Healthy Outcomes 2008 HealthPartners Research Foundation: Improving health and healthcare through discovery and application Annual Report of the HealthPartners Research Foundation Healthy Outcomes 2008 HealthPartners Research Foundation is a non-profit organization that supports research to improve health and healthcare. The Foundation maintains a broad portfolio of health services research, applied clinical research, clinical trials and basic science. More than 80 percent of the Foundation’s support is obtained from external sources. The major funding sources are federal (55 percent) and state government, industry and private foundations Dear Friends: This is the 15th issue of Healthy Outcomes, a publication which marks the progress and achievements of the HealthPartners Research Foundation (HPRF). Investigators at HPRF conduct clinical, health services and basic science research that improves the health of HealthPartners’ members and the community, both locally and nationally. All research results are intended for the public domain. HPRF is a not-for-profit corporation within the HealthPartners family of healthcare organizations. This issue of Healthy Outcomes provides a snapshot of some of the vital research activities taking place at HPRF. We are excited to report on newly funded studies and new members of the HPRF team. This is an exciting time at the Foundation as investigators expand our impact by forging productive collaborations with individuals, institutions, and organizations both close to home and on the broader national stage. As we continue to seek funding from a variety of individual donors and agencies, we thank all who contributed generously to HPRF in 2008. Your continued support allows HPRF to discover and accelerate the use of new knowledge. Your contributions fund grants that improve healthcare delivery and facilitate the work of promising new investigators. Together we are making a difference. Thank you. Sincerely, Andrew F. Nelson, MPH Executive Director 2008 Healthy Outcomes 1 Sharing at Work: Partnership Grants and Discovery Grants The Sharing at Work employee fundraiser at HealthPartners and Regions Hospital contributes to programs that benefit patient care, education and research. Two types of internal funding for conducting research in the Foundation are supported through the Sharing at Work program: Discovery Grants and Partnership Grants. Discovery Grants support research studies in several areas, including feasibility studies that test our capacity for intervention or the development of measurement tools. Discovery grants provide internal funding for projects that: • Have promise for future external funding. • Address clinical and/or organizational concerns. • Invest in a new researcher. • Support organizational and clinical learning to improve patient care or enhances our ability to conduct meaningful research. Partnership Grants aim to foster active collaboration between researchers and operational leaders to answer critical questions about existing health programs, and patient care issues. This research may evaluate or lead to changes in the way the HealthPartners enterprise delivers or administers healthcare. 2 HealthPartners Research Foundation Partnership and Discovery Grants Frequency and sources of prescription error in the Electronic Medical Record (EMR) Jody Jackson, RN, BSN, HPRF investigator, supported by a Partnership Grant, surveyed more than 200 doctors within HealthPartners Medical Group, including pediatricians, internists, family practitioners, cardiologists, and oncologists, on their experiences with electronic prescription errors. While the majority of doctors reported only minor problems with electronic prescribing, they also noted the potential for more serious issues. The most common concerns were about dosing issues and the potential for choosing the wrong medication. Healthcare providers were worried about the EMR recommending a dosage that is too much or too little for a patient, as either problem could create serious complications. They also noted that drug names were not consistent across all lists, which could be confusing and possibly dangerous. Results of this survey highlight areas of potential concern around electronic prescribing and draw attention to important issues for consideration to ensure patient safety. Sharing at Work: Partnership Grants and Discovery Grants Important Partnership and Discovery Grants The effect of resident work schedule on working memory capacity Pilot study evaluating physical activity intervention for pregnant women A recent study of medical residents, funded by a Discovery grant, demonstrated the value of a good night’s sleep in medical practice. The study, led by Drs. Jagdeep Bijwadia and Ashraf Gohar, followed nearly 40 medical residents at Regions Hospital for eight weeks to monitor their sleep patterns and assess their short-term memory as residents rotated between call-free and on-call schedules. Residents got far less sleep while they were on call, and their memory suffered. This is one of the first studies to carefully document exactly what effects a lack of sleep can have on a doctor’s performance. A new study has shown that a telephone-based intervention can be an excellent way to help women get necessary exercise during pregnancy. While the American College of Obstetricians and Gynecologists (ACOG) recommends that women with low-risk pregnancies get at least 30 minutes of moderate exercise most days of the week, only 15 percent of women achieve this. Study Team: Jagdeep Bijwadia, MD; Ashraf Gohar, MD; Thom Flottemesch, PhD; Alex Adams, MD The study, led by Investigator Dr. Beth Lewis, used motivational phone calls to encourage participants to increase their physical activity. On average, the women in the study more than doubled their weekly amount of exercise over the course of three months. Study Team: Beth Lewis, PhD; Brian Martinson, PhD; Nancy Sherwood, PhD; Melissa Avery, PhD, RN; Jessica Boerboom, BS Jagdeep Bijwadia, MD Beth Lewis, PhD Dr. Gohar received the “Young Investigator of the Year” award from the American College of Chest Physicians in the fall of 2007 for his work on this study. 