Flory Nkoy, MD, MS, MPH

Research Interests

  • Health Services Research
  • Asthma
  • Implementation and Dissemination Science
  • Self-Management for Children with Complex Medical Conditions
  • Developing and Implementing Interventions to Support Self-Management of Patients with Chronic Diseases
  • Pediatrics
  • Medical Informatics
  • Outcome and Process Assessment (Health Care)
  • Quality Improvement
  • Quality Indicators, Health Care
  • Health Care Quality, Access, and Evaluation
  • Methods to Promote the Uptake of Research Findings into Healthcare (Implementation Science)
  • Practice Guideline Development and Implementation

Languages

  • English
  • French

Academic Information

  • Departments: Biomedical Informatics - Adjunct Assistant Professor, Pediatrics - Research Professor
  • Divisions: Pediatric Inpatient Medicine

Academic Office Information

  • 801-662-3660
  • Primary Children's Hospital
    Pediatric Inpatient Medicine
    100 N Mario Capecchi Drive
    Salt Lake City, UT 84113

Academic Bio

Dr. Nkoy is a Research Professor at the University of Utah, Department of Pediatrics and an Adjunct Associate Professor in the Department of Biomedical Informatics. He also serves as the Research Director for the Division of Pediatric Inpatient Medicine. His research interest focuses on the care of patients with asthma. In addition to clinical medicine, Dr. Nkoy’s background includes training in public health, biomedical informatics and quality improvement with an emphasis on implementation and dissemination research. His work utilizes these skills to pioneer new approaches to improve long-term asthma care and reduce the risks for asthma exacerbations. Over recent years, Dr. Nkoy has been the Principal Investigator of three large research grants, two R18 grants from the Agency of Healthcare Research and Quality (AHRQ) and one grant from the patient centered outcomes research institute (PCORI). The first grant ($892,000.00 in total costs) provides resources to study the process by which organizational and other contextual factors in health care delivery environments influence implementation of evidence-based care in routine clinical practice. This grant has also served the basis to develop and implement the AsthmaTracker, an innovative, patient-centered tool designed to change the way asthma care is delivered from the current intermittent acute care model to proactive management through ongoing patient self-monitoring of chronic asthma symptoms to prevent the risk of asthma exacerbations. The goal of the second grant ($1,195,058.00 in total costs) is to implement and evaluate the impact of the e-AsthmaTracker, a web-based decision support tool designed to enhance patient’s engagement in asthma self-monitoring and respond appropriately to early signs of asthma exacerbations. This web-based tool will also allow identification of patient specific patterns of changes (cyclical improvements and deteriorations) in asthma control status over time. The third grant was awarded by PCORI to disseminate the e-AsthmaTracker at multiple primary care clinics, evaluate the impact on asthma outcomes, and identify critical factors associated with sustained patient engagement in asthma self-management. Dr. Nkoy plans to correlate longitudinal asthma symptom information generated from the e-AsthmaTracker with cyclical spikes in environmental triggers and define a novel way to individualize asthma care where treatment decisions are tailored to patients’ specific needs and individual environmental susceptibility. He is a reviewer for a number of medical journals and an ad hoc reviewer for the NIH “Implementation and Dissemination Research” study section, and the “AHRQ Healthcare Information Technology Research” study section. Dr. Nkoy has also been a grant reviewer for various study sections, including the AHRQ/HITR, NIH/NHLBI R18, NIH/NINR, and NIH/NHLBI-ZHL1 CSR-H

Education History

Type School Degree
Graduate Training University of Utah
Public Health
M.P.H.
Graduate Training University of Utah
Medical Informatics
M.S.
Fellowship Institute for Healthcare Delivery Research
Outcomes/Health Services Research
Fellow
Fellowship Kintambo Hospital
Internal Medicine
Fellow
Professional Medical University of Kinshasa
General Medicine
M.D.
Undergraduate University of Kinshasa
Biomedical Sciences
B.S.

