Douglas w

DOUGLAS W. ROBLIN

Education

1977-1984
University of Michigan, Ann Arbor. PhD (1984). Anthropology. Dissertation: Labor Market Behavior of Disadvantaged Migrants: A Case Study of Samoans in the San Francisco Bay Area. The University of Chicago. MA (1978). Anthropology. Thesis: The Developmental Cycle of Complex Social Systems in a Prehistoric Context: Theory and Evidence from Prehistoric Chiapas, Mexico. Indiana University of Pennsylvania. BA (1975). Anthropology and Chemistry.
Professional Employment

2013-present Professor, Health Management and Policy, School of Public Health,
Georgia State University, Atlanta, GA Develop and teach MPH and PhD level courses in the areas of: social determinants of health, translational research program design and evaluation, principles and methods of health services research, and history of the US healthcare system. Mentor GSU Center of Excellence fellows. Serve on MPH thesis and PhD dissertation committees. Write technical and business sections of proposals and submit proposals to potential sponsors (private foundations, federal agencies). Senior Research Scientist, Kaiser Permanente, Atlanta, GA Develop project concept papers for potential extramural funding. Write technical and business sections of proposals and submit proposals to potential sponsors (private foundations, federal agencies). For funded projects, provide general project management and supervision with attention to scientific conduct of projects and timelines for deliverables. Write and submit periodic project status reports to sponsors. Write and submit final project reports and manuscripts for publication. Prepare and present project results to internal audiences (e.g. medical group senior management) and scientific meetings. Mentor master- and doctoral-level research associates, project managers, programmer/analysts, and research assistants within the Research Department and with collaborating research centers. Health Economist, Kaiser Foundation Health Plan, Oakland, CA Design and conduct econometric and epidemiologic studies related to efficiency of medical care delivery and quality of care outcomes: risk-adjustment of health plan premiums, case-mix adjustment of primary care physician workload and practice variation, variation in use and costs of prescribed medicines, chronic disease performance measurement (diabetes, asthma). Consult with and mentor master- and doctoral-level statisticians and health services researchers in support of operations improvement projects within Kaiser Permanente. Write project reports and present findings to senior-level health plan and medical group management. Statistician, Kaiser Foundation Health Plan, Oakland, CA Design and conduct studies requiring advanced statistical, econometric, and epidemiologic methods: health plan choice in employer groups, selection bias, hospital length of stay. Write reports and present findings to department management. Consult with medical economic analysts on applications of analytic methods and results. Statistician, California Medical Review, San Francisco, CA Design and conduct special statistical studies emphasizing regression models of risk of adverse patient outcome (mortality, readmission, complications) for hospital care provided to Medicare beneficiaries. Design and implement routine reports on utilization and quality of inpatient care.
Professional Affiliations and Memberships

2013-present Affiliate Investigator, The Center for Health Research / Southeast, Kaiser
2009-present Member, Society for Occupational Health Psychology 2008-2010 2005-present Adjunct Assistant Professor, Health Policy and Management, Rollins School of Public Health at Emory University Session Chair, Chronic Care Delivery, 2004 Annual Research Conference, AcademyHealth Advisory Panel, Project on Developing a New Set of Actionable Measures for Prevention and Chronic Illness Care, NCQA Research Steering Committee, Kaiser Permanente Georgia Steering Committee, Diabetes Physician Recognition Program, Editorial Advisory Committee, Journal on Quality Improvement Advisory Panel, Diabetes Quality Improvement Project, NCQA Methodologic Expert Panel, HEDIS Users Group, NCQA Member, American Statistical Association Pharmacy Subcommittee, Interregional Committee on Aging, Kaiser Advisory Committee, State of Washington, Medical Risk Adjustment 1991-present Member, AcademyHealth (formerly Association for Health Services Interregional Utilization Management Committee, Kaiser Permanente
Manuscript Reviews

Medical Care, Medical Care Research and Review, Health Services Research, American
Journal of Managed Care, Journal of Clinical Outcomes Management, JAMA, Joint
Commission Journal on Quality Improvement, Journal of Patient Safety, Women’s
Health Issues
Grant Application Reviews

2012
NIH, SEP: Economics of Provider Behavior Cancer Research Network, Annual Pilot Study Applications NIH, Challenge Grants in Health and Science Research Kaiser Permanente, Garfield Memorial Fund
Honors

2002
Best Abstract, AcademyHealth Annual Research Meeting Graduate Fellow, Social Science Research Council Graduate Fellow, National Science Foundation
Publications

Roblin DW, Robinson BE, Benjamin S. Evaluation of a worksite wellness program
designed to reduce cardiovascular risks. J Ambul Care Manage. 2013 [In press].
Morris NS, Field TS,Wagner JL, Cutrona SL, Roblin DW, Gaglio B, Williams A, Han
PJK, Costanza ME, Mazor, KM. The association between health literacy and cancer-
related attitudes, behaviors, and knowledge. J Health Comm. 2013 [In press].
Mazor KM, Beard RL, Alexander GL, Arora NK, Firneno C, Gaglio B, Greene SM,
Lemay CA, Robinson BE, Roblin DW, Walsh K, Street RL Jr, Gallagher TH. Patients'
and family members' views on patient-centered communication during cancer care.
Psychooncology. 2013 [Epub ahead of print].
