Open Access. Powered by Scholars. Published by Universities.®

Health and Medical Administration Commons

Open Access. Powered by Scholars. Published by Universities.®

631 Full-Text Articles 1,052 Authors 234,560 Downloads 81 Institutions

All Articles in Health and Medical Administration

Faceted Search

631 full-text articles. Page 1 of 22.

Health Insurance Among Young Adults Rebounds Post Recession: More Become Dependents On A Parent's Plan After Aca Extends Coverage To Adult Children, Michael J. Staley, Jessica A. Carson 2014 University of New Hampshire

Health Insurance Among Young Adults Rebounds Post Recession: More Become Dependents On A Parent's Plan After Aca Extends Coverage To Adult Children, Michael J. Staley, Jessica A. Carson

The Carsey School of Public Policy at the Scholars' Repository

While much of the existing research explores young adults' insurance only in the post-recession period (that is, 2010 to present), authors Michael Staley and Jessica Carson assess young adults' rates of coverage within and beyond the context of the recession by examining changes across the entire 2007 to 2012 period.


Gsbs News, Fall 2014, Graduate School of Biomedical Sciences, University of Texas Health Science Center at Houston/M.D. Anderson Cancer Center 2014 Texas Medical Center Library

Gsbs News, Fall 2014, Graduate School Of Biomedical Sciences, University Of Texas Health Science Center At Houston/M.D. Anderson Cancer Center

UT GSBS News

No abstract provided.


Using Graphs To Characterize Nationwide Physician Referral Networks, Ding Tong, Shu-Xia Li, Isuru Ranasinghe, Sudhakar Nuti, Hongyu Zhao, Harlan Krumholz 2014 Yale University

Using Graphs To Characterize Nationwide Physician Referral Networks, Ding Tong, Shu-Xia Li, Isuru Ranasinghe, Sudhakar Nuti, Hongyu Zhao, Harlan Krumholz

Yale Day of Data

AIM:

Evaluating physician referral network characteristics can help to understand how physicians and hospitals interact to provide patient services within the US healthcare system and ultimately how this may influence patient outcomes.

METHOD:

We used the 2012-2013 national Physician Referral data from the Centers for Medicare & Medicaid Services (CMS), which consists of 73,071,804 pairs of referrals from one health provider to another in calendar year 2012 and the first two quarters of year 2013 within 30 days of care. These referrals are from 642,144 national-wide physicians and 4,811 hospitals. We obtained information for each provider, physician ...


An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha 2014 Northern Michigan University

An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha

Journal Articles

The US healthcare system is clearly experiencing a major transition. By 2015, the healthcare sector is expected to have migrated from a paper record system to a completely electronic health record (EHR) system. The adoption and use of these systems are expected to increase legibility, reduce costs, limit medical errors and improve the overall quality of healthcare. Hence, the US government is investing $70 billion over a 10-year period to facilitate the transition to an electronic system. However, early reports show that physicians and nurses among other health professionals continue to resist the full use of the system. This paper ...


An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha 2014 SelectedWorks

An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha

Madison Ngafeeson

The US healthcare system is clearly experiencing a major transition. By 2015, the healthcare sector is expected to have migrated from a paper record system to a completely electronic health record (EHR) system. The adoption and use of these systems are expected to increase legibility, reduce costs, limit medical errors and improve the overall quality of healthcare. Hence, the US government is investing $70 billion over a 10-year period to facilitate the transition to an electronic system. However, early reports show that physicians and nurses among other health professionals continue to resist the full use of the system. This paper ...


Editorial Comment: Temporal Trends In Preparedness Capacity, Gulzar H. Shah Dr. 2014 University of Kentucky

Editorial Comment: Temporal Trends In Preparedness Capacity, Gulzar H. Shah Dr.

