Michael Weiner, MD, MPH is a board-certified, fellowship-trained internist. As Assistant Professor in the Division of General Internal Medicine and Geriatrics in the Department of Medicine at Indiana University (IU) and Scientist in The Regenstrief Institute for Health Care (RIHC) and the IU Center for Aging Research (IUCAR), he now spends 70% of his professional time in research. He has an extensive background in information systems, and he has used large databases and studied the impact of information systems in healthcare. Dr. Weiner's 35 months on faculty have been successful because of his talents and training as well his rich environment. The IU School of Medicine Faculty care for a large population of older patients in a ? state-of-the-art clinical laboratory. Clement J McDonald, MD developed one of the world's largest and most comprehensive medical records systems on site. Christopher M. Callahan, MD is founding director of IUCAR, whose primary research themes are health promotion and the management of chronic conditions among older adults in primary care and community settings. Steven R. Counsell, MD is Director of Geriatrics at IU. Dr. Weiner seeks to pursue a research career focusing on improving coordination and quality of care for older adults. The goal of this proposal is to help Dr. Weiner bridge the gap between his early intramural support and eventual extramural funding as an independent faculty researcher. Dr. Callahan will be the primary mentor, and Drs. McDonald and Counsell will be the secondary mentors. Dr. Weiner will also pursue formal training in clinical geriatrics, quality of health care, behavior change, and clinical trials. ? ? Geriatrics consultants provide a team approach and coordination of many services for hospitalized older patients, but the consultants' effectiveness is limited by primary-care physicians' failures to adopt most recommendations. In the proposed study, we seek to measure and improve aspects of implementation of consultants' recommendations.
The specific aims of this proposal are to conduct a prospective study of inpatient geriatrics consultation, to identify specific determinants of implementation; present findings and themes to focus groups of physicians and patients, to generate consensus on barriers to implementation and potential solutions to these barriers; and study the effectiveness of a pilot intervention to improve implementation of recommendations from the inpatient geriatrics team. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23AG020088-05
Application #
7253103
Study Section
National Institute on Aging Initial Review Group (NIA)
Program Officer
Haaga, John G
Project Start
2003-07-01
Project End
2009-06-30
Budget Start
2007-07-01
Budget End
2009-06-30
Support Year
5
Fiscal Year
2007
Total Cost
$134,139
Indirect Cost
Name
Indiana University-Purdue University at Indianapolis
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
603007902
City
Indianapolis
State
IN
Country
United States
Zip Code
46202
Weiner, Michael; Perkins, Anthony J; Callahan, Christopher M (2010) Errors in completion of referrals among older urban adults in ambulatory care. J Eval Clin Pract 16:76-81
Were, Martin C; Abernathy, Greg; Hui, Siu L et al. (2009) Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations. J Am Med Inform Assoc 16:196-202
Weiner, Michael; Wells, Susan; Kerse, Ngaire (2009) Perspectives of general practitioners towards evaluation and treatment of cardiovascular diseases among older people. J Prim Health Care 1:198-206
Sennour, Youcef; Counsell, Steven R; Jones, Jerrlyn et al. (2009) Development and implementation of a proactive geriatrics consultation model in collaboration with hospitalists. J Am Geriatr Soc 57:2139-45
Weiner, Michael; El Hoyek, Georges; Wang, Lynnette et al. (2009) A web-based generalist-specialist system to improve scheduling of outpatient specialty consultations in an academic center. J Gen Intern Med 24:710-5
Callahan, Christopher M; Weiner, Michael; Counsell, Steven R (2008) Defining the domain of geriatric medicine in an urban public health system affiliated with an academic medical center. J Am Geriatr Soc 56:1802-6
Levinthal, Brian R; Morrow, Daniel G; Tu, Wanzhu et al. (2008) Cognition and health literacy in patients with hypertension. J Gen Intern Med 23:1172-6
Bharmal, Murtuza F; Weiner, Michael; Sands, Laura P et al. (2007) Impact of patient selection criteria on prevalence estimates and prevalence of diagnosed dementia in a Medicaid population. Alzheimer Dis Assoc Disord 21:92-100
Weiner, Mark G; Lyman, Jason A; Murphy, Shawn et al. (2007) Electronic health records: high-quality electronic data for higher-quality clinical research. Inform Prim Care 15:121-7
Morrow, Dan; Clark, Dan; Tu, Wanzhu et al. (2006) Correlates of health literacy in patients with chronic heart failure. Gerontologist 46:669-76

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