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VISN 2 Center of Excellence for Suicide Prevention

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Jill Lavigne, PhD, MPH 
Researcher

Biography 

Publications 

Presentations 

Grants 

Jill Lavigne


Biography:
Dr. Lavigne earned her PhD (Health Services Research and Policy) and Master’s degrees (Public Health, Public Policy Analysis) from the University of Rochester and her undergraduate degree from Duke University (cum laude). She serves as Professor of Pharmacy Practice and Administration at the Wegmans School of Pharmacy, St John Fisher College and is co-Director of the Rochester Area Collaborative Center of Excellence in Pain Education (Director: OJ Sahler, MD, University of Rochester), funded by the National Institutes of Health Pain Consortium. She was previously a faculty member at the University of Rochester Medical School and the School of Pharmacy at the University of North Carolina at Chapel Hill. In 2012-2015 she was selected to serve as a technical reviewer for multi-million dollar proposals to implement health care system reform via the Centers for Medicare and Medicaid Innovation and made possible under the Affordable Care Act (2010).

Research Interests:  Jill Lavigne currently works to: (1) Improve the safe and optimal use of medications to prevent suicide, and (2) prepare pharmacists to communicate with at-risk Veterans in community pharmacy settings. Recent work includes application of the high dimensional medication safety surveillance system, integration of data from the Suicide Prevention and Action Network (SPAN) into VA drug safety surveillance, a study of the cost-utility of blister packaging medications for Veterans with high risk conditions in a randomized controlled trial, a panel data study of index exposures to medications to treat sleep problems and suicide attempts, a systematic review of pharmacy education programs about suicide risk and prevention, and the development of a video-based on-line case study of a Veteran in chronic pain tapering off opioids in primary care and expressing two levels of suicidal ideation for use in training primary care providers outside of VA. A hallmark of our early work was the development of informal partnerships and collaborations which we strive to sustain.

Beyond VA, Jill Lavigne is Co-PI of the NIH-funded Rochester Area Collaborative Center of Excellence in Pain Education, an economist member of the New York State Medicaid Drug Utilization Review Board, and Professor of Pharmacy Administration at the Wegmans School of Pharmacy, St. John Fisher College.

 

PRACTICE & INNOVATION

 Many of today's drug safety questions cannot be easily answered using random-ized controlled trials which typically cover only about 5,000 patients for about 4 months of follow-up. Suicidal behavior is too rare to detect in these trials. The VA's large population and electronic medical record system make it possible to examine patterns and to further investigate both adverse effects of drugs as well as unexpected beneficial effects. Our research focuses on building knowledge about drug safety and improving drug safety systems. Our education work is designed to disseminate drug safety and suicide prevention into pharmacy practice by collaborating with pharmacies to tailor interventions to existing workflows.

Recent Publications:

Lavigne, J. E. (in press). Suicidal ideation and behavior as adverse events of prescribed medications: An update for phamacists. Journal of the American Pharmacists Association.

Bishop, T., Lavigne, J. E., & Pigeon, W. (in press). The epidemiology of suicidality, mortality and overdose associated with the Z-drugs.  In: Zopidem: Pharmacology, mechanisn of action and side effects.  Hauppauge, NY: Nova Science Publishers.

Decker, A., Cipriano, G., Tsouri, G., Lavigne, J. E.  (In press). Radio frequency identification (RFID), report cards and adherence to hand hygiene behaviors in a pharmacy classroom.  American Journal of Pharmaceutical Education.

Lavigne, J. E., & Curran K.  (2015).  Teaching the World Health Organization's How to Handrub and 5 Moments of Hand Hygiene in a healthcare delivery course at a new school of pharmacy. Currents in Pharmacy Teaching and Learning, 7, 207-213.

Lum, T., Picardo, K., Westbay, T., Barnello, A., Fine, L, & Lavigne, J. E.  (2014).  Student self-screening for methicillin-resistant staphylococcus aureus (MRSA) nasal colonization in hand hygiene education.  American Journal of Pharmaceutical Education, 78(7).

Lavigne, J. E, Heckler, C., Mathews, J., Palesh, O., Kirshner, J. J., Lord, R., Jacobs, A., Amos, E., Morrow, G., & Mustian, K.  (2012).  Gabapentin 300mg versus 900mg versus placebo for anxiety symptoms in 306 breast cancer survivors:  Secondary analysis of a randomized controlled double-blind clinical trial.  Breast Cancer Research and Treatment, 136, 479-486.

Lavigne, J. E., McCarthy, M., Wagoner, L., Chapman, R., & Knox, K. L.  (2012). Exposure to prescription drugs with warnings for suicide among Air Force personnel who died by suicide, 2006 – 2009.  Suicide and Life Threatening Behavior, 42(5), 561-566.

