Holly J. Lanham
projects

CURRENT SUPPORT

Agency for Healthcare Research and Quality

Co-investigator on a 3-year (2012-2015) contract (HHSA290201000019I) titled, “A Multisite Field Study Applying Novel Methods to Better Understand the Causal Relationship between Health IT and Ambulatory Care Workflow Redesign.” The goals of this mixed methods project are to develop a comprehensive understanding of (1) the relationship between HIT implementation and ambulatory care workflow redesign; (2) socio-technical factors and the role they play in mitigating or augmenting the impact of HIT on workflow processes; and (3) the workflow impacts of HIT magnified through frequently occurring disruptive events such as interruptions and exceptions.
Principal Investigator: K Zheng


Department of Veterans Affairs HSR&D

Co-investigator on a 4-year grant (2014-2018) titled, “VA Readmission Reduction Strategies (VARRS): What is working & why?” which aims to identify promising models for reducing early readmissions across the VHA and develop novel curriculum for disseminating and implementing these models in hospitals across the VHA.
Principal Investigator: J Pugh


Department of Veterans Affairs HSR&D

Co-investigator on a 4-year grant (2012-2016) titled, “Restructuring Epilepsy Care: Organizational Dynamics and Quality” (IIR 11-067-2). The study objectives are to 1) describe changes in access to and quality of epilepsy care before and after the Epilepsy Centers of Excellence (ECOE) initiative, 2) describe changes in the organization of care and other strategies implemented by the four geographic ECOEs to accomplish the goals of improving quality of and access to epilepsy care within the VA, and 3) determine if variation in access, quality and epilepsy care are associated with variations in referral processes and innovative approaches to epilepsy care between geographic ECOEs. This study will use qualitative and quantitative methods to examine access to and quality of epilepsy care over a 4-year period, identify gaps in epilepsy care, and enable the development and implementation of interventions to improve access, quality and outcomes for Veterans with epilepsy.
Principal Investigator: MJ Pugh


Department of Veterans Affairs HSR&D

Co-Investigator on a proposed 2-year study (2014-2016) examining the role of work relationships, sensemaking and improvising in inpatient medical teams on patient outcomes, including patient length of say and complication rates. The proposed study will use a combination of ethnographic and agent based modeling methods to examine these complex relationships.
Principal Investigator: L Leykum


SUPPORT UNDER REVIEW

Department of Veterans Affairs HSR&D

Submitted June 2013, Principal Investigator on a proposed 5-year mixed methods career development award to understand sociotechnical factors associated with patterns of secure message use by Veterans and Patient Aligned Care Team (PACT) members in the VA, including an examination of the relationship between individual perspectives of uncertainty and secure message use, and improve the use of secure messaging as a communication tool between Veterans and their caregivers.
Principal Investigator: H Lanham


PREVIOUS RESEARCH

Electronic Health Record Use (Dissertation Study)

Austin, TX May 2007-2010, Doctoral student studying heterogeneity in electronic health record (EHR) use by health care professionals. The research context was a multispecialty outpatient health care organization that adopted an EHR system six years prior to the start of the study. I used multiple methods including semi-structured interviews, direct observation, and questionnaires to examine how physicians’ values, professional identity, and perspectives on uncertainty were associated with their use of an EHR system. I used complex adaptive systems theory and theories of professionalism to understand between-physician differences in EHR use and to build theory of information technology use by medical professionals.
Principal Investigator: H Lanham


Department of Veterans Affairs

San Antonio, TX August 2008-2011, Consultant on a three-year grant funded by the Department of Veterans Affairs titled, “Integration of Knowledge Management and Service Delivery in Primary Care” (Project ID IIR-06-063-2). Project activities include training field researchers on theory and concepts included in the study, methods for data collection, and data analysis techniques; meeting weekly with the research team to consult on both strategic and tactical issues with the study; and participating in the dissemination of research findings through manuscript preparation.
Principal Investigator: M Parchman and J Pugh


Understanding Diabetes in South Texas

Austin, TX Fall 2009-2011, Researcher on interdisciplinary team working to develop better understandings of diabetes in communities located along the US-Mexico border. Diabetes is a common, serious, and costly condition that has dramatically increased in prevalence in recent decades – particularly in communities along the US-Mexico border. An interdisciplinary research team from The University of Texas at Austin representing business, engineering, law, pharmacy, nursing and medicine is collaborating with a large international retailer to address this challenge. This project follows up on The University of Texas at Austin and Sandia National Laboratories collaboration (summarized below).
Principal Investigator: W Sage


The University of Texas & Sandia National Laboratories

Austin, TX June 2008-Fall 2009, Research Assistant on a collaboration project between The University of Texas at Austin and Sandia National Laboratories. The purpose of the project was to develop a scalable, open-access, agent-based model of the US health care system to serve as a decision-support resource for a wide range of user-types interested in improving access to high-quality, affordable health care. An initial research grant proposal, titled “Lifetime Diabetes Risk among Mexican-Americans: An Agent-Based Modeling Approach,” was submitted to the Agency for Healthcare Research and Quality (AHRQ). I worked closely with members of both the UT and the Sandia team on developing the simulation prototype for the AHRQ research proposal.
Principal Investigator: W Sage


Plexus Institute and American Health Information Community

Bethesda, MD May 2007, Participant with Plexus Institute in designing a successor organization for the American Health Information Community (AHIC). AHIC is a federal advisory body, chartered in 2005 to provide recommendations to the Secretary of the U.S. Department of Health and Human Services on how to accelerate the development and adoption of health information technology. Plexus was one of three organizations asked to develop a strategic plan articulating new design specifications for the AHIC successor organization. The strategic plan was presented to AHIC on June 12, 2007.
Principal Investigator: C Lindberg


Department of Veterans Affairs

Austin, TX 2004-2006 Research Assistant, “Collaboration between VA and Academic Experts in Implementation Research.” The purpose of this project was to establish internal expertise at the Veterans Evidence-based Research Dissemination Implementation Center (VERDICT) for researching health care topics using the theoretical lenses of complexity science and knowledge management. My advisor served as the academic consultant on this two-year contract. I participated in designing an academic course covering relevant complexity science and knowledge management topics. Additionally, I led the efforts to:

Principal Investigator: J Pugh