This application responds to PAR-13-287 (Network and Infrastructure Support for Development of Interdisciplinary Aging Research). We propose to bridge the HMO Research Network with the Claude D. Pepper Older Americans Independence Centers (OAICs;aka Pepper Centers) to create a national resource to nurture and advance an interdisciplinary research agenda focused on older adults with multiple chronic conditions (MCCs).
Our specific aims under this initiative are: (1) to collaboratively develop a framework and procedures to enhance the existing HMORN data infrastructure to advance interdisciplinary research on older adults with MCCs;(2) to support interdisciplinary pilot projects that optimize HMORN and OAIC resources and foster collaboration between HMORN and OAIC investigators to address questions relevant to data validity, comparative effectiveness, health outcomes, health disparities, and costs of care in older persons with MCCs. These projects will serve to further define the adequacy of available data, identify and prioritize additional data needs, and lay the groundwork for interventions to preserve and recover function in older adults with MCCs;(3) to identify and mentor junior faculty from the HMORN and OAICs with a research focus on older adults with MCCs;and (4) to disseminate interdisciplinary research approaches and findings relating to the science of MCCs in older adults to the larger scientific community. These synergistic aims leverage the accumulated aging research expertise of the OAICs together with the HMORN's large patient populations, electronic health record data, and cadre of embedded healthcare delivery system researchers to create a unique national resource that will: (1) encourage, facilitate, and support research that can address the most important questions relevant to older persons with MCCs;(2) increase knowledge about how best to use data found in electronic health record systems from multiple, diverse healthcare organizations;(3) promote collaboration among researchers from different disciplines, and engage, mentor, and develop junior faculty from across these fields;and (4) disseminate findings from research on older persons with MCCs that will translate into the delivery of higher quality and more cost-effective care.

Public Health Relevance

We propose to bridge the HMO Research Network with the Claude D. Pepper Older Americans Independence Centers to create a national resource to nurture and advance an interdisciplinary research agenda focused on older adults with multiple chronic conditions. Our efforts will lay the foundation to address the knowledge gaps that exist regarding the health and healthcare of these understudied patients.

National Institute of Health (NIH)
National Institute on Aging (NIA)
Resource-Related Research Projects (R24)
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Neuroscience of Aging Review Committee (NIA)
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Salive, Marcel
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University of Massachusetts Medical School Worcester
Internal Medicine/Medicine
Schools of Medicine
United States
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Green, Ariel R; Reifler, Liza M; Boyd, Cynthia M et al. (2018) Medication Profiles of Patients with Cognitive Impairment and High Anticholinergic Burden. Drugs Aging 35:223-232
Garg, Tullika; Anzuoni, Kathryn; Landyn, Valentina et al. (2018) The AGING Initiative experience: a call for sustained support for team science networks. Health Res Policy Syst 16:41
Lu, Christine Y; Penfold, Robert B; Toh, Sengwee et al. (2018) Near Real-time Surveillance for Consequences of Health Policies Using Sequential Analysis. Med Care 56:365-372
Whitson, Heather E; Cohen, Harvey J; Schmader, Kenneth E et al. (2018) Physical Resilience: Not Simply the Opposite of Frailty. J Am Geriatr Soc 66:1459-1461
Tran, Hoang V; Lessard, Darleen; Tisminetzky, Mayra S et al. (2018) Trends in Length of Hospital Stay and the Impact on Prognosis of Early Discharge After a First Uncomplicated Acute Myocardial Infarction. Am J Cardiol 121:397-402
Gray, Shelly L; Hart, Laura A; Perera, Subashan et al. (2018) Meta-analysis of Interventions to Reduce Adverse Drug Reactions in Older Adults. J Am Geriatr Soc 66:282-288
Cho, Jinmyoung; Stock, Eileen M; Liao, I-Chia et al. (2018) Multiple chronic condition profiles and survival among oldest-old male patients with hip fracture. Arch Gerontol Geriatr 74:184-190
Lee, Sei J; Larson, Eric B; Dublin, Sascha et al. (2018) A Cohort Study of Healthcare Utilization in Older Adults with Undiagnosed Dementia. J Gen Intern Med 33:13-15
Gurwitz, Jerry H (2018) Pharmaceutical Marketing at the 2018 American Geriatrics Society Annual Scientific Meeting: The Case of Noctiva and the Need for Increased Vigilance. J Am Geriatr Soc 66:2045-2047
Tisminetzky, Mayra; Nguyen, Hoa L; Gurwitz, Jerry H et al. (2018) Magnitude and impact of multiple chronic conditions with advancing age in older adults hospitalized with acute myocardial infarction. Int J Cardiol 272:341-345

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