Stephen D Persell

Summary

Affiliation: Northwestern University
Country: USA

Publications

  1. pmc Use of behavioral economics and social psychology to improve treatment of acute respiratory infections (BEARI): rationale and design of a cluster randomized controlled trial [1RC4AG039115-01]--study protocol and baseline practice and provider characterist
    Stephen D Persell
    Division of General Internal Medicine and Geriatrics, Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, 750 N, Lake Shore Drive, 10th Floor, 60611, Chicago, IL, USA
    BMC Infect Dis 13:290. 2013
  2. pmc Electronic health record-based patient identification and individualized mailed outreach for primary cardiovascular disease prevention: a cluster randomized trial
    Stephen D Persell
    Division of General Internal Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
    J Gen Intern Med 28:554-60. 2013
  3. ncbi request reprint Implementation of EHR-based strategies to improve outpatient CAD care
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    Am J Manag Care 18:603-10. 2012
  4. pmc Implications of changing national cholesterol education program goals for the treatment and control of hypercholesterolemia
    Stephen D Persell
    Division of General Internal Medicine, Department of Medicine, and the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
    J Gen Intern Med 21:171-6. 2006
  5. doi request reprint Electronic health record-based cardiac risk assessment and identification of unmet preventive needs
    Stephen D Persell
    Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
    Med Care 47:418-24. 2009
  6. ncbi request reprint Improving hypertension quality measurement using electronic health records
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
    Med Care 47:388-94. 2009
  7. doi request reprint Medication reconciliation and hypertension control
    Stephen D Persell
    Division of General Internal Medicine, Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, Ill, USA
    Am J Med 123:182.e9-182.e15. 2010
  8. doi request reprint Frequency of inappropriate medical exceptions to quality measures
    Stephen D Persell
    Division of General Internal Medicine, Northwestern University, 750 North Lake Shore Drive, 10th Floor, Chicago, IL 60611, USA
    Ann Intern Med 152:225-31. 2010
  9. pmc Potential use of 10-year and lifetime coronary risk information for preventive cardiology prescribing decisions: a primary care physician survey
    Stephen D Persell
    Northwestern University, Chicago, IL 60611, USA
    Arch Intern Med 170:470-7. 2010
  10. doi request reprint Changes in performance after implementation of a multifaceted electronic-health-record-based quality improvement system
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Institute for Healthcare Studies, Northwestern University, Chicago, IL 60611, USA
    Med Care 49:117-25. 2011

Detail Information

Publications46

  1. pmc Use of behavioral economics and social psychology to improve treatment of acute respiratory infections (BEARI): rationale and design of a cluster randomized controlled trial [1RC4AG039115-01]--study protocol and baseline practice and provider characterist
    Stephen D Persell
    Division of General Internal Medicine and Geriatrics, Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, 750 N, Lake Shore Drive, 10th Floor, 60611, Chicago, IL, USA
    BMC Infect Dis 13:290. 2013
    ..Instead, interventions that apply social psychological and behavioral economic principles may be more effective in deterring inappropriate antibiotic prescribing for ARIs by well-informed clinicians...
  2. pmc Electronic health record-based patient identification and individualized mailed outreach for primary cardiovascular disease prevention: a cluster randomized trial
    Stephen D Persell
    Division of General Internal Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
    J Gen Intern Med 28:554-60. 2013
    ..Many individuals at higher risk for cardiovascular disease (CVD) do not receive recommended treatments. Prior interventions using personalized risk information to promote prevention did not test clinic-wide effectiveness...
  3. ncbi request reprint Implementation of EHR-based strategies to improve outpatient CAD care
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    Am J Manag Care 18:603-10. 2012
    ..In the second phase, physicians also received reports about their performance (including lists of patients not satisfying these measures), and financial incentives were announced...
