Patrick J. O'Connor, MD, MA, MPH
Senior Research Investigator
About
Overview/research interests: After completing his family medicine residency training at Duke, Dr. O’Connor worked in a remote rural clinic on the Navajo Reservation, where some of the 50 patients he saw each day arrived on horseback. The clinic had no electricity or phone, and he needed a translator (who served as a Navajo “Code Talker” in World War II) for nearly all visits. Dr. O’Connor tried to learn a few things from several medicine men who were his patients. In the absence of timely lab results, it was a challenge to take care of his 25 patients with diabetes. His first research project was a study of whether his 25 diabetes patients did worse than the 600 diabetes patients at a local hospital clinic. The results showed no difference in quality of care at the two clinics. The paper reporting the findings was his first publication and won an award from the U.S. Public Health Service, presented by then-U.S. Surgeon General C. Everett Koop, MD. Over the subsequent decades, Dr. O’Connor’s major research interests have include chronic disease prevention and quality improvement in adults and children, clinical decision support for primary care providers and patients, shared decision-making and patient-centered care.
Affiliation
positions
  • Sr. Investigator, Center for Chronic Care Innovation
  • Sr. Research Investigator, Diabetes
  • Senior Research Investigator, Cardiovascular health
  • has collaborator
  • Margolis, Karen L., MD, MPH  Senior Research Investigator
  • Sperl-Hillen, JoAnn M., MD  Retired Senior Research Investigator
  • Publications While At HealthPartners
    selected publications
    Journal Article
  • A CKD clinical decision support system: a cluster randomized clinical trial in primary care clinics
    Kidney Med. 2024
  • Confidence in diagnosing and managing care for cognitive impairment in primary care: a survey comparing barriers by primary care clinician type
    Family Practice. 2024
  • Protocol of a patient randomized clinical trial to improve medication adherence in primary care
    Contemporary Clinical Trials. 2024
  • Race and ethnicity and pharmacy dispensing of SGLT2 inhibitors and GLP-1 receptor agonists in type 2 diabetes
    Lancet Reg Health Am. 2024
  • The impact of stimulant medications on blood pressure and body mass index in children with attention deficit hyperactivity disorder
    Academic Pediatrics. 2024
  • Virtual care is a double-edged sword: adjusting preventive care service delivery in community health clinics during COVID-19
    Journal of family medicine and primary care. 2024
  • 30-year cardiovascular disease risk for young adults with serious mental illness
    General Hospital Psychiatry. 2023
  • Adapting a clinical decision support system to improve identification of pediatric hypertension in a rural health system: design of a pragmatic trial
    Contemporary Clinical Trials. 2023
  • Adoption of shared decision-making and clinical decision support for reducing cardiovascular disease risk in community health centers
    JAMIA open. 2023
  • All-cause mortality after hypoglycemic and hyperglycemic emergencies among U.S. adults with diabetes, 2011-2020
    Diabetes Research and Clinical Practice. 2023
  • Design of a pragmatic clinical trial to improve screening and treatment for opioid use disorder in primary care
    Contemporary Clinical Trials. 2023
  • Differential effects of an intervention to reduce cardiovascular risk for patients with bipolar disorder, schizoaffective disorder, or schizophrenia: a randomized clinical trial
    Journal of Clinical Psychiatry. 2023
  • Does clinical decision support increase appropriate medication prescribing for cardiovascular risk reduction?
    Journal of the American Board of Family Medicine. 2023
  • Rates of hypoglycemic and hyperglycemic emergencies among U.S. adults with diabetes, 2011-2020
    Diabetes care. 2023
  • The development and initial feasibility testing of D-HOMES: a behavioral activation-based intervention for diabetes medication adherence and psychological wellness among people experiencing homelessness
    Frontiers in Psychology. 2023
  • Assessing the implementation of a clinical decision support tool in primary care for diabetes prevention: a qualitative interview study using the Consolidated Framework for Implementation Science
    BMC Medical Informatics and Decision Making. 2022
  • Association of an automated blood pressure measurement quality improvement program with terminal digit preference and recorded mean blood pressure in 11 clinics
    JAMA network open. 2022
  • Bolstering the business case for adoption of shared decision-making systems in primary care: randomized controlled trial
    JMIR formative research. 2022
  • Cardiovascular risk for patients with and without schizophrenia, schizoaffective disorder, or bipolar disorder
    Journal of the American Heart Association. 2022
  • Clinical decision support with or without shared decision making to improve preventive cancer care: a cluster-randomized trial
    Medical Decision Making. 2022
  • Clinician perceptions of a clinical decision support system to reduce cardiovascular risk among prediabetes patients in a predominantly rural healthcare system
    BMC Medical Informatics and Decision Making. 2022
  • Comparing pharmacist-led telehealth care and clinic-based care for uncontrolled high blood pressure: the Hyperlink 3 pragmatic cluster-randomized trial
    Hypertension (Dallas, Tex.. 2022
  • Comparison of explanatory and pragmatic design choices in a cluster-randomized hypertension trial: effects on enrollment, participant characteristics, and adherence
    Trials. 2022
  • Depression and cardiovascular risk in primary care patients
    Journal of Psychosomatic Research. 2022
  • Effect of clinical decision support at community health centers on the risk of cardiovascular disease: a cluster randomized clinical trial
    JAMA network open. 2022
  • Effect of clinical decision support on cardiovascular risk among adults with bipolar disorder, schizoaffective disorder, or schizophrenia: a cluster randomized clinical trial
    JAMA network open. 2022
  • Human papillomavirus vaccination clinical decision support for young adults in an upper midwestern healthcare system: a clinic cluster-randomized control trial
    Human Vaccines & Immunotherapeutics. 2022
  • Impact of the COVID-19 pandemic on type 2 diabetes care delivery
    Clinical Diabetes. 2022
  • Implementing a prediabetes clinical decision support system in a large primary care system: design, methods, and pre-implementation results
    Contemporary Clinical Trials. 2022
  • Modernizing diabetes care quality measures
    Health Affairs. 2022
  • Primary care clinicians' opinions before and after implementation of cancer screening and prevention clinical decision support in a clinic cluster-randomized control trial: a survey research study
    BMC Health Services Research. 2022
  • A pilot study of the functionality and clinician acceptance of a clinical decision support tool to improve primary care of opioid use disorder
    Addiction Science & Clinical Practice. 2021
  • Association of cardiovascular outcomes and mortality with sustained long-acting insulin only vs long-acting plus short-acting insulin treatment
    JAMA network open. 2021
  • Design and rationale of an intervention to improve cancer prevention using clinical decision support and shared decision making: a clinic-randomized trial
    Contemporary Clinical Trials. 2021
  • Effect of clinical decision support on diagnostic imaging for pediatric appendicitis: a cluster randomized trial
    JAMA network open. 2021
  • Patient perceptions of using clinical decision support for cancer screening and prevention: "I wouldn't have thought about getting screened without it."
