Chronic Conditions
Multiple IHR projects focus on improving care for individuals with one or more chronic medical conditions at Kaiser Permanente Colorado and in the broader community. Areas of single condition focus include diabetes, cardiovascular disease, and dementia. Many individuals have more than one chronic condition (multimorbidity), and may benefit from specialized care processes to ensure patient-centered care and outcomes, manage multiple medications, address social or psychological needs and minimize their personal care burden.
Members of:
- U.S. Deprescribing Research Network
- Advancing Geriatrics Infrastructure & Network Growth (AGING) Initiative
Recent Publications
Chronic Conditions Researchers
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Elizabeth A. Bayliss, MD, MSPHSenior Clinician Investigator
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John F. Steiner, MD, MPHSenior Clinician Investigator
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Rebecca S. Boxer MD, MSMedical Director of Clinical Trials, Clinician Investigator
Featured Projects
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Complex Care: Operations, Research and Leadership Admin CORE (CORAL)
Investigators: Elizabeth A. Bayliss, MD, MSPH
Funder: Garfield Memorial Fund
Study End Date: 9/30/2020 -
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Meaningful Outcomes and Missed Opportunities among Different Sub-Groups of High Needs Complex Patients (MOMO)
Investigators: Elizabeth A. Bayliss, MD, MSPH
Funder: Garfield Memorial Fund
Study End Date: 1/30/2020 -
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Optimal Medication Management in Alzheimer's Disease and Dementia (OptiMIze)
Investigators: Elizabeth A. Bayliss, MD, MSPH
Funder: National Institute on Aging
Study End Date: 8/31/2022
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Improving hypertension care of American Indians and Alaska Natives through interactive voice response technology
Investigators: John F. Steiner, MD, MPH
The goal of this project is to improve care for patients with hypertension at the First Nations Community HealthSource, an Urban Indian Health Organization in Albuquerque New Mexico. A hypertension registry will be developed, and information from that registry will be used to support a randomized, controlled trial of interactive voice-response outreach to patients with hypertension, with the goal of improving blood pressure control through reducing missed clinic appointments and improving medication adherence.
Funder: American Heart Association
Study End Date: 6/30/2019 -
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Using Values Affirmation to Reduce the Effects of Perceived Discrimination on Hypertension Disparities
Investigators: John F. Steiner, MD, MPH
This project will (1) compare the effects of the values-affirmation exercise with a control exercise on antihypertensive medication adherence in African American patients across three clinical settings; (2) compare the effects of the values-affirmation exercise in African American patients with its effects in white patients with similar socioeconomic and clinical characteristics; and (3) assess the suitability of the intervention for widespread dissemination using the RE-AIM (reach, effectiveness, adoption, implementation and maintenance) framework.
Funder: National Institutes of Health
Study End Date: 5/31/2020