Stephen E. Asche, MA
Senior Research Investigator and Statistician
About

Stephen Asche, MA, is a Senior Research Investigator and Statistician at HealthPartners Institute, and member of the Research Methodology Group. He earned his MA in Quantitative Methods, Educational Psychology at the University of Minnesota. His focus areas include the design and analysis of cluster-randomized trials, evaluation of clinical decision support interventions, patient-reported outcome measures, multilevel models, and structural equation modeling.

Conducting Institute research since 2003.

Education and training:
 
MA, quantitative methods, educational psychology, University of Minnesota, Minneapolis

Other offices held:
Senior Research Investigator and Statistician, Research Methodology Group

Overview/research interests:
Cluster-randomized trials, pragmatic trials, structural equation modeling, mediation analysis, clinical decision support, simulated physician learning, patient reported outcome measures

Current research activities and funding:

  • PROMOTE – study of patient-reported outcomes in orthopedics – Funded by AHRQ, Solberg – PI
  • EHR-Based Clinical Decision Support to Improve BP Management in Adolescents (Peds and TeenBP)
  • GluCoCare: Comparing Fingerstick Blood Glucose Monitoring versus Continuous Glucose Monitoring in Primary Care
Affiliation
positions
  • Statistical Investigator and Manager, Research Methodology Group, Research Methodologies Group
  • Publications
    selected publications
    Journal Article
  • Adjusting for variation in patient-reported outcome measures is needed to improve care after total knee arthroplasty
    Journal of the American Academy of Orthopaedic Surgeons. 2022
  • Clinical decision support with or without shared decision making to improve preventive cancer care: a cluster-randomized trial
    Medical Decision Making. 2022
  • Findings and future directions from a smoking cessation trial utilizing a clinical decision support tool
    Journal of Evidence-Based Dental Practice. 2022
  • Human papillomavirus vaccination clinical decision support for young adults in an upper midwestern healthcare system: a clinic cluster-randomized control trial
    Human Vaccines & Immunotherapeutics. 2022
  • Is shared decision-making associated with better patient-reported outcomes? A longitudinal study of patients undergoing total joint arthroplasty
    Clinical Orthopaedics and Related Research. 2022
  • Is the promise of PROMs being realized? Implementation experience in a large orthopedic practice
    American Journal of Medical Quality. 2022
  • Primary care clinicians' opinions before and after implementation of cancer screening and prevention clinical decision support in a clinic cluster-randomized control trial: a survey research study
    BMC Health Services Research. 2022
  • Pubic symphysis separation and regression in vaginal versus cesarean delivery
    Journal of Obstetrics and Gynaecology Canada. Journal d'Obstétrique et Gynécologie du Canada. 2022
  • De-implementing opioid use and implementing optimal pain management following dental extractions (DIODE): protocol for a cluster randomized trial
    JMIR research protocols. 2021
  • Design and rationale of an intervention to improve cancer prevention using clinical decision support and shared decision making: a clinic-randomized trial
    Contemporary Clinical Trials. 2021
  • Evaluating yield of 19 versus 21 G EBUS-TBNA needles: a prospective study
    Journal of bronchology & interventional pulmonology. 2021
  • Patient, provider type, and procedure type factors associated with opioid prescribing by dentists in a health care system
    Journal of Pain Research. 2021
  • Personalized outcomes for hip and knee replacement: the patient's point of view
    Journal of patient-reported outcomes. 2021
  • The impact of personalized clinical decision support on primary care patients' views of cancer prevention and screening: a cross-sectional survey
    BMC Health Services Research. 2021
  • Cardiovascular events and costs with home blood pressure telemonitoring and pharmacist management for uncontrolled hypertension
    Hypertension (Dallas, Tex.. 2020
  • Clinical decision support for recognizing and managing hypertensive blood pressure in youth: no significant impact on medical costs
    Academic Pediatrics. 2020
  • Dental Decision Simulation (DDSim): development of a virtual training environment
    Journal of Dental Education. 2020
  • Improving hypertension recognition in adolescents, a small but important first step in cardiovascular disease prevention
    Academic Pediatrics. 2020
  • What outcomes matter to patients after joint or spine surgery?
