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    Jennifer Tjia MD, MSCE

    TitleAssociate Professor
    InstitutionUniversity of Massachusetts Medical School
    DepartmentQuantitative Health Sciences
    AddressUniversity of Massachusetts Medical School
    377 Plantation Street
    Worcester MA 01605
    Phone508-856-3586
      Other Positions
      InstitutionUMMS - Graduate School of Biomedical Sciences
      DepartmentClinical Population Health Research

        Overview 
        Narrative

        Education

        1994 MD Boston University Medical School, Boston, MA
        2003 MSCE University of Pennsylvania Medical School, Philadelphia, PA

        Research Interests

        Jennifer Tjia, MD, MSCE is Associate Professor of Medicine at the University of Massachusetts Medical School and a Research Associate at the Meyers Primary Care Institute. Dr. Tjia’s research interests include health services research and pharmacoepidemiology. Her interests focus on optimizing the use of chronic prescription medication by older adults, particularly in nursing home residents with advanced dementia and near the end-of-life. She has been awarded a K08 Mentored Clinical Scientist Career Development Grant from the National Institute on Aging to study the health outcomes associated with differences in prescription drug coverage for older adults and an R21 from AHRQ to use secondary administrative Medicare data to study medication optimization in advanced dementia. She has been co-investigator on multiple federal grants including AHRQ “Improving Posthospital Medication Management of Older Adults through Health IT” & “Using HIT to Improve Transitions of Complex Elderly Patients from SNF to Home”, and “Risk Informed Intervention to Improve Ambulatory Drug Monitoring and Safety”. She is co-author of “Appropriate Approach to Prescribing” in the 6th edition of Hazzard’s Principles of Geriatric Medicine and Gerontology. She has co-directed “Design and Observational Studies and Clinical Trials” course in the Masters of Science in Clinical Investigation Program.



