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Katherine Winter

K. Winter headshot

Position:
Lecturer

Location:
Pruitt Health Professions Building, room 254

Email: katherine.winter@miyao2009.com

Educational History:

B.S. in Biology and Education, University of Mary Washington; B.S.N. and M.S.N., The Johns Hopkins University School of Nursing; PhD of Nursing candidate, The Catholic University of America School of Nursing

Professional Highlights:

Family Nurse Practitioner

Front Royal Family Practice – 2008 to present

  • Full spectrum family practice, including newborn, pediatric, adult, and geriatric acute and chronic care
  • Assisted living and nursing home care
  • Community primary care based patient-oriented clinical research
  • Developed outpatient diabetes and obesity clinics
  • Nurse practitioner teaching and supervision – 2008 to present

Licensure and Certifications

  • ANCC certified
  • Virginia RN/NP/prescription licenses
  • Basic BLS license

Honors and Awards

  • North American Primary Care Research Group Pearls Award, 2016
    for top research studies presented at the annual meeting that will impact clinical practice
  • School of Nursing Honor Society, 2008
  • Graduated B.S. with honors, summa cum laude, 2002

Research:

Research Projects:

  • Co-investigating consultant: Prescribing trends and associated outcomes of antiepileptic drugs and other psychoactive medications in US nursing homes surrounding the COVID-19 pandemic. R01 National Institute on Aging (Award 1R01AG074358-01A1). 09/01/22-6/31/27          
  • Co-Investigator: Clinician perspectives regarding COVID-19’s impact on management approaches to dementia symptoms in Virginia nursing homes. Alzheimer’s and Related Diseases Research Award Grant (Award 22-2). 07/01/21-6/31/22
  • Co-investigator: Factors impacting change in the management of non-cognitive dementia symptoms in Virginia nursing homes: A mixed-method investigation. Alzheimer’s and Related Diseases Research Award Grant (Award 20-6).  7/1/19-6/31/20          
  • Co-investigator: Changes in Physician Approaches to Behavioral and Psychologic Symptoms of Dementia since CMS’s 2012 National Partnership to Improve Dementia Care. Alzheimer’s and Related Diseases Research Award Grant (Award 18-3).  6/1/17-10/31/18
  • Qualitative interviewer/analyst: Physician Perspectives on the Behavioral and Psychological Symptoms of Dementia: A Qualitative Exploratory Study. VCU Clinical and Transformative Research Endowment Fund Award (Award 2-92857). 8/20/15-7/1/16
  • Qualitative interviewer/analysts: Pharmacologic and Non-pharmacologic Management of Behavioral and Psychological Symptoms of Dementia (BPSD): A Mixed-Method Pilot. Alzheimer’s and Related Diseases Research Award Grant (Award 15-2). 7/1/14-06/1/15  
  • Data analysis: Maternal antecedents of childhood obesity and Newborn Adiposity as a Marker for Childhood Overweight. National AAFP Research Stimulation Grant (Award G1305RS). 3/1/2013-6/1/2014
  • Data analysis: The Effect of the Long Acting Beta Agonist Black Box Warning on Asthma Control in the Community Setting.National AAFP Foundation Resident Research Award Grant.  6/30/7-7/1/08        
  • Data analysis: Newborn BMI Predicts Childhood Overweight. National AAFP Foundation Resident Research Award Grant. 6/30/06-7/1/07          

Conferences:

  • NAPCRG 2012-2022
  • AAFP National Conference 2006, 2007, 2010, 2014

Publications/Posters:

