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
Lozano P, Henrikson NB, Dunn J, Morrison CC, Nguyen M, Whitlock EP. Lipid screening in childhood for detection of multifactorial dyslipidemia: a systematic evidence review for the U.S. Preventive Services Task Force. Evidence Synthesis No. 140. AHRQ Publication No. 14-05204-EF-1. Rockville, MD: Agency for Healthcare Research and Quality;2015.
Lozano P, Henrikson NB, Dunn J, Morrison CC, Nguyen M, Whitlock EP. Lipid screening in childhood and adolescence for detection of familial hypercholesterolemia: a systematic evidence review for the U.S. Preventive Services Task Force. Evidence Synthesis No. 141. AHRQ Publication No. 14-05204-EF-2. Rockville, MD: Agency for Healthcare Research and Quality; 2015.
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
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Healthy Debate, June 10, 2021