Global Impact

Education History

Type School Degree Country
Fellowship Kintambo Hospital
Internal Medicine
Fellow Zaire
Professional Medical University of Kinshasa
General Medicine
M.D. Zaire
Undergraduate University of Kinshasa
Biomedical Sciences
B.S. Zaire

Selected Publications

Journal Article

  1. Luo G, Stone BL, Koebnick C, He S, Au DH, Sheng X, Murtaugh MA, Sward KA, Schatz M, Zeiger RS, Davidson GH, Nkoy FL (2019). Using Temporal Features to Provide Data-Driven Clinical Early Warnings for Chronic Obstructive Pulmonary Disease and Asthma Care Management: Protocol for a Secondary Analysis. JMIR Res Protoc, 8(6), e13783.
  2. Nkoy FL, Fassl BA, Wilkins VL, Johnson J, Unsicker EH, Koopmeiners KJ, Jensen A, Frazier M, Gaddis J, Malmgren L, Williams S, Oldroyd H, Greene T, Sheng X, Uchida DA, Maloney CG, Stone BL (2019). Ambulatory Management of Childhood Asthma Using a Novel Self-management Application. Pediatrics, 143(6).
  3. Nkoy FL, Hofmann MG, Stone BL, Poll J, Clark L, Fassl BA, Murphy NA (2018). Information needs for designing a home monitoring system for children with medical complexity. Int J Med Inform, 122, 7-12.
  4. Luo G, Stone BL, Nkoy FL, He S, Johnson MD (2019). Predicting Appropriate Hospital Admission of Emergency Department Patients with Bronchiolitis: Secondary Analysis. JMIR Med Inform, 7(1), e12591.
  5. Luo G, Johnson MD, Nkoy FL, He S, Stone BL (2018). Appropriateness of Hospital Admission for Emergency Department Patients with Bronchiolitis: Secondary Analysis. JMIR Med Inform, 6(4), e10498.
  6. Luo G, Stone B, Johnson M, Tarczy-Hornoch P, Wilcox A, Mooney S, Sheng X, Haug P, Nkoy F (08/29/2017). Automating Construction of Machine Learning Models with Clinical Big Data: Rationale and Methods. J Med Internet Res, 6(8), e175.
  7. Deering-Rice CE, Stockmann C, Romero EG, Lu Z, Shapiro D, Stone BL, Fassl B, Nkoy F, Uchida DA, Ward RM, Veranth JM, Reilly CA (2016). Characterization of Transient Receptor Potential Vanilloid-1 (TRPV1) Variant Activation by Coal Fly Ash Particles and Associations with Altered Transient Receptor Potential Ankyrin-1 (TRPA1) Expression and Asthma. J Biol Chem, 291(48), 24866-24879.
  8. Johnson MD, Nkoy FL, Sheng X, Greene T, Stone BL, Garvin J (2016). Direct concurrent comparison of multiple pediatric acute asthma scoring instruments. J Asthma, 1-13.
  9. Luo G, Stone BL, Johnson MD, Nkoy FL (2016). Predicting Appropriate Admission of Bronchiolitis Patients in the Emergency Department: Rationale and Methods. JMIR Res Protoc, 5(1), e41.
  10. Luo G, Stone B, Johnson M, Nkoy F (03/01/2016). Predicting Appropriate Admission of Bronchiolitis Patients in the Emergency Department: Rationale and Methods. JMIR Res Protoc, 7(5), e41.
