James Ralston MD, MPH, is an internal medicine physician and senior investigator in health services and health informatics. His research mission is improving the health and care of patients living with common ongoing illnesses. His current areas of emphasis include understanding and honoring the priorities of patients living with multiple chronic conditions.
Dr. Ralston’s research focuses on developing and evaluating communication technologies that foster continuous care and a closer connection between patients and primary care teams. His commitment to finding effective ways to redesign care spans all stages of research, from project development to complete translation of results into clinical practice.
Examples of Dr. Ralston’s research projects include:
Dr. Ralston is also a University of Washington affiliate professor in health services and biomedical informatics, where he serves on the committees of PhD and master’s degree students.
McInnes DK, Brown JA, Hays RD, Gallagher P, Ralston JD, Hugh M, Kanter M, Serrato CA, Cosenza C, Halamka J, Ding L, Cleary PD. Development and evaluation of CAHPS questions to assess the impact of health information technology on patient experiences with ambulatory care. Med Care. 2012;50 Suppl:S11-9. doi: 10.1097/MLR.0b013e3182610a50. PubMed
Delbanco T, Walker J, Bell SK, Darer JD, Elmore JG, Farag N, Feldman HJ, Mejilla R, Ngo L, Ralston JD, Ross SE, Trivedi N, Vodicka E, Leveille SG. Inviting patients to read their doctors' notes: a quasi-experimental study and a look ahead. Ann Intern Med. 2012;157(7):461-70. doi: 10.7326/0003-4819-157-7-201210020-00002. PubMed
Grembowski D, Anderson ML, Ralston JD, Martin DP, Reid R. Does a large-scale organizational transformation toward patient-centered access change the utilization and costs of care for patients with diabetes? Med Care Res Rev. 2012 Oct;69(5):519-39. Epub 2012 May 31. PubMed
Silverberg M, Leyden W, Stewart C, Ralston J, Horberg M, Carzasty S, Grothaus L, Catz S. Change in adherence to antiretrovirals after initial use of an electronic shared medical record among HIV-infected individuals. Clin Med Res. 2012;10(3):144-5. PubMed
Lyles CR, Harris LT, Jordan L, Grothaus L, Wehnes L, Reid RJ, Ralston JD. Patient race/ethnicity and shared medical record use among diabetes patients. Med Care. 2012 May;50(5):434-40. PubMed
Leveille SG, Walker J, Ralston JD, Ross SE, Elmore JG, Delbanco T. Evaluating the impact of patients' online access to doctors' visit notes: designing and executing the OpenNotes project. BMC Med Inform Decis Mak. 2012 Apr 13;12:32. PubMed
Frederickson R, Crane PK, Tufano J, Ralston J, Schmidt S, Brown T, Layman D, Harrington RD, Dhanireddy S, Stone T, Lober W, Kitahata MM, Crane HM. Integrating a web-based, patient-administered assessment into primary care for HIV-infected adults. J AIDS HIV Res. 2012;4(2):47-55.
Walker J, Leveille SG, Ngo L, Vodicka E, Darer JD, Dhanireddy S, Elmore JG, Feldman HJ, Lichtenfeld MJ, Oster N, Ralston JD, Ross SE, Delbanco T. Inviting patients to read their doctors' notes: patients and doctors look ahead: patient and physician surveys. Ann Intern Med. 2011;155(12):811-9. PubMed
Jackson GL, Krein SL, Alverson DC, Darkins AW, Gunnar W, Harada ND, Helfrich CD, Houston TK, Klobucar TF, Nazi KM, Poropatich RK, Ralston JD, Bosworth HB. Defining core issues in utilizing information technology to improve access: evaluation and research agenda. J Gen Intern Med. 2011;26 Suppl 2:623-7. PubMed
Fishman PA, Anderson ML, Cook AJ, Ralston JD, Catz SL, Carlson J, Larson EB, Green BB. Accuracy of blood pressure measurements reported in an electronic medical record during routine primary care visits. J Clin Hypertens. 2011;13(11):821-8. PubMed
Community circulation of ciprofloxacin-resistant E. coli increased after 6-year reduction in antibiotic prescriptions
A new study aims to understand trends in digital care communication among teens.
A new federal rule requiring physicians to give patients access to their notes may be easier to follow than physicians expected.
KPWHRI researchers uncover obstacles faced by smaller practices when adding CVD risk calculators into primary care.
Amy Lee describes how the LHS Program is helping KP Washington track and improve treatment for opioid use disorder.