    Journal of patient-centered research and reviews. 2021
  • Pragmatic clinic randomized trial to improve chronic kidney disease care: design and adaptation due to COVID disruptions
    Contemporary Clinical Trials. 2021
  • Sociodemographic, clinical, and treatment-related factors associated with hyperglycemic crises among adults with type 1 or type 2 diabetes in the US from 2014 to 2020
    JAMA network open. 2021
  • The impact of personalized clinical decision support on primary care patients' views of cancer prevention and screening: a cross-sectional survey
    BMC Health Services Research. 2021
  • Barriers, facilitators, and potential solutions to advancing interoperable clinical decision support: multi-stakeholder consensus recommendations for the opioid use case
    AMIA ... Annual Symposium proceedings. AMIA Symposium. 2020
  • Cardiovascular events and costs with home blood pressure telemonitoring and pharmacist management for uncontrolled hypertension
    Hypertension (Dallas, Tex.. 2020
  • Challenges involved in establishing a web-based clinical decision support tool in community health centers
    Healthcare (Amsterdam, Netherlands). 2020
  • Clinical decision support for recognizing and managing hypertensive blood pressure in youth: no significant impact on medical costs
    Academic Pediatrics. 2020
  • Comparison of mortality and major cardiovascular events among adults with type 2 diabetes using human vs analogue insulins
    JAMA network open. 2020
  • Design of a pragmatic cluster-randomized trial comparing telehealth care and best practice clinic-based care for uncontrolled high blood pressure
    Contemporary Clinical Trials. 2020
  • Improving hypertension recognition in adolescents, a small but important first step in cardiovascular disease prevention
    Academic Pediatrics. 2020
  • Pragmatic trial design of an intervention to reduce cardiovascular risk in people with serious mental illness
    Contemporary Clinical Trials. 2020
  • Pre-implementation adaptation of primary care cancer prevention clinical decision support in a predominantly rural healthcare system
    BMC Medical Informatics and Decision Making. 2020
  • Predictors of hyperkalemia and hypokalemia in individuals with diabetes: a classification and regression tree analysis
    Journal of General Internal Medicine. 2020
  • The effects of financial incentives on diabetes prevention program attendance and weight loss among low-income patients: the We Can Prevent Diabetes cluster-randomized controlled trial
    BMC public health. 2020
  • Barriers and facilitators to implementing cancer prevention clinical decision support in primary care: a qualitative study
    BMC Health Services Research. 2019
  • Current status and future directions for electronic point-of-care clinical decision support to improve diabetes management in primary care
    Diabetes Technology & Therapeutics. 2019
  • Development of a clinical decision support system for pediatric abdominal pain in emergency department settings across two health systems within the HCSRN
    EGEMS (Washington, DC). 2019
  • Impact of updated pediatric hypertension guidelines on progression from elevated blood pressure to hypertension in a community-based primary care population
    Journal of Clinical Hypertension (Greenwich, Conn.). 2019
  • Principles and procedures for data and safety monitoring in pragmatic clinical trials
    Trials. 2019
  • Understanding primary care providers' perceptions of cancer prevention and screening in a predominantly rural healthcare system in the upper Midwest
    BMC Health Services Research. 2019
  • Add-on antihypertensive medications to angiotensin-aldosterone system blockers in diabetes: a comparative effectiveness study
    Clinical Journal of the American Society of Nephrology. 2018
  • Association between bariatric surgery and macrovascular disease outcomes in patients with type 2 diabetes and severe obesity
    JAMA. 2018
  • Clinical decision support directed to primary care patients and providers reduces cardiovascular risk: a randomized trial
    Journal of the American Medical Informatics Association. 2018
  • Clinical decision support for recognition and management of hypertension: a randomized trial
    Pediatrics. 2018
  • Computer modeling of diabetes and its transparency: a report on the eighth Mount Hood challenge
    Value in Health. 2018
  • Cost-effectiveness of a community-based diabetes prevention program with participation incentives for medicaid beneficiaries
    Health Services Research. 2018
  • Development and validation of a novel Pediatric Appendicitis Risk Calculator (pARC)
    Pediatrics. 2018
  • Economic evaluation of the home blood pressure telemonitoring and pharmacist case management to control hypertension (Hyperlink) trial
    Journal of the American College of Clinical Pharmacy. 2018
  • Evaluation of an electronic clinical decision support tool for incident elevated BP in adolescents
    Academic Pediatrics. 2018
  • Key components of success in a randomized trial of blood pressure telemonitoring with medication therapy management pharmacists
    Journal of the American Pharmacists Association. 2018
  • Long-term outcomes of the effects of home blood pressure telemonitoring and pharmacist management on blood pressure among adults with uncontrolled hypertension: follow-up of a cluster randomized clinical trial
    JAMA network open. 2018
  • Microvascular outcomes in patients with diabetes after bariatric surgery versus usual care: a matched cohort study
    Annals of Internal Medicine. 2018
  • Performance of the net reclassification improvement for nonnested models and a novel percentile-based alternative
    American Journal of Epidemiology. 2018
  • Priorities Wizard: chronic disease clinical decision support that works
    MetroDoctors. 2018
  • Understanding primary care provider attitudes and behaviors regarding cardiovascular disease risk and diabetes prevention in the northern midwest
    Clinical Diabetes. 2018
  • Association of fenofibrate therapy with long-term cardiovascular risk in statin-treated patients with type 2 diabetes
    JAMA cardiology. 2017
  • Financial incentives for diabetes prevention in a Medicaid population: study design and baseline characteristics
    Contemporary Clinical Trials. 2017
  • High rates of severe hypoglycemia among African American patients with diabetes: the surveillance, prevention, and Management of Diabetes Mellitus (SUPREME-DM) network
    Journal of Diabetes and Its Complications. 2017
  • Predicting hypertension among children with incident elevated blood pressure
    Academic Pediatrics. 2017
  • Predicting the 6-month risk of severe hypoglycemia among adults with diabetes: development and external validation of a prediction model
    Journal of Diabetes and Its Complications. 2017
  • Response to Comment on Pathak et al. Severe hypoglycemia requiring medical intervention in a large cohort of adults with diabetes receiving care in U.S. integrated health care delivery systems: 2005-2011
    Diabetes care. 2017
  • Use and customization of risk scores for predicting cardiovascular events using electronic health record data
    Journal of the American Heart Association. 2017
  • A substudy evaluating treatment intensification on medication adherence among hypertensive patients receiving home blood pressure telemonitoring and pharmacist management
    Journal of Clinical Pharmacy and Therapeutics. 2016
  • Adapting machine learning techniques to censored time-to-event health record data: A general-purpose approach using inverse probability of censoring weighting
    Journal of biomedical informatics. 2016
  • Change in weight status and development of hypertension
    Pediatrics. 2016
  • Examining failure in a dynamic decision environment: strategies for treating patients with a chronic disease
    2016
  • Factors associated with failure to achieve a glycated haemoglobin target of <8.0% in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial
    Diabetes, Obesity & Metabolism. 2016
  • Long-term microvascular disease outcomes in patients with type 2 diabetes after bariatric surgery: evidence for the legacy effect of surgery
    Diabetes care. 2016
  • Medication adherence does not explain black-white differences in cardiometabolic risk factor control among insured patients with diabetes
    Journal of General Internal Medicine. 2016
  • Patient characteristics associated with greater blood pressure control in a randomized trial of home blood pressure telemonitoring and pharmacist management
    Journal of the American Society of Hypertension. 2016
  • Potential misclassification of blood pressure status in children and adolescents with short or tall stature
    American Journal of Epidemiology. 2016
  • Severe hypoglycemia requiring medical intervention in a large cohort of adults with diabetes receiving care in U.S. integrated health care delivery systems: 2005-2011
    Diabetes care. 2016
  • A Naive Bayes machine learning approach to risk prediction using censored, time-to-event data
    Statistics in Medicine. 2015
  • A successful multifaceted trial to improve hypertension control in primary care: why did it work?
    Journal of General Internal Medicine. 2015
  • An innovative approach to informing research: gathering perspectives on diabetes care challenges from an online patient community
    2015
  • Comparing US paediatric and adult weight classification at the transition from late teenage to young adulthood
    Pediatric Obesity. 2015
  • Factors associated with adherence to blood pressure measurement recommendations at pediatric primary care visits, Minnesota and Colorado, 2007-2010
    Preventing Chronic Disease. 2015
  • Impact of bariatric surgery on life expectancy in severely obese patients with diabetes: a decision analysis
    Annals of Surgery. 2015
  • In Reply to Wayne, Bursuk, McGaphie
    Academic Medicine. 2015
  • Insulin dose and cardiovascular mortality in the ACCORD Trial
    Diabetes care. 2015
  • Methods for engaging stakeholders in comparative effectiveness research: a patient-centered approach to improving diabetes care
    Healthcare (Amsterdam, Netherlands). 2015
  • Prevalence of chronic kidney disease among individuals with diabetes in the SUPREME-DM Project, 2005-2011
    Journal of Diabetes and Its Complications. 2015
  • Preventable major cardiovascular events associated with uncontrolled glucose, blood pressure, and lipids and active smoking in adults with diabetes with and without cardiovascular disease: a contemporary analysis
    Diabetes care. 2015
  • Recidivism to uncontrolled blood pressure in patients with previously controlled hypertension
    American Heart Journal. 2015
  • TeenBP: development and piloting of an EHR-linked clinical decision support system to improve recognition of hypertension in adolescents
    EGEMS (Washington, DC). 2015
  • Trends in diabetes incidence among 7 million insured adults, 2006-2011: the SUPREME-DM project
    American Journal of Epidemiology. 2015
  • Who must we target now to minimize future cardiovascular events and total mortality? Lessons from the Surveillance, Prevention and Management of Diabetes Mellitus (SUPREME-DM) cohort study
    Circulation: Cardiovascular Quality and Outcomes. 2015
  • A machine learning approach to improving dynamic decision making
    2014
  • Accuracy of hemoglobin A1c imputation using fasting plasma glucose in diabetes research using electronic health records data
    2014
