Faculty Profile: Patrick Vivier, MD, PHD

Patrick Vivier
Patrick Vivier, MD, PHD
Associate Professor of Health Services, Policy & Practice and Associate Professor of Pediatrics
Public Health & Public Policy, Pediatrics
Work: +1 401-863-2034
Dr. Vivier's work focuses on the health status and health services utilization of low income families. Important health issues investigated in Dr. Vivier's work include lead poisoning and childhood obesity. Health system issues addressed by Dr. Vivier and colleagues include emergency department utilization and improving information systems to enhance the delivery of health care.

Biography

Dr. Patrick M. Vivier is an Associate Professor of Community Health and Pediatrics at Brown University/Brown Medical School. He is a pediatrican affiliated with Hasbro Children's Hospital/Rhode Island Hospital. He received his undergraduate degree, an independent concentration in Medical Anthropology, from Brown University. He attended Dartmouth Medical School and the Brown Medical School, receiving his degree from Brown in 1989. He completed his residency in pediatrics at Rhode Island Hospital. He also completed a health services reserach fellowship and received a PhD from the Department of Health Policy in the School of Public Health at Johns Hopkins University.

Institutions

Rih

Research Description

Dr. Vivier's work focuses on the health status and health services utilization of low-income families, particularly those insured through Medicaid. Current areas of emphasis include the following:

Improving information systems to enhance the delivery of health care
Dr. Vivier is currently leading the evaluation of an AHRQ funded, statewide effort to make electronic health information more accessible. This builds on the earlier work of Dr. Vivier and colleagues to develop a hospital-based, preventive services tracking system to assess the delivery of preventive services and improve immunization rates through outreach efforts.

Assessing the health status and health services use of children enrolled in Medicaid
Dr. Vivier and colleagues are examining differences in emergency department use between Medicaid and commercially insured children in the same managed care organizations, a project that was begun with funding from the Center for Health Care Strategies. This builds on previous work in which Dr. Vivier collaborated with the Rhode Island Department of Human Services and the Rhode Island Department of Health to assess the health status and health services use of children enrolled in Medicaid. That project, The Rite Care Preventive Services study, was supported by the Robert Wood Johnson Foundation. Dr. Vivier and his colleagues measured immunization and screening rates of Medicaid insured children, assessing potential differences based on the type of primary care site. In addition to measuring the use of preventive services, Dr. Vivier and colleagues also measured the high prevalence of lead poisoning among Medicaid insured children in Rhode Island. He is currently working with colleagues at the Rhode Island Department of Health on a statewide assessment of the issue of lead poisoning, as part of an initiative of the Rhode Island Attorney General's office.

Childhood obesity
Dr. Vivier has been collaborating with researchers at the Weight Control and Diabetes Research Center to measure the prevalence of childhood obesity in Providence and to investigate approaches to addressing the problem of childhood obesity.

Grants and Awards

Robert Wood Johnson Generalist Physician Faculty Scholar Award
Robert Wood Johnson Foundation, July 1997 to June 2002

Medical Student Teaching Award
Brown University Pediatric Residency Program, 1992

Quigley Continuity Clinic Award
(Awarded to the resident who sees the most continuity clinic patients)
Brown University Pediatric Residency Program, 1991 and 1992

Intern Active Continuity Clinic Award
Brown University Pediatric Residency Program, 1990

New England Pediatric Society Prize
Brown University Program in Medicine, 1989

Harry L. Gardner Award
Rhode Island Lung Association, 1985

Affiliations

Society for Pediatric Research, 2001 to present

American Public Health Association, 1999 to present

Ambulatory Pediatric Association, 1996 to present

AcademyHealth (Association for Health Services Research), 1995 to present

American Academy of Pediatrics, July 1989 to present
Member of the Rhode Island Chapter Executive Board, 1998 to 2002

