May 2015 Focus on Advancement WATCH Study Examines Hypertension and Type 2 Diabetes Prevalence Two articles resulting from the Western Alaska Tribal Collaborative for Health (WATCH) study have been published recently, one in the Journal of Clinical Hypertension and one in Diabetes Research and Clinical Practice. The WATCH study is a collaboration involving MedStar Health Research Institute; the Georgetown-Howard Universities Center for Clinical and Translational Sciences, the University of Alaska Fairbanks, the Alaska Native Tribal Health Consortium, Anchorage and several others. MedStar investigators on this research were Barbara V. Howard, PhD, Senior Scientist, and Jason G. Umans, MD, PhD, Scientific Director of the Biomarker, Biorepository and Biochemistry Laboratory at MHRI. Why do the study in Alaska? Hypertension and cardiovascular disease are very prevalent among western Alaska Native people; however, few population-based data have been available to compare prevalence of these conditions and their associated risk factors among Alaska Native people living in remote rural communities. The WATCH investigators combined data from four major cohorts of western Alaska Natives residing in the Norton Sound and Yukon-Kuskokwin regions of western Alaska. The four cohorts were from the Alaska-Siberia Project (ASP), the Center for Alaska Native Health Research (CANHR), the Alaska Education and Research Toward Health (EARTH), and the Genetics of Coronary Artery Disease in Alaska Natives (GOCADAN) studies. The two articles use the enriched data from these groups and focused on the topics of hypertension and diabetes. Some of the study findings are outlined below. In “Prevalence of Hypertension and Associated Risk Factors in Western Alaska Native People,” by Stacey Jolly et al., the prevalence of hypertension and prehypertension was determined overall, by sex, age, and region in the WATCH cohort. The investigators examined known risk factors, including age, body mass index/obesity, smoking status, lipids, and diabetes. In addition, the investigators assessed the proportion of participants who were aware of having hypertension, and among those for whom records were available of treatment for high blood pressure. The proportion who had met their blood pressure targets was assessed. Cardiovascular disease is a leading cause of mortality in this rural population. Despite that fact, the authors found that improvement is needed in hypertension awareness -- only about two thirds (64%) of patients reported awareness of having hypertension and only 39% with hypertension were controlled on medication. Risk factors for development of hypertension are likely to increase as this population ages and so attention to prevention is needed, as well as cooperation with the communities to improve hypertension awareness, treatment, and control. Prospective analyses conducted in conjunction with community prevention programs are needed to determine factors associated with incident hypertension. Read more about this research in the Journal of Clinical Hypertension. In “Cardiometabolic Correlates of Low Type 2 Diabetes Incidence in Western Alaska Native People,” by Kathryn Koller et al., the prevalence and incidence of type 2 diabetes in western Alaska Natives were examined and associated cardiometabolic risk factors were analyzed. State registry data for this population had indicated an increase of 300% in diabetes in some western Alaska regions. Type 2 diabetes and prediabetes prevalence and incidence were determined by the WATCH investigators using consolidated data from the four major cohort studies of western Alaska Natives. Crude and age-adjusted incidence for type 2 diabetes and prediabetes were calculated using 2010 American Diabetes Association criteria. Effects of covariates on type 2 diabetes and prediabetes were determined using univariate and multivariate Cox proportional hazards analyses, adjusted for age and sex. While type 2 diabetes incidence in western Alaska Native people is substantially lower than that for U.S. whites, incidence of prediabetes is more than 10-fold higher than western Alaska Native type 2 diabetes incidence and more closely aligned with U.S. rates. Interventions aimed at achieving healthy lifestyles are needed to minimize risk factors and maximize protective factors for type 2 diabetes in this population. Read more about this research in Diabetes Research and Clinical Practice. “This consortium has allowed the creation of a dataset large enough to obtain reliable data on western Alaska Native peoples, a group that is distinct from other Alaska Natives,” Dr. Howard said. “This population is unique in having high rates of cardiovascular disease despite the low rates of diabetes. The results from analyses of