Eve Losman, MD

Dr. Eve Losman, a graduate of the UMDNJ-New Jersey Medical School, received her training in Emergency Medicine from the University of Michigan / St. Joseph Mercy Hospital (UM/SJMH) Residency Program (Ann Arbor, Michigan). Upon the completion of her residency she served as a Chief Resident from July 1999 – June 2000. Since then she has been on the faculty at the University of Michigan in the Department of Emergency Medicine. She served as the Assistant and then Associate Program Director for the Residency Program from 2000 to 2011. More recently, she completed the Executive Master's Program in Health Management and Policy at the University of Michigan’s School of Public Health in 2014. See below for details regarding her areas of focus.

Opioid Epidemic – Community & Health System & Injury Prevention:

Dr. Losman is a member of the Washtenaw Health Initiative – Opioid Project (WHI-OP); a multidisciplinary workgroup using the Project Lazarus model to educate providers and the public regarding the Opioid Epidemic to reduce overdose deaths. Dr. Losman acts as a liaison between the community and health system to improve the care of individuals with SUD. Also, she is part of the ReWrite the Script team at MM focused on effectively helping patients manage pain and reduce harm from opioids. This work includes clinician education, curbing the inappropriate prescribing of opiates, and alternative strategies to control acute pain. She is on the implementation team for the Addiction Consult Team (ACT) at MM and wrote the protocol for ED initiated Buprenorphine for Opioid Use Disorder (OUD). Last, she is the MM physician champion for the Michigan Emergency Department Improvement Collaborative (MEDIC; https://medicqi.org/Collaborations/Opioid-Use-Disorder) project to educate opiate overdose patients regarding Naloxone rescue. This team provides a platform for providers across the state to share best practices and lessons learned; it focuses on harm reduction efforts including Take Home Naloxone and waiver training ED physicians to lower the barrier to OUD treatment.

Dr. Losman is a Core Faculty in the CDC funded University of Michigan Injury Prevention Center (IPC). She is involved in multiple projects focused on the Opioid Epidemic; she co-led the creation of a web-based toolkit for providers and the public regarding safe prescribing and the care of patients with OUD and she led the creation of a web-based toolkit for post overdose care from the ED. The IPC partnered with MEDIC to convene over 100 stakeholders from across the state to participate in 2 summits focused on Opioid Overdose Prevention. The first event facilitated the development of a naloxone protocol for EDs in Michigan; the second focused on the creation of Medication for OUD (MOUD) protocols and the importance of linking patients to SUD services at discharge. Dr. Losman also a member of the NIH HEAL Initiative. This grant funds work to optimize remote health coach-delivered interventions to prevent OUD among adolescents and young adults. Also, she is part of the demonstration project led by Dr. Gina Dahlem of the School of Nursing to create a Community Overdose Assessment Team (COAT). This joint effort with the Michigan State Police and Michigan Department of Justice has created a database for prospective data acquisition and is working to facilitate Overdose Fatality Reviews (OFRs) in Washtenaw and Livingston Counties.

Dr. Losman has created a “Harm Reduction Research Team” in the Department of Emergency Medicine. Active since 2021, this team of faculty, residents, and medical students has 2 current projects. The team has monthly lab meetings. Our team led a harm reduction focused didactic session at SAEM 2022 and we were able to get faculty from multiple institutions to contribute and participate.

Project #1 – Aaron Krumheuer, EM3 – NIDA/SAEMF 2022 training grant – “After the X-Waiver: Implementation of an Abbreviated Curriculum on Medication for Opioid Use Disorder (MOUD) for Emergency Medicine Residents.” This work focuses on education / dissemination of harm reduction & MOUD information and clinical workflows and then measuring the impact on clinical practice. 

Project #2 – Emily Ager, EM3 – Wolverine Den 2022 grant – “Implementation of a First Responder Naloxone Leave Behind (NLB) Program: A Qualitative Evaluation.” This work focuses on quantitative & qualitative evaluation of the attitudes and knowledge of first responders as well as people who use drugs vis a vis leave behind naloxone; Dr. Ager has created and deployed an online survey and will be conducting focus groups; she has a team of several residents and medical students involved. 

Vulnerable Patients – Community & Health System:

Dr. Losman leads the Emergency Medicine Complex Care Management Program (EM-CCMP) in the Office of Population Health at the University of Michigan. This team focuses on the most complex, highest consumers of healthcare at Michigan Medicine (MM) and works to decrease unnecessary utilization by engaging patients, coordinating with mental health and social service agencies, and facilitating access to outpatient clinical services. On a community level, she participated in similar work with the Washtenaw Health Initiative – State Innovation Model Workgroup that designed a community strategy to coordinate care for socio-economically vulnerable patients. This team created: a Social Determinant of Health screen to uncover patient needs; a machine-learning computer model to identify individuals at risk for near future high utilization of the ED; and an electronic health record to improve communication across social service agencies to coordinate care and meet the needs of those enrolled. Dr. Losman provided an EM perspective informed by quality improvement work done in this area and informed serial refinements to the predictive model. As with many similar projects nationally, there was no cost savings as a result of these efforts; however, patients and service agencies report that the new infrastructure creates continued improvements in communication and coordination of care. In 2022, Dr. Losman became the co-Director of Michigan Medicine’s Complex Care Management Program in the Office of Population Heath.

Medical Education:

After completing residency, Dr. Losman served as Chief Resident and then joined the faculty as the Assistant Residency Program Director. She operationalized ideas for how to make the 4th year of training value-added by creating retreats and skills labs focused on teaching, clinical practice, and operations. These changes laid the early foundation for the current professional development tracks. She participated in a faculty development program focused on improving teaching skills and was instrumental in expanding the department’s embrace of the principles of Geriatric Emergency Medicine, which uses a holistic approach founded on engaging with patients and their families. She was involved in every aspect of the Emergency Medicine training program over the course of 12 years. Then and now, she emphasized the critical importance of communication as a patient safety and quality of care issue, teaching such varied skills as how to run a code with family present, how to break bad news, and even how to send someone home with a new medicine (an aspect of patient care that is all too frequently overlooked). After stepping away from the residency program’s leadership in 2012, she continued to work as a clinical educator. She does bed-side teaching, gives lectures, instructs skills labs, and leads small group workshops. 

In the Medical School, she is a clinical truck branch advisor (since 2017; 3-7 students per year) and the co-director of the Diagnostic and Therapeutic Branch (since 2018). In this role she works with a large team of clinician educators and learning specialists to create and enact curricular programs. She is working on the multidisciplinary ACGME Quality Improvement in Health Care Disparities Collaborative which is focused on reducing the inequities in the care we deliver by engaging and educating house officers, faculty and staff.