BRIDGE-C2 Center Pilot Studies

Pilot Studies in Progress

Cervical Cancer Screening Tool

PIs: Nathalie Huguet, PhD; Rachel Gold, PhD

Though rates of cervical cancer (CC) screening are on the rise, this improvement is not equitably distributed among patients. Using a mixed-methods approach, this pilot addresses a gap in cancer screening and prevention by identifying the factors that impact adoption of a health information technology (HIT)-based decision support tool, an implementation strategy commonly used in real-world CHCs to increase guideline­ concordant care.


BRIDGE 2 Cessation

PIs: Steffani Bailey, PhD; Susan Flocke, PhD

Despite overall reductions in adult tobacco use rates in the United States, tobacco use remains the leading preventable cause of death in the US; and significant smoking-related disparities persist among low socioeconomic populations. This mixed-methods study examines rates of use of an Electronic Health Record (EHR)-based tool for referral to the state Quitline, and patient acceptance and denial of the referral within clinics in the BRIDGE-C2 Laboratory.


Precision Implementation Methods

PIs: Miguel Marino, PhD; Nathalie Huguet, PhD

Using an Electronic Health Record (EHR)-based decision support tool designed to improve cervical cancer screening and prevention, this pilot will develop models to identify practice and provider characteristics that predict adoption of innovative implementation strategies.


EHR Proficiency

PI: Susan Flocke, PhD

Electronic Health Record (EHR)-based tools offer promising strategies for supporting the provision of guideline-based care. This study measures practice staff’s EHR efficiency / competency and skills prior to implementing EHR-based tools to identify the type and amount of EHR optimization training is necessary before new EHR-based tools may be adopted.


Cancer Preventive Care During- and Post-COVID-19 Pandemic

PIs: Jennifer DeVoe, MD, DPhil; Rachel Gold, PhD; Deborah Cohen, PhD; Nathalie Huguet, PhD

This mixed-methods pilot explores how the COVID-19 pandemic is impacting cancer screening and prevention among patients receiving care in Community Health Centers (CHCs) in the BRIDGE-C2 Laboratory.

Completed Pilot Studies

ASCEND - Adaptation Implementation Tracking Method

PIs: Rachel Gold, PhD; Amber D. Haley, PhD candidate

Adapting clinical interventions to meet individual primary care settings' needs can enhance the interventions' uptake. This research tests strategies for helping Community Health Centers (CHCs) systematically identify and take action on social determinants of health.


Cancer Registry Linkage

PIs: Nathalie Huguet, PhD, Jen DeVoe, MD, DPhil, Megan Hoopes, MPH

This study assesses the completeness and accuracy of EHR cancer survivor data by linking Cancer Registry data from California, Washington, and Oregon to OCHIN Implementation Laboratory data.


UDS Analysis

PI: Nathalie Huguet, PhD

This study aims to describe the longitudinal trends in the delivery of three cancer preventive care metrics and define and compare Community Health Centers (CHCs) with high vs low cancer preventive care performance.

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