LCF Research

About LCF Research

LCF Research was established in 1990 as a not-for-profit 501(c)(3) organization to foster health services research among physicians, hospitals, and government agencies and to provide continuing professional education for health care professionals.
In New Mexico, LCF Research has broadened its focus to support community-based improvements in health and health care. The LCF Research data center has expanded by developing the infrastructure for a statewide electronic health information exchange, the New Mexico Health Information Collaborative (NMHIC). LCF Research is recognized as a national leader in advancing the electronic medical records initiative.

Mission

Innovative services, technology, analytics, and research to provide high quality, comprehensive, secure information and knowledge when and where it is needed to facilitate optimal health care for New Mexicans.

Vision

Perfectly informed health care for New Mexico

About LCF Research’s Health Services Research Division

The Health Services Research Division (HSRD) has a long history specializing in practice, applied database research, and retrospective and prospective studies in a variety of medical conditions. A major emphasis was to translate evidence-based research into improved practice, patient outcomes, and cost-effectiveness. In collaboration with local and state agencies and organizations HSRD addressed health issues of importance to local and statewide communities.

Representative Studies



Journey for Control of Diabetes: The Interactive Dialogue to Educate and Activate Study


This prospective multi-site study was a collaboration between LCF Research and HealthPartners Research Foundation in Minneapolis, MN, sponsored by Merck Inc., working with Healthyi Inc, the organization that created Conversation MapsTM. The study was conducted to evaluate the effectiveness of group education for persons diagnosed with Type 2 diabetes using the Conversation MapsTM, a newly developed diabetes education methodology.

Publications:

Sperl-Hillen J, Beaton S, Fernandes O, Von Worley A, Vazquez-Benitez G, Hanson A, Lavin-Tompkins J, Parsons W, Adams K, and Spain CV. Are Benefits from Diabetes Self-Management Education Sustained? Am J Manag Care 2013;19(2):104-112.

Sperl-Hillen J, Beaton S, Fernandes O, Von Worley A, Vazquez-Benitez G, Parker E, Hanson A, Lavin-Tompkins J, Glasrud P, Davis H, Adams K, Parsons W, Spain CV, Comparative Effectiveness of Patient Education Methods for Type 2 Diabetes: A Randomized Controlled Trial, Arch Intern Med. Epub 10 October 2011.

Beaton SJ, Sperl-Hillen JM, Von Worley A, Fernandes OD, Baumer D, Hanson AM, Parker ED, Busch ME, Davis HT, Spain CV. A Comparative Analysis of Recruitment Methods Used in a Randomized Trial of Diabetes Education Interventions. Contemp Clin Trials Epub 14 August 2010.

Fernandes OD, Von Worley A, Sperl-Hillen JM, Beaton SJ, Lavin-Tompkins J, Glasrud P. Educator experience with the U.S. Diabetes Conversation Map® Education Program in the Journey for Control of Diabetes: The IDEA Study. Diabetes Spectrum. 2010;23(3):194-198.

Beaton SJ, Robinson SB, Von Worley A, Davis HT, Boscoe AN, Ben-Joseph R. Cardiometabolic risk and health care utilization and cost for Hispanic and Non-Hispanic women. Popul Health Manag. 2009, 12(4):177-183.


Behavioral Health Intrastate Direct Secure Messaging Pilot Project


A six state consortium (FL, NE, KY, MI, AL, and NM) was tasked with developing a direct secure messaging (DSM) pilot between two providers. The pilot’s goal was to establish the capability of transferring a behavioral health patient’s electronic health information via DSM from one provider to another provider. Each provider received education about how DSM works and what is required of volunteers participating in the pilot. Assessments were made of the lessons learned: provider and “test patient” understanding of DSM, the DSM certification process, provider and “test patient” use of the consent/authorization form and the DSM process, and the success of an actual transmission.

Presentation:

Carter S, McDonald R, Greenberg A, Gunter M. Overcoming Policy Challenges in the Exchange of Behavioral Health Information within and between States. Poster presented at the 18th Annual HMO Research Network Conference, “Learning Health Care Systems: Leading Through Research”, Seattle, WA, April-May 2012.


