Kottke, Thomas E., MD, MSPH uri icon
Senior Investigator and Medical Director for Well-Being
About me

HealthPartners titles: Cardiologist and epidemiologist, medical director for well-being for the health plan

Academic appointment: Professor, Department of Medicine, University of Minnesota

Other offices: Consultant to the World Health Organization (WHO) on the prevention and management of chronic diseases, member of the faculty of the WHO’s noncommunicable disease-prevention course.

Joined the Institute: 2004

Education and training: MD, University of Minnesota, Minneapolis; MSPH, University of North Carolina at Chapel Hill; postdoctoral training, University of Minnesota.

Overview/research interests: Building community-based heart disease-prevention programs; 204 peer-reviewed papers, 3 books, 41 book chapters and 40 invited editorials. Member of both the first US Preventive Services Task Force and the federal panels that authored evidence-based guidelines for treating tobacco dependence (issued by the US Public Health Service in June 2000 and by the Agency for Health Care Policy and Research in 1996). While professor of medicine at Mayo Clinic College of Medicine, Rochester, Minn., he developed and directed CardioVision 2020, a project to make Olmsted County, Minn. the healthiest county in the country by 2020. He also helped build the Southeastern Minnesota Women’s Health Project to increase screening rates for breast and cervical cancer.

Interests include measuring and promoting well-being, addressing the social determinants of health, delivery of preventive services and prevention of chronic diseases through lifestyle interventions.

Current research activities and funding:

