Optimizing Older Adult Care through the Use of Electronic Health Records

This 3-day virtual workshop brought together Division of Geriatrics and Clinical Gerontology (GCG) and Division of Behavioral and Social Research (BSR) grantees working on electronic health record (EHR)-based interventions to learn about grantee progress and discuss future directions of EHR-based research. This meeting provided an opportunity for participants to discuss scaling EHR-based interventions and leveraging learning health networks for aging and Alzheimer's disease and related dementias (AD/ADRD).

Audience

Researchers and clinicians.

Dates

February 21, 2024 | 12:00 p.m. – 2:50 p.m. ET
February 22, 2024 | 11:00 a.m. – 3:05 p.m. ET
February 23, 2024 | 12:00 p.m. – 4:30 p.m. ET

Location

This workshop was available for participants to join virtually through Zoom.

Agenda

Day 1 (Wednesday, February 21)

12:00 - 12:10 p.m. Welcome

  • Welcome and Logistics, Partha Bhattacharyya, Ph.D., Division of Behavioral and Social Research, National Institute on Aging
  • Opening Remarks, Richard Hodes, M.D., Director of the National Institute on Aging

12:10 - 1:20 p.m. Session 1 | Detection of Cognitive Impairment

Moderator: Nina Silverberg, Ph.D., Division of Neuroscience, National Institute on Aging

  • A Cognitive Risk Calculator and Screening tool for Primary Care Settings, Darlene Floden, Ph.D., Cleveland Clinic
  • ToolBox Detect: Low Cost Detection of Cognitive Decline in Primary Care Settings, Cindy Nowinski, M.D., Ph.D., Feinberg School of Medicine, Northwestern University
  • Using the PROMIS Cognition Item Bank for Early Detection of Cognitive Decline in Primary Care, Maria Orlando Edelen, Ph.D., PROVE Center, Brigham and Women’s Hospital
  • Panel Discussion

1:20 - 2:45 p.m. Session 2 | Prescribing

Moderator: Marcel Salive, MD, MPH, Division of Geriatrics and Clinical Gerontology, National Institute on Aging

  • Optimizing electronic health record prompts with behavioral economics to improve prescribing for older adults, Niteesh Choudhry, M.D., Ph.D., Brigham and Women’s Hospital
  • Behavioral Economics Applications to Geriatrics Leveraging EHRs (BEAGLE), Stephen Persell, M.D., M.P.H., Feinberg School of Medicine, Northwestern University
  • Nudging Primary Care Providers toward Guideline-Recommended Opioid Prescribing through Easier and More Convenient EHR Information Design, Christopher Harle, Ph.D., Richard M. Fairbanks School of Public Health, Indiana University
  • Deprescribing antipsychotics in patients with Alzheimer’s disease and related dementias and behavioral disturbance in skilled nursing facilities, Dae Hyun Kim, M.D., Sc.D., Harvard University
  • Panel Discussion

2:45 - 2:50 p.m. Closing Day 1

Day 2 (Thursday, February 22)

11:00 a.m. Welcome

11:05 a.m. - 12:25 p.m. Session 3 | Vaccines and Screening

Moderator: Partha Bhattacharyya, Ph.D., Division of Behavioral and Social Research, National Institute on Aging

  • Enhancing Electronic Health Systems to Decrease the Burden of Colon Cancer, Lung Cancer, Obesity, Vaccine-Preventable Illness, and Liver Cancer (CLOVER), Eric Chak, M.D., M.P.H., University of California, Davis
  • BE IMMUNE: Behavioral Economics to Improve and Motivate vaccination Using Nudges through the EHR, Shivan Mehta, M.D., M.B.A., Perelman School of Medicine, University of Pennsylvania
  • EHR nudges: Development and testing of a behavioral economics electronic health record module, Andrea Troxel, Sc.D., New York University
  • Medicare Annual Wellness Visit Practice Redesign Toolkit: A Tailored Intervention to Improve Preventive Health Service Use, Derjung Tarn, M.D., Ph.D., David Geffen School of Medicine, University of California, Los Angeles
  • Panel Discussion

12:25 - 12:30 p.m. Break

12:30 - 1:50 p.m. Session 4 | Detection of Cognitive Impairment

Moderator:Nadezda Radoja, Ph.D., Division of Neuroscience, National Institute on Aging