  • Winter, J., Taylor, Y., Winter, K., Mowrer, L., Dulin, M. “BMI at birth predicts overweight at age 4.” Obesity Research and Clinical Practice. 2016; 11(2): 152-`57 [PMID 27066858].
  • Winter, J., Kerns, JW., Etz, R., Brandt, N., Winter, K., Reves, S., Krist, A., Winter, C., Simoni-Wastila, L., Qato, D. “A logic model to delineate the consequences, outcomes, and QI implications of CMS’s National Partnership.” In submission. N. Am. Primary Care Res. Group Annual Conf. in San Francisco poster pres. San Francisco, Ca, USA. Oct. 2023.
  • Lafave, S., Winter, J., Kerns, JW., Etz, R., Brandt, N., Winter, K., Reves, S., Krist, A., Winter, C., Simoni-Wastila, L., Qato, D. “Why gabapentin prescribing is increasing in nursing homes: Results of a clinician survey.” In submission. N. Am. Primary Care Res. Group Annual Conf. in San Francisco poster pres. San Francisco, Ca, USA. Oct. 2023.
  • Winter, J., Kerns, JW., Etz, R., Brandt, N., Winter, K., Reves, S., Krist, A., Winter, C., Simoni-Wastila, L., Qato, D. “Why antipsychotic prescribing in nursing homes is so stubborn: An environmental scan of National Partnership stakeholders.” In submission. N. Am. Primary Care Res. Group Annual Conf. in San Francisco poster pres. San Francisco, Ca, USA. Oct. 2023.
  • Winter, K., Winter, J., Kerns, JW., Sabo, R., Richards, A., Brandt, N., Peterson, S., Chung, Y., Krist, A., Winter, C., Simoni-Wastila, L., Qato, D. “Nursing home quality-measure scores improve but disparities increase since the initiation of public quality reporting.” In submission. N. Am. Primary Care Res. Group Annual Conf. in San Francisco poster pres. San Francisco, Ca, USA. Oct. 2023.
  • Winter, J., Kerns, JW., Sabo, R., Richards, A., Brandt, N., Peterson, S., Winter, K., Chung, Y., Krist, A., Winter, C., Simoni-Wastila, L., Qato, D. “Prescribing trends and associated outcomes of antiepileptics in US nursing homes surrounding the pandemic: Early RO1 data.” In submission. N. Am. Primary Care Res. Group Annual Conf. in San Francisco poster pres. San Francisco, Ca, USA. Oct. 2023.
  • Kerns, JW., Winter, J., Etz, R., Winter, K., Reves, S., “Virginia nursing home clinicians increased all medication classes for dementia symptoms during the COVID pandemic.” In submission. N. Am. Primary Care Res. Group Annual Conf. in San Francisco poster pres. San Francisco, Ca, USA. Oct. 2023.
  • Winter, J., Kerns, JW., Sabo, R., Winter, K, Winter, C. “Selective admission decisions and quality-measure scores in desirable, highly resourced nursing homes.” N. Am. Primary Care Res. Group Annual Conf. in Phoenix poster pres. Phoenix, USA. Nov., 2022.
  • Kerns, J.W., Winter, J., Kerns, Winter, Matthews, J., K, Etz, R. “Impact of social determinants of health & other factors on dementia care during COVID-Virginia nursing home clinician surveys.” N. Am. Primary Care Res. Group Annual Conf. in Phoenx poster pres. Phoenix., USA. Nov., 2022.
  • Winter, J., Kerns, JW., Sabo, R., Winter, K, Winter, C. “Social determinants of health and nursing home pandemic responses, outcomes: a clinician survey.” N. Am. Primary Care Res. Group Annual Conf. in San Francisco poster pres. Virtual. Nov., 2021.
  • Winter, J., Kerns, JW., Sabo, R., Winter, K, Winter, C. “Successes and lesons learned: nursing home dementia symptom management since COVID-19 In Virginia.” N. Am. Primary Care Res. Group Annual Conf. Virtual. Nov., 2021.
  • Winter, J., Kerns, JW., Sabo, R., Winter, K, Winter, C. “The impact of social factors on inappropriate long-stay antipsychotic use in Virginia nursing homes.” N. Am. Primary Care Res. Group Annual Conf. in San Francisco poster pres. San Francisco, USA. Nov., 2020.
  • Kerns, J.W., Winter, J., Kerns, Winter, K., Matthews, J., K, Etz, R. “Virginia nursing homes with high antipsychotic use: Unanticipated qualitative findings.” N. Am. Primary Care Res. Group Annual Conf. in San Francisco poster pres. San Fran., USA. Nov., 2020.
  • Winter, J., Kerns, JW., Sabo, R., Winter, K, Winter, C. “Factors impacting inappropriate antipsychotic prescribing in nursing homes: High and low performing facilities compared.” N. Am. Primary Care Res. Group Annual Conf. in Toronto poster pres. Toronto, CAN. Nov., 2019.
