Health and Medical Administration Commons^™

Implementing Lean Health Reforms In Saskatchewan, Gregory Marchildon

Health Reform Observer - Observatoire des Réformes de Santé

Saskatchewan has gone further than any other Canadian province in implementing health system process improvements using Lean, a production line discipline that originated with the automobile industry. The goal of the Lean reform is to reduce waste and improve quality and overall health system performance by long-term changes in behaviour. Lean enjoys a privileged position on the provincial government’s agenda because of the policy’s championing by the Deputy Minister of Health and the policy’s fit with the government’s patient-centred care agenda. The implementation of reform depends on a major investment of time in the training and ...

On Vaccines And Irrationality: Leveraging Emotion For The Greater Good, Mohsin Ali, Branavan Manoranjan

The Meducator

No abstract provided.

Interview Of Frederick Van Fleteren, Ph.D., Frederick Van Fleteren Ph.D., Leo Wong

All Oral Histories

Frederick Van Fleteren was born in St. Clair Shores, Michigan in 1941. He was raised by two devout Catholic parents who valued his education. He went to Catholic grade schools and colleges in the United States, as well as two Irish universities when he was getting his PhD. in philosophy. His interest in philosophy would guide his academic and professional career from his undergraduate years to the present day where he is a Philosophy professor at La Salle University. From 1967 until 1978, he was an ordained priest with the Augustinians. He received his B.A. and M.A. from ...

Overview And Guidance Documents For Public Health Pbrns, Glen P. Mays

Glen Mays

This brief provides an inventory of guidance documents and tools for use in developing, implementing, and evaluating practice-based research networks (PBRNs) in public health settings.

A Comparative Study Of The Standard Prenatal Care In Nicaragua To Standard United States Prenatal Care, Lynsa Minh Nguyen

GW Research Days 2013

OBJECTIVE: To determine the efficacy and cost effectiveness of the standard prenatal care offered in Nicaragua and the United States.

METHODS: In a comparative study of standard prenatal care in Nicaragua with the prenatal care in the U.S., the number of appointments, the types of tests/screenings, the frequency of tests/screenings, and the maternal and neonatal mortality rates were compared. Data concerning prenatal care was collected from a U.S. obstetric gynecologist and a Nicaraguan government nurse and doctor in the respective countries. The mortality rates used were provided by The World Bank.

RESULTS TO DATE: Standard prenatal ...

The Value Of Public Health Financial Data, Glen P. Mays

Glen Mays

Effective policy and administrative decision-making in public health requires reliable information on the amount of resources invested in governmental public health programs and how these resouces are allocated and used across the U.S. public health system. This session examines current and potential uses of public health financial data in the U.S., and considers expanded roles for research in informing policy and administrative decisions.

The Challenges And Blessings Of Missionary Nursing In Africa, Jordan E. Woosley

Senior Honors Papers

Nursing is a popular career choice in the twenty-first century, and there are many opportunities within the profession to serve. An American nurse has the ability to utilize nursing skills in Africa and share knowledge with the locals. The American nurse may face challenges when adapting to the African culture and healthcare but also may be blessed by the work and ministering to the people. The American nurse faces specific challenges such as educational differences, lack of facilities and equipment, unique diseases, and poor sanitation. In spite of these challenges, the American missionary nurse is able to grow through this ...

A Letter To The Editor: Under-Represented Minority Faculty In Academic Medical Centers, Kendall M. Campbell Md

Family Medicine and Rural Health Faculty Publications

No abstract provided.

Vital Statistics: The State Of The Public Health Pbrn Program, Glen Mays

Glen Mays

The Robert Wood Johnson Foundation's Public Health PBRN Program has continued to expand during the 2013 program year with new networks, new research projects, and expanded translation and dissemination initiatives. The program plays an increasingly powerful role in helping to transform the U.S. public health enterprise into a rapid-learning system for health improvement.

Testing Integrated Primary Care And Public Health Models For Prevention Delivery, Glen Mays

Glen Mays

Improving the delivery of evidence-tested prevention interventions to populations at greatest risk requires strong coordination between primary care providers and public health organizations. This presentation reviews current research on models for integrated delivery of primary care and public health services, and identifies emerging research needs and opportunities. Of particular interest are the roles that practice-based research networks (PBRNs) can play in building this evidence.

The Effect Of Pediatric Knowledge On Hospice Care Costs, Lisa C. Lindley, Sandra J. Mixer, Melanie J. Cozad

Lisa C Lindley

The cost of hospice care is rising. Although providing care for children at end of life may be costly for hospices, it is unclear whether or not gaining pediatric knowledge and even establishing a pediatric program may be done cost effectively. The purpose of our study was to examine the effect of possessing pediatric knowledge (i.e., pediatric program, pediatric experience) on core hospice care costs. Using 2002 to 2008 California hospice data, the findings of the regression analysis suggest that having pediatric knowledge does not significantly increase nursing, physician, and medical social service costs. Having a pediatric program was ...