2008 Healthy Outcomes 3 Outcomes Leif Solberg, MD Dr. Leif Solberg, director for Care Improvement Research at HPRF, joined the Foundation in 1992. He is a family physician and associate medical director for HealthPartners Medical Group whose research focuses on quality improvement in healthcare in relation to chronic disease management, depression and preventive medicine. In this section we profile two recent studies that Dr. Solberg has been a part of. Retail clinics study Retail or “in-store” clinics are a relatively new phenomenon in healthcare. These small clinics are located in retail stores or pharmacies, and offer readily accessible immunizations and care for common illnesses. A recent pilot study, led by Dr. Marcus Thygeson and co-investigator Dr. Solberg, has shown that these clinics are often less expensive than, and as effective as a visit to a traditional medical clinic. As one of the first studies to look at cost and care at retail clinics, five of the most common complaints seen in the MinuteClinic chain of clinics were examined: sore throat, ear infections, sinus infections, pink eye, and bladder and kidney infections. Overall, the average totalmonths, cost of treatment a After three the studyatfound MinuteClinic was $51 less expensive than at an urgent care that 16 percent of the group receiving center, and $55 less expensive than at a traditional only the manual remainedprimaryabstinent, but care practice, but the impact on overall cost of care and quality 45 percent of those who also received is undetermined. telephone counseling remained abstinent. Citation Thygeson M, Van Vorst KA, Maciosek MV, Solberg L. Use And Costs Of Care In Retail Clinics Versus Traditional Care Sites. Health Affairs, September/October 2008; 27(5):1283-1292. Funding Source: California Health Care Foundation Study Team: Marcus Thygeson, MD; Leif I. Solberg, MD; Mike Maciosek, PhD 4 HealthPartners Research Foundation In 2004 Dr. Solberg received the Minnesota Academy of Family Physicians Researcher of the Year award. In 2005 he received the prestigious HealthPartners Founders Award, to honor his work in improving healthcare services. In 2008 he received the University of Minnesota Medical Alumni Society Distinguished Alumni Award. Outcomes Pilot study of high tech diagnostic imaging decision support Costly tests like magnetic resonance imaging (MRI) and computerized axial tomography (CT) scans have been ordered with increasing frequency. Dr. Solberg recently led a group, including HealthPartners Medical Group (HPMG) and Institute for Clinical Systems Improvement (ICSI) leaders, to study the use of electronic medical record (EMR) decision support when ordering these high tech diagnostic imaging (HTDI) tests. The study examined the appropriateness of ratings and outcomes for three types of HTDI tests (head MRI, head CT, and spine MRI) before and after decision support was introduced to the HealthPartners Medical Group EMR. Overall, with electronic decision support, doctors ordered fewer head CT and spine MRI tests but the same number of head MRIs, and the proportion with high appropriateness rating increased. However, no difference was observed in the percentage of tests with positive results or in their apparent impact on patient care. This pilot study has paved the way for a larger study of the impact on patients of introducing such decision support throughout Minnesota through an ICSI initiative. Study Team: Leif Solberg, MD; John Butler, MD; Kevin Palattao, BA; Cally Vinz, RN; Feifei Wei, PhD; Colleen King; Dianne Eggen; Laurie Van Arman, LPN; Melissa Marshall, MBA; Teri DeFor, MS It was found that having more practice systems to support depression care was significantly related to higher rates of initial antidepressant medication use and continued use of those medicines. 2008 Healthy Outcomes 5 New Studies PASSPORT study Just as our bodies age, so do our brains. Just as exercise and proper diet can help offset the effects of aging bodies, so may such efforts protect the aging brain. As the population ages and the life span increases, more and more people will develop some form of cognitive impairment. PASSPORT study (Physical Activity, Cognitive Stimulation, and Social Support to Maintain Cognitive Health) is an attempt to apply findings from basic scientific research to minimize aging’s effect on the brain. Dr. Leah Hanson, co-director of the Alzheimer’s Research Center at Regions Hospital, and Dr. Brian Martinson, senior research investigator, lead this project representing expertise in neuroscience and behavioral science, respectively. PASSPORT combines neuroscience with behavioral science to create a program that will help older adults maintain their cognitive health through a set of lifestyle changes. For example, moderate regular exercise, social activity, and diets high in unsaturated fat have been shown to have a positive effect on mental health. By encouraging changes in all of these areas, PASSPORT hopes to significantly slow cognitive decline in older patients. PASSPORT is an initiative born out of the Keep Active Minnesota (KAM) study, which aims to study the benefits of physical activity among seniors. KAM, led by Dr. Brian Martinson, has been going on for more than five years and has shown that a low-intensity intervention program can effectively help sustain physical activity among older adults who are trying to stay physically active. Funding: National Institute on Aging/NIH/ DHHS [1 R01 AG023410] Study Team: Brian Martinson, PhD, Leah Hanson, PhD; Nancy Sherwood, PhD; Lauren Crain, PhD; Patrick O’Connor, MD, MPH; Nico Pronk, PhD; Marcia Hayes, MPH, RD; Kirsten Hase, BA; Chris Enstad, BS; Dana McGree; Karen Pettersson, BA; Alex Kravchik, BS; Jessica Boerboom, BS; Julie Anderson, RD, MPH; Annie Hotop; Karen Speicher, BS; Stephanie Williams; Colleen Flattum; Staff of the DCC; Colleen King; Shannon Donald; Rachel Matthews, BA; Jacob Cooner, BA; Tyler Smith, BS; Aleta Svitak, BA; Maureen Busch; Melissa Ohnstad; Nicole Krugen Brian Martinson, PhD 6 HealthPartners Research Foundation Leah Hanson, PhD New Studies Internal grants funded in 2008 Partnership Grants Application title Primary investigator Correlation of Span of Control & Nurse Manager Effectives Dianne Aho, BSN; Mike Cannon, RN Feasibility and Inclusiveness of Heart Disease Categorization Algorithm Tom Kottke, MD; George Isham, MD A Novel Dietary Improvement Incentive Strategy?: Examining the Potential Impact of Community Supported Agriculture Membership Nancy Sherwood, PhD Marcus Thygeson, MD Restorative Functions Auxiliary: Impact on Primary Oral Health Care Merry Jo Thoele, RDH, MPH Don Worley, DDS Discovery Grants Application Title Primary Investigator Pre-Diabetes and the Transition to Diabetes in HP Patients Kenneth Adams, PhD Evaluation of an Apgar Score for Surgery David Dries, MD Comparison of Provider Time Ventilation in Advanced Airway Procedures: A Laboratory Simulation Trial Kent Griffith, RN Improving Patient Comfort in the ER Karen Poor, RN Advanced Airway Research Trial Joshua Salzman, MA Model Development Induced Hypothermia Treatment for Severe Carbon Monoxide Poisoning Samuel Stellpflug, MD Diagnosis & Treatment of Osteoporosis in the Home Health Care Setting Julie Switzer, MD Vicarious Traumatization Among End of Life Professionals in MN Gretchen Thompson Geriatric Dementia Patients in Assisted Living Setting Dianne Willer-Sly, MS Pacemaker & Implantable Cardioverter-Defibrillator (ICD) Placement Dennis Zhu, MD 2008 Healthy Outcomes 7 Collaborations HMO Research Network (HMORN) The HMO Research Network (HMORN) is a geographically diverse network of 16 healthcare delivery systems in the U.S. and internationally with incorporated research organizations representing more than 15 million patients. The partnership between research organizations and care delivery systems supports the principal aim of the network: To improve health and healthcare through population-based research. A preliminary report of the WHO International Agency for Research on Cancer (IARC) appeared in Lancet Oncology in December 2007. 