Evaluation of the Impact of the Health Information Exchange


Aligning Forces for Quality (AF4Q), a Robert Wood Johnson Foundation initiative was aimed at improving overall quality of health care, reducing disparities, and exemplifying a path for national reform. This AF4Q-funded project’s aim is to increase awareness and use of health information technology, and to assess the impact of the Health Information Exchange (HIE). To evaluate the impact of the HIE on clinician behavior in encounters where existing health infor¬ma¬tion should preclude the need for additional lab or radiology studies, we conducted measurements before and after HIE services are available at an Albuquerque Emergency Department. Lab and radiology studies ordered when an identical study was previously ordered for a patient will be counted. The frequency of these repeat orders before and after HIE services will be compared to infer a positive effect from the HIE.


Medication Use in Pregnancy and Birth Outcomes Program


This FDA funded study established a database infrastructure to enable the ongoing study of the safety of medication exposure during pregnancy on the fetus. It combined data from populations within the HMO Research Network, the Tennessee Medicaid population, and Northern and Southern Kaiser Permanente. Mothers and infants were linked via state vital records, healthcare utilization data, and pharmacy data. Medical record review validation was conducted.

Publications:

Andrade SE, Davis RL, Cheetham TC, Cooper WO, Li DK, Amini T, Beaton SJ, Dublin S, Hammad TA, Pawloski PA, Raebel MA, Smith DH, Staff JA, Toh S, Dashevsky I, Haffenreffer K, Lane K, Platt R, Scott PE. Medication Exposure in Pregnancy Risk Evaluation Program. Matern Child Health 16:1349-1354, 2012. Epub 2011 October 15.

Andrade SE, Scott PE, Davis RL, Li DK, Getahun D, Cheetham TC, Raebel MA, Toh S, Dublin S, Pawloski PA, Hammad TA, Beaton SJ, Smith DH, Dashevsky I, Haffenreffer K, Cooper WO. Validity of Health Plan and Birth Certificate Data for Pregnancy Research. Pharmacoepidemiol Drug Saf. Epub ahead of print 2012 Jul 3.

Johnson KE, Beaton SJ, Andrade SE, Cheetham TC, Scott PE, Hammad TA, Dashevsky I, Cooper WO, Davis RL, Pawloski PA, Raebel MA, Smith DH, Toh S, Li D-K, Haffenreffer K, Dublin S. Methods of linking mothers and infants using health plan data for studies of pregnancy outcomes. Pharmacoepidemiol Drug Saf 2013 Apr 18. doi: 10.1002/pds.3443. [Epub ahead of print] http://www.ncbi.nlm.nih.gov/pubmed/23596095

Lawrence JM, Andrade SE, Avalos LA, Beaton SJ, Chiu VY, Davis RL, Dublin S, Pawloski PA, Raebel MA, Smith DH, Toh S, Wang JQ, Kaplan S, Amini T, Hampp C, Hammad TA, Scott PE, Cheetham TC; for the Medication Exposure in Pregnancy Risk Evaluation Program (MEPREP) Study Group. Prevalence, Trends and Patterns of Use of Antidiabetic Medications among Pregnant Women 2001-2007. Obstet Gynecol 121(1):106-114, 2013.


CERT Allograft Infections


This project focused on allograft infections from ACL reconstructive knee surgeries, corneal transplants, and spinal surgeries. LCF Research collaborated with our partners at the HMO Research Network (HMORN) on this multi-site study, funded by a contract from the Food and Drug Administration. The objective of this retrospective study is to begin exploratory work on the accuracy of claims and electronic medical record data in identifying patients with allograft infections.

Publications:

Murphy MV, Du DT, Hua W, Cortez KJ, Butler MG, Davis RL, DeCoster TA, Johnson L, Li L, Nakasato C, Nordin JD, Ramesh M, Schum M, Von Worley A, Zinderman C, Platt R, Klompas M. Risk factors for surgical site infections following anterior cruciate ligament reconstruction. Infect Control Hosp Epidemiol. 2016 Jul;37(7):827-33. doi: 10.1017/ice.2016.65.

Murphy MV, Du D, Hua W, Cortez KJ, Butler MG, Davis RL, DeCoster T, Johnson L, Li L, Nakasato C, Nordin JD, Ramesh M, Schum M, Von Worley A, Zinderman C, Platt R, Klompas M. The Utility of Claims Data for Infection Surveillance Following Anterior Cruciate Ligament Reconstruction. Infect Control Hosp Epidemiol. 2014;35(6):652-659.


