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. 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
Tandon PS, Zhou C, Chan NL, Lozano P, Couch SC, Glanz K, Krieger J, Saelens BE. The impact of menu labeling on fast-food purchases for children and parents. Am J Prev Med. 2011;41(4):434-8. PubMed
Meischke H, Lozano P, Zhou C, Garrison MM, Christakis D. Engagement in "My Child's Asthma", an interactive web-based pediatric asthma management intervention. Int J Med Inform. 2011 Nov;80(11):765-74. Epub 2011 Sep 29. PubMed
Garrison MM, Lozano P, Christakis DA. Controller medication use and sleep problems in pediatric asthma: a longitudinal case-crossover analysis. Arch Pediatr Adolesc Med. 2011;165(9):826-30. PubMed
Van Cleve WC, Hagan P, Lozano P, Mangione-Smith R. Investigating a pediatric hospital’s response to an inpatient census surge during the 2009 H1N1 influenza pandemic. Jt Comm J Qual Patient Saf. 2011 Aug;37(8):376-82. PubMed
Wilkins V, Elliott MN, Richardson A, Lozano P, Mangione-Smith R. The association between care experiences and parent ratings of care for different racial, ethnic, and language groups in a Medicaid population. Health Serv Res. 2011 Jun;46(3):821-39. doi: 10.1111/j.1475-6773.2010.01234.x. Epub 2011 Jan 28. PubMed
Ahrens KR, Garrison M, DuBois DL, Richardson LP, Spencer R, Lozano P. Qualitative exporation of relationships with important non-parental adults in the lives of youth in foster care. Child Youth Serv Rev. 2011 Jun 1;33(6):1012-23. PubMed
Ahrens KR, DuBois DL, Lozano P, Richardson LP. Naturally-acquired mentoring relationships and young adult outcomes among adolescents with learning disabilities. Learn Disabil Res Pract. 2010 Nov; 25(4):207-16.
Tandon PS, Zhou C, Lozano P, Christakis DA. Preschoolers' total daily screen time at home and by type of child care. J Pediatr. 2011 Feb;158(2):297-300. Epub 2010 Oct 27. PubMed
Lozano P, McPhillips HA, Hartzler B, Robertson AS, Runkle C, Scholz KA, Stout JW, Kieckhefer GM. Randomized trial of teaching brief motivational interviewing to pediatric trainees to promote healthy behaviors in families. Arch Pediatr Adolesc Med. 2010;164(6):561-6. PubMed
Quistberg DA, Lozano P, Mack CD, Schwartz R, Ebel BE. A comparison of self-report and direct observation of booster seat use in Latino families. Inj Prev. 2010 Aug;16(4):225-9. Epub 2010 May 25. PubMed
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.
Katie Coleman tells how Kaiser Permanente Washington research supports innovation at new clinics in Ballard and South Lake Union.
Healthy Debate, June 10, 2021