Funded Research

  1. Project title: Improving information systems to enhance the delivery
    of immunizations and other preventive services.
    Principal Investigator: Patrick M. Vivier, MD
    Consultants: Anthony J. Alario, MD and Georges Peter, MD
    Funding Source: Rhode Island Department of Health
    Funding Period: February 1, 1996 to March 31, 1997
    Funding Level: $84,943

  2. Project title: Improving information systems to enhance the delivery
    of immunizations and other preventive services II.
    Principal Investigator: Patrick M. Vivier, MD, PhD
    Consultants: Anthony J. Alario, MD and Georges Peter, MD
    Funding Source: Rhode Island Department of Health
    Funding Period: April 1, 1997 to December 31, 1997
    Funding Level: $85,000

  3. Project title: A comparison of patient characteristics and utilization
    patterns for children with different types of primary care provider sites in a
    Medicaid managed care program.
    Principal Investigator: Patrick M. Vivier, MD, PhD
    Mentors: Vincent Mor, PhD and Larry Culpepper, MD
    Funding Source: Robert Wood Johnson Foundation
    Funding Period: July 1, 1997 to June 30, 2002
    Funding Level: $239,908

  4. Project title: Development of a Child Health Status Measure.
    Principal Investigator: Barbara Starfield, MD, MPH
    Co-Investigator for subcontract: Patrick M. Vivier, MD, PhD
    Funding source: Agency for Health Care Policy and Research
    Subcontract period: April 1, 1998 to December 31, 2000
    Subcontract funding: $100,203

  5. Project title: Hallet Prevention Initiative.
    Principal Investigator: Patrick M. Vivier, MD, PhD
    Funding Source: Hallet Trust
    Funding Period: January 1, 1998 to December 31, 2003
    Funding Level: $506,843

  6. An evaluation of childhood obesity among elementary and middle school students.
    Principal Investigator: Patrick M. Vivier, MD, PhD
    Funding Source: HELP Coalition
    Funding Period: July 1, 2001 to June 30, 2003
    Funding Level: $25,805

  7. Rhode Island Access Project
    Mentor on the Brown University subcontract: Patrick M. Vivier, MD, PhD
    Funding source: Robert Wood Johnson Foundation
    Subcontract period: July 1, 2002 to June 30, 2004
    Subcontract funding: $139,660 (approx. half this amount is to support my fellow and
    for my activities)

  8. Designing community-based interventions to address the problem of childhood obesity.
    Principal Investigator: Patrick M. Vivier, MD, PhD
    Funding Source: HELP Coalition
    Funding Period: July 1, 2003 to June 30, 2006
    Funding Level: $17,933

  9. An analysis of greater emergency department (ED) use by Medicaid enrolled children
    as compared to those commercially insured in the same managed care organization (MCO).
    Principal Investigator: Patrick M. Vivier, MD, PhD
    Funding Source: Center for Health Care Strategies
    Funding Period: August 1, 2003 to May 31, 2005
    Funding Level: $98,835

  10. State and regional demonstration in health information technology.
    Principal Investigator: Patricia Nolan, MD, MPH
    Principal Investigator for Brown University subcontract: Patrick M. Vivier, MD, PhD
    Funding Source: Agency for Healthcare Research and Quality
    Funding Period: April 1, 2005 to September 31, 2009
    Subcontract funding: $844,195

Teaching Experience

Dr. Vivier is the Director of the MPH Program at Brown university. He teaches the Public Health/Community Service Internship. He was previously the Director of the Community Health Clerkship.