8 HealthPartners Research Foundation Collaborations HMORN Annual Conference The 14th Annual HMORN conference, “Partnerships in Translation: Advancing Research and Clinical Care,” was co-hosted by HealthPartners Research Foundation and Marshfield Clinic Research Foundation, in Minneapolis, Minnesota, April 13–16, 2008. The conference, planned by Kate Rardin, MPH, and members of the planning committee, was co-chaired by Andrew Nelson, MPH, of HealthPartners Research Foundation and Robert Greenlee, PhD, of Marshfield Clinic Research Foundation. Through a series of oral presentations, discussions, and poster sessions, participants in the HMORN conference identified opportunities and challenges of partnerships between care delivery and research organizations. Minneapolis, Minnesota April 13-16, 2008 14th Annual HMO Research Network Conference Hosted by HealthPartners Research Foundation and Marshfield Clinic Research Foundation Conference Chairs Andy Nelson, MPH HealthPartners Research Foundation, and Robert Greenlee, PhD Marshfield Clinic Research Foundation Conference will be held at the Minneapolis Hilton, located in downtown Minneapolis. Speakers & Poster Presenter Questions: Jordon Ott [email protected] Phone: 715-389-3658 Fax: 715-389-3880 Conference Registration & General Questions: Jeanne Sleeper JBS & Associates [email protected] or [email protected] Phone: 949-497-3673 x 300 Fax: 949-497-2623 www.HMOResearchNetwork.org The conference highlighted important partnership aspects that add value to both care delivery and research, and identified critical challenges that must be addressed by clinical and research organizations to capitalize on this partnership. 2008 Healthy Outcomes 9 Collaborations HealthPartners Research Foundation is involved in several of the HMORN’s ongoing consortium projects including the Developing Evidence to Improve Decisions about Effectiveness (DEcIDE) Network and the Cardiovascular Research Network (CVRN). Developing Evidence to Improve Decisions about Effectiveness (DEcIDE) Network Electronic medical records (EMR) are among the most important technological innovations that support modern medicine. With instant access to a patient’s entire medical history, doctors can prescribe more effective treatments and medications, and avoid dangerous complications. Electronic medical records can also serve as an effective tool for conducting research. This is the idea behind the DEcIDE network. The HMORN Center for Education and Research on Therapeutics (CERT) was awarded a DEcIDE center contract in 2005 as part of the Agency for Healthcare Research and Quality’s (AHRQ) Effective Health Care program. The primary aim of the DEcIDE Network, which includes 15 HMORN sites, is to evaluate the outcomes, safety and appropriateness of healthcare services, and to compare the clinical effectiveness of available services. Each of the research-based health organizations in the Network has access to electronic health information databases that support the capacity to conduct accelerated research. HPRF is currently participating in a study on second-line drug therapy for hypertension. Through the use of patient data in the EMR of patients with hypertension, researchers are working to identify the most effective treatments for hypertension. 10 HealthPartners Research Foundation Collaborations Cardiovascular Research Network (CVRN) The CVRN, which includes 14 HMORN sites, was launched in 2007 through funding from the National Heart, Lung, and Blood Institute (NHLBI). The CVRN capitalizes on several key strengths of HMORN including their broad expertise in cardiovascular medicine, diverse health plans and populations, and integrated data systems. The CVRN aims to develop a framework for exploring critical questions in cardiovascular epidemiology and the optimal management of cardiovascular disease in large community-based populations. The initial research agenda of the CVRN focuses on recognition, treatment, and control of hypertension; control and persistence of Warfarin and associated outcomes in atrial fibrillation and venous thromboembolic disease; and the use, outcomes, and costs of implantable cardioverter defibrillators in primary prevention. 2008 Healthy Outcomes 11 Meet the Foundation Data Collection Center One of the outstanding resources in the Foundation is the Data Collection Center (DCC). Several of the studies conducted by HPRF investigators rely on data provided by HealthPartners members and clients. The DCC supports data collection in HealthPartners Research Foundation through a variety of research services: interviews, telephone surveys, mail surveys, and more. The services offered by DCC support the research process at multiple stages. The DCC designs surveys and mailings used to collect data, conduct interviews, and sort and collate the huge volume of data they collect. The center also provides information services for a variety of other companies and projects. Any project that requires collecting survey or interview data can make use of the Center’s resources. Just recently, the center completed a comprehensive manual of the various services they offer and how investigators can make the best use of them. Colleen King, manager of the DCC, oversees every project at the Center. With a growing staff of four full-time employees and upwards of 30 on-call telephone interviewers and chart abstractors, the center can handle projects of any size. 12 HealthPartners Research Foundation Meet the Foundation New investigator profiles: Pamala Pawloski, Pharm.D, pharmacist investigator: Dr. Pawloski’s areas of interest focus on improving patient care and outcomes by improving medication management through enhanced identification of adverse reactions and subsequent reporting, increased medication therapy management programs, and application of pharmacogenomic testing methods to enhance appropriateness of therapy. Lila Rutten, PhD, MPH, research investigator: Dr. Rutten’s research interests are focused on the impact of cancerrelevant health communication on patients’ cancer-relevant health knowledge, behavior and outcomes. Areas of particular interest include communication around cancer prevention and detection behaviors including tobacco cessation, cancer immunization, and cancer screening. Marcus Thygeson, MD, senior research fellow, vice president and associate medical director of Consumer Health Solutions: His area of research interest focuses on the potential for improving health outcomes and affordability through the examination and application of new methodologies for exploring the complex healthcare systems through which patients get care. Kenneth Adams, PhD, research investigator: Dr. Adam’s interests are in obesity-related chronic disease. He is currently developing a risk calculator to predict transition to diabetes (from either euglycemia or pre-diabetes) based on clinical and demographic data contained in electronic medical records. He is engaged in efforts to complete the Virtual Data Warehouse for health research, and to develop Natural Language Processing capabilities within the Research Foundation. 