Explore Our List of Active Research Projects

Kristin Hoffman, M.D., conducts a telehealth session.Our research focuses on how telehealth and connected health programs can:

  • Improve patient outcomes.

  • Increase patient access to care, especially in rural or underserved communities.

  • Make health care more cost effective.

  • Boost both patient and clinician satisfaction.

  • Improve overall quality of care.

Improving Family-Centered Pediatric Trauma Care: The Standard of Care versus the Virtual Pediatric Trauma Center
Principal Investigator: James Marcin, M.D., MPH
Co-Investigators: Nathan Kuppermann, M.D., MPH, FAAP, FACEP; and Joseph Galante, M.D.
Funding Agency: Patient-Centered Outcomes Research Institute (PCORI)
Award: $4,199,464 
Period: Starting in 2020 for 36 months
The study will compare the current standard of pediatric trauma care with the virtual pediatric trauma center model. The current standard calls for patients to be transferred to a level I pediatric trauma center. In the virtual pediatric trauma center model, telemedicine such as videoconferencing brings the expertise of a level I pediatric trauma center to any hospital emergency department. The project will evaluate the patient and family experience of both models, as well as measure stress, examine access to health care services needed and weigh out-of-pocket costs following the injury of a child.

News Release »

Tele-Behavioral Health for American Indians Affected by Mental Illness (Tele-AIMI)
Principal Investigators: James Marcin, M.D., MPH; and Peter Yellowlees, M.D., MBBS
Co-Investigators: Murat Pakyurek, M.D.; Bibiana Restrepo, M.D.; and Jeffrey Hoch, Ph.D
Funding Agencies: Health Resources and Services Administration, Federal Office of Rural Health Policy, Office for the Advancement of Telehealth
Award: $1,049,960
Period: September 1, 2018 to August 31, 2021
Researchers are partnering with five rural Indian Health Services clinics that are currently part of UC Davis’ existing rural network to evaluate the impact of adult and pediatric tele-behavioral health consultations on patient-centered outcomes. The study also addresses the economic efficiency of tele-behavioral health consultations.

Use of Home-Based Telemedicine to Improve Healthcare Utilization and Outcomes in Pediatric Patients with Poorly Controlled Type 1 Diabetes 
Principal Investigator: Stephanie Crossen, M.D., MPH
Co-Investigators: Nicole Glaser, M.D.; and James Marcin, M.D., MPH
Funding Agencies: UC Davis Clinical and Translational Science Center (CTSC) KL2 Program
Award: $307,061
Period: October 1, 2017 to May 31, 2019
The overarching goal of this project is to determine whether telehealth interventions for pediatric patients with diabetes can ultimately help reduce A1C levels. Patients receive telehealth visits every four to eight weeks depending on their A1C levels. Before each visit, the patient sends their glucose meter data electronically to the physician for evaluation. This project also looks at the time and cost-savings involved in providing telehealth visits versus traditional in-person visits.  

School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services (STARS)  
Principal Investigators: James Marcin, M.D., MPH
Co-Investigator: Loren Davidson, M.D.; Maya Evans, M.D.; and Shawna Arsenault, M.D.
Funding Agency: Agency for Healthcare Research and Quality
Award: $2 million
Period: September 1, 2017 to August 31, 2022
This program provides critical physiatry care for children with cerebral palsy, spina bifida, spinal cord injuries and other disabilities using telehealth. It involves installing secure teleconferencing equipment in schools in San Joaquin, Butte and Lake counties. Physiatrists remotely guide screening and write the appropriate prescriptions and referrals. In addition to providing care, the grant also supports research to determine which approaches provide the greatest benefit for children and their families. The study examines three cohorts: physiatrists providing care in person; non-physiatrists providing care in person; and physiatrists using telemedicine. The group will assess whether telehealth improves quality of care, increases patient-centeredness and reduces costs.

News Release (Acquiring Grant) »

News Release (First School Site) »

Transport of Acutely Ill and Injured Children to Institutions of Higher Care for Allied Localities (TACTICAL) 
Principal Investigator: James Marcin, M.D., MPH
Co-Investigators: Nathan Kuppermann, M.D., MPH, FAAP, FACEP; and Julia Magana, M.D.
Collaborating Agencies: North Coast Emergency Medical Services Agency and Sierra-Sacramento Valley Emergency Medical Services Agency
Funding Agency: Health Resources and Services Administration, Emergency Medical Services for Children, State Partnership Regionalization of Care
Award: $797,171
Period: June 1, 2016 to May 31, 2020
TACTICAL aims to expand pediatric quality improvement, telehealth and a standardized data collection program to rural and underserved California communities. The goal is to ensure that evidence-based emergency medical services are delivered to children in both the pre-hospital setting as well as at receiving emergency departments, and that ongoing education and quality care are provided. In addition, the program implements a standardized facility recognition program for pediatric emergency care and establishes a data collection and monitoring system.

A Randomized Trial of Tele-Emergency Care for Seriously Ill Children
Principal Investigators: James Marcin, M.D., MPH
Co-Investigators: Nathan Kuppermann, M.D., MPH
Funding Agencies: Health Resources and Services Administration, Federal Office of Rural Health Policy, Office for the Advancement of Telehealth
Award: $1,597,442
Period: September 1, 2014 to August 31, 2019
The goal of this research project is to determine the impact of an existing tele-emergency care network on quality of care, appropriateness of care utilization, patient safety (medication errors), and cost effectiveness compared to telephone consultations from the perspective of a health care system. The study will focus on pediatric patients at more than 15 rural and underserved hospitals sprinkled throughout California. Researchers aim to demonstrate how an existing tele-emergency network can benefit rural and other community hospitals as well as the children they serve.

SVS Foundation and ACS Mentored Patient-Oriented Research Career Development Award (K23) 
Evaluating Implementation of Comprehensive Assessment and Telemedicine Consultation to Prevent Amputations for Patients with Lower Extremity Ulcers in Rural Health Clinics
Principal Investigator: Misty Humphries, M.D.
Funding Agencies: Society for Vascular Surgery Foundation and American College of Surgeons
This research project uses telehealth to remote clinics to increase access and quality for patients with lower extremity vascular insufficiency and diabetes.

Optimizing Pregnancy and Infant Outcomes in Drug (OPIOID) Addiction
Principal Investigators: Shannon Clark, M.D., and Kara Kuhn-Riordon, M.D.
Co-Investigator: James Marcin, M.D., MPH
Funding Agency: Health Resources and Services Administration
Award: Up to $200,000
Period: One Year Starting in 2019
The goal of this one-year planning project is to establish a consortium of five rural hospitals to work collaboratively with opioid specialists at an academic hospital to develop a telementoring and capacity building program (based on the Echo® program) aimed at increasing rural providers’ ability to care for pregnant and parenting women with Opioid Use Disorder (OUD) and their newborns. The hospitals included in the consortium are on the front-lines of the rural opioid epidemic, serving rural and underserved communities in both Northern California and Nevada. Efforts will be focused on increasing and improving treatment and recovery practices in these rural communities.

Project Abstract »