    Journal of patient-centered research and reviews. 2020
  • Impact of updated pediatric hypertension guidelines on progression from elevated blood pressure to hypertension in a community-based primary care population
    Journal of Clinical Hypertension (Greenwich, Conn.). 2019
  • Outcomes of adopting endoscopic tympanoplasty in an academic teaching hospital
    Annals of Otology, Rhinology and Laryngology. 2019
  • Understanding primary care providers' perceptions of cancer prevention and screening in a predominantly rural healthcare system in the upper Midwest
    BMC Health Services Research. 2019
  • Clinical decision support for recognition and management of hypertension: a randomized trial
    Pediatrics. 2018
  • Economic evaluation of the home blood pressure telemonitoring and pharmacist case management to control hypertension (Hyperlink) trial
    Journal of the American College of Clinical Pharmacy. 2018
  • Evaluation of an electronic clinical decision support tool for incident elevated BP in adolescents
    Academic Pediatrics. 2018
  • Key components of success in a randomized trial of blood pressure telemonitoring with medication therapy management pharmacists
    Journal of the American Pharmacists Association. 2018
  • Long-term outcomes of the effects of home blood pressure telemonitoring and pharmacist management on blood pressure among adults with uncontrolled hypertension: follow-up of a cluster randomized clinical trial
    JAMA network open. 2018
  • Patient-centered outcomes measurement: does it require information from patients?
    Journal of patient-centered research and reviews. 2017
  • A substudy evaluating treatment intensification on medication adherence among hypertensive patients receiving home blood pressure telemonitoring and pharmacist management
    Journal of Clinical Pharmacy and Therapeutics. 2016
  • Patient characteristics associated with greater blood pressure control in a randomized trial of home blood pressure telemonitoring and pharmacist management
    Journal of the American Society of Hypertension. 2016
  • A successful multifaceted trial to improve hypertension control in primary care: why did it work?
    Journal of General Internal Medicine. 2015
  • Dental hygienists' usage of tobacco-cessation decision support tools in practice: a qualitative study
    2015
  • Evidence supports no relationship between obstructive sleep apnea and premolar extraction: an electronic health records review
    Journal of Clinical Sleep Medicine. 2015
  • It is time to ask patients what outcomes are important to them
    2015
  • Persistence of smoking-cessation decision support use in a dental practice
    American Journal of Preventive Medicine. 2015
  • Recidivism to uncontrolled blood pressure in patients with previously controlled hypertension
    American Heart Journal. 2015
  • TeenBP: development and piloting of an EHR-linked clinical decision support system to improve recognition of hypertension in adolescents
    EGEMS (Washington, DC). 2015
  • The effect of achieving patient-reported outcome measures on satisfaction
    Journal of the American Board of Family Medicine. 2015
  • Educating resident physicians using virtual case-based simulation improves diabetes management: a randomized controlled trial
    Academic Medicine. 2014
  • Integrating tobacco dependence counseling into electronic dental records: a multi-method approach
    Journal of Dental Education. 2014
  • Personalised physician learning intervention to improve hypertension and lipid control: randomised trial comparing two methods of physician profiling
    BMJ quality & safety. 2014
  • Barriers to and facilitators of medication adherence
    American Journal of Pharmacy Benefits. 2013
  • Barriers to improving primary care of depression: perspectives of medical group leaders
    Qualitative Health Research. 2013
  • Computer-assisted guidance for dental office tobacco-cessation counseling: a randomized controlled trial
    American Journal of Preventive Medicine. 2013
  • Effect of home blood pressure telemonitoring and pharmacist management on blood pressure control: a cluster randomized clinical trial
    JAMA. 2013
  • Patient characteristics associated with medication adherence
    Clinical Medicine & Research. 2013
  • Stress, burnout, compassion fatigue, and mental health in hospice workers in Minnesota
    Journal of Palliative Medicine. 2013
  • Support and strategies for change among small patient-centered medical home practices
    Annals of Family Medicine. 2013
  • Using simulation technology to teach diabetes care management skills to resident physicians
    Journal of Diabetes Science and Technology. 2013
  • A comparison of dental restoration outcomes after placement by restorative function auxiliaries versus dentists
    Journal of Public Health Dentistry. 2012
  • Adherence to blood pressure telemonitoring in a cluster-randomized clinical trial
    Journal of Clinical Hypertension (Greenwich, Conn.). 2012
  • Are characteristics of the medical home associated with diabetes care costs?
