I am eager to serve on the expert panel for improving PBRN research. I am Director of the Upstate NY Practice Based Research Network (UNYNET) UNYNET is a nationally recognized PBRN that specializes in translational research that translates evidence based care into practice. I have had had muiltiple grants on improving chronic disease care in PCP offices for asthma, diabetes, and chronic kidney disease. (CKD). I am on the AHRQ Technical expert panel for CKD and served on the Fistula First Technical expert panel for CMS. I have served on the national steering committee of the Federation of Practice Based Research Networks and on the NIH roadmap initiative for the electronic primary care research network (EPCRN) I am research director for the DARTNet AHRQ P30 grant through the AAFP NRN and UNYNET is a collaborating network for COCONET2 AHRQ P30 program with the University of Oklahoma.These are PBRN Centers of Excellence grants. I have given national presentaions on a toolkit for new networks. Sustaining a PBRN, and working with community collaboratives. He works very closely with the P2 commnity collaborative where I am the clinical lead for the Western NY Beacon grant.I am also also the clinical lead for P2 for the Heal 10 New York State grant that helped 40 practices achieve NCQA level 3 status as a Patient Centered Medical Home. I am currently is PI on a national R-01 to improve Chronic Kidney Disease in PCP offices using a national Primary Care electronic database. (DARTNet). I look forward to participating in this work
Education and Training:
Residency, State University of New York Upstate Family Medicine Residency Program, St. Joseph‘s Hosptial (1979)
MD, St. Louis University Medical school (1976)
BS, State University of New York (1972)
Employment:
Professor of Family Medicine, University at Buffalo (2006-present)
Associate Professor of Clinical Family Medicine, State University of New York at Buffalo (1995–2006)
Clinical Adjunct Faculty, D'Youville College (1994–2000)
Clinical Associate Professor, State University of New York at Buffalo (1993–1995)
Assistant Professor of Family Medicine, Medical University of South Carolina (1991–1993)
Assistant Professor of Family Medicine, University of South Carolina (1991–1993)
Awards and Honors:
Lutheran Church Lowe Award (2012)
Crisis Services Community Services Award (2007)
Buffalo News Founders Award (2007)
NIH (2007)
NIIH (2006)
AAMC Humanism in Medicine Award (2004)
Outstanding Teaching Award for Excellence in Precepting (2004)
The Gold Foundation Award for Humanism in Medicine (2003)
Siegel Award for Excellence in Teaching (2003)
Outstanding Teaching Award for Excellence in Precepting (1999)
Outstanding Teaching Award for Excellence in Precepting (1995)
Family Medicine Inpatient Attending Award, Buffalo General Hospital (1995)
Outstanding Teaching Award for Excellence in Precepting (1994)
Family Medicine Inpatient Attending Award, Buffalo General Hospital (1994)
Golden Apple Award- Best Teacher (1991)
Special Recognition Award (1991)
Recognition for Outstanding Service (1991)
Research Expertise:
Community Collaboration
Health Informaiton technology
Pracice Based Research
Primary Care treatment of Chronic Kidney Disease
Quality Improvement
Grants and Sponsored Research:
September 2012–August 2017 Establishing the Coordinated Consortium of Networks (CoCoNet) Agency for Healthcare Research and Quality Role: Co-Investigator $599,996
July 2011–June 2016 Improving Evidence-Based Primary Care for Chronic Kidney Disease NIDDK Role: Principal Investigator $2,500,000
July 2012–July 2013 Addressing patient activation for CKD self-management in underserved PCMH Settings AAFP Foundation Role: Co-Investigator $7,500
September 2009–August 2011 Implementing Evidence Based Asthma Guidelines in Primary Care practices National Heart Lung and Blood Institute (NGLBI) Role: Co-Investigator $1,000,000
July 2009–June 2011 Implementing KDOQI Guidelines in Primary Care Practices. Role: Principal Investigator $450,000
July 2008–June 2011 Improving Diabetes Care in Patients with Serious and Persistent Mental Illness. New York State Health Foundation Role: Principal Investigator $355,000
March 2007–February 2011 Robert Wood Johnson Aligning Forces for Quality: The Market Regional Program. The Market Regional Program Role: Co-Investigator $1,600,000
September 2007–September 2010 Systems Engineering Approach: Improving Medication Safety with Clinical Use of Health IT. Agency for Health Research and Quality Role: Co-Investigator $249,723