  • Data mining for censored time-to-event data: a Bayesian network model for predicting cardiovascular risk from electronic health record data
    2014
  • Educating resident physicians using virtual case-based simulation improves diabetes management: a randomized controlled trial
    Academic Medicine. 2014
  • Impact of hypertension on healthcare costs among children
    American Journal of Managed Care. 2014
  • Initial persistence with antihypertensive therapies is associated with depression treatment persistence, but not depression
    Journal of Clinical Hypertension (Greenwich, Conn.). 2014
  • Initiation of oral contraceptives and changes in blood pressure and body mass index in healthy adolescents
    Journal of Pediatrics. 2014
  • Intensification of antihyperglycemic therapy among patients with incident diabetes: a Surveillance Prevention and Management of Diabetes Mellitus (SUPREME-DM) study
    Pharmacoepidemiology and Drug Safety. 2014
  • Intensive blood pressure control, falls, and fractures in patients with type 2 diabetes: the ACCORD Trial
    Journal of General Internal Medicine. 2014
  • Lipid screening in children and adolescents in community practice: 2007 to 2010
    Circulation: Cardiovascular Quality and Outcomes. 2014
  • Novel use and utility of integrated electronic health records to assess rates of prediabetes recognition and treatment: brief report from an integrated electronic health records pilot study
    Diabetes care. 2014
  • Outcomes of combined cardiovascular risk factor management strategies in type 2 diabetes: the ACCORD randomized trial
    Diabetes care. 2014
  • Paradoxical reduction in HDL-C with fenofibrate and thiazolidinedione therapy in type 2 diabetes: the ACCORD Lipid Trial
    Diabetes care. 2014
  • Personalised physician learning intervention to improve hypertension and lipid control: randomised trial comparing two methods of physician profiling
    BMJ quality & safety. 2014
  • Prescription medication burden in patients with newly diagnosed diabetes: A SUrveillance, PREvention, and ManagEment of Diabetes Mellitus (SUPREME-DM) study
    Journal of the American Pharmacists Association. 2014
  • Prevalence of obesity and extreme obesity in children aged 3-5 years
    Pediatric Obesity. 2014
  • Randomized trial of telephone outreach to improve medication adherence and metabolic control in adults with diabetes
    Diabetes care. 2014
  • Severe obesity in children: prevalence, persistence and relation to hypertension
    International Journal of Pediatric Endocrinology. 2014
  • A multisite study of long-term remission and relapse of type 2 diabetes mellitus following gastric bypass
    Obesity Surgery. 2013
  • Benefits of early hypertension control on cardiovascular outcomes in patients with diabetes
    Diabetes care. 2013
  • Comparative effectiveness of bariatric surgery vs. nonsurgical treatment of type 2 diabetes among severely obese adults
    Obesity Research & Clinical Practice. 2013
  • Current status and future prospects for electronic point-of-care clinical decision support in diabetes care
    Current Diabetes Reports. 2013
  • Effect of home blood pressure telemonitoring and pharmacist management on blood pressure control: a cluster randomized clinical trial
    JAMA. 2013
  • Impact of specific glucose-control strategies on microvascular and macrovascular outcomes in 58,000 adults with type 2 diabetes
    Diabetes care. 2013
  • Initial antihyperglycemic drug therapy among 241 327 adults with newly identified diabetes from 2005 through 2010: a surveillance, prevention, and management of diabetes mellitus (SUPREME-DM) study
    Annals of Pharmacotherapy. 2013
  • Longitudinal changes in dietary fat intake and associated changes in cardiovascular risk factors in adults with type 2 diabetes: the ACCORD trial
    Diabetes Research and Clinical Practice. 2013
  • Patterns of care and persistence after incident elevated blood pressure
    Pediatrics. 2013
  • Prehypertension and hypertension in community-based pediatric practice
    Pediatrics. 2013
  • Sex differences in cardiovascular outcomes in patients with incident hypertension
    Journal of Hypertension. 2013
  • Super learning to hedge against incorrect inference from arbitrary parametric assumptions in marginal structural modeling
    Journal of Clinical Epidemiology. 2013
  • The authors respond: a multisite study of long-term remission and relapse of type 2 diabetes mellitus following gastric bypass
    Obesity Surgery. 2013
  • Using simulation technology to teach diabetes care management skills to resident physicians
    Journal of Diabetes Science and Technology. 2013
  • Virtual care: internet-delivered diabetes education for health professionals
    2013
  • A comparison between antihypertensive medication adherence and treatment intensification as potential clinical performance measures
    Circulation: Cardiovascular Quality and Outcomes. 2012
  • Adherence to blood pressure telemonitoring in a cluster-randomized clinical trial
    Journal of Clinical Hypertension (Greenwich, Conn.). 2012
  • Are characteristics of the medical home associated with diabetes care costs?
    Medical Care. 2012
  • Baseline comparison of three health utility measures and the feeling thermometer among participants in the Action to Control Cardiovascular Risk in Diabetes trial
    Cardiovascular Diabetology. 2012
  • Combined intensive blood pressure and glycemic control does not produce an additive benefit on microvascular outcomes in type 2 diabetic patients
    Kidney International. 2012
  • Comparative effectiveness of 2 beta-blockers in hypertensive patients
    Archives of Internal Medicine. 2012
  • Construction of a multisite DataLink using electronic health records for the identification, surveillance, prevention, and management of diabetes mellitus: the SUPREME-DM project
    Preventing Chronic Disease. 2012
  • Cost-effectiveness of an electronic medical record based clinical decision support system
    Health Services Research. 2012
  • Depression predicts all-cause mortality: epidemiological evaluation from the ACCORD HRQL substudy
    Diabetes care. 2012
  • Design and rationale for Home Blood Pressure Telemonitoring and Case Management to Control Hypertension (HyperLink): a cluster randomized trial
    Contemporary Clinical Trials. 2012
  • Detection and recognition of hypertension in anxious and depressed patients
    Journal of Hypertension. 2012
  • Diabetes and asthma case identification, validation, and representativeness when using electronic health data to construct registries for comparative effectiveness and epidemiologic research
    Medical Care. 2012
  • Diabetes symptoms and distress in ACCORD trial participants: relationship to baseline clinical variables
    Clinical Diabetes. 2012
  • Dynamic marginal structural modeling to evaluate the comparative effectiveness of more or less aggressive treatment intensification strategies in adults with type 2 diabetes
    Pharmacoepidemiology and Drug Safety. 2012
  • Effect of intensive versus standard blood pressure control on depression and health-related quality of life in type 2 diabetes: the ACCORD trial
    Diabetes care. 2012
  • Fenofibrate-associated changes in renal function and relationship to clinical outcomes among individuals with type 2 diabetes: the Action to Control Cardiovascular Risk in Diabetes (ACCORD) experience
    Diabetologia. 2012
  • Glycaemia and correlates of patient-reported outcomes in ACCORD trial participants
    Diabetic Medicine. 2012
  • Incidence and prognosis of resistant hypertension in hypertensive patients
    Circulation. 2012
  • Intensive glycemic control is not associated with fractures or falls in the ACCORD randomized trial
    Diabetes care. 2012
  • The association between medication adherence and treatment intensification with blood pressure control in resistant hypertension
    Hypertension (Dallas, Tex.. 2012
  • Age-dependent gender differences in hypertension management
    Journal of Hypertension. 2011
  • Combination therapy as initial treatment for newly diagnosed hypertension
    American Heart Journal. 2011
  • Diabetes performance measures: current status and future directions
    Diabetes care. 2011
  • Effects of intensive glucose lowering on brain structure and function in people with type 2 diabetes (ACCORD MIND): a randomised open-label substudy
    Lancet Neurology. 2011
  • Impact of electronic health record clinical decision support on diabetes care: a randomized trial
    Annals of Family Medicine. 2011
  • Keep it off: a phone-based intervention for long-term weight-loss maintenance
    Contemporary Clinical Trials. 2011
  • Long-term effects of intensive glucose lowering on cardiovascular outcomes
    New England Journal of Medicine. 2011
  • Missed opportunities in cardiovascular disease prevention?: low rates of hypertension recognition for women at medicine and obstetrics-gynecology clinics
    Hypertension (Dallas, Tex.. 2011
  • Near-normalization of glucose and microvascular diabetes complications: data from ACCORD and ADVANCE
    Therapeutic Advances in Endocrinology and Metabolism. 2011
  • American Diabetes Association. Standards of medical care in diabetes--2010
    Diabetes care. 2010
  • Blood pressure trajectories and associations with treatment intensification, medication adherence, and outcomes among newly diagnosed coronary artery disease patients
    Circulation: Cardiovascular Quality and Outcomes. 2010
  • Comparative effectiveness of angiotensin-converting enzyme inhibitors versus beta-blockers as second-line therapy for hypertension
    Circulation: Cardiovascular Quality and Outcomes. 2010
  • Effect of intensive treatment of hyperglycaemia on microvascular outcomes in type 2 diabetes: an analysis of the ACCORD randomised trial
    Lancet (London, England). 2010
  • Maintaining physical activity among older adults: 24-month outcomes of the Keep Active Minnesota randomized controlled trial
    Preventive Medicine. 2010
  • Outpatient EHR-based diabetes clinical decision support that works: lessons learned from implementing Diabetes Wizard
    Diabetes Spectrum. 2010
  • Population reach and recruitment bias in a maintenance RCT in physically active older adults
    Journal of physical activity & health. 2010
  • Simulated physician learning program improves glucose control in adults with diabetes
    Diabetes care. 2010
  • The effects of baseline characteristics, glycaemia treatment approach, and glycated haemoglobin concentration on the risk of severe hypoglycaemia: post hoc epidemiological analysis of the ACCORD study
    BMJ (Clinical research ed.). 2010
  • The long and winding road to physical activity maintenance
    American Journal of Health Behavior. 2010
  • Trends in first-line therapy for hypertension in the Cardiovascular Research Network Hypertension Registry, 2002-2007
    Archives of Internal Medicine. 2010
  • Trends in time to confirmation and recognition of new-onset hypertension, 2002-2006
    Hypertension (Dallas, Tex.. 2010
  • Using electronic health records to improve outpatient diabetes care
    Diabetes Spectrum. 2010
  • Customized feedback to patients and providers failed to improve safety or quality of diabetes care: a randomized trial
    Diabetes care. 2009
  • Diabetes care quality: insurance, health plan, and physician group contributions
    American Journal of Managed Care. 2009
  • Disease management strategies to optimize cardiovascular risk in type 2 diabetes mellitus
    Current Cardiovascular Risk Reports. 2009
  • Does diabetes double the risk of depression?