  4. pmc Implications of changing national cholesterol education program goals for the treatment and control of hypercholesterolemia
    Stephen D Persell
    Division of General Internal Medicine, Department of Medicine, and the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
    J Gen Intern Med 21:171-6. 2006
    ..Modifications to the National Cholesterol Education Program (NCEP) guidelines lowered optional low-density lipoprotein cholesterol (LDL-C) treatment goals...
  5. doi request reprint Electronic health record-based cardiac risk assessment and identification of unmet preventive needs
    Stephen D Persell
    Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
    Med Care 47:418-24. 2009
    ..We compared EHR-based assessment with manual chart review to determine the accuracy of automated cardiac risk estimation and determination of candidates for antiplatelet or lipid-lowering interventions...
  6. ncbi request reprint Improving hypertension quality measurement using electronic health records
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
    Med Care 47:388-94. 2009
    ..Simple hypertension outcome measures may not indicate which patients receive poor care. This could be problematic as incentives increase...
  7. doi request reprint Medication reconciliation and hypertension control
    Stephen D Persell
    Division of General Internal Medicine, Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, Ill, USA
    Am J Med 123:182.e9-182.e15. 2010
    ..Discrepancies between the medical record and patient medication list are common. The relationship of discrepancies to chronic disease control has not been established...
  8. doi request reprint Frequency of inappropriate medical exceptions to quality measures
    Stephen D Persell
    Division of General Internal Medicine, Northwestern University, 750 North Lake Shore Drive, 10th Floor, Chicago, IL 60611, USA
    Ann Intern Med 152:225-31. 2010
    ..However, physician misconceptions or gaming potentially limit programs...
  9. pmc Potential use of 10-year and lifetime coronary risk information for preventive cardiology prescribing decisions: a primary care physician survey
    Stephen D Persell
    Northwestern University, Chicago, IL 60611, USA
    Arch Intern Med 170:470-7. 2010
    ..Data are sparse regarding how physicians use coronary risk information for prescribing decisions...
  10. doi request reprint Changes in performance after implementation of a multifaceted electronic-health-record-based quality improvement system
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Institute for Healthcare Studies, Northwestern University, Chicago, IL 60611, USA
    Med Care 49:117-25. 2011
    ..Electronic health record (EHR) systems have the potential to revolutionize quality improvement (QI) methods by enhancing quality measurement and integrating multiple proven QI strategies...
  11. ncbi request reprint Patient-directed intervention versus clinician reminders alone to improve aspirin use in diabetes: a cluster randomized trial
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, USA
    Jt Comm J Qual Patient Saf 34:98-105. 2008
    ..Physician-directed approaches have not eliminated the underuse of effective preventive therapies...
  12. ncbi request reprint Effects of standardized outreach for patients refusing preventive services: a quasiexperimental quality improvement study
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    Am J Manag Care 17:e249-54. 2011
    ..To determine the effect of standardized outreach on the receipt of preventive services for patients whose physicians record that the patient refused the service...
  13. ncbi request reprint Understanding of drug indications by ambulatory care patients
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
    Am J Health Syst Pharm 61:2523-7. 2004
    ..Patients' knowledge of the indications of their prescription medications was studied and those medications that were most likely to be taken without patients understanding the correct indication were identified...
  14. ncbi request reprint Aspirin use among adults with diabetes: recent trends and emerging sex disparities
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Ill, USA
    Arch Intern Med 164:2492-9. 2004
    ..Despite high cardiovascular risk among adults with diabetes mellitus, aspirin use has been low...
  15. pmc Ambulatory hypercholesterolemia management in patients with atherosclerosis. Gender and race differences in processes and outcomes
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
    J Gen Intern Med 20:123-30. 2005
    ..To determine whether outpatient cholesterol management varies by gender or race among patients with atherosclerosis, and assess factors related to subsequent cholesterol control...