this dataset should help to improve medical care to this underserved population.” MedStar-Georgetown Research Partnership Grants Awarded The MedStar Health–Georgetown University Partnership Grants demonstrate how clinical research activity can be enhanced by building research partnerships across the institutions. The overall goal of these intramural grants is to foster new MedStar-Georgetown collaborations that will lead to new research and increased external grant funding. We are delighted to announce the recipients of the third cycle of the MedStar-Georgetown Research Partnership Grants. We were able to fund four grants in support of the following new collaborative research partnerships: “Development and Evaluation of a Safety Event Learning Module for Medical Students” Dr. Kendall Hall (MedStar SiTEL) and Dr. Eileen Moore (Georgetown University School of Medicine) “The Epidemiology of Hand and Wrist Injuries Among Collegiate Athletes: Trend in Incidence, Management and Timing of Return to Play Over a Decade of Surveillance” Dr. Ebrahim (Abe) Paryavi (Curtis Hand Center, MedStar Union Memorial Hospital) and Dr. Michael Kessler (MedStar Georgetown University Hospital) “Leveraging Health Information Technology to Reduce Hospital Readmissions: MedStar Health Surgical Readmission Risk Score (SR2S)” Dr. Waddah Al-Refaie (MedStar Georgetown University Hospital) and Dr. Chukwuemeka Ihemelandu (MedStar Washington Hospital Center) “Cardiovascular Phenotyping in Breast Cancer Patients Using Informatics Approaches” Dr. Subha Madhavan (ICBI and Lombardi, Georgetown University) and Dr. Ana Barac (MCRN at MedStar Washington Hospital Center) Congratulations to them all! And, many thanks to Dr. Ed Healton and Dr. Nawar Shara who chaired the peer review process. And, a special thanks to our many peer reviewers for their time, commitment and thoughtful reviews. We continue to be pleased with the enthusiasm that the Partnership grant opportunity generates and the new potential collaborations that are formed. While we were unable to fund all of the requests at this time (with approximately 30 applications this round), we encourage all applicants to continue to develop their new cross-campus research collaborations in an effort to secure future funding. Congratulations to the Georgetown Medical Student Summer Research Scholarship Recipients Class of 2018! Scholarship Name Location Mentor(s) Frank S. Pellegrini, M.D. Scholars Elizabeth Moroni Patient Safety MedStar Health Seth Krevat, MD & Kelly Smith, PhD Christopher Wynkoop Clinical Quality Improvement MedStar Health Chris Goeschel, ScD, RN & Kelly Smith, PhD MGUH Risa Fishman, MD & Bruno Anthony, PhD Pines-Kleinman Mental & Behavioral Health Scholar Jeremy Chaikind Psychiatry MedStar Health Primary Care Scholarships at Franklin Square (MFSMC) Carol Barnes Family Medicine MFSMC Melly Goodell, MD Daniel Gawron Dori Abel Family Medicine Pediatrics MFSMC MFSMC Melly Goodell, MD Scott Krugman, MD Ngoc Bui Pediatrics MFSMC Scott Krugman, MD MedStar Health Scholarships Larick David Joshua Fabie Travis Hart Asthma and Allergy Palliative Medicine Internal Medicine MUMH MUMH MUMH Sudhir Sekhsaria, MD Kathryn Walker, PharmD Alex Yazaji, MD & Joseph Nichols, M.D. Meneena Bright Internal Medicine MUMH Melissa DeLong, MD Kelsey Cobourn Vascular Surgery MWHC Steven Abramowitz, MD Samuel Lawrence Surgical Oncology MGUH Waddah Al-Refaie, MD Brittany Dos Santos Internal Medicine/Quality MGUH Eileen Moore, MD Matthew Beamer Cardiology MWHC Gaby Weissman, MD Cassandra Baker Breast Surgery MWHC Patricia Wehner, MD Henry Francois Nephrology MGUH Wen Shen, MD Megan Davis OB/Gyn/HIV/Pregnancy MWHC Rachel Scott, MD Yuchen (Jake) Liu Community Pediatrics MGUH Matthew Levy, MD Jack Penner Primary Care/Spring Valley MGUH Christine Gillespie, MD Kush Patel Human Factors Engineering MI2 SiTEL Sarah H Parker, PhD & Raj Ratwani, PhD Sallie Long Emergency Medicine MGUH Munish Goyal, MD Focus on People Get Ready for the “Focus on 5” Wellness Campaign! This MedStar-wide campaign aims to encourage and provide tools and strategies to associates to increase their consumption of plant-based foods with the goal of eating five servings of fruits and vegetables per day. WHO: All associates are eligible to participate. WHAT: 3-week nutrition campaign. Participants will be encouraged to track their daily fruit and vegetable intake for 21 days with the goal of achieving five or more servings each day. WHEN: Focus on 5 will run from June 2 through June 22, 2015. WHY: Current dietary guidelines from the U.S. Department of Agriculture (USDA) recommend consuming 5-13 servings of fruits and vegetables a day for optimal health and disease prevention. WHERE: The registration link will be available starting May 11. Registration deadline is by 12 noon on June 1. Look for more information in upcoming emails about the Focus on 5 Campaign and click on the registration link contained there OR look for the registration link on www.MedStarMyHealth.org.