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
Eschler J, Kendall L, O'Leary K, Vizer LM, Lozano P, McClure JB, Pratt W, Ralston JD. Shared calendars for home health management. In Proceedings of the 18th ACM Conference on Computer Supported Cooperative Work & Social Computing (CSCW '15). 2015; ACM, New York, NY, USA, 1277-88. doi:10.1145/2675133.2675168.
Rosenberg DE, Cook A, Gell NM, Lozano P, Grothaus L, Arterburn D. Relationships between sitting time and health indicators, costs, and utilization in older adults. Prev Med Rep. 2015 2:247-9. [Epub ahead of print].
Kendall L, Eschler J, Lozano P, McClure JB, Vizer LM, Ralston JD, Pratt W. Engineering for reliability in at-home chronic disease management. AMIA Annu Symp Proc. 2014 Nov 14;2014:777-86. eCollection 2014.
Linde JA, Sevcik SM, Petrich CA, Gardner JK, Laska MN, Lozano P, Lytle LA. Translating a health behavior change intervention for delivery to two-year college students: the importance of formative research. Transl Behav Med. 2014 Jun;4(2):160-9. doi: 10.1007/s13142-013-0243-y. PubMed
Riggs KR, Lozano P, Mohelnitzky A, Rudnick S, Richards J. An adaptation of family-based behavioral pediatric obesity treatment for a primary care setting: Group Health’s Family Wellness Program pilot. Perm J. 2014 Summer;18(3):4-10. doi: 10.7812/TPP/13-144. Epub 2014 Jun 9. PubMed
Qi Zhang DD, Eisenberg MJ, Grandi SM, Joseph L, O'Laughlin J, Paradis G, Lozano P, Filion KB. Bupropion, smoking cessation, and health-related quality of life following an acute myocardial infarction. J Popul Ther Clin Pharmacol. 2014;21(3):e346-56. Epub 2014 Oct 8. PubMed
Saelens BE, Lozano P, Scholz K. A randomized clinical trial comparing delivery of behavioral pediatric obesity treatment using standard and enhanced motivational approaches. J Pediatr Psychol.2013 Oct;38(9):954-64. doi:10.1093/jpepsy/jst054. Epub 2013 Jul 31. PubMed
Grow HM, Hsu C, Liu LL, Briner L, Jessen-Fiddick T, Lozano P, Saelens BE. Understanding family motivations and barriers to participation in community-based programs for overweight youth: one program model does not fit all. J Public Health Manag Pract. 2013 Jul-Aug;19(4):E1-E10. doi: 10.1097/PHH.0b013e31825ceaf9. PubMed
Riggs K, Lozano P, Mohelnitzky A, Richards J, Lorenzo J, Rudnick S. Ps2-25: An adaptation of behavioral pediatric obesity treatment for the real world: results from the Group Health Family Wellness Program pilot trial. Clin Med Res. 2012;10(3):185. PubMed
Christakis DA, Garrison MM, Lozano P, Meischke H, Zhou C, Zimmerman FJ. Improving parental adherence with asthma treatment guidelines: a randomized controlled trial of an interactive website. Acad Pediatr. 2012 Jul-Aug;12(4):302-11. Epub 2012 Jun 11. 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