  11. Deering-Rice CE, Shapiro D, Romero EG, Stockmann C, Bevans TS, Phan QM, Stone BL, Fassl B, Nkoy F, Uchida DA, Ward RM, Veranth JM, Reilly CA (2015). Activation of Transient Receptor Potential Ankyrin-1 by Insoluble Particulate Material and Association with Asthma. Am J Respir Cell Mol Biol, 53(6), 893-901.
  12. Luo G, Nkoy FL, Stone BL, Schmick D, Johnson MD (2015). A systematic review of predictive models for asthma development in children. BMC Med Informat Decis Making, 15, 99.
  13. Luo G, Stone B, Fassl B, Maloney C, Gesteland PH, Yerram S, Nkoy F 2015 (10/14/2015). Predicting asthma control deterioration in children. BMC Med Informat Decis Making, 15(84).
  14. King MA, Nkoy FL, Maloney CG, Mihalopoulos NL (2015). Physicians and Physician Trainees Rarely Identify or Address Overweight/Obesity in Hospitalized Children. J Pediatr, 167(4), 816-820.e1.
  15. Stockmann C, Reilly CA, Fassl B, Gaedigk R, Nkoy F, Stone B, Roberts JK, Uchida DA, Leeder JS, Sherwin CM, Spigarelli MG, Yost GS, Ward RM (2015). Effect of CYP3A5*3 on asthma control among children treated with inhaled beclomethasone. J Allergy Clin Immunol, 136(2), 505-7.
  16. Nelson KE, Hersh AL, Nkoy FL, Maselli JH, Srivastava R, Cabana MD (2015). Primary care physician smoking screening and counseling for patients with chronic disease. Prev Med, 71, 77-82.
  17. Nkoy F, Fassl B, Stone B, Uchida DA, Johnson J, Reynolds C, Valentine K, Koopmeiners K, Kim EH, Savitz L, Maloney C (01/02/2015). Improving Pediatric Asthma Care and Outcomes Across Multiple Hospitals. Pediatrics, 136(6), e1602-10..
  18. Stockmann C, Ross JS, Sherwin CM, Reilly CA, McDowell B, Fassl B, Nkoy F, Maloney CG, Spigarelli MG (2014). Rate of asthma trial outcomes reporting on ClinicalTrials.gov and in the published literature. J Allergy Clin Immunol, 134(6), 1443-6.
  19. Luo G, Nkoy FL, Gesteland PH, Glasgow TS, Stone BL (2014). A systematic review of predictive modeling for bronchiolitis. Int J Med Inform, 83(10), 691-714.
  20. Nkoy F, Stone L, Fassl B, Uchida D, Koopmeiners K, Halbern S, Kim EH, Wilcox A, Ying J, Greene T, Mosen D, Schatz N, Maloney C (12/31/2013). Longitudinal validation of a tool for asthma self-monitoring. Pediatrics, 132(6), e1554-61.
  21. Stockmann C, Fassl B, Gaedigk R, Nkoy F, Uchida DA, Monson S, Reilly CA, Leeder JS, Yost GS, Ward RM (2013). Fluticasone propionate pharmacogenetics: CYP3A4*22 polymorphism and pediatric asthma control. J Pediatr, 162(6), 1222-7, 1227.e1-2.
  22. Fassl BA, Nkoy FL, Stone BL, Srivastava R, Simon TD, Uchida DA, Koopmeiners K, Greene T, Cook LJ, Maloney CG (2012). The Joint Commission Children's Asthma Care quality measures and asthma readmissions. Pediatrics, 130(3), 482-91.
