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- Terry A Capuano MBA, MSN, RN, FACHE, NE-BC (36)
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Articles 61 - 90 of 102
Full-Text Articles in Medicine and Health Sciences
Clinical Decision Support Workshop: You Can't Have One Without The Order - Practical Cds & Quality Improvement, Donald Levick
Clinical Decision Support Workshop: You Can't Have One Without The Order - Practical Cds & Quality Improvement, Donald Levick
Donald Levick MD
No abstract provided.
Clinical Decision Support (Cds) & Meaningful Use Frequently Asked Questions, Paul Kleeberg, Donald Levick, Jerome Osheroff, Jacob Reider, Jonathan Teich
Clinical Decision Support (Cds) & Meaningful Use Frequently Asked Questions, Paul Kleeberg, Donald Levick, Jerome Osheroff, Jacob Reider, Jonathan Teich
Donald Levick MD
No abstract provided.
Clinical Decision Support: Where To Start, Donald Levick
Clinical Decision Support: Where To Start, Donald Levick
Donald Levick MD
No abstract provided.
Health System Automates Medication Reconciliation. Solution Extracts Information Directly From The Clinical System Throughout A Patient's Stay And At Discharge, Donald Levick, Sandra Haldeman, Michelle Beck
Health System Automates Medication Reconciliation. Solution Extracts Information Directly From The Clinical System Throughout A Patient's Stay And At Discharge, Donald Levick, Sandra Haldeman, Michelle Beck
Donald Levick MD
No abstract provided.
Improving Outcomes With Clinical Decision Support: An Implementer's Guide, Jerome Osheroff, Jonathan Teich, Donald Levick, Luis Saldana, Ferdinand Velasco, Dean Sittig, Kendall Rogers, Robert Jenders
Improving Outcomes With Clinical Decision Support: An Implementer's Guide, Jerome Osheroff, Jonathan Teich, Donald Levick, Luis Saldana, Ferdinand Velasco, Dean Sittig, Kendall Rogers, Robert Jenders
Donald Levick MD
No abstract provided.
Physician Buy-In For Emr's, L. Yackanicz, R. Kerr, Donald Levick
Physician Buy-In For Emr's, L. Yackanicz, R. Kerr, Donald Levick
Donald Levick MD
No abstract provided.
The Unintended Consequences Of Clinical Decision Support, Donald Levick, David Pucklavage
The Unintended Consequences Of Clinical Decision Support, Donald Levick, David Pucklavage
Donald Levick MD
No abstract provided.
Stopping The Drip (Data Rich, Information Poor), Donald Levick
Stopping The Drip (Data Rich, Information Poor), Donald Levick
Donald Levick MD
No abstract provided.
Enhancing Practice Value Through Meaningful Use And Health It, Donald Levick
Enhancing Practice Value Through Meaningful Use And Health It, Donald Levick
Donald Levick MD
No abstract provided.
Implementing A Complete Perinatal Information System, Donald Levick
Implementing A Complete Perinatal Information System, Donald Levick
Donald Levick MD
No abstract provided.
Reducing Unnecessary Testing In A Cpoe System Through Implementation Of A Targeted Cds Intervention, Donald Levick Md, Glenn Stern, Chad D. Meyerhoefer, Aaron Levick, David Pucklavage Rn, Bsn, Cpm, Sme
Reducing Unnecessary Testing In A Cpoe System Through Implementation Of A Targeted Cds Intervention, Donald Levick Md, Glenn Stern, Chad D. Meyerhoefer, Aaron Levick, David Pucklavage Rn, Bsn, Cpm, Sme
Donald Levick MD, MBA, CPHIMS
No abstract provided.
Extending The Technology Acceptance Model In Healthcare: Identifying The Role Of Trust And Shared Information, Sabrina Terrizzi, Susan Sherer, Chad D. Meyerhoefer, Donald Levick Md, Michael Sheinberg Md
Extending The Technology Acceptance Model In Healthcare: Identifying The Role Of Trust And Shared Information, Sabrina Terrizzi, Susan Sherer, Chad D. Meyerhoefer, Donald Levick Md, Michael Sheinberg Md
Donald Levick MD
We propose extensions to the Technology Acceptance Model for the adoption of integrated electronic health records that are shared by multiple health care providers. In particular, we propose a conceptual model in which we incorporate two new factors, trust and access to shared information, into the Technology Acceptance Model. Preliminary results confirm the statistically significant and positive impact of perceived usefulness on behavioral intent to use integrated electronic health records and a significant and positive impact of perceived ease of use on perceived usefulness. We also find a statistically significant effect of shared information on behavioral intent to use integrated …
Dr. Strangetech: Or How I Learned To Stop Worrying And Love Innovation, Donald Levick
Dr. Strangetech: Or How I Learned To Stop Worrying And Love Innovation, Donald Levick
Donald Levick MD
No abstract provided.