September 2007–August 2010 Pepsico Company: Americans in Motion-Hyperlipidemia and Insulin Resistance(AIM-HI). AAFP National Research Network Role: Co-Investigator $1,900,000
March 2008–March 2009 Improving Mammographic Screening Rates in Women with Mental Health and Substance Abuse Disorders by Partnering with Counseling Agencies. Susan G. Komen Foundation of Western New York Role: Principal Investigator $29,677
June 2005–June 2008 Improving Asthma Care for Buffalo Children in Poverty. Community Health Foundation of Western & Central New York Role: Principal Investigator $150,000
May 2006–May 2008 R03 AHRQ Grant Making CKD Guidelines Work in Underserved Practices. Agency for Health Research and Quality Role: Principal Investigator $100,000
December 2005–November 2007 Improving Geriatric Medication Safety in Underserved Practices Role: Co-Investigator
June 2005–May 2007 R21 AHRQ Grant to Study Geriatric Drug Safety. R21 AHRQ Role: Co-Investigator $300,000
July 2005–June 2006 A Randomized Controlled Trial of Magnesium Supplementation in African Americans with Hypertension. American Academy of Family Physicians Role: Principal Investigator $30,000
June 2004–January 2006 Medical Director of the Newly Formed Family Justice Center. Department of Justice Violence Against Women‘s Act Role: Co-Investigator $1,200,000
May 2004–April 2005 Can Magnesium Supplementation Reduce Insulin Resistance and Blood Pressure in African Americans with Hypertension? National Kidney Foundation og Western New York Role: Principal Investigator $5,000
April 2004–March 2005 Understanding Barriers and Facilitating Factors in the Use of Screening Mammography in Women with Mental Health and Substance Abuse Issues. Susan G. Komen Foundation of Western New York Role: Principal Investigator $10,000
April 2004–March 2005 Implementation of a Multi-Phase Tailored Intervention to Improve Mammographic Screening Rates in Women with Mental Health and Substance Abuse Issues. Susan G. Komen Foundation of Western New York Role: Co-Investigator $24,400
January 2004–January 2005 Empowering the East Side to Manage Illness Through Education. American Medical Association Role: Principal Investigator $5,000
July 2003–June 2004 Primary Care Physicians Knowledge and Beliefs Regarding the Treatment of Early Chronic Kidney Disease. AAFP Foundation Role: Principal Investigator $5,000
January 2001–January 2004 Title VII Academic Administrative Unit Grant. Developing Research Infrastructure for the Department of Family Medicine. Role: Co-Investigator $368,000
January 1999–January 2002 Wellness Project. A Project to Develop a System of Wellness for Patients with Severe and Persistent Mental Illness. Erie County Department of Mental Heatlh Role: Co-Investigator $150,000
January 1999–January 2001 Service Improvement Project. A Project to Identify High Utilizers of Mental Health and Substance Abuse Services. Department of Mental Heatlh Role: Co-Investigator $30,000
July 1997–June 2000 Departmental Title VII Grant. Creating a Managed Care Learning Lab. Role: Co-Investigator $450,000
January 1999–December 1999 Curriculum Development for the Wellness Project. Improving Diabetes Care for Patients with Severe and Persistent Mental Illness. New York State Department of Mental Heatlh Role: Co-Investigator $35,000
June 1998–May 1999 A Project to Develop an Insurance Product for the Lake Plains Community Care Network ( A Three County Rural Health Care Network) Kellogg Foundation Role: Co-Investigator $98,000
July 1996–June 1998 Patients‘ Use of Breast and Cervical Screening in Low Income Minority Populations. Troup Foundation Role: Principal Investigator $21,900
January 1994–January 1996 Neighborhood Diabetes Coalition; New York State Department of Health Grant to Improve Diabetic Care to the Underserved of Buffalo, New York. Role: Co-Investigator $120,000
January 1994 Patients‘ Rights and Responsibilities Under Managed Care. National Rural Health Association Role: Principal Investigator $15,000
Research Supplements to Promote Re-Entry into Biomedical and Behavioral Research Careers NIDDK Role: Co-Investigator
Establishing the Coordinated Consortium of Networks (CoCoNet) AHRQ Role: Co-Investigator $599,000
Singh R, Anderson DR, McLean-Plunckett EA, Wisniewski A, Kee R, Fox CH, Gold K, Singh G. Effects of Self-Empowered Teams on Rates of Adverse Drug Events in Primary Care. Int J Fam Med. 2012.
