IHOP News and Events

Spring 2018

Institute for Health Outcomes and Policy Research invites you for the following Seminar:

Wednesday, May 2, 11:00 am — 12:00 pm CST
Teaching and Learning Center, 4th Floor, 920 Madison Avenue
Title: The Bayesian Approach to Data Analysis
Presenter: Fridtjof Thomas, PhD, Associate Professor Division of Biostatistics, Department of Preventive Medicine, University of Tennessee Health Science Center
Abstract: What is Bayesian data analysis? What are the advantages and disadvantages of this approach? How can it be practically implemented? This seminar introduces the basic ideas underlying the Bayesian approach to data analysis by a fundamental example of statistical learning, shows the basic building blocks of that approach including the essential “mathematical machinery”, and elaborates on the feasibility of real world data analyses following the Bayesian approach. 
Keywords: Statistical learning, Bayesian approach, probability, likelihood, prior distribution, posterior distribution, Bayes theorem, conjugate priors, sequential updating, statistical inference, predictive distributions. 

2018 Graduate Research Day

ankurIHOP Doctoral student Ankur A. Dashputre received the Best 2nd year Student Research poster presentation award at the 2018 Graduate Research Day.

This was a record-setting celebration of graduate research with over 50 students presenting their original work! 

Congratulations to Ankur!  

2018 UTHSC- Graduate Research Day Poster Presentation by IHOP students:

CHARACTERISTICS OF ADULT PATIENTS WITH OBESITY-ASSOCIATED CHRONIC CONDITIONS - Ankur A. Dashputre, MS; Satya Surbhi, PhD; Pradeep S.B. Podila, PhD; James E. Bailey, MD, MPH
Obesity affects 36% of the United States population and is associated with the development of multiple chronic conditions. Regular primary care is associated with improved obesity and chronic condition management. This study sought to assess the characteristics of patients with obesity-associated chronic conditions seen in the emergency room or hospital associated with lacking a regular primary care provider (PCP). We conducted a retrospective cohort analysis of electronic medical records (2015-2017) extracted from a large not-for-profit integrated healthcare system (47% market share) with 5 adult hospitals serving the Mid-South. Patients identified as obese (BMI ≥30 kg/m2), age ≥18 years, and having at least one diagnosed obesity-associated chronic condition were included. Self-report (yes/no) was used to assess presence of a regular PCP. Chi-square tests and multivariable logistic regression were used to assess patient characteristics and factors associated with having a PCP. Of the total 51,689 obese patients, 56.6% had at least one obesity-associated chronic condition. Of these 11.8% reported not having a PCP. Mean age of the sample was 53 years with hypertension, hyperlipidemia, and diabetes being the most prevalent conditions. Patients >65 years (OR 2.30 95% CI 1.94-2.73), White race (OR 1.10 95% CI 1.00-1.22) and higher comorbidity (OR 2.46 95% CI 2.13-2.84) were positively associated with having a PCP, whereas lack of insurance (OR 0.34 95% CI 0.30-0.38) and being male (OR 0.45 95% CI 0.42-0.49) were negatively associated with having a PCP. Many patients with serious obesity-associated conditions lack regular primary care and this unmet need for basic essential care is particularly acute among men and those without insurance.

CANNABIS USE AND ITS ASSOCIATON WITH CLINICAL CHARACTERSTIS AND POST-ESRD MORTALITY - Praveen K. Potukuchi, Keiichi Sumida, Miklos Z. Molnar, Abduzhappar Gaipov, Frank Park, Hamid Moradi, Fridtjof Thomas, Elani Streja, Melissa Soohoo, Kamyar Kalantar-Zadeh, and Csaba P. Kovesdy
Background: The health effects of cannabis use in patients with advanced CKD are unknown. Methods: In 11,154 US veterans who transitioned to dialysis during 2007-2014 and had undergone urine toxicology tests (1,381 who tested positive for cannabis, and 9,773 who tested negative for cannabis), we examined the association of cannabis use with various clinical characteristics using logistic regressions and with 6-month all-cause mortality using multivariable adjusted Cox models. Results: The mean (SD) age of the cohort was 61.9 (9.7) years; 97% were male, 45 % were African American and 69% were diabetic. Cannabis use was associated with younger age, higher mean pre-ESRD eGFR, unmarried status, smoking, cancer, liver disease, HIV and with the prescription of opioids and antidepressants (Table). Patients who tested positive for cannabis displayed lower mortality than patients who tested negative [Figure, unadjusted hazard ratio (95% CI): 0.83(0.7-0.99)], but the survival advantage was attenuated after multivariable adjustments [1.06(0.86-1.31), p=0.6]. Conclusion: Among patients who underwent toxicology testing, cannabis use during the pre-ESRD period is associated with lower all-cause mortality in the immediate post-ESRD period. However, this association mitigates when adjusted for patient characteristics.


