Dr. Colon-Emeric aims to become an academic geriatrician and a nationally-recognized leader in improving the quality of care in nursing homes. Her initial work toward this goal has included the completion of a Masters of Health Science in Clinical Research, and research projects on fall and fracture prevention in nursing homes as a Brookdale National Geriatrics Fellow. With this Paul A. Beeson award she plans to progress from a semi-independent to an independent investigator as she acquires additional didactic training and research experience in both qualitative methodology and health services research. Her research program will be overseen by mentors with expertise in these areas including Dr. Kenneth Schmader, Dr. Morris Weinberger, and Dr. Ruth Anderson. The rich resources of the Duke University Center for Aging will be utilized in support of Dr. Colon-Emeric's development. Her research program includes two complementary projects with two specific aims: 1) Identify management practices, system characteristics, and provider beliefs that enhance or impede the use of evidence-based best practice in nursing homes; and 2) Develop and pilot test information technology systems interventions which promote evidence-based best practice in nursing homes. To achieve the first aim she will work with investigators on a NINR-funded case-study of high and low quality nursing facilities, utilizing both qualitative and quantitative methodology. Semi-structured interviews and focus groups will be conducted with nursing assistants, licensed nursing staff, medical staff, and administrators in 2 high-quality and 2 low-quality facilities. Interview probes will be constructed to elucidate the barriers and facilitators to evidence-based care for osteoporosis, falls, and fever evaluation in nursing facilities. Quantitative data from the larger case-study including facility quality indicators, resident-level quality of life data, network analyses and measures of information flow will be used. Analyses will describe systems and practices that should be emulated or discouraged in programs seeking to improve evidence-based practice. Building on these results, Dr. Colon-Emeric will then develop and pilot test an information technology system that provides evaluation and treatment options, decision-aids, and multidisciplinary educational tools encouraging evidence-based practice within an existing computerized order entry system. Common geriatric syndromes conditions (UTI, fever, osteoporosis, falls, and pneumonia) will be targeted, and both an academic and a community-based Veterans Administration Nursing Home Care Unit will be used. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23AG024787-03
Application #
7069576
Study Section
Special Emphasis Panel (ZAG1-ZIJ-6 (M1))
Program Officer
Nayfield, Susan G
Project Start
2004-07-15
Project End
2009-05-31
Budget Start
2006-07-01
Budget End
2007-05-31
Support Year
3
Fiscal Year
2006
Total Cost
$167,818
Indirect Cost
Name
Duke University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705
Tsai, Joy N; Uihlein, Alexander V; Burnett-Bowie, Sherri-Ann M et al. (2015) Comparative effects of teriparatide, denosumab, and combination therapy on peripheral compartmental bone density, microarchitecture, and estimated strength: the DATA-HRpQCT Study. J Bone Miner Res 30:39-45
Anderson, Ruth A; Toles, Mark P; Corazzini, Kirsten et al. (2014) Local interaction strategies and capacity for better care in nursing homes: a multiple case study. BMC Health Serv Res 14:244
Unroe, Kathleen T; Greiner, Melissa A; Colón-Emeric, Cathleen et al. (2012) Associations between published quality ratings of skilled nursing facilities and outcomes of medicare beneficiaries with heart failure. J Am Med Dir Assoc 13:188.e1-6
Unroe, Kathleen Tschantz; Pfeiffenberger, Trista; Riegelhaupt, Sarah et al. (2010) Inpatient medication reconciliation at admission and discharge: A retrospective cohort study of age and other risk factors for medication discrepancies. Am J Geriatr Pharmacother 8:115-26
Colón-Emeric, Cathleen S; Mesenbrink, Peter; Lyles, Kenneth W et al. (2010) Potential mediators of the mortality reduction with zoledronic acid after hip fracture. J Bone Miner Res 25:91-7
Colon-Emeric, Cathleen S; Plowman, Donde; Bailey, Donald et al. (2010) Regulation and mindful resident care in nursing homes. Qual Health Res 20:1283-94
Boonen, Steven; Black, Dennis M; Colon-Emeric, Cathleen S et al. (2010) Efficacy and safety of a once-yearly intravenous zoledronic acid 5 mg for fracture prevention in elderly postmenopausal women with osteoporosis aged 75 and older. J Am Geriatr Soc 58:292-9
Lee, Richard H; Lyles, Kenneth W; Colon-Emeric, Cathleen (2010) A review of the effect of anticonvulsant medications on bone mineral density and fracture risk. Am J Geriatr Pharmacother 8:34-46
Haentjens, Patrick; Magaziner, Jay; Colón-Emeric, Cathleen S et al. (2010) Meta-analysis: excess mortality after hip fracture among older women and men. Ann Intern Med 152:380-90
Anderson, Jaclyn; Sayles, Harlan; Curtis, Jeffrey R et al. (2010) Converting modified health assessment questionnaire (HAQ), multidimensional HAQ, and HAQII scores into original HAQ scores using models developed with a large cohort of rheumatoid arthritis patients. Arthritis Care Res (Hoboken) 62:1481-8

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