The White House declared the opioid epidemic an official public health crisis last week, opening the door to more action on several fronts.  Researchers at IHPI are at the forefront of the crisis, creating opioid prescribing guidelines, collecting unused medications across the state of Michigan, and finding evidence to support the use of medication-assisted therapy or MAT. Read below for the latest U-M efforts. 

A new opioid prescribing tool developed at U-M is now available online for free use by any team that performs 11 common operations. It's based on data and surveys from surgery patients across the state of Michigan, and on research by U-M researchers who study pain control and surgical quality. READ MORE

A new study by lead author Pooja Lagisetty, M.D., M.Sc., U-M clinical lecturer in internal medicine, suggests that primary care physicians and their existing teams of nurses, medical assistants, social workers, and pharmacists can provide effective opioid addiction care using medication-assisted treatment.  READ MORE

Results of another study led by Amir Ghaferi, M.D., M.S., U-M associate professor of surgery, found one in 12 bariatric surgical patients who did not take opioid pain medications until their weight-loss operation report that they are still using prescription opioids one year postoperatively. READ MORE

And  Michiganders from eight communities had a chance to drop off unneeded medications for free on September 30. More than 900 pounds of unneeded medications were collected as part of the largest drug takeback event ever spearheaded by the M-OPEN initiative based at IHPI.  READ MORE
New poll: Dementia caregivers - Juggling, delaying, and looking forward

Family caregivers play a vital role in providing support to older adults living with dementia and other cognitive impairments. A new report from our National Poll on Healthy Aging focuses on unpaid dementia caregivers ---- family and friends who provide personal care help to people with memory problems and help them to manage health issues.

IHPI awarded contract by state of Michigan to evaluate new initiative to coordinate physical and behavioral health

A team of IHPI members led by Kara Zivin, Ph.D., M.S., M.A., has received a contract from the Michigan Department of Health and Human Services to evaluate a new effort to improve the coordination of physical health services and behavioral health services in Michigan. Called the Section 298 Initiative, it is a result of a Michigan legislature directive to the department to develop and implement up to three pilots and one demonstration model to test the integration of physical health and behavioral health services, and to contract with one of the state's research universities to complete an evaluation.

IHPI researchers: Medicine's "Choosing Wisely" movement off to a good start, but change needed for continued success

Five years ago, a group of medical organizations did something they'd never done before: give doctors a list of things they shouldn't do for their patients. Their goal: to empower doctors and patients to start a conversation about avoiding unnecessary care.

Now the momentum behind this campaign, called "Choosing Wisely," has snowballed. The list of things doctors shouldn't do has grown to more than 500 items ---- from specific uses of blood tests and scans, to particular prescription drugs and medical devices.

"We need to get more rigorous and more innovative," says Eve Kerr, M.D., M.P.H., U-M professor of internal medicine, and director, VA Center for Clinical Management Research, VA Ann Arbor HSR&D Center of Innovation, and lead author of the paper.

Kerr also presented on the topic at a recent Health Affairs Forum in Washington, D.C. with "Fulfilling the Promise of Choosing Wisely: The Next 5 Years."

All together now: ICU patients benefit from diverse care teams

A new study led by Deena Costa, Ph.D., R.N. , an assistant professor in the University of Michigan School of Nursing, confirms the importance of interprofessional collaboration in standardizing care, finding that a series of interventions performed to manage delirium and weakness among adult ICU patients is more successfully implemented when diverse teams are frequently involved in those activities.

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The Institute brings great minds together to address healthcare's biggest challenges. More than 500 investigators come to IHPI from U-M's top-ranked schools of medicine, nursing, public health, engineering, social work, law, business, and public policy, among others, as well as members of affiliated local research organizations.
Cunningham testifies on the value of research

Rebecca Cunningham, M.D., associate vice president for research-health sciences, testified before the Senate Homeland Security and Government Affairs Committee's Subcommittee on Federal Spending Oversight and Emergency Management about federal support for research. She highlighted the crucial role the federal government provides in supporting basic, curiosity-driven research alongside applied research and engineering, along with the economic benefits of federally supported research.

The committee will use testimony by Cunningham and other witnesses as they consider legislation regarding how the government awards federal research dollars.