Frontiers in Public Health Services and Systems Research

In view of the critical role local health departments (LHDs) play among agencies responsible for responding to natural and man-made emergencies, Bevc et al. examined the LHDs’ emergency preparedness and capacity. They compared LHDs in North Carolina with those across the country for preparedness along eight domains. Significant declines in emergency preparedness were noted from 2010 to 2012 for five out of eight domains, raising questions about our national priority concerning this important function of public health agencies. These findings have numerous implications, some of which are covered in this commentary.


Measures Of Highly Functioning Health Coalitions: Corollaries For An Effective Public Health System, Priscilla A. Barnes, Paul C. Erwin, Ramal Moonesinghe 2014 University of Kentucky

Measures Of Highly Functioning Health Coalitions: Corollaries For An Effective Public Health System, Priscilla A. Barnes, Paul C. Erwin, Ramal Moonesinghe

Frontiers in Public Health Services and Systems Research

In Tennessee, health coalitions provide guidance in conducting community assessments, health improvement plans and policies and delivering of health and human services, which are considered core functions of public health. In fact, it has been postulated that these coalitions may serve as the organizational embodiment of the local public health system (LPHS). This study identifies functional characteristics of 63 Tennessee County Health Councils (CHCs), advisory councils to local and regional governmental public health agencies on broad issues of health, that contribute to its ability to operate as the primary advising entity of the LPHS. Exploratory factor analysis was conducted on ...


Patient Engagement: The Missing Measure In The Patient-Centered Medical Home, Manisha Verma MD, MPH 2014 Thomas Jefferson University

Patient Engagement: The Missing Measure In The Patient-Centered Medical Home, Manisha Verma Md, Mph

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


State Synergies And Disease Surveillance: Creating An Electronic Health Data Communication Model For Cancer Reporting And Comparative Effectiveness Research In Kentucky, Christopher Reams, Mallory Powell, Rob Edwards 2014 EDM Forum

State Synergies And Disease Surveillance: Creating An Electronic Health Data Communication Model For Cancer Reporting And Comparative Effectiveness Research In Kentucky, Christopher Reams, Mallory Powell, Rob Edwards

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: This case study describes the collaboration between a state public health department, a major research university, and a health extension service funded as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act to establish an interoperable health information system for disease surveillance through electronic reporting of systemic therapy data from numerous oncology practices in Kentucky. The experience of the Kentucky cancer surveillance system can help local and state entities achieve greater effectiveness in designing communication efforts to increase usage of electronic health records (EHRs) and health information exchanges (HIEs), help eligible clinicians meet these new ...


Medicare: The Perpetual Balance Between Performance And Preservation, Craig B. Garner 2014 Pepperdine University

Medicare: The Perpetual Balance Between Performance And Preservation, Craig B. Garner

Craig B. Garner

Passed by Congress and signed by President Lyndon Johnson into law in 1965, Medicare has weathered storms from all directions, growing to be the preeminent standard for health insurance in the United States. The idea of losing Medicare as a vital public benefit still remains the single greatest fear with which each passing generation of Americans must contend, and yet, these challenges over the past fifty years, designed to fortify Medicare’s foundation and ensure its longevity, continue to take a toll on the program.

The most recent climate of reform includes changes implemented by the Patient Protection and Affordable ...


The Effect Of A Professional Practice Model On Clinical Nurses' Perceptions Of Their Practice Environment And Job Satisfaction On Medical And Medical-Surgical Units, Susan Zimmermann 2014 Kennesaw State University

The Effect Of A Professional Practice Model On Clinical Nurses' Perceptions Of Their Practice Environment And Job Satisfaction On Medical And Medical-Surgical Units, Susan Zimmermann

Dissertations, Theses and Capstone Projects

Purpose: The purpose of this study is to examine the effect of a PPM on clinical nurses’ perceptions of their practice environment and job satisfaction. Secondly, this study examined clinical nurses’ perceptions of the PPM through survey questions focusing on elements of the PPM.

