Programs
Departments & Divisions
Susanne Schmidt, Ph.D.
Assistant Professor/Research
My research focuses on disparities in access to care and outcomes with particular focus on cancer and the impact of the social determinants of health. I have a Ph.D. in Applied Demography with training in quantitative research methods with a focus on health outcomes and experience in evaluation. In addition, I served as the Evaluation Manager for the Evaluation and Implementation Team of our Clinical and Translational Science Award (CTSA) from 2013-2016 and have been co-directing the evaluation efforts for our CTSA since 2016. In addition to my commitment to evaluation and health services research, I have sought opportunities to acquire advanced training in clinical and translational research, resulting in a 2-year Mentored Research Career Development (KL2) award from our CTSA. For this, I have focused on formalizing my training in program evaluation and examining access to care for vulnerable patients with cancer. In addition to my evaluation and research activities, I have been the Course Director for "TSCI 5074: Data Management, Quality Control and Regulatory Issues" since 2019.
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Professional Background
Education
- 2013 - PhD - Applied Demography - The University of Texas at San Antonio
- 2008 - DPL - Demography - University of Rostock, Germany
- Postdoctoral Training - Health Policy and Evaluation - University of Texas Health Science Center at San Antonio
Appointments
- 11/2018 - Assistant Professor/Research - University of Texas Health Science Center at San Antonio, Epidemiology & Biostatistics, San Antonio
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Research & Grants
Grants
Federal
Funding Agency NIH/NCATS Title INSTITUTE FOR INTEGRATION OF MEDICINE & SCIENCE: A PARTNERSHIP TO IMPROVE HEALTH Status Active Period 5/2018 - 4/2023 Role Co-Investigator Grant Detail Our over-arching Specific Aims are: 1. Accelerate clinical and translational research innovation and team science along the entire T1 to T4 research spectrum by providing an academic home integrated with our strategic partner institutions 2. Expand, diversify, and enhance the workforce of interdisciplinary translational biomedical scientists 3. Implement effective methods to continuously evaluate and optimize services, increase efficiencies, improve processes, endorse common metrics, and reduce costs across all IIMS programs Funding Agency NIH/NCATS Title Harnessing the power of CTSA-CDRN data networks: Using social determinants of health, frailty and functional status to identify at-risk patients & improve risk adjustment Status Active Period 7/2018 - 6/2022 Role Co-Investigator Grant Detail Using the American College of Surgeons National Surgical Quality Improvement Project to study risk adjustment in postoperative outcomes using social determinants of health, frailty and functional status. Subawards include UT Health Houston and University of Pittsburgh (two additional sites) and University of Texas Austin (statistics and predictive modeling expertise). We use census data from the American Community Survey at the block group level to assign proxy social risk factors and use natural language processing to develop predictive models of functional outcomes based upon nursing, physical therapy and occupational therapy note. Funding Agency DHHS Title New and Innovative Strategies to Prevent Teenage Pregnancy and Promote Healthy Adolescence in South Texas Status Active Period 10/2018 - 9/2020 Role Co-Investigator Grant Detail The University of Texas Health Science Center at San Antonio will deliver the Need 2 Know (N2K) Foster Care Curriculum to youth ages 10-15 in the Bexar County foster care system as well as to caregivers. In 10 interactive modules, N2K will address unhealthy relationships, dating violence, and risky sexual behavior. The curriculum enhances knowledge of physical development by providing medically accurate information about puberty, anatomy, and pregnancy, and emphasizes the role caregivers play in attitudes, beliefs, and behaviors. The 90-minute caregiver component, Parents Need 2 Know (PN2K), teaches caregivers about adolescent brain development, developmental assets, and communication skills. A summative evaluation will test the effectiveness of the N2K Foster Care Curriculum. Funding Agency NCATS Title Clinical and Translational Science Award: Institute for Integration of Medicine and Science: a Partnership to Improve Health Status Complete Period 7/2013 - 6/2018 Role Contributor Grant Detail Within the Institute for Integration of Medicine and Science, MJ Lichtenstein served as the Co-Principal Investigator for Research Education, Training, and Career Development.