Student
: Bonita Payne
Columbia State Community College announces Bonita Payne as the new health information technology program director. 

IHOP Doctoral student Praveen Pottukuchi wins Three-Minute Thesis Competition

IHOP Doctoral student Praveen Pottukuchi won this year's Three-Minute Thesis Competition - popular choice prize.IHOP Doctoral student Praveen Pottukuchi won this year's Three-Minute Thesis Competition - popular choice prize. The competition was held by the  Memphis Bioworks Foundation , where  participants presented their thesis work in under three minutes with one static slide.

Congratulations, Praveen!

Fall 2017 - Student Conference Presentations

Potukuchi, Praveen Kumar; Sumida, Keiichi; Molnar, Miklos Z.; Gaipov, Abduzhappar; Park, Frank; Moradi, Hamid; Thomas, Fridtjof; Streja, Elani; Soohoo, Melissa; Kalantar-Zadeh, Kamyar; Kovesdy, Csaba P. “Cannabis use and its association with clinical characteristics and post-ESRD mortality”, poster presentation at the American Society of Nephrology (ASN), ASN Kidney Week 2017, November 3rd, New Orleans, USA.

P. Kovesdy, A. Naseer, K. Sumida, M. Z. Molnar, P. Potukuchi, F. Thomas, E. Streja, M. Heung, K. C. Abbott, R. Saran, K. Kalantar-Zadeh “Acute Kidney Injury Precipitating Initiation of Chronic Maintenance Hemodialysis”, oral presentation at the American Society of Nephrology (ASN), ASN Kidney Week 2017, New Orleans, USA.

Sumida, Keiichi; Molnar, Miklos Z.; Potukuchi, Praveen Kumar; George, Koshy K.; Thomas, Fridtjof; Lu, Jun Ling; Yamagata, Kunihiro; Kalantar-Zadeh, Kamyar; Kovesdy, Csaba P. “Changes in Albuminuria and Subsequent Risk of Incident Kidney Disease”, poster presentation at the American Society of Nephrology (ASN), ASN Kidney Week 2017,  New Orleans, USA.

Sumida, Keiichi; Molnar, Miklos Z.; Potukuchi, Praveen Kumar; Hassan, Fatima; Thomas, Fridtjof;Yamagata, Kunihiro; Kalantar-Zadeh, Kamyar; Kovesdy, Csaba P. “Biologic Use and Incident Chronic Kidney Disease in Rheumatoid Arthritis”, poster presentation at the American Society of Nephrology (ASN), ASN Kidney Week 2017,  New Orleans, USA. 

Sumida, Keiichi; Molnar, Miklos Z.; Potukuchi, Praveen Kumar; Gaipov, Abduzhappar; Thomas,Fridtjof; Streja, Elani; Yamagata, Kunihiro; Kalantar-Zadeh, Kamyar; Kovesdy, Csaba P. “Association of pre-ESRD mineral and bone disorder parameters with post-ESRD hospitalization for fractures” , poster presentation at the American Society of Nephrology (ASN), ASN Kidney Week 2017,  New Orleans, USA.

Sumida, Keiichi; Molnar, Miklos Z.; Potukuchi, Praveen Kumar; Thomas, Fridtjof; Gosmanova, Elvira; Sim, John J.; Yamagata, Kunihiro; Kalantar-Zadeh, Kamyar; Kovesdy, Csaba P “Pre-ESRD systolic blood pressure trajectory and post-ESRD mortality”,  poster presentation at the American Society of Nephrology (ASN), ASN Kidney Week 2017,  New Orleans, USA.

Gaipov, M. Z. Molnar, P. Potukuchi, K. Sumida, O. Akbilgic, E. Streja, C. Rhee, R. B. Canada , K. Kalantar-Zadeh, C. P. Kovesdy “Acute kidney injury following CABG versus PCI in advanced CKD patients”, poster presentation at the American Society of Nephrology (ASN), ASN Kidney Week 2017, New Orleans, USA.

