Susan Puumala PhD
Emergency Department Use and Care in American Indian Children
American Indian (AI) children face a number of disparities in health and health care. One area that has received little attention is the use of and care provided to AI children at the emergency department (ED). The research that has been performed suggests that AI children have increased usage of the ED, increased rates of leaving without care, and possible differential care provided within the ED setting. This study aims to more fully understand and characterize the patterns of ED use and care for AI children in the Upper Midwest and develop interventions to address issues that are unexplored to date. Six EDs in the Upper Midwest are participating in this research. The study sites represent a broad geographical area and include centers the provide care to a substantial number of AI children. Currently the study is piloting interventions at each study site based on an overall evaluation of site specific needs. This research will provide the most comprehensive study of ED use and treatment patterns in AI children to date as well as preliminary information on the effect of site specific interventions. (Puumala-PI, funded through NIMHD as a component of 1U54MD008164 “Collaborative Research Center for American Indian Health” (Elliott-PI))
Role: Project PI
Environmental Influences on Child Health Outcomes in the Northern Plains Safe Passage Study Cohort
The goal of the Environmental Influences on Child Health Outcomes (ECHO) in the Northern Plains Safe Passage Study Cohort is to identify factors that affect child health occurring throughout the continuum from pre-conception through childhood. Our cohort will be combined with a national network of cohorts providing the sample size and diversity needed to study risk and resiliency factors and their role in pre-, peri-, and post-natal outcomes, upper and lower airway health and development, obesity, and neurodevelopment.
Sanford Imagenetics project
The Sanford Imagenetics project aims to provide access to preemptive genetic testing within a primary care setting. The outcomes and research group of the Imagenetics project provides expertise in research study development and design, data collection, program evaluation measures, and translational research potential such as developing precision prevention models to aid in risk prediction that can be utilized easily in a clinical setting.