NCATS - KL2 TR001118 - KL2 Scholars Career Development Award Program
Total Costs KL2: $3,274,065
NCATS - TL1 TR001119 - TL1 Pre-doctoral Training Program
Total Costs TL1: $620, 395Dr. Lichtenstein stepped down from his IIMS responsibilities on 12.31.2015
Total Costs for UL1 + KL2 + TL1: $22,707,724
ABSTRACT: San Antonio, the gateway to South Texas, is the 7*^ largest city in the US and the largest metropolitan area with a majority Hispanic population (63%). South Texas is about the size of Ohio, and comprises an impoverished and largely Hispanic population with disproportionate rates of diabetes and obesity, exacerbated by a lack of health insurance and poor access to health care. This region also contains numerous US military installations, and active-duty service members and veterans often have special health issues, including risk for post-traumatic stress disorder and traumatic injuries. Unfortunately, neither better access to care nor improved care delivery can eliminate health disparities and meet these complex needs, in addition, research across the full T1 to T4 translational spectrum is required to eliminate knowledge gaps and establish real-world effectiveness that improves health care for our populations. In 2006, UTHSCSA established the Institute for Integration of Medicine and Science (IIMS) to improve health and reduce disparities by accelerating scientific discoveries and applications across the full translational research spectrum. For example, IIMS expanded the number of clinical research units that extend to the Texas-Mexico border from 1 to 7, and dramatically increasing participant access to clinical and translational science. We increased, from 2 to 6, the Practice-Based Research Networks that focus on diverse ambulatory populations. Efforts to address trFunding Agency National Center for Advancing Translational Sciences, National Institutes of Health Title Institute for Integration of Medicine and Science Mentored Research Career Development Award (KL2 Scholar) Status Complete Period 5/2016 - 4/2018 Role Principal Investigator Grant Detail Alleviating disparities in breast cancer care and outcomes: The role of changing Medicare Disproportionate Share Hospitals payments in the light of healthcare reform
Private
Funding Agency Goldsbury Foundation Title Culinary Health Education for Families, CHEF Status Active Period 1/2018 - 1/2019 Role Co-Investigator Grant Detail The Culinary Health Education for Families program (CHEF) provides a culturally relevant pathway for individuals to adopt and sustain healthy eating habits through culinary and nutritional education and demonstration for children and their families. The goals of the program are to provide, evaluate, and continuously improve educational activities for children and their families in a community setting, including after-school program activities and summer classes, and drive organizational change in community partners to develop policies and systems to initiate a culture of health and wellness. Our team of DEB and IHPR researchers provides the data-driven evaluation of the effectiveness of CHEF community program to provide unbiased and scientifically valid conclusions on measurable outcomes, including knowledge, culinary skills, eating behavior, and self-efficacy of children participating in the CHEF program. The evaluation team uses state-of-the-art tools for data collection, management, and statistical analyses with the goal to become recognized leaders in the field of improving dietary health in this population.
State
Funding Agency Texas Department of State Health Services Title Get Waivered Texas: Implementation and evaluation of buprenorphine waiver training surge to address the opioid crisis. Status Active Period 11/2018 - 8/2019 Role Co-Investigator Grant Detail The goal of this project is to address the shortage of waivered physicians, nurse practitioners, and physician assistants in Texas by expanding treatment capacity for medication assisted treatment for opioid use disorder (OUD) using buprenorphine. Using implementation science, project aims include: 1) provide access to buprenorphine waiver trainings to target regions and health care providers across Texas, including rural areas and 2) facilitate completion of all DATA-2000 waiver requirements. The following objectives will be completed: 1) identify high priority regions and healthcare settings to implement training; 2) promote awareness of the need for buprenorphine waivered health care professionals; 3) provide DATA-2000 (DEA X) training, and 4) facilitate submission and completion of waiver requirements to SAMHSA. Increasing treatment capacity by training providers helps redress the current disparity that occurs because of decreased accessibility in underserved and rural areas; areas of which make up a large portion of the Texas landscape.
Role: Co-Investigator; Evaluation Director -
Publications
Abstract
Ghirimoldi, FM, Schmidt S, Wang CP, Wang Z, Brimhall BB, Damien, P, Moffett, EE, Manuel, LS, Sarwar, ZU, Shireman PK. Socioeconomic Area Deprivation Index (ADI) Predicts Hospital Readmissions after Intestinal Surgery, Orlando, FL; 2020 Feb. (Academic Surgical Congress 2020). Schmidt S, Shay LA, Saygin C, Wan H, Shireman PK, Clark RA. Improving pilot project application and review processes: A novel application of Lean Six Sigma in translational science, Washington, DC,; 2018 Apr. (Association for Clinical and Translational Science). Schmidt S, Shay LA, Saygin C, Wan WD, Shireman PK, Salazar BV, Clark RA. Improving pilot project application and review process: A novel application of lean six sigma in translational science, Washington, DC, Nov; 2017 Jan. (Annual Conferences of the American Evaluation Association).
