The Emory Division of Hospital Medicine is supportive of faculty involvement in scholarly projects. These projects include, but are not limited to: clinical vignette abstracts and posters, workshops at regional and national meetings, quality improvement projects, publications and grant-funded research.
Our faculty members are encouraged to compete for external funding. Many of our faculty receive internal funding from the School of Medicine, Department of Medicine and/or Division of Hospital Medicine.
Research Projects involving Hospital Medicine Clinical Research Program Investigators
Prognostic utility of biomarkers of collagen turnover, matrix metalloproteinases (MMP 2, 3, and 9) and tissue-inhibitors of metalloproteinases (TIMP-1, TIMP-2) over contemporary prediction models, and their correlation with cardiac function and exercise capacity in patients with low ejection fraction heart failure
Researcher: Vikas Bhalla MD
Hypothesis: Biomarkers of collagen turnover will correlate strongly with both cardiac structure & function and functional capacity in low ejection fraction heart failure patients.
Characteristics of peripherally inserted central catheters (PICCs): an analysis of patient characteristics, patterns of use, prevalence, necessity, complications, and alternatives in the hospital setting
Researchers: Brian C. Erb MD FASN, David Tong MD MPH
Hypothesis: We hypothesize that the prevalence and duration of PICCs are unnecessarily high and that opportunities can be identified to reduce patient exposure to the hazards associated with PICCs, in particular for patients with chronic kidney disease.
Goal-directed teamwork to improve frontline patient care
Researchers: Julie Hollberg MD, Jason Stein MD
Hypothesis: Highly functional frontline teams can be created through particular staffing models, rounding formats, use of daily goals checklists, and attention to dimensions of teamwork, such as cohesiveness, communication, role clarity, and goal clarity.
Prevalence, risk factors, and impact on clinical outcome of multi-drug resistant organisms: Carbapenem-resistant Klebsiella pneumoniae
Researchers: Ketino Kobaidze MD PhD
Hypothesis: A better understanding of transmission of Carbapenem-resistant Klebsiella pneumoniae will improve the effectiveness of the infection control program across Emory hospitals.
DiaSys: Computerized decision support to improve diabetes management in primary care
Researcher: Arun Mohan, MD MBA
Hypothesis: Decision support technology will provide primary care providers with individualized treatment recommendations, and the underlying rationale; decision support recommendations for changes in therapy witll be considered valid by endorinologists; use of glucose monitoring-based computerized decision support by PCPs and their nursing staff will be feasible, safe, and effective.
Improving glycemic control in hospitalized ICU and non-ICU patients
Researcher: Hasan Shabbir, MD
Hypothesis: To capture the potential strengths of team-based care and specialist oversight, we hypothesize that a glycemic control order set combined with real-time nursing interventions can improve best-practice utilization for glycemic control among hospitalized patients.
Improving glycemic control in hospitalized patients through a novel insulin drip conversion equation to standardize transition to subcutaneous insulin
Researcher: Randy Smith MD
Hypothesis: We hypothesize that for patients on insulin infusions, if an equation that takes into account caloric intake and intravenous insulin needs is used to determine subcutaneous insulin dosage, glycemic control will be achieved more predictably and rapidly than if a physician uses other means to determine subcutaneous insulin dosage.
Reducing central line associated blood stream infections (CLABSIs) and eliminating the idle central venous catheter through measure-vention
Researcher: Sheri Chernetsky Tejedor, MD
Hypothesis: Real-time measurement to identify patients with central lines can serve as both an intervention and a measurement system to prompt removal of idle central lines.
Improving transfusion utilization among inpatient physicians
Researcher: Dan VanderEnde, MD DTM&H
Hypothesis: An educational program with audit-and-feedback can improve transfusion practices in the hospital.
Prospective evaluation of hospitalist and intensivist staffing models in the intensive care unit
Researcher: Kristin Wise, MD
Hypothesis: Hospitalists can provide equivalent mortality outcomes for critically ill patients.
- What is a FAME Grant?
FAME Grants are an internal funding mechanism offered by the Department of Medicine (DOM) designed to provide support for clinical faculty to dedicate up to 20% of their professional time to scholarly activity, including research, education, quality improvement (QI) projects and mentoring.
- Who is eligible to apply?
Applications are restricted to DOM faculty whose salary is 100% funded by clinical sources (Emory Clinic professional billings, Emory Medical Care Foundation professional billings, Grady expense or VA Medical Center clinical funding). Applicants must have an active faculty appointment at the time of submission of the grant.
- How much funding does the grant offer?
The grant offers salary support up to 20% of the applicant’s base salary, not to exceed 20% of the 50th percentile of Association of American Medical Colleges (AAMC) compensation for the faculty member’s rank and specialty.
- Background: The Academy of Medical Educators (AME) was developed in 2011 to identify, recognize and honor master teachers, to develop and implement innovative education tools/programs, and to mentor and train aspiring educators who will act as role models for other faculty.