  • Creating a measurable definition of health and well-being to permit measurement of the Triple Aim performance
  • Promoting population well-being through lifestyle interventions directed at nutrition, physical activity, abstinence from tobacco, prudent use of alcohol, sleep and healthy thinking
  • Designing office systems to improve the care of patients with chronic conditions
  • Sr. Research Investigator , Health and well-being
  • Senior Research Investigator, Community and population health 2004 -
  • Publications
    selected publications
    Journal Article
  • An email coaching option increases participant program utilization and coach productivity
    American Journal of Health Promotion. 2022
  • Findings and future directions from a smoking cessation trial utilizing a clinical decision support tool
    Journal of Evidence-Based Dental Practice. 2022
  • Gaing the upper hand
    MetroDoctors. 2022
  • Comparison of medical school financing plans among matriculating US medical students from 2017 to 2019
    JAMA network open. 2021
  • Cultural and structural features of zero-burnout primary care practices
    Health Affairs. 2021
  • Impact of demographic survey questions on response rate and measurement: a randomized experiment
    Survey Practice. 2021
  • It's important to hear and learn from youth experiencing homelessness in the Twin Cities
    MinnPost. 2021
  • It’s important to hear and learn from youth experiencing homelessness in the Twin Cities
    MinnPost. 2021
  • Promoting fish consumption messages: perspectives of hmong women of childbearing age
    American Journal of Health Behavior. 2021
  • Promoting the public's health with personal commitment and gun safety policies
    Creative Nursing. 2021
  • Using a brief tool to assess healthy school environments: a pilot study
    American Journal of Managed Care. 2021
  • A strategy to promote population-wide life satisfaction while advancing equity
    American Journal of Managed Care. 2020
  • Recognizing our local COVID-19 heroes
    MetroDoctors. 2020
  • A behavioural economics approach to improving healthy food selection among food pantry clients
    Public Health Nutrition. 2019
  • Responses to a social media campaign promoting safe fish consumption among women
    Preventing Chronic Disease. 2019
  • The health and well-being of an ACO population
    American Journal of Managed Care. 2019
  • The predicted impact of adopting health-promoting behaviors on disease burden in a commercially insured population
    Journal of Occupational and Environmental Medicine. 2019
  • Validating a method to assess disease burden from insurance claims
    American Journal of Managed Care. 2019
  • Burnout among physicians, advanced practice clinicians and staff in smaller primary care practices
    Journal of General Internal Medicine. 2018
  • Healthy nutrition and dietary considerations for the workplace
    ACSMs Health Fitness J. 2018
  • Piquing their “Pinterest”: a qualitative study to format and deliver complex fish consumption guidelines to women who are or could become pregnant
  • Use and customization of risk scores for predicting cardiovascular events using electronic health record data
    Journal of the American Heart Association. 2017
  • "Well-Being in All Policies": promoting cross-sectoral collaboration to improve people's lives
    Preventing Chronic Disease. 2016
  • Concordance between life satisfaction and six elements of well-being among respondents to a health assessment survey, HealthPartners Employees, Minnesota, 2011
    Preventing Chronic Disease. 2016
  • Modeled health and economic impact of team-based care for hypertension
    American Journal of Preventive Medicine. 2016
  • New summary measures of population health and well-being for implementation by health plans and accountable care organizations
    Preventing Chronic Disease. 2016
  • Proton pump inhibitor use by aspirin-treated coronary artery disease patients is not associated with increased risk of cardiovascular events
    European heart journal. Cardiovascular pharmacotherapy. 2016
  • The financial impact of team-based care on primary care
    American Journal of Managed Care. 2016
  • Using principles of complex adaptive systems to implement secondary prevention of coronary heart disease in primary care
    The Permanente journal. 2016
  • A qualitative study of processes used to implement evidence-based care in a primary care practice
    Family Practice. 2015
  • Persistence of smoking-cessation decision support use in a dental practice
    American Journal of Preventive Medicine. 2015
  • Honoring choices Minnesota: preliminary data from a community-wide advance care planning model
    Journal of the American Geriatrics Society. 2014
  • Lipid abnormalities in foreign-born and US-born patients in a medical group
    Journal of Clinical Lipidology. 2014
  • An algorithm that identifies coronary and heart failure events in the electronic health record
    Preventing Chronic Disease. 2013
  • Leveraging lifestyle medicine and social policy to extend the triple aim from the clinic into the community
    American Journal of Lifestyle Medicine. 2013
  • Meeting the million hearts goal
    Minnesota Medicine. 2013
  • Simple rules that reduce hospital readmission
    The Permanente journal. 2013
  • The effect of price reduction on salad bar purchases at a corporate cafeteria
    Preventing Chronic Disease. 2013
  • Accuracy of heart disease prevalence estimated from claims data compared with an electronic health record
    Preventing Chronic Disease. 2012
  • The simple health system rules that create value
    Preventing Chronic Disease. 2012
  • Adherence to optimal lifestyle behaviors is related to emotional health indicators among employees
    Population health management. 2011
  • Five payment models: the pros, the cons, the potential
    Minnesota Medicine. 2011
  • Identifying opportunities for a medical group to improve outcomes for patients with coronary artery disease and heart failure: an exploratory study
    The Permanente journal. 2011
  • The predicted impact of heart disease prevention and treatment initiatives on mortality in Lithuania, a middle-income country
    Preventing Chronic Disease. 2011
  • Measuring health care access and quality to improve health in populations
    Preventing Chronic Disease. 2010
  • Reasons for not meeting coronary artery disease targets of care in ambulatory practice
    The Permanente journal. 2010
  • The association between optimal lifestyle adherence and short-term incidence of chronic conditions among employees