Miglioretti DL, Johnson E, Williams A, Greenlee RT, Weinmann S, Solberg LI,
Feigelson HS, Roblin D, Flynn MJ, Vanneman N, Smith-Bindman R. The Use of
Computed Tomography in Pediatrics and the Associated Radiation Exposure and
Estimated Cancer Risk. JAMA Pediatr. 2013 [Epub ahead of print]
Walsh KE, Roblin DW, Weingart SN, Houlahan KE, Degar B, Billett A, Keuker C, Biggins C, Li J, Wasilewski K, Mazor KM. Medication errors in the home: A Multisite study of children with cancer. Pediatrics. 2013;131(5):e1405-14 Walsh KE, Mazor KM, Roblin D, Biggins C, Wagner, JL, Houlahan K, Li JW, Keuker C, Wasilewski-Masker K, Donovan J, Kanaan A, Weingart SN. Multisite parent-centered risk assessment to reduce pediatric oral chemotherapy errors. J Oncol Pract. 2013;9(1):e1-7. Edmonds SW, Wolinsky FD, Christensen AJ, Lu X, Jones MP, Roblin DW, Saag KG, Cram P; on Behalf of the PAADRN Investigators. The PAADRN Study: A design for a randomized controlled practical clinical trial to improve bone health. Contemp Clin Trials. 2013;34(1):90-100 Roblin DW. Evaluation of a neighborhood socioeconomic status index in a managed care organization. Med Care; 2013;51(1):e1-8 Bruce FC, Berg CJ, Joski PJ, Roblin DW, Callaghan WM, Bulkley JE, Bachman DJ, Hornbrook MC. Extent of maternal morbidity in a managed care population in Georgia. Paediatr Perinat Epidemiol. 2012;26(6):497-505. Mazor KM, Rogers HJ, Williams AE, Roblin DW, Gaglio B, Field TS, Greene SM, Han PK, Costanza ME. The Cancer Message Literacy Tests: Psychometric analyses and validity studies. Patient Educ Couns. 2012;;89(1):69-75 Mazor KM, Roblin DW, Williams AE, Greene SM, Gaglio B, Field TS, Costanza ME, Han PK, Saccoccio L, Calvi J, Cove E, Cowan R. Health literacy and cancer prevention: Two new instruments to assess comprehension. Patient Educ Couns. 2012;88(1):54-60. Smith-Bindman R, Miglioretti DL, Johnson E, Lee C, Feigelson HS, Flynn M, Greenlee RT, Kruger RL, Hornbrook MC, Roblin D, Solberg LI, Vanneman N, Weinmann S, Williams AE. Use of diagnostic imaging studies and associated radiation exposure for patients enrolled in large integrated health care systems, 1996-2010. JAMA. 2012;307(22):2400-2409. Doubeni CA, Jambaulikar GD, Fouayzi H, Robinson SB, Gunter MJ, Field TS, Roblin DW, Fletcher RH. Neighborhood socioeconomic status and use of colonoscopy in an insured population--a retrospective cohort study. PLoS One. 2012;7(5):e36392. Mazor K, Roblin D, Greene S, Lemay C, Firneno C, Calvi J, Prouty C, Horner K, Gallagher T. Towards Patient-Centered Cancer Care: Patient perceptions of problematic events, impact, and response. J Clin Oncol. 2012;30(15):1784-1790. Rein DB, Smith BD, Wittenborn JS, Lesesne SB, Wagner LD, Roblin DW, Patel N, Ward JW, Weinbaum CM. The Cost-Effectiveness of Birth-Cohort Screening for Hepatitis C Antibody in U.S. Primary Care Settings. Ann Intern Med. 2012;156(4):263-270. Andrade SE, Lo JC, Roblin D, Fouayzi H, Connor DF, Penfold RB, Chandra M, Reed G, Gurwitz JH. Antipsychotic medication use among children and risk of diabetes mellitus. Pediatrics. 2011;128(6):1135-1141. Roblin DW. The potential of cellular technology to mediate social networks for support of chronic disease self-management. J Health Commun. 2011;16 Suppl 1:59-76. Roblin DW, Smith BD, Weinbaum CM, Sabin ME. HCV screening practices and prevalence in an MCO, 2000-2007. Am J Manag Care. 2011;17(8):548-555. Mazor KM, Greene SM, Roblin D, Lemay CA, Firneno CL, Calvi J, Prouty CD, Horner K, Gallagher TH. More than words: Patients' views on apology and disclosure when things go wrong in cancer care. Patient Educ Couns. 2011 Aug 6. [Epub ahead of print] Rolnick SJ, Rahm AK, Jackson JM, Nekhlyudov L, Goddard KA, Field T, McCarty C, Nakasato C, Roblin D, Anderson CP, Valdez R. Barriers in identification and referral to genetic counseling for familial cancer risk: the perspective of genetic service providers. J Genet Couns. 2011;20(3):314-322. Roblin DW, Maciejewski ML. Repeat experience with the doughnut hole in Medicare Part D: when the doughnut hole becomes a tunnel. Med Care. 2011;49(5):436-442. Roblin DW, Howard DH, Ren J, Becker ER. An evaluation of the influence of primary care team functioning on the health of Medicare beneficiaries. Med Care Res Rev. 2011;68(2):177-201. Mazor KM, Calvi J, Cowan R, Costanza ME, Han PK, Greene SM, Saccoccio L, Cove E, Roblin D, Williams A. Media messages about cancer: what do people understand? J Health Commun. 2010;15 Suppl 2:126-145. Roblin DW, Roberts MH. Patient dissatisfaction as a determinant of voluntary disenrollment in a managed care organization. J Ambul Care Manage. 2010;33(2):163-172. Raebel MA, Ross C, Xu S, Roblin DW, Cheetham C, Blanchette CM, Saylor G, Smith DH. Diabetes and drug-associated hyperkalemia: effect of potassium monitoring. J Gen Intern Med. 2010;25(4):326-333. Mosen DM, Horberg M, Roblin D, Gullion CM, Meenan R, Leyden W, Hu W. Effect of once-daily FDC treatment era on initiation of cART. HIV AIDS (Auckl). 2010;2:19-26. Go AS, Magid DJ, Wells B, Sung SH, Cassidy-Bushrow AE, Greenlee RT, Langer RD, Lieu TA, Margolis KL, Masoudi FA, McNeal CJ, Murata GH, Newton KM, Novotny R, Reynolds K, Roblin DW, Smith DH, Vupputuri S, White RE, Olson J, Rumsfeld JS, Gurwitz JH. The Cardiovascular Research Network: a new paradigm for cardiovascular quality and outcomes research. Circ Cardiovasc Qual Outcomes. 2008;1(2):138-147. Raebel MA, Ross C, Cheetham C, Petersen H, Saylor G, Smith DH, Wright LA, Roblin DW, Xu S. Increasingly restrictive definitions of hyperkalemia outcomes in a database study: effect on incidence estimates. Pharmacoepidemiol Drug Saf. 2010;19(1):19-25. Roblin DW, Becker ER. The community counts! But the question remains, how much? J Ambul Care Manage. 2009;32(4):292-294. Roblin DW, Houston TK 2nd, Allison JJ, Joski PJ, Becker ER. Disparities in use of a personal health record in a managed care organization. J Am Med Inform Assoc. 