    Annals of Family Medicine. 2009
  • Effects of paroxetine and sertraline on low-density lipoprotein cholesterol: an observational cohort study
    CNS drugs. 2009
  • Is there a downside to customizing care? Implications of general and patient-specific treatment strategies
    Journal of Evaluation in Clinical Practice. 2009
  • Mindfulness-based stress reduction and diabetes
    Diabetes Spectrum. 2009
  • Readiness of US health plans to manage cardiometabolic risk
    Preventing Chronic Disease. 2009
  • Simulated physician learning intervention to improve safety and quality of diabetes care: a randomized trial
    Diabetes care. 2009
  • Spiritual direction with physicians
    Presence: An International Journal of Spiritual Direction. 2009
  • The role of diabetes educators in the medical home
    Diabetes Spectrum. 2009
  • A new approach to physical activity maintenance: rationale, design, and baseline data from the Keep Active Minnesota Trial
    BMC Geriatrics. 2008
  • Depression in patients with diabetes: does it impact clinical goals?
    Journal of the American Board of Family Medicine. 2008
  • Developing a distributed research network to conduct population-based studies and safety surveillance
    AMIA ... Annual Symposium proceedings. AMIA Symposium. 2008
  • Economic analysis of medical practice variation between 1991 and 2000: the impact of patient outcomes research teams (PORTs)
    International Journal of Technology Assessment in Health Care. 2008
  • Effects of intensive glucose lowering in type 2 diabetes
    New England Journal of Medicine. 2008
  • Improving diabetes care in practice: findings from the TRANSLATE trial
    Diabetes care. 2008
  • Maintaining physical activity among older adults: six-month outcomes of the Keep Active Minnesota randomized controlled trial
    Preventive Medicine. 2008
  • The effect of advanced access implementation on quality of diabetes care
    Preventing Chronic Disease. 2008
  • Variation in quality of diabetes care at the levels of patient, physician, and clinic
    Preventing Chronic Disease. 2008
  • Clinical and public health implications of glycemic relapse in type 2 diabetes
    Nature Clinical Practice: Endocrinology & Metabolism. 2007
  • Ambulatory care quality measures for the 6 aims from administrative data
    American Journal of Medical Quality. 2006
  • Are claims data accurate enough to identify patients for performance measures or quality improvement? The case of diabetes, heart disease, and depression
    American Journal of Medical Quality. 2006
  • Care quality and implementation of the chronic care model: a quantitative study
    Annals of Family Medicine. 2006
  • Diabetes: how are we diagnosing and initially managing it?
    Annals of Family Medicine. 2006
  • Effect of improved primary care access on quality of depression care
    Annals of Family Medicine. 2006
  • Increasing primary care physician productivity: A case study
    American Journal of Managed Care. 2006
  • Characteristics of adults who use prayer as an alternative therapy
    American Journal of Health Promotion. 2005
  • Cholesterol levels and statin use in patients with coronary heart disease treated in primary care settings
    Preventing Chronic Disease. 2005
  • Commentary--improving diabetes care by combating clinical inertia
    Health Services Research. 2005
  • Factors driving diabetes care improvement in a large medical group: ten years of progress
    American Journal of Managed Care. 2005
  • Health care charges associated with physical inactivity, overweight, and obesity
    Preventing Chronic Disease. 2005
  • Impact of an electronic medical record on diabetes quality of care
    Annals of Family Medicine. 2005
  • Randomized trial of quality improvement intervention to improve diabetes care in primary care settings
    Diabetes care. 2005
  • The QUEST for quality: what are medical groups doing about it?
    Joint Commission journal on quality and patient safety. 2005
  • Diabetic patients who smoke: are they different?
    Annals of Family Medicine. 2004
  • Do all components of the chronic care model contribute equally to quality improvement?
    2004
  • Does improved access to care affect utilization and costs for patients with chronic conditions?
    American Journal of Managed Care. 2004
  • Is patient readiness to change a predictor of improved glycemic control?
    Diabetes care. 2004
  • Key issues in transforming health care organizations for quality: the case of advanced access
    2004
  • Meeting recommendations for multiple healthy lifestyle factors. Prevalence, clustering, and predictors among adolescent, adult, and senior health plan members
    American Journal of Preventive Medicine. 2004
  • Changes in physical activity and short-term changes in health care charges: a prospective cohort study of older adults
    Preventive Medicine. 2003
  • Improving diabetes care and outcomes: the secondary benefits of a public health-managed care research collaboration
    Journal of Public Health Management and Practice. 2003
  • Smoking cessation attempts in relation to prior health care charges: the effect of antecedent smoking-related symptoms?
    American Journal of Health Promotion. 2003
  • Variation in diabetes care by age: opportunities for customization of care
    BMC Family Practice. 2003
  • Complementary and alternative medicine use among health plan members. A cross-sectional survey
    Effective Clinical Practice. 2002
  • Physical inactivity and short-term all-cause mortality in adults with chronic disease
    Archives of Internal Medicine. 2001
  • Professional advice and readiness to change behavioral risk factors among members of a managed care organization
    American Journal of Managed Care. 2001
  • Screening for diabetes mellitus in high-risk patients: cost, yield, and acceptability
    Effective Clinical Practice. 2001
  • Health behaviors of smokers, ex-smokers, and never smokers in an HMO
    Preventive Medicine. 2000
  • Impact of birthweight on healthcare charges within a managed care organization
    American Journal of Managed Care. 2000
  • Improving diabetes care in a large health care system: an enhanced primary care approach
    Joint Commission Journal on Quality Improvement. 2000
  • Lessons from experienced guideline implementers: attend to many factors and use multiple strategies
    Joint Commission Journal on Quality Improvement. 2000
  • Continuous quality improvement can improve glycemic control for HMO patients with diabetes
    Archives of Family Medicine. 1996
  • Editorial Article
  • Insulin management in patients with diabetes receiving hemodialysis: unanswered questions and way forward [editorial]
    American Journal of Kidney Diseases.  83. 2024
  • Overcoming therapeutic inertia in type 2 diabetes care-timing, context, and appropriateness of treatment intensification [editorial]
    JAMA network open.  4. 2021
  • Capsule commentary on Marcum et al, Statin dosing instructions, medication adherence, and low-density lipoprotein cholesterol: a cohort study of incident statin users [editorial]
    Journal of General Internal Medicine.  34. 2019
  • Strategies to prioritize clinical options in primary care [editorial]
    Annals of Family Medicine.  15. 2017
  • How clinical pharmacists can improve outpatient diabetes care [editorial]
    Diabetes Management (London, England).  4. 2014
  • Personalized and prioritized diabetes treatment recommendations to reduce cardiovascular risk [editorial]
    2014
  • Patient preferences in diabetes care: overcoming barriers using new strategies [editorial]
    Journal of comparative effectiveness research.  2. 2013
  • A look ahead at the future of diabetes prevention and treatment [editorial]
    JAMA.  308. 2012
  • Greater diabetes-care contact frequency is associated with more rapid achievement of care goals but interpretation of finding requires consideration of patient adherence and motivation [editorial]
    Evidence-Based Medicine.  17. 2012
  • How EHR-based clinical decision support promotes patient-centered care [editorial]
    Diabetes Management (London, England).  2. 2012
  • Prioritizing treatments in type 2 diabetes mellitus [editorial]
    Archives of Internal Medicine.  172. 2012
  • Quality improvement collaboratives in the age of health informatics--new wine in new wineskins [editorial]
    BMJ quality & safety.  21. 2012
  • Opportunities to increase the effectiveness of EHR-based diabetes clinical decision support [invited editorial]
    Appl Clin Inf.  2. 2011
  • Strategies to reduce the cost of renal complications in patients with type 2 diabetes [editorial]
    Diabetes care.  34. 2011
  • Insulin regimens in type 2 diabetes [editorial]
    New England Journal of Medicine.  362. 2010
  • The growing importance of diabetes screening [editorial]
    Diabetes care.  33. 2010
  • Chapter
  • Comparative effectiveness of adaptive treatment strategies
    Targeted learning in data science: causal inference for complex longitudinal studies (Springer series in statistics). 2018
  • Diabetes
    Chronic disease epidemiology and control. 2010
  • Advances in Patient Safety Clinical Inertia and Outpatient Medical Errors
    Advances in Patient Safety: From Research to Implementation (Volume 2: Concepts and Methodology). 2005
  • Advances in Patient Safety Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care
    Advances in Patient Safety: From Research to Implementation (Volume 1: Research Findings). 2005
  • Advances in Patient Safety SimCare: A Model for Studying Physician Decisionmaking Activity
    Advances in Patient Safety: From Research to Implementation (Volume 4: Programs, Tools, and Products). 2005
  • Clinical inertia and outpatient medical errors
    Advances in Patient Safety: From Research to Implementation. 2005
  • Identification, classification, and frequency of medical errors in outpatient diabetes care
    Advances in Patient Safety: From Research to Implementation. 2005
  • SimCare: a model for studying physician decisionmaking activity
    Advances in Patient Safety: From Research to Implementation (Volume 4: Programs, Tools, and Products). 2005
  • Conference Poster
  • Factors associated with Diabetes Prevention Program (DPP) compliance and weight loss among low-income participants [poster]
    2019
  • Aspirin for primary prevention of atherosclerotic cardiovascular disease: challenges to appropriate use [poster]
    2017
  • Can prioritized clinical decision support in primary care reduce cardiovascular risk? [poster]
    2017
  • Clinical decision support impact on overuse and underuse of aspirin for primary prevention of cardiovascular events [poster]
    2017
  • Development and validation of a risk equation for appendicitis in children presenting with abdominal pain [poster]
    2017
  • Impact of improving diabetes care on Quality adjusted Life Expectancy (QALE) and costs: a 40-year perspective [poster]
    2017
  • Long-term outcomes of a cluster-randomized trial testing the effects of blood pressure (BP) telemonitoring and pharmacist management on BP outcomes [poster]
    2017
  • Long-term outcomes of a cluster-randomized trial testing the effects of blood pressure telemonitoring and pharmacist management [poster]
    2017
  • Primary care provider use rates of a clinical decision support tool and change in diabetes performance measures [poster]
    2017
  • Results of a cluster-randomized trial testing the effects of TeenBP, an EHR-based clinical decision support tool, on recognition of adolescent hypertension [poster]
    2017
  • Using EMR-linked data for passive patient safety reporting in pragmatic clinical trials [poster]
    2017
  • What factors facilitate weight loss among Medicaid beneficiaries participating in the diabetes prevention program [poster]?
