Dr. Halm’s research focuses on understanding the patient, provider, and system factors that influence the quality, appropriateness, and outcomes of care, and then using these insights to develop interventions to improve quality and outcomes of care. Specific clinical topics of interest include: asthma, community-acquired pneumonia, diabetes, cerebrovascular disease, carotid endarterectomy, thromboembolic disease, and hip fracture. His research uses the tools of clinical epidemiology, outcomes, effectiveness, and health services research, risk adjustment, clinical predication rules, health psychology, behavioral medicine, and quality improvement. He has done work on: measuring overuse, underuse, and misuse in health care, developing strategies to improve quality and efficiency, practice guidelines, changing patient, physician, and organizational behavior, assessing the impact of patient health beliefs on medication adherence and self-management, examining volume-outcome relationships in health care, improving chronic disease management, health disparities, patient safety, medical errors, and cost-effective use of medications.
Dr. Halm is Co-Director of the Center for the Study of Health Beliefs and Behavior funded by the National Institute of Aging (R24 AG023958) and PI on the Center grant’s "Asthma self-management in older adults" project. This is a prospective observational cohort study to identify self-regulation beliefs, medication adherence, self-management behaviors, and outcomes among older, inner city adults with asthma. He is also the PI of a grant from the National Institute of Neurologic Disorders and Stroke examining the long term outcomes of carotid endarterectomy among the New York Carotid Artery Surgery Study, a population-based cohort of Medicare beneficiaries having stroke prevention surgery (RO1 NS056028). He was PI of an Agency for Healthcare Research and Quality (AHRQ) and United Hospital Fund supported inner city asthma cohort study identifying patient, process of care, system, and provider factors that predict relapse, poor functioning, and high resource use. He was also PI of an AHRQ-funded multicenter cohort study characterizing clinical stability and outcomes of pneumonia, hip fracture, and asthma (RO1 HS09973). Dr. Halm has also been the PI of other grants including: 1) A multicenter intervention study to improve the process and outcomes of care for pneumonia (Robert Wood Johnson Foundation), 2) A patient navigator program to improve access to care for inner city asthmatics seeking emergency care (New York State Health Foundation); 3) "Data smog and marketing fog:" A critical skills curriculum to educate health professionals about rational prescribing (Attorneys General Prescriber Education Program); 4) Understanding reasons for non-adherence with colorectal cancer screening in inner city adults (American Cancer Society), among others.
Dr. Halm has extensive experience in mentoring medical students, residents, fellows, and junior faculty, leading various graduate degrees programs (MS, MPH), teaching clinical research design, outcomes and health services research methodologies, developing academic career development programs, and promoting and multidisciplinary, patient-oriented clinical research.
RESEARCH INTERESTS
Understanding the patient, provider, and system factors that influence the quality and outcomes of care
Improving chronic disease management
Assessing the impact of patient health beliefs on medication adherence and self-management
Changing physician, patient, and organizational behavior
Developing evidence-based approaches to the management of common conditions
RECENT PUBLICATIONS
Press MJ, Chassin MR, Wang J, Tuhrim S, Halm EA, "Predicting medical and surgical complications of carotid endarterectomy: comparing the risk indexes" Arch Intern Med, 166(8):914-920, April 2006
Moore C, McGinn T, Halm EA, "Tying Up Loose Ends: Discharging Patients with Unresolved Medical Issues" Arch Intern Med, 167:1305-1311, June 2007
Wisnivesky JP, Lorenzo J, Lyn-Cook R, Newman T, Aponte A, Kiefer E, Halm EA, "Barriers to Adherence to Asthma Management Guidelines Among Inner-City Primary Care Providers" Annals of Allergy, Asthma and Immunology, 101(3):264-70, 2008
Federman AD, Gelb-Safran D, Keyhani S, Siu AL, Halm EA, "Low Levels of Awareness of Pharmaceutical Cost-Assistance Programs Among Inner-City Seniors" JAMA, 300 (12):1412-4, September 2008
Boutron I, Moher D, Altman DG, Schulz KF, Ravaud P for the CONSORT Group (Member of CONSORT authorship group), "Extending the CONSORT statement to randomized trials of non-pharmacologic treatment: explanation and elaboration" Ann Intern Med, 148(4):295-309, 2008
SIGNIFICANT PUBLICATIONS
Halm EA, Fine MJ, Marrie TJ, et al., "Time to clinical stability in patients hospitalized with community-acquired pneumonia: implications for practice guidelines" JAMA, 279(18):1452-1457, May 1998
Halm EA, Lee C, Chassin MR, "Is volume related to outcome in health care? A systematic review and methodologic critique of the literature" Ann Intern Med, 137(6):511-520, September 2002
Halm EA, Chassin MR, Tuhrim S, Hollier LH, Faust G, Popp JA, AScher E, Dardik H, Riles TS, "Revisiting the appropriateness of carotid endarterectomy" Stroke, 34(6):1464-1471, June 2003
Halm EA, Mora P, Leventhal H, "No symptoms, no asthma: the acute episodic disease belief is associated with poor self-management among inner-city adults with persistent asthma" Chest, 129(3):573-580, March 2006
Halm EA, Tuhrim S, Wang JJ, Rojas M, Hannan EL, Chassin MR, "Has evidence changed practice?: appropriateness of carotid endarterectomy after the clinical trials" Neurology, 68(3):187-194, January 2007
Point and right click (click and hold for Mac users) your mouse onand select "Save this link (or target) as..." option to save the file to your local computer.