        Bibliographic 
        selected publications
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        1. Lagu T, Zilberberg MD, Tjia J, Pekow PS, Lindenauer PK. Use of mechanical ventilation by patients with and without dementia, 2001 through 2011. JAMA Intern Med. 2014 Jun 1; 174(6):999-1001.
          View in: PubMed
        2. Gurwitz JH, Field TS, Ogarek J, Tjia J, Cutrona SL, Harrold LR, Gagne SJ, Preusse P, Donovan JL, Kanaan AO, Reed G, Garber L. An electronic health record-based intervention to increase follow-up office visits and decrease rehospitalization in older adults. J Am Geriatr Soc. 2014 May; 62(5):865-71.
          View in: PubMed
        3. Remillard ML, Mazor KM, Cutrona SL, Gurwitz JH, Tjia J. Systematic review of the use of online questionnaires of older adults. J Am Geriatr Soc. 2014 Apr; 62(4):696-705.
          View in: PubMed
        4. Tjia J, Field T, Lemay C, Mazor K, Pandolfi M, Spenard A, Ho SY, Kanaan A, Donovan J, Gurwitz JH, Briesacher B. Antipsychotic use in nursing homes varies by psychiatric consultant. Med Care. 2014 Mar; 52(3):267-71.
          View in: PubMed
        5. Kanaan AO, Donovan JL, Duchin NP, Field TS, Tjia J, Cutrona SL, Gagne SJ, Garber L, Preusse P, Harrold LR, Gurwitz JH. Adverse drug events after hospital discharge in older adults: types, severity, and involvement of beers criteria medications. J Am Geriatr Soc. 2013 Nov; 61(11):1894-9.
          View in: PubMed
        6. Lemay CA, Mazor KM, Field TS, Donovan J, Kanaan A, Briesacher BA, Foy S, Harrold LR, Gurwitz JH, Tjia J. Knowledge of and perceived need for evidence-based education about antipsychotic medications among nursing home leadership and staff. J Am Med Dir Assoc. 2013 Dec; 14(12):895-900.
          View in: PubMed
        7. Tjia J, Allison J, Saczynski JS, Tisminetzky M, Givens JL, Lapane K, Lessard D, Goldberg RJ. Encouraging trends in acute myocardial infarction survival in the oldest old. Am J Med. 2013 Sep; 126(9):798-804.
          View in: PubMed
        8. Tjia J, Velten SJ, Parsons C, Valluri S, Briesacher BA. Studies to reduce unnecessary medication use in frail older adults: a systematic review. Drugs Aging. 2013 May; 30(5):285-307.
          View in: PubMed
        9. Tjia J. Potentially inappropriate use of antipsychotics in community-dwelling adults with dementia more common in those with low income. Evid Based Ment Health. 2013 May; 16(2):56.
          View in: PubMed
        10. Briesacher BA, Tjia J, Field T, Peterson D, Gurwitz JH. Antipsychotic use among nursing home residents. JAMA. 2013 Feb 6; 309(5):440-2.
          View in: PubMed
        11. Fischer SH, Field TS, Gagne SJ, Mazor KM, Preusse P, Reed G, Peterson D, Gurwitz JH, Tjia J. Patient completion of laboratory tests to monitor medication therapy: a mixed-methods study. J Gen Intern Med. 2013 Apr; 28(4):513-21.
          View in: PubMed
        12. Tjia J, Field TS, Mazor KM, Donovan JL, Kanaan AO, Reed G, Doherty P, Harrold LR, Gurwitz JH. Dementia and risk of adverse warfarin-related events in the nursing home setting. Am J Geriatr Pharmacother. 2012 Oct; 10(5):323-30.
          View in: PubMed
        13. Higgins AY, Doubeni AR, Phillips KL, Laiyemo AO, Briesacher B, Tjia J, Doubeni CA. Self-reported colorectal cancer screening of Medicare beneficiaries in family medicine vs. internal medicine practices in the United States: a cross-sectional study. BMC Gastroenterol. 2012; 12:23.
          View in: PubMed
        14. Tjia J, Givens J. Ethical framework for medication discontinuation in nursing home residents with limited life expectancy. Clin Geriatr Med. 2012 May; 28(2):255-72.
          View in: PubMed
        15. Briesacher BA, Tjia J, Doubeni CA, Chen Y, Rao SR. Methodological issues in using multiple years of the medicare current beneficiary survey. Medicare Medicaid Res Rev. 2012; 2(1).
          View in: PubMed
        16. Tjia J, Gurwitz JH, Briesacher BA. Challenge of changing nursing home prescribing culture. Am J Geriatr Pharmacother. 2012 Feb; 10(1):37-46.
          View in: PubMed
        17. Saczynski JS, Andrade SE, Harrold LR, Tjia J, Cutrona SL, Dodd KS, Goldberg RJ, Gurwitz JH. A systematic review of validated methods for identifying heart failure using administrative data. Pharmacoepidemiol Drug Saf. 2012 Jan; 21 Suppl 1:129-40.
          View in: PubMed
        18. Field TS, Garber L, Gagne SJ, Tjia J, Preusse P, Donovan JL, Kanaan AO, Gurwitz JH. Technological resources and personnel costs required to implement an automated alert system for ambulatory physicians when patients are discharged from hospitals to home. Inform Prim Care. 2012; 20(2):87-93.
          View in: PubMed
        19. Andrade SE, Harrold LR, Tjia J, Cutrona SL, Saczynski JS, Dodd KS, Goldberg RJ, Gurwitz JH. A systematic review of validated methods for identifying cerebrovascular accident or transient ischemic attack using administrative data. Pharmacoepidemiol Drug Saf. 2012 Jan; 21 Suppl 1:100-28.
          View in: PubMed
        20. Zilberberg MD, Tjia J. Growth in dementia-associated hospitalizations among the oldest old in the United States: implications for ethical health services planning. Arch Intern Med. 2011 Nov 14; 171(20):1850-1.
          View in: PubMed
        21. Tjia J, Mazor KM, Field T, Doherty P, Spenard A, Gurwitz JH. Predicting nursing home adherence to a clinical trial intervention: lessons for the conduct of cluster randomized trials. J Am Geriatr Soc. 2011 Dec; 59(12):2332-6.
