Ekstrom, Heidi L.
Principal Research Project Manager
About
Research Interests:
  Clinical Decision Support
  Care Improvement
  Chronic Disease

Education: MA, St. Mary's University

Joined the Institute:  2003
Affiliation
positions
  • Principal Project Manager, Center for Chronic Care Innovation
    • Publications
    selected publications
    Journal Article
  • Bolstering the business case for adoption of shared decision-making systems in primary care: randomized controlled trial. 
    JMIR formative research. 2022
  • Clinical decision support with or without shared decision making to improve preventive cancer care: a cluster-randomized trial. 
    Medical Decision Making. 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
  • 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
  • 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
  • Effect of clinical decision support on diagnostic imaging for pediatric appendicitis: a cluster randomized trial. 
    JAMA network open. 2021
  • Patient perceptions of using clinical decision support for cancer screening and prevention: "I wouldn't have thought about getting screened without it.". 
    Journal of patient-centered research and reviews. 2021
  • Pragmatic clinic randomized trial to improve chronic kidney disease care: design and adaptation due to COVID disruptions. 
    Contemporary Clinical Trials. 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
  • Clinical decision support for recognizing and managing hypertensive blood pressure in youth: no significant impact on medical costs. 
    Academic Pediatrics. 2020
  • Improving hypertension recognition in adolescents, a small but important first step in cardiovascular disease prevention. 
    Academic Pediatrics. 2020
  • Pre-implementation adaptation of primary care cancer prevention clinical decision support in a predominantly rural healthcare system. 
    BMC Medical Informatics and Decision Making. 2020
  • Barriers and facilitators to implementing cancer prevention clinical decision support in primary care: a qualitative study. 
    BMC Health Services Research. 2019
  • Development of a clinical decision support system for pediatric abdominal pain in emergency department settings across two health systems within the HCSRN. 
    EGEMS (Washington, DC). 2019
  • 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
  • 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 directed to primary care patients and providers reduces cardiovascular risk: a randomized trial. 
    Journal of the American Medical Informatics Association. 2018
  • Clinical decision support for recognition and management of hypertension: a randomized trial. 
    Pediatrics. 2018
  • Evaluation of an electronic clinical decision support tool for incident elevated BP in adolescents. 
    Academic Pediatrics. 2018
  • Potential misclassification of blood pressure status in children and adolescents with short or tall stature. 
    American Journal of Epidemiology. 2016
  • 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
  • Educating resident physicians using virtual case-based simulation improves diabetes management: a randomized controlled trial. 
    Academic Medicine. 2014
  • Personalised physician learning intervention to improve hypertension and lipid control: randomised trial comparing two methods of physician profiling. 
    BMJ quality & safety. 2014
  • Using simulation technology to teach diabetes care management skills to resident physicians. 
    Journal of Diabetes Science and Technology. 2013
  • Cost-effectiveness of an electronic medical record based clinical decision support system. 
    Health Services Research. 2012
  • Impact of electronic health record clinical decision support on diabetes care: a randomized trial. 
    Annals of Family Medicine. 2011
  • Long-term effects of intensive glucose lowering on cardiovascular outcomes. 
    New England Journal of Medicine. 2011
  • Simulated physician learning program improves glucose control in adults with diabetes. 
    Diabetes care. 2010
    • Conference Paper
  • Cost-effectiveness of EMR-based clinical decision support [presentation
    2011
    • Conference Poster
  • A clinical decision support system promotes shared decision-making and cardiovascular risk factor management [poster]
    2017
  • Aspirin for primary prevention of atherosclerotic cardiovascular disease: challenges to appropriate use [poster]
    2017
  • Can prioritized clinical decision support in primary care reduce cardiovascular risk? [poster]
    2017
  • Clinical decision support impact on overuse and underuse of aspirin for primary prevention of cardiovascular events [poster]
    2017
  • Development and validation of a risk equation for appendicitis in children presenting with abdominal pain [poster]
    2017
  • Impact of improving diabetes care on Quality adjusted Life Expectancy (QALE) and costs: a 40-year perspective [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
  • Using EMR-linked data for passive patient safety reporting in pragmatic clinical trials [poster]
    2017
  • Correlation between provider use rates of a clinical decision support tool and diabetes performance measures [e-poster 1266-P]. 
