- Pharmaceutical Practices and Patient Outcomes
- Medication Adherence and Compliance
- Gene expression and cancer classification
- Atrial Fibrillation Management and Outcomes
- Blood Pressure and Hypertension Studies
- Venous Thromboembolism Diagnosis and Management
- Lipoproteins and Cardiovascular Health
- Pharmaceutical studies and practices
- Health Systems, Economic Evaluations, Quality of Life
- Potassium and Related Disorders
- Information and Cyber Security
- Electrolyte and hormonal disorders
- Pharmaceutical Economics and Policy
- Big Data Technologies and Applications
- Renal function and acid-base balance
- Cardiac Arrhythmias and Treatments
- Bioinformatics and Genomic Networks
- Acute Myocardial Infarction Research
- Cybercrime and Law Enforcement Studies
- Healthcare Decision-Making and Restraints
- Crime Patterns and Interventions
- Drug-Induced Adverse Reactions
- Cloud Data Security Solutions
- Advanced Data Processing Techniques
- Healthcare Technology and Patient Monitoring
Michigan United
2002-2024
Pfizer (United States)
2004-2023
University of Memphis
2019-2021
M.C. Townsend Associates (United States)
2011-2017
University of Rochester
2007
Michigan Medicine
2007
University of Michigan
1992-2007
American College of Clinical Pharmacy
2004
American Pharmacists Association
1992-2000
The development of a patient-centered medical home (PCMH) health care model and the role pharmacists in PCMHs at University Michigan are described.In 2009, Blue Cross Shield (BCBSM) provided financial incentives to physician groups implement PCMH principles. A partnership was formed among department pharmacy, college faculty group practice Health System (UMHS) integrate clinical into eight general medicine practices. rationale that could assist managing chronic conditions by substituting or...
Background: The medication management of patients following coronary artery bypass graft (CABG) surgery may include antiplatelet agents, β-blockers. angio-tensin-converting enzyme inhibitors, and statins. However, poor adherence is common, patient attitudes beliefs ptay a role in adherence. Objective: To evaluate the association between self-reported have about cardiovascular medicines used after CABG. Methods: Adults were surveyed 6–24 months validated Beliefs Medicines Questionnaire (BMQ)...
A study was conducted to characterize the prevalence of hypertension in patients with diabetes mellitus and percentage who achieved a targeted blood pressure goal (<135/80 mm Hg).A retrospective, cross-sectional an ambulatory care clinic. Eligible were those individuals being managed for type 2 at least once each year two consecutive years. Blood measurements that recorded medical chart or written diagnoses used determine presence comorbid hypertension. Data collected from electronic record...
Abstract Background Differential expression and feature selection analyses are essential steps for the development of accurate diagnostic/prognostic classifiers complicated human diseases using transcriptomics data. These particularly challenging due to curse dimensionality presence technical biological noise. A promising strategy overcoming these challenges is incorporation pre-existing data in identification differentially expressed (DE) genes. This approach has potential improve quality...
OBJECTIVE: To compare compliance rates associated with categories of antihypertensive medications in a Veteran's Affairs (VA) Healthcare System by use readily available data and standard software. METHODS: Prescriptions from the Health Information Technology Architecture (VISTA) database for angiotension-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), β-blockers, calcium-channel (CCBs), diuretics, miscellaneous group antihypertensives filled or refilled during...
Background Despite guideline‐recommended use of oral anticoagulation (OAC) for stroke prevention in atrial fibrillation (AF), OAC medication adherence among patients with AF the United States ranges from 47% to 82%. To characterize potential causes nonadherence, we analyzed associations between community and individual social risk factors AF. Methods Results A retrospective cohort analysis was conducted using IQVIA PharMetrics Plus claims data January 2016 June 2020, 3‐digit ZIP code‐level...
Hypertension in elderly patients is common and associated with unique challenges. This study examines the prevalence of comorbidities hypertensive evaluates association between other covariates blood pressure goal attainment. Data were collected through retrospective review medical records included patient characteristics, comorbidities, treatment-related variables, At least 1 comorbidity was present 88% patients, 61% had multiple comorbidities. The most isolated systolic hypertension....
Outpatient anticoagulation clinics were initially developed to care for patients taking vitamin K antagonists such as warfarin. There has not been a systematic evaluation of the barriers and facilitators integrating direct oral anticoagulant (DOAC) into outpatient clinics.We performed mixed methods study consisting an online survey clinic providers semi-structured interviews with leaders managers between March May 2017. Interviews transcribed coded, exploring themes around DOAC within...
Journal Article Lipid-lowering therapy at hospital discharge after coronary artery bypass grafting Get access Ujjaini Khanderia, M.S., Pharm.D., Pharm.D. Clinical Pharmacist, Assistant Professor University of Michigan Health System (UMHS), Ann Arbor, College Pharmacy, (UM) Address correspondence to Dr. Khanderia the System, Department Pharmacy Services B2D321, MI 48109-0008 (shamo@umich.edu). Search for other works by this author on: Oxford Academic Google Scholar Tracy V. Faulkner, Medical...
A pharmacy database for tracking drug costs and physician prescribing trends is described. Accuracy problems plagued data systems used to make drug-use-policy decisions at a tertiary care teaching hospital because of structural deficiencies within the their nonclinical orientation. To resolve these problems, programmer analyst, clinical supervisor, pharmacist developed hierarchical costs. The was designed be valid according patterns use. Internal controls were created that could identify...
The risk of gastrointestinal (GI) toxicity associated with the use a traditional nonsteroidal antiinflammatory drug (NSAID) versus cyclooxygenase-2 (COX-2) inhibitor was compared among patients in managed care organization.Patients over 18 years old who received prescription for ibuprofen, naproxen, celecoxib, or rofecoxib between March 2001 and June were included this study. All subjects followed 12 months GI complications, medication use, changes physical conditions from baseline. A...
The impact on health-care costs and utilization of a single out-of-range (OOR) INR value not associated with bleeding or thromboembolic complication among chronic warfarin-treated patients is well described.At four large phone-based anticoagulation clinics (total 14 948 patients), atrial fibrillation (AF) venous thromboembolism were retrospectively propensity matched into an OOR group (n = 116) control 58). Types frequency contacts (eg, phone, voicemail, facsimile) personnel involved...
Background: Atrial fibrillation (AF) increases risk of stroke. National guidelines recommend oral anticoagulant (OAC) use to reduce this risk. Medication adherence is pivotal for effective AF management, necessitating an understanding barriers. Aims: This mixed-methods study aimed identify patient and provider factors influencing OAC adherence. Methods: Patients with nonvalvular prescriptions were sampled from a large community health system serving seven states. A stratified random sample...
Background: The impact on healthcare utilization of a single out range (OOR) INR value not associated with any bleeding or thromboembolic complication among chronic warfarin-treated patients is well described. Methods: At four large phone-based anticoagulation clinics in Michigan, atrial fibrillation (AF) venous thromboembolism (VTE) were identified and data collected via medical chart abstraction. Propensity score matching was used to identify two groups closely matched patient...