2008 Healthy Outcomes 13 Selected Publications In 2008 HealthPartners Research Foundation (HPRF) researchers disseminated the results of their research by publishing 151 articles, books and book chapters and by giving 162 paper and poster presentations at national and international conferences. We feature 48 (out of the 151) publications here. Bold indicates HPRF staff. Adams KF; Leitzmann MF; Albanes D; Kipnis V; Moore SC; Schatzkin A; Chow WH. Body size and renal cell cancer incidence in a large US cohort study. American Journal of Epidemiology. 2008 Aug 1;168(3):268-77. Altschuler A; Nekhlyudov L; Rolnick SJ; Greene SM; Elmore JG; West CN; Herrinton LJ; Harris EL; Fletcher SW; Emmons KM; Geiger AM. Positive, negative, and disparate--women’s differing long-term psychosocial experiences of bilateral or contralateral prophylactic mastectomy. Breast Journal. 2008 JanFeb;14(1):25-32. Boyle RG; Enstad CJ; Asche SE; Thoele MJ; Sherwood NE; Severson HH; Ebbert J; Solberg LI. A randomized controlled trial of telephone counseling with smokeless tobacco users: the ChewFree Minnesota study. Nicotine and Tobacco Research. 2008 Sep;10(9):1433-40. Clinical Practice Guideline Treating Tobacco Use and Dependence 2008 Update Panel, Liaisons, and Staff; Kottke TE, member. A clinical practice guideline for treating tobacco use and dependence: 2008 update. A U.S. Public Health Service report [meta-analysis]. American Journal of Preventive Medicine. 2008 Aug;35(2):158-76. Emery RW; Emery AM; Raikar GV; Shake JG. Anticoagulation for mechanical heart valves: a role for patient based therapy. Journal of Thrombosis and Thrombolysis. 2008 Feb;25(1):18-25. Field TS; Doubeni CA; Fox MP; Buist DSM; Wei F; Geiger AM; Quinn VP; Lash TL; Prout MN; Yood MU; Frost FJ; Silliman RA. Under utilization of surveillance mammography among older breast cancer survivors. Journal of General Internal Medicine. 2008 Feb;23(2):158-63. Finney Rutten LJ; Augustson EM; Moser RP; Beckjord EB; Hesse BW. Smoking knowledge and behavior in the United States: sociodemographic, smoking status, and geographic patterns. Nicotine and Tobacco Research. 2008 Oct;10(10):1559-70. 14 HealthPartners Research Foundation Frascone RJ; Heegaard W; Pippert G; Dries DJ; Molinari P; Salzman JG. Use of the intubating laryngeal mask airway in HEMS (helicopter emergency medical services). Air Medical Journal. 2008 Jul-Aug;27(4):182-4. Frascone RJ; Salzman JG; Griffith KR; Dunbar D. Shock Factor: how donut magnets can suspend inappropriate ICD shocks. JEMS: a Journal of Emergency Medical Services. 2008 Jul;33(7):104-7. Gerstein HC; Miller ME; Byington RP; Goff DC Jr; Bigger JT; Buse JB; Cushman WC; Genuth S; IsmailBeigi F; Grimm RH Jr; Probstfield JL; Simons-Morton DG; Friedewald WT; Action to Control Cardiovascular Risk in Diabetes (ACCORD) Study Group: Margolis KL; Sperl-Hillen JM; O’Connor PJ; Busch ME; Chung A; Klein BK; Krugen NM; Bunkers-Lawson TM; Ekstrom HL; Gunderson HS; Johnson BM; MacIndoe JH; Prewedo DJ; Rawl JL; Roethke CM; Spencer M, Members. Effects of intensive glucose lowering in type 2 diabetes. New England Journal of Medicine. 2008 Jun 12;358(24):2545-59. Gilbert GH; Williams OD; Rindal DB; Pihlstrom DJ; Benjamin PL; Wallace MC. The creation and development of the dental practice-based research network. Journal of the American Dental Association. 2008 Jan;139(1):74-81. Gordon BD; Flottemesch TJ; Asplin BR. Accuracy of staff-initiated emergency department tracking system timestamps in identifying actual event times. Annals of Emergency Medicine. 2008 Nov;52(5): 504-11. Graf J; Marini JJ. Do airway secretions play an underappreciated role in acute respiratory distress syndrome [review article]? Current Opinion in Critical Care. 2008 Feb;14(1):44-9. Hanson LR; Frey WH 2nd. Intranasal delivery bypasses the blood-brain barrier to target therapeutic agents to the central nervous system and treat neurodegenerative disease. BMC Neuroscience. 2008 Dec 10;9(Suppl 3):S5. Jeffery RW; Sherwood NE. Is the obesity epidemic exaggerated? No [editorial]. BMJ (Clinical Research Ed.). 2008 Feb 2;336(7638):245. Johnson KC; Margolis KL; Espeland MA; Colenda CC; Fillit H; Manson JE; Masaki KH; Mouton CP; Prineas R; Robinson JG; Wassertheil-Smoller S. A prospective study of the effect of hypertension and baseline blood pressure on cognitive decline and dementia in postmenopausal women: the Women’s Health Initiative Memory Study. Journal of the American Geriatrics Society. 2008 Aug;56(8):1449-58. Kanabrocki EL; Sothern RB; Sackett-Lundeen LL; Ryan MD; Johnson M; Foley S; Dawson S; Ocasio T; Mc-Cormick JB; Haus E; Kaplan E; Nemchausky B. Creatinine clearance and blood pressure: a 34-year circadian study. La Clinica Terapeutica. 2008 NovDec;159(6):409-13. Kottke TE; Solberg LI; Nelson AF; Belcher DW; Caplan W; Green LW; Lydick E; Magid DJ; Rolnick SJ; Woolf SH. Optimizing practice through research: a new perspective to solve an old problem. Annals of Family Medicine. 2008 Sep-Oct;6(5):459-62. Lewis BA; Avery M; Jennings E; Sherwood NE; Martinson BC; Crain AL. The effect of exercise during pregnancy on maternal outcomes: practical implications for practice. American Journal of Lifestyle Medicine. 2008 Sep-Oct;2(5):441-55. Lewis BA; Williams DM; Dunsiger SI; Sciamanna CN; Whiteley JA; Napolitano MA; Bock BC; Jakicic JM; Getz M; Marcus BH. User attitudes towards physical activity websites in a randomized controlled trial. Preventive Medicine. 2008 Nov;47(5):508-13. Luo J; Margolis KL; Adami HO; LaCroix A; Ye W. Obesity and risk of pancreatic cancer among postmenopausal women: the Women’s Health Initiative (United States). British Journal of Cancer. 2008 Aug 5;99(3):527-31. Selected Publications Margolis KL; Qi L; Brzyski R; Bonds DE; Howard BV; Kempainen S; Simin L; Robinson JG; Safford MM; Tinker LT; Phillips LS. Validity of diabetes self-reports in the Women’s Health Initiative: comparison with medication inventories and fasting glucose measurements. Clinical Trials. 2008;5(3):240-7. Margolis KL; Ray RM; Van Horn L; Manson JE; Allison MA; Black HR; Beresford SA; Connelly SA; Curb JD; Grimm RH Jr; Kotchen TA; Kuller LH; WassertheilSmoller S; Thomson CA; Torner JC. Effect of calcium and vitamin D supplementation on blood pressure: the Women’s Health Initiative Randomized Trial. Hypertension. 2008 Nov;52(5):847-55. Marini JJ. Lung injury--settle for a sketch or design a blueprint [review article]? Critical Care Medicine. 