2009;16(5):683-689. Mazor KM, Sabin JE, Goff SL, Smith DH, Rolnick S, Roblin D, Raebel MA, Herrinton LJ, Gurwitz JH, Boudreau D, Meterko V, Dodd KS, Platt R. Cluster randomized trials to study the comparative effectiveness of therapeutics: stakeholders' concerns and recommendations. Pharmacoepidemiol Drug Saf. 2009;18(7):554-561. Brown JS, Kulldorff M, Petronis KR, Reynolds R, Chan KA, Davis RL, Graham D, Andrade SE, Raebel MA, Herrinton L, Roblin D, Boudreau D, Smith D, Gurwitz JH, Gunter MJ, Platt R. Early adverse drug event signal detection within population-based health networks using sequential methods: key methodologic considerations. Pharmacoepidemiol Drug Saf. 2009;18(3):226-234. Walsh KE, Dodd KS, Seetharaman K, Roblin DW, Herrinton LJ, Von Worley A, Usmani GN, Baer D, Gurwitz JH. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009;27(6):891-896. Hibbard JH, Greene J, Becker ER, Roblin D, Painter MW, Perez DJ, Burbank-Schmitt E, Tusler M. Racial/ethnic disparities and consumer activation in health. Health Aff (Millwood). 2008;27(5):1442-1453. Becker ER, Roblin DW. Translating primary care practice climate into patient activation: the role of patient trust in physician. Med Care. 2008;46(8):795-805. Goff SL, Feld A, Andrade SE, Mahoney L, Beaton SJ, Boudreau DM, Davis RL, Goodman M, Hartsfield CL, Platt R, Roblin D, Smith D, Yood MU, Dodd K, Gurwitz JH. Administrative data used to identify patients with irritable bowel syndrome. J Clin Epidemiol. 2008;61(6):617-621. Smith DH, Kramer JM, Perrin N, Platt R, Roblin DW, Lane K, Goodman M, Nelson WW, Yang X, Soumerai SB. A randomized trial of direct-to-patient communication to enhance adherence to beta-blocker therapy following myocardial infarction. Arch Intern Med. 2008;168(5):477-483; discussion 483; quiz 447. Andrade SE, Raebel MA, Brown J, Lane K, Livingston J, Boudreau D, Rolnick SJ, Roblin D, Smith DH, Dal Pan GJ, Scott PE, Platt R. Outpatient use of cardiovascular drugs during pregnancy. Pharmacoepidemiol Drug Saf. 2008;17(3):240-247. Mazor KM, Sabin JE, Boudreau D, Goodman MJ, Gurwitz JH, Herrinton LJ, Raebel MA, Roblin D, Smith DH, Meterko V, Platt R. Cluster randomized trials: opportunities and barriers identified by leaders of eight health plans. Med Care. 2007;45(10 Supl 2):S29-37. Brown JS, Kulldorff M, Chan KA, Davis RL, Graham D, Pettus PT, Andrade SE, Raebel MA, Herrinton L, Roblin D, Boudreau D, Smith D, Gurwitz JH, Gunter MJ, Platt R. Early detection of adverse drug events within population-based health networks: application of sequential testing methods. Pharmacoepidemiol Drug Saf. 2007;16(12):1275-1284. Andrade SE, Raebel MA, Brown J, Lane K, Livingston J, Boudreau D, Rolnick SJ, Roblin D, Smith DH, Willy ME, Staffa JA, Platt R. Use of antidepressant medications during pregnancy: a multisite study. Am J Obstet Gynecol. 2008;198(2):194.e1-5. Raebel MA, McClure DL, Chan KA, Simon SR, Feldstein AC, Lafata JE, Andrade SE, Gunter MJ, Nelson WW, Roblin D, Platt R. Laboratory evaluation of potassium and creatinine among ambulatory patients prescribed spironolactone: are we monitoring for hyperkalemia? Ann Pharmacother. 2007;41(2):193-200. Roblin DW, Ntekop E, Becker ER. Improved intermediate clinical outcomes from participation in a diabetes health education program. J Ambul Care Manage. 2007;30(1):64-73. Roblin DW, Khoury A, Pisanelli W, Dahar W, Roth M. Risk for incident renal dialysis in a managed care population. Am J Kidney Dis. 2006;48(2):205-211. Harrold LR, Yood RA, Mikuls TR, Andrade SE, Davis J, Fuller J, Chan KA, Roblin D, Raebel MA, Von Worley A, Platt R, Saag KG. Sex differences in gout epidemiology: evaluation and treatment. Ann Rheum Dis. 2006;65(10):1368-1372. Andrade SE, Raebel MA, Morse AN, Davis RL, Chan KA, Finkelstein JA, Fortman KK, McPhillips H, Roblin D, Smith DH, Yood MU, Platt R, H Gurwitz J. Use of prescription medications with a potential for fetal harm among pregnant women. Pharmacoepidemiol Drug Saf. 2006;15(8):546-554. Raebel MA, McClure DL, Simon SR, Chan KA, Feldstein A, Andrade SE, Lafata JE, Roblin D, Davis RL, Gunter MJ, Platt R. Laboratory monitoring of potassium and creatinine in ambulatory patients receiving angiotensin converting enzyme inhibitors and angiotensin receptor blockers. Pharmacoepidemiol Drug Saf. 2007;16(1):55-64. Mapel DW, Hurley JS, Roblin D, Roberts M, Davis KJ, Schreiner R, Frost FJ. Survival of COPD patients using inhaled corticosteroids and long-acting beta agonists. Respir Med. 2006;100(4):595-609. Roblin DW, Platt R, Goodman MJ, Hsu J, Nelson WW, Smith DH, Andrade SE, Soumerai SB. Effect of increased cost-sharing on oral hypoglycemic use in five MCOs: How much is too much? Med Care 2005;43(10):951-959. Roblin DW, Becker ER, Adams EA, Howard DH, Roberts MH. Patient satisfaction with primary care: Does type of practitioner matter? Med Care 2004;42(6):579-590. Polizzi KM, Roblin DW, Mims AD, Harris D, Tolsma DD. Factors associated with smoking cessation among Quit Smart™ participants. The Permanente Journal. 2004;8(2):28-33. Andrade SE, Gurwitz JH, Davis RL, Chan KA, Finkelstein JA, Fortman K, McPhillips H, Raebel MA, Roblin D, Smith DH, Ulcickas Yood M, Morse AN, Platt R. Prescription drug use in pregnancy. Am J Obstet Gynecol 2004;191(2):398-407. Roblin DW, Howard DH, Becker ER, Adams EK, Roberts MH. Use of midlevel practitioners to achieve labor cost savings in the primary care practice of a managed care organization. Health Serv Res 2004;39(3):607-626. Roblin DW, Orenstein D, Diseker RA, Wilder M, Eley M. Delivery of outpatient cardiac rehabilitation in a managed care organization. J Cardiopulmon Rehab 2004;24(3):157-164. Finkelstein JA, Stille C, Nordin J, Davis R, Raebel MA, Roblin D., et al. Decreasing antibiotic use among US children: the impact of changing diagnosis patterns. Pediatrics 2003;112(3):620-627. Roblin DW, Vogt TM, Fireman B. Primary health care teams. Opportunities and challenges in evaluation of service delivery innovations. J Ambul Care Manage 2003;26(1):22-35. Dally DL, Dahar W, Scott A, Roblin DW, Khoury AT. The Impact of a health education program targeting patients with high visit rates in a managed care organization. Am J Health Promot 2002;17(2):101-111. Platt R, Davis R, Finkelstein J, Go AS, Gurwitz JH, Roblin D, et al. Multicenter epidemiologic and health services research on therapeutics in the HMO Research Network Center for Education and Research on Therapeutics. Pharmacoepidemiol Drug Saf 2001;10(5):373-377. Feldman SE, Spath PL, Roblin DW. The Role for public health in reducing iatrogenic
patient injuries. Jt Comm J Qual Improv 2001;27(1):54-58.