  16. doi request reprint Prevalence of resistant hypertension in the United States, 2003-2008
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, 750 N Lake Shore Dr, 10th Floor, Chicago, IL 60611, USA
    Hypertension 57:1076-80. 2011
    ..Among those classified here as resistant, inadequate diuretic therapy may be a modifiable therapeutic target. Cardiovascular diseases, diabetes mellitus, obesity, and renal dysfunction were all common in this population...
  17. ncbi request reprint Assessing the validity of national quality measures for coronary artery disease using an electronic health record
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
    Arch Intern Med 166:2272-7. 2006
    ..To our knowledge, how well they reflect actual quality of care has not been studied. We sought to evaluate the validity of performance measures for coronary artery disease (CAD) using an ambulatory EHR...
  18. doi request reprint Education, literacy, and health: Mediating effects on hypertension knowledge and control
    Anjali U Pandit
    Health Literacy and Learning Program, Center for Communication in Healthcare, Division of General Internal Medicine, and Institute for Healthcare Studies, Northwestern University, Chicago, IL 60611, USA
    Patient Educ Couns 75:381-5. 2009
    ..To determine whether literacy mediates the association between education, hypertension knowledge and control...
  19. doi request reprint The implications of using adjusted versus unadjusted methods to measure health care disparities at the practice level
    Muriel Jean-Jacques
    Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, 750 N Lake Shore Drive, Chicago, IL 60611, USA
    Am J Med Qual 26:491-501. 2011
    ..Health care organizations should consider the routine use of adjusted methods to measure disparities in order to better inform disparity reduction initiatives...
  20. pmc Changes in disparities following the implementation of a health information technology-supported quality improvement initiative
    Muriel Jean-Jacques
    Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    J Gen Intern Med 27:71-7. 2012
    ....
  21. pmc The marginal value of pre-visit paper reminders when added to a multifaceted electronic health record based quality improvement system
    David W Baker
    Department of Medicine, Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
    J Am Med Inform Assoc 18:805-11. 2011
    ..This study examined whether providing pre-visit paper quality reminders could further improve performance, especially for physicians whose performance had not improved much during the first year...
  22. ncbi request reprint Automated review of electronic health records to assess quality of care for outpatients with heart failure
    David W Baker
    Northwestern University, Chicago, Illinois, USA
    Ann Intern Med 146:270-7. 2007
    ..Electronic health records (EHRs) may be used to assess quality of care...
  23. pmc Distribution of 10-year and lifetime predicted risks for cardiovascular disease in US adults: findings from the National Health and Nutrition Examination Survey 2003 to 2006
    Amanda K Marma
    Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    Circ Cardiovasc Qual Outcomes 3:8-14. 2010
    ....
  24. ncbi request reprint National Cholesterol Education Program risk assessment and potential for risk misclassification
    Stephen D Persell
    Division of General Internal Medicine, Northwestern University, 676 N St Clair Street, Suite 200, Chicago, IL 60611 2927, USA
    Prev Med 43:368-71. 2006
    ..We aimed to determine who would be falsely classified as low risk using this approach...
  25. pmc Behavioral interventions to reduce inappropriate antibiotic prescribing: a randomized pilot trial
    Stephen D Persell
    Division of General Internal Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, 750 N Lake Shore Drive, 10th Floor, Chicago, IL, 60611, USA
    BMC Infect Dis 16:373. 2016
    ..Our objective was to test information technology-enabled behavioral interventions to reduce inappropriate antibiotic prescribing for ARIs in a randomized controlled pilot test trial...
  26. pmc Empiric antibiotic, mechanical ventilation, and central venous catheter duration as potential factors mediating the effect of a checklist prompting intervention on mortality: an exploratory analysis
    Curtis H Weiss
    Division of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, Suite 1400 676 N, St, Clair, Chicago, IL 60611, USA
    BMC Health Serv Res 12:198. 2012
    ..We sought to examine the degree to which these process of care improvements explained the observed difference in hospital mortality between the group that received prompting and an unprompted control group...
  27. doi request reprint Increased blood pressure in the emergency department: pain, anxiety, or undiagnosed hypertension?
