Michelle GreiverMD,MSc
Associate Professor
DFCM

Contact Info

Location

North York General Hospital
240 Duncan Mill road
suite 705
Toronto
ON, M3B 3S6

Research Interests

Genetics and Genomics, Health Informatics, Health Service Delivery, Knowledge Translation, Multimorbidity, Quality Improvement, Screening, Social Determinants, Experimental (e.g., RCTs), Electronic Medical Records, Quantitative Data Analysis, Chronic Diseases (e.g., diabetes, HBP, CVD)

Accepting

CREMS Students, Graduate Students, Summer Students, Volunteers

I am a practicing family physician.  I completed my MD at the University of Toronto in 1984,and my MSc at the institute for Health Policy and Management Evaluation, University of Toronto in 2010.

I am UTOPIAN's Deputy Director, a Clinician Scientist at DFCM, Scientist at North York General Hospial and Adjunct Scientist at ICES Central.

Because of my involvement in research involving primary care health information technology, I have also been asked to participate in committees at OntarioMD, Ontario Medical Association (Data Governance/stewardship; Insights 4 Care Physician Reference Group), Health Quality Ontario (Primary Care Performance Measurement), Association of FHTs of Ontario (Quality and Data Decision Support provincial steering group), Ontario SPOR Support Unit Data Platform Working Group.  I chair the Practice Based Research Networks (PBRNs) Action Group nationally for the Section of Researchers at the College of Family Physicians of Canada and I co-chair the UTOPIAN Safe Haven technical working group.

Research/Teaching

Research Synopsis:

I have chosen the path of being a community-based, practice-oriented researcher.   Relentless curiosity about problems affecting my patients, my practice, my colleagues’ practices and our broader primary care context is my core driver.   I have organized this curiosity into a body of work that uses research to improve daily care and bring evidence into practice and I have created practical tools used to improve the quality of care provided to patients.  

My research has concentrated on meaningful use of electronic data to support the development of primary health care, through increasing research capacity and translating the use of data into better care. I was a founding member of the Canadian Primary Care Sentinel Surveillance Network (CPCSSN), Canada’s multi-EMR chronic disease surveillance system, and continue to be the director of its Toronto network.  The Toronto network is the largest single contributor of data at CPCSSN, with over 400,000 EMR records, and has the largest number of publications.  It was the site of the first collaboration between CPCSSN and Canada Health Infoway.

I have contributed to building community-based Practice Based Research Networks, through NorTReN (both as a founding member and lead for some years) and UTOPIAN, the University of Toronto Practice Based Research Network (as one of the founders and an executive committee member).  UTOPIAN is the largest PBRN in Canada; it includes all 14 academic units at the Department of Family and Community Medicine, University of Toronto, and its affiliated teaching practices, about 1,400 clinicians.  I am UTOPIAN's Deputy Director.  I have mentored others within the PBRN: two of the first three UTOPIAN seed studies were led by local investigators at North York.  Locally, PBRN research has been an integral part of Family Medicine at North York for years.  

Grants:

2016 Mar - 2021 Mar    Co-Investigator. SPOR Network in diabetes and its related complications. Canadian Institutes of Health Research (CIHR). SPOR networks in chronic disease. 358047. PI: Lewis, Gary. Collaborator(s): Brown, Adalsteinn; Maberley, David; Rochon, Paula; Sullivan, Frank; Brent, Michael; Belanger, Mathieu; Cafazzo, Joseph. 25,000,000 CAD. [Grants]

2016 Feb - 2017 Feb    Co-Principal Investigator. Generation and evaluation of a cohort of high risk heart failure and COPD patients using the NYGH Joint Data Warehouse. North York General Hospital. Exploration Fund. PI: Greiver, Michelle. Collaborator(s): Sullivan Frank, Eisen David, Aliarzadeh Babak, Wong Eugene, Sharma Deepak, Meaney Christopher, Moieneddin Rahim, D’Urzo Tony, Abdelhalim Tarek. 20,520 CAD. [Grants]

2012 Dec - 2013 Jun    Co-Investigator. Effect of Craving Change-Plus on chronic disease self-management: a pilot RCT. University of Toronto. DFCM, UTOPIAN PBRN seed funding. PI: Soutgate, Danuta. Collaborator(s): Greiver M, Bogetta H, Wymer R, Wintemute K, Ryall P, Kostka K, Hubka G, Grunfeld E. 25,000 CAD. [Grants]

2010 Jun    Principal Investigator. EMR data quality management methods: a feasibility study. Ontario Ministry of Health and Long-Term Care. Primary Health Care System Program. Collaborator(s): Greiver M, Barnsley J, Krueger P, Aliarzadeh B, Moineddin R, Butt D, Drummond N, Jaakkimainen L, Keshavjee K, White D, Kaplan D. 10,000 CAD. [Grants]

2010 Mar - 2015 Mar    Co-Investigator. A Canadian Primary Care Sentinel Surveillance Network (CPCSSN). Public Health Agency of Canada (PHAC). PI: Birtwhistle R, Rosser W. Collaborator(s): Lambert-Lanning A, Grava-Gubins I, Drummond N, Godwin M, Greiver M, Katz A, Lussier M-T, Manca D, Putnam W, Stewart M. (Co-investigators). 11,682,685 CAD. [Grants]
Enhanced Chronic Disease Surveillance Contribution Program of the Healthy Living and Chronic Disease Strategy Component: Sentinel Surveillance for Primary Care contributon: $11,682,685 / In-kind contributions: $3,705,749; local budget: $661,734 / In-kind: $347,500.

