Our current research
CATALYST is a center under development within The Ohio State University College of Medicine focused on advancing research and discovery at OSU in the delivery of health services (T3) across the continuum of care using a team science approach. A sampling of our current research, organized by topic, is presented below.
- Patient Portals
- Patient Engagement
- Data Integration and Analysis
- Infant and Maternal Mortality
- Patient Safety and Quality Improvement
- Management Practices in Healthcare
High Tech High Touch (HT2)
This project examines how inpatient portals impact the inpatient stay. Our team is specifically interested in how training affects a patient’s engagement with the portal, as well as how the portal changes communication pathways between patients and providers.
Portals in Inpatient Care (PIC)
This project examines the usability of the patient portal from the perspectives of both patients and providers. We have conducted numerous interviews with patients regarding their opinions on patient portals, as well as interviews with providers on how the technology impacts their work flow. Additional work has included usability studies and analysis of portal log files to better understand how these portals are used.
Developing Training about Patient Portal “Rules of Engagement”
This study seeks to identify potential elements of patient portal training and improve our understanding of patient and provider preferences related to training. Specifically the aims of this study are first to identify potential elements to be included in training from the perspectives of both patients with a portal account and primary care physicians who are frequent portal users and second to engage a patient advisory group to develop a set of guidelines that could be implemented in a practice setting as part of a future research effort.
Total Engagement and Activation Measure (TEAM)
This study aims to develop a validated tool for measuring patient engagement. This project will thus provide healthcare institutions, providers, insurers and researchers with the ability to determine who in their population is engaged in their healthcare and help develop programs and interventions to improve engagement and activation.
Patient Engagement Among Patients with Chronic Cardiopulmonary Conditions
This study seeks to improve our understanding and measurement of patient engagement, particularly among patients dealing with chronic cardiopulmonary conditions. Our study has three primary aims. First, we aim to modify and test a patient engagement survey for use in the outpatient setting that is currently administered only in the inpatient setting. Second, we aim to examine the relationship between patient engagement and health outcomes. Third, we aim to understand the perspectives of patients with chronic cardiopulmonary conditions related to patient engagement to inform future intervention efforts to increase patient engagement.
Data Integration and Analysis
Data integration and analysis
Health Information National Trends Survey (HINTS)
HINTS is a national survey conducted by the National Cancer Institute (NCI) examining the types of cancer information the American public accesses and consumes. Our group has generated a longitudinal dataset that combines multiple years of the HINTS data, allowing for the investigation of changes in how the U.S. population views and researches cancer-related information.
Patient Portal Log-file Analysis
In order to improve our understanding of patient use of both inpatient and outpatient portals, our group has developed methods to quantify patient usage of portals in both hospital and ambulatory settings. These methods enable us to paint a picture of when patients engage with the portal and what features they use most frequently. Patient usage data provides feedback about what features patients find most useful and uncovers patterns in user behavior. This feedback can be communicated to care teams and administrators to strengthen the integration of technology in the patient experience. In addition to providing insight to the organization itself, analysis of user behavior also forms a basis for academic research into patient engagement with portal technologies.
Community-Oriented National Trends Study To Evaluate Extant Health Behaviors (CONTEXT)
The CONTEXT study seeks to extend existing knowledge of health belief, communication and information seeking behaviors. CONTEXT integrates multiple versions of the Health Information National Trends Survey (HINTS), a comprehensive nationally representative survey conducted by the National Cancer Institute, with data sources that will enhance our understanding of how context impacts behaviors. This project offers a systematic approach to validating what we think we know, advancing into areas where we know little, while seeking to build research that leverages existing data to test hypotheses and answer novel cancer control and prevention questions in ways that cannot be accomplished without data integration.
Patient-Centered Outcomes Research Institute (PCORI) Taxonomy
This project involves the development and application of a classification scheme (i.e., taxonomy) to describe the PCORI funded portfolio to internal staff and external stakeholders. The taxonomy is intended to assist with answering descriptive questions about the composition of the portfolio, including trends that emerge over time. In addition to describing PCORI funding, the taxonomy is intended to support strategic decision-making related to PCORI funding, with a goal of funding research to improve the quality and relevance of evidence available to help patients, caregivers, providers, employers, insurers and policy-makers make informed health decisions.
