Molly Jarman, PhD, MPH, Awarded a $4.2M National Institute for Minority Health and Health Disparities Award

Dr. Jarman has been awarded a $4.2M R01 award from the National Institute for Minority Health and Health Disparities for the study titled, “Mitigating Injury Disparities with Evidence Based Trauma Systems Planning.”

Traumatic injury is a leading cause of death and disability in the U.S., disproportionately impacting racial and ethnic minorities, people with low incomes, and rural populations. This study will use a mixed methods approach to identify strategies state-level policy makers and trauma system leaders use to improve access to care for populations at higher risk of poor outcomes following traumatic injury. The study will culminate in a national consensus conference, generating a prioritized list of interventions trauma system leaders can use to reduce disparities in health outcomes following traumatic injury.

Molly Jarman, PhD, MPH
Lead Investigator, Department of Surgery
Lead Research Faculty, Health Informatics and Data Infrastructure, Center for Surgery and Public Health, Brigham and Women’s Hospital
Assistant Professor of Surgery, Harvard Medical School

Dr. Jarman is lead research faculty for Health Informatics and Data Infrastructure and an assistant professor with the Center for Surgery and Public Health (CSPH) in the Department of Surgery at Brigham and Women’s Hospital. She earned a PhD in health services research and policy from the Johns Hopkins Bloomberg School of Public Health and completed a one-year postdoctoral fellowship at the CSPH before joining the department as a faculty member.

Her research addresses trauma surgery and emergency medical services, with primary interest in trauma system organization and access to care for underserved populations, as well as development of methodologies for the use of naturally occurring data in health services research. Recent projects include examinations of orthopedic trauma workforce capacity in the U.S. and pre-hospital triage decisions for injured older adults.

Maria Edelen, PhD, and Andrea Pusic, MD, MHS, Awarded a $2.9M National Cancer Institute Award

Dr. Edelen and Dr. Pusic have been awarded a $2.9M R01 award for the study, “Increasing Engagement of Diverse Patients in Patient Reported Outcome Measurement to Address Breast Cancer Care Disparities using Health Information Technology in Community Cancer Settings.”

Disparities in breast cancer-related outcomes are pervasive and have been widely documented among racial and ethnic minorities, especially Black women. Substantial evidence demonstrates that routine patient-reported outcome (PRO) data collection using health information technology (HIT) results in improved cancer care delivery; however, PRO reporting remains low among Black patients and within the community cancer care (CCC) settings where they often receive care, and this increases disparities.

The objectives of this project, in partnership with the Association of Community Cancer Centers, are to use implementation science and health equity frameworks to develop and implement routine health information technology-assisted collection of patient-reported outcome (PRO) data at community cancer care settings serving a high proportion of Black patients with breast cancer. Completion of this project will produce generalizable knowledge that can be used to unlock the benefits of PRO reporting to historically underserved patients and advance equitable cancer care.

Maria Orlando Edelen, PhD
Associate Director, Patient-Reported Outcomes, Value & Experience (PROVE) Center
Associate Professor of Surgery, Harvard Medical School

Dr. Edelen is a quantitative psychologist and associate director of the Patient-Reported Outcomes, Value and Experience (PROVE) Center at Brigham and Women’s’ Hospital. Her area of expertise is in psychometric methodology and health policy research with a special emphasis on patient-reported outcomes (PROs). Throughout her career, Dr. Edelen has led or contributed to the development, evaluation and refinement of numerous PRO measures (e.g., the PROMIS Smoking Assessments, palliative care patients’ perception of feeling heard and understood, a measure of stigma associated with seeking mental health treatment on the military, asthma-related quality of life, asthma control, cancer stigma). Other work has focused on the development of PRO-based quality measures in primary and palliative care, and patient assessment in post-acute care and hospice.

Her current work includes leading two NIH-funded PRO development projects: an NCCIH project to develop a clinically relevant short profile measure of eight PROMIS domains of health-related quality of life (the PROMIS-16), and an NIA-funded project to develop a brief PRO measure to screen for cognitive impairment (the PRO-CS). She also co-leads the PROVE Center team in the implementation of imPROVE, a patient-centered HIT data collection and feedback tool for breast cancer patients at the Brigham and Dana-Farber Cancer Institute, and she supports multiple PRO initiatives at the Brigham and across the enterprise.