  23. Nkoy FL, Stone BL, Fassl BA, Koopmeiners K, Halbern S, Kim EH, Poll J, Hales JW, Lee D, Maloney CG (2012). Development of a novel tool for engaging children and parents in asthma self-management. AMIA Annu Symp Proc, 2012, 663-72.
  24. Nkoy FL, Fassl BA, Wolfe D, Colling D, Hales JW, Maloney CG (2010). Sustaining compliance with pediatric asthma inpatient quality measures. AMIA Annu Symp Proc, 2010, 547-51.
  25. Harlan GA, Nkoy FL, Srivastava R, Lattin G, Wolfe D, Mundorff MB, Colling D, Valdez A, Lange S, Atkinson SD, Cook LJ, Maloney CG (2010). Improving transitions of care at hospital discharge--implications for pediatric hospitalists and primary care providers. J Healthc Qual, 32(5), 51-60.
  26. Nkoy FL, Hammond ME, Rees W, Belnap T, Rowley B, Catmull S, Sause W (2010). Variable specimen handling affects hormone receptor test results in women with breast cancer: a large multihospital retrospective study. Arch Pathol Lab Med, 134(4), 606-12.
  27. Dickerson T, Crookston B, Simonsen SE, Sheng X, Samen A, Nkoy F (2010). Pregnancy and Village Outreach Tibet: a descriptive report of a community- and home-based maternal-newborn outreach program in rural Tibet. J Perinat Neonatal Nurs, 24(2), 113-27.
  28. Nkoy FL, Wolfe D, Hales JW, Lattin G, Rackham M, Maloney CG (2009). Enhancing an existing clinical information system to improve study recruitment and census gathering efficiency. AMIA Annu Symp Proc, 2009, 476-80.
  29. Nkoy FL, Petersen S, Antommaria AH, Maloney CG (2008). Validation of an electronic system for recording medical student patient encounters. AMIA Annu Symp Proc, 510-4.
  30. Nkoy F, Fassl B, Simon T, Stone B, Srivastava R, Gesteland P, Fletcher G, Maloney C (03/31/2008). Quality of care for children hospitalized with asthma. Pediatrics, 122(5), 105.
  31. Maloney CG, Wolfe D, Gesteland PH, Hales JW, Nkoy FL (2007). A tool for improving patient discharge process and hospital communication practices: the "Patient Tracker". AMIA Annu Symp Proc, 493-7.
  32. Srivastava R, Downey EC, Feola P, Samore M, Coburn L, Holubkov R, Mundorff M, Nkoy F, Desrochers D, James BC, Rosenbaum P, Young PC, Dean JM, OGorman M (2007). Quality of life of children with neurological impairment who receive a fundoplication for gastroesophageal reflux disease. J Hosp Med, 2(3), 165-73.
  33. Weir PT, Harlan GA, Nkoy FL, Jones SS, Hegmann KT, Gren LH, Lyon JL (2006). The incidence of fibromyalgia and its associated comorbidities: a population-based retrospective cohort study based on International Classification of Diseases, 9th Revision codes. J Clin Rheumatol, 12(3), 124-8.
  34. Nkoy F, Stone B, Knighton A, Fassl B, Johnson J, Maloney C, Savitz L (Recently Accepted for Publication). Neighborhood Deprivation and Childhood Asthma Outcomes, Accounting for Insurance Coverage. Hospital Pediatrics. Hospital Pediatrics.

