: The candidate, an academic general internist, is applying for a Mentored Clinical Scientist Development Award (K08) to develop and enhance the skills necessary to become a successful independent health services researcher. His long-term goal is to develop a multidisciplinary research program dedicated to improving the care of patients with acute respiratory infections (ARIs) while improving links between the private and public health systems to provide surveillance for naturally occurring disease clusters and bioterrorism. ? ? Central to his career development is the strong institutional commitments and mentoring team that he has assembled. The multidisciplinary educational plan is built upon acquiring new skills in informatics, advanced biostatistics, patient safety, research ethics, public health, and disease surveillance. In addition to formal coursework, the plan includes local seminars, national scientific meetings, and peer-reviewed publication of results. ? ? Each of the four specific aims of the research plan involves the development and implementation of an electronic medical record-based template for ARI visits, the ARI Smart Set.
Specific Aim 1 is to develop the ARI Smart Set, which will standardize documentation of care and give providers easy access to clinical information, on-line decision support, and patient education materials.
Specific Aim 2 is to perform a randomized controlled trial of the ARI Smart Set to assess its effectiveness in decreasing antibiotic prescribing in primary care practices.
Specific Aim 3 a is to connect the ARI Smart Set with a national disease surveillance program, the National Bioterrorism Syndromic Surveillance Demonstration Project, to provide an automated, bi-directional link between the personal and public health systems.
Specific Aim 3 b is to perform a randomized controlled trial of providing clinicians with point-of-care, real-time data about the prevalence of influenza and other respiratory illnesses in an individual patient's neighborhood through the ARI Smart Set. The primary outcome is 30-day antibiotic prescribing for patients with influenza-like illnesses. The research plan will provide critical information about the care of patients with ARIs and the interface between the personal and public health systems. The research plan will also provide crucial experience for the candidate in medical informatics, disease surveillance, randomized controlled trial design and implementation, data collection, data analysis, database management, statistical analysis, and intervention research. ? ?
|Linder, Jeffrey A; Schnipper, Jeffrey L; Middleton, Blackford (2012) Method of electronic health record documentation and quality of primary care. J Am Med Inform Assoc 19:1019-24|
|Huang, Susan S; Johnson, Kristen M; Ray, G Thomas et al. (2011) Healthcare utilization and cost of pneumococcal disease in the United States. Vaccine 29:3398-412|
|Linder, Jeffrey A; Rigotti, Nancy A; Schneider, Louise I et al. (2011) Clinician characteristics and use of novel electronic health record functionality in primary care. J Am Med Inform Assoc 18 Suppl 1:i87-90|
|Schnipper, Jeffrey L; Linder, Jeffrey A; Palchuk, Matvey B et al. (2010) Effects of documentation-based decision support on chronic disease management. Am J Manag Care 16:SP72-81|
|Linder, Jeffrey A; Schnipper, Jeffrey L; Tsurikova, Ruslana et al. (2010) Self-reported familiarity with acute respiratory infection guidelines and antibiotic prescribing in primary care. Int J Qual Health Care 22:469-75|
|Linder, Jeffrey A; Schnipper, Jeffrey L; Tsurikova, Ruslana et al. (2010) Electronic health record feedback to improve antibiotic prescribing for acute respiratory infections. Am J Manag Care 16:e311-9|
|Linder, Jeffrey A; Schnipper, Jeffrey L; Tsurikova, Ruslana et al. (2009) Documentation-based clinical decision support to improve antibiotic prescribing for acute respiratory infections in primary care: a cluster randomised controlled trial. Inform Prim Care 17:231-40|
|Linder, Jeffrey A; Rigotti, Nancy A; Schneider, Louise I et al. (2009) An electronic health record-based intervention to improve tobacco treatment in primary care: a cluster-randomized controlled trial. Arch Intern Med 169:781-7|
|Panackal, Anil A; Halpern, Elkan F; Watson, Alice J (2009) Cutaneous fungal infections in the United States: Analysis of the National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), 1995-2004. Int J Dermatol 48:704-12|
|Linder, Jeffrey A; Kaleba, Erin O; Kmetik, Karen S (2009) Using electronic health records to measure physician performance for acute conditions in primary care: empirical evaluation of the community-acquired pneumonia clinical quality measure set. Med Care 47:208-16|
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