  • Winter, J., Kerns, JW., Sabo, R., Winter, K, Winter, C. “Antipsychotic use decreasing, but alternative mood stabilizer use increasing in US Nursing Homes since CMS’s 2012 ‘National Partnership.’” N. Am. Primary Care Res. Group Annual Conf. in Toronto poster pres. Toronto, CAN. Nov., 2019.
  • Winter, J., Kerns, JW., Sabo, R., Winter, K, Winter, C. “Reductions in Long-stay Antipsychotic Prescribing Exaggerated by Increased Exclusionary Diagnosis Reporting.” N. Am. Primary Care Res. Group Annual Conf. in Toronto poster pres. Toronto, CAN. Nov., 2019.
  • Kerns, J.W., Winter, J., Kerns, Winter, Matthews, J., K, Etz, R. “Impact of ‘gaming’, race, & location, on dementia management in ‘good’ & ‘bad’ Virginia nursing homes: a qualitative inquiry.” N. Am. Primary Care Res. Group Annual Conf. in Toronto poster pres. Toronto, CAN. Nov., 2019.
  • Winter, J., Kerns, JW., Sabo, R., Winter, K, Winter, C. “Enlisting County and Town Manager Support for Dementia Care and Participatory Research in Rural Virginia.” North American Primary Care Research Group Annual Conference in Chicago poster presentation. Chicago, USA. Nov., 2018.
  • Kerns, JW., Winter, J., Etz, B., Winter, K., Kuzel, T. “Primary Care Physicians’ Perspectives about the Use of Antipsychotics and Other Medications for Symptoms of Dementia.” N. American Primary Care Research Group Annual Conf. in Montreal oral presentation. Montreal, CAN. November, 2017.
  • Kerns, JW., Winter, J., Etz, B., Winter, K., Boyd, T. “Community Assessment and Stakeholder Engagement for Dementia Care in Northwestern Virginia.” North American Primary Care Research Group Annual Conference in Montreal poster presentation. Montreal, CAN. November, 2017.
  • Kerns, JW., Winter, J., Ets, B, Gonzalez, M., Winter, K., Kerns, C. “Give Me a Reasonable Alternative.” Antipsychotics, Dementia, and Virginia Primary Care Physicians.” N. Am. Primary Care Res. Group Annual Conf. in Colorado Springs oral presentation. Colorado Springs, CO. Nov., 2016.
  • Winter, J., Kerns, JW., Sabo, R., Day, T., Winter, K., Kerns, C. “Antipsychotic Use Decreasing, But Alternative Psychotropic Use Increasing in Virginia Nursing Home Residents With Dementia.” North American Primary Care Research Group Annual Conference in Colorado Springs poster presentation. Colorado Springs, CO. November, 2016.
  • Winter, J., Kerns, JW., Sabo, R., Day, T., Winter, K., Kerns, C. “Cheating the Metric? Nursing Home Clinicians are Increasingly Using Psychiatric Diagnoses That Allow Antipsychotic Prescribing Without Reporting to CMS’ Quality Measure.” North American Primary Care Research Group Annual Conference in Colorado Springs poster presentation. Colorado Springs, CO. November, 2016.
  • Kuzel, T., Winter, J., Kerns, JW., Ets, B, T., Winter, K., Kerns, C. “Behavioral and Psychological Symptoms of Dementia: Why do Shenandoah Valley Family and Nursing Caregivers Endorse Antipsychotic Medications?” North American Primary Care Research Group Annual Conference in Colorado Springs poster presentation. Colorado Springs, CO. November, 2016.
  • Winter, J., Kerns, JW., Sabo, R., Day, T., Winter, K., Kerns, C. “Diagnosis and Prescribing Trends for Behavioral and Psychological Symptoms of Dementia Following FDA Black Box Warnings.” N. Am. Primary Care Res. Group Annual Conf. in Cancun poster pres.. Cancun, MX. Nov., 2015.
  • Kerns, JW., Winter, J., Ets, B, Gonzalez, M., Winter, K., Kerns, C. “Behavioral and Psychological Symptoms of Dementia: Family/POA and Nursing Caregiver Perspectives Regarding Pharmacologic and Non-Pharmacologic Management.” North American Primary Care Research Group Annual Conference in Cancun poster presentation. Cancun, MX. November, 2015.
  • Kuzel, T., Winter, J., Kerns, JW., Ets, B, T., Winter, K., Kerns, C. “Primary care physician management of behavioral and psychological symptoms of dementia: A qualitative exploratory study.” North American Primary Care Research Group Annual Conference in Cancun poster presentation. Cancun, MX. November, 2015.
  • Winter, J., Kerns, Reetz, M., Sabo, R., Winter, K., Krugman, S. “Pulmonary morbidity and respiratory outcomes following the FDA Black box warning for Advair.” N. American Primary Care Research Group Annual Conf. in New York poster presentation. New York, NY. October, 2014.
  • Winter, J., Taylor, Y Winter, K., Dulin, M. “Antecedents of newborn obesity.” N. American Primary Care Research Group Annual Conf. in New York poster presentation. New York, NY. Oct., 2014.