    2017
  • Correlation between provider use rates of a clinical decision support tool and diabetes performance measures [e-poster 1266-P]
    Diabetes. 2016
  • Design of diabetes clinical decision support systems that reduce CV risk [poster]
    2015
  • Improving population health: predictors of recidivism to uncontrolled hypertension in patients with previously well-controlled hypertension [poster]
    2015
  • Passive safety monitoring using electronic medical records data for pragmatic cardiovascular clinical trials [poster]
    2015
  • Relation of change in weight status to the development of hypertension in children and adolescents [poster]
    2015
  • Use and customization of risk scores for predicting cardiovascular events with electronic health data [poster]
    2015
  • How did pharmacists help patients achieve blood pressure control in a randomized trial of home blood pressure telemonitoring plus pharmacist management [poster]?
    2014
  • Personalized physician learning intervention to improve hypertension control: randomized trial comparing two methods of physician profiling [poster]
    2014
  • Timing and impact of transition from pediatric to adult care on glycemic control among adolescents and young adults with diabetes: results from the SUPREME-DM pilot study [poster]
    2014
  • A multisite study of long-term remission and relapse of type 2 diabetes mellitus following gastric bypass [poster]
    2013
  • Comparative effectiveness of bariatric surgery vs. nonsurgical treatment of type 2 diabetes among severely obese adults [poster]
    2013
  • Creation and implementation of an analytic dataset for a multi-site surveillance study using electronic health records (EHR) and medical claims data [poster]
    2013
  • Declining rates of major cardiovascular events in adults with and without diabetes: 2005-2011 [poster]
    2013
  • Diagnosis of pediatric hypertension depends on clinical practice guideline definitions [poster]
    2013
  • Frequency and results of glucose screening in children and adolescents 2007-2011 [poster]
    2013
  • Frequency of CV Wizard use and gender disparity [poster]
    2013
  • Impact of BMI and change in BMI on progression from normotension to prehypertension or hypertension in patients ages 3-17 [poster]
    2013
  • Impact of oral contraceptives on adolescent blood pressure and BMI [poster]
    2013
  • Impact of oral contraceptives on adolescent blood pressure and BMI [poster]
    2013
  • Impact of specific glucose-control strategies on microvascular outcomes in 58,000 adults with type 2 diabetes [poster]
    2013
  • Improved self-efficacy and satisfaction with care among Hyperlink intervention patients [poster]
    2013
  • Improving diabetes management with mindfulness-based stress reduction [poster]
    2013
  • Integrating medical and dental data to improve quality and safety of dental care [poster]
    2013
  • Outcomes at six months of a randomized trial of home blood pressure telemonitoring with pharmacist case management [poster]
    2013
  • Personalized physician learning intervention to improve hypertension control: randomized trial comparing two methods of physician profiling [poster]
    2013
  • Predictors of medication usage for incident diabetes patients: a SUrveillance, PREvention, and ManagEment of Diabetes Mellitus (SUPREME-DM) study [poster]
    2013
  • Prehypertension and hypertension in community-based pediatric practice [poster]
    2013
  • Prevalence of obesity and extreme obesity in children aged three to five years [poster]
    2013
  • Aspirin decision support using data-driven treatment algorithms [poster]
    2012
  • Baseline blood pressure among adolescents initiating hormonal contraception [poster]
    2012
  • From research innovation to broader public use: the SimCare story [poster]
    2012
  • Impact of bariatric surgery on life expectancy in adults with diabetes [poster]
    2012
  • Impact of bariatric surgery on life expectancy in adults with diabetes [poster]
    2012
  • Simulated provider training improves diabetes management [poster]
    2012
  • Testing a clinical decision support process to lower cardiovascular risk of patients [poster]
    2012
  • A simulated diabetes learning intervention improves provider knowledge and confidence in managing diabetes [poster]
    2011
  • Designing a patient interface for shared decision support [poster]
    2011
  • Does depression status impact recognition, treatment, or control of hypertension [poster]?
    2011
  • Provider satisfaction with a simulated learning approach to diabetes management [poster]
    2011
  • Use of Diabetes Wizard EMR-based clinical decision support system [poster]
    2011
  • Changes in cognitive function and plasma biomarkers in a pilot trial of a multi-domain intervention to prevent cognitive decline [poster]
    2010
  • Childhood hypertension and obesity: diagnosis, care and costs [poster]
    2010
  • Chronic kidney disease in HealthPartners patients [poster]
    2010
  • Cost effectiveness of an EMR-based clinical decision support system [poster]
    2010
  • EHR-based clinical decision support for assessing cardiovascular risk [poster]
    2010
  • Health outcomes of bariatric surgery in individuals with type 2 diabetes [poster]
    2010
  • Patterns of blood pressure measurement at pediatric primary care visits in large medical group practices [poster]
    2010
  • Pediatric hypertension and obesity: predictors, care, and costs [poster]
    2010
  • Physical activity maintenance [poster]
    2010
  • Randomized trial: EHR-based clinical decision support system improved glucose and blood pressure control in diabetes [poster]
    2009
  • Are diabetes patients with depression more likely to get routine care process measures [poster]?
    2008
  • Extraction, creation and quality of vital sign data of the HMORN VDW (Virtual Data Warehouse) [poster]
    2008
  • Extraction, creation and quality of vital sign data of the HMORN VDW (Virtual Data Warehouse) [poster]
    2008
  • How do the best physicians get diabetes patients to glycemic goals [poster]
    2008
  • Identifying depression among diabetes patients using natural language processing (NLP) of office notes [poster]
    2008
  • Reasons for diabetes clinical inertia in primary care practice [poster]
    2008
  • Using EMR (electronic medical record) data for passive patient safety surveillance in clinical trials [poster]
    2008
  • Using EMR (electronic medical record) data to profile 21 physician-specific treatment strategies in diabetes care [poster]
    2008
  • Abstract
  • Comparing change in systolic blood pressure with clinic-based care versus telehealth care in a pragmatic cluster-randomized trial (Hyperlink 3) [abstract]
    Journal of patient-centered research and reviews. 2021
  • Maximizing use of chronic disease clinical decision support in primary care clinics: lessons learned from randomized trials [abstract]
    Journal of patient-centered research and reviews. 2021
  • Medication adherence during the COVID-19 pandemic: preliminary data from the patient perspective [abstract]
    Journal of patient-centered research and reviews. 2021
  • Patients deciding on cancer screening and prevention using clinical decision support: "I wouldn't have thought about getting screened without it" [abstract]
    Journal of patient-centered research and reviews. 2021
  • Better care strategies are necessary to address poor medication adherence [abstract]
    Diabetes. 2020
  • Glycemic relapse: major threat to ongoing improvement in diabetes care [abstract]
    Diabetes. 2020
  • A web-based clinical decision support system (Wizard) increases appropriate cardiometabolic diagnostic coding at primary care visits [abstract]
    Journal of patient-centered research and reviews. 2019
  • Challenges encountered in linking community health centers' electronic health record data to a web-based clinical decision support tool [abstract]
    Journal of patient-centered research and reviews. 2019
  • Dissemination and sustained use of an outpatient clinical decision system with high use rates, high clinician satisfaction, and positive impact on quality of care [abstract]
    Journal of patient-centered research and reviews. 2019
  • Long-term effects on cardiovascular events of home blood pressure telemonitoring with pharmacist management in patients with uncontrolled hypertension [abstract]
    Journal of patient-centered research and reviews. 2019
  • Variation in care improvement opportunities suggests need for tailored clinician-specific improvement interventions [abstract]
    Journal of patient-centered research and reviews. 2019
  • A comparison of the impact of the 2017 ACC/AHA hypertension guidelines on primary care populations with and without diabetes [abstract]
    Diabetes. 2018
  • Impact of human versus analog insulins on occurrence of myocardial infarction [abstract]
    Diabetologia. 2017
  • A clinical decision support system promotes shared decision-making and cardiovascular risk factor management [abstract]
    Journal of patient-centered research and reviews. 2016
  • All is not equal...or is it? Targeting uncontrolled cardiovascular risk factors in racial and ethnic populations to prevent major cardiovascular events [abstract]
    Diabetologia. 2016
  • Can financial incentives prevent diabetes in a low-income population? [abstract]
    Diabetes. 2016
  • Comparative effectiveness of two diabetes clinical decision support systems on cardiometabolic outcomes and CV risk: randomized trial [abstract 2304-PUB]
    Diabetes. 2016
  • Design features of successful outpatient chronic disease care clinical decision support systems [abstract]
    Journal of patient-centered research and reviews. 2016
  • Designing outpatient diabetes care clinical decision support systems for high use rates [abstract 2309-PUB]
    Diabetes. 2016
  • Eliciting patient treatment preferences using a clinical decision support system [abstract 1252-P]
    Diabetes. 2016
  • Long-term impact of intensive glucose, blood pressure, or lipid control on health utility: ACCORDION Study [abstract]
    Diabetes. 2016
  • Overuse and underuse of acetyl-salicylic acid for primary prevention of cardiovascular disease in people with diabetes [abstract]
    Diabetologia. 2016
  • Overuse and underuse of aspirin for primary prevention [abstract 1225-P]
    Diabetes. 2016
  • Overuse and underuse of aspirin for primary prevention of cardiovascular events in primary care [abstract]
    Journal of patient-centered research and reviews. 2016
  • Qualitative data from a trial of home blood pressure telemonitoring and pharmacist management (Hyperlink) [abstract]
    Journal of patient-centered research and reviews. 2016
  • Randomised trial of a diabetes clinical decision support system: use rates, provider satisfaction, and impact on clinical outcomes [abstract]
    Diabetologia. 2016
  • Relation of change in weight status to the development of hypertension in children and adolescents [abstract]
    Journal of patient-centered research and reviews. 2016
  • Use and customization of risk scores for predicting cardiovascular events using electronic health record data [abstract]
    Journal of patient-centered research and reviews. 2016
  • Are composite measures of diabetes quality of care associated with major CV events [abstract 440-P]?