Roblin DW. Quality improvement in a managed care organization from a medical
director's perspective: an interview with Bruce Perry. Jt Comm J Qual Improv
2000;26(9):601-610.
Roblin DW, Richardson DK, Thomas E, Fitzgerald F, Veintimilla R, Hulac P, Leon L.
Variation in use of alternate levels of hospital care for newborns in a managed care
organization. Health Serv Res 2000;34(7):1535-1553.
Roblin DW, Juhn PI, Preston BJ, Della Penna R, Feitelberg SP, Khoury A, Scott JC. A
low cost approach to prospective identification of impending high cost outcomes. Med
Care 1999; 37(11):1155-1163.
Goldfield N, Larson C, Roblin D, Siegal D, Eisenhandler J, Leverton I. The Content of
report cards: do primary care physicians and managed care medical directors know what
health plan members think is important. Jt Comm J Qual Improv 1999;25(8):422-433.
Feldman SE, Roblin DW. Medical accidents: applications of failure analysis to hospital
quality appraisal. Jt Comm J Qual Improv 1997;23(11):567-580.
Roblin DW. Applications of physician profiling in the management of primary care
panels. J Ambul Care Manage 1996;19(2):59-74.
Roblin DW, Nielsen DM. Assessment of quality in adult primary care: developing
process measures from administrative data. Clin Perform Qual Health Care
1994;2(4):200-208.
Roblin, DW. Patient case-mix measurement using outpatient drug dispensing data.
Managed Care Quarterly 1994;2(3):38-47,
Feldman SE, Roblin DW. Standards for peer evaluation: the hospital quality assurance
committee. Am J Pub Health 1992; 82:525-527.
Goodman MJ, Roblin DW, Hornbrook MC, Mullooly JP. Persistence of health care
expense in an insured working population. Adv Health Econ Health Serv Res.
1991;12:149-173.
Book Chapters

Roblin DW, Robinson BE, Benjamin SA. A Case study in the design, implementation,
and evaluation of a worksite wellness program for reducing cardiovascular risks. In,
Creating Healthy Workplaces: Stress Reduction, Improved Well-being, and
Organizational Effectiveness. Biron C, Burke R, Cooper G (Eds.). London: Gower,
2013. Accepted.
Feldman SE, Roblin DW. Accident investigation and anticipatory failure analysis in
hospitals. In, Error Reduction in Health Care: A Systems Approach to Improving Patient
Safety. Patrice Spath (ed). 2nd edition. San Francisco: Jossey-Bass, 2011. Pp: 143-156.
Stone PW, Harrison MI, Feldman P, Linzer M, Peng T, Roblin D, Scott-Cawiezell J,
Warren N, Williams ES. Organizational Climate of Staff Working Conditions and
Safety—An Integrative Model. In: Henriksen K, Battles JB, Marks ES, Lewin DI,
editors. Advances in Patient Safety: From Research to Implementation (Volume 2:
Concepts and Methodology). Rockville (MD): Agency for Healthcare Research and
Quality (US), 2005.
Chan KA, Davis RL, Gunter MJ, Gurwitz JH, Herrinton LJ, Nelson WW, Raebel MA,
Roblin DW, Smith DH, Platt R. The HMO Research Network. In,
Pharmacoepidemiology. Brian L Strom (ed). Chichester, UK: John Wiley and Sons,
2005. Pp. 261-269.
Feldman SE, Roblin DW. Accident investigation and anticipatory failure analysis in
hospitals. In, Error Reduction in Health Care: A Systems Approach to Improving Patient
Safety. Patrice Spath (ed). San Francisco: Jossey-Bass, 2000. Pp: 139-154.
Roblin DW. Outpatient pharmacy data as a source for casemix measurement and risk
adjustment. In, Physician Profiling and Risk Adjustment. N. Goldfield (ed). 2nd Edition.
Gaithersburg, MD: Aspen Publishers, 1999. Pp. 575-597.
Roblin DW. Case-mix adjustment using outpatient pharmacy data. In, Physician
Profiling and Risk Adjustment. N. Goldfield and P. Boland (eds). Gaithersburg, MD:
Aspen Publishers, 1996. Pp. 177-192.
Presentations

2013
Leisure physical activity among employed adults: both worksite and residential built
environments matter. Work, Stress, and Health Conference, 2013. Los Angeles, CA.
Paper.
Physiologic health in an employed population over a 4-year period. Work, Stress, and
Health Conference, 2013. Los Angeles, CA. Paper.
Panel: Applied research and consulting opportunities in occupational safety and health:
Workshop. Work, Stress, and Health Conference, 2013. Los Angeles, CA.
Does enrollment in a deductible HMO plan influence likelihood of primary caesarean
section? HMO Research Network Annual Meeting, 2013. San Francisco, CA. Poster.
