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Finding The Narrative In Incident Reports, La'eeqa Aslam 2018 The University of San Francisco

Finding The Narrative In Incident Reports, La'eeqa Aslam

Master's Projects and Capstones

The Progress Foundation, as licensed by the state of California and the Community Care Licensing, is required to use incident reports for internal audits and remain in compliance as a health facility. Incident reports are used to record events or accidents that have occurred within an organization. Often times, reports are made, handed off, and given from the residence home to the Community Care Licensing with little to no information of how an incident was managed. The Progress Foundation is working towards tracking information from the incident reports to improve internal management and understand the trends in the reports.

In ...


My Experience In Swaziland With Give Hope, Fight Poverty, Megan Kaser 2018 Purdue University

My Experience In Swaziland With Give Hope, Fight Poverty, Megan Kaser

Purdue Journal of Service-Learning and International Engagement

Megan Kaser, a recent 2017 alum in the College of Health and Human Sciences at Purdue University, describes her experience with Give Hope, Fight Poverty (GHFP)—a nonprofit organization in Indianapolis, Indiana. She is currently pursuing a master’s degree in physician assistant studies. GHFP’s mission is “to foster philanthropy domestically by designing service-learning programs that engage U.S. college students with rural communities in Swaziland, Africa, and work together to educate, empower, and lift orphaned and vulnerable children—particularly those living in child-headed households— out of poverty” (Give Hope, Fight Poverty, n.d.). By incorporating college students in ...


Us Filipino Adults’ Patterns Of Cam Use And Medical Pluralism: Secondary Analysis Of 2012 National Health Interview Survey, Rhea Faye Felicilda-Reynaldo, Soyung Choi 2018 University of Hawaii at Manoa

Us Filipino Adults’ Patterns Of Cam Use And Medical Pluralism: Secondary Analysis Of 2012 National Health Interview Survey, Rhea Faye Felicilda-Reynaldo, Soyung Choi

Asian / Pacific Island Nursing Journal

The cultural health beliefs of the Filipino population and colonial history of medicine in the Philippines could mean high use of complementary and alternative therapies (CAM) and increased engagement in medical pluralism (i.e., combined use of conventional medicine and CAM) among the US Filipino population, the 4th largest immigrant group in the United States. However, there is limited research regarding US Filipinos’ health behaviors related to CAM use and medical pluralism engagement. The purpose of this study was to explore patterns of CAM use and medical pluralism practices of Filipino adults living in the US. Data from Filipino adult ...


Being Proactive About Media Engagement In First Aid Education, Emily Oliver, Gareth Bentley 2018 British Red Cross

Being Proactive About Media Engagement In First Aid Education, Emily Oliver, Gareth Bentley

International Journal of First Aid Education

Submitted below as full text of submission


The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy 2018 University of New Mexico

The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy

Shared Knowledge Conference

Based on a review of research and best practices in mental health awareness and skills, this inquiry project argues for state legislative policies that would require mental health awareness and skills in the K-12 curriculum. Mental health affects individual accomplishments in every stage of people’s lives beginning in early childhood and throughout the life cycle. Prevention and treatment of mental illness plays a key role in the ability of an individual to cope with loss and develop resiliency and perseverance in challenging times and to make better decisions that improve the individual’s life and the lives of those ...


Cultural Competency Training: How Do We Measure Outcomes?, Timothy Lee, Sean Ervin Dr. 2018 Emory Healthcare

Cultural Competency Training: How Do We Measure Outcomes?, Timothy Lee, Sean Ervin Dr.

Journal of Critical Thought and Praxis

Background

The term “cultural competency” in healthcare is meant to convey an understanding of cultural and linguistic differences that exist within and between distinct social groups and a sensitivity to these differences that may allow for improved health care outcomes to occur. The medical literature has validated the importance of cultural competency training to medical education and its possible influence on patient health status and outcomes. Many pre-licensure cultural competency training programs have emerged due to the perceived benefits for healthcare delivery and outcomes. However, few studies have evaluated the clinical impact and success of these training programs. In this ...