    Medical Care. 2012
  • Cost-effectiveness of an electronic medical record based clinical decision support system
    Health Services Research. 2012
  • Design and rationale for Home Blood Pressure Telemonitoring and Case Management to Control Hypertension (HyperLink): a cluster randomized trial
    Contemporary Clinical Trials. 2012
  • Patient medical group continuity and healthcare utilization
    American Journal of Managed Care. 2012
  • Patient-centered medical home cost reductions limited to complex patients
    American Journal of Managed Care. 2012
  • Using fuzzy set qualitative comparative analysis (fs/QCA) to explore the relationship between medical "homeness" and quality
    Health Services Research. 2012
  • Impact of electronic health record clinical decision support on diabetes care: a randomized trial
    Annals of Family Medicine. 2011
  • Is consistent primary care within a patient-centered medical home related to utilization patterns and costs?
    Journal of Ambulatory Care Management. 2011
  • Relationship of clinic medical home scores to health care costs
    Journal of Ambulatory Care Management. 2011
  • Relationship of clinic medical home scores to quality and patient experience
    Journal of Ambulatory Care Management. 2011
  • Trends in quality during medical home transformation
    Annals of Family Medicine. 2011
  • Informed choice assistance for women making uterine fibroid treatment decisions: a practical clinical trial
    Medical Decision Making. 2010
  • Simulated physician learning program improves glucose control in adults with diabetes
    Diabetes care. 2010
  • Diabetes care quality: insurance, health plan, and physician group contributions
    American Journal of Managed Care. 2009
  • Evaluating preference-sensitive care for uterine fibroids: it's not so simple
    2009
  • Is integration in large medical groups associated with quality?
    American Journal of Managed Care. 2009
  • Knowledge, attitudes, and preferences regarding advance directives among patients of a managed care organization
    American Journal of Managed Care. 2009
  • Simulated physician learning intervention to improve safety and quality of diabetes care: a randomized trial
    Diabetes care. 2009
  • A randomized controlled trial of Telephone Counseling with smokeless tobacco users: the ChewFree Minnesota study
    Nicotine & tobacco research. 2008
  • Can patient safety be measured by surveys of patient experiences?
    Joint Commission journal on quality and patient safety. 2008
  • Measuring an organization's ability to manage change: the change process capability questionnaire and its use for improving depression care
    American Journal of Medical Quality. 2008
  • Measuring practice systems for chronic illness care: accuracy of self-reports from clinical personnel
    Joint Commission journal on quality and patient safety. 2008
  • Oral health program preferences among pregnant women in a managed care organization
    Journal of Public Health Dentistry. 2008
  • Practice systems are associated with high-quality care for diabetes
    American Journal of Managed Care. 2008
  • Relationship between the presence of practice systems and the quality of care for depression
    American Journal of Medical Quality. 2008
  • Crossing the quality chasm for diabetes care: the power of one physician, his team, and systems thinking
    Journal of the American Board of Family Medicine. 2007
  • Evaluating strategies and costs to recruit smokeless tobacco users
    Addictive Behaviors. 2007
  • Impact of chemotherapy in women with metastatic breast cancer diagnosed 1990-2003
    Clinical Breast Cancer. 2007
  • Proactive recruitment of health plan smokers into telephone counseling
    Nicotine & tobacco research. 2007
  • Smoking and cessation behaviors among young adults of various educational backgrounds
    American Journal of Public Health. 2007
  • Use of practice system tools by medical groups for depression
    American Journal of Managed Care. 2007
  • Young adult smokers: are they different?