Fox CH, Mahoney MC, Ramsoomair D, Carter CA. Magnesium Deficiency in African-Americans: Does it Contribute to Increased Cardiovascular Risk Factors?. Journal of the National Medical Association. 2003; 95(4).
Thomas Rosenthal, Chester Fox. Access to Health Care for the Rural Elderly.. JAMA. 2000; 284(16).
Fox CH, Ramsoomair D, Mahoney MC, Carter C, Young B, Graham R. An Investigation of Hypomagnesemia Among Ambulatory Urban African Americans.. Journal of Family Practice. 1999; 48(8).
Fox CH, Mahoney MC. Improving Diabetes Preventive Care in a Family Practice Residency Program: A Case Study in Continuous Quality Improvement.. Fam Med. 1998; 30(6).
James PA, Cowan TM, Graham RP, Majeroni BA, Fox CH, Jaén CR. Using a clinical practice guideline to measure physician practice: translating a guideline for the management of heart failure.. J Am Board Fam Pract. 1997; 10(3).
Singh R, Pace W, Singh A, Fox CH, Singh G. Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care. Advances in Patient Safety. 2008.
Professional Memberships:
2010 KDOQI Education Committee. (2010)
Member of the Technical Expert Panel for the AHRQ Comparative Effectiveness Review on Chronic Kidney Disease (2010)
AHRQ PBRN Technical Assistance Center Member (2010)
CMS Fistula First Breakthrough Initiative Technical Expert Panel (2009)
AHRQ-EHC Technical Expert Panel on Mild Renal Impairment (2009)
New York State Quality Improvement Office; Expert Consultant for the Prevention of Chronic Kidney Disease (2008–2111)
IPRO End Stage Reneal Disease Network of New York; Vascular Access Steering Committee (2008)
American Academy of Family Physicians National Research Network Advisory Board (2008)
AAFP National Research Network Advisor Committee (2008)
New York State Department of Health Task Force; Chronic Kidney Disease (2007)
Family Justice Center; Medical Director
Buffalo is one of only 15 cities in the nation to receive a 1.1 million dollar grant from the Department of Justice under the Violence Against Women's Act to form a "one-stop shop" to coordinate the community response to Domestic Violence. (2004)
University Practice Plan Governing Board (2003–2006)
Pursuing Perfection (P2) Collaborative; Board Member
A collaborative of two HMO's, a large Family Medicine group, a large multi-specialty group, University at Buffalo Family Medicine Department, and Roswell Park Cancer Institute to improve quality of care for the entire Western New York region. (2003–2004)
UNYNET; Director
Upstate New York Practice Based Research Network
(PBRN) (www.fammed.buffalo.edu/UNYNET) (2001)
National Federation of Practice Based Research Networks (FPBRN); Steering Committee
www.aafp.org/x19544.xml (2001)
AHEC; Medical Director
New York State Area Health Education Center (AHEC) System (2000–2001)
Urban Practice Sites,; Director
Kaleida Health System, Buffalo New York (1998–2000)
Lake Plains Community Care Network; Project Director
A three county locally developed rural managed care organization (1997–2000)
University Group Practice; Served as a member of the Board of Directors
State University of New York at Buffalo
Buffalo, New York (1995–1999)
UB Family Medicine Working Group; Chairman
Responsible for directing the clinical practice plan. (1994–2000)
Buffalo General Hospital; Clinical Chief/Chairman
Department of Family Medicine, Buffalo, New York (1993–1998)
Family Medicine Residency Program; Deputy Chairman
In charge of clinical services,Center for Family Medicine, Greenville, South Carolina (1991–1993)
Started, Owned, and managed a Private Practice; Specializing in Family Medicine in a rural Upstate New York township with a population of 5,000. Provided full-range medical care, including Obstetrics, Pediatrics, Geriatrics, ICU, CCU, health promotion, disease prevention and crisis counseling. (1979–1991)
Presentations:
"Practice Activities and Challenges to Improving Implementation of Chronic Kidney Disease Guidelines in Primary Care" NAPCRG, PBRN (2012)
"Using Computer based Interactive Voice Recognition (IVR) to Improve Smoking Cessation Rates in Urban and Rural populations" NAPCRG, PBRN (2012)