FDA Mini-Sentinel Project


This project highlighted the Food and Drug Administration’s (FDA) national sur¬veil¬lance of drug and product utilization. The primary project was a 5-year pilot to develop the methodology, test the ability to receive and run drug- and device-specific queries from FDA currently under active sur-veillance, and transmit de-identified summary results back to FDA through the Mini-Sentinel Coordi-nat¬ing Center at Harvard Pilgrim Health Care.


Pathways to a Healthy Bernalillo County


The aim of this study was to use network analysis techniques to assess the “Pathways” network system in Bernalillo County. The network analysis involved gathering data on attributes of organization connections in order to establish a framework for evaluation performance in implementing processes and achieving outcomes. The effort was comprised of qualitative assessment of network collaboration and organization.

Presentation:

Steimel L, Roberts M, Smith D. Pathways to a Healthy Bernalillo County: Structural Assessment of a Community Service Network. Presented at New Mexico Public Health Association and University of New Mexico National Health Disparities 2012 Joint Conference, Albuquerque, NM, April 2012.






Ann Von Worley, RN, BSHS, CCRP, Clinical Research Associate

Ms. Von Worley has 25 years of varied experience in health services research including program coordination, medical record review, and clinical studies administration. She coordinates all medical record reviews and contributes to the data collection methodology, instrument design, abstract protocol, abstractor training, and oversight. Ms. Von Worley has been the clinical coordinator for prospective clinic-based studies and worked extensively with clinics to identify and implement effective processes to reach study goals. She is certified by the Society of Clinical Research Associates (SOCRA) as a Certified Clinical Research Professional and also served as a Director and Treasurer of SOCRA.


Publications

Murphy MV, Du DT, Hua W, Cortez KJ, Butler MG, Davis RL, DeCoster TA, Johnson L, Li L, Nakasato C, Nordin JD, Ramesh M, Schum M, Von Worley A, Zinderman C, Platt R, Klompas M. Risk factors for surgical site infections following anterior cruciate ligament reconstruction. Infect Control Hosp Epidemiol. 2016 Jul;37(7):827-33. doi: 10.1017/ice.2016.65.

Roberts MH, Mapel DW, Von Worley A, Beene J. Clinical factors including the all-patient refined diagnosis related group severity as predictors of early rehospitalization after COPD exacerbation. Drugs Context. 2015 Mar;18:4.

Mapel DW, Schum M, Von Worley A. Epidemiology and Treatment of Anal Fissure in a Population-based Cohort. BMC Gastroenterology. 2014;14:129. Doi:10.1186/1471-230x-14-129.

Murphy MV, Du D, Hua W, Cortez KJ, Butler MG, Davis RL, DeCoster T, Johnson L, Li L, Nakasato C, Nordin JD, Ramesh M, Schum M, Von Worley A, Zinderman C, Platt R, Klompas M. The Utility of Claims Data for Infection Surveillance Following Anterior Cruciate Ligament Reconstruction. Infect Control Hosp Epidemiol. 2014;35(6):652-659.

Roberts M, Mapel D, Hartry A, Von Worley A, Thomson H. Chronic Pain and Pain Medication Use Among Persons with COPD: a Cross-Sectional Study. Ann Am Thorac Soc. 2013;10(4):290-298.

Sperl-Hillen J, Beaton S, Fernandes O, Von Worley A, Vazquez-Benitez G, Hanson A, Lavin-Tompkins J, Parsons W, Adams K, and Spain CV. Are Benefits from Diabetes Self-Management Education Sustained? Am J Manag Care 2013;19(2):104-112.

Chubak J, Tuzzio L, Hsu C, Alfano, CM, Rabin BA, Hornbrook MC, Spegman A, Von Worley A, Williams A, Nekhlyudov L. Providing Care for Cancer Survivors in Integrated Health Care Delivery Systems: Practices, Challenges, and Research Opportunities. J Oncol Pract 8(3):184-189, 2012. Epub 2012 Jan 24.

Davis HT, Beaton SJ, Von Worley A, Parsons W, Gunter MJ. The Effectiveness of Screening and Brief Intervention on Reducing Driving While Intoxicated Citations. Popu Health Manag 15(1):52-57, 2012. Epub 2011 Dec 28.