2008 Oct;36(10):2922-5. Marini JJ; Gattinoni L. Propagation prevention: a complementary mechanism for “lung protective” ventilation in acute respiratory distress syndrome [review article]. Critical Care Medicine. 2008 Dec;36(12):3252-8. Martinson BC; Crain AL; Sherwood NE; Hayes MG; Pronk NP; O’Connor PJ. Maintaining physical activity among older adults: six-month outcomes of the Keep Active Minnesota randomized controlled trial. Preventive Medicine. 2008 Feb;46(2):111-9. McBeth BD; Ankel FK; Ling LJ; Asplin BR; Mason EJ; Flottemesch TJ; McNamara RM. Substance use in emergency medicine training programs. Academic Emergency Medicine. 2008 Jan;15(1):45-53. Nordin JD; Kasimow S; Levitt MJ; Goodman MJ. Bioterrorism surveillance and privacy: intersection of HIPAA, the Common Rule, and public health law. American Journal of Public Health. 2008 May;98(5):802-7. O’Connor PJ; Rush WA; Davidson G; Louis TA; Solberg LI; Crain AL; Johnson PE; Whitebird RR. Variation in quality of diabetes care at the levels of patient, physician, and clinic. Preventing Chronic Disease. 2008 Jan;5(1):A15. Remington SG; Crow JM; Nelson JD. Secretoglobins: lacrimal gland-specific rabbit lipophilin mRNAs. Investigative Ophthalmology and Visual Science. 2008 Jul;49(7):2856-62. Rindal DB; Rush WA; Boyle RG. Clinical inertia in dentistry: a review of the phenomenon [review article]. Journal of Contemporary Dental Practice. 2008 Jan 1;9(1):113-21. Ross TM; Zuckermann RN; Reinhard C; Frey WH 2nd. Intranasal administration delivers peptoids to the rat central nervous system. Neuroscience Letters. 2008 Jul 4;439(1):30-3. Rush WA; Whitebird RR; Rush MR; Solberg LI; O’Connor PJ. Depression in patients with diabetes: does it impact clinical goals? Journal of the American Board of Family Medicine. 2008 Sep-Oct;21(5):392-7. Salzman JG; Dillingham J; Kobersteen J; Kaye KL; Page D. Effect of paramedic student internship on performance on the National Registry Written Exam. Prehospital Emergency Care. 2008 AprJun;12(2):212-6. Sherwood NE; Martinson BC; Crain AL; Hayes MG; Pronk NP; O’Connor PJ. A new approach to physical activity maintenance: rationale, design, and baseline data from the Keep Active Minnesota trial. BMC Geriatrics. 2008 Jul 25;8:17. Solberg LI; Asche SE; Averbeck BM; Hayek AM; Schmitt KG; Lindquist TC; Carlson RR. Can patient safety be measured by surveys of patient experiences? Joint Commission Journal on Quality and Patient Safety. 2008 May;34(5):266-74. Solberg LI; Asche SE; Margolis KL; Whitebird RR. Measuring an organization’s ability to manage change: the Change Process Capability Questionnaire (CPCQ) and its use for improving depression care. American Journal of Medical Quality. 2008 MayJun;23(3):193-200. Solberg LI; Asche SE; Margolis KL; Whitebird RR; Trangle MA; Wineman AP. Relationship between the presence of practice systems and the quality of care for depression. American Journal of Medical Quality. 2008 Nov-Dec;23(6):420-6. Sperl-Hillen JM; Solberg LI; Hroscikoski MC; Crain AL; Engebretson KI; O’Connor PJ. The effect of advanced access implementation on quality of diabetes care. Preventing Chronic Disease. 2008 Jan;5(1):A16. Thoele MJ; Asche SE; Rindal DB; Fortman KK. Oral health program preferences among pregnant women in a managed care organization. Journal of Public Health Dentistry. 2008 Summer;68(3):174-7. Thorne RG; Hanson LR; Ross TM; Tung D; Frey WH 2nd. Delivery of interferon-beta to the monkey nervous system following intranasal administration. Neuroscience. 2008 Mar 27;152(3):785-797. Thygeson M; Van Vorst KA; Maciosek MV; Solberg LI. Use and costs of care in retail clinics versus traditional care sites. Health Affairs. 2008 SepOct;27(5):1283-92. Tinker LF; Bonds DE; Margolis KL; Manson JE; Howard BV; Larson J; Perri MG; Beresford SA; Robinson JG; Rodriguez B; Safford MM; Wenger NK; Stevens VJ; Parker LM. Low-fat dietary pattern and risk of treated diabetes mellitus in postmenopausal women: the Women’s Health Initiative randomized controlled dietary modification trial. Archives of Internal Medicine. 2008 Jul 28;168(14):1500-11. Volpe MS; Adams AB; Amato MB; Marini JJ. Ventilation patterns influence airway secretion movement. Respiratory Care. 2008 Oct;53(10): 1287-94. Zheng Z; Margolis KL; Liu S; Tinker LF; Ye W. Effects of estrogen with and without progestin and obesity on symptomatic gastroesophageal reflux. Gastroenterology. 2008 Jul;135(1):72-81. Solberg LI; Asche SE; Pawlson LG; Scholle SH; Shih SC. Practice systems are associated with high-quality care for diabetes. American Journal of Managed Care. 2008 Feb;14(2):85-92. Solberg LI; Flottemesch TJ; Foldes SS; Molitor BA; Walker PF; Crain AL. Tobacco-use prevalence in special populations taking advantage of electronic medical records. American Journal of Preventive Medicine. 2008 Dec;35(6 Suppl):S501-7. Solberg LI; Maciosek MV; Edwards NM. Primary care intervention to reduce alcohol misuse ranking: its health impact and cost effectiveness [review article]. American Journal of Preventive Medicine. 2008 Feb;34(2):143-52. 2008 Healthy Outcomes 15 Donors Abraham, Brenda L Appelman, Wanda Jean Bergh, David J Brinkman, Kayla N Causse, Marybeth S Abraham, Paul A Archer-Burton, Jeffrey B Berndt, Sandra G Brost, Gerald A Cerf, Karan L Abramson, Alan V Arden Hills Clinic Berreau, Jennifer J Broughton, Deana L Chaffin, Jodi A Adams, Alexander B Arens, Dawn M Berry, Paul A Brousseau, Vicki M Chamberlain, Timothy R Adeboye, Catherine B Arora, Puneet S Betters, Heather M Brown, Carolyn J Charles, Stephanie J Adoga, Nkeiru O Arthur, David M Beugen, Michael R Bruzek, Richard J Chern, Richard A Aebischer, Scott A Asche, Stephen E Bialon, Mindy S Bryan, Debra J Christensen, Edward G Affeldt, Janna M Asghar, Omar I Biring, Timinder Bryan, Kathleen A Afgarshe, Mohamud D Asghar, Razia I Bjork, Theodore R Bryant, Jennifer A Christensen-Johnston, Diana L Agerbeck, Kathryn D Asher, Betsy A Blanchard, Lisa R Brykalova, Marina V Christopherson, Kevin C Aguirre, Theresa Askelson, John F Blatzheim, Mark F Budija, Kristin L Chung, Adrine Y Aho, Diane G Asplin, Brent R Bleskey, Rhonda J Bunde, Steven D Chung, Won G Aker, Lisa B Auge, Darlene M Blix, Rhoda I Burfeind, Kimberly B Chyrklund, Michael J Akintade, Rufus A Austin, Connie M Blom, John C Burg, Mary G Cincoski, Carmon L Alexander, Mary E Austin, Erin E Bloomquist, James D Burns, Daniel B Clark, Claudia F Allen, Calvin U Averbeck, Bethel M Bloss, Hilary K Burns, Elizabeth K (Beth) Clelland, Jennifer J Aller, Beth F Aydinalp-Mathews, Dilek R Boe, Philip N Burt, Ashley R Clements, Mark A Aluko, Charles O Ayika, Chi-Chi P Boerboom, Jessica M Busch, Maureen E Cloutier, Julie M Ammons, Carlton E Bach, Heather A Bogdan, Colleen K Buss, Christy J Cmiel, Mary K Amundson, Craig W Bahadur, Sandeep Bohline, Nancy R Bussart, Kenneth A Colgrove, Sandra K Amundson, Paul C Baillie, Mark R Bonk, Richard J Bussey, Stacy R Condon, Lawrence M Anderson, Cheryl M Baird, Sharon J Bonk, Sara