Writing Ourselves Into Existence: Healing Through Collaborative Curriculum Development, Bianca Ivette Laureano, Sara C. Flowers DrPH 2018 Woman of Color Sexual Health Network & ANTE UP! Professional Development

Writing Ourselves Into Existence: Healing Through Collaborative Curriculum Development, Bianca Ivette Laureano, Sara C. Flowers Drph

Journal of Critical Thought and Praxis

Here we offer an open exchange / evaluation of our experience as facilitator and editor (Bianca) and writer and collaborator (Sara) during the inaugural Women of Color Sexual Health Network Curriculum Lab which took place November 2017 in New Orleans, LA. In two months, 7 women and femmes of color who are sexuality educators wrote a robust curriculum for our communities that centers pleasure, social emotional learning competencies as early Freedom Schools implemented, sex and pleasure positive, using an intersectional framework and praxis, disability justice framework, inclusive of LGBTQ communities, and does not assume HIV negative status. This is one of ...


The Impact Of The Bundled Hospital Elder Life Program© (Help And Help At Home) On 30-Day Hospital Readmission, Michelle Simpson, Rebecca Weeks, Amy Driscoll, Jonny A. Macias Tejada, Maharaj Singh, Michael L. Malone 2018 Aurora Health Care

The Impact Of The Bundled Hospital Elder Life Program© (Help And Help At Home) On 30-Day Hospital Readmission, Michelle Simpson, Rebecca Weeks, Amy Driscoll, Jonny A. Macias Tejada, Maharaj Singh, Michael L. Malone

Journal of Patient-Centered Research and Reviews

Background: Prevention and early identification of vulnerable older adults’ risk for delirium and functional decline is critical to improving quality of care across the continuum. To our knowledge there are no known studies that examine the impact of a model of care that spans across health care settings (inpatient to skilled home care) on unplanned 30-day readmissions.

Purpose: To examine the impact of the adapted model of care (Bundled HELP) on 30-day unplanned hospital readmission among patients 65 and older who received inpatient hospital care and skilled home care in two rural hospitals and home care in Wisconsin.

Methods: A ...


Hot Spotting Medically Complex At-Risk Patients In An Urban Primary Care Residency Clinic, Glenda Sundberg, Chris Peters, Catherine de Grandville, Natalie Sorenson, Rinal Patel, Melissa Grube 2018 Aurora St. Luke’s Family Practice Center

Hot Spotting Medically Complex At-Risk Patients In An Urban Primary Care Residency Clinic, Glenda Sundberg, Chris Peters, Catherine De Grandville, Natalie Sorenson, Rinal Patel, Melissa Grube

Journal of Patient-Centered Research and Reviews

Background: In the United States, 5% of patients incur 50% of health care costs. Hot spotting, a collaborative care approach, may improve patient outcomes and decrease health care costs among those considered to be super-users. Aurora Health Care may benefit from this new and innovative approach to care.

Purpose: The purpose of this pilot project was to create a more formalized plan for managing the most complex patients at Aurora St. Luke’s Family Practice Center (Milwaukee, WI).

Methods: During 2017, 20 medically at-risk patients ≥ 18 years of age were identified and tracked. Each patient was asked to voluntarily participate ...


Monitoring Lead Screening Within A Milwaukee Family Medicine Residency Clinic, Kristin E. Dement, Jessica J.F. Kram, Dennis J. Baumgardner, Bonnie Bobot, Alonzo Jalan 2018 Aurora UW Medical Group

Monitoring Lead Screening Within A Milwaukee Family Medicine Residency Clinic, Kristin E. Dement, Jessica J.F. Kram, Dennis J. Baumgardner, Bonnie Bobot, Alonzo Jalan

Journal of Patient-Centered Research and Reviews

Background: Lead screenings, as part of a child’s preventive examinations, are offered by many Women, Infants, and Children (WIC) clinics in the Milwaukee area. Previously, the Family Care Center (FCC) at Aurora Sinai Medical Center (Milwaukee, WI) did not have access to lead screenings performed by WIC clinics and later recorded in the Wisconsin Blood Lead Registry (WBLR). Therefore, unnecessary duplicate screenings may have occurred on children seen at FCC for their preventive exams.