"Working with Coordinating Centers for Multi-PBRN Research" NAPCRG, PBRN (2012)
"Motivational Interviewing Strategies in Practice Team Care to Help Patients with Behavior Change." STFM Practice Improvement Conference (2011)
"Chronic Kidney Disease and Diabetes" FAFP, Florida Academy of Family Physicians & Florida Academy of Family Physicians Foundation (2010)
"Motivational Interviewing Strategies in Practice Team Care to Help Patients with Diabetes with Behavior Change" AAFP (2010)
"Utilizing Practice Enhancement Assistants (PEAs) to Improve Quality of Care and Research" AAFP (2010)
"HD24 The Impact of a Fitness Intervention on Primary Care Patients" NAPCRG (2010)
"P219 Growing Our Own: Certified Diabetes Educators in Medical Homes" NAPCRG (2010)
"P240 Implementing Evidence-based Diabetes Guidelines in Rural Practices Using Practice Enhancement Associates (PEAS)" NAPCRG (2010)
"P269 Characterizing Chronic Kidney Disease in Primary Care" NAPCRG (2010)
"PP22 Were The Improvement Made in a Chronic Kidney Disease Quality Improvement Project Maintained After 2 Years" NAPCRG (2010)
"Home Study Audio on Chronic Kidney Disease" AAFP, AAFP (2010)
"FP Audio on Motivational Interviewing" , American Academy of Family Physicians (2010)
"PBRNS Working Community Collaboratives: Creating Infrastructure for Broad Based Regional Quality Improvement" 2010 AHRQ Annual PBRN Research Conference, PBRN (2010)
"A Systematic Approach to Improving Diabetes Care in Patients with Mental Illness and Substace Abuse" NAPCRG (2009)
"How to Incorporate Motivational Interviewing Into Your Practice" STFM Practice Improvement Conference (2009)
"Implementing Pharmacist Support to Reduce Cardiovascular Risk and Chronic Kidney Disease Monitoring Through Information Technology" STFM Practice Improvement Conference (2009)
"Improving Mammographic Screening Rates in Women with Mental Health and Substance Abuse Issues by Partnering with Counseling Agencies" NAPCRG (2009)
"Telephonic Nurse Case Management for Patients with Diabetes and Mental Illness: A Qualitative Perspective" NAPCRG (2009)
"A Systems Approach to Improving Adherence to Asthma & Chronic Kidney Disease Guidelines in Primary Care" Oklahoma Academy of Family Physicians (2009)
"Chronic Kidney Disease Guidelines" Oklahoma Academy of Family Physicians (2009)
"Wellness Portal/Health Risk Appraisal: Update" Oklahoma Academy of Family Physicians (2009)
"Effects of a Team Resource Management Intervention on Rates of Adverse Drug Events in Primary Care." North American Primary Care Research Group (2008)
"High Prevalence of Hypomagnesemia in Hypertensive and Diabetic Patients in an Urban Minority Population" North American Primary Care Research Group (2008)
"High Prevalence of Undetected Vitamin D Deficiency in an Urban Minority Clinic" North American Primary Care Research Group (2008)
"Improving Chronic Kidney Disease in Primary Care Offices for Patients with Co-morbid Mental Health and Substance Abuse Issues" North American Primary Care Research Group (2008)
"North American Primary Cre Research Group (NAPCRG" (2008)
"The Correlation of Body Mass Index to Fitness, Insulin Resistance and Low Density Lipoprotein Particle Numbers in Obese Individuals" North American Primary Care Research Group (2008)
"Use of Routine Urine Toxicology for Chronic Pain Managment in a Family Medicine Setting" (2008)
Penn States Annual PBRN Convention (2008)
"Implementing Chronic Kidney Disease Guidelines in Primary Care Offices" The 2008 AHRQ National PBRN Research Conference (2008)
"Sustainable Interventions" AAFP Convocation Practices and Networks (2008)
"Translating Evidence Into Practice in Chronic Kidney Disease. What are the next steps?" AAFP Convocation Practices and Networks (2008)
"How PBRNs can Work with Community Collaboratives to Improve Patient Care" (2007)
"Making CKD Guidelines Work in Underserved Practices" AHRQ Annual PBRN Meeting (2007)
"The Electronic Primary Care Research Network (EPCRN) Progress and Utilities for PBRNs" AHRQ Annual PBRN Meeting (2007)