Gaipov, M. Z. Molnar, P. Potukuchi, K. Sumida, R. B. Canada, O. Akbilgic, K. Kabulbayev, K. Kalantar-Zadeh, C. P. Kovesdy “Pre ESRD Coronary Artery Revascularization and Post ESRD mortality”, oral presentation at the American Society of Nephrology (ASN), ASN Kidney Week 2017, New Orleans, USA. 

Z. Molnar, A. Naseer, K. Sumida, A. R. Riezenman, B. M. Wall, P. Potukuchi, A. Gaipov, E.Streja, K. Kalantar-Zadeh, C. P. Kovesdy “Complications of RAAS blockade in patients with advanced CKD”, poster presentation at the American Society of Nephrology (ASN), ASN Kidney Week 2017, New Orleans, USA.

Z. Molnar, A. Naseer, K. Sumida, A. R. Riezenmanl, P. Potukuchi, A. Gaipov, E. Streja, K. Kalantar-Zadeh, C. P. Kovesdy “Association between pre-ESRD RAAS blockade and post-ESRD mortality”, oral presentation at the American Society of Nephrology (ASN), ASN Kidney Week 2017, New Orleans, USA.

Gosmanova, M. Z. Molnar, P. Potukuchi, E. Streja, K. Sumida, K. Kalantar-Zadeh, C. P. Kovesdy “Association between pre-ESRD RAAS blockade and post-ESRD mortality” , oral presentation at the American Society of Nephrology (ASN), ASN Kidney Week 2017, New Orleans, USA.

Geeta G. Gyamlani, Praveen Kumar Potukuchi, Oguz Akbilgic, Melissa Soohoo, Elani Streja, Keiichi Sumida, Kamyar Kalantar-Zadeh, Miklos Z. Molnar, Csaba P. Kovesdy “Vancomycin-Associated Acute Kidney Injury”, poster presentation at the American Society of Nephrology (ASN), ASN Kidney Week 2017,  New Orleans, USA.

Summer 2017- Student Conference Presentation

Student: Cameron James
Event : the Academy Health 2017 Annual Research Meeting in New Orleans on June 26th, 2017
Title: “Reducing Readmission By Patient Education and Shared Decision Making for Chronic Obstructive Pulmonary Disease (COPD)”
Authors: Dr. Ashley Collinsworth, ScD, MPH1, Rachel Brown1, Cameron James, PharmD, MHCI2, Richard Stanford, PharmD, MS2, Taoran Qui, MS1, Daniel Alemayehu, RRT, MBA3, Maria Kouznetsova, MS, MPH, PhD1, Lauren Hall, MPH1 and Elisa Priest, DrPH1, (1)Baylor Scott & White Health, Dallas, TX, (2)GlaxoSmithKline, Inc., Raleigh, NC, (3)UT Southwestern, Dallas, TX

Spring 2017- Student Conference Presentation

Student: Sohul A.Shuvo
Event : Society of General Internal Medicine , New Orleans, Louisiana, February 14- 16, 2017
Title: “Characteristics of Effective Text Messages from the Patient’s Perspective for Improving Diabetes Self-Care among African-Americans in Medically Underserved Areas” 

Breast Cancer Publication

Breast cancer mortality disparities: Providers’ perspective. Journal of Nursing Education and Practice. 2017, Vol. 7, No. 6
Shelley White-Means , Jill Dapremont, Muriel Rice, Barbara Davis, Okoia Stoddard
January 16, 2017
ISSN 1925-4040 E-ISSN 1925-4059
DOI: 10.5430/jnep.v7n6p46
URL: http://dx.doi.org/10.5430/jnep.v7n6p46

Student Publication

Satya Surbhi, Kiraat D. Munshi, Paula C. Bell, James E. Bailey. Drug therapy problems and medication discrepancies during care transitions in super-utilizers. Journal of the American Pharmacists Association. 2016 Oct 06. 