    Diabetes. 2016
  • Improving population health: predictors of recidivism to uncontrolled hypertension in patients with previously well-controlled hypertension [poster]
    2015
  • Passive safety monitoring using electronic medical records data for pragmatic cardiovascular clinical trials [poster]
    2015
  • Personalized physician learning intervention to improve hypertension control: randomized trial comparing two methods of physician profiling [poster]
    2014
  • Frequency of CV Wizard use and gender disparity [poster]
    2013
  • Personalized physician learning intervention to improve hypertension control: randomized trial comparing two methods of physician profiling [poster]
    2013
  • Aspirin decision support using data-driven treatment algorithms [poster]
    2012
  • From research innovation to broader public use: the SimCare story [poster]
    2012
  • Simulated provider training improves diabetes management [poster]
    2012
  • Testing a clinical decision support process to lower cardiovascular risk of patients [poster]
    2012
  • A simulated diabetes learning intervention improves provider knowledge and confidence in managing diabetes [poster]
    2011
  • Designing a patient interface for shared decision support [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
    • Abstract
  • Maximizing use of chronic disease clinical decision support in primary care clinics: lessons learned from randomized trials [abstract]. 
    Journal of patient-centered research and reviews. 2021
  • Better care strategies are necessary to address poor medication adherence [abstract]. 
    Diabetes. 2020
  • A web-based clinical decision support system (Wizard) increases appropriate cardiometabolic diagnostic coding at primary care visits [abstract]. 
    Journal of patient-centered research and reviews. 2019
  • Dissemination and sustained use of an outpatient clinical decision system with high use rates, high clinician satisfaction, and positive impact on quality of care [abstract]. 
    Journal of patient-centered research and reviews. 2019
  • A clinical decision support system promotes shared decision-making and cardiovascular risk factor management [abstract]. 
    Journal of patient-centered research and reviews. 2016
  • Comparative effectiveness of two diabetes clinical decision support systems on cardiometabolic outcomes and CV risk: randomized trial [abstract 2304-PUB]. 
    Diabetes. 2016
  • Design features of successful outpatient chronic disease care clinical decision support systems [abstract]. 
    Journal of patient-centered research and reviews. 2016
  • Eliciting patient treatment preferences using a clinical decision support system [abstract 1252-P]. 
    Diabetes. 2016
  • Overuse and underuse of acetyl-salicylic acid for primary prevention of cardiovascular disease in people with diabetes [abstract]. 
    Diabetologia. 2016
  • Overuse and underuse of aspirin for primary prevention [abstract 1225-P]. 
    Diabetes. 2016
  • Overuse and underuse of aspirin for primary prevention of cardiovascular events in primary care [abstract]. 
    Journal of patient-centered research and reviews. 2016
  • Randomised trial of a diabetes clinical decision support system: use rates, provider satisfaction, and impact on clinical outcomes [abstract]. 
    Diabetologia. 2016
  • Disseminating web-based EHR-linked diabetes clinical decision support system from one medical group to another: case study [abstract 1377-P]. 
    Diabetes. 2015
  • Evaluation of provider experience with an EHR-based clinical decision support tool [abstract]. 
    Diabetes. 2015
  • Sustained use of a diabetes clinical decision support tool in primary care practices [abstract]. 
    Diabetes. 2015
  • Educating resident physicians using virtual case-based simulation improves diabetes management--a randomized, controlled trial [abstract 322-OR]. 
    Diabetes. 2014
  • Aspirin decision support using data-driven treatment algorithms [abstract]. 
    Clinical Medicine & Research. 2013
  • Recidivism to uncontrolled BP levels in previously controlled hypertension patients [abstract]. 
    Clinical Medicine & Research. 2013
  • Testing a clinical decision support process to lower cardiovascular risk of 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 simulated diabetes learning intervention improves provider knowledge and confidence in managing diabetes [abstract]. 
    Clinical Medicine & Research. 2012
  • Experiences in designing a simple education interface for shared decision support for cardiovascular risk [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
    • 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
  • 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
  • Developing and deploying evidence-based clinical decision support (CDS) for aspirin use at the point-of-care [presentation], Minnesota Health Services Research 17th Annual Conference
  • Evaluation of provider experience with an electronic health record-based clinical decision support tool [presentation], HMO Research Network (HMORN) 21st Annual Conference: Care Improvement Research: Partnering with Patients, Providers and Operational Leaders
  • Health informatics technology in diabetes care [presentation]
  • Hypertension treatment intensification and BP control in adults with and without diabetes [presentation], Minnesota Health Services Research 15th Annual 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
  • Point-of-care prioritized clinical decision support reduces cardiovascular risk in adults with elevated cardiovascular risk: randomized trial [presentation], Conference on the Science of Dissemination and Implementation in Health, 10th Annual
  • Recidivism to uncontrolled blood pressure levels in patients with previously controlled hypertension [presentation], Minnesota Health Services Research 17th Annual Conference
  • Sustaining use of a clinical decision support tool for primary care providers [presentation], HMO Research Network (HMORN) 21st Annual Conference: Care Improvement Research: Partnering with Patients, Providers and Operational Leaders
  • 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
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