Project RED (Re-Engineered Discharge)  

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Brian Jack, MD

Brian Jack, MD

Principal Investigator

Brian Jack, MD, is Professor of Family Medicine and the Department of Family Medicine. Dr. Jack graduated from the University of Massachusetts Medical School and completed his residency training at the Brown University. He completed a fellowship at the University of Washington. Dr. Jack came to BU in 1997 from Brown University, where he was founder and director of the Department's maternal and child health fellowship program. He has authored over 100 peer-reviewed articles or book chapters, reviewed papers for major medical journals, served on NICHHD, HRSA and AHRQ grant review panels. He is PI on grants from HRSA, NHLBI, PCORI, AHRQ, NIMHD.

His research team has developed the "ReEngineered Discharge" (Project RED), adapted by the National Quality Forum as a national "Safe Practice". RED is being used in 49 states and over 10 countries. He completed projects with AHRQ funding including "Reengineering the Hospital Discharge for Patient Safety" which provided an in-depth analysis of the hospital discharge process and devised the ReEngineered Discharge (RED). This new process was then tested in Testing the Re-Engineered Hospital Discharge a RCT funded by AHRQ in the "Partners in Patient Safety" grants. Dissemination and implementation of RED was explored in an Action RFTO entitled Avoiding Readmissions in Hospitals Serving Diverse patients. Building on a RO1 from NHLBI that developed an animated system to deliver RED at the bedside (the "Louise" system), Dr. Jack completed an AHRQ funded project entitled "Virtual Patient Advocates to Reduce Ambulatory Drug Events" that adapted Louise to be used by patients online when they went home from the hospital designed to monitor medication adverse events related to the transition from the hospital to the ambulatory environment. With colleague Tim Bickmore of Northeastern University, this system is being adapted to improve care across the country. He recently completed a project to design a tool kit describing the RED process and studied the barriers to RED implementation. New projects include a RCT a mental health intervention to reduce rehospitalizations for those with depressive symptoms (AHRQ, Blue Cross/Blue Shield Foundation), exploration of the causes of readmission from the patient perspective (PCORI),

Dr.Jack received the 2008 CDC "Partner in Public Health Improvement" award for his work as leader of the clinical workgroup of Selectr Panle on the Content of Preconception Care. He has completed work to design a preconception HIT system (Gabby) to assist in the provision of this care (AHRQ, Bureau of MCH) and is beginning a RCT to study its impact (NIMHD).

He also received the"Patient Care Award for Excellence in Patent Education Innovation" award, the AHRQ "Patient Safety Investigator" award, and the "Best Research Paper of the Year" award of the Society of Teachers of Family Medicine. He was selected to HealthLeaders magazine's annual "People Who Make Healthcare Better" list and one of Boston's "Best Doctors" in 2010 and 2012. His Annals of Internal Medicine describing RED is listed in the book "50 Studies Every Physician Should Know".

Dr. Jack has also been active in the worldwide development of family medicine. He is clinical director of a Kellogg Foundation funded program in Lesotho that aims to improve the quality of district health services. He is a founding member of the AAFP's Center for International Initiatives. He spent a sabbatical year in Budapest, Hungary in 1995 where he received a special citation from the mayor of Budapest. He taught in Jordan and Pakistan and has served as a on programs funded by USAID, PEPFAR, the World Bank, the US Department of State and the Rockefeller Foundation on the development of family medicine in Lesotho, Albania, Jordan, Romania, and Vietnam.

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© 2007-2012 Project RED
Funded by the Agency for Healthcare Research and Quality, National Heart, Lung and Blood Institute, the Blue Cross Blue Shield Foundation, and the Patient-Centered Outcomes Research Institute.