Ongoing Research (Selected)

Kurt Stange, MD, PhD 

Larry A. Green Center for the Advancement of Primary Health Care for the Public Good (American Board of Family Medicine Foundation), Co-Investigator

Goal: to be a creative and high yield force for improving the ability of primary health care and family medicine to advance the health and improve the health care of all Americans through: 

  • developing conceptualizations and measures of how primary health care advances personal and population health, equity, and sustainability
  • leveraging an ongoing formative investment to develop an active research portfolio focused on understanding the mechanisms by which primary health care provides value
  • fostering a dynamic, innovative, interdisciplinary interchange among diverse stakeholders for the advancement of primary health care for the health of people, populations and society. 

(09/01/17-08/31/21)

Integrating Behavioral Health and Primary Care for Comorbid Behavioral and Medical Problems (University of Vermont),  Co-Investigator

Investigate whether increased integration of evidence supported behavioral health and primary care services, compared to simple co-location of providers, improves outcomes.

(04/01/16-03/31/21)

Case Comprehensive Cancer Center Support Grant (NIH/NCI), Co-Director, Multimethod Cancer Outcomes Research Shared Resource

Goals: 

  • improve the prevention, diagnosis, and therapy of cancer through research 
  • stimulate and support innovative, coordinated, interdisciplinary research on cancer diagnosis, treatment, and control
  • develop clinical applications of research discoveries and make these applications available as quickly as possible
  • develop cancer prevention and control activities to contribute to the reduction of cancer morbidity and mortality in Northeast Ohio and the surrounding region and nation

(04/03/13-03/31/23)

Involving Communities in Delivering and Disseminating Health Disparity Interventions (NIMHD), Co-Investigator and co-leader of Project 2

Combine research, career development, and community partnership activities to engage communities in delivering and disseminating health disparity interventions to enhance the innovation, potency, relevance, and sustainability of efforts to reduce health disparities.

(09/01/17-8/31/22)

Supporting Communities in Achieving Equity and Better Health (REACH); Health Improvement Partnership - Cuyahoga (HIP-Cuyahoga), (Centers for Disease Control), Evaluation Lead

This program aims to improve health, prevent chronic diseases, and reduce health disparities among racial and ethnic populations with the highest risk, or burden, of chronic disease, specifically for African Americans/Blacks, Hispanic Americans, Asian Americans, Native Hawaiian/Other Pacific Islanders, American Indians, and Alaska Natives, by:

  1. Supporting culturally tailored interventions to address the preventable health behaviors of tobacco use, poor nutrition and physical inactivity;
  2. Linking community and clinical efforts to increase access to health care and preventive care programs at the community level; and
  3. Supporting implementation, evaluation and dissemination of practice- and evidence-based strategies related to tobacco, nutrition, physical activity, and community-clinical linkages that ultimately lead to reduced health disparities in chronic conditions.

(09/30/18-09/29/23)

Building a Foundation for Equity Science in Community Health (KL2, CTSC) Mentor

    Goals:

  • Conduct a Community-Based System Dynamics evaluation to identify generalizable leverage points in an innovative equity-grounded community health improvement plan;
  • Implement and evaluate the health impact of a novel system to screen for the social determinants of health and link patients with 211 resource navigation in community health center practices;
  • Examine the uptake of this single item screener compared to currently used longer social determinants of health screening instruments in a national network of community health centers;
  • Pilot test scaling a brief social determinant screening/211-linking intervention for a widespread implementation trial in a national network of community health centers.

(5/1/20-4/30/25)

Clinical Translational Science Award (NIH/NCATS), Co-Lead, Community and Collaboration Component

The goal of this award it to provide infrastructure to support translational science and clinical trials at Case Western Reserve University.

(04/01/2018-03/31/23)

Diabetes Quality Improvement Project (Ohio Department of Medicaid), Co-Investigator

The MEDTAPP Diabetes Quality Improvement Project (QIP), a component of the Ohio Department of Medicaid Chronic Conditions Quality Collaborative is a collaboration of clinical leaders and academic, health care payer partners across the state of Ohio.  It engages primary care practices around the state to receive coaching from quality improvement experts, and to engage in quality improvement activities, employ evidence-based change packages, and transmit Electronic Health Record data to improve the system of care for diabetes to achieve equitable health outcomes for people living with poorly controlled diabetes across the state.

(7/3/19-6/30/21)

Cardiothoracic Surgical Trials Network (NHLBI/NINDS/NIH/CIHR), Co-Investigator

Foster a culture of rigorous scientific comparisons and to promote the evaluation of newer surgical techniques, devices, and innovative pharmaceutical and bioengineered products directed at improving cardiovascular disease outcomes in adult populations. Provide infrastructure to develop, coordinate, and conduct multiple collaborative proof-of-concept studies and interventional protocols to improve cardiovascular disease outcomes. Enable interdisciplinary research teams to evaluate therapies and techniques as they move from laboratory science to broad clinical use.


(3/22/2019-2/28/2026)

Full Practice Authority for Advanced Practice Nurses: A Partnership between the Schools of Nursing, Law, Management and Medicine, Case Western Reserve University (CWRU) (Charles Koch Foundation), Co-Investigator

This project will advance understanding of the effect of governmental regulations on the accessibility, effectiveness, fairness, and value of health care. It will inform subsequent policy work to improve the ability of advanced practice registered nurses to help all Americans achieve their health potential and inform efforts to develop a high value health care system.