          View in: PubMed
        22. Tjia J, Field TS, Fischer SH, Gagne SJ, Peterson DJ, Garber LD, Gurwitz JH. Quality measurement of medication monitoring in the "meaningful use" era. Am J Manag Care. 2011 Sep; 17(9):633-7.
          View in: PubMed
        23. Briesacher BA, Zhao Y, Madden JM, Zhang F, Adams AS, Tjia J, Ross-Degnan D, Gurwitz JH, Soumerai SB. Medicare part D and changes in prescription drug use and cost burden: national estimates for the Medicare population, 2000 to 2007. Med Care. 2011 Sep; 49(9):834-41.
          View in: PubMed
        24. Tjia J, Fischer SH, Raebel MA, Peterson D, Zhao Y, Gagne SJ, Gurwitz JH, Field TS. Baseline and follow-up laboratory monitoring of cardiovascular medications. Ann Pharmacother. 2011 Sep; 45(9):1077-84.
          View in: PubMed
        25. Parsons C, Briesacher BA, Givens JL, Chen Y, Tjia J. Cholinesterase inhibitor and memantine use in newly admitted nursing home residents with dementia. J Am Geriatr Soc. 2011 Jul; 59(7):1253-9.
          View in: PubMed
        26. Field TS, Tjia J, Mazor KM, Donovan JL, Kanaan AO, Harrold LR, Reed G, Doherty P, Spenard A, Gurwitz JH. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Am J Med. 2011 Feb; 124(2):179.e1-7.
          View in: PubMed
        27. Czechowski JL, Tjia J, Triller DM. Deeply discounted medications: Implications of generic prescription drug wars. J Am Pharm Assoc (2003). 2010 Nov-Dec; 50(6):752-7.
          View in: PubMed
        28. Fischer SH, Tjia J, Field TS. Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review. J Am Med Inform Assoc. 2010 Nov-Dec; 17(6):631-6.
          View in: PubMed
        29. Tjia J, Field TS, Garber LD, Donovan JL, Kanaan AO, Raebel MA, Zhao Y, Fuller JC, Gagne SJ, Fischer SH, Gurwitz JH. Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Am J Manag Care. 2010 Jul; 16(7):489-96.
          View in: PubMed
        30. Tjia J, Rothman MR, Kiely DK, Shaffer ML, Holmes HM, Sachs GA, Mitchell SL. Daily medication use in nursing home residents with advanced dementia. J Am Geriatr Soc. 2010 May; 58(5):880-8.
          View in: PubMed
        31. Givens JL, Tjia J, Zhou C, Emanuel E, Ash AS. Racial and ethnic differences in hospice use among patients with heart failure. Arch Intern Med. 2010 Mar 8; 170(5):427-32.
          View in: PubMed
        32. Tjia J, Briesacher B, Xie D, Fu J, Goldberg RJ. Disparities in combination drug therapy use in older adults with coronary heart disease: a cross-sectional time-series in a nationally representative US sample. Drugs Aging. 2010 Feb 1; 27(2):149-58.
          View in: PubMed
        33. Chen Y, Briesacher BA, Field TS, Tjia J, Lau DT, Gurwitz JH. Unexplained variation across US nursing homes in antipsychotic prescribing rates. Arch Intern Med. 2010 Jan 11; 170(1):89-95.
          View in: PubMed
        34. Tjia J, Mazor KM, Field T, Meterko V, Spenard A, Gurwitz JH. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. J Patient Saf. 2009 Sep; 5(3):145-52.
          View in: PubMed
        35. Tjia J, Bonner A, Briesacher BA, McGee S, Terrill E, Miller K. Medication discrepancies upon hospital to skilled nursing facility transitions. J Gen Intern Med. 2009 May; 24(5):630-5.
          View in: PubMed
        36. Tjia J, Briesacher BA. Prescription drug benefits and use of guideline recommended medications by elderly Medicare beneficiaries with diabetes mellitus. J Am Geriatr Soc. 2008 Oct; 56(10):1879-86.
          View in: PubMed
        37. Tjia J, Briesacher BA, Soumerai SB, Pierre-Jacques M, Zhang F, Ross-Degnan D, Gurwitz JH. Medicare beneficiaries and free prescription drug samples: a national survey. J Gen Intern Med. 2008 Jun; 23(6):709-14.
          View in: PubMed
        38. Leonard CE, Haynes K, Localio AR, Hennessy S, Tjia J, Cohen A, Kimmel SE, Feldman HI, Metlay JP. Diagnostic E-codes for commonly used, narrow therapeutic index medications poorly predict adverse drug events. J Clin Epidemiol. 2008 Jun; 61(6):561-71.
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        39. Tjia J, Micco E, Armstrong K. Interest in breast cancer chemoprevention among older women. Breast Cancer Res Treat. 2008 Apr; 108(3):435-53.
          View in: PubMed
        40. Tjia J, Givens JL, Karlawish JH, Okoli-Umeweni A, Barg FK. Beneath the surface: discovering the unvoiced concerns of older adults with type 2 diabetes mellitus. Health Educ Res. 2008 Feb; 23(1):40-52.
          View in: PubMed
        41. Smetana GW, Landon BE, Bindman AB, Burstin H, Davis RB, Tjia J, Rich EC. A comparison of outcomes resulting from generalist vs specialist care for a single discrete medical condition: a systematic review and methodologic critique. Arch Intern Med. 2007 Jan 8; 167(1):10-20.
          View in: PubMed
        42. Tjia J, Schwartz JS. Will the Medicare prescription drug benefit eliminate cost barriers for older adults with diabetes mellitus? J Am Geriatr Soc. 2006 Apr; 54(4):606-12.
          View in: PubMed
        43. Tjia J, Givens JL, Shea JA. Factors associated with undertreatment of medical student depression. J Am Coll Health. 2005 Mar-Apr; 53(5):219-24.
          View in: PubMed
        44. Givens JL, Tjia J. Depressed medical students' use of mental health services and barriers to use. Acad Med. 2002 Sep; 77(9):918-21.
          View in: PubMed
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