    Paula Tanabe
    Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago IL, USA
    Ann Emerg Med 51:221-9. 2008
    ....
  28. pmc Community health center patients' response to and beliefs about outreach promoting clinical preventive services
    Tiffany Brown
    Division of General Internal Medicine and Geriatrics, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
    Prev Med Rep 5:71-74. 2017
    ..Our results show that outreach programs to promote indicated preventive services were viewed positively by this patient group. We also identified areas where the CVD prevention program may have lost effectiveness...
  29. doi request reprint Individualized Risk Communication and Outreach for Primary Cardiovascular Disease Prevention in Community Health Centers: Randomized Trial
    Stephen D Persell
    From the Division of General Internal Medicine and Geriatrics, Department of Medicine S D P, T B, J Y L, S S, M J J, N R K, D W B, Center for Primary Care Innovation, Institute for Public Health and Medicine S D P, N R K, D W B, Division of Cardiology D M L J, and Department of Preventive Medicine D M L J, N R K, Feinberg School of Medicine, Northwestern University, Chicago, IL Department of Medicine, Stanford University, Stanford, CA S S North Country Healthcare, Flagstaff, AZ E H Near North Health Service Corporation, Chicago, IL T L, T S Alliance of Chicago Community Health Services, Chicago, IL T L, T S and Heartland Health Outreach, Chicago, IL S L
    Circ Cardiovasc Qual Outcomes 8:560-6. 2015
    ..Many eligible primary cardiovascular disease prevention candidates are not treated with statins. Electronic health record data can identify patients with increased cardiovascular disease risk...
  30. pmc Limited health literacy is a barrier to medication reconciliation in ambulatory care
    Stephen D Persell
    Health Literacy and Learning Program, Division of General Internal Medicine, and Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    J Gen Intern Med 22:1523-6. 2007
    ..Limited health literacy may influence patients' ability to identify medications taken; a serious concern for ambulatory safety and quality...
  31. ncbi request reprint Relationship of diabetes-specific knowledge to self-management activities, ambulatory preventive care, and metabolic outcomes
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
    Prev Med 39:746-52. 2004
    ..We sought to determine the relationship of patients' diabetes-specific knowledge with self-management behaviors, use of ambulatory preventive care, and metabolic outcomes...
  32. ncbi request reprint Age-related differences in preventive care among adults with diabetes
    Stephen D Persell
    Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Am J Med 116:630-4. 2004
  33. doi request reprint Mailed outreach and facilitated test ordering to promote cholesterol screening in community health centers: A randomized trial
    Stephen D Persell
    Division of General Internal Medicine and Geriatrics, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
    J Eval Clin Pract . 2016
    ..We sought to determine whether a simple mailed outreach message and facilitated test ordering increase cholesterol screening among federally qualified community health center patients with no recent cholesterol screening test performed...
  34. pmc Low Tidal Volume Ventilation Use in Acute Respiratory Distress Syndrome
    Curtis H Weiss
    1Division of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 2Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL 3The Joint Commission, Oakbrook Terrace, IL 4University of Michigan School of Medicine, Ann Arbor, MI 5Northwestern University Feinberg School of Medicine, Chicago, IL 6Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 7Department of Preventive Medicine Biostatistics, Northwestern University Feinberg School of Medicine, Chicago, IL 8Norwegian American Hospital, Chicago, IL
    Crit Care Med 44:1515-22. 2016
    ..Previous studies reported poor low tidal volume ventilation implementation. We sought to determine the rate, quality, and predictors of low tidal volume ventilation use...
  35. ncbi request reprint Understanding Black Patients' Refusal of Pneumococcal Vaccination
    Tiffany Brown
    Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
    J Racial Ethn Health Disparities . 2015
    ..In one practice, 3.1 % of white patients refused PPSV23 following doctor recommendation, whereas 11.2 % of black patients refused vaccination. Our objective was to understand reasons black patients refused PPSV23...