Health It Leaders Speaks Up On Priorities, Staffing And Strategies, Donald Levick
Health It Leaders Speaks Up On Priorities, Staffing And Strategies, Donald Levick
Donald Levick MD
No abstract provided.
You've Led The Horse To Water, Now How Do You Get Him To Drink: Managing Change And Increasing Utilization Of Computerized Provider Order Entry, Donald Levick, Harry Lukens, Paula Stillman
You've Led The Horse To Water, Now How Do You Get Him To Drink: Managing Change And Increasing Utilization Of Computerized Provider Order Entry, Donald Levick, Harry Lukens, Paula Stillman
Donald Levick MD
No abstract provided.
Reducing Unnecessary Testing In A Cpoe System Through Implementation Of A Targeted Cds Intervention, Donald Levick Md, Glenn Stern, Chad D. Meyerhoefer, Aaron Levick, David Pucklavage Rn, Bsn, Cpm, Sme
Reducing Unnecessary Testing In A Cpoe System Through Implementation Of A Targeted Cds Intervention, Donald Levick Md, Glenn Stern, Chad D. Meyerhoefer, Aaron Levick, David Pucklavage Rn, Bsn, Cpm, Sme
Donald Levick MD, MBA, CPHIMS
No abstract provided.
The Emergence And Potential Impact Of Medicine 2.0 In The Healthcare Industry, Terra Stump, Sarah Zilch, Alberto Coustasse
The Emergence And Potential Impact Of Medicine 2.0 In The Healthcare Industry, Terra Stump, Sarah Zilch, Alberto Coustasse
Alberto Coustasse, DrPH, MD, MBA, MPH
Medicine 2.0 has emerged within healthcare information technology to enable more defined relationships among providers and patients. Physicians, hospitals, and patients are using Medicine 2.0 through social networking to maintain their foothold in the evolution of medical technologies. The authors’ purpose was to determine potential improvements that Medicine 2.0 has on communication and collaboration of healthcare information. Research has shown that Medicine 2.0 has integrated into the healthcare industry and is enabling an increase in communication in healthcare matters. The provider-patient relationship is improving through the use of Medicine 2.0 and has positively impacted society so far.
Organizational Culture In A Terminally Ill Hospital, Alberto Coustasse, Douglas A. Mains, Kristine Lykens, Sue G. Lurie, Fernando Trevino
Organizational Culture In A Terminally Ill Hospital, Alberto Coustasse, Douglas A. Mains, Kristine Lykens, Sue G. Lurie, Fernando Trevino
Alberto Coustasse, DrPH, MD, MBA, MPH
This study analyzed an organizational culture in a community hospital in Texas to measure organizational culture change and its impact on Patient Satisfaction (PS). The study employed primary and secondary data, combining quantitative and qualitative methods for a case study. Participant observation was used and archival data were collected to provide a better understanding of the organizational culture and the context in which change was taking place. This study also applied a “Shared Vision” of the organization as the central process in bringing forth the knowledge shared by members of the community hospital who were both subjects and research participants. …
Medical Malpractice Reform Measures And Their Effects, Robert Leflar
Medical Malpractice Reform Measures And Their Effects, Robert Leflar
Robert B Leflar
New rules and methods for medical injury dispute resolution have been launched in New Hampshire and New York, and demonstration projects are underway elsewhere. This article describes major medical malpractice reforms undertaken and proposed in recent years. Reforms are classified as (1) liability-limiting initiatives favoring health-care providers; (2) procedural innovations promoted as improving dispute resolution processes, such as patient compensation funds, “sorry” laws, disclosure and early offer laws, health courts, and safe harbor laws; and (3) major conceptual reforms to move liability away from physicians to hospitals or administrative no-fault compensation systems. Empirical evidence about the practical effects of already-implemented …
Uncompensated Care And Quality Assurance Among Rural Hospitals, Doohee Lee, Chris Dixon, Paul Kruszynski, Alberto Coustasse
Uncompensated Care And Quality Assurance Among Rural Hospitals, Doohee Lee, Chris Dixon, Paul Kruszynski, Alberto Coustasse
Doohee Lee
Health care disparities in rural areas remain significant in the U.S. health care industry. Uncompensated care makes health care disparities in rural areas worse, and rural hospitals are unfavorably positioned to compete with urban hospitals in the economic-downturn marketplace. How uncompensated care affects quality care among rural hospitals has been lightly investigated. Given that many rural residents experience difficulty accessing high quality care and given the importance of establishing quality care practice standards in a rural setting, we conducted a systematic literature review to identify some quality-care barriers and opportunities and suggested strategies to strengthen the position of rural hospitals …
