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School of Nursing
University at Buffalo
311 Wende Hall
Buffalo, NY 14214-3079
My experience in a wide variety of health care settings, ranging from intensive and coronary care to long-term care and home care, led me to employ systems thinking about how to improve care transitions, and to consider the role that technology could play in improving care across settings.
Sharon Hewner is a research professor in the School of Nursing. Her research focuses on the interaction between nurse care coordinators, patients and their caregivers at the time of hospital discharge. Hewner’s team, which includes primary care physicians, nurse researchers, and engineers, examines how technology and health information exchange can improve the delivery of person-centered care during the transition to post-discharge settings.
Hewner recently completed the Coordinating Transitions project (AHRQ funded). The work utilized a health information exchange to alert nurse care coordinators in primary care when the patient is discharged to ensure an outreach phone call within 72 hours of discharge. The technology that the team developed is now used in an eight county region of WNY. Through avoided hospitalization and emergency department visits, this has resulted in a $1,300 reduction in cost of care per adult Medicaid recipient with pre-existing chronic conditions.
Hewner’s current research compares the efficacy of community-based care coordination models for complex and high-need patients. An additional focus is using data mining, cognitive work analysis and natural language processing to develop a conversational assistant to support nurse care coordinators in the development of a comprehensive shared care plan that follows the patient throughout the health care system.
Hewner, S., Sullivan, S. S., & Yu, G. (2018). Reducing emergency room visits and in-hospitalizations by implementing best practice for transitional care using innovative technology and big data. Worldviews on Evidence-Based Nursing. Advance online publication. doi:10.1111/wvn.12286
Sullivan. S., Li, J. X., Wu, Y. W., & Hewner, S. (2017). Complexity of chronic conditions' impact on end-of-life expense trajectories of Medicare decedents. Journal of Nursing Administration, 47(11), 545-550. doi:10.1097/NNA.0000000000000541
Sullivan, S. S., Mistretta, F., Casucci, S., & Hewner, S. (2017) Integrating social context into comprehensive shared care planning: A scoping review. Nursing Outlook, 65(5), 597- 606. doi:10.1016/j.outlook.2017.01.014
Hewner, S., Casucci, S., Sullivan, S. S., Mistretta, F., Xue, Y., Johnson, B., … Fox, C. (2017). Integrating social determinants of health into primary care clinical and informational workflow during care transitions. eGEMs: Generating Evidence & Methods to Improve Patient Outcomes, 5(2). doi:10.13063/2327-9214.1282
Castner, J., Loomis, D., Yin, Y., & Hewner, S. (2016). Medical Mondays: Emergency department utilization for Medicaid recipients depends on the day of the week, season, and holidays. Journal of Emergency Nursing, 42(4), 317-324. doi:10.1016/j.jen.2015.12.010
Hewner, S., Casucci, S., & Castner, J. (2016) The roles of chronic disease complexity, health system integration, and care management in post-discharge healthcare utilization in a low-income population. Research in Nursing and Health, 39, 215-228. doi:10.1002/nur.21731
Raines, D. A., Grinslade, S., Fabry, D., Hewner, S., & Steeg, L. (2016). Knowledge and attitudes of RN to BSN students before and after a patient safety course. Nursing Education Perspectives, 37(6), 317-319. doi:10.1097/01.NEP.0000000000000057
Castner, J., Wu, Y.W., Mehrok, N., & Hewner, S. (2015). Frequent Emergency Department Utilization and Behavioral Health Comorbidities. Nursing Research 64(1):3-12. DOI: 10.1097/NNR.0000000000000065
Hewner, S. J. (2015). Getting HIE ‘Just Right’ for Population-Level Clinical Decision Support. Invited testimony to the Health and Human Services, Office of the National Coordinator, Health IT Policy Committee, Advanced Health Models and Meaningful Use Workgroup. June 2, 2015 in Washington, DC.
Hewner, S., Wu, Y.W., & Castner, J. (2015) Comparative Effectiveness of Risk-stratified Care Management in Reducing Readmissions in Medicaid Adults with Chronic Disease. Journal for Healthcare Quality 03/2015; doi:10.1097/01.JHQ.0000462683.70630.d7
Raines, D., Grinslade, M. S., Fabry, D., Steeg, L., Hewner, S. (2015). Knowledge and Attitudes of RN to BSN Students Before and After a Patient Safety Course. Accepted by Nursing Education Perspectives March 19, 2015.
Hewner, S. J. (2014). A population-based care transition model for chronically ill elders. Nursing Economic$, 32(2), 109-116, 141.
Hewner, S. J., & Seo, J. Y. (2014). Informatics role in integrating population and patient centered knowledge to improve care transitions in complex chronic disease. Online Journal of Nursing Informatics (OJNI), 18(2).
Hewner, S. J., Seo, J. Y., Gothard, S. E., & Johnson, B.J. (2014). Aligning Population-specific Care Management with Chronic Disease Complexity. Nursing Outlook 62, 250-258 http://dx.doi.org/10.1016/j.outlook.2014.03.003.
Foels, T., & Hewner, S. J. (2009). Integrating pay for performance with educational strategies to improve diabetes care. Population Health Management, 12 (3), 121-129.