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Seattle-Denver Center of Innovation (COIN)


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COIN Investigators & Staff

COIN Investigators


Roman A. Ayele, MPH, PhD
Title: Research Scientist
Assistant professor adjunct at Colorado School of Public Health
Location: Denver
University of Colorado webpage


See Dr. Ayele's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials

The following images visualize Dr. Ayele's work. The word cloud is drawn from publication titles. The research collaboration map shows research relationships (click the image to enlarge):

Dr. Ayele's publication titles indicate primary work is Veteran care
Word cloud from pub titles
Dr. Ayele's collaborations are primarily from the University of Colorado
Research collaboration map
The following research fields have been used to summarize Dr. Ayele's publications and grants. The categories are based on 41 publications and no grants (yet!).
Clinical Research
Health Services
Behavioral and Social Science
Brain Disorders
Patient Safety
Infectious Diseases

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Recent Publications




Macchi ZA, Seshadri S, Ayele R, Bock M, Long J, Coats H, Miyasaki J, Pantilat SZ, Katz M, Santos EJ, Sillau SH, Lum HD, Kluger BM. Aggression Towards Caregivers in Parkinson's Disease and Related Disorders: A Mixed Methods Study. Mov Disord Clin Pract. 2022 Sep 7;9(7):920-931. doi: 10.1002/mdc3.13555. PMCID: PMC9547131. PMID: 36247911
Learn more about this publication at Dimensions

McCreight M, Rohs C, Lee M, Sjoberg H, Ayele R, Battaglia C, Glasgow RE, Rabin BA. (2022). Using a longitudinal multi-method approach to document, assess, and understand adaptations in the Veterans Health Administration Advanced Care Coordination program. Frontiers in Health Services, VOL 2. DOI=10.3389/frhs.2022.970409 PMID: 35859140
Learn more about this publication at Dimensions

Ersek M, Sales A, Keddem S, Ayele R, Haverhals LM, Magid KH, Kononowech J, Murray A, Carpenter JG, Foglia MB, Potter L, McKenzie J, Davis D, Levy C. Preferences Elicited and Respected for Seriously Ill Veterans through Enhanced Decision-Making (PERSIVED): a protocol for an implementation study in the Veterans Health Administration. Implement Sci Commun. 2022 Jul 20;3(1):78. doi: 10.1186/s43058-022-00321-2. PMCID: PMC9296899. PMID: 35859140
Learn more about this publication at Dimensions

Bock MA, Katz M, Sillau S, Adjepong K, Yaffe K, Ayele R, Macchi ZA, Pantilat SZ, Miyasaki JM, Kluger B. What's in the sauce? The Specific Benefits of Palliative Care for Parkinson's Disease. J Pain Symptom Manage. 2022 Jan 31:S0885-3924(22)00040-9. doi: 10.1016/j.jpainsymman.2022.01.017. Epub ahead of print. PMID: 35114353
Learn more about this publication at Dimensions

Sjoberg H, Liu W, Rohs C, Ayele RA, McCreight M, Mayberry A, Battaglia C. Optimizing care coordination to address social determinants of health needs for dual-use veterans. BMC Health Serv Res. 2022 Jan 12;22(1):59. doi: 10.1186/s12913-021-07408-x. PMCID: PMC8754195. PMID: 35022053
Learn more about this publication at Dimensions



Ayele R, Macchi ZA, Dini M, Bock M, Katz M, Pantilat SZ, Jones J, Kluger BM. Experience of Community Neurologists Providing Care for Patients With Neurodegenerative Illness During the COVID-19 Pandemic. Neurology. 2021 Sep 7;97(10):e988-e995. doi: 10.1212/WNL.0000000000012363. Epub 2021 Jun 14. PMID: 34489348

Macchi ZA, Ayele R, Dini M, Lamira J, Katz M, Pantilat SZ, Jones J, Kluger BM. Lessons from the COVID-19 pandemic for improving outpatient neuropalliative care: A qualitative study of patient and caregiver perspectives. Palliat Med. 2021 May 18:2692163211017383. doi: 10.1177/02692163211017383. Epub ahead of print. PMID: 34006157

Valverde PA, Ayele R, Leonard C, Cumbler E, Allyn R, Burke RE. Gaps in Hospital and Skilled Nursing Facility Responsibilities During Transitions of Care: a Comparison of Hospital and SNF Clinicians' Perspectives. J Gen Intern Med. 2021 Feb 2. doi: 10.1007/s11606-020-06511-9. Epub ahead of print. PMID: 33532965



Lawrence E, Casler JJ, Jones J, Leonard C, Ladebue A, Ayele R, Cumbler E, Allyn R, Burke RE. Variability in skilled nursing facility screening and admission processes: Implications for value-based purchasing. Health Care Manage Rev. 2020 Oct/Dec;45(4):353-363. doi: 10.1097/HMR.0000000000000225. PMCID: PMC6506403. PMID: 30418292

Leonard C, Ayele R, Ladebue A, McCreight M, Nolan C, Sandbrink F, Frank JW. Barriers to and Facilitators of Multimodal Chronic Pain Care for Veterans: A National Qualitative Study. Pain Med. 2020 Sep 24:pnaa312. doi: 10.1093/pm/pnaa312. Online ahead of print. PMID: 32974662