Cost Of Medical Detoxification Among Drug And Alcohol Users In A Private Texas Hospital, Alberto Coustasse
Cost Of Medical Detoxification Among Drug And Alcohol Users In A Private Texas Hospital, Alberto Coustasse
Alberto Coustasse, DrPH, MD, MBA, MPH
Purpose – The purpose of this paper is to estimate the costs of medical detoxification among patients with alcohol and substance abuse disorders. Design/methodology/approach – The study data was drawn from a medical detoxification program in a community hospital in Texas. Secondary data analysis of 1337 cases from three years was reviewed. Age, gender, race, alcohol, cocaine, cannabis, amphetamines, sedatives, opioids, financial classification, cost, length of stay (LOS) and cost by LOS were analyzed using Kruskal-Wallis test and Mann-Whitney U-test. Findings – The sample comprised of 42.8 percent women and 57.2 percent males. The mean cost and cost by LOS …
Electronic Medical Records: Is It Working In Long Term Health Care?, Krista Phillips, Chris Wheeler, Josh Campbell, Alberto Coustasse
Electronic Medical Records: Is It Working In Long Term Health Care?, Krista Phillips, Chris Wheeler, Josh Campbell, Alberto Coustasse
Alberto Coustasse, DrPH, MD, MBA, MPH
Long-term care (LTC) facilities possess unique characteristics in terms of implementation and utilization of electronic medical records (EMRs). The focus of LTC is on a population requiring care encompassing all aspects associated with quality of life rather than simply acute treatment. Because this focus is of a larger scale than traditional medical facilities, the priorities in the implementation and utilization of EMRs are higher in accessing patient history information. The purpose of this study was to determine the EMR utilization in the chronic care settings. In conclusion, the literature review performed does not support the fact that EMRs are currently …
Kawasaki Syndrome In Texas, Alberto Coustasse, Julius J. Larry, Witold Migala, Cody Arvidson, Karan P. Singh
Kawasaki Syndrome In Texas, Alberto Coustasse, Julius J. Larry, Witold Migala, Cody Arvidson, Karan P. Singh
Alberto Coustasse, DrPH, MD, MBA, MPH
The authors examined hospitalization rates of Kawasaki Syndrome (KS) among Texas children to isolate clusters, identify demographic disparities, and suggest possible causative factors. Using a retrospective cross-sectional study design, they studied 330 KS cases from 2,818,460 hospital discharges. The majority of the cases (61.5%) occurred within the 1-4-years-old category, representing the highest hospitalization rate (14.3 per 100,000 children). Almost 75% of the KS population was less than 5 years old, with hospitalization rates approximately 8 times higher than that of all other children (p < .05). KS diagnosis occurred for only 49.4% of all KS cases upon admission. Along with high-density …
To The Bitter End: Disparities In End-Of-Life Care, Alberto Coustasse, Theresa Quiroz, Sue G. Lurie
To The Bitter End: Disparities In End-Of-Life Care, Alberto Coustasse, Theresa Quiroz, Sue G. Lurie
Alberto Coustasse, DrPH, MD, MBA, MPH
Although technological advancements have provided the means to sustain life and provide care regardless of whether the treatment is appropriate and compassionate given the condition of the patient, bioethical, legal, and moral concerns related to disparities in care still arise in the United States. These concerns call into question the necessity to continue life-sustaining or palliative care treatments when patients and/or families are faced with end-of-life decisions. This study will focus on various historical, clinical cultural, and ethical issues that have placed this dilemma into a controversial public spectrum, by using case studies retrieved from referenced literature, which illustrate disparities …
Electronic Medical Records In Long-Term Care, Krista Phillips, Chris Wheeler, Josh Campbell, Alberto Coustasse
Electronic Medical Records In Long-Term Care, Krista Phillips, Chris Wheeler, Josh Campbell, Alberto Coustasse
Alberto Coustasse, DrPH, MD, MBA, MPH
Long-term care (LTC) facilities possess unique characteristics in terms of implementation and utilization of electronic medical records (EMRs). The focus of LTC is on a population requiring care encompassing all aspects associated with quality of life rather than simply acute treatment. Because this focus is of a larger scale than traditional medical facilities, the priorities in the implementation and utilization of EMRs are higher in accessing patient history information. The purpose of this study was to determine the EMR utilization in the chronic care settings. In conclusion, the literature review performed does not support the fact that EMRs are currently …
Accountable Care Organization Musical Chairs: Will There Be A Seat Remaining For The Small Group Or Solo Practice?, Amy Vaughan, Alberto Coustasse
Accountable Care Organization Musical Chairs: Will There Be A Seat Remaining For The Small Group Or Solo Practice?, Amy Vaughan, Alberto Coustasse