Potentially modifiable lifestyle, psychosocial, and environmental antecedents of incident hypertension among employed adults. HMO Research Network Annual Meeting, 2013. San Francisco, CA. Poster. Potentially modifiable lifestyle, psychosocial, and environmental antecedents of body mass index among employed adults. HMO Research Network Annual Meeting, 2013. San Francisco, CA. Poster. Does distance from residence to DXA facility moderate the effect of an intervention designed to improve DXA access? HMO Research Network Annual Meeting, 2013. San Francisco, CA. Poster. 2012 Allostatic load: estimating patient complexity using electronic medical record data. AcademyHealth Annual Research Meeting, 2012. Poster. Disparities in cancer-related health literacy between African American and Caucasian adults. HMO Research Network Annual Meeting, 2012. Seattle, WA. Paper. And, AcademyHealth Annual Research Meeting, 2012. Poster. 2011 Initiation and completion of HPV vaccinations by health plan type in HMOs: Deductible HMO vs. traditional HMO plans. AcademyHealth Annual Research Meeting. Seattle, WA. June 14, 2011. Paper. Measuring primary care ream practice climate and functioning in a managed care organization. AcademyHealth Annual Research Meeting. Seattle, WA. June 11, 2011. Paper. Does enrollment in a deductible HMO plan influence the receipt of cancer screening services in a managed care organization? AcademyHealth Annual Research Meeting. Seattle, WA. June 12, 2011. Poster. Evaluation of a worksite wellness program designed to reduce cardiovascular risks. Work, Stress, and Health Conference, 2011. Orlando, FL. May 22, 2011. Paper. Increased primary care visit rates and health care costs associated with worksite stress. Work, Stress, and Health Conference, 2011. Orlando, FL. May 21, 2011. Paper. Obesogenic environments of MCO enrollees: definition and impact. Workshop on Environment, Behavior, and Obesity and Diabetes Management. HMO Research Network Annual Meeting, 2011. Boston, MA. Paper. Using area-based measures in the absence of individual-level measures to target enrollment into a study. HMO Research Network Annual Meeting, 2011. Boston, MA. Paper. Does lifestyle mediate the associations of psychosocial stress and personal distress with allostatic load? AHA EPI-NPAM Scientific Sessions. Atlanta, GA. March 23, 2011. Poster. 2010 Does socioeconomic status moderate the association of race with morbidities during pregnancy episodes? AcademyHealth Annual Research Meeting. Boston, MA. June 27-29, 2010. Poster. Antihypertensive medication persistence and medication affordability among adults with hypertension in a managed care organization. AcademyHealth Annual Research Meeting. Boston, MA. June 27-29, 2010. Poster. Evaluating Kaiser Permanente Georgia's worksite wellness programs in the Atlanta area. HMO Research Network Annual Meeting. Austin, TX. March 25, 2010. Paper. Translating research into practice: How providers can support consumer activation. ―Creating a Culture of Health: What CVEs Can Do to Involve Consumers in Their Health and Well-being‖, AHRQ Webinar. January 21, 2010. 2009 Psychosocial stress and depression among employed middle-age adults. Work, Stress and Health Conference, 2009. San Juan, PR. November 5-8, 2009. Paper. The Association of employer wellness programs and worksite characteristics with employee health and health behaviors. Work, Stress and Health Conference, 2009. San Juan, PR. November 5-8, 2009. Paper. The Influence of psychosocial factors on work absenteeism in an employed population. San Juan, PR. November 5-8, 2009. Poster Optimizing design of a health informatics intervention for improving safe NSAID use: Patient and physician perspectives. AcademyHealth Annual Research Meeting. Chicago, IL. June 28-30, 2009. Poster. Psychosocial stress and depression among employed middle-age adults AcademyHealth Annual Research Meeting. Chicago, IL. June 28-30, 2009. Poster. Understanding racial disparities in physician advice and patient actions to control blood pressure in a MCO. AcademyHealth Annual Research Meeting. Chicago, IL. June 28-30, 2009. Poster. 2008 Disparities in Use of a Personal Health Record in a Managed Care Organization. AcademyHealth Annual Research Meeting. Washington, DC. June 8-10, 2008. Paper. 2007 Worksite wellness programs: Factors associated with program availability and employee participation. AcademyHealth Annual Research Meeting. Orlando, FL. June 3-5, 2007. Paper. The Association of neighborhood characteristics and social interactions with exercise and obesity among employed adults. AcademyHealth Annual Research Meeting. Orlando, FL. June 3-5, 2007. Paper. 2006 An Evaluation of the influence of primary care practice climate on the health of Medicare beneficiaries. AcademyHealth Annual Research Meeting. Seattle, WA. June 25-27, 2006. Paper. The Influence of psychological and social factors on health and healthy behaviors in an employed population. AcademyHealth Annual Research Meeting. Seattle, WA. June 25-27, 2006. Poster. Improved intermediate clinical outcomes from participation in a diabetes education class: How much is the class effect and how much is regression to the mean? AcademyHealth Annual Research Meeting. Seattle, WA. June 25-27, 2006. Poster. 2005 The Influence of primary care practice climate on medical services costs and quality of care. AcademyHealth, Annual Research Meeting, Boston, MA, June 26-28. Paper. Primary care practice climate and potentially risky prescribing. AHRQ Medication Error Expert Meeting, Rockville, MD, May 5-6. Paper. Linking HMO and SEER registry data to create a tumor registry. HMO Research Network, Annual Conference, Santa FE, NM, April 4-6. Poster. 