U-M launches effort to prevent surgery-related opioid addiction across Michigan

America's opioid drug epidemic has struck hard in Michigan. But now, a team from the University of Michigan is striking back at a key factor: opioid prescriptions for patients before and after surgery. With a new $1.4 million per year, five-year grant from the Michigan Department of Health and Human Services, and equal funding from U-M, the IHPI-led team has launched an initiative to help medical teams across the state care for surgical patients' pain ---- without setting those patients up for new chronic opioid use, misuse and addiction.

Michigan-OPEN overview video
WATCH: Michigan-OPEN overview video
A fractured system: where do you go when you suddenly need health care?

In a piece for The Conversation, John Ayanian, M.D., M.P.P., director of the U-M Institute for Healthcare Policy & Innovation, and Keith Kocher, M.D., M.P.H., U-M assistant professor of emergency medicine, offer insights based on their  recent New England Journal of Medicine  article of what acute care is, its challenges, and potential solutions . Inefficiency, fragmentation, redundancy, and often long waits currently plague acute care.

Death vs. another hospital stay: Study suggests Medicare should weigh them equally when paying hospitals

In the last few years, American hospitals have focused like hawks on how to keep patients from coming back within a few weeks of getting out. Medicare incentives to stop the "revolving door"  of hospital readmissions are higher than those aimed to keep patients alive after a hospital stay.

A new U-M analysis suggests that Medicare should focus more on how well hospitals do at actually keeping such patients alive during the same time.

New study to address critical gap in chemotherapy safety

With support from a $1.4 million grant from the Agency for Healthcare Research and Quality (AHRQ), a team of U-M researchers led by Christopher Friese, Ph.D., R.N., M.A., M.S., professor of nursing, and Milisa Manojlovich, Ph.D., R.N., associate professor of nursing, will investigate clinician communication processes and technologies and how they may influence safe chemotherapy administration. The researchers will work in collaboration with the Michigan Oncology Quality Consortium (MOQC), directed by Jennifer Griggs, M.D., M.P.H., a professor of hematology/oncology and health management and policy, and a co-investigator on the grant, which is the first R01 to work with the MOQC platform.

New U-M study shows when things go wrong after surgery, a patient's fate---- and bills---- can vary widely by hospital

Having major surgery comes with many risks, including problems that can crop up hours, days or even weeks after the patient leaves the operating room. These complications can be deadly, or require far more care in the hospital and beyond before the patient recovers. A new study shows just how much that care can cost, in the hospital and beyond.

Precision medicine test helps guide breast cancer patients' chemotherapy decision

One of the earliest widespread applications of precision medicine in cancer care is helping patients and physicians decide whether chemotherapy is needed, a new study finds. Researchers looked at a test available to help assess the risk of breast cancer recurrence and whether chemotherapy is likely to help lower that risk in women with early stage disease. The idea is to avoid chemotherapy in those women at such low risk that they aren't likely to benefit from it and to ensure chemotherapy is recommended for women with higher risk. The idea of precision medicine is to give patients the treatments that are the most likely to help and avoid needless side effects," says study author   Christopher Friese, Ph.D., R.N,, M.A., M.S. a professor at the University of Michigan School of Nursing.

Commentary: Protecting our children after the wounds of racism divide us even more

Nia Heard-Garris, M.D., U-M clinical lecturer of pediatrics and communicable diseases, penned an article for The Conversation around her concern as a pediatrician regarding acts of vicarious racism experienced by African Amercians, especially in light of increased media scrutiny. Vicarious racism traditionally refers to experiencing racial discrimination indirectly through close contacts, such as family members and peers. Heard-Garris also lays out actions steps parents can take, such as seeking mental health care, talking to children in an age-appropriate way, gauging their knowledge and dispelling rumors or heightened fears, discussing concerning behavior with a child's pediatrician or primary care provider, and monitoring and limiting exposure of violent events on TV, radio, internet and social media.

A new method to boost glaucoma medication adherence

Glaucoma medications work ---- if people take them. But an evidence review found at least half of glaucoma patients do not take their prescribed medications, putting older adults at higher risk for causing a car accident or potentially losing their sight. "Just telling people to take their medications isn't working. We've been doing that for years," says IHPI member Paula Anne Newman-Casey, M.D., M.S., a specialist in glaucoma, cataract and anterior segment disease at the University of Michigan's Kellogg Eye Center.

Assari for The Conversation: Black Americans may be more resilient to stress than white Americans

In a new piece for The Conversation, Shervin Assari, M.D., M.P.H., research investigator of psychiatry and public health, outlines the work he has done which demonstrates that although white Americans are, on average, the "healthiest group," they are also, on average, far less "resilient" than black Americans.

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The Institute brings great minds together to address healthcare's biggest challenges. More than 490 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.
National Academy of Medicine "Vital Directions" initiative involves IHPI and IHPI-NAB members

The National Academy of Medicine (NAM) called on more than 100 leading researchers, scientists, and policy makers from across the United States to provide expert guidance on 19 priority focus areas for U.S. health policy. Several IHPI members and leaders from the IHPI's National Advisory Board co-authored papers for the initiative. Contributing U-M IHPI members include Mark Fendrick, M.D., professor of internal medicine, and Julia Adler-Milstein, Ph.D., associate professor of information, and IHPI National Advisory Board members include David Blumenthal, M.D., M.P.P., president and chief executive officer, Commonwealth Fund, Lewis Sandy, M.D., M.B.A., F.C.P., executive vice president, clinical advancement, UnitedHealth Group, and Gail Wilensky, Ph.D., senior fellow, Project HOPE.

Insurers vs. Congress over ACA payments: U-M Professor of Law, Nick Bagley, weighs in

It may have gotten overshadowed by the national election, but there's another ugly battle raging in Washington, D.C. right now - with several billion dollars at stake.  This battle pits health insurance companies against Republican members of Congress, and hinges on the legal interpretation of an obscure part of the Affordable Care Act. The Obama administration just put its foot in the ring to try to referee the situation.

IHPI member and U-M Law School professor Nicholas Bagley, J.D., provides a ringside play-by-play of the bout in a  new Perspective article in the New England Journal of Medicine.

See all upcoming events on our Events page
Watch: "Michigan Opioid Prescribing and Engagement Network---- Research, Policy, and Outreach"

Speakers included: Chad Brummett, M.D., associate professor of anesthesiology; Jennifer Waljee, M.D., M.P.H., M.S., assistant professor of plastic surgery; and Michael Englesbe, M.D., Cyrenus G. Darling, Sr. M.D. and Cyrenus G. Darling, Jr., M.D. Professor of Surgery.
CHEAR Susan B. Meister Lecture in Child Health Policy
Concussion and Youth Sports: Balancing the Risks of Recreational Sports
for Children

Date: November 17, 2016
Time: 4:30 --- 6:00 p.m.
Location: Kahn Auditorium, U-M Biomedical Science and Research Building (BSRB)
Hosted by: U-M Child Health Evaluation and Research (CHEAR) Unit

1992---- Launch of the Health and Retirement Study

The Health and Retirement Study (HRS) began in 1992 under the auspices of the Institute for Social Research at the University of Michigan. It has grown to become the largest and most representative longitudinal panel study of Americans over the age of 50. As the world around us changes, the HRS follows the impact of these changes on our older population. This information has been used by scientists to publish over 3,000 books, articles and papers.

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.

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