Dr. Edelen graduated from Boston College with a BA in psychology. She holds a master’s degree and a PhD in quantitative psychology from the L.L. Thurstone Psychometric Laboratory at the University of North Carolina, Chapel Hill. 

Andrea Pusic, MD, MHS
Chief, Division of Plastic and Reconstructive Surgery, Brigham and Women’s Hospital
Joseph E. Murray Professor of Surgery, Harvard Medical School
Medical Director, Patient-Reported Outcome Measures (PROMs) Program, Mass General Brigham
Director, Patient-Reported Outcomes, Value & Experience (PROVE) Center

Dr. Pusic is the chief of the Division of Plastic and Reconstructive Surgery at Brigham and Women’s Hospital and the Joseph E. Murray Professor of Surgery at Harvard Medical School. She is an internationally recognized thought leader in patient-reported outcome measurement and director of the Patient-Reported Outcomes, Value & Experience (PROVE) Center at Brigham and Women’s Hospital. The patient-reported outcomes measures that she and her team have developed for surgical patients have been widely adopted for research and clinical care ( Dr. Pusic has been funded by the National Institute of Health (NIH), the Patient-Centered Outcomes Research Institute (PCORI) and the Agency of Healthcare Research and Quality (AHRQ). In collaboration with the American College of Surgeons, she currently leads an AHRQ-funded study that has expanded PRO collection to 64 hospitals nationwide through the National Surgical Quality Improvement  Program (NSQIP). Dr. Pusic has authored and co-authored over 300 peer reviewed papers.

Dr. Pusic’s research focuses on the measurement of quality of life and patient satisfaction in surgery. Dual training in epidemiology and surgery has enabled her to lead a team of experts in psychometrics, quality of life and social science methods to develop, validate and use new quantitative measures to assess patient outcomes. The patient-reported outcomes instrument she developed for breast surgery, the BREAST-Q, has been widely adopted for research and clinical care and serves as the basis for development of other outcome measures in surgery.

She completed her medical degree at the Cumming School of Medicine (University of Calgary) in Canada and master of public health at Johns Hopkins University. She completed a general surgery residency at Dalhousie University in Nova Scotia, and a plastic surgery residency at McGill University in Montreal, followed by a plastic and reconstructive surgery fellowship at Memorial Sloan-Kettering Cancer Center (MSKCC).

Welcoming New Faculty – Elizabeth J. Lilley, MD, MPH

Please join us in welcoming Elizabeth J. Lilley, MD, MPH, as a new faculty member in the Department of Surgery.

Elizabeth J. Lilley, MD, MPH
Associate Surgeon, Division of Surgical Oncology

Dr. Lilley received a Bachelor of Science in neuroscience from Lafayette College, an MPH from Columbia University Mailman School of Public Health and her medical degree from Rutgers University Robert Wood Johnson Medical School. She completed general surgery residency training at Rutgers and Brigham and Women’s Hospital and was an Arthur Tracy Cabot Research Fellow at the Brigham Center for Surgery and Public Health (CSPH). Subsequently, she completed the Harvard Interprofessional Palliative Care Fellowship and most recently, a complex general surgical oncology fellowship at the University of Texas MD Anderson Cancer Center, where she was also the Chief Wellness Fellow.

Before joining the Brigham, Dr. Lilley was a clinical specialist at MD Anderson Cancer Center. At the Brigham, she will also work as a core faculty member for the CSPH and as an affiliate faculty member for the Dana-Farber Cancer Institute Department of Psychosocial Oncology and Palliative Care.  In this role, she will continue her surgical palliative care health services research.

Dr. Lilley is co-chair of the Surgical Palliative Care Society (SPCS) Research and Quality Committee, chair-elect of the American Academy of Hospice and Palliative Medicine (AAHPM) Perioperative and Surgical Interest Group, and a member of various professional institutions, including American Women Surgeons (AWS), the Association for Academic Surgery (AAS) and the Society of Asian Academic Surgeons (SAAS). She is the section editor of Palliative Care for the Global Medical Knowledge Alliance (GMKA) and a regular reviewer of JAMA Surgery, the Journal of Surgical Education, the Journal of Pain and Symptom Management, Palliative Medicine and Annals of Surgical Oncology.          

Dr. Lilley’s clinical areas of focus are gastrointestinal stromal tumors, extremity and retroperitoneal sarcoma and melanoma. Her research interests include perioperative symptom management, surgical decision-making, patient-centered quality metrics in palliative surgery, and supportive care needs of patients and caregivers.