    Diabetes. 2015
  • Disseminating web-based EHR-linked diabetes clinical decision support system from one medical group to another: case study [abstract 1377-P]
    Diabetes. 2015
  • Evaluation of provider experience with an EHR-based clinical decision support tool [abstract]
    Diabetes. 2015
  • How to minimize future CV events and total mortality in adults with diabetes: lessons from the 10,000,000 person-year SUPREME Cohort Study [abstract]
    Diabetes. 2015
  • Severe hypoglycemia in a large cohort of adults with diabetes mellitus treated in U.S. integrated health care delivery systems, 2005-2011 [abstract 390-P]
    Diabetes. 2015
  • Surveillance of cardiovascular events and total mortality among insured adults with and without diabetes: the SUPREME Cohort Study [abstract 55-OR]
    Diabetes. 2015
  • Sustained use of a diabetes clinical decision support tool in primary care practices [abstract]
    Diabetes. 2015
  • Educating resident physicians using virtual case-based simulation improves diabetes management--a randomized, controlled trial [abstract 322-OR]
    Diabetes. 2014
  • Improving mental health and diabetes management with mindfulness-based stress reduction [abstract] [presentation]
    2014
  • Randomized trial of telephone outreach to improve medication adherence and metabolic control in adults with diabetes [abstract]
    Diabetes. 2014
  • Aspirin decision support using data-driven treatment algorithms [abstract]
    Clinical Medicine & Research. 2013
  • Costs associated with delivering intensive or standard glucose, lipids, and systolic blood pressure control strategies in the ACCORD Trial [abstract]
    Diabetes. 2013
  • Glucose screening and identification of pre-diabetes in children and adolescents 2007-2011 [abstract]
    Diabetes. 2013
  • Outcomes of a randomized trial of home blood pressure telemonitoring with pharmacist case management [abstract]
    Clinical Medicine & Research. 2013
  • Recidivism to uncontrolled BP levels in previously controlled hypertension patients [abstract]
    Clinical Medicine & Research. 2013
  • Testing a clinical decision support process to lower cardiovascular risk of patients [abstract]
    Clinical Medicine & Research. 2013
  • Virtual diabetes education improves resident physician knowledge and performance: a cluster randomized trial [abstract]
    Clinical Medicine & Research. 2013
  • Virtual diabetes education improves resident physician knowledge and performance: a cluster-randomized trial [abstract]
    Diabetes. 2013
  • A comparison of blood pressure measurements derived from primary care practice and research settings [abstract]
    Clinical Medicine & Research. 2012
  • A simulated diabetes learning intervention improves provider knowledge and confidence in managing diabetes [abstract]
    Clinical Medicine & Research. 2012
  • Comparison of ethnicity and race categorization in electronic medical records and by self-report [abstract]
    Clinical Medicine & Research. 2012
  • Diabetes prevalence among 2.4 million health maintenance organisation (HMO) members < 20 years of age, 2005-2009: the SUPREME-DM project [abstract]
    Diabetologia. 2012
  • Experiences in designing a simple education interface for shared decision support for cardiovascular risk [abstract]
    Clinical Medicine & Research. 2012
  • Intensive glucose, blood pressure, or lipid control had no significant negative impact on health utility or quality-adjusted life years in the ACCORD Trial [abstract]
    Diabetes. 2012
  • Prevalence of elevated blood pressure and BMI in U.S. children and adolescents [abstract]
    Clinical Medicine & Research. 2012
  • Primary care residents highly rate simulated diabetes training [abstract]
    Clinical Medicine & Research. 2012
  • Simulated diabetes training helps providers bring patients to goals: a cluster randomized trial [abstract]
    Diabetes. 2012
  • Simulated training improves provider knowledge and confidence in managing diabetes [abstract]
    Diabetes. 2012
  • Use of electronic health records to estimate 5-year incidence of diabetes among health maintenance organization (HMO) members <20 years of age: the SUPREME-DM Project [abstract]
    Pediatric Diabetes. 2012
  • Adherence to comprehensive interventions for management of uncontrolled hypertension [abstract]
    Journal of Clinical Hypertension (Greenwich, Conn.). 2011
  • Early initiation of metformin in new-onset type 2 diabetes [abstract]
    Diabetes. 2011
  • Effect of intensive versus standard blood pressure control on health-related quality of life in type 2 diabetes mellitus: ACCORD Trial [abstract 47-OR]
    Diabetes. 2011
  • HMORN research on pediatric hypertension and obesity: predictors, care, and costs: design of a new pediatric cohort [abstract]
    Clinical Medicine & Research. 2011
  • Impact of bariatric surgery on long-term remission and relapse of type 2 diabetes mellitus: multi-site study [abstract 1190-P]
    Diabetes. 2011
  • Intensive blood pressure control does not increase falls and fractures in patients with type 2 diabetes: the ACCORD trial [abstract]
    Journal of Clinical Hypertension (Greenwich, Conn.). 2011
  • Intensive glycemic control and fracture risk [abstract 1352-P]
    Diabetes. 2011
  • Intensive glycemic control not linked to falls in ACCORD [abstract]
    Diabetes. 2011
  • Major depression predicts total mortality in ACCORD trial participants [abstract 48-OR]
    Diabetes. 2011
  • Microvascular effects of intensive blood pressure control and its relation to glycaemic control in the ACCORD blood pressure trial [abstract]
    Diabetologia. 2011
  • Overweight and obesity in those age 3-17 years old: implications for diabetes prevention [abstract 2377-PO]
    Diabetes. 2011
  • Personalization of care for type 2 diabetes: a process control approach [abstract]
    Diabetes. 2011
  • Prevalence of overweight and elevated blood pressure in a large cohort of children and adolescents (age 3-17 years) at an initial clinic examination [abstract]
    Journal of Clinical Hypertension (Greenwich, Conn.). 2011
  • Prioritization of treatment and its consequences: implications of accountability measures [abstract 46-OR]
    Diabetes. 2011
  • Use of alternative lifestyle methods to control hypertension in individuals entering a blood pressure clinical trial [abstract]
    Clinical Medicine & Research. 2011
  • A diabetes simulated physician learning program improved glucose control and is highly cost-effective [abstract]
    Diabetes. 2010
  • A new approach to CME? A simulated physician learning program improves glucose control in adults with diabetes [abstract]
    Diabetes. 2010
  • Changes in physical activity and nutrition in a behavioral intervention pilot study - passport to brain wellness [abstract]
    Clinical Medicine & Research. 2010
  • Comparing characteristics of adults who successfully lost weight using exercise vs. non-exercise focused methods [abstract]
    Medicine and Science in Sports and Exercise. 2010
  • Cost-effectiveness of an EMR-based diabetes clinical decision support system [abstract]
    Diabetes. 2010
  • Disease management strategies to optimize cardiovascular risk in type 2 diabetes mellitus [abstract]
    Clinical Medicine & Research. 2010
  • Does physical activity promote positive body image in recent weight losers [abstract]?
