Senior Investigator Paula Lozano, MD, MPH, is a pediatrician and medical director for research and translation at the Washington Permanente Medical Group. Her work focuses on helping Kaiser Permanente Washington succeed as a learning health system, where research informs practice and practice informs research.
“The challenges that health care is facing 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 and co-leads the organization’s Learning Health System (LHS) Program, which launched in June 2017 and is part of KPWHRI's Center for Accelerating Care Transformation (ACT Center). The program represents Kaiser Permanente Washington’s investment in the use of rigorous evidence and research methods, in partnership with frontline clinicians and leaders to promote a culture of continuous learning. Deploying the advanced scientific methods available at Kaiser Permanente Washington Health Research Institute (KPWHRI), the LHS Program helps to improve health, make care more affordable—and delight patients.
The LHS Program’s portfolio includes developing and piloting an integrated pain management program based in primary care, developing predictive models to target effective interventions to the patients who would most benefit from them, supporting implementation of community resource specialists across Kaiser Permanente Washington, and evaluating our newest primary care clinics at Ballard and South Lake Union.
As co-Program 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 include health behavior-change, obesity, self-management of chronic conditions, and health disparities. She is collaborating with KPWHRI Senior Investigator David Arterburn 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 of overweight and obesity.
Dr. Lozano has conducted research on the care of children with asthma, attention deficit hyperactivity disorder (ADHD), and other chronic conditions, and the delivery of health care services to disadvantaged children. Her 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.
Previously, while on the faculty at the UW Department of Pediatrics, Dr. Lozano practiced general pediatrics at Harborview Children and Teens Clinic, the Harborview Medical Center pediatric burn/trauma service, and the inpatient service at Seattle Children's Hospital. She taught residents and medical students, designing and leading a communication-skills training program for residents. 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 services 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
Ludman E, Curry S, Grothaus L, Graham E, Stout J, Lozano P. Design, implementation, and acceptance of a pediatric clinic-based smoking cessation intervention for low-income women. Ann Behav Med. 2000;22:S094.
Ludman E, Curry S, Grothaus L, Graham E, Stout J, Lozano P. A comparison of stress, depression and weight concerns between African American and Caucasian low-income smokers. Ann Behav Med. 2000;22 (Suppl):S213.
Lozano P. Angel's stigma. West J Med. 2000;172(1):62. PubMed
Lozano P, Sullivan SD, Smith DH, Weiss KB. The economic burden of asthma in US children: estimates from the National Medical Expenditure Survey. J Asthma. 1999;104(5):957-63. PubMed
Goodman DC, Lozano P, Stukel TA, Chang C, Hecht J. Has asthma medication use in children become more frequent, more appropriate, or both? Pediatrics. 1999;104(2 Pt 1):187-94. PubMed
Lozano P, Lieu TA. Asthma in managed care. Pediatr Ann. 1999;28(1):74-80. PubMed
McBride CM, Lozano P, Curry SJ, Rosner D, Grothaus LC. Use of health services by children of smokers and nonsmokers in a health maintenance organization. Am J Public Health. 1998;88(6):897-902. PubMed
Kwan-Gett TS, Lozano P, Mullin K, Marcuse EK. One-year experience with an inpatient asthma clinical pathway. Arch Pediatr Adolesc Med. 1997;151(7):684-9. PubMed
Bell BP, Griffin PM, Lozano P, Christie DL, Kobayashi JM, Tarr PI. Predictors of hemolytic uremic syndrome in children during a large outbreak of E. coli O157:H7 infections. Pediatrics. 1997;100(1):E12. PubMed
Lozano P, Fishman P, VonKorff M, Hecht J. Health care utilization and cost among children with asthma who were enrolled in a health maintenance organization. Pediatrics. 1997;99(6):757-64. PubMed
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.
The latest on our research on chronic pain and opioids—and how the results influence health policy and clinical practice.
Admissions open for two new trainees as current scholars advance their projects.
Healthy Debate, June 10, 2021