2004 Moving to a core set of organizational climate measures. AHRQ Patient Safety Research Conference, Washington, DC, Sept. 26-28. Panel participant. Roles of adult primary care and obstetrics/gynecology practices in providing gynecologic care to women in a managed care organization. AcademyHealth, Annual Research Meeting, San Diego, CA, June 6-8. Poster. A Low cost method for identification of adults with elevated blood glucose at risk for developing diabetes. American Diabetes Association, Scientific Sessions, Orlando, FL, June 4-8. Poster. Measuring practice culture change in outpatient settings. National Patient Safety Forum, Annual Patient Safety Congress, Boston, MA, May 3-7. Paper. Effect of increased cost-sharing on oral hypoglycemic use in five MCOs: How much is too much? HMO Research Network, Annual Meeting, Dearborn, MI, May 3-5. Paper. 2003 Effects of changing collaborative clinical culture on workforce morale and patient outcomes in the primary care practice of an MCO. AcademyHealth, Annual Research Meeting, Nashville, TN, June 27-29. Paper. Primary care practice climate and potentially risky prescribing in two managed care organizations. AcademyHealth, Annual Research Meeting, Nashville, TN, June 27-29. Poster. Improving CHF outcomes using an IVR system and targeted nurse follow-up. Society for General Internal Medicine, Annual Meeting, Vancouver, BC, April 30-May 3. Poster. Improving HMO primary care productivity through use of physician assistants and nurse practitioners. HMO Research Network, Annual Meeting, Denver, CO, April 1-2. Paper. 2002 Commentary on ―Methodologic and analytic issues in multi-level studies in quality and cost in health care‖ by R. Santos and P. Diehr. Penetrating the Black Box: Mechanisms for Enhancing Healthcare Efficiency and Clinical Effectiveness, Seattle, WA, Oct. 17-18. Collaborative clinical culture and primary care outcomes. AcademyHealth, Annual Research Meeting, Washington, DC, June 23-25. Paper. Diabetes, glycemic control, and hospital admissions among patients with congestive heart failure. American Diabetes Association, Scientific Sessions, San Francisco, CA, June 14-18. Paper. 2001 Patient satisfaction with primary care: effects of patient, visit, and medical care organization characteristics. AcademyHealth, Annual Research Meeting, Atlanta, GA, June 10-12. Poster. Use of associate practitioners (PAs, NPs) in primary care delivery. AcademyHealth, Annual Research Meeting, Atlanta, GA, June 10-12. Poster. Self-monitoring of blood glucose: variation in frequency of monitoring and its association with glycemic control. American Diabetes Association, Scientific Sessions, Philadelphia, PA, June 22-26. Paper. 2000 Persistence and change in perceived health status in a cohort of adults with diabetes. HMO Research Network, Annual Conference, Atlanta, GA, April 4-5. Poster. 1998 Low cost approaches to targeting patients with impending morbidity. Institute for Healthcare Improvement, National Forum on Quality Improvement, Orlando, FL, Dec. 6-8. Workshop. Inter-area variation in chronic disease prevalence and associated acute care in a managed care organization. AHSR Annual Research Conference, Washington, DC, June 21-23. Poster. 1997 Chronic care performance measures for external reporting purposes: diabetes performance measures. NAHDO Regional Meeting, Kansas City, MO, July 15-17. Paper. Care coordination programs for working age adults with multiple chronic medical conditions: targeting patients and estimating potential impact. AHSR Annual Research Conference, Chicago, IL, June 16-17. Paper. 1996 Inter-Area variation in hospital admissions among HMO enrollees: an analysis of the effects of chronic disease status and socioeconomic characteristics. AHSR Annual Research Conference, Atlanta, GA, June 7-8. Poster. 1995 Primary care panel workload: measurement and management. AHSR Annual Research Conference, Chicago, IL, June 4-6. Poster. 1994 Integrated quality measurement for adult primary care. AMRRC Ninth Annual Research Symposium, Washington, DC, May 17-18. Paper. Drug dispensing rates and costs by benefit type: an analysis of purchase patterns by the elderly in a prepaid group practice HMO. AHSR Annual Research Conference, San Diego, CA, June 12-14. Poster. Differences in diabetes outcomes by health insurance status: an analysis of the 1989 National Health Interview Survey. AHSR Annual Research Conference, San Diego, CA, June 12-14. Poster. 1993 Inequality in the distribution of medical expense in an HMO: an analysis by chronic disease status. AHSR Annual Research Conference, Washington, DC, June 27-29. Poster.
1992
Utilization trends and risk factors for hospital admission among 40-64 year old members
of a prepaid group practice HMO. AHSR Annual Research Conference, Chicago, IL,
June 7-9, 1992. Poster.
1988
Measures of mortality: a study of coronary artery bypass grafts in the California
Medicare population. AMRRC Third Annual Research Symposium, Washington, D.C.,
October 28-29. Paper.
1987
The Predictive value of claims data for analysis of adverse outcomes of carotid
endarterectomy. AMRRC Second Annual Research Symposium, Washington, D.C.,
September 10-11. Paper.
Subjective and objective judgement in physician peer review. AMRRC Second Annual
Research Symposium, Washington, D.C., September 10-11. Paper.
Manuscripts in Preparation or in Review

Roblin DW, Mazor KM, Robinson BE, Torres-Stone R, Cutrona S, Williams AE, Rubin
D. Racial disparities in health-related literacy and communication behaviors.
Roblin DW, Becker ER. Single Item Measures of Stress and Support in Social Networks
of Employed Adults.
