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State Networks of Colorado Ambulatory Practices & Partners
~ A collaborative association of practice-based research networks in Colorado ~
Studies
The grid below shows studies underway in SNOCAP. Many studies occur in more
than one PBRN.
Studies in Progress
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Participating PBRNs |
Study Name |
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Exposure of low income children with asthma to household environmental
tobacco smoke (ETS)
CaReNet is participating in an NHLBI-funded
study to examine whether primary school-aged children with asthma from low-income
households have lower household environmental tobacco smoke (ETS) exposure
than matched control children. Fred Wamboldt, MD, from National
Jewish Medical and Research Center, is the PI. The study aims to impact
future tobacco interventions and control efforts in families with children
with asthma. This study is done by research assistants making patient home
visits, and does not involve clinician/practice time. |
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Lipid and blood pressure management for patients with type 2 diabetes,
funded by Bennett Parnes's Robert
Wood Johnson Foundation Generalist Physician Faculty Scholar Award,
will examine how primary care providers manage lipids and blood pressure
for patients with type 2 diabetes. |
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Patient-Guided Tools
to Promote Colon Cancer Screening is an NCI-funded
study that will attempt to increase the rate of cancer screening by educating
patients with an interactive multimedia presentation and implementing a
reminder/tracking system in primary care offices. |
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Completed Studies
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Participating PBRNs |
Study Name |
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Applied Strategies for Improving
Patient Safety (ASIPS) is a collaborative effort between the University
of Colorado Department of Family Medicine and numerous organizations to
analyze the causes and effects of errors in primary care and reduce the
incidence of errors. |
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Leaders for Effective
Activity Planning (LEAP) is demonstration project funded by the
Robert Wood Johnson Foundation's grant program Prescription
for Health. The project is designed especially for promoting healthy
behaviors in primary care patients. |
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Measuring Readiness
to Translate Research into Practice is a study by CaReNet and the
Colorado Health Outcomes Program (COHO) designed to collect information
about practices and their ability to take research findings and make changes
in their clinical care. |
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Mental Health Referrals from Primary
Care examines how primary care providers manage patients' mental
health care needs. |
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Type 2 diabetes and hypertension care
The data collected from this study will be used to describe hypertension
care for patients with type 2 diabetes. We will determine the frequency
that high blood pressures are considered "acceptable" to primary
care providers and examines the decisions made by clinicians as they review
the BPs. |
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Prediction of non-adherence to depression medication |
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Sample use and patient education in primary care offices is examining
the instructions given to patients when they receive sample prescription
medications from their primary care office. |
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Domestic Violence in Pregnant
Primary Care Patients is a project that examines the incidence of
interpersonal physical violence during pregnancy. |
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Missing Information in Ambulatory Care (MIA Care) is a card
study to determine how clinicians care for patients when they cannot access
important clinical information about that patient. |
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National Ambulatory
Medical Care Survey (NAMCS) is a nationwide survey of health providers
which provides information about ambulatory medical care services delivered
and demographic, diagnostic and reason for visit information about patients
receiving those services. |
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Practice Based Research Networks
(PBRN) - Development Grant is to focus efforts and resources toward
creating a sound growth and development plan. CaReNet is a primary care
practice-based research network specifically devoted to studying health
issues among underinsured and Hispanic people. |
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Primary Care Network Survey
(PRINS) is a survey of care provided by practices and clinicians
in CaReNet. |
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Stressful life
events and multisomatoform disorder in female primary care patients
is a cross-sectional anonymous survey of stressful life events and multisomatoform
symptoms of women presenting for care in primary care clinics. |
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Type 2 Diabetes Card
Study 2001
The data collected from this pilot study will be used to better describe
patients with type 2 diabetes in CaReNet. This effort includes understanding
variations in patient glycemic control and the variability of control
among practices for developing interventions around improving care. These
data will also help better characterize the network, strengthening our
position when seeking funds for further diabetes investigations. |
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Why Don't PCPs Intervene when A1cs
are Elevated? (AKA A1c Decision Making) determines the frequency
that hemoglobin A1c values >8 are considered "acceptable" to
primary care providers and examines the decisions made by clinicians as
they review the results of a hemoglobin A1c. |
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Care of Acute Myocardial Infarction, Unstable Angina, and Chest Pain
in Rural Colorado
The primary aim of this study is to ascertain how rural primary care physicians
currently care for patients suffering acute myocardial infarction.
To date, we have completed chart abstraction for 2072 patients who presented
with chest pain to emergency departments in rural Northeast Colorado hospitals
between 1995 and 1999. We are continuing to abstract information for
those patients who were seen initially in a rural emergency department and
subsequently transferred to another hospital. |
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Use of the ACI-TIPI to Improve Heart Attack Triage and Transport
Ten rural Colorado hospitals have been slated for participation in a study
to assess the use of the Acute Cardiac Ischemia - Time
Insensitive Predictive Instrument (ACI-TIPI).
The ACI-TIPI software was installed on ECG machines in the emergency departments
of the hospitals. In addition to the standard ECG reading, the software
generates a probability score from 0% to 100% of the likelihood that a person
is having a heart attack. Physicians use the score as a tool to aid
in diagnoses and treatment decisions. ACI-TIPI report scores will
be collected on all patients presenting to the hospital with chest pains
or other symptoms suggestive of acute cardiac ischemia. Chart abstraction
will also be performed on patients to determine admission rates, transfer
rates, and treatment decisions in conjunction with the availability of the
ACI-TIPI report. |
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Improving the Care of Patients with Heart Failure
In conjunction with the Colorado Foundation for Medical Care (CFMC), we
examined whether there were major differences in the care of heart failure
patients by geographic location (rural vs. urban). The primary analysis
on the baseline data, however, has shown relatively few significant differences
between the care received in the rural and urban hospitals. Significant
differences were found regarding the frequency of type of assessment given
to heart failure patients and may suggest areas where targeted intervention
may be beneficial. We are continuing to analyze the data to detect
differences among groups based on demographics. We hope that by identifying
differences by patient groups, we can identify additional areas for targeted
interventions. |
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Assessing and Improving Quality of Care for Dying Patients in Rural
Colorado
This study will involve assessing the knowledge and attitudes towards palliative
care of physicians, nurses, other care providers, as well as staff at hospitals,
nursing homes and clinics in each of the rural communities. Members of each
community will be sampled as well.
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Impact of double Counting and Transfer Bias on Estimated Rates and
Outcomes of Acute Myocardial Infarction
Ischemic heart disease is the leading cause of death in the United States.
Recent studies, that have looked primarily at hospital discharge data, report
inconsistent findings on the changes in the incidence of hospitalizations
for people suffering with ischemic heart disease. Preliminary data
suggest that a large number of patients with acute myocardial infarction
in rural communities are transferred to urban centers for care. Patients
transferred to a second hospital may be counted twice for one episode of
ischemic heart disease.
(The abstract to this paper can be found on-line at Medical
Care. To request a copy of the full text, please email Jack
Westfall.) |
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Studies in Development
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Study Name |
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Prenatal care and gingivitis - outcomes for pregnancy |
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Practice redesign for chronic care management |
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