James Ralston MD, MPH, is an internal medicine physician and senior investigator in health services and health informatics. His research mission is improving the health and care of patients living with common ongoing illnesses. His current areas of emphasis include understanding and honoring the priorities of patients living with multiple chronic conditions.
Dr. Ralston’s research focuses on developing and evaluating communication technologies that foster continuous care and a closer connection between patients and primary care teams. His commitment to finding effective ways to redesign care spans all stages of research, from project development to complete translation of results into clinical practice.
Examples of Dr. Ralston’s research projects include:
Dr. Ralston is also a University of Washington affiliate professor in health services and biomedical informatics, where he serves on the committees of PhD and master’s degree students.
Tchesnokova V, Larson L, Basova I, Sledneva Y, Choudhury D, Solyanik T, Heng J, Bonilla TC, Pham S, Schartz EM, Madziwa LT, Holden E, Weissman SJ, Ralston JD, Sokurenko EV. Increase in the community circulation of ciprofloxacin-resistant Escherichia coli despite reduction in antibiotic prescriptions. Commun Med (Lond). 2023 Aug 12;3(1):110. doi: 10.1038/s43856-023-00337-2. PubMed
Hoopes AJ, Cushing-Haugen KL, Coley RY, Fuller S, White C, Ralston JD, Mangione-Smith R. Characteristics of adolescents who use secure messaging on a health system's patient portal. Pediatrics. 2023 Jul 1;152(1):e2022060271. doi: 10.1542/peds.2022-060271. PubMed
McCloskey JK, Ellis JL, Uratsu CS, Drace ML, Ralston JD, Bayliss EA, Grant RW. Telehealth during COVID-19 for adults with multiple chronic conditions: Associations with self-reported food insecurity and with physical limitations. Telemed J E Health. 2023 Mar 6. doi: 10.1089/tmj.2022.0206. [Epub ahead of print]. PubMed
Karter AJ, Parker MM, Moffet HH, Lipska KJ, Ralston JD, Huang ES, Gilliam LK. Validation of a hypoglycemia risk stratification tool using data from continuous glucose monitors. JAMA Netw Open. 2023 Mar 1;6(3):e236315. doi: 10.1001/jamanetworkopen.2023.6315. PubMed
Tchesnokova V, Larson L, Basova I, Sledneva Y, Choudhury D, Heng J, Solyanik T, Bonilla T, Pham S, Schartz E, Madziwa L, Holden E, Weissman S, Ralston J, Sokurenko E. Increase in the rate of gut carriage of fluoroquinolone-resistant Escherichia coli despite a reduction in antibiotic prescriptions. Res Sq. 2023 Jan 12;rs.3.rs-2426668. doi: 10.21203/rs.3.rs-2426668/v1. Preprint. PubMed
Schuttner L, Lee JR, Hockett Sherlock S, Ralston JD, Rosland AM, Nelson K, Simons C, Sayre GG. Primary care physician perspectives on the influence of patient values, health priorities, and preferences on clinical decision-making for complex patients with multimorbidity: A qualitative study. Risk Manag Healthc Policy. 2022 Nov 16;15:2135-2146. doi: 10.2147/RMHP.S380021. eCollection 2022. PubMed
Lozano PM, Lane-Fall M, Franklin PD, Rothman RL, Gonzales R, Ong MK, Gould MK, Beebe TJ, Roumie CL, Guise JM, Enders FT, Forrest CB, Mendonca EA, Starrels JL, Sarkar U, Savitz LA, Moon J, Linzer M, Ralston JD, Chesley FD Jr. Training the next generation of learning health system scientists. Learn Health Syst. 2022 Sep 10;6(4):e10342. doi: 10.1002/lrh2.10342. eCollection 2022 Oct. PubMed
Blasi PR, Scrol A, Anderson ML, Gray MF, Tiffany B, Fullerton SM, Ralston JD, Leppig KA, Henrikson NB. Feasibility, acceptability, and limited efficacy of health system-led familial risk notification: protocol for a mixed-methods evaluation. Pilot Feasibility Stud. 2022 Aug 9;8(1):174. doi: 10.1186/s40814-022-01142-9. PubMed
Miller-Rosales C, McCloskey J, Uratsu CS, Ralston JD, Bayliss EA, Grant RW. Associations between different self-reported social risks and neighborhood-level resources in Medicaid patients. Med Care. 2022 Aug 1;60(8):563-569. doi: 10.1097/MLR.0000000000001735. Epub 2022 May 30. PubMed
Schuttner L, Hockett Sherlock S, Simons CE, Johnson NL, Wirtz E, Ralston JD, Rosland AM, Nelson K, Sayre G. My goals are not their goals: barriers and facilitators to delivery of patient-centered care for patients with multimorbidity. J Gen Intern Med. 2022 May 23:1-8. doi: 10.1007/s11606-022-07533-1. [Epub ahead of print]. PubMed
Community circulation of ciprofloxacin-resistant E. coli increased after 6-year reduction in antibiotic prescriptions
A new study aims to understand trends in digital care communication among teens.
A new federal rule requiring physicians to give patients access to their notes may be easier to follow than physicians expected.
KPWHRI researchers uncover obstacles faced by smaller practices when adding CVD risk calculators into primary care.
Amy Lee describes how the LHS Program is helping KP Washington track and improve treatment for opioid use disorder.