Lavigne, J. E., Au, A., Jian, R., Wang, Y., Good, C. B., Glassman, P. A., Cunningham, F.  Utilization of prescription drugs with warnings of suicidal thoughts and behaviors in the US and the US Department of Veterans Affairs (VA), (2009).  Journal of Pharmaceutical Health Services Research, 3, 157-163.

Gilligan, A. M., Myers, J., Nash, J. D., Lavigne, J. E., Moczygemba, L. R., Plake, K. S., Quiñones-Boex, A. C., Holdford, D., West-Strum, D., & Warholak, T. L.  (2012).   Educating Pharmacists to Improve Quality (EPIQ):  Implementation and assessment at 8 US schools of pharmacy.  American Journal of Pharmacy Education, 76(6).

Lavigne, J. E.  (2012). Educating pharmacy students to improve quality in a new school of pharmacy.  Currents in Pharmacy Teaching and Learning.  Currents in Pharmacy Teaching and Learning, 4, 212–216.

O’Brocta, R., Abu-Baker ,A., Budukh, P., Gandhi, M., Lavigne, J. E., & Birnie, C.  (2012).  A continuous professional development process for first-year pharmacy students.  American Journal of Pharmacy Education, 76(2), 29.

Lavigne, J. E., Mathews, J., & Knox, K. L.  (2010). Post-market surveillance for suicide:  The case of gabapentin.  Journal of Pharmaceutical Health Services Research, 1, 47-51.

Knox, K. L., Phlanz, S., Talcott, G. W., Campise, R. L., Lavigne, J. E., Bajorska, A., & Caine, E. D.  (2010). The Air Force suicide prevention program: Implications for public health policy worldwide.  American Journal of Public Health.  Published on-line ahead of print May 13, 2010.

 

Recent Presentations:

Lavigne, J. E.  (2015, May). Teaching ethics in non-ethics courses: Pain in sickle cell anemia mini case.  Paper presented at the annual meeting of the American Association of the Colleges of Pharmacy, Baltimore, MD.

Lavigne, J. E.  (2015, July). Neighborhood vulnerability to pain and the role of community pharmacies and experiential education in low socioeconomic status neighborhoods.  Paper preented at the Roundtable, Social and Administrative Sciences SIG, at the annual meeting of the American Association of the Colleges of Pharmacy, Baltimore, MD.

Abu-Baker, A., & Lavigne, J. E.  (2014, August). Developing population based health literacy and pain management quality improvement through community-based data collection in sequential community experiential education rotations and a required population based healthcare course: Tools and pilot outcomes.  Workshop presented at the meeting of the  International Social Pharmacy Workshop,  Boston, MA. 

Lavigne, J. E.  (2014, August). NIH Center of Excellence in Pain Education Interprofessional Case Studies: Applications in social pharmacy and experiential education.  Workshop presented at International Social Pharmacy Workshop,  Boston, MA. 

Prohotsky, D. L., Abu-Baker, A., Conn, K., Volk, C., Novello, F., & Lavigne, J. E.  (2014, July). Health literacy in community pharmacy and neighborhood poverty:  Student data collection and analysis in experiential education.  Poster session presented at the annual meeting of the American Association of the Colleges of Pharmacy, Texas.

Novello, F., Abu-Baker, A., Lavigne, J. E. (2013, December). Mapping OTC analgesic availability at community pharmacies.  Poster session presented at the annual meeting of the Institute for Healthcare Improvement, Open School Graduate Student Storyboard Session.  Orlando, FL.

Weiss, E., Lavigne, J. E.  (2013, December). Effects of interactive voice response technology interventions on health outcomes:  A systematic review of randomized controlled trials.  Poster session presented at the annual meeting of the Institute for Healthcare Improvement, Orlando, FL.

Vietri, S., Lavigne, J. E. (2013, December). Applying architectural intentional design to reduce vectors of transmission of anti-microbial resistant microorganisms in inpatient settings: Design findings and recommendations for quality improvement. Poster session presented at the annual meeting of the Institute for Healthcare Improvement, Orlando, FL.

Sahler, O. J., Lavigne, J. E. (2013, October). The Rochester Area Collaborative Center of Excellence in Pain Education (RACCoEPE):  Development of an interprofessional curriculum on pain assessment and management. Workshop presented at the annual meeting of the Association for the Behavioral Sciences and Medical Education, Newport, RI.

Avery, L., Wedow, R., Lavigne, J. E. (2013, October). Ciprofloxacin automatic stop on pneuomonia pathway orders: Impact on clinical outcomes.  Poster session presented at the annual meetiing of the Infectious Diseases Society of America, San Francisco, CA.