Conference Proceedings

  1. Stockmann C, Fassl B, Gaedigk R, Nkoy F, Uchida D, Reilly C, Leeder S, Yost G, Ward R (02/28/2015). Fluticasone Propionate Pharmacogenetics: CYP3A4*22 Polymorphism and Pediatric Asthma Control. WSPR Conference Proceedings, 61(1), 111.
  2. Patel R, Maloney C, Nkoy F, Fassl B (01/08/2014). Evaluation of a Malnutrition Management Program in Gujarat, India. WSPR, Journal of Investigative Medicine, 62(1), 171.
  3. Stockmann C, Fassl B, Reilly C, Nkoy F, Gaedigk R, Leeder S, Yost G, Ward R1 (01/08/2014). An Evaluation of the pharmacogenetics of inhaled glucocorticoids and Pediatric asthma control. WSPR, Journal of Investigative Medicine, 62(1), 144.
  4. Crandall H, Levy D, Nkoy F, Fassl B (01/20/2012). Implementation and assessment of a perinatal health education program in rural nepal. WSPR, Journal of Investigative Medicine, 60(1), 126.
  5. C Stockmann, R Ward, Nkoy F, Moore C, Roberts J, Uchida D, Gaedigk R, Leeder S, Yost G, Fassl B (02/28/2011). Intronic Cytochrome P450 Polymorphism and Pediatric Asthma Control with Inhaled Fluticasone. WSPR Conference Proceedings, Journal of Investigative Medicine, 60(1), 126.
  6. Westmoreland K, Dickerson T, Nkoy F, Fassl B (02/28/2011). Maternal Child Health Needs Assessment in Rural Western Nepal. WSPR, Journal of Investigative Medicine, 58(1), 249.
  7. Fassl B, Nkoy F, Stone B, Koopmeiners K, Uchida D, Maloney C (Fassl B, Nkoy F, Stone B, Koopmeiners K, Uchida D, Maloney C.). The Joint Commission Clinical Asthma Care Measures and Hospitalization Outcomes. WSPR Conference Proceedings, Journal of Investigative Medicine, 60(1), 146.
  8. Fassl B, Nkoy F, Simon T, Srivastava R, Maloney C (02/28/2011). Impact of an Asthma Clinical Pathway on Joint Commission Inpatient Asthma Performance Measures. WSPR Conference Proceedings, Journal of Investigative Medicine, 58(1), 174.
  9. Hammond E, Fetzer J, Belnap T, Rowley B, Hall C, Nkoy F (03/08/2009). Impact of Recording of Pre-Analytical Specimen Handling Conditions for ER and PR Testing in Women with Breast Cancer. In Cancer Research (Ed.), SBCS, 69(24).
  10. Moore A, Nkoy F, Lattin G, Fassl B (01/06/2009). Effects of Body Mass Index (BMI) in Children Hospitalized with Asthma. Journal of Investigative Medicine, 57(1), 137.
  11. Parkinson B, Belnap T, Rowley B, Blaney S, Kerry A, Pinto K, Nkoy F (12/12/2007). The effect of computer-aided detection on the interpretation of screening mammograms at Intermountain Healthcare facilities. SABCS, Breast Cancer Research and Treatment, 106(1), S94.
  12. Maloney C, Wolfe D, Ballard J, Mundorff M, Nkoy F (02/28/2006). Standardization of Oxygen Discharge Criteria Improves Outcomes at an Academic Hospital. WSPR Conference Proceedings, Journal of Investigative Medicine, 55(1), S92.1.
  13. Fassl B, Nkoy F, Srivastava R, Stone B, Maloney C (02/28/2006). Compliance with Evidence-Based Guidelines Decreases Readmissions for Children with Asthma Exacerbations. WSPR, Journal of Investigative Medicine, 55(1), S153.5.
  14. Nkoy F, Valentine K, Choucair A (2006). Useful quality of life tools for monitoring symptoms in patients with primary brain tumors. Neuro-Oncology Society. 2006 Annual Meeting, 8(4), 391–500..
  15. Choucair A, Valentine K, Nkoy F, Pinto K, Gleason D, Choucair A, Daynes G (2005). Collection of longitudinal QOL data in patients with Primary Brain Tumors (PBT) results in improvement of care. Quality of Life Research. International Society for Quality of Life Research. 2005 Annual Meeting, Quality of Life Research, 14(9), 2059.
  16. Nkoy F, Hammond E, Rees W, Catmull S, Pinto K, Rowe K, Riches C, Sause W (2005). Day of surgery affects Estrogen Receptor test results in women with breast cancer. Breast Cancer Research and Treatment, 94, S244.
  17. Nkoy F, Rees W, Sause W, Hammond E, Pinto K and Rowe K (2005). Decision-making process for early-stage breast cancer is surgeon driven. Breast Cancer Research and Treatment, 94, S176.
  18. Sause W, Nkoy F, Rees W, Brammer A, Pinto K (2004). Improved cancer outcomes across multiple institutions using an integrated data system. Journal of Clinical Oncology, 22(14S), 6030.