Journal Article
Wang CP, Kuhn J, Shah DP, Schmidt S, Lam YF, MacCarthy D, Tenner L, Ramirez AG. Metformin modifies disparity in hepatocellular carcinoma incidence in men with type 2 diabetes but without chronic liver diseases Cancer Medicine 2019 Apr;8(6):3206-3215. Shay LA, Schmidt S, Dioun SI, Grimes A, Embry L. Receipt of a survivorship care plan and self-reported health behaviors among cancer survivors Journal of Cancer Survivorship 2019 Feb;. Cervantez S, Tenner L, Schmidt S, Aduba I, Jones J, Ali N, and S Singh-Carlson. Symptom Burden and Palliative Referral Disparities in an Ambulatory South Texas Cancer Center Frontiers Oncology 2018 Oct;8. Parsons HM, Schmidt S, Tenner LL, Davidoff AJ
. Trends in Antineoplastic Receipt after Medicare Payment Reform: Implications for Future Oncology Payment Design DOI: 10.1016/j.jcpo.2016.09.008 Journal of Cancer Policy 2018 Sep;17:51-58. Schmidt S, Shay, LA, Saygin, C, Wan, HD, Schulz, K, Clark RA, Shireman PK. Improving pilot project application and review processess: A novel application of lean six sigma in translational science (Online First October 2018) J Clin Transl Sci 2018 Jun;2(3):135-138. Schmidt S, Shay LA, King HV, Buckley J, Embry L,
Parsons HM. A new lease on life: Preliminary needs assessment for the development of a survivorship program for young adult survivors of cancer in South Texas Journal of Pediatric Hematology and Oncology 2018 Apr;40(3):e154-e158. Schmidt S, Sparks PJ. Disparities in injury morbidity among young adults in the USA: individual and contextual determinants J Epidemiol Community Health 2018 Feb;72(6):458-464. Schmidt S, Goros M, Parsons HM, Saygin C, Wan HD, Shireman PK, Gelfond JA. Improving initiation and tracking of research projects at an Academic Health Center: A case study Eval Health Prof 2017 Sep;40(3):372-79. Shay LA, Schmidt S, Cornell SD, Parsons HM. "Making My Own Decisions Sometimes": A Pilot Study of Young Adult Cancer Survivors' Perspectives on Medical Decision-Making [Epub ahead of print] J Cancer Educ 2017 Jul;. Rauenzahn SL, Schmidt S, Aduba IO, Jones JT, Ali N, Tenner LL. Integrating Palliative Care Services in Ambulatory Oncology: An Application of the Edmonton Symptom Assessment System. doi: 10.1200/JOP.2016.019372 J Oncol Pract 2017 Apr;13(4):e401-e407. Parsons HM, Schmidt S, Tenner LL, Bang H, Keegan THM. Early Impact of the Patient Protection and Affordable Care Act on Insurance Among Young Adults With Cancer: Analysis of the Dependent Insurance Provision Cancer 2016 Jun;122(11):1766-1773. Parsons H, Schmidt S, Karnad A, Liang Y, Pugh MJ, Fox E. Association between the number of suppliers for critical antineoplastics and drug shortages: Implications for future drug shortages and treatment Journal of Oncology Practice 2016 Mar;12(3):249-250. Parsons HM, Harlan LC, Schmidt S, Keegan THM, Lynch CF, Kent EE, Wu WC, Schwartz SM, Chu RL, Keel G, Smith AW. Who treats adolescents and young adults with cancer? A report from the AYA HOPE study Journal of Adolescent and Young Adult Oncology 2015 Sep;4(3):141-150. Bollinger MJ, Schmidt S, Pugh JA, Parsons HM, Copeland LA, Pugh MJ. Erosion of the healthy soldier effect in veterans of U.S. military service in Iraq and Afghanistan Population Health Metrics 2015 Mar;13(8):1-12. Parsons HM, Lathrop KI, Schmidt S, Mazo-Canola M, Trevino-Jones J, Speck H, Karnad AB. Breast cancer treatment delays in a majority minority community: is there a difference? J Oncol Pract 2015 Mar;11(2):144-153. Parsons HM, Schmidt S, Harlan LC, Kent EE, Lynch CF, Smith AW, Keegan TH and the AYA HOPE Collaborative. Young and uninsured: Insurance patterns of recently diagnosed adolescent and young adult cancer survivors in the AYA HOPE study Cancer 2014 Aug;120(15):2352-2360. Schmidt S, Parsons HM. Vaccination interest and trends in human papillomavirus vaccine uptake in young adult women aged 18 to 26 years in the United States: an analysis using the 2008-2012 National Health Interview Survey Am J Public Health 2014 May;104(5):946-953.