Ann Arbor
MI, 48109-2800
Available to mentor
Dr. Meddings is a Professor of Internal Medicine and Pediatrics at the University of Michigan Medical School, and a Health Services Researcher at the VA Ann Arbor Healthcare System (VAAAHS). As a board-certified and practicing physician in Internal Medicine and Pediatrics, she cares for patients as a University of Michigan primary care physician for complex patients. Her research career, with over 98 peer-reviewed articles, has focused on the development, implementation, and evaluation of evidence-based interventions to care of patients with complex conditions, including prevention of healthcare-associated conditions, including publications in Annals of Internal Medicine, BMJ Quality and Safety, and the Journal of Hospital Medicine. A significant proportion of her earlier research focused on assessing the implementation of value-based purchasing programs that use combinations of payment removal, public reporting, and hospital financial penalty for hospital-acquired complications such as catheter-associated urinary tract infection (CAUTI), pressure ulcers (now known as pressure injuries), and readmissions. More recently, her research applied the RAND/UCLA Appropriateness Method to formally rate the appropriateness of 3 types of urinary catheters (indwelling urinary catheters, intermittent straight catheter, and external catheters) for hundreds of clinical scenarios commonly encountered in hospitalized adults on medical services. She extended this work to common general and orthopedic surgical procedures and surgery for benign prostatic hypertrophy. These appropriateness criteria were developed into a free educational application called BladderSafe (https://www.bladdersafe.org/bladdersafe-app.html) for use by nurses, physicians, infection preventionists, and trainees. Her work has also focused on applying these appropriateness criteria to identify opportunities for improvement in large surgical collaboratives, including the Michigan Surgical Quality Collaborative (https://msqc.org/success/). In this project, her team developed new measures and tools 1) to identify opportunities to improve perioperative catheter use, 2) to recognize and manage post-operative urinary retention, and 3) to recognize risk and prevent trauma from urinary catheter placement.
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Center MemberInstitute for Healthcare Policy and Innovation
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Houchens N, Saint S, Kuhn L, Ratz D, Engle JM, Meddings J. JAMA Netw Open, 2024 May 1; 7 (5): e2411512Journal ArticlePatient Preferences for Telemedicine Video Backgrounds.
DOI:10.1001/jamanetworkopen.2024.11512 PMID: 38748425 -
Cassone M, Ameling J, Mody L, Patel S, Muyanja NS, Meddings J. American Journal of Infection Control, Online ahead of Print:Journal ArticleImpact of External Female Urinary Catheter Use on Urine Chemistry Test Results
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Meddings J. 2024 Feb;PresentationOverview of Health Services Research Projects Focused on Improving the Safety of Urinary Catheter Use
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Meddings J. 2024 Feb;PresentationPrevention of UTIs and CAUTIs in the Long-term Care Setting, Geriatrics Noon Clinical Conference
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Hendren S, Ameling J, Rocker C, Sulich C, Greene MT, Meddings J. Am J Surg, 2024 Feb; 228: 199 - 205.Journal ArticleValidation of measures for perioperative urinary catheter use, urinary retention, and urinary catheter-related trauma in surgical patients.
DOI:10.1016/j.amjsurg.2023.09.027 PMID: 37798151 -
Bynum JPW, Montoya A, Lawton EJ, Gibbons JB, Banerjee M, Meddings J, Norton EC. J Am Med Dir Assoc, 2024 Jan; 25 (1): 53 - 57.e2.Journal ArticleAccountable Care Organization Attribution and Post-Acute Skilled Nursing Facility Outcomes for People Living With Dementia.
DOI:10.1016/j.jamda.2023.10.031 PMID: 38081322 -
Pryor N, Wang J, Young J, Townsend W, Ameling J, Henderson J, Meddings J. Infect Control Hosp Epidemiol, 2024 May 6; 1 - 9.Journal ArticleClinical outcomes of female external urine wicking devices as alternatives to indwelling catheters: a systematic review and meta-analysis.
DOI:10.1017/ice.2024.73 PMID: 38706216 -
Ladines-Lim J, Secrest K, Pu A, Sifuentes A, Spranger E, Stojan J, Meddings J. J Gen Intern Med, 2024 Jan; 39 (1): 147 - 149.Journal ArticleFirearm Screening and Counseling in General Medicine Primary Care Clinics at an Academic Medical Center.
DOI:10.1007/s11606-023-08379-x PMID: 37653204