Eastern Colorado Geriatric Research, Education and Clinical Center (GRECC) - VA Eastern Colorado Health Care System
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Eastern Colorado Geriatric Research, Education and Clinical Center (GRECC)

 

Eastern Colorado GRECC Investigators

20 December 2019

Biography | Recent Publications | Presntations & Media

Hillary D. Lum, MD, PhD
Title: Associate Professor, Geriatric Medicine
Contact: hillary.lum@cuanschutz.edu | hillary.lum2@va.gov
 
Personal Statement
As a Board-certified geriatrician, palliative medicine physician, and clinician scientist, I am dedicated to improving advance care planning and quality of life for older adults with serious illnesses. I have been continuously funded since 2013, including through the National Institute on Aging Beeson Emerging Leaders Career Development K76 Award. My work focuses on designing and testing the effectiveness of new advance care planning strategies to improve patient-centered outcomes. I have clinical experience as a primary care geriatrician and research expertise in advance care planning, qualitative methods and implementation science.
 
My work includes the stakeholder-engaged design and efficacy testing of the Engaging in Advance Care Planning Talks (ENACT) Group Visits intervention in six primary care clinics, inclusive of individuals with cognitive impairment. I also led the refinement of the ENACT Group Visits intervention for individuals with amnestic Mild Cognitive Impairment, a population that is at high risk for developing Alzheimer’s Disease. As an early stage investigator, evidence of my growing independence can be seen through funding from the National Institute on Aging, Department of Veterans Affairs, National Palliative Care Research Center, NextFifty Initiative, and the Colorado Health Foundation. As evidence of my leadership in team science, I have published more than 50 studies in geriatrics, palliative care and primary care.
 

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Recent Publications

 Pub: Caregiver Experiences of Care Coordination for Recently Discharged Patients: A Qualitative Metasynthesis
4 October 2019 - Eastern Colorado GRECC Research PI, Hilary Lum, MD, PhD, was a co-author on this paper which explored caregiver experience as it relates to care coordination after a recent hospital discharge. The paper reports five emerging themes and suggest that clinicians need to engage with caregivers "to provide support, training, and communication after hospital discharge." Read about the 5 emerging themes.

The above image represents the Altmetric score or the 'attention' this publication is receiving from news outlets, Twitter, Facebook and others. Click on the doughnut to understand what attention this article is receiving.
 Pub: Artificial Nutrition Belongs on POLST
14 August 2019 - Eastern Colorado GRECC researcher and CU Associate Professor, Geriatric Medicine, Hillary Lum, MD, PhD, was a co-author on this response to an earlier article. The POLST (Physician Orders for Life-Sustaining Treatment) is a medical order written between a physician and a patient with a life-threatening illness or fraility that summarizes the care the patient wishes to receive. This brief article details why the POLST should continue to contain a section related to artificial nutrition. Read this free access piece.
 Pub: Conducting Clinical Research in Post-acute and Long-term Nursing Home Care Settings: Regulatory Challenges
3 July 2019 - Drs. Hillary Lum and Jennifer Stevens Lapsley ABSTRACT: Despite multiple initiatives in post-acute and long-term nursing home care settings (NHs) to improve the quality of care while reducing health care costs, research in NHs can prove challenging. Extensive regulation for both research and NHs is designed to protect a highly vulnerable population but can be a deterrent to conducting research. This article outlines regulatory challenges faced by NHs and researchers, such as protecting resident privacy as well as health information and obtaining informed consent. The article provides lessons learned to help form mutually beneficial partnerships between researchers and NHs to conduct studies that grow and advance NH research initiatives and clinical care. Copyright © 2019 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. KEYWORDS: Post-acute care; long-term care; nursing homes; research regulation Read more.
 Pub: Identifying Patient Readmissions: Are Our Data Sources Misleading?
24 June 2019 - Eastern Colorado GRECC researcher, Dr. Hillary Lum, is one of the author's on this paper that makes the case for "accuracy of data is vital to identifying hospitalization outcomes for clinical trials." The use of "Statewide health information exchanges (HIEs) may be a more complete data source but have not been frequently used for research." Read more.
 New Pub: "It Makes People Uneasy, but It's Necessary. #BTSM": Using Twitter to Explore Advance Care Planning among Brain Tumor Stakeholders.
6 June 2019 - Eastern Colorado GRECC researcher, Dr. Hillary Lum, was the senior author on this publication. The publication looked at a Twitter chat that took place January 2018. The chat drew 52 participants from 4 countries. Most of the participants were patients with brain tumors. Dr. Lum and the team wanted to understand barriers to Advance Care Planning (ACP). The 3 key themes were: " (1) attitudinal barriers prevent discussions of death; (2) need to ensure one's voice is heard; and (3) Goldilock's approach to timing—fearing ACP is too early or too late." Read more.

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Presentation & Media

 Poster: Formal Training in Telehealth Uniquely Prepares an Interdisciplinary Workforce in Geriatrics and Gerontology
14 November 2019 - Eastern Colorado GRECC PIs, Kathryn A. Nearing, PhD, Hillary D. Lum, MD, PhD, Skotti Church, MD along with Janna Hardland, MD and Stephanie Hartz, LCSW, BCD, presented this poster at The Gerontological Society of America's 71st Annual Scientific Meeting, taking place in Austin, Texas from November 13 - 17 , 2019. Eastern Colorado GRECC Connect integrates Associated Health Trainees (Audiology, Psychology, Social Work, Pharmacy) and Geriatric Medicine Fellows into interdisciplinary tele-geriatric and tele-palliative care consultations provided to outlying community-based outpatient clinics. During exit interviews, trainees indicated that these experiences offered unique opportunities to develop their clinical skills, particularly related to active listening and communication. They identified their involvement with GRECC Connect as a highly valued aspect of their Geriatrics training. Rigorous training in telehealth is an essential aspect of workforce development in Geriatrics and Gerontology given the concentration of older adults in rural areas.

Podcast: Access to Care Rounds

Listen as Kathryn Nearing, PhD, MA, Associate Director for Education and Evaluation for EC GRECC, discusses the model with Hillary Lum, MD, PhD, Associate Professor, Geriatric Medicine, and project coordinator Courtney Bauers.

 

Access to Care Infographic

Our team created this infographic to help understand our work. Download the complete infographic as a PDF.

Colorado Veteran Community Partnership

The Colorado Veteran Community Partnership was established in July 2017.

Mission – Improve quality of care for Veterans and their families through committed partnerships focused on improving VA-community connections for Colorado Veterans.

Contact: Courtney Bauers, LCSW, courtney.bauers@va.gov; Khristie Barker, khristie.barker@va.gov

Learn more about Veteran Community Partnerships

The Colorado Veteran Community Partnership works closely with community partners. Joining Community Forces is an excellent source for Colorado resources, upcoming events and networking. Learn more at: http://coloradojcf.org/

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