(1/1/20-12/31/20)
 


Heidi Gullett, MD, MPH 

Building a Foundation for Equity Science in Community Health (KL2, CTSC), Principal Investigator

    Goals:

  • Conduct a Community-Based System Dynamics evaluation to identify generalizable leverage points in an innovative equity-grounded community health improvement plan;
  • Implement and evaluate the health impact of a novel system to screen for the social determinants of health and link patients with 211 resource navigation in community health center practices;
  • Examine the uptake of this single item screener compared to currently used longer social determinants of health screening instruments in a national network of community health centers;
  • Pilot test scaling a brief social determinant screening/211-linking intervention for a widespread implementation trial in a national network of community health centers.

(5/1/20-4/30/25)

Supporting Communities in Achieving Equity and Better Health (REACH); Health Improvement Partnership - Cuyahoga (HIP-Cuyahoga), (Centers for Disease Control), Principal Investigator

This program aims to improve health, prevent chronic diseases, and reduce health disparities among racial and ethnic populations with the highest risk, or burden, of chronic disease, specifically for African Americans/Blacks, Hispanic Americans, Asian Americans, Native Hawaiian/Other Pacific Islanders, American Indians, and Alaska Natives, by:

  1. Supporting culturally tailored interventions to address the preventable health behaviors of tobacco use, poor nutrition and physical inactivity;
  2. Linking community and clinical efforts to increase access to health care and preventive care programs at the community level; and
  3. Supporting implementation, evaluation and dissemination of practice- and evidence-based strategies related to tobacco, nutrition, physical activity, and community-clinical linkages that ultimately lead to reduced health disparities in chronic conditions.

(09/30/18-09/29/23)

Primary Care as Social Capital (The Institute for Integrative Health) Principal Investigator

Elucidating the value of primary care in cultivating social capital as a means for movement out of poverty has the potential to serve as a key element of broadly characterizing and redesigning the role of primary care as a force for integration in the US health system.  This project aims to:

  1. Understand the way primary care has changed over the last 5 decades and elucidate the forces driving those changes.

  2. Identify the key primary care mechanisms and environments that foster bonding, bridging, and linking social capital among individuals and communities.

  3. Interactively communicate findings from the above to cultivate pathways toward an integrated, equitable health

(03/01/2019-02/28/21)

Cross Sector Innovation Award (Public Health Accreditation Board (Robert Wood Johnson Foundation) Principal Investigator

Goals: 

  1. Using equity-grounded community participatory group model building to create a systems change model for Cuyahoga County.
  2. Identifying systems interventions to address structural racism and lack of trust through the systems model; and 
  3. Identify and employ measures of change in collaborative effectiveness that result in quantifiable systems change across our county resulting in achievement of equity and improved population health.

(1/1/20-12/31/21)

Getting Ahead for Cancer Control (American Cancer Society) Principal Investigator

Goal: To implement Getting Ahead in cohorts of FQHC primary care patients living in poverty and investigate the impact on cancer control health behaviors and clinical preventive service utilization.

(07/01/2016-12/31/2020)


Peter Hovmand, PhD

Implementation Science Network Real Options Strategies for Achieving Scale (ROSAS) (National Institutes of Health Clean Cookstove), Principal Investigator

Pilot study to extend the household-community level system dynamics simulation model of exclusive and sustained use of clean cooking fuels to develop real option strategies for achieving scale in collaboration with Dr. Gautam Yadama (Boston College), Dr. Byron Powell (Wash U), and Pratiti Priyadarshini (Foundation for Ecological Security, India).

(2019-2020)

Raising Learning Outcomes in Education Systems (Economic and Social Research Council, UK), Co-Investigator

Study focuses on applying and evaluating community-based system dynamics with school improvement unities in Pakistan and Afghanistan in a randomized controlled trial.

(2018-2022)


Johnie Rose, MD, PhD

Case Comprehensive Cancer Center Support Grant (NIH/NCI), Co-Director, Multimethod Cancer Outcomes Research Shared Resource

Goals: 

  • improve the prevention, diagnosis, and therapy of cancer through research 
  • stimulate and support innovative, coordinated, interdisciplinary research on cancer diagnosis, treatment, and control
  • develop clinical applications of research discoveries and make these applications available as quickly as possible
  • develop cancer prevention and control activities to contribute to the reduction of cancer morbidity and mortality in Northeast Ohio and the surrounding region and nation

(04/03/13-03/31/23)

Multi-Level Interventions to Reduce Caries Disparities in Primary Care Settings

This project tests the innovative theory-driven multi-level interventions at the parent/caregiver, provider (physician), practice (pediatric) levels to increase dental attendance and reduce untreated caries among 3 to 6 year old Medicaid-enrolled children attending well-child visits in the pediatrician's offices. The behavioral interventions at the parent and provider levels, and implementation strategies at the practice level will help parent to seek dental care for child. These novel interventions have the potential for a new oral health care model for physicians providing care for young children.

(09/01/2017-08/31/2021)