Sperl-Hillen J, Beaton S, Fernandes O, Von Worley A, Vazquez-Benitez G, Parker E, Hanson A, Lavin-Tompkins J, Glasrud P, Davis H, Adams K, Parsons W, Spain CV, Comparative Effectiveness of Patient Education Methods for Type 2 Diabetes: A Randomized Controlled Trial, Arch Intern Me. Epub 10 October 2011.

Beaton SJ, Sperl-Hillen JM, Von Worley A, Fernandes OD, Baumer D, Hanson AM, Parker ED, Busch ME, Davis HT, Spain CV. A Comparative Analysis of Recruitment Methods Used in a Randomized Trial of Diabetes Education Interventions. Contemp Clin Trials Epub 14 August 2010.

Fernandes OD, Von Worley A, Sperl-Hillen JM, Beaton SJ, Lavin-Tompkins J, Glasrud P. Educator experience with the U.S. Diabetes Conversation Map® Education Program in the Journey for Control of Diabetes: The IDEA Study. Diabetes Spectrum. 2010;23(3):194-198.

Beaton SJ, Robinson SB, Von Worley A, Davis HT, Boscoe AN, Ben-Joseph R. Cardiometabolic risk and health care utilization and cost for Hispanic and Non-Hispanic women. Popul Health Manag. 2009, 12(4):177-183.

Fischer MA, Keough ME, Baril JL, Saccoccio L, Mazor KM, Ladd E, Von Worley A, Gurwitz JH. Prescribers and pharmaceutical representatives: Why are we still meeting? J Gen Intern Med. 2009;24(7):795-801. Epub 2009 May 8.

Walsh KE, Dodd DS, Seetharaman D, Roblin DW, Herrinton LJ, Von Worley A, Usmani GN, Baer D, Gurwitz JH. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009; 27(6):891-896.

Somkin CP, Altschuler A, Ackerson L, Tolsma D, Rolnick SJ, Yood R, Weaver WD, Von Worley A, Hornbrook M, Magid DJ, Go AS. Cardiology clinical trial participation in community-based healthcare systems: obstacles and opportunities. Contemp Clin Trials. 2008; 29(5):646-653.

Harrold RH, Saag KG, Yood RA, Mikuls TR, Andraded SE, Fouayzi H, Davis J, Chan A, Raebel MA, Von Worley A, Platt R. Validity of gout diagnoses in administrative data. Arthritis Rheum. 2007; 17:103-108.

Harrold, LR, Yood R, Mikuls TR, Andrade S, Davis J, Fuller J, Chan KA, Roblin D. Raebel M, Von Worley A, Platt R, Saag K. Sex differences in gout epidemiology, evaluation, and treatment. Ann Rheum Dis. Published online April 27, 2006.

Trost LF, Wender RC, Suter CC, Rosenberg JH, Brixner DI, Von Worley A, Gunter MJ. Management of epilepsy in adults: diagnosis guidelines. Postgrad Med. 2005; 118:18-21.

Trost LF, Wender RC, Suter CC, Rosenberg JH, Brixner DI, Von Worley A, Gunter MJ. Management of epilepsy in adults: treatment guidelines. Postgrad Med. 2005; 118:29-33.
Holden EW, Nguyen HT, Grossman E, Robinson S, Nelson LS , Gunter MJ, Von Worley A, Thurman D. Estimating prevalence, incidence, and disease-related mortality for patients with epilepsy in managed care organizations. Epilepsia. 2005; 2:311-319.

Holden EW, Grossman E, Nguyen HT, Gunter MJ, Grebosky B, Von Worley A, Nelson LS, Robinson S, Thurman DJ. Developing a computer algorithm to identify epilepsy cases in managed care organizations. Dis Manag. 2005;8:14.

Gunter MJ, Brixner D, Von Worley A, Carter S, Gregory C. Impact of a seizure disorder disease management program on patient-reported quality of life. Dis Manag. 2004; 7:333-347.

Ulmer C, Lewis-Idema D, Von Worley AM, Rodgers J, Berger L, Darling E, Lefkowitz B. Assessing primary care content: four conditions common in community health center practice. J Ambul Care Manag. 2000; 1:23-38.

Ulmer C, Lewis-Idema, D, Wiaczek B, Von Worley AM, Berger L. Development of reality-based norms for content of care: a literature synthesis regarding four conditions common to CHC practice. (HRSA Contract #240-94-0054).