  • Digital Detection of Dementia Studies (D cubed Studies), Malaz Boustani, M.D., M.P.H., Indiana University School of Medicine
  • Low-cost detection of dementia using electronic health records data: validation and testing of the eRADAR algorithm in a pragmatic, patient-centered trial, Sascha Dublin, M.D., Ph.D., Kaiser Permanente Washington Health Research Institute
  • Cognitive Screening Made Easy for Primary Care Providers, Robin Hilsabeck, Ph.D., University of Texas Health Science Center
  • A Technology-Driven Intervention to Improve Early Detection and Management of Cognitive Impairment, Leah Hanson, Ph.D., University of Minnesota
  • Panel Discussion

1:50 - 1:55 p.m. Break

1:55 - 3:00 p.m. Session 5 | Screening/Monitoring

Moderator: Marcel Salive, M.D., M.P.H., Division of Geriatrics and Clinical Gerontology, National Institute on Aging

  • Improving Cancer Screening Through A Tailored Technology-Based Intervention, Vanessa Diaz, M.D., M.S.C.R., Medical University of South Carolina
  • Remote Monitoring and Virtual Collaborative Care for Hypertension Control to Prevent Cognitive Decline, Jeff Burns, M.D., Kansas University Medical Center
  • Interdisciplinary Infrastructure for Aging Research: Rochester Epidemiology Project, Jennifer St. Sauver, Ph.D., Mayo Clinic
  • Panel Discussion

3:00 - 3:05 p.m. Closing Day 2

Day 3 (Friday, February 23)

12:00 - 12:05 p.m. Welcome

12:05 - 1:15 p.m. Session 6

Moderator: Theresa Kim, Ph.D., M.S., Division of Behavioral and Social Research, National Institute on Aging

  • An Electronic Health Record based Dashboard-driven Intervention to Improve Identification and Management of Preventive Care for Cardiovascular Disease, Sherry Yan, Ph.D., M.S., Sutter Health
  • eAlign: A Patient Portal-based Intervention to Align Medications with What Matters Most, Ariel Green, M.D., Ph.D., M.P.H., Johns Hopkins University School of Medicine
  • I-SCREEN: Increasing Screening for Cancer using a Randomized Evaluation of EHR-based Nudges, Amol Navathe, M.D., Ph.D., University of Pennsylvania
  • Panel Discussion

1:15 - 2:00 p.m. Keynote Presentation

Artificial Intelligence and the Electronic Health Record: Opportunities and Challenges for Learning Health Systems, Mitesh Patel, M.D., M.B.A., Chief Clinical Transformation Officer, Vice President, Ascension

2:00 - 2:10 p.m. Break

2:10 - 3:15 p.m. Session 7

Moderator: Rebecca Krupenevich, Ph.D., Division of Behavioral and Social Research, National Institute on Aging

  • Project HoPe: Achieving Home Discharge for institutionally-bound Patients with PROMs, AI, and the EHR, Andrea Cheville, M.D., Mayo Clinic
  • electronic Strategies for Tailored Exercise to Prevent FallS (eSTEPS), Patricia Dykes, Ph.D., Brigham and Women’s Hospital
  • Improving Quality & Equity of Emergency Care Decisions (IQED), Daniella Meeker, Ph.D., Yale School of Medicine
  • Panel Discussion

3:15 - 3:20 p.m. Break

3:20 - 4:25 p.m. Session 8 | Prescribing

Moderator: Partha Bhattacharyya, Ph.D., Division of Behavioral and Social Research, National Institute on Aging

  • Clinically Significant Drug Interactions among Nursing Home Residents with ADRD, Andrew Zullo, Pharm.D., Ph.D., Brown University
  • PRescribing INterventions for Chronic pain via the Electronic medical record (PRINCE), Ezra Golberstein, Ph.D., University of Minnesota
  • Application of Economics & Social psychology to improve Opioid Prescribing Safety (AESOPS) Trial, Jason Doctor, Ph.D., University of Southern California
  • Panel Discussion

4:25 - 4:30 p.m. Closing Day 3

Contact Information

Please contact Partha Bhattacharyya ( bhattacharyyap@mail.nih.gov ) and Rebecca Krupenevich ( rebecca.krupenevich@nih.gov ) for questions you may have about the workshop.

Reasonable Accomodation: If you need reasonable accommodation to participate in this event, please contact the meeting organizer listed under Contact information. Please make your request no later than 1 week before the event.