    Annals of Behavioral Medicine. 2010
  • EMR-based clinical decision support system improved glucose and blood pressure control in adults with diabetes [abstract]
    Clinical Medicine & Research. 2010
  • Enhancing long-term weight loss maintenance: Keep It Off trial design and baseline data [abstract]
    Annals of Behavioral Medicine. 2010
  • Home blood pressure telemonitoring and case management to control hypertension: HyperLink trial design and baseline characteristics [abstract]
    Clinical Medicine & Research. 2010
  • Home blood pressure telemonitoring and case management to control hypertension: hyperlink design, baseline characteristics, and intervention adherence [abstract]
    Journal of Clinical Hypertension (Greenwich, Conn.). 2010
  • How do the best physicians get diabetes patients to glycemic goals [abstract]?
    Clinical Medicine & Research. 2010
  • Hypertension treatment intensification and BP control in adults with and without diabetes [abstract]
    Diabetes. 2010
  • Identifying physician decision stretegies for treating patients with type 2 diabetes [abstract]
    Diabetes. 2010
  • Personalized learning intervention to enhance hypertension care skills of physicians and extended-care providers [abstract]
    Diabetes. 2010
  • Personalized physician learning intervention improved glucose control in adults with diabetes [abstract]
    Clinical Medicine & Research. 2010
  • Readiness of U.S. health plans to manage cardiometabolic risk [abstract]
    Clinical Medicine & Research. 2010
  • Standardized vs personalized diabetes care goals: implications for guidelines, decision support, and accountability measures [abstract]
    Diabetes. 2010
  • Strategies used by physicians to treat hypertension [abstract]
    Clinical Medicine & Research. 2010
  • The long and winding road to physical activity maintenance: theory-driven mediation analysis in the Keep Active Minnesota (KAM) trial [abstract]
    Annals of Behavioral Medicine. 2010
  • Towards lower macrovascular risk in diabetes patients: a simulation-based evaluation of prioritization strategies [abstract]
    Diabetes. 2010
  • Use of complementary and alternative medicine in people with diabetes [abstract]
    Annals of Behavioral Medicine. 2010
  • Validation of the SimCare model: a computational model of individual patients with type 2 diabetes [abstract]
    Diabetes. 2010
  • Clinical decision support delivered through EMRs improved glucose and blood pressure control in adults with diabetes [abstract]
    Diabetologia. 2009
  • Disease management strategies to optimize cardiovascular risk in type 2 diabetes mellitus [abstract]
    Diabetes. 2009
  • EMR-based clinical decision support system improved glucose and blood pressure control in adults with diabetes [abstract]
    Diabetes. 2009
  • How do the best physicians get diabetes patients to glycemic goals [abstract]?
    Diabetes. 2009
  • Personalized physician learning intervention improved glucose control in adults with diabetes [abstract]
    Diabetes. 2009
  • Two-year outcomes of a physical activity maintenance RCT in 50 to 70-year-old adults [abstract]
    Annals of Behavioral Medicine. 2009
  • Are diabetes patients with depression more likely to get routine care process measures [abstract]?
    Diabetes. 2008
  • How do the best physicians get diabetes patients to glycemic goals [abstract]?
    Diabetes. 2008
  • Implementation of electronic decision support for providers to improve diabetes care [abstract]
    Diabetes. 2008
  • Reasons for diabetes clinical inertia in primary care practice [abstract]
    Diabetes. 2008
  • The anatomy of clinical inertia: using EMR-derived data to profile 21 physician-specific medication treatment strategies in diabetes care [abstract]
    Diabetes. 2008
  • Using EMR (electronic medical record) data for passive patient safety surveillance in clinical trials [abstract]
    Diabetes. 2008
  • Using natural language processing (NLP) to identify depression in diabetes patients [abstract]
    Diabetes. 2008
  • Audio-Visual Document
    presentations
    Presentation
  • 2010 performance improvement project: improving blood pressure control in members with diabetes [presentation]
  • A diabetes simulated physician learning program improved glucose control and is cost-effective [presentation], CDC (Centers for Disease Control and Prevention) Diabetes Translation Conference 2011 - Changing the Course of Diabetes: Optimizing Health for All
  • A diabetes simulated physician learning program improved glucose control and is highly cost-effective [presentation], Minnesota Health Services Research 15th Annual Conference
  • A machine learning approach to improving process control [presentation]
  • A multi-site study of long-term remission and relapse of type 2 diabetes mellitus following bariatric surgery [presentation], HMO Research Network 17th Conference: Collaborations in Population-Based Health Research
  • Addressing missing data and clinical relapse can improve composite diabetes quality of care measure [presentation], HMO Research Network 20th Annual Conference: Embedded Research to Improve Health
  • Application of dynamic marginal structural modeling to compare glycemic control strategies that are more versus less aggressive in type 2 diabetes patients [presentation]
  • Applying process control and machine learning to develop effective dynamic decision strategies [presentation], INFORMS Charlotte – 2011 Conference
  • Assessing quality of life in diabetes: comparing the Health Utility Index (HUI)-2 and HUI-3 [presentation]
  • Association of BMI and change in BMI on progression from normotension to prehyertension or hypertension in patients ages 3-17 [presentation]
  • Association of BMI and change in BMI on progression from normotension to prehypertension or hypertension in patients ages 3-17 [presentation], Minnesota Health Services Research 17th Annual Conference
  • Benefits of early versus later hypertension treatment and control on cardiovascular outcomes in those with diabetes: clinical and research implications [presentation], HMO Research Network (HMORN) 18th Annual Conference--Learning Health Care Systems: Leading Through Research
  • Blood pressure and lipid management in type 2 diabetes: what does the data say [presentation]?
  • Building the hypertension registry: adventures in using the VDW model [presentation], HMO Research Network 16th Annual Conference: Emerging Frontiers in Healthcare Research and Delivery
  • Cardiovascular Wizard: an example of personalized and prioritized outpatient clinical decision support [presentation]
  • Cardiovascular Wizard: personalized and prioritized clinical decision support [presentation]
  • Collaborative diabetes research data networks [presentation], Agency for Healthcare Research and Quality (AHRQ) Annual Conference--Research to Reform: Achieving Health System Change
  • Comparative cardiovascular safety of human versus analog insulins [presentation]
  • Comparing self-report and objective measurement of physical activity in successful weight losers [presentation]
  • Comparison of blood pressure measurements derived from primary care practice and research [presentation], HMO Research Network (HMORN) 18th Annual Conference--Learning Health Care Systems: Leading Through Research
  • Comparison of methods for identifying depression in patients with diabetes using physiologic, social and disease severity measures [presentation], International Society for Pharmacoeconomics and Outcomes Research (ISPOR) 2nd Latin America Conference
  • Comparison of more vs less aggressive glycemic control strategies in type 2 diabetes patients. Application of dynamic marginal structural modeling [presentation]
  • Computational models for investigating success and failure in treating patients with type 2 diabetes [presentation]
  • Cost effectiveness of a simulated physician learning program to improve glucose control in adults with diabetes [presentation], NIH 5th Annual Conference on the Science of Dissemination and Implementation
  • Cost-effectiveness of a simulated physician learning program improved glucose control in adults with diabetes [presentation], HMO Research Network 16th Annual Conference: Emerging Frontiers in Healthcare Research and Delivery
  • Cost-effectiveness of an EMR-based diabetes clinical decision support system [presentation], Minnesota Health Services Research 15th Annual Conference
  • Declining rates of major cardiovascular events in adults with and without diabetes: 2005-2011 [presentation] , HMO Research Network 20th Annual Conference: Embedded Research to Improve Health
  • Designing outpatient clinical decision systems for high use rate, provider satisfaction, and improved care: 10 questions in search of answers [presentation]
  • Designing outpatient clinical decision systems for high use rates, provider satisfaction, and improved care: lessons from meta-analyses and experience [presentation], AMIA 2018 Clinical Informatics Conference
  • Developing and deploying evidence-based clinical decision support (CDS) for aspirin use at the point-of-care [presentation], Minnesota Health Services Research 17th Annual Conference
  • Diabetes group visits: what can you do to maximize communication and behavior change [presentation]?
