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Agency for Healthcare Research Quality www.ahrq.gov
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Child Health Extramural Research by State and Country

Oregon

Principal Investigator: Bethell, Christina
Title: Development of a Resource Guide to Child-Relevant Measures and Other Features of AHRQ's HCUP Databases including the KID and Pediatric Quality Indicators, MEPS Data Sets and CAHPS CCC Measurement Tools
Institution: Oregon Health and Sciences University, Portland, OR
E-mail: bethellc@ohsu.edu
Project Dates: 08/01/06-02/28/07
Project No.: HHSP233200600562P
Summary: This project will develop a resource guide that will facilitate research and publishable reports relevant to furthering the knowledge on health and health care quality of children and youths.

Principal Investigator: Davis, Robert
Title: Prevalence and Strategies for Appropriate Prescription Medication Dosing in Children
Institution: Kaiser Foundation Research Institute, OR
E-mail: rdavis@u.washington.edu
Project Dates: 11/01/02-11/30/03
Project No.: 290-00-0015
Summary: This project will assess the prevalence of inappropriate prescribing of medication in the ambulatory pediatric setting and the scope and breadth of current strategies to avoid inappropriate prescribing. This project will include an assessment of appropriate medication safety monitoring by recommended laboratory tests (e.g. liver function tests for carbamazepine). The project will also evaluate strategies and make recommendations to minimize outpatient prescription medication errors in children.

Principal Investigator: Devoe, Jennifer
Title: Does Parental Health Insurance Loss Affect Children's Access to Care?
Institution: Oregon Health and Sciences University, Portland, OR
E-mail: devoej@ohsu.edu
Project Dates: 07/01/06-06/30/11
Project No.: K08 HS16181
Summary: This Mentored Clinical Scientist Development Award aims to explore the potential barriers to children's health insurance coverage and health care access using a cross-sectional secondary analysis of the National Medical Expenditure Panel Survey, and primary collection and analysis of the Oregon Children's Access to Healthcare Study. Researchers also will conduct a longitudinal analysis of data from three survey waves of the Oregon Health Plan Prospective Cohort Study to determine how parental loss of health insurance is associated with changes in children's health insurance status over time. Women, racial/ethnic minority populations, and individuals with chronic conditions are included in all aspects of this study.

Principal Investigator: Givens, Jeffery
Title: Bay Area Community Informatics Project*
Institution: Bay Area Health District, DBA Bay Area Hospital, Coos Bay, OR
E-mail: dr.givens@nbmconline.com
Project Dates: 09/30/04-09/29/05
Project No.: P20 HS014893
Summary: The purpose of this study is to establish a secure fiber optic connection between primary performance sites (a consortium of rural Oregon Coast healthcare organizations, including a local acute care hospital, several outpatient clinics, home health agencies and nursing homes) for transmission of patient demographic data, medical transcription files, laboratory results, and radiographic images. Patients in this study include rural, women, children, the elderly, and persons with chronic illnesses.

Principal Investigator: Guise, Jeanne-Marie
Title: Improving Safety and Quality with Integrated Technology*
Institution: Oregon Health and Science University, Portland, OR
E-mail: guisej@ohsu.edu
Project Dates: 09/30/04-08/31/07
Project No.: R01 HS015321
Summary: The aims of this project will (1) demonstrate the value of an integrated outpatient and inpatient health information technology (HIT) system to improve quality of care and safety for women and infants, using group B streptococcus (GBS) prevention as the test case; (2) demonstrate the value of an outpatient alert system (State Obstetric and Pediatric Research Collaborative) to increase GBS screening; and (3) perform a cost-benefit analysis to assess the economic impact of implementing the integrated HIT system, including the outpatient alert system, in terms of HIT-related and GBS-related costs. Women, minorities (Hispanics, African-Americans, Native Americans, and other races) and children will be represented in this study.

Principal Investigator: Hickam, David H.
Title: Oregon Patient Safety Evaluation Center
Institution: Oregon Health Sciences University, Portland, OR
E-mail: hickam@ohsu.edu
Project Dates: 10/01/01-09/30/04
Project No.: P20 HS11550
Summary: The aim of this project is to establish a DCERPS to build a multi-institutional and interdisciplinary research program focusing on patient safety activities, and provide infrastructure for multiple future research studies. Several medical and clinical infrastructures will support the center that includes four pediatric programs that will review data on adverse outcomes in pediatric patients.

Principal Investigator: Muller, Melinda
Title: Medication Reconciliation: Bridging Communications Across the Continuum of Care*
Institution: Legacy Emanuel Hospital and Health Center, Portland, OR
E-mail: mmuller@lhs.org
Project Dates: 07/01/05-06/30/07
Project No.: U18 HS15904
Summary: This project will develop and test an interdisciplinary medication reconciliation process that results in accurate documentation and information transfer of medication lists and drug allergies across the continuum of care with the primary goals of reducing adverse drug events and improving patient outcomes. Researchers will test a functional interdisciplinary medication assessment model through the development of a system-wide process to create, maintain and update a complete list of medications and allergies at the time of admittance to any service along the continuum of outpatient primary care and inpatient care. This work will lead to the development and testing of processes that ensure communication of medication and allergy list to all external providers and the patient upon transfer of care or discharge, as well as the development, refinement, and dissemination of a toolkit for implementing medication reconciliation in a multi-tiered health system. Patients in this study will include women and racial/ethnic minority populations, both staff and patients of Legacy Health System. Data collected from children will be included in aggregate adverse drug event information and hospitalization records only.

Principal Investigator: Seccombe, Karen M.
Title: The Impact of the Oregon Health Plan on TANF Leavers' Ability to Care for Their Families' Health
Institution: Portland State University, Portland, OR
E-mail: seccombek@pdx.edu
Project Dates: 09/05/01-08/31/04
Project No.: R01 HS11322
Summary: The aim of this project is to examine the effects of welfare reform on the access to health insurance and use of health services among former welfare recipients and their children in the State of Oregon.

Principal Investigator: Stock, Ronald
Title: The PeaceHealth Community-wide Electronic Shared Medication List*
Institution: Sacred Heart General Hospital, Eugene, OR
E-mail: rstock@peacehealth.org
Project Dates: 09/30/03-09/29/05
Project No.: UC1 HS14315
Summary: This project will improve medication safety in the outpatient arena by generating a single, reconciled community-wide electronic medication list and patient care plan. This study will create an electronic "patch" for existing inpatient and outpatient electronic medical records that will enable all members of the care team to know exactly what medications each patient is currently on, what medications have been discontinued, and the patient medication allergies. The basic plan will be available 24 hours a day, 7 days a week for all care team members, including patients and their caregivers, physicians, clinics, hospitals, and others participating in the care of patients. Clinicians will be trained on how to use the tools when the Web-based medication list and plan are in place. Women, minority groups and children will be included in this study in similar proportions as their representation within each PeaceHealth community. A significant number of Hispanic and Native American patients will be represented as well.


*Project includes children or children's health care issues but does not focus exclusively on children.


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