Lavigne, J. E. (2013, May). Population based pain management for interprofessional collaborative education:  A pilot study. Poster session presented at the meeting of the 4th International Congress on Neuropathic Pain, Toronto, Canada.

Gilligan, A. M., Myers, J., Nash, J. D., Lavigne, J. E., Moczygemba, L. R., Plake, K. S., Quinones-Boex, A., Holdford, D., West-Strum, D., & Warholak, T. (2012, July). Educating Pharmacy Students to Improve Quality (EPIQ): A multi-school program evaluation. Poster session presented at the annual meeting of the American Association of the Colleges of Pharmacy, Kissimmee, FL.

Lavigne, J. E. (2012, April). Implementing World Health Organization standards for hand hygiene indications and methods using alcohol-based preparations at the Wegmans School of Pharmacy. Paper presented at the Institute for Healthcare Improvement/British Medical Journal International Forum on Quality & Safety in Healthcare, Paris, France.

Lavigne, J. E, Au, A., Jian, R., Wang, Y., Good, C. B., Glassman, P. A., & Cunningham, F. (2011, August). Utilization of prescription drugs with warnings of suicidal thoughts and behaviors in the US and the US Department of Veterans Affairs (VA), 2009. Paper presented at the meeting of the International Society for Phamacoepidemiology and Therapeutic Risk Management, Chicago, IL.

Lavigne, J. E. (2011, July). Educating pharmacy students to improve quality in a new school of pharmacy.  Poster session presented at the annual meeting of the American Association of Colleges of Pharmacy, Austin, TX.

Lavigne, J. E., King, D. A., Lu, N., & Knox, K. L. (2011, May). Pharmacist and pharmacy staff knowledge and attitudes towards suicide and suicide prevention:  Lessons from a national training program in the US Department of Veterans Affairs. Poster session presented at the annual meeting of the International Society of Pharmacoeconomics and Outcomes Research, Baltimore, MD.

O’Brocta, R., Bernie, C., Lavigne, J. E., & Abu-Baker, A. (2010, July). Continuing Professional Education in Pharmacy:  A pilot study of a new CPD program. Poster session presented at the annual meeting of the American Association of Colleges of Pharmacy.

Gandhi, M., Lavigne, J. E., Williams, K., & DeBisschop, M.  (2010, July). Embedded assessment in a new school of pharmacy: A pilot study. Poster session presented at the annual meeting of the American Association of Colleges of Pharmacy.

Palesh, O., Lavigne, J. E., Mustian, K., Mathews, J., Heckler, C., et al. (2010, May). Gabapentin for anxiety symptoms in breast cancer survivors: Secondary analysis of randomized controlled double-blind trial data. Poster session presented at the annual meeting of the American Society of Clinical Oncology.

Recent Grants:

Title:  Rochester Area Collaborative Center of Excellence in Pain Education (RACCoEPE) 
Source:  National Institutes of Health Pain Consortium
Dates:  2015-2020
Current Total Cost Estimate (TPC):  $441,850 (Positive technical review, contract in negotiation)
Role:  Co-Principal Investigator (PI: Sahler, O. University of Rochester School of Medicine & Dentistry)

Title:  Improving Medication Adherence:  Embedding Clinical Pharmacists into Primary Care      
Source:  Greater Rochester Health Foundation
Dates:  2014 - 2017
Amount:  $396,449
Role:  Evaluator (Outcomes, Satisfaction & Sustainability)/Co-Investigator

Title:  Mapping Pain Prevalence, Health Literacy and Pharmacy Resources 
Source:  Faculty Research Seed Grant Award, St. John Fisher College
Dates:  2013-2014
Amount:  $4,300 
Role:  Principal Investigator

Title:  Rochester Area Collaborative Center of Excellence in Pain Education (RACCoEPE) 
Source:  National Institutes of Health Pain Consortium
Dates:  2012-2015; Revised to 2012-2013
Amount:  $237,000
Role:  Co-Principal Investigator (PI: Sahler)


Title:  Reinforcing Hand Hygiene Instruction using Radio Frequency ID and Report Cards
Source:  Wegmans School of Pharmacy, Faculty Seed Grant, St. John Fisher College
Dates:  2012-2013
Amount:  $2,500 
Role:  Principal Investigator

Title:  Developing Center - Public Health & Population Interventions to Prevent Suicide
Source:  National Institute of Mental Health (NIMH:  P20 MH071897 HB)
Dates:  2004-2007
Role:  Investigator, Work Outcomes Research & Methods Development (10% effort)

 

 

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