- Award Description: The Teaching Innovations Grant Program, initiated in 2013, provides $2500 of support for innovative teaching at the undergraduate, graduate, postgraduate or faculty level within the Emory University School of Medicine. Grants are open to all Department of Medicine faculty and are available to both individual faculty members and faculty working within a group. Priority will be given to the proposal that most directly impacts education within the department in a sustainable fashion. Funds can be used to support teaching initiatives, including, but not limited to:
- Developing innovative courses or curricula
- Developing an education research initiative
- Implementing innovative teaching methods
SOUP stands for “Sharing Organizational and Unit Performance.” This is extra funding for our Division to invest in innovation, research, leadership roles, quality improvement projects, etc. We currently have approximately 20 faculty receiving SOUP funds annually for a variety of different of projects. Project proposals are submitted by faculty and approved by Division Leadership and funding is available on a rolling basis.
Examples of current innovation or quality improvement projects:
Transitions of Care
Fast track Dialysis
Teaching Ultrasound Guided Procedures
CAUTI Reduction Among Inpatients
RADAR Project (Clinical Documentation Improvement)
The Emory Division of Hospital Medicine investigators have published articles in some of the most reputable pubs in the world.
Burklin Y, Hunt DP. Management of Emotionally Challenging Responses of Hospitalized Patients with Cancer. South Med J. 2018 May;111(5):268-273. doi:10.14423/SMJ.0000000000000809. Review.
Kobaidze K, Harrison A, Burklin Y, Patidar V, Riccardi M. AUTOIMMUNE LIMBIC ENCEPHALITIS (CASE REPORTS). Georgian Med News. 2017 May;(266):69-74.
Esbensen KL. What Matters Most When Considering Noninvasive Ventilation for Patients With Do-Not-Intubate or Comfort-Measures-Only Orders? Crit Care Med. 2018 Aug;46(8):1367-1370. doi: 10.1097/CCM.0000000000003236. PubMed
Mitchell BL. Sickle Cell Trait and Sudden Death. Sports Med Open. 2018 May 23;4(1):19. doi: 10.1186/s40798-018-0131-6. Review. PubMed PMID: 29796715;
Dancel R, Schnobrich D, Puri N, Franco-Sadud R, Cho J, Grikis L, Lucas BP, El-Barbary M; Society of Hospital Medicine Point of Care Ultrasound Task Force, Soni NJ. Recommendations on the Use of Ultrasound Guidance for Adult Thoracentesis: A Position Statement of the Society of Hospital Medicine. J Hosp Med. 2018 Feb;13(2):126-135. doi: 10.12788/jhm.2940. PubMed PMID: 29377972. Dr. Ketino Kobaidze is part of this task force
Lucas BP, Tierney DM, Jensen TP, Dancel R, Cho J, El-Barbary M, Franco-Sadud R, Soni NJ; Society of Hospital Medicine Point-of-Care Ultrasound Task Force. Credentialing of Hospitalists in Ultrasound-Guided Bedside Procedures: A Position Statement of the Society of Hospital Medicine. J Hosp Med. 2018 Feb 1;13(2):117-125. doi: 10.12788/jhm.2917. Epub 2018 Jan 18. PubMed PMID: 29340341. **Dr. Ketino Kobaidze is part of this task force**
Kobaidze K, Wallace G. Forgotten but Not Gone: Update on Measles Infection for Hospitalists. J Hosp Med. 2017 Jun;12(6):472-476. doi: 10.12788/jhm.2752. Review.
Hatfield KM, Dantes RB, Baggs J, Sapiano MRP, Fiore AE, Jernigan JA, Epstein L. Assessing Variability in Hospital-Level Mortality Among U.S. Medicare Beneficiaries With Hospitalizations for Severe Sepsis and Septic Shock. Crit Care Med. 2018 Jul 17. doi:10.1097/CCM.0000000000003324.
Dantes RB, Epstein L. Combatting Sepsis: A Public Health Perspective. Clin Infect Dis. 2018 May 29. doi: 10.1093/cid/ciy342.
Dantes RB, Zheng S, Lu JJ, Beckman MG, Krishnaswamy A, Richardson LC, Chernetsky-Tejedor S, Wang F. Improved Identification of Venous Thromboembolism From Electronic Medical Records Using a Novel Information Extraction Software Platform. Med Care. 2018 Sep;56(9):e54-e60.
Rhee C, Dantes R, Epstein L, Murphy DJ, Seymour CW, Iwashyna TJ, Kadri SS, Angus DC, Danner RL, Fiore AE, Jernigan JA, Martin GS, Septimus E, Warren DK, Karcz A, Chan C, Menchaca JT, Wang R, Gruber S, Klompas M; CDC Prevention Epicenter Program. Incidence and Trends of Sepsis in US Hospitals Using Clinical vs Claims Data, 2009-2014. JAMA. 2017 Oct 3;318(13):1241-1249.
Akbashev MY, Pittman JR, Dressler DD. Efficiently finding and using evidence to guide clinical practice and improve care. JAAPA. 2017 Nov;30(11):31-38.
Agrawal A, Stein C, Hunt D, Rodriguez M, Willett LL, Estrada C. Exercises in Clinical Reasoning: Take a Time-Out and Reflect. J Gen Intern Med. 2018 Mar;33(3):388-392. doi: 10.1007/s11606-017-4261-1. Epub 2018 Jan 4.
Adams TN, Bonsall J, Hunt D, Puig A, Richards JB, Yu L, McSparron JI, Shah N, Weissler J, Miloslavsky EM. Hospitalist Perspective of Interactions with Medicine Subspecialty Consult Services. J Hosp Med. 2018 May 1;13(5):318-323.