Violence, addiction, suicide & beyond: Ilgen helps Capitol Hill audience understand current knowledge

Amid a national crisis of substance use and overdose, and rising suicide rates, the national  Injury and Violence Prevention Network  sponsored a briefing for members of Congress and their staff on the intersections between these issues on Oct. 24. IHPI member  Mark Ilgen, Ph.D. , U-M professor of psychiatry, who has studied these issues, spoke about the current state of knowledge and called for further research. 

Kilbourne to lead $3.9M study of student mental health

The U-M Department of Psychiatry was recently awarded a $3.9 million grant from the National Institute of Mental Health for a new study titled, "Improving Student Mental Health: Adaptive Implementation of School-based Cognitive Behavioral Therapy."

The trial will allow U-M researchers to study the effectiveness of different implementation strategies to improve access to evidence-based mental health care for students with depression and anxiety throughout the state of Michigan.

Amy Kilbourne, Ph.D., M.P.H., is the principal investigator for the study that focuses heavily on the work being done through the TRAILS program (Transforming Research into Action to Improve the Lives of Students), which is led by Elizabeth Koschmann, Ph.D. The randomized controlled trial will engage more than 200 school professionals spanning all 83 Michigan counties.

Two members elected to prestigious National Academy of Medicine and two others named fellows

Eve Kerr, M.D., M.P.H., the Louis Newburgh Research Professor in the Department of Internal Medicine, and a member of the Division of General Medicine, and   Paul Lee, M.D., J.D., the F. Bruce Fralick Professor and chair of the Department of Ophthalmology and Visual Sciences, were elected to the National Academy of Medicine of the National Academies. With their election, the U-M now has 56 members of the NAM among its active, emeritus, and living former faculty.

Mahshid Abir, M.D., M.Sc., assistant professor, Department of Emergency Medicine, and director, Acute Care Research Unit, IHPI, was named American Board of Emergency Medicine (ABEM) Fellow and Tammy Chang, M.D., M.P.H., M.S., assistant professor, Department of Family Medicine, was named James C. Puffer, M.D./American Board of Family Medicine (ABFM) Fellow.

See all upcoming events on our Events page
Policy Approaches to the Opioid Crisis: Haffajee to speak on expert panel

Date:  November 3, 2017
Time: 9:30 a.m. --- 11:45 a.m.
Michigan LocationThe Brookings Institution,  Falk Auditorium, 1775 Massachusetts Ave, NW,  Washington, DC 20036

On Friday, November 3, the USC-Brookings Schaeffer Initiative for Health Policy will host a conference on how public policy can address the opioid epidemic. The conference will feature keynote remarks from Sir Angus Deaton, a Nobel Prize winning economist whose work has documented the shocking rise of "deaths of despair" among white Americans without a high school degree. Following his remarks, Deaton will join a panel of experts including U-M Assistant Professor of Health Management and Policy Rebecca Haffajee, Ph.D., J.D., M.P.H.
Kales and Langa lend expertise for national summit on dementia care and support

Held at the National Institutes of Health, the Office of the Assistant Secretary for Planning and Evaluation in the U.S. Department of Health and Human Services held a national summit on dementia care and support to help accelerate evaluation and translation of comprehensive dementia care.

Ken Langa, M.D., Ph.D., U-M professor of internal medicine, gave a keynote on the "Demographics of Dementia and Dementia Caregiving: Key Changes in the Decades Ahead." Helen Kales, M.D., U-M professor of psychiatry also gave a keynote on "Causality Matters: Preventing and Mitigating Behavioral and Psychological Symptoms of Dementia."

For videos and papers from the conference, click here.
"The Social and Economic Aspects of Public Health and Medicine"

In 1934, "The Social and Economic Aspects of Public Health and Medicine," believed to be first course on medical care organization and financing offered at a U.S. university, is taught at U-M.

Check out more historic milestones in U-M health professional education, health services research, and health policy through IHPI's interactive timeline.
The Institute for Healthcare Policy and Innovation is committed to improving the quality, safety, equity, and affordability of healthcare services.

To carry out our ambitious mission, our efforts are focused in four areas:
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  • Improving the health of communities
  • Promoting greater value in healthcare
  • Innovating in IT and healthcare delivery

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IHPI Informs is published monthly by the University of Michigan Institute for Healthcare Policy & Innovation.
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