Senior Investigator Paula Lozano, MD, MPH, is a pediatrician and medical director for research and translation at the Washington Permanente Medical Group. She also co-directs the Center for Accelerating Care Transformation (ACT Center) at Kaiser Permanente Washington Health Research Institute (KPWHRI). Dr. Lozano’s work focuses on helping Kaiser Permanente Washington succeed as a learning health system, where research informs practice and practice informs research.
“The challenges facing health care are so complex,” she says. “The learning health system seems like the best way to deliver on our promise to provide the highest quality, patient-centered, effective, and affordable care to Kaiser Permanente Washington members.”
Dr. Lozano founded Kaiser Permanente Washington’s Learning Health System (LHS) Program in 2017 and continues to lead the organization’s learning health system work through the ACT Center. Established in 2021, the ACT Center brought the LHS Program together with the MacColl Center for Health Care Innovation to help health systems nationwide accelerate care transformation and achieve lasting, equitable improvements in care delivery.
The ACT Center’s learning health system work represents Kaiser Permanente Washington’s investment in the use of rigorous evidence and research methods ─ in partnership with frontline clinicians, leaders and patients ─ to promote a culture of continuous learning. Deploying the advanced scientific methods available at KPWHRI, the ACT Center helps Kaiser Permanente Washington improve health, make care more affordable, and provide a good patient experience. Dr. Lozano leads two projects in this portfolio — Integrated Pain Management and Care Management for Chronic Pain — both aimed at promoting opioid safety and whole-person pain care.
As co-director of the CATALyST Learning Health Systems Scholars K12 Training Program, funded by Agency for Healthcare Research and Quality (AHRQ) and the Patient-Centered Outcomes Research Institute (PCORI), Dr. Lozano trains and mentors multidisciplinary junior faculty at KPWHRI, the University of Washington (UW), and Veterans Affairs (VA).
Dr. Lozano's other research interests have included health behavior-change, obesity, self-management of chronic conditions, and health disparities. She is collaborating with KPWHRI Senior Investigator David Arterburn, MD, MPH, on Moving to Health, a National Institutes of Health (NIH)-funded project that is examining the relationships between neighborhood food and physical activity characteristics and development obesity. Dr. Lozano’s work has focused on improving health care quality through changing the delivery system, supporting clinical decision-making by providers, and supporting patients and parents in health behavior change. She has also served as an investigator for several U.S. Preventive Services Task Force evidence reviews conducted by the Kaiser Permanente Research Affiliates Evidence-based Practice Center.
Dr. Lozano practiced general pediatrics at Harborview Medical Center and Seattle Children's Hospital while on the faculty at the UW Department of Pediatrics, where she taught residents and medical students. She also served as director of the UW Primary Care Research Fellowship, funded by the Health Resources and Services Administration (HRSA), to provide research training in the primary care disciplines of internal medicine, family medicine, and pediatrics. She is an adjunct professor of health systems and population health at the UW School of Public Health.