Infant and Maternal Mortality
Infant and maternal mortality
Ohio Infant Mortality Reduction Initiative (OIMRI) Project 1
The primary goal of this project was to determine the effectiveness of a home visit program on birth outcomes in Ohio. Our evaluation was organized as a responsive, mixed-methods approach. Specifically, we addressed social determinants of health, OIMRI Infant Mortality Research Partnership outreach and engagement of high-risk populations, utilization of health services, quality of care and health outcomes and disparities. Additionally, we provided information on processes in place at each OIMRI intervention site, outcomes currently assessed through OIMRI intervention sites, OIMRI participant data linked to birth records and linkages to data available through the Infant Mortality Research Partnership.
Ohio Infant Mortality Reduction Initiative (OIMRI) Project 2
This project will evaluate multiple programs aiming to improve birth outcomes and reduce racial disparities in infant deaths across nine Ohio counties. Specifically, we will oversee the collection and evaluation of data related to processes and outcomes of note involving healthcare utilization, family planning and births.
Implementation Science Assessment of the Merck for Mothers Obstetric Emergency Safety Bundles Program
The aim of the Merck for Mothers (MfM) implementation assessment project was to understand the implementation strategies for obstetric emergency safety bundles, including the facilitators and barriers to implementation experienced by the participating partners. A secondary aim was to corroborate the experience of the organizational partners with the experiences of hospitals where obstetric safety bundles were implemented. The overall goal of this evaluation was to provide recommendations on best practices for the implementation of the obstetric safety bundles for future dissemination efforts for both partners and hospitals.
Ohio Equity Initiative (OEI)
The overall goal of this evaluation effort is to examine the extent to which newly implemented programs (Centering Pregnancy, Home Visiting and Community Health Workers) serve high-risk Medicaid enrolled pregnant women and to assess the effect of these interventions on health care utilization and birth outcomes.
Patient Safety and Quality Improvement
Patient safety and quality improvement
Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS)
The Institute for the Development of Environments Aligned for Patient Safety (IDEA4PS) seeks to use systems approaches to bring together multidisciplinary teams to generate new ways of looking at information and data aimed at improving patient safety. Twenty-three investigators from The Ohio State University Wexner Medical Center and beyond are participating in this Patient Safety Learning Laboratory, proving how the university is truly working together for patient safety. Learn more about the current IDEA4PS projects.
MyExperience@ is an online application inspired by patients to improve patient safety and experience while at The Ohio State University Wexner Medical Center. This application provides patients, visitors and staff the opportunity to submit reports in real time on topics such as identifying exemplary employees or reporting service or safety concerns. Information submitted is sent to the Patient Experience Department of OSUWMC, ensuring that the right person gets the report from the application.
Evaluation of the MEDTAPP Healthcare Access Initiative
The Medicaid Technical Assistance and Policy Program (MEDTAPP) Healthcare Access Initiative (HCA) prepares current and future health professionals to serve Medicaid beneficiaries and to work in underserved communities. Specifically, the MEDTAPP HCA supports healthcare professional recruitment and retention through innovative teaching and training programs that focus on behavioral health, community health workers, interprofessional education and community‐based experiences to increase access to care for Medicaid and underserved populations.
Management Practices in Healthcare
Management practices in healthcare
This project is designed to identify the organizational and structural practices that are associated with better performance at reducing and preventing healthcare-associated infections (HAIs). This five-year project is focused on central line-associated blood stream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs), and involves both intensive care units (ICUs) and medical/surgical units. We aim to create a generalizable management practice toolkit that can then be leveraged in the improvement of other HAI outcomes.
Nurse Practitioner Utilization Project (NP UP)
This study aims to gain insight about organizational influence over nurse practitioner practice patterns in primary care. The Nurse Practitioner (NP) Utilization Project is analyzing the Centers for Medicare and Medicaid Services (CMS) outpatient dataset to identify organizational factors associated with high utilization of NPs in caring for diabetic patients. Once these organizational factors are identified, we will use a qualitative process to interview NP practice experts in an effort to lend context to our findings.