Roblin DW, Ritzwoller DP, Rees D, Carroll NM, Chang A, Daley MF. The Influence of
Deductible Health Plans on Receipt of the Human Papillomavirus Vaccine Series
Research Support
5U19HS021110. Saag, K (PI)
UAB Deep South Arthritis and Musculoskeletal CERT KPGA will participate in design, implementation, and evaluation of a nurse-based intervention to reduce bisphosphonate discontinuation rates. Role: Site PI Service Agreement – Auerbach, D (PI) AAFP The Impact of Nurse Practitioners as Primary Care Providers on Health Care Utilization, Quality of Care, and Patient Visit Experience The overall objective of this study is to model the effects of changes in the integration of mid-level practitioners (PAs, NPs) in adult primary care practice on use of medical services (visit mix, ancillary services), quality of care (diabetes management), and patient visit satisfaction. Role: Co-Principal Investigator Johnson and Johnson / Chemrisk Adverse Effects of Joint Replacement among Kaiser Permanente Georgia Patients This EMR-based cohort will be used to achieve the overall project goal of assessing the feasibility of a large-scale national study of arthroplasty patients, and will provide preliminary data on morbidity associated with different types of joint implants. Role: Co-Principal Investigator TBD – Goodman, M (PI) PCORI Comparative Risks and Benefits of Gender Reassignment Therapies The goal of this study is to understand the short- and long-term health issues among transgender persons who had or are planning to have a sex change treatment. his project is an electronic medical record based study evaluating a group of 6,500 transgender individuals, whose care is covered by the Veterans Administration (nationally) or by Kaiser Permanente. Role: Investigator 1R21HD076387-01 – Goodman, M (PI) NICHD Cohort Study of Mortality and Morbidity in Transgender Persons The goal of this study is to conduct a series of focus groups of transgender persons to ascertain issues related to treatment compliance and complications. Role: Investigator 1 R01 HL114981- 01 – Lu, Mei (PI) NHLBI Pragmatic Cluster Randomized Trial of an Asthma Intervention for Urban Teens The objectives of this study are 1) to implement a seamless clinical trial lifecycle using EMR initiatives and 2) to design and conduct a Phase II trial using EMR-RDC integration to evaluate an asthma management program for urban teens in a clinical setting. Role: Site PI Service Agreement – Goodman, M (PI) KPGA Community Benefit Study of Race, Stress, and Hypertension The objective of this pilot study is to evaluate genetic and environmental factors that may explain racial disparities in the prevalence and severity of hypertension. The study is designed to assess dietary, lifestyle and psychosocial exposures and their relation to blood pressure and arterial hypertension. Role: Investigator Transitions, Risks, and Actions in Coronary Events Center for Outcomes Research and Education This project will develop registries for prospective monitoring of services, devices, and medications provided to patients who have been hospitalized with coronary artery disease in order to evaluate the comparative effectiveness of alternative strategies for providing cardiovascular care. Role: Site PI A Patient Activation Intervention to Enhance Bone Health This patient randomized trial will evaluate an intervention to engage elderly patients more actively in their health following a DXA scan by improving understanding of osteoporosis risk and risk-appropriate treatment and, thereby, improving bone-related quality of life. Role: Site PI Improving Orthopedic Outcomes: Through a National Total Joint Replacement (TJR) Registry This project will develop registries for prospective monitoring of services, devices, and medications provided to patients who have been provided total knee or total hip replacements in order to evaluate the comparative effectiveness of alternative strategies for providing orthopedic care. Role: Site PI Psychosocial Effects on Patient Adherence, Allostatic Load, and Chronic Disease The primary objective of this study is to test the hypothesis that adherence to 1) recommended lifestyle and 2) prescribed medication regimen mediates the association of psychosocial stress and personal distress with allostatic load, chronic disease onset, and chronic disease progression. Role: PI CRN Center for Excellence in Cancer Communication Research The overall objective of this project is to establish a program for evaluation of effective strategies for improving communication related to cancer care and for translation of those strategies into practice. KPGA will participate in the Administrative Core and in 1 of the 3 primary projects – developing and evaluating effective strategies for provider communication with patients about potential errors during cancer care. Role: Site PI RSGHP-08-139-01 - Roblin, D (PI) High Deductible Health Plans and Receipt of Cancer Prevention Services The objective of this study is to compare receipt of breast cancer screening (screening mammograms) and cervical cancer screening (Pap smears) among age-eligible women enrolled in high deductible health plans to receipt of these services in a cohort of women enrolled in traditional health maintenance plans over a 4-year period at KPGA and KPCO. Role: PI Improving Care of Osteoporosis: Multi-Modal Intervention to Increase Testing and Treatment (ICOMMIITT) The purpose of this study is to rigorously test the incremental impact of simple, generalizable interventions to improve healthcare among older women at high risk for osteoporosis. The trial will use a group-randomized design involving three different interventions (system, provider, and patient) targeting women > 65 years of age not previously tested or treated for osteoporosis at KPGA and KPNW. Role: Site PI 1U18HS016955 – Platt, R (PI) The HMO Center for Education and Research in Therapeutics (CERT III) This is a renewal application of the HMO Research Network CERT, a multi-site consortium to develop the data and intellectual infrastructure to conduct studies of national importance in pharmacoepidemiology and pharmacoeconomics. KPGA will participate in core infrastructure activities and in the substudy "Antipsychotic Medication Use in Children and Glycemic Control". Role: Investigator 1R21DK075076-01A1 - Raebel MA ( PI) Diabetes and Drug-Associated Hyperkalemia: Effect of Laboratory Monitoring The objective of this study is to determine the incidence of hyperkalemia-associated adverse outcomes among ambulatory patients with diabetes newly initiating ACEi, ARB, and/or ARA) and to explore whether an association exists between monitoring serum potassium and hyperkalemia-associated adverse outcomes. Role: Investigator Cancer Research Network Across Health Care Systems 3 (CRN): Infrastructure The overall goal of the HMO Cancer Research Network (CRN), and the NCI initiative under which it was funded, is to enhance research on cancer prevention, early detection, treatment, long-term care and post-diagnosis monitoring in the context of health care delivery systems. Role: Site PI CRN3 Health Literacy and Cancer Prevention: Do People Understand What They Hear? The study proposes to develop a psychometrically-sound test of comprehension of oral messages about cancer screening and prevention practices and to evaluate a computer-based version of the test to a sample of 900 English speaking adults (age 40-70) selected from 3 sites (Meyers, Kaiser Northwest and Kaiser Georgia) of the HMO Cancer Research Network (CRN). Role: Investigator BRFSS Actions to Control Blood Pressure: Reliability and Validity The study will explore the psychometric properties, including differential item functioning by race/ethnicity and gender, of the BRFSS ―Actions to Control High Blood Pressure‖ collected from a sample of 3000 Kaiser Permanente Georgia adults with diagnosed hypertension. Role: Investigator 1R01CD000033-01 - Becker, ER (PI) Impact of Health Promotion Programs on MCO Family Health This is both a retrospective and prospective observational study to assess the impact of three sources of health promoting activities on the health of employees and their families. The working hypothesis is that primary health care teams with effective teamwork