* (If you don’t have a MedStar email account, you can register using your personal email address. Just make sure you register so you can opt in to receive the weekly tips and recipes.) You will need your wellness ID to register. If you cannot find your wellness ID card, please call the Health and Wellness Service line 855.242.4871, Monday through Friday, 7 a.m. to 7 p.m., and Saturday, 8 a.m. to 3 p.m. Raffle Prizes!!!! Complete the brief pre-campaign survey to be entered into a raffle for prizes. The survey must be completed by Monday, June 1, to be eligible. HOW: Track your servings with the MyHealth OnLine Diet Tracker or another diet app that you like. Spring Town Hall Meetings Friday, June 5 1 to 2 p.m. MUMH-Curtis Hand Center Conference Room Tuesday, June 9 11am-12 p.m. UTC – Multipurpose Room Wednesday, June 10 2:30-3:30 p.m. MWHC - True Auditorium Town Hall Meetings are a great opportunity for the research community to learn more about our organization’s accomplishments and future direction, and they provide a great venue to connect directly with co-workers and MHRI leadership. Before, during and after these sessions – we want to hear from you! • Email: submit your question or comment to Christine Alhambra in the communications office at [email protected]. • Phone: please call Christine at 301-560-2917 with your question or comment. • StarPort: visit the new Associate Feedback Portal and submit online: http://starport.medstar.net/MHRI/mac/Pages/2-WayCommunication.aspx Reminder: SiTEL Mandatory Trainings Must Be Completed by June 30, 2015 It is the time of year again for all associates to complete their annual mandatory online training courses as required as part of the annual performance review process. The training courses are administered and tracked by MedStar’s e-Learning system, SiTEL. Access your mandatory courses: • Log into SiTEL www.sitelms.org • Navigate to the left panel • Click on “My Curriculum” under the Learning Center • Launch and complete each course listed To ensure you are fully compliant, complete the training by June 30. If you experience any difficulty, contact the SiTEL Help Desk at 1-877-748-3567 or Sasha Chin at 301-560-7370 or [email protected]. Fiscal Year’s End and Performance Evaluations With the year-end performance evaluation period right around the corner, all associates are encouraged to prepare a self-evaluation. Your year-end performance review form is currently in your Talent Manager inbox and will be available to you for completion of your self-evaluation until June 30, 2015. This process is a change from past performance review cycles. Click on the following link to access Talent Manager: https://performancemanager4.successfactors.com/login. Company ID: Medstar Username: PeopleSoft ID number followed by – 0 for most associates Password: If you forgot your password, please contact the IS Helpdesk at 1-877-777-8787 This is your opportunity to document your accomplishments this past fiscal year and share your thoughts on areas of focus for FY16. Your self-evaluation can be very helpful in guiding discussion between you and your manager regarding your personal and professional career growth. Please note: Talent Manager will be unavailable during the following time frames. Please check Important Things to Know for updates to these time frames. • • May 18th – May 22nd for MedStar St.Mary’s Hospital Conversion June 17th – June 23rd for MedStar National Rehabilitation Network Conversion If you have questions, please contact Susanne Selzer at [email protected] or 301-560-7371. Recognizing Nurses Week – May 6-12 At MedStar Health, we not only value what our nurses do, we care about what they have to say. As respected members of the research team, they help improve the research experience and ensure quality outcomes. Joan K. Bardsley, MBA, RN, assistant vice president at MHRI, serves as MHRI’s representative to MedStar’s Chief Nursing Council and the Nursing Research Consortium. Ms. Bardsley says, “Nurses bring a unique perspective to the research team, based on their expertise and approach of patient-centered care.” As we approach Nurses Week, please be sure to recognize and thank the nurses with whom you work. They are critical in helping provide the best care and dedication to advancing health. Focus on Compliance MedStar Health Research Institute Compliance Training An important part of being a High Reliability Organization is ensuring we are in compliance with the overarching regulations that govern research. One of the ways we accomplish this is through