    American Journal of Managed Care. 2007
  • Frequency of physician-directed assistance for smoking cessation in patients receiving cessation medications
    Archives of Internal Medicine. 2005
  • Offering telephone counseling to smokers using pharmacotherapy
    Nicotine & tobacco research. 2005
  • Practice systems for chronic care: frequency and dependence on an electronic medical record
    American Journal of Managed Care. 2005
  • Randomized trial of quality improvement intervention to improve diabetes care in primary care settings
    Diabetes care. 2005
  • Health and performance factors in health care shift workers
    Journal of Occupational and Environmental Medicine. 2004
  • Is patient readiness to change a predictor of improved glycemic control?
    Diabetes care. 2004
  • Conference Poster
  • Long-term outcomes of a cluster-randomized trial testing the effects of blood pressure (BP) telemonitoring and pharmacist management on BP outcomes [poster]
    2017
  • Long-term outcomes of a cluster-randomized trial testing the effects of blood pressure telemonitoring and pharmacist management [poster]
    2017
  • Primary care provider use rates of a clinical decision support tool and change in diabetes performance measures [poster]
    2017
  • Results of a cluster-randomized trial testing the effects of TeenBP, an EHR-based clinical decision support tool, on recognition of adolescent hypertension [poster]
    2017
  • Correlation between provider use rates of a clinical decision support tool and diabetes performance measures [e-poster 1266-P]
    Diabetes. 2016
  • Design of diabetes clinical decision support systems that reduce CV risk [poster]
    2015
  • Improving population health: predictors of recidivism to uncontrolled hypertension in patients with previously well-controlled hypertension [poster]
    2015
  • How did pharmacists help patients achieve blood pressure control in a randomized trial of home blood pressure telemonitoring plus pharmacist management [poster]?
    2014
  • Personalized physician learning intervention to improve hypertension control: randomized trial comparing two methods of physician profiling [poster]
    2014
  • Comparison of blood pressure (BP) measurement in HealthPartners primary care clinics before and after automated BP device use [poster]
    2013
  • Dental SimCare: building a simulation system to train dentists [poster]
    2013
  • How to engage patients and clinicians as research partners, and have fun, too [poster]
    2013
  • Improved self-efficacy and satisfaction with care among Hyperlink intervention patients [poster]
    2013
  • Outcomes at six months of a randomized trial of home blood pressure telemonitoring with pharmacist case management [poster]
    2013
  • Personalized physician learning intervention to improve hypertension control: randomized trial comparing two methods of physician profiling [poster]
    2013
  • SSRI usage associated with tooth and restoration fracture via bruxism and other movement disorders: could mouthguards protect the teeth of SSRI users? [poster]
    2013
  • Drug characteristics associated with medication adherence across eight disease states [poster]
    2012
  • Drug characteristics associated with medication adherence across eight disease states [poster]
    2012
  • Outcomes at six months of a randomized trial of home blood pressure telemonitoring with pharmacist case management [poster]
    2012
  • Simulated provider training improves diabetes management [poster]
    2012
  • A simulated diabetes learning intervention improves provider knowledge and confidence in managing diabetes [poster]
    2011
  • Effectiveness of computer-assisted guidance for tobacco dependence in dental offices: a randomized clinical trial [poster]
    2011
  • Provider satisfaction with a simulated learning approach to diabetes management [poster]
    2011
  • Use of Diabetes Wizard EMR-based clinical decision support system [poster]
    2011
  • Will dental providers use a computer-assisted guidance tool to support tobacco interventions [poster]?