Courses Taught

  • Public Health/Community Service Internship (BC0254)

Selected Publications

  • Vivier PM, O'Haire C, Alario AJ, Simon P, Leddy T, Georges P. A statewide assessment of tuberculin skin testing of preschool children enrolled in Medicaid managed care. Maternal Child Health Journal 2006;10:171-176. (2006)
  • O'Haire C, Dansereau LM, Simon P, MacRoy PM, Vivier PM. Eliminating disparities in preventive services between preschool children enrolled in Medicaid managed care and those commercially insured. (Research Letter) Public Health Reports. 2005;120:480-481. (2005)
  • Forrest CB, Riley A W, Vivier PM, Gordon NP, Starfield B. Predictors of children's healthcare use: The value of child versus parental perspectives on healthcare needs. Medical Care. 2004;42:232-238. (2004)
  • Brousseau DC, Dansereau LM, Linakis JG, Leddy T, Vivier PM. Pediatric emergency department utilization within a statewide Medicaid managed care system. Academic Emergency Medicine. 2002;9:296-299. (2002)
  • Vivier PM, Alario AJ, Peter G, Leddy T, Simon P, Mor V. An analysis of the immunization status of preschool children enrolled in a statewide Medicaid managed care program. The Journal of Pediatrics. 2001;139:624-629. (2001)
  • Vivier PM, Flanagan P, Simon P, Diana BJ, Brown L, Alario AJ. An assessment of selected preventive screenings among children aged 12 through 35 months in a hospital-based, Medicaid managed care practice. Ambulatory Child Health 2001:7:3-10. (2001)
  • Vivier PM, Hogan JW, Simon P, Leddy T, Dansereau LM, Alario AJ. A statewide assessment of lead screening histories of preschool children enrolled in a Medicaid managed care program. Pediatrics. 2001;108:e28. (2001)
  • Vivier PM, Alario AJ, O'Haire C, Dansereau LM, Jakum EB, Peter G. The impact of outreach efforts in reaching underimmunized children in a Medicaid managed care practice. Archives of Pediatric and Adolescent Medicine 2000;154:1243-1247. (2000)
  • Lakhiani CN, Vivier PM, Alario AJ, Simon P, Diana BJ, Peter G. An analysis of the transition from OPV to IPV for primary immunization in a hospital-based, primary care practice. The Pediatric Infectious Disease Journal 2000;19:575-576. (2000)
  • Vivier PM, Alario AJ, Simon P, Flanagan P, O'Haire C, and Peter G. Immunization status of children enrolled in a hospital-based Medicaid managed care practice - The importance of the timing of vaccine administration. The Pediatric Infectious Disease Journal 1999;18:783-788. (1999)
  • Golova N, Alario AJ, Vivier PM, Rodriguez M, High P. Literacy promotion in Hispanic families in a primary care setting: A randomized controlled trial. Pediatrics 1999;103:993-997. (1999)
  • Hughart N, Holt E, Rosenthal J, Ross A, Jones A, Keane V, Vivier P, and Guyer B. Effectiveness of pediatric practice consultation on missed opportunities for immunization. Journal of Urban Health: Bulletin of the New York Academy of Medicine 1998;75:123-134. (1998)
  • Hughart N, Vivier P, Ross A, Strobino D, Holt E, Hou W, Guyer B. Are immunizations an incentive for well child visits? Archives of Pediatrics & Adolescent Medicine 1997;151:690-695. (1997)
  • Holt E, Guyer B, Hughart N, Keane V, Vivier P, Ross A, Strobino D. The contributions of missed opportunities to childhood under-immunization in Baltimore. Pediatrics 1996;97(4):474-480. (1996)
  • Vivier PM, Lewander WJ, Block SH, Simon PR, Alario AJ, Linakis JG. Is continuity of care preserved in children who utilize the pediatric emergency department? Pediatrics 1995;95(1):37-41. (1995)
  • Vivier PM, Lewander WJ, Martin HF, Linakis JG. Isopropyl alcohol intoxication in a neonate through chronic dermal exposure: A complication of a culturally based umbilical care practice. Pediatric Emergency Care 1994;10:91-93. (1994)
  • Vivier PM, Dietrich AJ, and Witters LA. Management of elevated cholesterol levels by New Hampshire primary care physicians. The Journal of Family Practice 1988;27:167-172. (1988)
  • Smith SR, Vivier PM, Blain ALB. A comparison of first year medical school performances of students admitted with and without interviews. Journal of Medical Education 1986;61:404-406. (1986)