Alberto Coustasse, DrPH, MD, MBA, MPH
When it was introduced in the Affordable Care Act of 2010 as the new 2012 payment model for Medicare, an accountable care organization (ACO) was a new and untested concept in healthcare delivery and payment. The authors estimated the likelihood of engagement in ACOs by small group and solo healthcare practitioners. An evaluation of five case studies showed that significant organizational, financial, and technological challenges had to be met in order to launch an ACO. Sufficient resources to meet those challenges were best supplied by large organizations. Small or solo practices participated only through varying levels of integration as salaried …
Uncompensated Care And Quality Assurance Among Rural Hospitals, Doohee Lee, Chris Dixon, Paul Kruszynski, Alberto Coustasse
Uncompensated Care And Quality Assurance Among Rural Hospitals, Doohee Lee, Chris Dixon, Paul Kruszynski, Alberto Coustasse
Alberto Coustasse, DrPH, MD, MBA, MPH
Health care disparities in rural areas remain significant in the U.S. health care industry. Uncompensated care makes health care disparities in rural areas worse, and rural hospitals are unfavorably positioned to compete with urban hospitals in the economic-downturn marketplace. How uncompensated care affects quality care among rural hospitals has been lightly investigated. Given that many rural residents experience difficulty accessing high quality care and given the importance of establishing quality care practice standards in a rural setting, we conducted a systematic literature review to identify some quality-care barriers and opportunities and suggested strategies to strengthen the position of rural hospitals …
Disparities In Disability Among Non-Hispanic Black Elders: Results From The National Interview Survey 2001–2003, Alberto Coustasse, Dennis Emmett, Nimisha Patel, Alicia Pekar
Disparities In Disability Among Non-Hispanic Black Elders: Results From The National Interview Survey 2001–2003, Alberto Coustasse, Dennis Emmett, Nimisha Patel, Alicia Pekar
Dennis Emmett
A drastically increasing elderly population and disparity among disability poses a concern for the US health care industry. This retrospective cross-sectional study analyzed whether ADL and IADL disabilities were different among non-Hispanic white (NHW) and non-Hispanic black (NHB) populations age 65 and over. Data was retrieved from the 2001–2003 National Health Interview Survey (NHIS) for comparing NHBs and NHWs using chi-square analysis for bivariate comparisons. For both elderly NHBs and elderly NHWs, increased rates of disability were reported for being over 75, female, single, and having lower education. NHBs reported statistically higher disability rates for ADL, IADL, and for any …
Disparities In Disability Among Non-Hispanic Black Elders: Results From The National Interview Survey 2001–2003, Alberto Coustasse, Dennis Emmett, Nimisha Patel, Alicia Pekar
Disparities In Disability Among Non-Hispanic Black Elders: Results From The National Interview Survey 2001–2003, Alberto Coustasse, Dennis Emmett, Nimisha Patel, Alicia Pekar
Alberto Coustasse, DrPH, MD, MBA, MPH
A drastically increasing elderly population and disparity among disability poses a concern for the US health care industry. This retrospective cross-sectional study analyzed whether ADL and IADL disabilities were different among non-Hispanic white (NHW) and non-Hispanic black (NHB) populations age 65 and over. Data was retrieved from the 2001–2003 National Health Interview Survey (NHIS) for comparing NHBs and NHWs using chi-square analysis for bivariate comparisons. For both elderly NHBs and elderly NHWs, increased rates of disability were reported for being over 75, female, single, and having lower education. NHBs reported statistically higher disability rates for ADL, IADL, and for any …
Uncompensated Care Cost: A Pilot Study Using Hospitals In A Texas County, Alberto Coustasse, Andrea L. Lorden, Vishal Nemarugommula, Karan P. Singh
Uncompensated Care Cost: A Pilot Study Using Hospitals In A Texas County, Alberto Coustasse, Andrea L. Lorden, Vishal Nemarugommula, Karan P. Singh
Alberto Coustasse, DrPH, MD, MBA, MPH
The financial ramifications of uncompensated care cost (UCC) on the healthcare industry have been difficult to quantify. With the lack of a standardized definition of uncompensated care and the need to account for the uninsured, indigent, and immigrant populations, the authors identified $190 million of UCC from Southwestern border hospitals for emergency room treatment of undocumented immigrants and $934 million of uncompensated care charges for 23 hospitals in a Texas county, which translated to $353 million of UCC. Although lawmakers passed the Medicare Prescription Drug Improvement and Modernization Act (2003) to address the growing imbalance, the shortfall of funds highlights …