Design: A descriptive, pretest-posttest design using secondary data to analyze nurses’ perception of their practice environment and job satisfaction before and after implementation of the healthcare organizations PPM. Also, a prospective design using a survey method was used to measure nurses’ perceptions of the PPM.

Methods: Data were collected from a convenience sample of bedside nurses ...


Infectious Diseases, Bert Chapman 2014 Purdue University

Infectious Diseases, Bert Chapman

Libraries Faculty and Staff Scholarship and Research

Provides information about the role of infectious diseases in the early years of U.S. History, with particular emphasis on how they impacted injuries sustained in military conflict.


Accelerating Regulatory Progress In Multi-Institutional Research, Andrea R. Paolino, Sherry L. Lauf, Lisa E. Pieper, Jared Rowe, Ileana M. Vargas, Melissa A. Goff, Matthew F. Daley, Leah Tuzzio, John F. Steiner 2014 EDM Forum

Accelerating Regulatory Progress In Multi-Institutional Research, Andrea R. Paolino, Sherry L. Lauf, Lisa E. Pieper, Jared Rowe, Ileana M. Vargas, Melissa A. Goff, Matthew F. Daley, Leah Tuzzio, John F. Steiner

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: Multi-institutional collaborations are necessary in order to create large and robust data sets that are needed to answer important comparative effectiveness research (CER) questions. Before scientific work can begin, a complex maze of administrative and regulatory requirements must be efficiently navigated to avoid project delays.

Innovation: Staff from research, regulatory, and administrative teams involved in three HMO Research Network (HMORN) multi-institutional collaborations developed and employed novel approaches: to secure and maintain Institutional Review Board (IRB) approvals; to enable data sharing, and to expedite subawards for two data-only minimal risk studies. These novel approaches accelerated required processes and approvals while ...


How Will Public Health And Primary Care Come Together In Massachusetts?, Javier Crespo 2014 University of Massachusetts Boston

How Will Public Health And Primary Care Come Together In Massachusetts?, Javier Crespo

Javier Crespo

The Patient Protection and Affordable Care Act aims to place public health and prevention practice closer to the clinical care delivery system by mandating basic preventive services and creating a national prevention plan. The Massachusetts health care system has a number of elements that can help foster closer linking of public health practices in the primary care setting. This research set out to examine whether the current healthcare system in Massachusetts will enable public health and primary care integration as intimated upon by the Affordable Care Act. This study will assess the current connection between public health and primary care ...


Web-Based Objective Structured Clinical Examination With Remote Standardized Patients And Skype: Resident Experience, Erik E. Langenau, Elizabeth Kachur, Dot Horber 2014 Philadelphia College of Osteopathic Medicine

Web-Based Objective Structured Clinical Examination With Remote Standardized Patients And Skype: Resident Experience, Erik E. Langenau, Elizabeth Kachur, Dot Horber

PCOM Scholarly Papers

OBJECTIVE: Using Skype and remote standardized patients (RSPs), investigators sought to evaluate user acceptance of a web-based objective structured clinical examination (OSCE) among resident physicians.

METHODS: After participating in four web-based clinical encounters addressing pain with RSPs, 59 residents from different training programs, disciplines and geographic locations completed a 52-item questionnaire regarding their experience with Skype and RSPs. Open-ended responses were solicited as well.

RESULTS: The majority of participants (97%) agreed or strongly agreed the web-based format was convenient and a practical learning exercise, and 90% agreed or strongly agreed the format was effective in teaching communication skills. Although 93 ...