Brief behavioral interventions; co-morbid conditions; motivational interviewing; problems-solving therapy; self-management support
Asthma; anxiety and depression; Attention Deficit and Hyperactivity Disorder (ADHD); chronic illness management; disadvantaged children's health care services; Medicaid managed care
Child and adolescent health; collaborative approaches to transforming health care systems; patient/family self-management of chronic conditions; self-care
Childhood obesity prevention and control
Hoopes AJ, Brandzel SD, Luce C, Ferguson DM, Shulman L, Chavez B, Lozano P, Lapham GT. What do adolescents and their parents need from mental health integration in primary care? A qualitative exploration of design insights. J Pediatr Health Care. 2022 Aug 8:S0891-5245(22)00174-2. doi: 10.1016/j.pedhc.2022.06.006. [Epub ahead of print]. PubMed
Ulloa-Pérez E, Blasi PR, Westbrook EO, Lozano P, Coleman KF, Coley RY. Pragmatic randomized study of targeted text message reminders to reduce missed clinic visits. Perm J. 2022 Apr 5;26(1):64-72. doi: 10.7812/TPP/21.078. PubMed
Figueroa Gray M, Coleman K, Walsh-Bailey C, Girard S, Lozano P. An expanded role for the medical assistant in primary care: evaluating a training pilot. Perm J. 2021 Nov 29;25:20.091. doi: 10.7812/TPP/20.091. PubMed
Buszkiewicz JH, Bobb JF, Kapos F, Hurvitz PM, Arterburn D, Moudon AV, Cook A, Mooney SJ, Cruz M, Gupta S, Lozano P, Rosenberg DE, Theis MK, Anau J, Drewnowski A. Differential associations of the built environment on weight gain by sex and race/ethnicity but not age. Int J Obes (Lond). 2021 Aug 27. doi: 10.1038/s41366-021-00937-9. [Epub ahead of print]. PubMed
Damschroder LJ, Knighton AJ, Griese E, Greene SM, Lozano P, Kilbourne AM, Buist DSM, Crotty K, Elwy AR, Fleisher LA, Gonzales R, Huebschmann AG, Limper HM, Ramalingam NS, Wilemon K, Ho PM, Helfrichfcr CD. Recommendations for strengthening the role of embedded researchers to accelerate implementation in health systems: findings from a state-of-the-art (SOTA) conference workgroup. Healthc (Amst). 2021;8 Suppl 1(Suppl 1):100455. doi: 10.1016/j.hjdsi.2020.100455. PubMed
Buszkiewicz JH, Bobb JF, Hurvitz PM, Arterburn D, Moudon AV, Cook A, Mooney SJ, Cruz M, Gupta S, Lozano P, Rosenberg DE, Theis MK, Anau J, Drewnowski A. Does the built environment have independent obesogenic power? urban form and trajectories of weight gain. Int J Obes (Lond). 2021 Sep;45(9):1914-1924. doi: 10.1038/s41366-021-00836-z. Epub 2021 May 11. PubMed
Allen C, Coleman K, Mettert K, Lewis C, Westbrook E, Lozano P. A roadmap to operationalize and evaluate impact in a learning health system. Learn Health Syst. 2021 Jan 24;5(4):e10258. doi: 10.1002/lrh2.10258. eCollection 2021 Oct. PubMed
Yeung K, Richards J, Goemer E, Lozano P, Lapham G, Williams E, Glass J, Lee A, Achtmeyer C, Caldeiro R, Parrish R, Bradley K. Costs of using evidence-based implementation strategies for behavioral health integration in a large primary care system. Health Serv Res. 2020 Dec;55(6):913-923. doi: 10.1111/1475-6773.13592. PubMed
Drewnowski A, Arterburn D, Zane J, Aggarwal A, Gupta S, Hurvitz PM, Moudon AV, Bobb J, Cook A, Lozano P, Rosenberg D. The Moving to Health (M2H) approach to natural experiment research:a paradigm shift for studies on built environment and health. SSM Popul Health. 2018 Dec 28;7:100345. doi: 10.1016/j.ssmph.2018.100345. eCollection 2019. PubMed
Hsu C, Hertel E, Johnson E, Cahill C, Lozano P, Ross TR, Ehrlich K, Coleman K, BlueSpruce J, Cheadle A, Matthys J, Chapdelaine M, Gray M, Tufte J, Robbins M. Evaluation of the Learning to Integrate Neighborhoods and Clinical Care project: findings from implementing a new lay role into primary care teams to address social determinants of health. Perm J. 2018; 22:18-101.Published online 2018 Oct 22.doi: 10.7812/TPP/18-101.
Biostatistician Yates Coley reports on new predictive analytics work that’s decreasing missed visits at KP Washington.
A new study finds that moving from low- to high-density neighborhoods might be related to reductions in weight gain.
Kaiser Permanente launches the Center for Accelerating Care Transformation.
Scholars will study in-home oxygen use for COPD and the use of patient portals for adolescent sexual and reproductive health.
New research suggests fast food and other aspects of built environments don’t affect weight, contrary to earlier findings.
The early-career scientists will receive 3 years of intensive training in Learning Health System research.
Healthy Debate, June 10, 2021