Quality and Informatics Lab (QUIL)

 

The mission of the Quality and Informatics Lab (QUIL) at UCSF is to improve patient outcomes; we use EHR data to develop and test measures of quality and medication safety. The lab is part of the Division of Rheumatology in the Department of Medicine at UCSF, and is funded by the Agency for Research and Healthcare Quality (AHRQ), the National Institutes of Health (NIAMS), and the Rosalind Russell/Ephraim P. Engleman Rheumatology Research Center. We have offices across several campuses of UCSF, including ZSFG, Mission Bay, and the SF VA Hospital.

 


 


Grants

AHRQ – "ASPIRE"

The ASPIRE project aims to improve patient safety for individuals using high-risk immunosuppressive medications. The proposed research will contribute novel information about emerging patient safety errors, rigorously evaluate a registry-based healthcare quality measurement program, and create the first toolkit to address ambulatory patient safety for immune-mediated diseases.

 

AHRQ – "PACT"

Incorporating PRO Data into RA Clinical Encounters using Health-IT (PACT). The goal of this project is to develop and test an electronic dashboard that displays patient reported outcomes for patients with rheumatoid arthritis. We will then perform an interrupted time series trial to evaluate these tools and to see if they improve the use of disease activity measures and a treat-to-target strategy for patients with rheumatoid arthritis.

 

AHRQ – "RISE-PRO"

Rheumatology Informatics System for Effectiveness Patient-Reported Outcome Dissemination Project. The aim of this project is to use the novel health IT platform of the American College of Rheumatology’s RISE patient registry to scale, spread and evaluate the collection of patient-reported outcomes across a nationwide network of rheumatology practices. 

 

NIAMS – “QORA"

Impact of Registry Use on Quality and Outcomes in Rheumatology. The RISE national patient registry has broken new ground in connecting rheumatology practices around the country in a large data network, measuring quality, and providing continuous feedback on clinical performance. In this study we will use audit logs to examine registry dashboard use patterns and perform qualitative studies with practice personnel. We hypothesize that more intensive use of the dashboard will be associated with larger improvements in clinical outcomes and quality of care.

 

PREMIER Center – NIAMS P30

The Clinical Data and Informatics Core (CDI) Core will provide researchers with access to a full range of services to facilitate successful use of clinical data for basic, clinical and translational research studies in rheumatic diseases. The Core will streamline clinical research infrastructure, including study design, research ethics consultation, patient recruitment, clinical informatics and disease expertise, to advance precision medicine in rheumatic disease.

 

California Lupus Epidemiology Study (CLUES) – CDC U01

The longitudinal California Lupus Epidemiology Study (CLUES) cohort is derived from the California Lupus Surveillance Project (CLSP), a CDC-funded population-based registry. Clinical data, biologic specimens, and patient-reported outcomes are collected to advance our understanding of lupus biology, epidemiology and outcomes.

 

VA HSR&D Measurement Science QUERI at the SFVA
This center aims to implement evidence based practices across the VA Healthcare System. The goal of our project is to build and implement dashboards for audit and feedback to prescribers around medication safety for disease modifying agents.

 


Lab Members 

Alfredo Aguirre, MD

 

Assistant Professor

Christine Anastasiou, MD 

 

Assistant Professor 

 Rahaf Baker, MD MPH

 

Internal Medicine Resident

Milena Gianfrancesco, PhD MPH

Adjunct Assistant Professor

Lindsay Jacobsohn

 

Clinical Research Coordinator

Nathan Karp, MD

 

Rheumatology Fellow

Julia Kay

 

Senior data analyst, data manager. In addition to being a data analyst, Julia is an artist, author, and arts organizer.

Emma Kersey, MPH

 

Data Analyst

Jing Li, MPH

 

Senior Data Analyst

Cathy Nasrallah, MPH

Program Manager and Data Analyst

Jennifer Reihm, MPA

Research Program Manager

Eric Roberts, PhD MPH

Research Statistical Analyst

Rachael Stovall, MD

 

 Rheumatology/CRISP Fellow

Jeremy Sullivan, MD

 

Rheumatology Fellow

Cherish Wilson 

 

Clinical Research Coordinator

Cammie Young 

 

Clinical Research Coordinator

 


QUIL Holiday Party

2022

 

2021

2020 

 

2019

2018 

 


Papers, Presentations, & Press

 

 

QUIL Alumni

Ishita Aggarwal, MD

Sarah Patterson, MD

Julie de Fonss Gandrup, MD

Lucy Liu, MD

David Ying, MD

Michael Evans

Nevin Hammam, MD PhD

Meera Subash, MD

​Kim DeQuattro, MD

Laura Trupin, MPH

Tiffany Taylor, MPH MS

Zara Izadi, PharmD, PhD

Clairissa Ja

Andriko Palmowski, MD

Anna Montgomery, MPH