  36. doi request reprint Development and evaluation of a patient education video promoting pneumococcal vaccination
    Tiffany Brown
    Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, USA
    Patient Educ Couns . 2016
    ..This study aimed to develop and refine a patient education video about pneumococcal polysaccharide vaccination (PPSV23) and to assess patient perceptions regarding video content and receipt of video during a clinic visit...
  37. pmc Prompting physicians to address a daily checklist and process of care and clinical outcomes: a single-site study
    Curtis H Weiss
    Division of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA
    Am J Respir Crit Care Med 184:680-6. 2011
    ..Checklists may reduce errors of omission for critically ill patients...
  38. pmc EHR-based medication support and nurse-led medication therapy management: rationale and design for a three-arm clinic randomized trial
    Stephen D Persell
    Division of General Internal Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL
    J Am Heart Assoc 2:e000311. 2013
    ..Electronic health record (EHR) tools may offer a lower-cost, less intensive approach to improving medication management...
  39. doi request reprint Patient outreach to promote colorectal cancer screening among patients with an expired order for colonoscopy: a randomized controlled trial
    Kenzie A Cameron
    Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, 750 N Lake Shore Dr, 10th Floor, Chicago, IL 60611, USA
    Arch Intern Med 171:642-6. 2011
    ..Patients with an expired order for screening colonoscopy might be persuaded to follow through with screening by such an intervention...
  40. pmc Predictors of cholesterol treatment discussions and statin prescribing for primary cardiovascular disease prevention in community health centers
    Kunal N Karmali
    Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States Division of Cardiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
    Prev Med 88:176-81. 2016
    ..We aimed to identify factors associated with a cholesterol treatment discussion and statin prescribing in a high-risk population...
  41. pmc Factors Influencing the Increasing Disparity in LDL Cholesterol Control Between White and Black Patients With Diabetes in a Context of Active Quality Improvement
    Raymond Zhang
    Northwestern University, Chicago, IL
    Am J Med Qual 29:308-14. 2014
    ..Helping patients maintain prior success controlling cholesterol appears as important in addressing this disparity as is helping uncontrolled patients achieve control. ..
  42. pmc Association of 10-year and lifetime predicted cardiovascular disease risk with subclinical atherosclerosis in South Asians: findings from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study
    Namratha R Kandula
    Northwestern University, Chicago, IL N R K, K L, J Y L, S D P, D M L J, M D H
    J Am Heart Assoc 3:e001117. 2014
    ..Little is known about ASCVD risk prediction and intermediate endpoints such as subclinical atherosclerosis in US individuals of South Asian ancestry...
  43. doi request reprint E-learning and deliberate practice for oral case presentation skills: a randomized trial
    Heather L Heiman
    Northwestern University, Feinberg School of Medicine, USA
    Med Teach 34:e820-6. 2012
    ..Oral case presentations are critical for patient care and student assessment. The best method to prepare early medical students for oral presentations is unknown...
  44. doi request reprint Electronic health record identification of prediabetes and an assessment of unmet counselling needs
    Laura J Zimmermann
    Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    J Eval Clin Pract 18:861-5. 2012
    ..We explored whether electronic health record (EHR) query of glucose measurements can identify prediabetic patients, and we estimated rates of prediabetic lifestyle counselling in a large, urban, primary care practice...
  45. doi request reprint Contextual errors and failures in individualizing patient care: a multicenter study
    Saul J Weiner
    Veterans Affairs Center for the Management of Complex Chronic Care, University of Illinois at Chicago, Illinois 60612 7324, Chicago, USA
    Ann Intern Med 153:69-75. 2010
    ..In contrast to biomedical errors, which are not patient-specific, contextual errors represent a failure to individualize care...
  46. ncbi request reprint Studying interventions to prevent the progression from prehypertension to hypertension: does TROPHY win the prize?
    Stephen D Persell
    Am J Hypertens 19:1095-7. 2006