    2011
  • Abstract
  • Assessing challenges to implementing tobacco cessation guidelines in dental offices [abstract]
    Journal of patient-centered research and reviews. 2021
  • Long-term effects on cardiovascular events of home blood pressure telemonitoring with pharmacist management in patients with uncontrolled hypertension [abstract]
    Journal of patient-centered research and reviews. 2019
  • Design features of successful outpatient chronic disease care clinical decision support systems [abstract]
    Journal of patient-centered research and reviews. 2016
  • Qualitative data from a trial of home blood pressure telemonitoring and pharmacist management (Hyperlink) [abstract]
    Journal of patient-centered research and reviews. 2016
  • Implementation of an electronic dental record tool to increase referrals to a tobacco counseling quit line [abstract]
    Implementation science. 2015
  • Educating resident physicians using virtual case-based simulation improves diabetes management--a randomized, controlled trial [abstract 322-OR]
    Diabetes. 2014
  • Building a simulation system to train dentists to practice evidence-based dentistry [abstract]
    Clinical Medicine & Research. 2013
  • Outcomes of a randomized trial of home blood pressure telemonitoring with pharmacist case management [abstract]
    Clinical Medicine & Research. 2013
  • Recidivism to uncontrolled BP levels in previously controlled hypertension patients [abstract]
    Clinical Medicine & Research. 2013
  • Virtual diabetes education improves resident physician knowledge and performance: a cluster randomized trial [abstract]
    Clinical Medicine & Research. 2013
  • Virtual diabetes education improves resident physician knowledge and performance: a cluster-randomized trial [abstract]
    Diabetes. 2013
  • A comparison of blood pressure measurements derived from primary care practice and research settings [abstract]
    Clinical Medicine & Research. 2012
  • A simulated diabetes learning intervention improves provider knowledge and confidence in managing diabetes [abstract]
    Clinical Medicine & Research. 2012
  • Comparison of ethnicity and race categorization in electronic medical records and by self-report [abstract]
    Clinical Medicine & Research. 2012
  • Primary care residents highly rate simulated diabetes training [abstract]
    Clinical Medicine & Research. 2012
  • Simulated diabetes training helps providers bring patients to goals: a cluster randomized trial [abstract]
    Diabetes. 2012
  • Simulated training improves provider knowledge and confidence in managing diabetes [abstract]
    Diabetes. 2012
  • Adherence to comprehensive interventions for management of uncontrolled hypertension [abstract]
    Journal of Clinical Hypertension (Greenwich, Conn.). 2011
  • Is a cut score of 61 on the HOBET still cutting the mustard [abstract]?
    Prehospital Emergency Care. 2011
  • Medication adherence in patients with uncontrolled blood pressure: results from the Hyperlink Study [abstract]
    Clinical Medicine & Research. 2011
  • Paramedic program entrance exams as a predictor of student success [abstract]
    Prehospital Emergency Care. 2011
  • Participant characteristics associated with medication adherence [abstract]
    Journal of Managed Care Pharmacy. 2011
  • Patient characteristics associated with medication adherence [abstract]
    Clinical Medicine & Research. 2011
  • Use of alternative lifestyle methods to control hypertension in individuals entering a blood pressure clinical trial [abstract]
    Clinical Medicine & Research. 2011
  • A diabetes simulated physician learning program improved glucose control and is highly cost-effective [abstract 1031-P]
    Diabetes. 2010
  • A new approach to CME? A simulated physician learning program improves glucose control in adults with diabetes [abstract 1029-P]
    Diabetes. 2010
  • Cost-effectiveness of an EMR-based diabetes clinical decision support system [abstract 268-OR]
    Diabetes. 2010
  • EMR-based clinical decision support system improved glucose and blood pressure control in adults with diabetes [abstract]
    Clinical Medicine & Research. 2010
  • Home blood pressure telemonitoring and case management to control hypertension: HyperLink trial design and baseline characteristics [abstract PS1-04]
    Clinical Medicine & Research. 2010
  • Home blood pressure telemonitoring and case management to control hypertension: hyperlink design, baseline characteristics, and intervention adherence [abstract]
    Journal of Clinical Hypertension (Greenwich, Conn.). 2010
  • Personalized learning intervention to enhance hypertension care skills of physicians and extended-care providers [abstract 2308-PO]
    Diabetes. 2010