"Non-Traditional Funding Sources to Support PBRNs: Going Beyond AHRQ and NIH (F20)" (2007)
"Shared Decision Making" AAFP Convocation Practices and Networks (2007)
"Assessing How Well Primary Care Residents Are Learning Dermatology." North American Primary Care Research Group (2006)
"Fundamentals of Building a Primary Care Practice-Based Research Network: Lessons Learned From the Federation of Practice-Based Research Networks." North American Primary Care Research Group (2006)
"Primary Care Pathway to Improve Breast Diagnostic Care." North American Primary Care Research Group (2006)
"The Health Status of Free Medical Clinic Patients in Inner-City Buffalo, NY" North American Primary Care Research Group (2006)
"A Board-Based Community Collaborative to Rapidly Improve the Evidence-Based Treatment of Chronic Kidney Disease in an Eight-County Region of Upstate New York." NIH Inventory and Evaluation of Clinical Research Networks (IECRN) National Leadership Forum. (2006)
"Physicians Knowledge and Attitudes about Chronic Kidney Disease: Lessons Learned from a Qualitative PBRN Study" AHRQ Meeting (2005)
"Practice Facilitation in PBRNs" AHRQ PBRN Meeting (2005)
"TRANSLATE Model for Translating Research Into Practice" AHRQ PBRN Meeting (2005)
"Insuring the Unisured: A Medical Student Run Project in a Medical Student Run Free Clinic for Improving Access to Care" North American Primary Care Research Group (2004)
"Qualitative Study in Physicians‘ Knowledge and Practice Patterns in the Detection and Treatment of Chronic Renal Disease" North American Primary Care Research Group (2004)
"Chronic Kidney Disease Symposium: Primary Care Focus" National Kidney Foundation of Western New York (2004)
"Building a Toolkit for Beginning Networks" AAFP Convocation Practices (2004)
"Controlling Diabetes in Patients with Chronic Kidney Disease" Orleans Chapter of the National Kidney Foundation (2004)
"Effective Collaboration in a PBRN" AAFP Convocation Practices (2004)
"Confessions of a Primary Care Physician on Understanding the Importance of Early Kidney Disease" Syracuse Chapter of the National Kidney Foundation (2003)
"Confessions of a Primary Care Physician on Understanding the Importance of Early Kidney Disease" Independent Health Foundation and University at Buffalo (2002)
"Translating Research into Practice (TRIP): What you need to know." NAPCRG Pre-Conference Workshop (2002)
"What You Need to Know About Kidney Disease: A City Wide Presentation" Independent Health Foundation and the Anemia Awareness Group (2002)
"Magnesium Deficiency in African Americans: Could it be Contributing to Accelerated Atherosclerosis and Early Death?" AAFP Scientific Assembly Research Forum (2002)
"Data Collection in Practice Based Research Networks (PBRN): What Works and What Doesn't" National Convocation of Practices, Jointly sponsored by the Academy of Family Physicians and the National Federation of PBRN's (2002)
"Redesigning the Federation of Practice-Based Research Networks Website Convocation of Practices" Convocation of Practices, Jointly sponsored by the AAFP and the Federation of Practice Based Research Networks (2002)
"Strategies for Success in Sustaining a Practice-Based Research Network." Convocation of Practices, Jointly Sponsored by the AAFP and the Federation of Practice Based Research Networks (2002)
"Treating the Family as the Patient in Drug Court Cases" Annual Conference of the New York State Association of Drug Court Professionals (2002)
"Overview: Capitation, Quality and Value" Managed Care Conference (1997)
"Managing Managed Care: Success Models for Physicians" Southern Tier Health Care System, Inc (1997)
"Manged Care" WBFO - Radio Talk Show (1996)
Gastroenterology in Primary Care Program (1996)
"Workshop on Capitation Arrangements for Primary Care Physicians" American Family Physicians Annual Scientific Assembly (1996)
"High Prevalence of Hypomagnesemia in Hypertensive and Diabetic Patients in an Urban Minority Population" Seventh Annual Mead Johnson Family Medicine Research Forum (1995)