regular training of all associates. For this reason, arrangements have been made with department leaders for compliance training to be conducted at local staff meetings as well as in common locations over the next several months. Leaders have been working with the MHRI Compliance Committee and the Corporate compliance team to ensure the training is relevant for our environment and there is the opportunity to utilize actual cases specific to the group to enhance the learning experience. This training will serve as the foundation of compliance. Please see the list below of policies and procedures that will be covered by this MHRI Compliance Training: Selected Research Compliance and Oversight Policies − Code of Conduct (MedStar Health Policy) − Compliance Council − Business Ethics and Confidentiality − Research Misconduct Policy and Procedure − Research Policy for MedStar Health − Internal Resolution of Issues Relating to Research Policies. Selected HIPAA and Information Security Policies − Acceptable Use of Information Technology − Computer Responsibility, Electronic Mail, and Online Services Usage − De-Identification of Individually Identifiable Health Information and Limited Stat Set and Data Use Agreement − Information Security (Umbrella Policy for HIPAA Compliance) − Release of Computer-Based Data to External Agencies and Vendors − Electronic Medical Records and Research. Selected Research Auditing and Quality Assurance Policies and Procedures − Research Study Quality Assurance Review Policy and Procedure − Adverse Event Reporting Policy − Responding to Government Inquiries Policy and Procedure − Source Documentation Procedure (Part of the Investigator Responsibilities Policy) − Informed Consent Policy − Notifying and/or Obtaining Re-Consent of Research Participants Policy. Times and locations of the training are in the chart below for your reference. Please note that several groups have more than one date due to the number of associates at the location and to allow for flexibility. Location Groups Covered Dates Time Location MUMH Cardiology, MCRC, Oncology, Preclinical 4/27/2015 9-10:30 a.m. Curtis Hand Center MWHC Oncology 4/29/2015 9:30 to 11 a.m. C1119 MWHC Cardiology 4/29/2015 1-2:30 p.m. CTEC 5/11/2015 6/17/2105 9-10:30 a.m. 2:00-3:30 p.m. Multipurpose (These two dates are options for all UTC assoc.) UTC -Biostats/Epidemiology -Office of Financial Management -Office of Contracts Grants Management -Business Development -Office of Research Integrity -Human Resources - Research Development, Planning, and Communications -Office of Research Integrity -Human Resources -Penn Medical Lab -MCCRC - Research Admin / President’s Office / Research Operations MWHC MCRC 5/12/2015 9-10:30 a.m. Rad Onc Conf Room #CG192 MWHC Pre Clinical 5/12/2015 2:00 p.m. Hyman Bldg MWHC Cardiology 5/13/2015 1-2:30 p.m. CTEC MFSMC Cardiology, MCRC, Oncology, Preclinical 5/14/2015 9-10:30 a.m. Room F MUMH Cardiology, MCRC, Oncology, Preclinical 5/15/2015 9-10:30 a.m. Curtis Hand Center Intelsat Human Factors 5/20/2015 1-2:30 p.m. Intelstat MNRN Rehabilitation 6/24/2015 12:15-1:30 p.m. Teleconference Cardiology, MCRC, Oncology, Preclinical 5/28/2015 9-10:30 a.m. Room F MFSMC Managers All Managers 5/ 27/2015 1 p.m. Columbia Sheraton TBD Health Services Research Web Ex MCCRC / Arizona TBD Columbia, MD Focus on Community SAVE THE DATES for these opportunities! Aware For All Clinical Research Education Event – May 5 This event is tailored for people who want to learn about clinical research, get free health screenings, and hear from local physician and patient speakers. The event takes place at the Marvin Center at George Washington University, from 4 to 8 p.m. For more information, visit www.awareforall.org. Research Investigator Orientation Session – June 11 This orientation is designed for MedStar investigators who want to learn more about the best ways to successfully conduct research within the system and with the research support services available from MedStar Health Research Institute. Interested in attending? Email: [email protected]. Research Grand Rounds – June 12 “Improving Care of Patients with Neuropathic Bladder and Urinary Tract Infection: Symptoms, Self-Management, and the Urinary Microbiome" Suzanne L. Groah, MD, MSPH, Director, Spinal Cord Injury Research, MedStar National Rehabilitation Network Research Grand Rounds are sponsored by MHRI and Georgetown-Howard Universities Center for Clinical and Translational Science (GHUCCTS) The schedule is as follows: Noon to 12:30 p.m. — Lunch 12:30 to 1:30 p.m. — Presentation Third Friday of the month (unless otherwise noted) MedStar Washington Hospital Center, 6th Floor, CTEC Theater 110 Irving Street, NW, Washington, DC 20010
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