PubMed:  27720595   DOI:  10.1016/j.japh.2016.07.004 

Fall 2016

Conference Presentation: Cameron James
Event: 9th Annual Conference on the Science of Dissemination and Implementation, December 14-15, 2016 ,Washington, DC.
Topic: Barriers and Benefits to the Use of Patient Reported Outcome Measures in Routine Clinical Care: A Qualitative Study 

Conference Presentation: Praveen Kumar Potukuchi
Event: American Society of Nephrology, November 15th-20th, 2016 Chicago, IL
Topic: Testosterone Replacement Therapy is Associated with Less Progression of Chronic Kidney Disease 

2016-2017 Research Internships Available

Institute for Health Outcomes and Policy research-scientists have limited paid internship opportunities for students who are interested in exploring the possibilities of a Health Outcomes and Policy research career. Undergraduate/ Graduate students may participate in this internship program. To be eligible for this opportunity, students must be:

  1. Interested in learning more about Collaborative, Health Outcomes and Policy research
  2. In the Memphis area during the 7-9 week internship
  3. Able to commit approximately 20 hours over the term to activities with the research team.*
  4. Be able to join class HOPR 919 Health Outcomes & Policy Research Seminar twice during the internship. *

* Days and hours of internship activities, and class HOPR 919 will be dependent on the activities occurring within each of the individual faculty members programs of research.

Anyone interested in learning more about this opportunity should contact Dr. Sajeesh Kumar at skumar10@uthsc.edu

Spring 2016

Conference Presentation: Satya Surbhi

Event: Academy Health - 2016 Annual Research Meeting
Topic: Predictors of Medication Nonadherence in Super-Utilizers with Multiple Chronic Conditions and Polypharmacy
Date: June 26-28 2016
Venue: Hynes Convention Center in Boston, MA

Student Publications

Gosmanov, A. R., Lu, J. L., Sumida, K., Potukuchi, P. K., Rhee, C. M., Kalantar-Zadeh, K., . . . Kovesdy, C. P. (2016). Synergistic association of combined glycemic and blood pressure level with risk of complications in US veterans with diabetes. J Hypertens. doi: 10.1097/HJH.0000000000000864

Sumida, K., Molnar, M. Z., Potukuchi, P. K., Thomas, F., Lu, J. L., Jing, J., . . . Kovesdy, C. P. (2016). Association of Slopes of Estimated Glomerular Filtration Rate With Post-End-Stage Renal Disease Mortality in Patients With Advanced Chronic Kidney Disease Transitioning to Dialysis. Mayo Clin Proc, 91(2), 196-207. doi: 10.1016/j.mayocp.2015.10.02

SafeMed: Using pharmacy technicians in a novel role as community health workers to improve transitions of care.
Bailey JE, Surbhi S, Bell PC, Jones AM, Rashed S, Ugwueke MO.
J Am Pharm Assoc (2003). 2016 Jan;56(1):73-81. doi: 10.1016/j.japh.2015.11.011.

September 2015

IHOP Executive Council Member, Prof. Mona Wicks (College of Nursing) talks about Caring and Caregiving on WKNO's The Best Times talk show.

Doctoral Student Satya Surbhi Chosen as a Recipient of Pre-doctoral Fellowship Award

Student Satya SurbhiIHOP is pleased to announce that the Pharmaceutical Research and Manufacturers of America Foundation ( PhRMA Foundation) has chosen Doctoral Student Satya Surbhi as a recipient of a pre-doctoral fellowship award in Adherence Improvement. This award provides $25,000 for a 1 year period.

Abstract

“Does medication adherence mediate the positive impact of a care transitions program on health care utilization and costs among vulnerable populations?”

Medication non-adherenceis a major health care concern, with studies showing that it is associated with poor health outcomes and higher health care utilization and health care costs. During care transitions processes from hospital to the community setting, patients often experience difficulty in medication management, medication discrepancies and drug therapy problems being key factors in making these care transitions complex. Studies have evaluated the impact of interventions on medication adherence and health care utilization and costs, with some showing a positive impact on both adherence and health outcomes. However, there is little evidence showing an impact of care transitions programs on medication adherence and outcomes among vulnerable populations with high health care needs. Moreover, to our knowledge none have explored the causal pathway linking interventions to the final outcomes, through the mediating effect of medication adherence. Therefore, it is imperative to demonstrate whether care transitions interventions that are designed to affect patients’ adherence are successful in improving adherence and whether the change in the adherence is impacting the health outcomes among vulnerable populations who can benefit the most from such interventions. The SafeMed Program is a unique care transitions program targeting vulnerable populations in Memphis with complex health care needs. Using Medicare and Tennessee Medicaid claims data, this study will examine the impact of the SafeMed Program on medication adherence and explore the causal pathway linking the program interventions to health care utilization and health care cost, through the potential mediating effect of medication adherence. The study findings have the potential to demonstrate the central importance of adherence in improving transitions of care—that care transitions programs focusing on medication management can improve adherence and that improvements in adherence are essential to broader impacts on healthcare utilization and costs.