Manges KA, Ayele R, Leonard C, Lee M, Galenbeck E, Burke RE. Differences in transitional care processes among high-performing and low-performing hospital-SNF pairs: a rapid ethnographic approach. BMJ Qual Saf. 2020 Sep 21:bmjqs-2020-011204. doi: 10.1136/bmjqs-2020-011204. Online ahead of print.PMID: PMID: 32958550

Ayele R, Manges KA, Leonard C, Lee M, Galenbeck E, Molla M, Levy C, Burke RE. How Context Influences Hospital Readmissions from Skilled Nursing Facilities: A Rapid Ethnographic Study. J Am Med Dir Assoc. 2020 Sep 14:S1525-8610(20)30665-4. doi: 10.1016/j.jamda.2020.08.001. Online ahead of print. PMID: 32943342

Ayele RA, Liu W, Rohs C, McCreight M, Mayberry A, Sjoberg H, Kelley L, Glasgow RE, Rabin BA, Battaglia C. VA Care Coordination Program Increased Primary Care Visits and Improved Transitional Care for Veterans Post Non-VA Hospital Discharge. Am J Med Qual. 2020 Aug 10:1062860620946362. doi: 10.1177/1062860620946362. Online ahead of print. PMID: 32772849

Glasgow RE, Battaglia C, McCreight M, Ayele RA, Rabin BA. Making Implementation Science More Rapid: Use of the RE-AIM Framework for Mid-Course Adaptations Across Five Health Services Research Projects in the Veterans Health Administration. Front Public Health. 2020 May 27;8:194. doi: 10.3389/fpubh.2020.00194. eCollection 2020. PMID: 32528921

Jordan SR, Kluger B, Ayele R, Brungardt A, Hall A, Jones J, Katz M, Miyasaki JM, Lum HD. Optimizing future planning in Parkinson disease: suggestions for a comprehensive roadmap from patients and care partners. Ann Palliat Med. 2020 Feb;9(Suppl 1):S63-S74. doi: 10.21037/apm.2019.09.10. Epub 2020 Feb 6. PMID: 32036671



Ayele RA, Lawrence E, McCreight M, Fehling K, Glasgow RE, Rabin BA, Burke RE, Battaglia C. Perspectives of Clinicians, Staff, and Veterans in Transitioning Veterans from non-VA Hospitals to Primary Care in a Single VA Healthcare System. J Hosp Med. 2019 Oct 23;14(3):E1-E7. doi: 10.12788/jhm.3320. Epub ahead of print. PMCID: PMC7064299. PMID: 31634102

McCreight MS, Rabin BA, Glasgow RE, Ayele RA, Leonard CA, Gilmartin HM, Frank JW, Hess PL, Burke RE, Battaglia CT. Using the Practical, Robust Implementation and Sustainability Model (PRISM) to qualitatively assess multilevel contextual factors to help plan, implement, evaluate, and disseminate health services programs. Transl Behav Med. 2019 Nov 25;9(6):1002-1011. doi: 10.1093/tbm/ibz085. PMID: . PMID: 31170296

Burke RE, Leonard C, Lee M, Ayele R, Cumbler E, Allyn R, Greysen SR. Cognitive Biases Influence Decision-Making Regarding Postacute Care in a Skilled Nursing Facility. J Hosp Med. 2020 Jan 1;15(1):22-27. doi: 10.12788/jhm.3273. Epub 2019 Aug 16. PMID: ; PMCID: PMC6932595. PMID: 31433771

Tung GJ, Williams VN, Ayele R, Shimasaki S, Olds D. Characteristics of effective collaboration: A study of Nurse-Family Partnership and child welfare. Child Abuse Negl. 2019 Sep;95:104028. doi: 10.1016/j.chiabu.2019.104028. Epub 2019 Jun 21. PMID: . PMID: 31229764

Williams VN, Ayele R, Shimasaki S, Tung GJ, Olds D. Risk assessment practices among home visiting nurses and child protection caseworkers in Colorado, United States: A qualitative investigation. Health Soc Care Community. 2019 Sep;27(5):1344-1352. doi: 10.1111/hsc.12773. Epub 2019 Jun 3. PMID: . PMID: 31157940

Lum HD, Jordan SR, Brungardt A, Ayele R, Katz M, Miyasaki JM, Hall A, Jones J, Kluger B. Framing advance care planning in Parkinson disease: Patient and care partner perspectives. Neurology. 2019 May 28;92(22):e2571-e2579. doi: 10.1212/WNL.0000000000007552. Epub 2019 Apr 26. PMID: ; PMCID: PMC6556088. PMID: 31028124

Ayele R, Jones J, Ladebue A, Lawrence E, Valverde P, Leonard C, Cumbler E, Allyn R, Burke RE. Perceived Costs of Care Influence Post-Acute Care Choices by Clinicians, Patients, and Caregivers. J Am Geriatr Soc. 2019 Apr;67(4):703-710. doi: 10.1111/jgs.15768. Epub 2019 Feb 1. PMID: . PMID: 30707766

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Optimizing Transitions for Dual-Use Veterans Living with Dementia followingHospitalization in the Community

HSR&D Study - CDA 22-092

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Media (Cyberseminars, podcast etc.)


VA HSR&D YouTube: Understanding the Impact of Social Isolation on Older Veterans and Their Caregivers

Mar 13, 2023
Roman Ayele, PhD, of the Center of Innovation for Veteran-Centered and Value Driven Care, talks about her work understanding how the COVID-19 pandemic impacted older Veterans and their caregivers by creating additional burdens of social isolation.