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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, William M. Tierney Center for Health Services Research, Regenstrief Institute, Inc.
Core Investigator, VA HSR&D Center for Health Information and Communication
Associate Member, Melvin and Bren Simon Indiana University Cancer Center
Co-Leader, Cancer Prevention and Control Program

   Dr. Haggstrom is a general internist, attending staff physician in Richard L. Roudebush VA Medical Center, and Associate Professor of Medicine in the Indiana University School of Medicine. His area of focus is cancer health services research and his research activities are based in the IU Center for Health Services and Outcomes Research, the VA Health Services Research and Development Center for Health Information and Communication, and Regenstrief Institute's William M. Tierney 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.  

 

   Dr. Haggstrom has strong interest in applied medical informatics, including health information exchange. As a former Robert Wood Johnson Foundation Physician Faculty Scholar (2009-2012), he studied the identification of patient, physician, and organizational factors associated with the underuse and overuse of surveillance care.  He has also developed a personal health record tool to meet the patient-centered needs of survivors and has performed qualitative and quantitative evaluation of that tool. Dr. Haggstrom directs the IUPUI Center for Cancer Population Analytics and Patient-Centered Informatics and is Co-Director of the Cancer Prevention and Control Program at Simon Cancer Center.

 

William M. Tierney Center for Health Services Research

Dr. Haggstrom is board certified in Internal Medicine and a staff physician at Richard L. Roudebush VA Medical Center.

 

CLINICAL INTERESTS

  Cancer care

 

HOSPITALS & AFFILIATIONS

Hospital Privileges:  
     Richard L. Roudebush VA Medical Center  

 

EDUCATION

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

Active Projects

I. IUPUI Signature Center Program (2013-2016)

“Center for Cancer Population Analytics and Patient-Center Informatics”

Program aims to (1) build collaborative, multidisciplinary scientific teams to create national leaders in the state of Indiana in the fields of cancer health services research and informatics and (2) perform top-tier national cancer health services research and “big data” analytics to improve the quality, efficiency, coordination, and outcomes of cancer care.

 

II. Merck/Regenstrief Program in Personalized Health Care Research and Innovation (2013-2015)

“Patient-Reported Outcomes Capture Platform (ePRO)” (Project Leader)

Project to create a flexible, scalable, and generalizable electronic platform for generating and storing Patient-Reported Outcomes (PROs) on a variety of topics including medication, adherence, patient-reported quality, and patient-reported symptoms.

 

III. Merck/Regenstrief Program in Personalized Health Care Research and Innovation (2014-2015)

“Melanoma Phenotype Algorithm Development and Validation Using INPC Data” (co-PI)

Measuring the predictive value and sensitivity of Natural Language processing (NLP) technology in conjunction with EMR, in identifying melanoma cases, with medical chart review and the tumor registry as a gold standards.

 

IV. National Cancer Institute (2014-2016)

“Explaining Variations in End-of-Life Care Intensity” (Site PI)

Study based at Harvard Medical School (Keating, PI) to understand the relative contribution of patient, physician, and area-level factors in explaining variations in intensity of end of life care.

 

V.  IU Simon Cancer Center (2013-2015) 

"Population-Based, Guideline-Concordant Surveillance Among Cancer Survivors." (PI)

Project to describe state of Indiana population-based patterns of underuse and overuse of surveillance tests among cancer survivors after primary treatment and to test the association of social determinants with receipt of surveillance.

 

IV. VA HSR&D Merit Review Award (2012-2015)

"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.

Selected Publications                          |                          Go To PubMed List >>

 

1. Dixon BE, Haggstrom DA, Weiner M. Implications for informatics given expanding access to care for Veterans and other populations. Journal of the American Medical Informatics Association. 2015 Mar 31. pii: ocv019.

2. Jackson GL, Zullig LL, Phelan SM, Provenzale D, Griffin JM, Clauser SB, Haggstrom DA, Jindal RM, van Ryn M. Patient characteristics associated with the level of patient-reported care coordination among male patients with colorectal cancer in the Veterans Affairs healthcare system. Cancer. 2015 Mar 17 [Epub ahead of print]

3. Shimada SL, Brandt CA, Feng H, McInnes DK, Rao SR, Rothendler JA, Haggstrom DA, Abel EA, Cioffari LS, Houston TK. Personal health record reach in the Veterans Health Administration: a cross-sectional analysis. Journal of Medical Internet Research. 2014 Dec 12;16(12):e272.

4. Carney TJ, Morgan GP, Jones J, McDaniel AM, Weaver M, Weiner B, Haggstrom DA. Using computational modeling to assess the impact of clinical decision support on cancer screening improvement strategies within the community health centers.  Journal of Biomedical Informatics. 2014 Oct;51:200-9.

5. van Ryn M, Phelan SM, Arora NK, Haggstrom DA, Jackson GL, Zafar SY, Griffin JM, Zullig LL, Provenzale D, Yeazel MW, Jindal RM, Clauser SB. Patient-reported quality of supportive care among patients with colorectal cancer in the Veterans Affairs Health Care System. Journal of Clinical Oncology. 2014 Mar 10;32(8):809-15.

6. Partin MR, Powell AA, Burgess DJ, Haggstrom DA, Gravely AA, Halek K, Bangerter A, Shaukat A, Nelson DB. Adding Postal Follow-Up to a Web-Based Survey of Primary Care and Gastroenterology Clinic Physician Chiefs Improved Response Rates but not Response Quality or Representativeness. Evaluation & the Health Professions. 2013 Dec 5 [Epub ahead of print]

7. Sima JL, Perkins SM, Haggstrom DA. Primary care physician perceptions of adult survivors of childhood cancer. Journal of Pediatric Hematology/Oncology. 2014 Mar;36(2):118-24.

8. Goldzweig CL, Orshansky G, Paige NM, Towfigh AA, Haggstrom DA, Miake-Lye I, Beroes JM, Shekelle PG. Electronic patient portals: evidence on health outcomes, satisfaction, efficiency, and attitudes: a systematic review. Annals of Internal Medicine. 2013 Nov 19;159(10):677-87.

9. Forsythe LP, Parry C, Alfano CM, Kent EE, Leach CR, Haggstrom DA, Ganz PA, Aziz N, Rowland JH. Use of survivorship care plans in the United States: associations with survivorship care. Journal of the National Cancer Institute. 2013 Oct 16;105(20):1579-87.

10. Goldzweig CL, Towfigh AA, Paige NM, Orshansky G, Haggstrom DA, Beroes JM, Miake-Lye I, Shekelle PG. Systematic Review: Secure Messaging Between Providers and Patients, and Patients’ Access to Their Own Medical Record: Evidence on Health Outcomes, Satisfaction, Efficiency and Attitudes [Internet]. Washington (DC): Department of Veterans Affairs (US); 2012 Jul (Booklet).

11. Haggstrom DA, Taplin SH, Monahan P, Clauser S. Chronic Care Model implementation for cancer screening and follow-up in community health centers. Journal of Health Care for the Poor and Underserved. 2012 Aug;23(3 Suppl):49-66.


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