Scholarship

The Emory Division of Hospital Medicine Clinical Scholarship Program was developed to facilitate the production of original, hypothesis-driven research by Hospital Medicine faculty that is focused on improving care of inpatient populations.

Funding for the scholarship program comes from the Emory University Department of Medicine. The program has provided partial salary support and a research infrastructure for 12 Hospital Medicine physicians to collect data for pilot studies.

Research Projects

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.

Grant Funding

Emory Division of Hospital Medicine investigators have been awarded the following in extramural and intramural grant funding:

eCoach: Development and pilot testing of decision aid for prostate cancer: Computerized decision support to improve diabetes management in primary care
Funded by the National Institutes of Health (R21)
PI: Arun Mohan
Grant Period: 9/1/12 - 8/31/14

Transition from the emergency department and strategies to reduce ADEs among hospitalized patients
Funded by the Emory University Department of Medicine FAME grant
PI: Melissa Stevens
Grant Period: 9/1/12 - 8/31/13

DiaSys: Computerized decision support to improve diabetes management in primary care
Funded by the Emory/Georgia Tech Healthcare Innovation Program, in partnership with the Atlanta Clinical and Translational Science Institute
PI: Arun Mohan
Grant Period: 5/1/12 - 4/30/13

Reducing Medical Errors with Hospitalized Patients Through Improved Provdier Communication
Funded by the Emory University Department of Medicine FAME grant
PI: Joanna Bonsall
Grant Period: 9/1/11 - 8/31/12

Comparison of bloodstream infection rates between a silver-coated catheter access system and a standard catheter access system: a dual center cross-over study
Funded by Baxter Healthcare
PIs: Jay Steinberg, Sheri Tejedor, Jesse Jacob
Grant Period: 4/17/09 - 12/31/11

Improving Inpatient Glycemic Control in Cystic Fibrosis Related Diabetes
Funded by the Cystic Fibrosis Foundation
PI: David Tong
Grant Period: 12/1/08 - 11/30/10

VTE Prevention Collaborative Phase 2
Funded by the Society of Hospital Medicine and Sanofi
PI: Jason Stein
Grant Period: 10/1/08 - 9/30/09

Hospitalist ICU Study
Funded by the Carlyle-Fraser Foundation
PI: Kristin Wise
Grant Period: 2/1/08 - 5/1/09

 

Publications

The Emory Division of Hospital Medicine investigators have published articles in some of the most reputable pubs in the world.  

View publications from the Emory Division of Hospital Medicine on PubMed.