To examine the impact of the palliative care program on the patterns of ACP documentation in EHR of patients with multiple chronic conditions.

To improve individual and population health and health care through research leveraging the resources and capabilities of learning health care systems.

Utilize mixed methods to identify patient preferences for consent and governance of data in research utilizing existing EHR data and biobank samples.

Examine: CVD prevalence & outcomes among Asians and Pacific Islanders; demographic, clinical, psychosocial factors to explain prevalence & outcomes differences.

Project goals: To understand impacts of COVID-19 on cancer care management (detection, diagnosis, treatment), pt-reported experience, and cancer care costs.

To create a COVID-19 Universal Registry for Vital Evaluations (CURVE) database, a semi-real-time registry of Sutter Health patients with COVID-19 infection.

Goals are to develop and test a tool for PAMF pts providing out-of-pocket costs in different Medicare Part D plans.

Develop a culturally and linguistically adapted, technology-supported lifestyle intervention for diabetes prevention for Spanish-speaking Mexican Americans.

We will assess the impact of covered preventive visits among Medicare beneficiaries using electronic health records data from PAMF, between 2006 and 2015.

To develop an electronically delivered Cardiometabolic Program to reduce DM and CAD in obese adults in lifestyle and stress management group coaching program.