E Butani, Amy L Constantine, Sharon M Anderson, Corryn M Balk, Linda J Bonkowske, William H Butcher, Barbara L Convery, Lynn M Anderson, Eric D Ball, Clifford W Books, Thomas M Byers, Janine M Conzet, Patricia A Anderson, Julie D Barraclough, Mary M Bovard, Ralph S Cady, Joan M Cooney, Kathleen M Anderson, Kari L Barrett, Lori J Braaten, Susan L Cain, Theresa A Cooper, Jonathan M Anderson, Kimberly J Bass, Charles M Brackett, Elizabeth C Callahan, Joanne K (Joni) Cooper, Misty D Anderson, Larin D Bastian, Molly L Brainerd, Mary K Canaan, Eugenia S Cooper, Susan L Anderson, Lavonne J Beadle, Carrie R Brandt, Kevin J Carley, AnnaMarie L Cordes, Jeanne V Anderson, Patricia K Beilke, Rebecca S Branum, Irene J Carroll, Todd D Costello, Eileen Anderson, Rebecca H Bell, Ralph E Breakfield-Uggen, Rhonda M Carroll, Victoria A (Vickey) Costello, Monica M Angell, Melody J Beneke, Janet S Brennan, James V Carter, Gregory M Cotton, Jill D Ankel, Felix K Bennington, Nancy K Brenner, Jay A Casciaro, Tris R Covington, Annette Anshus, Michael J Benson, Gretchen A Brewer, Barbara A Casey, Wendy E Crain, Annisa L Anuforo, Cecilia C Beraki, Terhas M Brink, Jane D Cassell, Sarah R Cross, Gaynal L Cumming, Robert B 16 HealthPartners Research Foundation Donors Cummings, Jennifer L Downing, Christina B Erickson, Robert E Froid, Patricia A Grone, Lisa J Cummings, Patricia M Draxten, Terri J Erie, Gretchen A Fye, Roberta L Grublesky, Joyce E Curran, Debra M Dressler, Tara L Ernster, Catherine M Gallagher, David J Gruendeman, Joan M Curwick, Natalie J Dries, David J Estevez, Shelley R Gammell, David W Grummer, Linda L Dahiya, Ranjan Duback, Danielle C Evans, Barbara A Gammell, Philip J Guay, Maureen A Dahl, Dina A Ducharme, Cynthia M Fake, Lori M Ganser, Lisa M Gunderson, Heidi S Dahl, Susan M Dudziak, Kris P Falkenstein, Jaclyn K Gardner, Michelle D Gunderson, Margaret A Dahl, Suzanne M Dukinfield, Kathleen A Farrell, Christina F Gause, Stacey J Gurney, Thomas E Dahlgren, Gregg K Dunn, Michelle A Fautch, Rhonda J Gebhard, Roger L Guthrie, Sidney C Dahms, Rachel A Duran-Nelson, Alisa M Fay, Cynthia J Gebremichael, Mulunesh T Guy, Susanne M (Sue) Dalen, Sheila M Dziuk, David A Feathers, Craig A Geiger, Paula A Guzzo, Jody J Dalton, Diane K Eaton, John O Feltz, Constance L Geisler, Christopher J Gysbers, Elizabeth M Davis, Angel R Eberhardt, Cheryl L Field, Bruce H Geisler, Jamie R Haataja, Judith M Davis, Kevin D Ebert, Leslie A Fine, Judith Z Gentilli, Susan L Hack, Brett A Davis, Tamera D Edmonson, George R Fink, Henry E Gerstner, John P Hagen, Jeanette M De Quesada, Sandra J Eelkema, Marilyn R Finn, Kathleen A Gertner, Elie Haggerty, Betty Jo Defoe, Timothy J Egeland, Rebecca L Fischer, Shelby J Gesko, David S Haldorson, Susan M DeFor, Terese A Eggert, Amanda J Fisher, Brian P Giefer, Sandra R Hale, Ann M Degelau, John J Eide, Arlyce R Fitch, Jean E Gigure, Marilyn A Hale, Richard D (Doug) Delaney, Kimberly A Eidem, Tom M Fitzgerald, Melissa J Godding, Bobette K Haley, Timothy M Delgado, Kim G Eikmeier, Michelle M Flaherty, Denise M Godzala, Carol J Hall, Gina T Densinger, Jane F Eisenzimmer, Joan M Flannigan, Jessica R Goebel, Margaret M Hamlar, David D DeNuccio, Susan H Electronic Commerce & PDS Fletcher, Colleen E Golfis, Patricia L Hammons, Laura M Deyo, Kristine M Elfmann, Mary G Flint, Forrest M Gonnella, Sarah E A Hansen, John J Di Ioia, Lori Ann Ellis, Gregory A Flores, Jorge Goodman, Warren T Hansen, Paul M Diller, Virginia M Ellis, Thomas K Flynn, Nicole S Gordon, Bradley D Hanson, Ann M DiMucci, Michael V Elston, Doris D Fodor, Sofia Gowan, James L Hanson, Leah R Dise, Sheila M Ely, Kevin L Fonseth, Susan K Gowan, William D (Dan) Hanson, Marcia S Dobak, Rhonda L Emmans, Kimberly M Foreman, Joann K Graham, Jacqueline L Harding, Angela M Dobbins, Karen K Enderson, Carol A Forkey, Michael W Graven, Krista K Haring, Cathleen A Dolan, Theresa M Engelhardt, Alice M Fosse, Ronald G Greening, Amy C Harms, Lawrence L Dommeyer, Lynn M Engman, Jonathan H Frailich, Midge A (Marjory) Gregory, Amanda F Harris, Carson R Donald, William Brooks Engmark, Julie L Franzen, Beth J Griffin, Michael J Harris, Cynthia M Do-Nguyen, Vinh Q Enstad, Christopher J Frascone, Ralph J Griffin, Peggy L Harris, Mary H Donovan, William M (Bill) Enyi, Denise A Fredrickson, Penny Grinager, Abby M Harste, Ann M Dorfman, Janet K Erickson, Kelley A Froehlich, Jean M Groess, Rachel A Hart, Linda S 2008 Healthy Outcomes 17 Donors Harvego, Diana J Holten, Paul F Johnson, Eric W Kerby, Tessa J Kreider, Joan E Haselman, Linda Gene Housekeeping Johnson, Jan M Kesselly, Tayma J Kremer, Sriwan L (Lek) Haus, Erhard A Hove, Ryan M Johnson, Janine K Khalil, Zena M Kremer, Steven G Hawkins, Yuki Howard, Rebecca L Johnson, Joyce C Kidanemariam, Getinet G Krenn, Dorene S Hayden, Paulette R Huang, Lily H Johnson, Kathleen A Kincaid, Donna J Krizak, James T Hayes, Joy T Huberty, Jolene C Johnson, Linda E Kinclara, Miriam A Kroska, Patricia K Hayes, Marcia G Huebsch, Jacquelyn A Johnson, Linda M King, Colleen M Krstich, Violetta Hayes, Rochelle L Hult, Christine L Johnson, Rachel L King, Thomas M Kruckeberg, Patricia R Haynes, Loretta Human Resources HealthPartners Johnson, Robert D King-Biggs, Melissa B Krueger, Bonnie R Johnson, Theresa E Kingsriter, Peter B Kuckler, Leslie C Hunecke, Timothy L Johnson, Valerie J Kiser, Kenneth W Kuglar, William R Heaser, Wayne A Hyatt-Hobson, Charmaine R Johnston, Marsha A Kivel, Mary Lu Kulbeik, Stephanie L Hedberg, Deana J Hyer, Barbara J Jones, Christa M Kleager, Becky L Kullander, Charlene A Hedervare, Sheryl S Ibele, Gretchen M Jones, Mary T Klein, Jennifer L Kumasaka, Peter G Hedin, Lora L Ikebude, Felicia C Jovanovich, Margaret M Klossner, Laurie J Kupcho, Catherine A Hegman, Gregg H Ingison, Christa J Joyce, Laura P Klym, Candace L Kurtz, Breck K Heille, Nancy C Irvine, Mary Lou Joyce, Tina M Knaresboro, Janet H Labore, Jennifer L Heim, Chad C Isaranuwatanakul, Sariya Jukich, Jon R Knauff, Jill M Lacey-Gotz, Joseph D Heinn, Cynthia M Isenberger, Kurt M Kaehler, Marcella L Knepler, Susan M Lais, Angelina M Heinrich, Richard L Isham, George J Kaeser, Jessica R Knoll, Rebecca K Lake, Jason E Heit, Craig L Jackson, Kathryn M Kain, Renae A Knutson, Kent J Landy, Janice A Hemann, Julie M Jafri, Irshad H Kaiser, Angela M Ko, Brian B Lang, Jodi A Hennen, Kari L Jahner, William C Kaiser, Jane A Koehler-Filla, Catherine J Lange, Thomas A Hermansen, Bruce A Jandro, Cindy M Kaiser, Nannette C Koemptgen, Andrea P LaPlount, Stacey J Hesser, Dale A Janita, Charlotte A Kalliainen, Loree K Koester, Erica L Larsen, Sarah E Heuer, Cynthia Y Jerde, Judith A Kapp, Joni K Konneh, Adama I Larsen, Traci A Heyn, Kelly L Jernigan, Almarie Kaye, Koren L (Kory) Kontinakis, Niki P Larson, Angela M Higgins, Patricia M Jhocson, Antonio L Keeler, Elsa N Koracan, Kansana Larson, Arvin R Hingsberger, Leslie E Johns, Anna K Keenan, Dawn M Koran, Pamela L Larson, Gregory A Hirte-Runtsch, Theresa M Johnson, Beth C