2009 Oct - 2012 Mar    Co-Investigator. Building on Existing Tools to Improve Chronic Disease Prevention in Family Practice: The BETTER Coalition. Canadian Partnership Against Cancer. Coalitions Linking Action and Science for Prevention (CLASP). PI: Grunfeld, Eva. Collaborator(s): Grunfeld E and the BETTER Investigators. 2,500,000 CAD. [Grants]

Publications and Awards

Recent Publications

1.    Babak Aliarzadeh, MD, MPH, Christopher Meaney, MSc, Rahim Moineddin, PhD, David White, MD, Catherine Birken, MD, MSc, Patricia Parkin, MD, Michelle Greiver, MD, MSc. Hypertension screening and follow-up in children and adolescents in a Canadian primary care population sample: a retrospective cohort study. CMAJ Open. 2016 May 5;4(2):E230-E235. Available from: http://cmajopen.ca/content/4/2/E230.full. Senior Responsible Author.
2.    Greiver M, Aliarzadeh B, Meaney C, Moineddin R, Southgate CA, Barber DT, White DG, Martin KB, Ikhtiar T, Williamson T. Are We Asking Patients if They Smoke?: Missing Information on Tobacco Use in Canadian Electronic Medical Records. Am J Prev Med. 2015 Aug 1;49(2):264-8. Principal Author.
5.    Greiver M, Williamson T, Barber D, Birtwhistle R, Aliarzadeh B, Khan S, Morkem R, Halas G, Harris S, Katz A. Prevalence and epidemiology of diabetes in Canadian primary care practices: a report from the Canadian Primary Care Sentinel Surveillance Network. Can J Diabetes. 2014 Jun 1;38(3):179-85. 2014 Jun;38(3):179-85. doi: 10.1016/j.jcjd.2014.02.030. Epub 2014 May 14. Principal Author.
6.    Manca DP, Greiver M, Carroll JC, Salvalaggio G, Cave A, Rogers J, Pencharz J, Aguilar C, Barrett R, Bible S, Grunfeld E. Finding a BETTER way: A qualitative study exploring the prevention practitioner intervention to improve chronic disease prevention and screening in family practice. BMC Fam Pract. 2014 Apr 11;15(60):66. Coauthor or Collaborator.
7.    Aliarzadeh B, Greiver M, Moineddin R, Meaney C, White D, Moazzam A, Moore KM, Belanger P. Association between socio-economic status and hemoglobin A1c levels in a Canadian primary care adult population without diabetes. BMC Fam Pract. 2014 Jan 10;15(1):7. Co-Principal Author
9.    Greiver M, Williamson T, Bennett TL, Drummond N, Savage C, Aliarzadeh B, Birtwhistle RV, Khan S, Canadian Primary Care Sentinel Surveillance Network. Developing a method to estimate practice denominators for a national Canadian electronic medical record database. Fam Pract. Principal Author.
10.    Greiver M, Barnsley J, Glazier RH, Harvey BJ, Moineddin R. Measuring data reliability for preventive services in electronic medical records. BMC Health Serv Res. Principal Author.
11.    Greiver M, Barnsley J, Glazier RH, Moineddin R, Harvey BJ. Implementation of electronic medical records: effect on the provision of preventive services in a pay-for-performance environment. Can Fam Physician. 2011 57: e381-e389. Principal Author.
12.    Greiver M, Barnsley J, Glazier RH, Moineddin R, Harvey BJ. Implementation of electronic medical records: theory-informed qualitative study. Can Fam Physician. 2011 57: e390-e397. Principal Author.

 

Honours and Awards

2012 Canadian Family Physician Best Original Research Article Award, College of Family Physicians of Canada. (Distinction)
Award given for a scientific article published in 2011 in Canadian Family Physician resulting from a research project developed, financed and completed by the authors.  
Greiver M, Barnsley J, Glazier R, Moineddin R, Harvey B.  Implementation of electronic medical records:  Effect on the provision of preventive services in a pay-for-performance environment.  Can Fam Phys October 2011;57;e381-e389.

Research Excellence (Junior), University of Toronto Department of Family and community Medicine. (Distinction)
Awarded by Department once a year for excellence in research

Bright Light, Principal investigator, Association of Family Health Teams of Ontario, Ontario, Canada. (Distinction, Specialty: Family Medicine). Using data to improve transitions of care and care coordination: Making it easier for teams to access data needed to improve care.  Awarded to North York Family Health Team for its use of the Data Presentation Tool software to enable the return of cleaned and standardized data to the Team.  This enabled the generation of multiple reports to support feedback and quality improvement activities.  The project has been spread to multiple other teams and left a legacy of tools and templates. Total Amount: 3,000 CAD

Pfizer Investigator-in-Practice Award, North American Primary Care Research Group 2001. (Distinction).  Best research project by a practicing family physician in North America.

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