  • Diabetes registries for CER, surveillance and other research purposes [presentation]
  • Disparities in antihypertensive medication adherence: opportunities for early intervention [presentation], HMO Research Network (HMORN) 18th Annual Conference--Learning Health Care Systems: Leading Through Research
  • Do financial incentives improve diabetes prevention program outcomes among Medicaid beneficiaries? The We Can Prevent Diabetes Study [presentation]
  • EMR-based clinical decision support system improved glucose and blood pressure control in adults with diabetes [presentation], HMO Research Network (HMORN) 15th Annual Conference: Clinical Effectiveness: Leadership in Comparative Effectiveness and Translational Research
  • EMR-based clinical decision support to prioritize aspirin use and other CV risk factors [presentation]
  • Effect of improving diabetes disease control in large populations of patients with diabetes on psychological distress and well-being [presentation], National Institutes of Health (NIH) International Conference on Diabetes and Depression
  • Evaluation of provider experience with an electronic health record-based clinical decision support tool [presentation], HMO Research Network (HMORN) 21st Annual Conference: Care Improvement Research: Partnering with Patients, Providers and Operational Leaders
  • Examining effects of continuity of care in the clinic: a simulation study [presentation]
  • Health informatics technology in diabetes care [presentation]
  • How do the best physicians get diabetes patients to glycemic goals [presentation], Minnesota Health Services Research 12th Annual Conference
  • How do the best physicians get diabetes patients to glycemic goals [presentation]?, HMO Research Network (HMORN) 15th Annual Conference: Clinical Effectiveness: Leadership in Comparative Effectiveness and Translational Research
  • Hypertension treatment intensification and BP control in adults with and without diabetes [presentation], Minnesota Health Services Research 15th Annual Conference
  • Hypertension treatment intensification and blood pressure control in adults with and without diabetes [presentation], CDC (Centers for Disease Control and Prevention) Diabetes Translation Conference 2011 - Changing the Course of Diabetes: Optimizing Health for All
  • Hypertriglyceridemia and low HDL-C predicts fenofribrate response in the ACCORD-Lipid Trial [presentation]
  • Identifying depression among diabetes patients using natural language processing of office notes [presentation], HMO Research Network 14th Annual Conference: Partnerships in Translation: Advancing Research and Clinical Care
  • Impact of human versus analog insulins on mortality and occurrence of myocardial infarction [presentation]
  • Impact of human versus analog insulins on occurrence of myocardial infarction [presentation]
  • Impact of near-normalization of glucose on microvascular and macrovascular diabetes complications: data from ACCORD and ADVANCE [presentation], CDC (Centers for Disease Control and Prevention) Diabetes Translation Conference 2011 - Changing the Course of Diabetes: Optimizing Health for All
  • Implementing advanced decision support for providers to improve diabetes care [presentation], Minnesota Health Services Research 12th Annual Conference
  • Implementing advanced decision support for providers to improve diabetes care [presentation], HMO Research Network 14th Annual Conference: Partnerships in Translation: Advancing Research and Clinical Care
  • Improving care for patients with high CV risk [presentation]
  • Improving chronic disease care using predictive modeling and data mining [presentation], INFORMS Conference Data Mining Workshop
  • Improving diabetes management with mindfulness-based stress reduction [presentation], HMORN 20th Annual Conference: Embedded Research to Improve Health
  • Major depression predicts total mortality in ACCORD trial participants [presentation], NIH: International Diabetes Conference
  • Managing the diabetes patient not at goal [presentation]
  • Microvascular effects of intensive blood pressure control and its relation to glycemic control in the ACCORD blood pressure trial [presentation]
  • Missed opportunities in CVD prevention? Women with elevated blood pressures in OB/GYN clinics are less likely to be recognized as hypertensive [presentation], HMO Research Network (HMORN) 16th Annual Conference: Emerging Frontiers in Healthcare Research and Delivery
  • Near-normalization of glucose and microvascular diabetes complications: data from ACCORD and ADVANCE [presentation], HMO Research Network 17th Conference: Collaborations in Population-Based Health Research
  • Online consenting in the simulated diabetes training (SDT) for resident physicians study [presentation], HMO Research Network 16th Annual Conference: Emerging Frontiers in Healthcare Research and Delivery
  • Outcomes at six months of a randomized trial of home blood pressure telemonitoring with pharmacist case management [presentation]
  • Outpatient clinical decision support – an evidence-based implementation framework [presentation]
  • Passive safety surveillance to monitor study subject safety in research projects [presentation], Minnesota Health Services Research 12th Annual Conference
  • Patient-centered care—is there too much of a good thing [presentation]?
  • Patterns of blood pressure measurement at pediatric primary care visits in large medical group practices [presentation], Minnesota Health Services Research 15th Annual Conference
  • Patterns of blood pressure measurement at pediatric primary care visits in large medical group practices [presentation], HMO Research Network (HMORN) 17th Annual Conference: Collaborations in Population-Based Health Research
  • Patterns of care in children and adolescents following a first elevated blood pressure measurement: a multi-site cohort study [presentation]
  • Physiology of a patient simulation: a systems approach [presentation], HMO Research Network (HMORN) 16th Annual Conference: Emerging Frontiers in Healthcare Research and Delivery
  • Point-of-care prioritized clinical decision support reduces cardiovascular risk in adults with elevated cardiovascular risk: randomized trial [presentation], Conference on the Science of Dissemination and Implementation in Health, 10th Annual
  • Practical realities of using electronic medical/health records (EMR/EHR) for clinical management, research, and surveillance [presentation], CDC (Centers for Disease Control and Prevention) Diabetes Translation Conference 2011 - Changing the Course of Diabetes: Optimizing Health for All
  • Practice guidelines and measurement in the era of personalized and prioritized diabetes care [presentation]
  • Prediabetes: what are health plans doing about it [presentation]?
  • Predicting the risk of hypertension among children with an incident elevated blood pressure [presentation]
  • Prioritizing diabetes care recommendations: how to listen to the evidence and the patient at the same time [presentation]
  • Prioritizing patient goals using evidence-based medicine: importance of teams and office-based systems [presentation], Diabetes Professional Conference
  • Provider treatment profiles correlate with improved glycemic, blood pressure, and lipid actions at diabetes visits [presentation], Minnesota Health Services Research 12th Annual Conference
  • Recent trends in CV risk factor control and CV risk in adults with diabetes [presentation]
  • Recidivism to uncontrolled blood pressure levels in patients with previously controlled hypertension [presentation], Minnesota Health Services Research 17th Annual Conference
  • Root causes of clinical inertia in diabetes care [presentation]
  • SUrveillance, PREvention, and ManagEment of Diabetes Mellitus (SUPREME-DM): trends in myocardial infarction, stroke, heart failure, and all-cause mortality in patients with and without diabetes, 2005-2011 [presentation], Minnesota Health Services Research Conference
  • SimCare hypertension: randomized trial to improve hypertension care [presentation]
  • Six-month blood pressure outcomes of an intensive telemonitoring intervention trial [presentation]
  • Specialty differences in recognizing and managing elevated blood pressures among children and adolescents [presentation]
  • Spiritual challenges that physicians face [presentation]
  • Sustaining use of a clinical decision support tool for primary care providers [presentation], HMO Research Network (HMORN) 21st Annual Conference: Care Improvement Research: Partnering with Patients, Providers and Operational Leaders
  • Tailoring of risk factor modification goals: implications for clinical guidelines [presentation]
  • The Passport Study: a multi-domain lifestyle intervention to promote healthy brain aging [presentation], International Conference on Alzheimer's Disease (ICAD) (12th)
  • The future of population surveillance systems for diabetes: risk factors, care, and complications [presentation]
  • The future of quality measurement-metrics that matter [presentation]
  • The need for new care strategies to prevent A1c relapse [presentation], HMO Research Network (HMORN) 21st Annual Conference: Care Improvement Research: Partnering with Patients, Providers and Operational Leaders
  • Time trends in the use of thiazide diuretics as the initial agent for hypertension treatment from 2002-2007 [presentation]
  • Treatment intensification and medication adherence are factors in improving blood pressure trajectories among newly diagnosed CAD (coronary artery disease) patients [presentation]
  • Trends in hypoglycemia in a large cohort of adults with diabetes mellitus treated in U.S. community practices: 2005-2011 [presentation]
  • Type 2 diabetes mellitus following bariatric surgery: long-term remission, relapse and effectiveness versus nonsurgical treatment [presentation]
  • Type 2 diabetes: personalizing lipid and hypertension goals and treatments [presentation]
  • Understanding and overcoming clinical inertia in diabetes care: a systematic approach [presentation]
  • Use and customization of risk scores for predicting cardiovascular events using electronic health record data [presentation]
  • Use of electronic clinical decision support to improve clinical recognition of incident elevated blood pressure and return for repeat measurement [presentation]
  • Using CV wizard to reduce CV risk in adults [presentation]
  • Virtual diabetes education improves resident physician knowledge and performance: a cluster-randomized trial [presentation], Minnesota Health Services Research 17th Annual Conference
  • What can you do to maximize communication and behavior change [presentation]?
  • Why the type 2 glucose goal should be A1c 6% to <8%, with personalization [presentation]
  • Research
    research overview
  • NIH-funded projects (from 33 total):

    • Cardiovascular Benefits and Safety of Glucose-Lowering Therapies in Adults with Diabetes
    • A Randomized Clinical Trial to Reduce Cardiovascular Risk in Adults with Serious Mental Illness
    • Minnesota Medicaid Incentives for Prevention of Diabetes Demonstration
    • Prioritized Clinical Decision Support to Reduce Cardiovascular Risk
    • EHR-based Clinical Decision Support to Improve Blood Pressure Management in Adolescents
    • SUPREME-DM: Sustaining a Learning Research Network
    • Home Blood Pressure Telemonitoring and Case Management to Control Hypertension
    • HMORN UCSF Center for Diabetes Translational Research
    • Childhood Hypertension and Obesity: Diagnosis, Care and Costs
  • Contact
    full name
  • Patrick J. O'Connor, MD, MA, MPH
  • primary email
  • Patrick.J.OConnor@HealthPartners.Com
  • located in facility
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