May 5th: 2015 Kiraat D. Munshi, MS presenting at Quarterly Scientific Meeting

Kiraat D. Munshi, MS College of Graduate Health Science has instituted a Quarterly Scientific Meeting program to serve as a forum where graduate students are encouraged to present their research to the campus community.

Topic: Impact of Medicaid Discontinuity on Medication Adherence and Health Care Resource Utilization among Non-Elderly Adults with Cardiovascular Disease and Associated Comorbidities

Date:  05-05-2015
Venue :GEB room A204
Time:12 noon to 1:00 pm (1:00 – 2:00 pm EST)

Abstract

December 10th: 2014 Postdoc Research Day

2014 Postdoc Research Day
December 10, 2014
Student Alumni Center (SAC)
Posters & Oral Presentation Competition: 9am to 11am
Speaker and Lunch at noon

RSVP for lunch: Please RSVP by December 1st at 5pm to Ms. Jeddie Maxwell

See our flyer for more information including the keynote speaker!

UTHSC-Rhodes Population Health Researcher Program

Interested in working with outstanding Rhodes College students? The UTHSC-Rhodes Population Health Researcher Program provides support for four Rhodes College students from a variety of majors/backgrounds to gain research experience by working with well-suited UTHSC faculty mentors each year.

Students work over the summer (40 hours per week, 8 – 10 weeks), followed by a semester-long internship (8 hours per week, 12 weeks).

Population Health Researchers focus on health outcomes, their distribution within a group of individuals, and their connection to a diverse array of health determinants. These health determinants may include factors that are social (e.g., education, employment, culture), physical (e.g., built environment, air quality), genetic, or behavioral (e.g., smoking, exercise), as well as the policies and interventions that link determinants with outcomes.

If you are a UTHSC faculty member and conduct population health research, we encourage you to prepare a faculty profile for potential matching with a Rhodes summer student. Faculty profiles should contain: a recent copy of your CV or biosketch, plus a 'faculty profile' containing the following:

  • narrative description of your current research area (1 paragraph)
  • brief summary of one or more research projects that the student could be working on (1-2 paragraphs)
  • description of expected duties and effort breakdown (e.g. data entry (10%), cleaning data (10%), using SAS to analyze data (30%), writing a paper (30%), meetings with patients and providers (20%))
  • description of the research "outputs" that the student can expect to produce or assist in production of (1 paragraph or bullets)

Note: Projects must have some sort of concrete output such as a report, presentation or paper. Projects that will ultimately result in a publication opportunity for the student are desirable.

Interested students will be able to review faculty profiles and apply for positions by providing their resume and a description of their educational background and skills. An intercollegiate committee will identify potential matches, with individual UTHSC faculty approving final assignments.

Submission Deadline

Interested faculty should send their profiles to Teresa Waters by 5pm, December 19, 2014. You will be contacted with potential matches by February 27, 2015.

November 5: Health Systems Research Conference

Is High Repeat Utilization A Driver of Regional Variation in Readmissions:
Statewide Trends in Cost and Utilization from 2009 to 2012

Wednesday, November 5, 12 Noon – 1:00pm
(lunch available 11:30)
956 Court Avenue, D227
Presenter: Jill Nault, MS, MSSW PhD Candidate
Institute for Health Outcomes & Policy (IHOP)

Questions? Contact Dr. Jim Bailey (jeb@uthsc.edu). To reserve your lunch, please email Celia Ridley.

October 24: Virtual Cadaver Demonstration

painting of cadaver

Virtual General Cadaver Demonstration For Health Science

Friday, October 24, 12 Noon- 1:00 pmPDF icon
Institute of Health Outcomes and Policy (IHOP)
College of Graduate Health Science
8th Floor, 920 Madison Avenue
Registration Deadline: October 17
Register By Email: Renata Gillispie, M.S

Contact Us

Institute for Health Outcomes and Policy
College of Graduate Health Sciences
Email: cghs@uthsc.edu
920 Madison Ave
Suite 807
Memphis, Tennessee 38163
Phone: 901-448-5538