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Dr. Alexander received his PhD Degree in Sinclair School of Nursing from University of Missouri-Columbia in 2005. He have a broad background in human factors, informatics, patient safety and quality improvement. As PI on several previous grants, he laid the groundwork for my research by creating and conducting a statewide survey of IT sophistication in nursing homes, currently, he is conducting observational and focus groups in a diverse set of these nursing homes focusing on evidenced based pressure ulcer practices.