Abstract

  1. Wilson C, Halbern S, Koopmeiners K, Nkoy F (03/01/2011). Asthma Symptom Fluctuation in Relation to Body Mass Index and Sex in Children [Abstract]. SACNAS.
  2. Pritchard J, Fassl B, Lattin G, Nkoy F (01/29/2009). Adverse events in children with acute asthma discharged from the hospital with supplemental oxygen: a descriptive study [Abstract]. WSPR.
  3. Nkoy F, Fassl B, Simon T, Fletcher G, Maloney C (2008). Composite Score for Pediatric Asthma Inpatient Quality of Care. Honolulu, Hawaii [Abstract]. Pediatric Academic Societies Conference 2008.
  4. Stone B, Stevenson A, Ampofo K, Nkoy F (2008). Stratification at Admission of Children With Bacterial Pneumonia Complicated by Empyema. Honolulu, Hawaii [Abstract]. Pediatric Academic Societies Conference 2008.
  5. Nkoy F, Fassl B, Simon T, Stone B, Gesteland P, Fletcher G, Dowling A, Maloney C, James B, Srivastava R (2007). Quality of Care for Children Hospitalized with Asthma Exacerbations. [Abstract]. AcademyHealth/CHSR 2007 proceedings.
  6. Fassl B, Nkoy F, Stone B, Srivastava R, Gesteland P, Simon T, Fletcher G, Dowling A, Maloney C (2007). Ipratropium Bromide Is Associated with Poorer Outcomes in Children Admitted for Asthma Exacerbations [Abstract]. PAS.
  7. Nkoy F, Fassl B, Stone B, Srivastava R, Gesteland P, Fletcher G, Dowling A, Simon T, Maloney C (2007). Clinical Quality Measures for Pediatric Inpatient Asthma Care [Abstract]. PAS.
  8. Maloney C, Wolfe D, Ballard J, Mundorff M, Tyson E, Nkoy F (2007). An innovative strategy to improve discharge efficiency of hospitalized bronchiolitis patients on home O2 therapy [Abstract]. PAS.
  9. Fassl B, Nkoy F, Stone B, Srivastava R, Simon T, Fletcher G, Dowling A, Maloney C (2007). Systemic corticosteroids in children hospitalized for acute asthma: Are 4mg/kg superior to 2 mg/kg? [Abstract]. PAS.
  10. Soisson A, Dodson M, Zempolich K, Sause W, Gaffney D, Nkoy F, Rowe K, Horvath E, Valentine K, Pinto K, Welch S (2006). An analysis of differences in care for women with endometrial adenocarcinoma in Utah: Surgical care by general gynecologists vs. gynecologic oncologists. [Abstract]. SGO.
  11. Archibald L, Hall C, Nkoy F (2005). Improvement of breast cancer surgical care in a community setting. [Abstract]. SABCS.
  12. Nkoy F, Sause W, Rees W, Pinto K, Hammond E, Parkinson B, Catmull S, Brammer A, Rowe K, James B (2004). A framework for multiple institutions oncology outcomes improvement. [Abstract]. National Association for Healthcare Quality (NAHQ).

Video/Film/CD/Web/Podcast

  1. Teleford A, Unsicker EH, Oldroyd H, Fassl B, Nkoy F (04/17/2015). Caregiver of a child with asthma: Experience with use of the Electronic-AsthmaTracker [Video]. Available: https://www.youtube.com/watch?v=Dsw4vP-EL-I.
  2. Johnson J, Unsicker EH, Oldroyd H, Fassl B, Nkoy F (04/17/2015). Video Related to Priminary Care Provider's Experience with use of the Electronic-AsthmaTracker in an Ambulatory Care Clinic [Video]. Available: https://www.youtube.com/watch?v=U9cO1f8ZWVg.
  3. Fassl B, Unsicker EH, Oldroyd H, Nkoy F (04/17/2015). Electronic-AsthmaTracker Education for Heallth Care Providers. [Video]. Available: https://www.youtube.com/watch?v=szEB1nk1-UM.
  4. Michelle Frazier, Unsicker EH, Oldroyd H, Fassl B, Nkoy F (04/17/2015). Caregiver of a child with asthma: Experience with use of the Electronic-AsthmaTracker [Video]. Available: https://www.youtube.com/watch?v=cO29BRDV4bA.
  5. Nkoy F, Halbern S, Stone B (07/05/2012). Electronic-AsthmaTracker Clinic Video Training [Video]. Available: http://youtu.be/a4KC_jODP0g.
  6. Nkoy F, Stone B, Koopmeiners K, Unsicker EH (07/05/2012). Electronic-AsthmaTracker family education module [Video]. Available: http://youtu.be/5F5mc-cvxOI.
  7. Nkoy F, Halbern S, Koopmeiners K (03/05/2012). ElectronicAsthmaTracker Introduction [Video]. Available: https://www.youtube.com/watch?v=ws7hI0AHzwA.
  8. Nkoy F, Stone B, Fassl B, Maloney C (01/03/2011). Electronic-AsthmaTracker Application [Web]. Available: https://asthmatracker.utah.edu/public/index.php.