1033 E. Third Street
Bloomington, IN 47405
Mary Lynn Davis-Ajami, PhD, MBA, MSN, FNP-C, RN is the Associate Dean of the Indiana University (IU) School of Nursing, Bloomington and an Associate Professor in the department of Science of Nursing Care. Her career spans nursing education, program development and management, advanced nursing practice and management where she envisioned and implemented novel team-based care approaches, and years in nursing practice and management. Dr. Davis-Ajami is a health services researcher with expertise using national databases (e.g., HCUP & MEPS) to focus on cost and quality outcomes in complex chronic disease, often with policy implications.
Her work on joblessness in chronic disease was awarded a Best New Investigator Podium Presentation from the International Society for Pharmacoeconomics and Outcomes Research (ISPOR). She collaborates with interdisciplinary researchers from the fields of economics, medicine, nursing, pharmacy, and public health where they have published extensively. Her funded research include topics related to labor market and workforce development, strategic action planning at the county level to address the opioid epidemic, a healthy school dashboard for school age children with chronic disease, and multiple studies related to cost and quality outcomes in pre-dialysis chronic kidney disease and diabetes. Her academic teaching has focused on nursing administration, with a specialization in health care finance and reimbursement. She holds several awards recognizing both her excellence in nursing practice and in nursing research, including awards from IU, Novant Health System, the State of North Carolina, and the ISPOR, among others. She currently serves on the national AcademyHealth Workforce Interest Group Advisory Committee.
2020-2021: Davis-Ajami, M.L. (Co-PI, 10% effort), Jayawardene, W. (Co-PI), Arce, B. (Co-I), Miller, N.G. (Co-I), Olcott, C. (Co-I), Dickinson, S. (Co-I and statistician). Feasibility of a theory-driven, rurally-tailored, family-based, telehealth intervention for childhood obesity: A cluster randomized controlled trial. IU Center for Rural Engagement. Total costs: $148,148.
2018-2021: Simon, K., (PI), Börner, K. (co-PI), Scrivner, O., Davis-Ajami, M.L., Rogers, C. (key personnel). Opioid addictions and the labor market: Training and hiring during an epidemic. Indiana University Intramural Funding: Addictions Grand Challenge. Assesses hiring intensity and workforce development in regions burdened by the opioid epidemic; and the supply and demand of a capable workforce in relation to policy. Total costs: $198,513.
2018-2019: Davis-Ajami, M.L. PI, Barge, A. (co-I, community partner), Monroe County (Indiana) Opioid Commission members (community partner) Indiana CTSI CHeP. Create an action plan for Monroe County IN, to address the opioid epidemic in the county. Monroe County (Indiana) Opioid Commission. Total costs: $198,513.
2016-2018: Davis-Ajami, M.L. PI, McCue, M., Pakyz, A., Thacker, L. (co-investigators). Estimating the payer Specific Excess Costs of select INfections in adults with diabetes and their relationship to oral antidiabetic (OAD) medication non-adherence (SPEC IN Diabetes I). VCU PeRQ. Total costs: $25,000.
2014-2015: Davis-Ajami, M.L. Co-investigator. Utility of VA home tele-health to identify CKD-related safety events and reduce associated adverse outcomes. Randomized trial that tests a way to identify and improve the efficiency of treating those at risk for safety events in CKD compared to standard care. R-34 NIDDK: DK102177 [J.C. Fink, M.D., M.P.H. Principal Investigator]. Total costs: $567,000. Project dates: 08/2014-07/2016.
2014-2015: Davis-Ajami, M.L. Co-PI. The healthy school dashboard project. The Centers for Disease Prevention and Control (CDC) grant to monitor trends in health outcomes and measures of school success in public school students with chronic disease as a means to incorporate rapid cycle improvement. CDC In contract with DHMH state of Maryland. Total costs: $92,304. Project dates: 04/01/2014 – 07/31/2015 Role: PI until I transitioned to VCU; then Co-I.
Davis-Ajami, M.L., Lu, K., Wu, J. (2020, June). The role of health care provider's advice in prediabetes management in the US, a 2013-2016 NHANES study. Primary Care Diabetes. [Submitted in review] [R,D].
Davis-Ajami, M.L., Chang, P.S., Wu, J. (2020, April). Hospital readmission and mortality: Associations to a hospital frailty risk score in a national sample of US older adults with pre-existing coronary heart disease, an observational study. Journal of General Internal Medicine. [submitted, in review].
Wu, J., Davis-Ajami, M.L., Lu, Z.K. (2019, October). Real-world impact of ongoing regular physical activity in overweight and obese US adults with diabetes on health care utilization and expenses. Primary Care Diabetes, 13(5):430-40. PMID: 30808561. https://doi.org/10.1016/j.pcd.2019.02.003.
Davis-Ajami, M.L., Pakyz, A., Wu, J., Baernholdt, M. (2019, August). A payer perspective estimate of the costs of urinary tract and skin and soft tissue infections in adults with diabetes and their relationship to oral antidiabeteic (OAD) medication non-adherence. Journal of Managed Care & Specialty Pharmacy, 22:1-11 e-pub ahead of print. PMID: 31436479. https://doi.org/10.18553/jmcp.2019.19052.