Massteri: Promoting Translational Research And Entrepreneurship At The University Of Massachusetts Medical School, Melissa J. Moore, Celia A. Schiffer, Anastasia Khvorova, Anita Ballesteros, Cynthia Fuhrmann, Jean A. King, Margaret Koziel, Thomas McCullough, Linda Plano 2014 University of Massachusetts Medical School

Massteri: Promoting Translational Research And Entrepreneurship At The University Of Massachusetts Medical School, Melissa J. Moore, Celia A. Schiffer, Anastasia Khvorova, Anita Ballesteros, Cynthia Fuhrmann, Jean A. King, Margaret Koziel, Thomas Mccullough, Linda Plano

UMass Center for Clinical and Translational Science Research Retreat

MassTERi is a faculty-led initiative to foster entrepreneurship among UMass Medical School students, postdocs and faculty, and facilitate translation of UMMS discoveries into drugs, products, technologies and companies. The mission of MassTERi is to; foster a culture of entrepreneurship at UMass Medical School and facilitate dynamic partnerships with industry; bridge the gap between UMMS discoveries and their development into drugs, products, technologies and companies; educate and nurture the next generation of translational scientists and entrepreneurs; benefit the public good through development and commercialization of new therapies and creation of high-value life science jobs. We will present information about MassTERi and ...


Patient- And Hospital-Level Predictors Of 30-Day Readmission After Acute Coronary Syndrome: A Systematic Review, Lisa Nobel, Jane S. Saczynski, Arlene S. Ash, Catarina I. Kiefe, Jeroan J. Allison 2014 University of Massachusetts Medical School

Patient- And Hospital-Level Predictors Of 30-Day Readmission After Acute Coronary Syndrome: A Systematic Review, Lisa Nobel, Jane S. Saczynski, Arlene S. Ash, Catarina I. Kiefe, Jeroan J. Allison

UMass Center for Clinical and Translational Science Research Retreat

Background: Readmissions following acute myocardial infarction (AMI) are costly and may be partly due to poor care. A previous systematic review examined the literature through 2007. Since then, health policy has changed and additional articles examining predictors of readmission have appeared. We sought to conduct a systematic review of the literature after 2007 regarding socio-demographic, clinical, psychosocial, and hospital level predictors of 30-day readmissions after acute coronary syndrome.

Methods: A systematic search of the literature using Pubmed, OVID, ISI web of science, CINAHL, ACP and the Cochrane Library was conducted, including a quality assessment using Downs and Black criteria. Articles ...


Trends And Characteristics Associated With The Risk Of Re-Hospitalization In Patients Discharged From The Hospital After Acute Myocardial Infarction, Mayra Tisminetzky, Han-Yang Chen, Edgard A. Granillo, Joel M. Gore, Jorge L. Yarzebski, Darleen M. Lessard, Robert J. Goldberg 2014 University of Massachusetts Medical School

Trends And Characteristics Associated With The Risk Of Re-Hospitalization In Patients Discharged From The Hospital After Acute Myocardial Infarction, Mayra Tisminetzky, Han-Yang Chen, Edgard A. Granillo, Joel M. Gore, Jorge L. Yarzebski, Darleen M. Lessard, Robert J. Goldberg

UMass Center for Clinical and Translational Science Research Retreat

BACKGROUND: Despite encouraging declines in short-term mortality in patients hospitalized with acute myocardial infarction (AMI), repeat hospitalizations among those discharged from the hospital after AMI remain a major clinical and public health concern. Few studies, however, have described the relatively contemporary magnitude, factors associated with, as well as decade long trends in repeat hospitalizations for cardiovascular disease (CVD) and other causes in patients discharged from the hospital after AMI.

METHODS: We reviewed the medical records of 6,018 residents of the Worcester (MA) metropolitan area who were hospitalized for AMI in 6 biennial periods between 1999 and 2009. Re-hospitalizations for ...


Einstein's Medication Reach Program Enhances Patient Care, Deborah Hauser RPh, MHA 2014 Thomas Jefferson University

Einstein's Medication Reach Program Enhances Patient Care, Deborah Hauser Rph, Mha

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Einstein's Comprehensive Unit-Based Safety Program, Beth LaPiene MSPH 2014 Thomas Jefferson University

Einstein's Comprehensive Unit-Based Safety Program, Beth Lapiene Msph

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Digital Commons powered by bepress