HSMGMT 523: Informatics in Healthcare Management (Ian Randall, University of Washington)

Schedule: Fall 2018 / Winter 2019

Description: Medical informatics concerns the representation, organization, and manipulation of biomedical information and knowledge. Exposes students to a high-level understanding of informatics and its health care applications. Discussion of successes and failures in implementing information technology focuses on gaining leadership and management knowledge that embraces informatics.

Summary: This lecture focused on using Tableau to generate dashboards using the classic AdventureWorks database. I lectured on clinical business intelligence and the elements of relational database management and data visualizations. There were approximately 40 students from the Masters of Healthcare Administration program.

PDF version of my slides are available here.

Optional readings are available here.

Tableau tutorial and exercise are available here.

Link to video tutorial is available here.

 
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PHARM 592 Pharmacy Practice IV: Design and Analysis of Medical Studies (Emily Beth Devine, University of Washington)

Schedule: Fall 2018

Description Introduces the basic biostatistical concepts used in the medical literature, and the various study designs. Develops students' skills in critically evaluating the medical literature, with the goal of applying these skills to clinical practice.

Summary: I lectured on the chi square distribution and test. I also had the students follow a few examples and demonstrated how a simulated chi squared distribution using a d20 dice could be biased. There were approximately 100 second-year pharmacy students in the class.

Exercises (Excel and R files) are located here.

I wrote a blog about using the chi square test on a d20 dice.

R code for exercises can be found on my GitHub site.

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PHARM 542 - Managed care pharmacy: principles and practice (Pete Fullerton and David Veenstra, University of Washington)

Schedule: Fall 2018

Description: Surveys the activities, tactics, and strategies used by managed care to deliver pharmacy services to their members. Includes: formulary development, clinical improvement programs, quality improvement measures, regulatory activities, contracting with pharmaceutical manufacturers, network management, financial issues, sales and marketing, and provider relations.

Summary: I lectured on the VHA’s formulary process and system to PharmD students. I also provided an exercise to identify whether adalimumab was on the VHA’s formulary and its costs compared to certolizumab, a comparator. Class size was approximately 15 pharmacy students.

PDF version of my slides are available here.

Optional readings are available here.


UCONJ 599 - Selected Readings in Interdisciplinary Clinical Research (Patrick o'keefe and Stacey Long-Genovese, university of Washington)

Schedule: Summer 2018

Description: Analysis and synthesis of selected readings and works in progress related to multidisciplinary and interdisciplinary clinical research. Class focused on training scientists in the methods and philosophy of conducting clinical translational research. The Institute of Translational Health Sciences is dedicated to speeding science to the clinic for the benefit of patients and communities throughout Washington, Wyoming, Alaska, Montana, and Idaho.

Summary: I gave a lecture at the Institute of Translational Health Sciences to the TL1 trainees on the principles of Comparative Effectiveness Research (CER). This includes a backing on CER, outcomes research, and study designs. Class size was approximately 20 students (medical, pharmacy, engineering, and public health).

PDF version of my slides are available here.

Optional readings are available here.


PHRM 8400 - Health-Systems Practitioner Track: Advanced elective (James D. Scott, Western University of Health Sciences)

Schedule: Winter 2018 / Winter 2019

Description: The Health-Systems (clinical/research) Practitioner Track is intended for student pharmacists interested in furthering their clinical training in settings such as hospital, ambulatory care, home infusion, skilled nursing facilities and other non-community practice sites. This includes a dedicated research project and poster presentation of their work, which may include medication use evaluations, staff education guidelines, cost-effectiveness analyses, implementation of pre-printed order sets, etc. Student pharmacists should expect to be on campus for orientation, the Board Prep/PIC Week and AE Poster Day.

Summary: I provided a review of clinical study designs and statistical support for the fourth-year PharmD students. Lectures include an overview of study designs and a review of basic statistical inference. Topics include a comparison of different study designs (cross-sectional, cohort, and randomized controlled designs), internal and external validity, statistical inference, and hypothesis testing and generation. Class size is approximately 140 PharmD students.

Students are encouraged to use OpenEpi, a free-online interface that can perform simple statistical inferences. Open-Epi was developed by researchers at the Rollins School of Public Health at Emory University from a grant by the Bill and Melinda Gates Foundation. You can find Open-Epi here. Source: Dean AG, Sullivan KM, Soe MM. OpenEpi: Open Source Epidemiologic Statistics for Public Health, Version. www.OpenEpi.com, updated 2013/04/06, accessed 2018/01/21.

Audio recordings of my slides are available here.

PDF versions of my slides are available here.

Optional readings that provide more details from the lectures are available here.


Markov model of Crohns' disease. The red arrow indicates the transition from the Moderate-to-Severe health state to the Remission state. The solid arrows indicates the transition states in the model. The dashed arrows indicates the transitions to the absorbing state (Death).

Markov model of Crohns' disease. The red arrow indicates the transition from the Moderate-to-Severe health state to the Remission state. The solid arrows indicates the transition states in the model. The dashed arrows indicates the transitions to the absorbing state (Death).

PHARM 536 - Advanced Methods in Economic and Outcomes Evaluation in Health and Medicine (Josh J. Carlson, University of Washington)

Schedule: Spring 2017

Description: Covers advanced methods and techniques for evaluating costs, outcomes, and cost-effectiveness of health, medical, and pharmaceutical interventions. Topics include: network meta-analysis, Markov modeling, probabilistic sensitivity analysis, value of information analysis, utility mapping, conjoint analysis, and budget impact analysis.

Summary: I helped teach a lecture in this class with my dissertation committee chair, Dr. Beth Devine. The lecture reviewed my work on generating evidence for a transition probability in a Markov model simulating Crohns' disease. Using a network meta-analysis framework, I was able use Bayesian methods to determine the transition probability of going from the Moderate-to Severe health state to the Remission state (red arrow). The class size was approximately 10 graduate students (PhD, MPH) and fellows.

The PowerPoint slides to my lecture can be downloaded here.


PHARM 534 - Economic Evaluation in Health and Medicine (Louis P. Garrison and David L. Veenstra, University of Washington)

Schedule: Fall 2017

Description: Methods and techniques for evaluating costs and cost-effectiveness of health, medical, and pharmaceutical interventions. Emphasis on economic evaluation, decision analysis, and modeling techniques for resource allocation and decision making. Applications to technology assessment, health policy, clinical practice, and resource allocation.

Summary: I lectured on costs accounting methods for Dr. David L. Veenstra, who was unable to attend class. One of the updates that I contributed to the lecture was the use of the Federal Supply Schedule (FSS) pricing instead of the traditional AWP/WAC pricing. The Second Panel on Cost-Effectiveness in Health and Medicine recommends FSS pricing when possible over AWP/WAC pricing. The was predominantly a PharmD class with approximately 30 students.


Pharm 541 - Pharmacy, Healthcare, and Society (Sean D. Sullivan, University of Washington)

Schedule: Winter 2016

Description: Introduction to health services and pharmacy practice designed for future healthcare practitioners. Examines the history, organization, and effectiveness of the U.S. healthcare system. Stresses the student's ability to adopt a broad perspective across healthcare disciplines and traditional boundaries.

Summary: I was the teaching assistant for PHARM 541 for the Winter 2016 Quarter. I helped write questions and grade exams for Dr. Sean P. Sullivan. This was predominantly a PharmD class with approximately 140 students.