Purpose: To determine if children were undergoing unnecessary duplicate lead screenings at FCC.

Methods: We conducted a retrospective review of lead screenings performed at well-child ...


Enhancing Immunization Rates At Aurora Family Medicine Clinics In Milwaukee, Wisconsin, Zeeshan A. Yacoob, Christopher Cook, Jessica J.F. Kram, Marianne Klumph, Dennis J. Baumgardner, Marisa Stanley, Paul Hunter, Fabiana Kotovicz 2018 University of Wisconsin School of Medicine and Public Health

Enhancing Immunization Rates At Aurora Family Medicine Clinics In Milwaukee, Wisconsin, Zeeshan A. Yacoob, Christopher Cook, Jessica J.F. Kram, Marianne Klumph, Dennis J. Baumgardner, Marisa Stanley, Paul Hunter, Fabiana Kotovicz

Journal of Patient-Centered Research and Reviews

Background: In the United States, only 72.2% of children (age 19–35 months) are up-to-date on all of their immunizations. This rate is even lower for children from impoverished households (68.7%). Lack of encouragement by providers, as well as parent perceptions of vaccine safety and efficacy, have been cited as some of the reasons for lower vaccination rates.

Purpose: Our study aimed to collect and compare patient demographic data to age appropriate and comorbidity-specific vaccination rates.

Methods: We conducted a quality improvement study at Family Practice Center (Aurora St. Luke’s Medical Center, Milwaukee, WI) and Family Care ...


Implementing Community-Created Self-Management Support Tools In Primary Care Practices: Multimethod Analysis From The Insttepp Study, Douglas H. Fernald, Matthew J. Simpson, Donald E. Nease Jr., David L. Hahn, Amanda E. Hoffmann, LeAnn C. Michaels, Lyle J. Fagnan, Jeanette M. Daly, Barcey T. Levy 2018 University of Colorado School of Medicine

Implementing Community-Created Self-Management Support Tools In Primary Care Practices: Multimethod Analysis From The Insttepp Study, Douglas H. Fernald, Matthew J. Simpson, Donald E. Nease Jr., David L. Hahn, Amanda E. Hoffmann, Leann C. Michaels, Lyle J. Fagnan, Jeanette M. Daly, Barcey T. Levy

Journal of Patient-Centered Research and Reviews

Purpose: With one-half of Americans projected to be living with at least one chronic condition before 2020, enhancing patient self-management support (SMS) may improve health-related behaviors and clinical outcomes. Routine SMS implementation in primary care settings is difficult. Little is known about the practice conditions required for successful implementation of SMS tools.

Methods: Four primary care practice-based research networks (PBRNs) recruited 16 practices to participate in a boot camp translation process to adapt patient-centered SMS tools. Boot camp translation sessions were held over a 2-month period with 2 patients, a clinician, and a care manager from each practice. Qualitative case ...


New-Onset Cardiomyopathy With And Without Atrial Fibrillation, Vinay Mehta, Alexander J. Albers, Alex Baek, Maharaj Singh 2018 Aurora BayCare Medical Center

New-Onset Cardiomyopathy With And Without Atrial Fibrillation, Vinay Mehta, Alexander J. Albers, Alex Baek, Maharaj Singh

Journal of Patient-Centered Research and Reviews

Background: Atrial fibrillation (AF) is the most common arrhythmia and is often associated with cardiomyopathy (CM) and heart failure. There has been little research performed to assess whether there are any differences in patient profile, comorbidities, presenting complaints, and electrocardiographic (ECG) or laboratory characteristics and outcomes between patients who have AF at presentation or preceding the diagnosis of new-onset CM (defined as left ventricular ejection fraction ≤ 40%) and patients who are diagnosed with new-onset CM without any preceding atrial dysrhythmias.

