12 month data set to identify presence of CRC screening disparities. Barriers to CRC screening for largest disparity gap were then identified by clinic staff at two family medicine residency clinics (3rd primary care clinic in same zip code and service region were used for nonintervention comparison) using IHi fishbone approach. Project team, informed by the literature, then identified and implemented targeted interventions, monitoring progress during a 6-month period. Interventions included provider education with periodic reminders regarding system approved CRC screening options and a workflow based intervention. Post intervention analysis completed using same pre intervention analysis process. Results: The largest CRC screening disparity for region and clinics was associated with age, with screening gaps ranging from 13-15% between populations aged 50-54 vs >65. CRC screening rates by race, ethnicity, and gender were < 10%. Post intervention, one targeted clinic had a 6% increase in the CRC screening rates in the target population (age 50-54) while second targeted clinic had a 1% increase in screening rates during this period. The comparison primary care residency clinic had a 1% decline in CRC screening rates. Differences in insurance utilization between for CRC screening rates were noted. Differences between targeted clinic screening rates were attributed to successful workflow implementation and provider/staff champions. Conclusion: Analyzing population data at micro/clinic level using REAL-G categories can inform targeted interventions that can reduce health disparity gaps.

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Other Resident and Faculty Scholarly Projects

Training Physicians to Care for Urban Populations: A Win-Win for Health Systems (poster)

Stearns MA, MPH, TRIUMPH Program, University of Wisconsin School of Medicine and Public Health
Haq C, MD, TRIUMPH Program, University of Wisconsin School of Medicine and Public Health
Brill JR, MD, MPH, Academic Affairs, Aurora UW Medical Group
Anderson A, MD, MBA, Academic Affairs, Aurora UW Medical Group (presenting)
Simpson D, PhD, Academic Affairs, Aurora UW Medical Group

Chronic Illness Management in Teams of Urban Multidisciplinary Scholars: CIMTUMS (poster)

Yu H, M3, TRIUMPH Program, University of Wisconsin School of Medical and Public Health
Hararah M, M3, TRIUMPH Program, University of Wisconsin School of Medical and Public Health
Kwok B, M4, TRIUMPH Program, University of Wisconsin School of Medical and Public Health
Brill JR, MD, MPH, Academic Affairs, Aurora UW Medical Group
Ames D, NP, Department of Family Medicine, Aurora Health Care, Concordia University

Calculating Time/Effort to Develop Medical Specialty Approved Board (Re)Certification Modules for Part IV Practice Performance Assessment (poster)

Reynolds K, MD, Department of Family Medicine, Aurora Heath Care
Vedder LS, MD, Department of Family Medicine, Aurora Health Care
Baumgardner DJ, MD, Department of Family Medicine, Aurora UW Medical Group/Center for Urban Population Health
Bidwell J, MD, Department of Family Medicine, Aurora Health Care
Frederick T, Office Continuing and Professional Development, Aurora Health Care

Weather and Environmental Exposures in Human Blastomycosis: Northern Wisconsin (poster)

Baumgardner DJ, MD, Department of Family Medicine, Aurora UW Medical Group/Center for Urban Population Health
Bernhard K, MPH, Center for Urban Population Health
Vilas County Health Department, Eagle River, WI

Utilizing the Resident Council Leaders to Improve the Culture of Patient Care through Systematic Design of Our Clinical Learning Environment (poster)

Even L, DO, Department of Family Medicine, Aurora Health Care
Sen L, MD, Department of Obstetrics and Gynecology, Aurora Sinai Medical Center
Leonhardt K, MD, MPH, Care Management, Aurora Health Care
Simpson D, PhD, Academic Affairs, Aurora UW Medical Group
Mundh I, MD, Department of Internal Medicine, Aurora Sinai Medical Center

Concordance between Patient and Provider Greatest Health Concerns in a Family Medicine Residency Clinic (poster)

Rosner KJ, MD, Department of Family Medicine, Aurora Health Care
Ledesma M, MD, Department of Family Medicine, Aurora Health Care
Bernhard KA, MPH, Center for Urban Population Health
Baumgardner DJ, MD, Department of Family Medicine, Aurora UW Medical Group/Center for Urban Population Health

Demographic Features of Aurora Blastomycosis Cases, 2007-2013 (oral presentation)

Johnson KT, MD, Department of Family Medicine, Aurora Health Care
Bernhard KA, MPH, Center for Urban Population Health
Baumgardner DJ, MD, Department of Family Medicine, Aurora UW Medical Group/Center for Urban Population Health

Obese Patients' Compliance and Satisfaction with Educational Intervention: O.N.E. Packet (oral presentation)

Siegel R, DO, Department of Family Medicine, Aurora Health Care
Bernhard KA, MPH, Center for Urban Population Health
Baumgardner DJ, MD, Department of Family Medicine, Aurora UW Medical Group/Center for Urban Population Health

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