Keller, Karen S Korengold, Heidi K Larson, Todd D Hoeschen, Karen M Johnson, Bruce D Kelley, Mary E Korengold, Ted M Laska, Scott A Hofrenning, Peter B Johnson, Cheryl A Kelly, Debra R Kottke, Thomas E Lavin-Tompkins, Jodi M Holger, Joel S Johnson, Cheryl L Kemmer, Barbara F Kovacich, Jennifer A Leach, Kristy L Holley, William R Johnson, David P Keo, Siyanna Kovarik, Stephanie L Lee, Carrie L Holman, Sharon L Johnson, David W Kepler, Sharolyn J Krebsbach, Norbert J Lee, James A Holmen, Ken D Johnson, Elayne M Health Plan Behavioral Health 18 HealthPartners Research Foundation Donors Lee, John M Magnuson-Giese, Cheryl A McKenna, Eileen A Mueller, Laura E Novak, Jennifer A Lee, Karen O McKenzie, Katie M Muggli, Vita M Nymoen, Richard T Lee, Kendra M Mahowald, Kathleen C (Kathy) McKnight, Julie A Mulfinger, Anna C Oberstar, Peter J Lee, Maureen T Maier, Kathleen A McLaughlin, Joanne J Mullen, Deborah M O’Connor, Patrick J Leinfelder, Michael R Makinen, Linda A Meadows, Cathy A Muller, Frank J Odhiambo, John O Leininger, Maria L Maland, Robert M Meinecke, Ladonna R Muller, Kathy J Office Services Leisinger, Patti D Malec, Rachel E Meittunen, Eric J Murphy, Patrick A Ohmann, Kathy I Lenertz, Laura M Maloney, Bonita L (Bonnie) Meland, Steven P Murtada, Ihab H Ohnsorg, Kirsten A Leng, Sarah M Manor, Karen J Melby, Elizabeth G Murtada, Rita G Ohser, Cathleen A Lennon, Cheryl A Mapston, James S Mencel, Kara B Musherure, Paul R O’Keefe, Paige J Lewin, Jean M Margolis, Karen L Mestitz, Steven T Myers, Holly V Olauson, Cynthia L Leyh, Tonia A Marini, John J Metzger, Ruth Ann A Myhrwold, Freda M Olson, Allen E Libra, Kathleen A (Kate) Markes, Steven P Meyer Hunt, Jean C Najmabadi Kia, Shohreh N Olson, Christina M Lickfelt, Shelly A Marshall, Peter S Michels, Thomas N Nakagaki, Kevin N Olson, Douglas A Lillmars, Shannon M Martinson, Brian C Mickelson, Carol L Needham, Jean Olson, Julie A Lind, Timothy H Marusich, Linda A Mielke, Robin J Neidlein, Lisa M Olson, Roxanne F Lindau, Burton F Masloski, Chandra L Milbrandt, Cynthia J Nelson, Andrew Francis Olson-Bullis, Barbara A Lippert, Nicole M Mason, Kathy M Miller, Connie R Nelson, Christopher A Onchiri, Elizabeth C Liu, Susan L Mateo, Noe B Miller, Renee E Nelson, J Daniel Osmonson, Rainy J Loehr, Deanne L Mateva, Vesselina S Miner, Kari M Nelson, Laurel A Osterbauer, Donna M Loehr, Tanya R Mattingly, Melanie L Mishek, Charles J Nelson, Mary L Osterlund, Robert D Lord, Cynthia J Mayasich, Donna L Moe, Debra M Nelson, Molly E Otterness, Michelle L Lorence, Laurie J May-Lewis, Kenta L Moen, Jared A Nelson, Randy D Ottman, Gerda M Louis, David R McCabe, Ann L Molitor, Beth A Ness, Daniel D Oukrop, James J Lowery, Dana A McCarthy, Margaret A (Peggy) Morey, Peter C Neumann, Tamara A Ouren, Deloris E Morken, Christopher H Ngiratregd, Simeon Ovans, Lucas J Morris, Catherine A Nguyen, Elyse A Overby, Lisa M Morris, Todd J Nielsen, Lurene M Owens, Brian L Morrison, James P Nistler, Patricia F Ozdogan, Koken Mortensen, Vicki E Nordin, James D Paape, John R Moses, Linda G Nordling-Liekhus, Candice L Palmer, Brian G Moua, Yula Norquist, Nathan R Parah, Josh S Moulton, Kevan E Noto, Craig D Paskach, Richard R Muchow, Derin J Nottleson, Andrew N Patel, Narendra R Muehlegger, Ellen M Novak, Carol E Patient Accounting GHI Luby, Elizabeth A Lucci, Lisa Ann Luhrs, Jason J Lynch, Cynthia A Lyon, Jill I Lysne, Jennifer L MacIndoe, John H Maciosek, Michael V Macy, Christine Madden, Joan E McCarty, Maribet C McCauley, Patrick L McClure, Nancy A McCulloch, Ronda J McDowell, Diane L McElfresh, Judith A McEvoy, Charlene E McGuire, Diane H McIntyre, Carrie E McKay, Nancy A 2008 Healthy Outcomes 19 Donors Patow, Carl A Rabinovitch, Mark D Risser, James M Samuel, Nighisti B Sheridan, Wendy J Paulson, Gary A Radosevich, Steven G Rizvi, Mohammad A Samuel, Redi S Sherwood-Johnson, Nancy E Pavelka, Pirjo A Rafferty, Kathleen A Roban, Christine M Sauer, Robert V Showers, Patricia A Peak, Krista L Raikar, Goya V Robasse-Bishop, Shelley J Sayles, Bernard Siedow, Deborah A Pederson, Tracy A Rajcich, Jodie M Roberge, Kevin C Schachtele, Karol F Simonson, Dana A Peine, Pamela A Raleigh, Karen M Robertson, Laura E Schaefer, Sherry L Simpson, Andrea M Peleski, Kathleen A Ramirez, Lynette M Robertson, Lois V Schell, Christina M Siy, Jerome C Perelman, Mikhail Rank, Brian H Robinson, Linda J Schirmer, Karen R Skalecki, Dawn M Perzichilli, Nicole M Rapacz-Hughes, Kimberly A Rockne, Diana C Schmidt, Debra K Skarda, Paula K Petersen Morehead, Jacqueline L Rardin, Katherine A (Kate) Roepke, Roberta L Schmidt, Janet L Skorczeski, Mary E Rathbun-Rangwala, Ruth A Rojas, Jorge E Schmidt, Leslee A Slaker, Kimberley A Peterson, Darlene M Rawlins, Sherry L Rolfe, Phillip B Schnacky, LaRae S Smith, Barbara J Petter, Julibeth A Rech, Jennifer A Rolnick, Sharon J (Cheri) Schneider, Theresa J Smith, Courtney J Pettersson, Karen I Reed, JoAnn R Romans, Janice M Schnuckle, Scott A Smith, Dona J Pfaff, Anthony J Reed, Maria T Rood, Jody M Schoenecker, Susan M Smith, Douglas N Pfankuch, Barbara B Reeve, Elizabeth A Rooney, Karen A Schoonover, Cynthia A Smith, Emily A Pham, Anthony D Reeves, Sonja J Rooney, Paula E Schreiner, Charlotte R Smith, Michelle M Philipson, Sharon E Rehab Therapies Rosas, Maren M Schreiner, Melissa J Smith, Robert C Phillips, Rosemary P Reil, Chad E Rose, Laura L Schrenk, Sandra L Smith, Stephen E Picquet, Shirley A Reiling, Sandra S Ross, Patricia C Schull, Janette M Snellman, Leonard W Pierson, Karen B Reilly, Carol A Roth, Ann R Schutz, Amy M Sobania, Edna E Pigue, Debra E Reinhardt Vraa, Barbara B Rothe, Peter R Schwartzmiller, Marc A Sokol-Woyak, Nola G Polishchuk, Galina M Reitsma, Michael J Rowe, Sarah O Schwob, Mark J Solberg, Leif I Powell, Joyce A Remark, Megan M Rudnitski, Margaret E Scott, Lynn M Solseth, Keri A Prasomsack, Phimphone B Renstrom, Christine M Rusch, Colleen K Scott, Marguerita G Somers, Judith L Prawalsky, Beverly A Resler, Nancy J Rush, William A Scullin, Pamela A Soutor, Carol A Pribyl, John H Rettke, Susan J Russell, Mary M Seifert, Carol J Spelios, Marilyn L Prine, Chantelle M Reuter, Marylyn A Ryan, Becky L Selbitschka, Krista M Sperl Hillen, Joann M Pronk, Nicolaas P (Nico) Rice, Julie A Rykken, Elizabeth J Selden, Prudence C Sprout, Cindy L Prosch, Michelle M Richards, Mary C Sackett-Lundeen, Linda L Sellman, Jonathan S Stadler, Joanne A Prosper, Sheila M Rickard, Angela J Safranski, Ellen R Semerad, Shelly A Stallman, Christopher A Proulx, Mary Jean Ricke, Lori A Sakowski, John J Senn, Bryan M Standing, Kathleen B Quaday, Karen A Ridolfi, Amber L Salmen, Charles W Setnes, Kristy A Stang, Howard J Quality Improvement Ries, Daniel M Salzman, Joshua G Shallman, Nicholas J Staples, Caren J Quast, Sandra K Rindal, Donald B (Brad) Sampson, Doreen M Shaver, Linda M Steffen, Jeanne M Quirk, Rosemary A 20 HealthPartners Research Foundation Donors Steffer, Monica S Taylor, Yolanda Y Vallette Uglow, Jacqueline E Webster, Gregory B