Purpose: To assess differences among patients with new-onset CM (LVEF ≤ 40%) with AF and without AF.

Methods: We used a ...


Patient Barriers For Weight Management Among African American Women, Owen Bowie, Jennifer Kusch, George L. Morris III, Tracy Flood, Jessica Gill, Renee E. Walker, Ron A. Cisler, Jennifer T. Fink 2018 University of Wisconsin-Milwaukee

Patient Barriers For Weight Management Among African American Women, Owen Bowie, Jennifer Kusch, George L. Morris Iii, Tracy Flood, Jessica Gill, Renee E. Walker, Ron A. Cisler, Jennifer T. Fink

Journal of Patient-Centered Research and Reviews

Purpose: The primary aim of this study was to assess the perceptions of local African American women who are overweight or obese using semi-structured focus groups to identify barriers to weight management and factors that support strategy success. The secondary aim of this study was to determine recommendations for patient-centered weight management interventions established specifically for African American women in the Milwaukee-area community.

Methods: Three semi-structured focus groups to explore barriers to weight management were performed among women patients. Participants (N = 41) were recruited via email, postal mail, and phone as available from an academic medical center in Milwaukee, Wisconsin ...


The Aurora Caregiver Wellness Program: Weight Loss And Health Insurance Claims Cost Reductions Among The Obese Population, George C. Mueller, Kelly Sutton 2018 Aurora Health Care

The Aurora Caregiver Wellness Program: Weight Loss And Health Insurance Claims Cost Reductions Among The Obese Population, George C. Mueller, Kelly Sutton

Journal of Patient-Centered Research and Reviews

Background: Aurora Health Care’s caregiver wellness program provides incentives and resources to encourage weight loss for obese caregivers and spouses. Quantifying the benefits of these programs to the participants and to the organization was examined, including overall shift in body mass index (BMI) and change in health care claims costs for those who participated in the program.

Purpose: To understand the impact of an incentivized weight loss wellness program and the relationship between weight loss and caregiver health insurance claims costs.

Methods: Annual BMI screening data and health insurance claims costs were analyzed using a multiple regression model to ...


Predictors Of Stillbirth Using A Large Database From The State Of Wisconsin, Maharaj Singh, Ahmed Dalmar, Michelle O. Montgomery, David C. Merrill 2018 Aurora Research Institute

Predictors Of Stillbirth Using A Large Database From The State Of Wisconsin, Maharaj Singh, Ahmed Dalmar, Michelle O. Montgomery, David C. Merrill

Journal of Patient-Centered Research and Reviews

Background: Stillbirth remains a significant problem in modern obstetrics. The exact causes for many stillbirths remain unexplained, although some risk factors have been identified.

Purpose: To identify the main risk factors for stillbirth using a large dataset, we examined incidence of stillbirth for the state of Wisconsin from 2012 through 2016.

Methods: We conducted a retrospective study using de-identified data for 323,034 pregnant women who gave birth to singleton babies in the years 2012 through 2016; 73% of the women were white, 11% African American and the remaining 16% were from other races. Birth weight percentage by gestational age ...


Characteristics Of Patients In The Specialty Access For Uninsured Program, Sally Smaida, Widalys Calderon Torres, Jessica J.F. Kram, Michelle Tong, Stephen J. Ohly, Dennis J. Baumgardner 2018 Aurora Walker’s Point Community Clinic

Characteristics Of Patients In The Specialty Access For Uninsured Program, Sally Smaida, Widalys Calderon Torres, Jessica J.F. Kram, Michelle Tong, Stephen J. Ohly, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

Background: The Specialty Access for Uninsured Program (SAUP) is a Milwaukee County health system collaborative in which safety-net primary care clinics are paired with hospital/health systems. The clinics provide primary care services, while the hospitals provide a network of specialists. All specialty services are “covered” under SAUP at no cost.