activate empanelled MCO enrollees (who subsequently activate family members) to engage in health promoting activities, including participation in worksite wellness programs and MCO health education classes. As a consequence, these enrollees and their family members have better health outcomes than enrollees (and family members) empanelled to primary health care teams that are less effective at activating their patients to engage in health promoting activities. Role: co-PI Service Agreement - Rose, S (PI) Novo Nordisk CORE Diabetes Model The overall objective of this study is to apply the CORE Diabetes Model to aggregated KPG datasets describing characteristics of adults with diabetes in order to estimate future complication rates among patient subgroups. Role: Investigator 5U18HS010391-05 - Platt, R (PI) The HMO Center for Education and Research in Therapeutics II (CERT II) The HMO Research Network CERT is a multi-site study to develop the data and intellectual infrastructure to conduct studies of national importance in pharmacoepidemiology and pharmacoeconomics. Kaiser Permanente Georgia will be participating in the following core studies: improving post-AMI care (e.g. aspirin use), evaluating adverse drug events in outpatient chemotherapy, and developing models for surveillance of adverse drug reactions in computerized administrative databases. Role: Investigator EPI40252, 40253, 40454 - Gurwitz, J (PI) GlaxoSmithKline An Epidemiologic Study for the Study of the Safety and Utilization of Alosetron in the United States This is a prospective epidemiologic surveillance study of the safety and use of alosetron within the HMO Research Network in addition to two other national research consortia. This surveillance study was mandated by the FDA as a condition of the re-introduction of alosetron by GlaxoSmithKline in 2003, approximately 1 year after the FDA ordered the medication be withdrawn from use due to concerns about serious side-effects. Role: Site PI 7R01HS011991-03 - Greenfield, S (PI) Organizational Culture, Workforce Characteristics, and Quality of Care in a Primary Care Practice This is a study to examine the associations between organizational culture, workforce characteristics, and quality of are in the KPG primary care practice from 1997 through 2002. Organizational culture (perceived practice design and efficiency, morale and satisfaction) has been measured by survey in mid-2000 (80% response rate) and 2002 (91% response rate). Hierarchical models, accounting for repeated measures on observations at each level, will be used to evaluate potential effects of change in patient case mix, practitioner workforce, and/or organizational culture on performance measures for preventive medicine and chronic disease management. Role: Co-PI HMO Research Network IDSRN - Selby, J (PI) Association of Working Conditions with Prescribing Errors in Primary Care Practice This was a retrospective observational study of the association of rates of "risky prescribing events" (RPEs) with both structural and functional characteristics of the primary care practices of two managed care organizations (MCO). The principal aim of this study was to estimate the cross-sectional associations of variation in patient characteristics, practitioner characteristics, and working conditions (workload and organizational culture) with variation in RPE rates. Role: PI Improving Chronic Illness Care Initiative - Roblin, D (PI) The Robert Wood Johnson Foundation Improving CHF Outcomes Through Automated Clinical Data Acquisition and Targeted Nurse Follow-up This was a randomized controlled trial to evaluate an interactive voice recognition and response (IVR) system for automated clinical data acquisition from CHF patients. Using that data, nurse care manager follow-up was targeted to subsets of patients likely to benefit from timely intervention (e.g. patients with sustained recent weight gain). Role: PI Innovations Grant - Roblin, D (PI) Garfield Memorial Fund (Kaiser Permanente) Evaluation of Primary Care Redesign The purpose of this study was to evaluate longitudinal associations between changes in the organization of delivery of primary care in KP-Georgia from a model based on primary care physician accountability to a model based on a health care team accountability. Principal outcomes of interest were: patient satisfaction, practitioner satisfaction, primary care physician productivity, and quality of care. Role: PI 5U18HS010391-03 - Platt, R (PI) The HMO Center for Education and Research in Therapeutics I (CERT I) The HMO Research Network CERT is a multi-site study to develop the data and intellectual infrastructure to conduct studies of national importance in pharmacoepidemiology and pharmacoeconomics. Kaiser Permanente Georgia participated in 3 core studies: trends in pediatric antibiotic use, role of ACEI use in reducing morbidity and mortality among CHF patients, and cost-sharing effects on oral hypoglycemic use. Role: Investigator Innovations Grant - Roblin, D (PI) Garfield Memorial Fund (Kaiser Permanente) Evaluation of Alternative Methods of Physician Reimbursement The purpose of this study was to assess how different ways of integrating physicians into the KP-Georgia care delivery system and methods of reimbursement (capitation, discounted FFS) are associated with variation in use of medical services and in patient satisfaction with care. Innovations Grant - Frost, F (PI) Survival of COPD Patients with Regular Use of Salmeterol and/or Fluticasone Proprionate This was a retrospective nested case control study of survival in two cohorts of patients with COPD: those exposed to salmeterol and/or fluticasone proprionate and those not exposed to these drugs but exposed to other specific COPD drug regimens. Role: Investigator Innovations Grant - Weinberg, W (PI) Do Ticarcillin/Clavulanate and Piperacillin/Tazobactam Increase the Risk of Hemorrhage in Critically Ill Patients? This was a retrospective observational study of risk of hemorrhage in critically ill patients comparing risks in a cohort of patients administered antibiotics known to cause platelet dysfunction with risks in a cohort of patients administered antibiotics not known to cause platelet dysfunction. Role: Investigator ACHP Task Order 953-038 - Roblin, D (PI) CDC Disparities in Cardiac Rehabilitation Care The purpose of this study was to evaluate disparities by race/ethnicity and by gender in delivery of cardiac rehabilitation services following hospital admission for coronary artery disease in KP-Georgia. Role: PI Task Order 953-022 - Roblin, D (PI) Diabetes Quality of Life Measures for HEDIS The purpose of this study was to evaluate the associations of glycemic control and complications of diabetes on quality of life in a cohort of adults with diabetes. Role: PI Chronic Illness Care - Corrigan, J (PI) Chronic Care Performance Measures for Public Reporting The purpose of this study was to pilot test specifications, data collection strategies, and statistical variation in chronic care measures to be added to the HEDIS data set (asthma, CAD, diabetes, depression). Role: Investigator Chronic Illness Care - Roblin, D (PI) Care Coordination Programs for Working Age Adults with Multiple Chronic Illnesses This study investigated the prevalence, clinical outcomes, and quality of life among working age adults with multiple chronic illness (asthma, CAD, COPD, diabetes, hypertension). Innovations Grant - Thomas, E (PI) Garfield Memorial Fund (Kaiser Permanente) NICU Health Risk and Resource Use Study The purpose of this study was to evaluate risk-adjusted variation in NICU use (triage of newborns between normal nursery and NICU, and subsequent length of stay) across 4 KP sites. Role: Co-PI Innovations Grant - Roblin, D (PI) Garfield Memorial Fund (Kaiser Permanente) Primary Care Physician Panel Workloads: An Evaluation of Alternative Methods of Risk Adjustment. The purposes of this project were 1) to develop and calibrate a pharmacy-based measure of patient risk and 2) to compare this measures predictive properties with a diagnosis-based measure of patient risk so that primary care physician panel workloads could be adjusted in proportion to patient burden of illness. Role: PI

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