Stephen E. Asche MA uri icon qr icon
Statistical Investigator and Manager, Research Methodology Group
About me

Overview/research interests: Design and analysis of cluster randomized trials, multi-level models, structural equation modeling, psychometrics, patient-reported outcomes, medical home transformation and evaluation of clinical decision support interventions.

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
  • 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
  • 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
  • C-a4-03: Medication adherence in patients with uncontrolled blood pressure: results from the Hyperlink Study [abstract]
    Clinical Medicine & Research. 2011
  • C-b3-04: Use of alternative lifestyle methods to control hypertension in individuals entering a blood pressure clinical trial [abstract]
    Clinical Medicine & Research. 2011
  • Is a cut score of 61 on the HOBET still cutting the mustard [abstract]?
    Prehospital Emergency Care. 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
  • Randomized clinical trials: computer-assisted tool for tobacco dependence interventions [abstract 2609]
    2011
  • presentations
    Presentation
  • 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
  • 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
  • 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]
  • Primary non-adherence and health care utilization [presentation], HMO Research Network 17th Annual Conference: Collaborations in Population-Based Health Research
  • 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
  • located in facility
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