David A. Haggstrom, MD, MAS
Associate Professor of Medicine, Indiana University School of Medicine
Research Scientist, Indiana University Center for Health Services and Outcomes Research
Research Scientist, Center for Health Services Research, Regenstrief Institute, Inc.
Core Investigator, VA HSR&D Center of Excellence on Implementing Evidence-Based Practice
Associate Member, IU Simon Cancer Center
Dr. Haggstrom is a general internist and Associate Professor of Medicine in the Indiana University School of Medicine. As a physician scientist, his research spans the platforms of the IU Center for Health Services and Outcomes Research, the VA HSR&D Center of Excellence on Implementing Evidence-Based Practice, and Regenstrief Institute's Center for Health Services Research. Dr. Haggstrom is broadly interested in the measurement and improvement of the quality of health care delivery across the cancer continuum. In addition to implementation science, his research interests specifically include personal health records, patient-physician communication, and risk perception.
In 2008, Dr. Haggstrom received a VA HSR&D Career Development Award to identify patterns of surveillance care and its patient determinants among veteran colorectal cancer survivors. He has piloted a colorectal Web-based personal health record to improve patient-centered care for colorectal cancer survivors. He is particularly interested in implementation research and shared models of care delivery between primary care and specialty physicians. He has developed expertise in personal health records and bi-directional health information exchange to improve quality of care and enhance clinical decision support.
Dr. Haggstrom is board certified in Internal Medicine and a staff physician at Richard L. Roudebush VA Medical Center.
HOSPITALS & AFFILIATIONS
|Richard L. Roudebush VA Medical Center|
|School of Medicine||University of Nebraska School of Medicine|
|Residency||Dartmouth-Hitchcock Medical Center|
|Residency||Medical College of Wisconsin|
|Fellowship||University of California|
|Fellowship||National Cancer Institute|
I. VA HSR&D 01/01/2012 - 12/31/2014
"Evaluation of VLER-Indiana Health Information Exchange (IHIE) Demonstration" (PI)
Aims are to study the effect of the VA-IHIE demonstration project upon the quality and cost of care among Veterans. Quality will be measured in terms of ambulatory care performance measures likely sensitive to HIE, as well as potential overuse, representative of unnecessary repeated, redundant testing.
II. VA HSR&D CDA 02/01/2008 - 01/31/2013
"Colorectal cancer survivor surveillance care and personal health records" (PI)
Aims are to study both underuse and overuse of colorectal cancer (CRC) surveillance tests; the effect of health care organization, provider and patient factors upon guideline concordant care; and the use of personal health records to improve patient-centered care for CRC survivors.
III. Lance Armstrong Foundation 01/01/2009 - 12/31/2011
"Disparities in access to colorectal cancer follow-up surveillance care and personal health records" (PI)
Aims are to study the underuse of colorectal cancer (CRC) surveillance tests and the use of personal health records to improve patient-centered care for CRC survivors.
IV. VA HSR&D 01/01/2011 - 12/31/2011
"Demand, Cost, and Access of Radiotherapy in VA, Fee, and Non-VA Facilities" (PI: Dustin French)
Aims are to identify trends in radiotherapy services across the national VA, track the proportion and magnitude of radiotherapy services that is paid for by the Medicare program.
V. VA HSR&D 01/01/2010 - 12/31/2011
Aims are to provide information on the patterns and determinants of time to complete diagnostic evaluation (i.e., diagnostic colonoscopy) following a positive CRC screening result to help identify the best targets for future CRC diagnosis quality improvement efforts. (Co-PIs: Partin/Haggstrom)
|Selected Publications|||||Go To PubMed List >>|
- Haggstrom DA, Rosenman M, Myers LJ, Teal E, Doebbeling BN. VA-INPC: Linking Department of Veterans Affairs (VA) and Indiana Network for Patient Care (INPC) data to assess surveillance testing among veterans with colorectal cancer. AMIA Annual Symposium Proceedings. 2010 Nov 13;2010:266-70.
- Haggstrom DA, Doebbeling BN. Quality measurement and system change of cancer care delivery, Medical Care. December 2011; 49: S21-S27.
- Meissner HI, Tiro JA, Yabroff KR, Haggstrom DA, Coughlin SS. Too much of a good thing? Physician practices and patient willingness for less frequent Pap test screening intervals. Medical Care. 2010 Mar;48(3):249-259.
- Haggstrom DA, Clauser S, Taplin SH. The health disparities cancer collaborative: a case study of practice registry measurement in a quality improvement collaborative. Implementation Science. 2010 Jun 4;5:42.
- Nazi KM, Hogan TP, Wagner TH, McInnes DK, Smith BM, Haggstrom D, Chumbler NR, Gifford AL, Charters KG, Saleem JJ, Weingardt KR, Fischetti LF, Weaver FM. Embracing a Health Services Research Perspective on Personal Health Records: Lessons Learned from the VA My HealtheVet System. Journal of General Internal Medicine. 2010 Jan;25 Suppl 1:62-7.
- Haggstrom DA, Imperiale TF. Surveillance approaches among colorectal cancer survivors after curative-intent, Minerva Gastroenterol Dietol. 2009 Dec;55(4):483-500.
- Haggstrom DA, Arora NK, Helft P, Clayman M, Oakley-Girvan I. Follow-up care delivery among colorectal cancer survivors most often seen by primary and subspecialty care physicians, Journal of General Internal Medicine. 2009 Nov;24 Suppl 2:S472-9.
- Yabroff KR, Saraiya M, Meissner HI, Haggstrom DA, Wideroff L, Yuan G, Berkowitz Z, Davis WW, Benard VB, Coughlin SS. Specialty differences in primary care physician reports of pap test screening practices: a national survey 2006-2007. Annals of Internal Medicine. 2009 Nov 3;151(9):602-11.
- Taplin SH, Haggstrom DA, Jacobs T, et al. Implementing colorectal cancer screening in community health centers: addressing cancer health disparities through a Regional Cancer Collaborative. Medical Care. 2008 Sep;46(9 Suppl 1):S74-83.
- Curtis ET, Haggstrom DA, Quale C, Smith-Bindman RA. Race and Ethnic Differences in Breast Cancer Survival: How Much Is Explained By Screening, Tumor Severity, Biology, Treatment, Co-morbidities and Demographics? Cancer. Nov 2007; 112(1):171-180.
- Haggstrom DA, Bindman AB. The influence of care management tools on physician practice change across organizational settings. Jt Comm J Qual Patient Saf. Nov 2007; 33(11):672-80.
- Haggstrom DA, Quale C, Smith-Bindman R. Differences in breast cancer care among vulnerable populations. Cancer. Dec 2005; 104(11):2347-58.