  • Personalized physician learning intervention improved glucose control in adults with diabetes [abstract C-B4-04]
    Clinical Medicine & Research. 2010
  • Use of complementary and alternative medicine in people with diabetes [abstract]
    Annals of Behavioral Medicine. 2010
  • presentations
    Presentation
  • A diabetes simulated physician learning program improved glucose control and is cost-effective [presentation], CDC (Centers for Disease Control and Prevention) Diabetes Translation Conference 2011 - Changing the Course of Diabetes: Optimizing Health for All
  • A diabetes simulated physician learning program improved glucose control and is highly cost-effective [presentation], Minnesota Health Services Research 15th Annual Conference
  • Barriers and facilitators for medication adherence [presentation], HMO Research Network 17th Conference: Collaborations in Population-Based Health Research
  • Comparison of blood pressure measurements derived from primary care practice and research [presentation], HMO Research Network (HMORN) 18th Annual Conference--Learning Health Care Systems: Leading Through Research
  • Cost effectiveness of a simulated physician learning program to improve glucose control in adults with diabetes [presentation], NIH 5th Annual Conference on the Science of Dissemination and Implementation
  • Cost-effectiveness of an EMR-based diabetes clinical decision support system [presentation], Minnesota Health Services Research 15th Annual Conference
  • Dental providers use a computer-assisted tool to support tobacco interventions [presentation]
  • Effectiveness of computer-assisted guidance for tobacco dependence in dental offices [presentation]
  • Effectiveness of computer-assisted guidance for tobacco dependence in dental offices [presentation]
  • Effectiveness of computer-assisted guidance for tobacco dependence in dental offices: a randomized clinical trial [presentation], Regional Oral and Systemic Health Conference
  • Hypertension treatment intensification and blood pressure control in adults with and without diabetes [presentation], CDC (Centers for Disease Control and Prevention) Diabetes Translation Conference 2011 - Changing the Course of Diabetes: Optimizing Health for All
  • Medical homes - relation to quality, cost, and patient satisfaction [presentation]
  • More harm than good? An experimental approach to examining the value of evening and weekend calls [presentation], American Association of Public Opinion Research (AAPOR) Annual Conference
  • Outcomes at six months of a randomized trial of home blood pressure telemonitoring with pharmacist case management [presentation]
  • Personalizing tobacco cessation utilizing clinic decision support [presentation]
  • Practical realities of using electronic medical/health records (EMR/EHR) for clinical management, research, and surveillance [presentation], CDC (Centers for Disease Control and Prevention) Diabetes Translation Conference 2011 - Changing the Course of Diabetes: Optimizing Health for All
  • Primary non-adherence and health care utilization [presentation], HMO Research Network 17th Annual Conference: Collaborations in Population-Based Health Research
  • Randomized clinical trials: computer-assisted tool for tobacco dependence interventions [presentation]
  • Recidivism to uncontrolled blood pressure levels in patients with previously controlled hypertension [presentation], Minnesota Health Services Research 17th Annual Conference
  • Six-month blood pressure outcomes of an intensive telemonitoring intervention trial [presentation]
  • Specialty differences in recognizing and managing elevated blood pressures among children and adolescents [presentation]
  • Specialty differences in recognizing and managing elevated blood pressures among children and adolescents [presentation]
  • The extent and impact of consistent primary care [presentation], HMO Research Network (HMORN) 18th Annual Conference--Learning Health Care Systems: Leading Through Research
  • The need for new care strategies to prevent A1c relapse [presentation], HMO Research Network (HMORN) 21st Annual Conference: Care Improvement Research: Partnering with Patients, Providers and Operational Leaders
  • Use of electronic clinical decision support to improve clinical recognition of incident elevated blood pressure and return for repeat measurement [presentation]
  • Virtual diabetes education improves resident physician knowledge and performance: a cluster-randomized trial [presentation], Minnesota Health Services Research 17th Annual Conference
  • Contact
    full name
  • Stephen E. Asche, MA
  • primary email
  • Steve.E.Asche@HealthPartners.com
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