Purpose: To examine the clinical, geodemographic, and referral pattern features of our SAUP patients and their journey to specialized care.

Methods: We prospectively identified and retrospectively reviewed patients ≥ 18 years of age residing in Milwaukee County that were enrolled in SAUP during 2017. To be eligible for SAUP (ie ...


How To Translate Self-Management Support Tools Into Clinical Practice, Matthew J. Simpson, Jeanette M. Daly, Douglas H. Fernald, John M. Westfall, LeAnn C. Michaels, Barcey T. Levy, David L. Hahn, Lyle J. Fagnan, Donald E. Nease Jr. 2018 University of Colorado School of Medicine

How To Translate Self-Management Support Tools Into Clinical Practice, Matthew J. Simpson, Jeanette M. Daly, Douglas H. Fernald, John M. Westfall, Leann C. Michaels, Barcey T. Levy, David L. Hahn, Lyle J. Fagnan, Donald E. Nease Jr.

Journal of Patient-Centered Research and Reviews

Purpose: Patient self-management is an inevitable part of the work of being a patient, and self-management support (SMS) has become increasingly important in chronic disease management. However, the majority of SMS resources available in the Agency for Healthcare Research and Quality SMS Resource Library were developed without explicit collaboration between clinicians and patients.

Methods: Translation of SMS tools derived from the library into primary care practices occurred utilizing boot camp translation in four different practice-based research networks (PBRNs). The typical model of boot camp translation was adapted for the purpose of the Implementing Networks’ Self-management Tools Through Engaging Patients and ...


Adapting Boot Camp Translation Methods To Engage Clinician/Patient Research Teams Within Practice-Based Research Networks, Lyle J. Fagnan, Matthew J. Simpson, Jeanette M. Daly, LeAnn C. Michaels, David L. Hahn, Barcey T. Levy, Douglas H. Fernald, John M. Westfall, Donald E. Nease Jr. 2018 Oregon Health & Science University

Adapting Boot Camp Translation Methods To Engage Clinician/Patient Research Teams Within Practice-Based Research Networks, Lyle J. Fagnan, Matthew J. Simpson, Jeanette M. Daly, Leann C. Michaels, David L. Hahn, Barcey T. Levy, Douglas H. Fernald, John M. Westfall, Donald E. Nease Jr.

Journal of Patient-Centered Research and Reviews

Purpose: Boot camp translation is a proven process to engage community members and health professionals in translating and disseminating evidence-based “best practices” models for health prevention and chronic illness care. Primary care practice improvement studies, particularly involving patient-driven change, as seen with self-management support (SMS), require engaged practice teams that include patients. Models of engagement such as boot camp translation may be effective.

Methods: Four geographically dispersed practice-based research networks (PBRNs) from the Meta-LARC consortium engaged 16 practices to form SMS implementation teams involving a clinician, care manager, and 2 patients in each team. Our study adapted the boot camp ...


Disease Prevalence And Politics- A Study Of Chagas Disease In Bolivia, Rebecca Dickson 2018 University of Washington, Tacoma

Disease Prevalence And Politics- A Study Of Chagas Disease In Bolivia, Rebecca Dickson

Access*: Interdisciplinary Journal of Student Research and Scholarship

Reducing disease prevalence within South America is critical for reaching global health goals and increasing life expectancy of vulnerable populations. Chagas disease, often referred to the “the New HIV/AIDS of the Americas,” is a prevalent cause of disability and death within Bolivia (Hotez et al. 1). The Plurinational State of Bolivia, a large South American nation-state, is a crucial player in promoting global health outcomes. However, intra-state political turmoil and historical tensions often affect its healthcare systems, which in turn affect individual health outcomes. This paper traces these connections within the Bolivian healthcare system- first by identifying political and ...


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