    Population health management. 2010
  • Does prevention save money?
    Health Affairs. 2009
  • Physical activity promotion as a strategic corporate priority to improve worker health and business performance
    Preventive Medicine. 2009
  • Preventing and managing cardiometabolic risk: the logic for intervention
    International Journal of Environmental Research and Public Health. 2009
  • Readiness of US health plans to manage cardiometabolic risk
    Preventing Chronic Disease. 2009
  • Taking on the social determinants of health: a framework for action
    Minnesota Medicine. 2009
  • The comparative effectiveness of heart disease prevention and treatment strategies
    American Journal of Preventive Medicine. 2009
  • Optimizing practice through research: a new perspective to solve an old problem
    Annals of Family Medicine. 2008
  • Partnering care delivery and research to optimize health
    Clinical Medicine & Research. 2008
  • Preventing chronic disease risk factors: rationale and feasibility
    Medicina (Kaunas, Lithuania). 2008
  • Optimizing practice through research: a preventive services case study
    American Journal of Preventive Medicine. 2007
  • CardioVision 2020: program acceptance and progress after 4 years
    American Journal of Preventive Medicine. 2006
  • Physical activity optimizing practice through research
    American Journal of Preventive Medicine. 2006
  • Preventing sudden death with n-3 (omega-3) fatty acids and defibrillators
    American Journal of Preventive Medicine. 2006
  • Obesity: another wolf at the door?
    Clinical Obstetrics and Gynecology. 2004
  • Variation in clinical preventive services
    Effective Clinical Practice. 2001
  • Failure of a continuous quality improvement intervention to increase the delivery of preventive services. A randomized trial
    Effective Clinical Practice. 2000
  • Improving prevention is difficult
    Effective Clinical Practice. 2000
  • Lessons from experienced guideline implementers: attend to many factors and use multiple strategies
    Joint Commission Journal on Quality Improvement. 2000
  • Editorial Article
  • Failing cardiovascular health: a population code blue [editorial]
    Journal of the American College of Cardiology.  80. 2022
  • Gun laws: enough is enough [editorial]
  • Heart disease and stroke: down, but not out [editorial]
    Lancet Reg Health Eur.  7. 2021
  • Multiples of median income: a tool to call out drugs that are high cost and low value [editorial]
    The Permanente journal.  24. 2020
  • Access to affordable housing promotes health and well-being and reduces hospital visits [editorial]
    The Permanente journal.  22. 2018
  • Philanthropy and beyond: creating shared value to promote well-being for individuals in their communities [editorial]
    The Permanente journal.  21. 2017
  • Strategies to prioritize clinical options in primary care [editorial]
    Annals of Family Medicine.  15. 2017
  • Counterpoint: Teamwork is the best medicine, not "autonomy" [editorial]
  • Here's how we can end extortionate drug price increases. Runaway medication costs are the fastest-growing driver of health-care expenses [editorial]
  • A paradox of well-being [editorial]
  • A commentary on: "Comparative health systems research among Kaiser Permanente and other integrated delivery systems: a systematic literature review" [editorial]
    The Permanente journal.  18. 2014
  • Prevent the next generation of nicotine addiction [editorial]
  • The adoption of quality indicators [editorial]
    Health Affairs.  33. 2014
  • Four opportunities to prevent diabetes and coronary heart disease [editorial]
    Diabetes Spectrum.  26. 2013
  • Optimizing the health of mothers, infants, and communities through research [editorial]
    Mayo Clinic Proceedings.  88. 2013
  • Reversing the slide in US health outcomes and deteriorating health care economics [editorial]
    Mayo Clinic Proceedings.  88. 2013
  • Medicine is a social science in its very bone and marrow [editorial]
    Mayo Clinic Proceedings.  86. 2011
  • The lessons of COURAGE (Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation)
    Journal of the American College of Cardiology.  58. 2011
  • The need for social epidemiology: now as much as ever [editorial]
    Annals of Epidemiology.  21. 2011
  • Chapter
  • Case study: the power of community in population health: PowerUp for kids
    Population health: creating a culture of wellness. 2015
  • Causation of common cardiovascular problems
    AMA guides to the evaluation of diseases and injury causation. 2013
  • Health promotion in health systems
    Lifestyle medicine. 2013
  • Audio-Visual Document
  • A nurse-led system to improve evidence-based cardiac care in primary care clinics [presentation]
  • BET-CI: a benefit estimating tool for cardiac interventions [presentation]
  • Choosing wisely [presentation]
  • Choosing wisely [presentation]
  • Cost and quality trade-offs in a well-being survey of HealthPartners patient members [presentation]
  • Cost and quality trade-offs in a well-being survey of HealthPartners patient members [presentation], American Association for Public Opinion Research 70th Annual Conference
  • 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
  • History and future of community-based chronic disease prevention programs [presentation]
  • How to strengthen integrated prevention in health services [presentation]
  • Hyperlipidemia management [presentation]
  • Hyperlipidemia management [presentation]
  • Hypertension in the elderly [presentation]
  • Improving EHR functionality to increase Minnesota health score performance for vascular disease patients in a private practice [presentation]
  • Improving care for patients with high CV risk [presentation]
  • Lipid abnormalities among foreign and U.S. born patients in a medical group [presentation], Prehypertension and Cardiometabolic Syndrome 2nd International Conference
  • Medical knowledge behind integrated NCD (non-communicable diseases) prevention [presentation]
  • Practical tips to reduce heart disease risk in women [presentation]
  • Predicted health and economic impact from the elimination of industrially-produced trans fatty acids in the United States [presentation]
  • Proton pump inhibitor use and the risk of adverse cardiovascular events in aspirin-treated patients with coronary artery disease [presentation]
  • Social determinants of health [presentation]
  • Summary measures of health and well-being [presentation]
  • Contact
    primary email
  • Thomas.E.Kottke@HealthPartners.Com
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