Davis-Ajami, M.L., Baernholdt, M., Fink, J.C., Wu., J. (2019). Adverse safety event characteristics and predictive factors in hospital encounters for patients with chronic kidney disease. American Journal of Nephrology, 50(1):72-80. PMID: 3121553. https://doi.org/10.1159/000500562.
Davis-Ajami, M.L., Lu, Z.K., Wu, J. (2019). Multiple chronic conditions and associated health care expenses in US adults with cancer: a 2010-2015 Medical Expenditure Panel Survey study. BMC Health Services Research, 19:981. https://doi.org/10.1186/s12913-019-4827-1.
Baernholdt, M., Feldman, M., Davis-Ajami, M.L., Harvey, D., Mazmanian, P., Mobley, D., Murphy, J., Watts, C., Dow, A. (2019). An interprofessional quality improvement training program that improves educational and quality outcomes. American Journal of Medical Quality. E-pub ahead of print. PMID: 30693784. Doi: 10.1177/1062860618825306.
Wu, J., Davis-Ajami, M.L., Lu, Z.K. (2018). The impact of migraine on health care utilization and expenses in obese adults: A U.S. population-based study. ClinicoEconomics and Outcomes Research, 11:51-59. PMID: 30643442. Doi: 10.2147/CEOR.S189699.
Ferrarra, K.L., Davis-Ajami, M.L., Warren, J.I., Murphy, L.S. (2017). De-Escalation training to medical-surgical nurses in the acute care setting. Issues in Mental Health Nursing, 38(9): 742-749. PMID: 28650682. Doi: 10.1080/01612840.2017.1335363.
Wu, J., Davis-Ajami, M.L., Noxon, V., Lu, Z.K. (2016). Venue of receiving diabetes self-management education and training and its impact on oral diabetic medication adherence. Primary Care Diabetes, 11(2): 162-170. PMID: 27840086. Doi: 10.1016/j.pcd.2016.10.005.
Davis-Ajami, M.L., Wu, J., Fink, J.C. (2016). Nephrotoxic medication exposure in US adults with pre-dialysis chronic kidney disease: health services utilization and cost outcomes. Journal of Managed Care & Specialty Pharmacy, 22(8):959-68. doi: 10.18553/jmpc.2016.22.8.969.
Wu, J., Davis-Ajami, M.L., Lu, K. (2016). Impact of depression on health expenses and medical utilization in adults with migraine. Headache: The Journal of Head and Face Pain, 56(7):1137-60. PMID: 27350407. Doi: 10.1111/head.12871.
Wu, J., Davis-Ajami, M.L., Noxon, V. (2015). Patterns of use and expenses associated with mail order pharmacy in adults with diabetes. Journal of the American Pharmacists Association, 55:41-51. PMID: 25539092. Doi: 10.1331/JAPhA.2015.14058.
Wu, J., Davis-Ajami, M.L. (2014). Antidepressant treatment persistence in low-income, insured pregnant women. Journal of Managed Care Pharmacy, 20(6):631-637. PMID: 24856601.
Davis-Ajami, M.L., Wu, J., Downton, K., Ludeman, E., Noxon, V. (2014). Epoetin zeta in the management of anemia associated with chronic renal failure - differential pharmacology and clinical utility. Biologics: Targets & Therapy, 8:155-167. PMID: 24790409. doi: 10.2147/BTT.S27578.
Davis-Ajami, M.L. Capsule Commentary on: Michaelidis, et al., (2014). Cost-effectiveness of procalcitonin-guided antibiotic therapy for outpatient management of acute respiratory tract infections in adults. Journal of General Internal Medicine. 29(4):646. PMID: 24357012. Doi: 10.1007/s11606-013-2735-3.
Davis-Ajami, M.L., Costa, L., Kulik, S. (2014). Gap analysis: Synergies and opportunities for effective nursing leadership. Nursing Economics, 32(1):17-25. PMID: 2468154.
Davis-Ajami, M.L., Wu, J., Fink, J. (2014). Differences in health services utilization and costs between antihypertensive medication users versus non-users in adults with diabetes and concomitant hypertension from MEPS pooled years 2006-2009. Value in Health, 17(1):51-61. PMID: 24438717. Doi: 10.1016/j.jval.2013.11.008.
Wu, J., Davis-Ajami, M.L., Sykes, L., Keiser, S. (2013). Antidepressant prescription medication use patterns in a cohort of pregnant South Carolina Medicaid recipients with major depression, for years 2004-2009. American Journal of Public Health Research, 1(3):72-77. Doi: 10.12691/ajphr-1-3-3.
Davis-Ajami, M.L., Nahata, M., Reardon, G., Seiber, E., Balkrishnan, R. (2012). Associations between joblessness and oral anti-diabetic medication adherence in US diabetic working age adults. Health Outcomes Research in Medicine, 3(3):e139-51.
Neidecker, M., Davis-Ajami, M.L., Balkrishnan, R., Feldman, S.R. (2009). Pharmacoeconomic considerations in treating actinic keratosis. PharmacoEconomics, 27(6):451-64. PMID: 19640009. Doi: 10.2165/00019053-200927060-00002.