Cost Estimation Methods: Strategies And Examples For Public Health Services & Systems Research, Glen P. Mays, Michael E. Morris, Florida Atlantic University

Glen Mays

This webinar reviews methods for conducting cost studies in public health settings, including strategies for estimating the financial and ecnomic costs of delivering public health services, and analytic approaches to identifying factors that influence delivery costs. These types of studies are of increasing importance to policy and practice stakeholders given the need for evidence about the return-on-investment (ROI) generated through public health delivery.

Public Health Roi: Evidence, Experience, And Remaining Questions, Glen Mays

Glen Mays

Expanding the delivery of efficacious public health and prevention strategies holds considerable potential for improving health outcomes and constraining costs across the U.S. health system. Unfortunately, lingering certainties about the costs required to expand public health delivery systems and about the health and economic effects of such expansions has muted private and public support for increased public health expenditures. This lecture examines recent evidence from public health services and systems research studies that examine the health and economic value of public health delivery, and identifies remaining research needs for the field.

Best Practices For Depositing Electronic Health Records Into A Shared Clinical Dental Research Data Repository, Kate Thornhill

University of Massachusetts and New England Area Librarian e-Science Symposium

OBJECTIVE:

The aim of this poster is to discover how data from electronic health records are deposited and accessed through a consortia dental data repository. Ingestion and accessibility will be examined to learn the procedures and processes COHRI use.

METHODS:

A Consortium for Oral Health Research and Informatics (COHRI) member at Tufts University Dental School was interviewed. Interview questions were modeled after “Conducting a Data Interview” by Michael Witt & Jake Carlson from Purdue University and “Simplified Data Management Plan” by Frameworks for a Data Management Curriculum created by the Lamar Soutter Library, University of Massachusetts Medical School and George C ...

Health Care Inadequacies For Disabled Americans, Emily Housecamp

Undergraduate Review: a Journal of Undergraduate Student Research

In lieu of an abstract, below is the first paragraph of the paper.

Many disabled individuals, including the mentally retarded, the physically disabled, and the elderly, face constant erasure in American society. Rarely, if ever, are people with disabilities portrayed in television commercials, and if they are ever present in a movie or television show, they commonly portray such disabled stereotypes as "supercrips." They also must face many unnecessary difficulties, including discrimination in the workplace, various abuses, and a lack of handicap accessibility. One of the most difficult aspects of life for a disabled American, however, is the inability to ...

Monitoring Qi Maturity Of Public Health Organizations And Systems In Minnesota: Promising Early Findings And Suggested Next Steps, Kimberly J. Miner Gearin, M. Elizabeth Gyllstrom, Brenda M. Joly, Renee S. Frauendienst, Julie Myhre, William Riley

Frontiers in Public Health Services and Systems Research

Public health departments and systems are increasing investments in quality improvement. This paper presents methods used to identify a select number of items from a previously validated QI Maturity Tool as the basis for calculating organizational and system-level QI maturity scores that could be followed over time. Findings suggest that the abbreviated tool measures variation in QI maturity across LHDs, and differences in scores among divisions within a state health department. Minnesota has incorporated the abbreviated tool into an annual reporting system for the MN Local Public Health Act, thereby enabling stakeholders to monitor a system median score and distribution ...

Using The Qi Maturity Tool To Classify Agencies Along A Continuum, Brenda M. Joly, Maureen Booth, Prashant Mittal, Yan Zhang

Frontiers in Public Health Services and Systems Research

Major investments have been made to encourage health departments to implement quality improvement (QI) efforts. Yet, there are few empirically tested tools for public health agencies that assess these efforts and classify health departments along a QI continuum. This paper presents a new classification scheme for measuring QI Maturity in public health agencies based on a validated tool. The findings can be used to establish benchmarks, make comparisons and conduct future research linking QI and population health outcomes.

Rediscovering The Core Of Public Health, Steven Teutsch, Jonathan E. Fielding

Frontiers in Public Health Services and Systems Research

The success of public health has been its ability to understand contemporary health problems, to communicate the needs successfully, to identify solutions, and to implement them through programs and policies. In the past 50 years, those successes can be attributed largely to control of infectious disease, improved maternal and child health, delivery of other personal health care services, and changes in behaviors, particularly smoking. Yet health is primarily a product of our social, cultural, and physical environments. To continue to improve the nation’s health and reduce disparities, public health needs to return to its historical roots and engage with ...

Accelerating And Expanding Knowledge Transfer In Public Health Settings, Glen Mays

Glen Mays

Creating a "rapid-learning" system in public health requires mechanisms for the continuous exchange of knowledge and evidence among researchers, practice settings, and policy decision-makers. The open-access platform Frontiers in Public Health Services and Systems Research provides a new mechanism for this exchange.

Final Set Of Public Health Delivery Measures Selected For The Multi-Network Practice And Outcome Variation Examination (Mprove) Study, Glen Mays

Glen Mays

The Multi-Network Practice and Outcome Variation Examination Study (MPROVE) engages public health practice-based research networks (PBRNs) in the collection and analysis of measures of public health delivery across a large number of local practice settings in order to examine the causes and consequences of practice variation in public health. This document summarizes the final set of measures selected for the MPROVE study, including measures of the reach, volume, intensity, and quality of public health delivery in three domains of activity: chronic disease prevention, communicable disease control, and environmental health protection.