Dr. Roger Kerzner directs the clinical strategy for the more than 1,400 physicians and surgeons of The Medical Group of ChristianaCare, which comprises community-based primary-care physician and specialty-care practices.
Areas of Expertise (6)
Clincal Care Delivery Redesign
Integrated Practice Care
Medical College of Virginia Commonwealth University School of Medicince: M.D. 1999
Auburn University: MBA
Media Appearances (1)
Treating Chronic Disease Proactively
NEJM Catalyst print
The same is true at Christiana Care Health System in Newark, Delaware, which has given clinical leaders “financial room” to address chronic disease management, according to Roger Kerzner, MD, Clinical Director for Specialty Services for the Medical Group and Associate Service Line Leader for Primary Care and Community Medicine. “The chief focus at Christiana Care is to continue to improve on the good work we are providing to our patients now that will be sustainable in the future and will benefit our long-term financial health,” he says. Christiana Care is working to standardize care for hypertension, diabetes, substance abuse, COPD, and heart failure. The aim is to create a tight collaboration between primary and specialty care, which is bound to require culture change. “It’s a very different kind of care delivery model than physicians have been trained to provide,” Kerzner says, pointing to a nurse-run protocol currently being developed. Nurses would manage and adjust medication for hypertension patients without always needing to rely on a physician. Christiana Care also wants to move chronic disease management into the community and offer “the same service in a different location,” helping to address social determinants of health and health inequity. While remote monitoring has been successfully deployed at Christiana Care, the technology has not been fully implemented throughout the health system. “The first step is to create a system in which we can capture the full value of remote monitoring,” Kerzner says. “Once this is established, we can take advantage of this technology to improve chronic disease management.”
Selected Papers and Publications (3)
Prediction model for COVID-19 patient visits in the ambulatory settingResearch Square
Healthcare systems globally were shocked by coronavirus disease 2019 (COVID-19). Policies put in place to curb the tide of the pandemic resulted in a decrease of patient volumes throughout the ambulatory system. The future implications of COVID-19 in healthcare are still unknown, specifically the continued impact on the ambulatory landscape.
Biatrial maze procedure versus pulmonary vein isolation for atrial fibrillation during mitral valve surgery: New analytical approaches and end pointsThe Journal of Thoracic and Cardiovascular Surgery
2019 To use novel statistical methods for analyzing the effect of lesion set on (long-standing) persistent atrial fibrillation (AF) in the Cardiothoracic Surgical Trials Network trial of surgical ablation during mitral valve surgery (MVS).
The impact of care management information technology model on quality of care after Coronary Artery Bypass Surgery: “Bridging the Divides”Cardiovascular Revascularization Medicine
2018 Reducing readmissions and improving metrics of care are a national priority. Supplementing traditional care with care management may improve outcomes.