Zander, Janet A Steigauf, Kathryn J Teats, Mark S Van Dyke, Sidney E Weinhold, Jodie A Zenk, Colleen M Stein, Margaret B Teffera, Fassica B Vandervelde, Mary L Weis, Lynn A Zheng, Chang-jiang Stein, Sharon A Teske, Melanie L Vang, See Weldon, Misty D Zhu, Dennis W Steinhaus, Jill L Tessier, Suzanne L (Sue) VanWormer, Jeffrey J Welsh, Shannon M Ziemer, Paul F Stelling, Alice C Theilman, Elizabeth J Varner, Deanna D (DeDee) Werner, Beth A Zimmerman, Donna J Stemper, Cheryl M Thiel, Christopher W Verdick, Linda M Weyessa, Nemera F Zimmerman, John M Stenen, Angela R Thiel, Tracy A Vigil, Jeffrey G Whipple, Bonnie M Zink, Frank E Stenger, Tammy A Thielen, Patricia M Voges, Robert C White, Jon-Ano A Zmuda, Michelle P Stewart, Sara M Thoele, Merry Jo Voigt, Melissa B Whitebird, Robin R Zopfi-Jordan, Sharon R Stonestrom, Marietta L Thom, Lori A Voigt, Shelly L Whitney, Susan J Zwank, Michael D Stotka, Carrie L Thomas, Darnisha K Voit-Glover, Barb L Wicklund, Richard G Strange, Patricia A Thompson, Gretchen L Volkman, Lynne A Wilbur, Lynn M Stuckey, Stefani A Thompson, Mark E von Walter, Amy E Wilbur, Steven J Sullivan, Michelle M Thomsen, Gale L Votel, Bridget A Willer-Sly, Dianne J Sundara, Anourack T (Annara) Thrasher, Jill Wacker, Laurel C Williams, Sandra R Thul, Thomas L Wagner, Sara J Willkomm, Kyle W Sundberg, Kathleen H Thygeson, Nels Marcus Walbruch, Bonnie J Wilson, Latika L Sundberg, Kenneth A Titus, Noelle M Walker, Steven A Wilson, Steven P Sunderman, Ryan M Tormoen, Kent V Wallen, Verley V Wineinger, David L Sutter, Wendy A Tourville, Denice F Wallin, Charmagne L Wineman, Arthur P Sutton, Khristin A Towle, Debra J Walsh, Andrea M Winter, Jill A Swanson, Elizabeth L Traeger, Philip A Walton, Amy E Wivholm, Elina L Swanson, Jennifer L Trangle, Michael A Wamstad, Donna A Wold, Meredith K Swanson, Virginia R Tretheway, Barbara E Wang, Zukai K Wolpert, Seth I Swartz, Donna K Trisler, Julie A Wanner, Barbara M Woods, Rachel C Swenson, Debbie J Trouba, Karen M Washington, Lashazer K Worley, Donald C Swenson, Sean M Trygstad, Eric Waterman, Beth A Wright, Jimmie L Tabaka, Peter P Tudosie, Marian Watson, Cassandra R Wyman, Curtis G Taft, Stephanie A Tudosie, Mariana Watson, Thomas E Xiong, Sheng Talcott, Shelly A Turchin, Sheldon M Wawrzyniak, Ted D Xiong, Xee Taliaferro, Lynn A Turnbull, Maryjane K Webb, Arlene A Yasgar, Natasha L Tanzer, Tobi Turner, Kimberly A Weber, Phil J Young, Melaine A Taraldson, Cindy M Tuveson, Kay E Weber, Timothy D Youngmark, Barbara J Tawah, Rosane M Valentino, Veronica F Webster, Anita J Zaczkowski, Jeanette L Tawil, Teresa M 2008 Healthy Outcomes 21 Financial info Statement of activities Total Operating Revenue Total Investment Revenue Total Expenses Net loss Operating revenues 12,048,600.00 (1,558,569.00) 12,040,000.00 (1,549,969.00) HealthPartners general support Statement of financial position Assets Cash Other Receivables Research Projects Receivables Investments Property/Equipment Total Assets Liabilities Accounts Payable Prepaid Project Revenue Total Liabilities Net Assets Unrestricted Undesignated Board Designated Total Unrestricted Temporarily restricted Total Net Assets 7.1% Government Sponsored Projects 4,000.00 44,000.00 1,662,000.00 10,702,000.00 336,000.00 12,748,000.00 64.6% Industry Sponsored Projects 11.8% Contributions 12.4% 1,354,000.00 321,000.00 1,675,000.00 Other 3.6% 4,272,000.00 3,499,000.00 7,771,000.00 3,302,000.00 11,073,000.00 Foundation sponsored projects .5% Expenses Internally funded research projects 1.6% Externally funded research projects 69.6% 22 HealthPartners Research Foundation Administration & program support 28.8% Board and Committee members 2007-2008 HPRF Directors/Officers Patrick O’Connor, MD Dave Hamlar, MD Marcia Hanson, HealthPartners Board Member, Chair Emily Parker, PhD Margaret Krieser, MPH Marcus Thygeson, MD Mary Jeanne Levitt, MA, Community Member Brian Rank, MD, President Leif Solberg, MD Brian Martinson, PhD Andrew Nelson, MPH, Executive Director Feifei Wei, PhD Gerda Ottman, PharmD Kathy Cooney, MBA, RN, Treasurer Julibeth Petter, PhD, RN Barbara Tretheway, JD, Secretary Research Committee Don Postema, PhD Debbie Savage, Assistant Secretary Joel Holger, MD, Chair Jonathan Sellman, MD Leah Hanson, PhD, Vice-Chair Kristin Engebretsen, PharmD Amar Subramanian, MD Jasjit Ahluwalia, MD, MPH, MS, Executive Director, Office of Clinical Research, University of Minnesota Calvin Allen, MBA Brent Asplin, MD LaMont K. Boykins, MBA, formerly Vice President, Training and Development, Ameriprise Financial, Inc. Julie Switzer, MD Elie Gertner, MD Nancy Sherwood, PhD Dave Hamlar, MD Russell Luepker, MD, Professor, University of Minnesota Basis Science Research Subcommittee Dave Hamlar, MD, Chair Deborah Mullen Leah Hanson, PhD, Vice-Chair Alex Adams, MD Sharon Rolnick, PhD, MPH Thom Flottemesch, PhD Leif Solberg, MD Krista Graven, MD Susan H. DeNuccio, President, DeNuccio Group, Inc. Howard Stang, MD Erhard Haus, MD, PhD David Dries, MD Clinical Research Subcommittee John Finnegan, Jr, PhD, Dean and Professor, University of Minnesota Howard Stang, MD, Chair R. Jane Brown, Retired, formerly Executive Director, Second Harvest Heartland Brian Martinson, PhD Daniel J. Nelson, MD Carl Patow, MD, MPH Leif I. Solberg, MD Donna Zimmerman, MPH, RN Tobi Tanzer, JD Suzann Remington, PhD CJ Zheng, MD Sarah Anderson, MD Animal Care Use Committee Steve Asche Leah Hanson, PhD, Chair Kristin Engebretsen, PharmD Alex Adams, MD Mike Maciosek, PhD Peter Marshall, PhD Dan Brumm, JD, Community Member Carson Harris, MD Josh Salzman Linda Sackett-Lundeen Gretchen Zunkel, RN, PhD Daniel Sadoll, DVM Lynnette Savaloja Health Services Research Subcommittee Michael Zwank, MD Nancy Sherwood, PhD, Chair Elie Gertner, MD, Chair Deborah Mullen, Vice-Chair Thom Flottemesch, PhD Elizabeth Reeve, MD, Vice-Chair Imdad Ahmed, MD Mary Martini Joel Holger, MD Institutional Review Board 2008 Healthy Outcomes 23 Contributions to HealthPartners Research Foundation HealthPartners is an independently incorporated, nonprofit organization. For more information, or to make a donation, please contact: Andrew Nelson, MPH, Executive Director If you would like to make a donation, you should know that: •Your contribution supports research to improve healthcare. • Your donation is tax deductable. • Your charitable gift goes directly to healthcare research. • If you are a HealthPartners employee, you may contribute through the payroll deduction plan. 24 HealthPartners Research Foundation HealthPartners Research Foundation PO Box 1524 8170 33rd Avenue South Minneapolis, MN 55440 952-967-5001 www.hprf.org HPRF Mission: To discover and accelerate the use of knowledge to improve the health and healthcare of our members, patients, and community. HPRF Vision: Our vision is to be the premier practice-based research organization for facilitating the transformation of health care and its impact on health. 2008 Healthy Outcomes 25
© Copyright 2026 Paperzz