Health Services Research and Medical Informatics

Downs, Stephen, MD, MS, (Health Services Research, Regenstrief Institute, Pediatrics)
His new program is a research and training environment dedicated to improving the health and well being of children through the broad areas of health services research and medical informatics. It covers five broad areas: 1) Secondary analysis and data mining of large clinical databases; 2) Health policy analysis through cost-effectiveness and decision analysis; 3) Clinical quality improvement and patient safety effected through informatics technology; 4) Automated capture and electronic storage of clinical pediatric information for research and clinical quality improvement; 5) Clinical research on healthcare practice, child health and health risk, and clinical effectiveness through outpatient research networks.

Marrero, David G., PhD, (Endocrinology, Diabetes Research and Training Center, Medicine)
He is Director of the Education, Development and Evaluation Core (EDEC) in the Diabetes Research and Training Center that develops methods to evaluate interventions such as chart audits, direct evaluation and interviews. He is also principal investigator of the Diabetes Prevention Project, a multicenter study designed to prevent Type 2 Diabetes Mellitus. He is an established investigator who has conducted numerous studies on 1) strategies for the prevention of type 2 diabetes, notably lifestyle modification; 2) strategies for improving diabetes care in managed care and medically underserved environments; and 3) the application of new technologies to the clinical treatment of diabetes, and 4) the psychological and social aspects of adaptation to diabetes.

Swigonski, Nancy, MD, MPH, (Adolescent Medicine, Pediatrics)
Her research interests primarily focus on health care services for the low-income populations and for children with special health care needs. She is currently the principal investigator of an Agency for Health Care Quality and Research funded grant that evaluates the impact of the State Children's Health Insurance Program on children with special health care needs in Indiana and is conducting the evaluation of a model project that implements the "medical home" concept into an urban inner-city clinic for a Maternal and Child Health Bureau SPRANS (Special Project of Regional and National Significance) grant. Additionally, Dr. Swigonski sits on many state committees and serves in an advisory role to parent organizations, managed care organizations, and the state Medicaid and SCHIP managed care programs.

Tierney, William, MD, (Regenstrief Institute, Medicine)
He performs research in three content areas: health services research, medical informatics, and primary care general internal medicine. To find means of improving the processes and outcomes of care from both the providers' and patients' perspectives, he uses various methods including randomized, controlled trials, prospective cohort studies, and retrospective epidemiologic cohort studies. Recent clinical areas of interest include heart disease (mainly heart failure), reactive airway disease, and end-of-life care.