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Building Sustainability In Times Of Uncertainty, Matthew Sadof 2019 University of Massachusetts Medical School-Baystate

Building Sustainability In Times Of Uncertainty, Matthew Sadof

Community Engagement and Research Symposia

Obama era grants were filled with the hopes of developing and implementing measures to improve healthcare delivery. Springfield Pediatrician Matt Sadof will present his experience as one of the Principal Investigators for the Massachusetts Alliance for Coordinated Care, a care coordination for children with medical complexity and social fragility funded by Center for Medicaid and Medicare Innovation at two urban centers in Massachusetts Baystate Children’s Hospital and Boston University Medical Center. As a consultative program it supported improved communication between primary care providers and specialists at two geographic locations across the state. Relying on an ambulatory ICU (complex care ...


Patterns Of Interaction Public Health Pbrns: Insight From Network Analysis, Rachel A. Hogg, Glen P. Mays 2019 University of Kentucky

Patterns Of Interaction Public Health Pbrns: Insight From Network Analysis, Rachel A. Hogg, Glen P. Mays

Rachel Hogg-Graham

This report presents data from a network analysis survey conducted with public health practice-based research networks (PBRNs) to examine patterns of interaction among researchers and public health practitioners who participate in the networks. These data provide a baseline for tracking the types and frequencies of interaction that occur within networks, and reveal opportunities for promoting more productive patterns of engagement in applied public health research. Over time, these types of data can reveal how and under what circumstances PBRNs facilitate the production and application of research about public health services and delivery systems. The analysis includes data on more than ...


At-Risk Ems Employees- A Model Of Assessment And Intervention.Pdf, Ron J. Hammond, Kate Miller 2019 Utah Valley University

At-Risk Ems Employees- A Model Of Assessment And Intervention.Pdf, Ron J. Hammond, Kate Miller

Ron J. Hammond

This paper includes data results from a survey of Utah (U.S.) EMS personnel.  Those who reported having already reach a point of wanting to quit the field and having reached a point of wanting to resign their current position were classified as being “At Risk” (N=142) and were compared to those who had not (N=395).  T-Test and ratio analysis indicated that those At Risk were found to have significantly higher incidences of difficult past calls, PTSD-like symptoms, and a variety of personal hardships. Both groups had relatively high indicators of negative impact of working in the EMS ...


No Woman Is An Island -- Access To Care And Extreme Measures For Cancer Pain And Lymphedema: A Case Report, Lauren M. Hall, Julia Reilly, Mathew J. Most, Jennifer Baima 2019 University of Massachusetts Medical School

No Woman Is An Island -- Access To Care And Extreme Measures For Cancer Pain And Lymphedema: A Case Report, Lauren M. Hall, Julia Reilly, Mathew J. Most, Jennifer Baima

Orthopedics and Physical Rehabilitation Publications and Presentations

Background: Cancer rehabilitation is a rapidly growing diverse field in physiatry. This case provides an example where rehabilitation physiatrists played a crucial role in the pain management, education, and rehabilitation before and after a palliative amputation. Due to her limited resources, both in her home country and in her local community, she could not access appropriate care that may have prevented the need for amputation. Though amputation is not generally accepted as the first line of treatment for pain, there have been several reports of palliative amputation in metastatic cancer patients. In particular, fore quarter amputations have been reported in ...


Do Hospital Closures Affect Patient Time In An Ambulance?, SuZanne Troske, Alison Davis 2019 University of Kentucky

Do Hospital Closures Affect Patient Time In An Ambulance?, Suzanne Troske, Alison Davis

Rural & Underserved Health Research Center Publications

When a hospital closes in a community, patients needing emergency care may spend more time in an ambulance to receive care in an emergency department (ED). We explore how hospital closures affect the time a patient travels from an incident location where 9-1-1 was called to the ED in an ambulance.

  • Rural patients average an estimated 11 additional minutes in an ambulance the year after a hospital closure in their zip code, a 76% increase compared to before the closure.
  • Urban and suburban patients have no change in transportation time in zip codes where a hospital closes.
  • Patients over 64 ...


Using Networks And Econometrics To Identify Pathways For Population Health Improvement, Glen P. Mays 2019 University of Kentucky

Using Networks And Econometrics To Identify Pathways For Population Health Improvement, Glen P. Mays

Glen Mays

This lecture for Vanderbilt University's Health Policy Grand Rounds series describes research from the Robert Wood Johnson Foundation's Systems for Action program about multi-sector strategies for improving population health. Combining methods from network analysis and econometrics, we characterize the structure of multi-sector health networks and estimate their influence on health outcomes and healthcare spending over time.


The Use Of Social Media And Mema Technology In Comparing Compliance Rate Among Users, Reimund Serafica, Nada Lukkahatai, Brendan Tran Morris, Kelly Webber 2019 University of Nevada, Las Vegas (School of Nursing)

The Use Of Social Media And Mema Technology In Comparing Compliance Rate Among Users, Reimund Serafica, Nada Lukkahatai, Brendan Tran Morris, Kelly Webber

Asian / Pacific Island Nursing Journal

Compliance can be defined as the extent to which a person's behavior corresponds with agreed recommendations. Within the context of lifestyle intervention, this may refer to physical activity, diet modifications, or lifestyle intervention program attendance or attrition For lifestyle intervention programs to be successful (as measured against a variety of health and lifestyle markers), it is crucial for individuals to comply as best they can to the recommendations or instructions provided by the researchers. Those who disengage prematurely are likely to have poorer treatment outcomes. Hence, a better understanding and an added component, such as engagement, is vital to ...


Facilitators And Barriers To Being Physically Active In A Rural Hawai’I Community: A Photovoice Perspective, Siosaia F. Hafoka, Sara J. Carr 2019 University of Hawaii at Manoa

Facilitators And Barriers To Being Physically Active In A Rural Hawai’I Community: A Photovoice Perspective, Siosaia F. Hafoka, Sara J. Carr

Asian / Pacific Island Nursing Journal

A large body of existing literature suggests associations between perceptions of the environment and physical activity status, but very few studies have examined perceptions among Native Hawaiian and Pacific Islander (NHPI) communities. The purpose of this study was to examine perceptions of the active living environment in Hawaiʻi in rural communities with a high proportion of NHPI. A total of thirteen adults were purposefully selected to participate in the study, and the Photovoice method was used to capture their perceptions. Three sessions were used to describe the purpose of the study, select and describe photographs, and identify emerging themes. A ...


Health-Assistive Smart Homes For Aging In Place: Leading The Way For Integration Of The Asian Immigrant Minority Voice, Connie Kim Yen Nguyen-Truong, Roschelle L. Fritz 2019 University of Hawai'i Manoa

Health-Assistive Smart Homes For Aging In Place: Leading The Way For Integration Of The Asian Immigrant Minority Voice, Connie Kim Yen Nguyen-Truong, Roschelle L. Fritz

Asian / Pacific Island Nursing Journal

Caring for America’s aging population is a complex humanitarian issue. The number of older adults is expected to increase to 98.5 million by 2060 with a 295% growth in foreign-born older adults, including Asian immigrants. Most older adults will have one or more chronic conditions and 95% of healthcare costs will be attributed to caring for these conditions. Among Asian Americans, common chronic conditions include respiratory disease, cancer, cardiovascular disease, and pain. The National Institutes of Health, Institute on Aging, and National Science Foundation call for innovative technologies to be developed by multidisciplinary teams to address these concerns ...


Introduction To Special Issue: Asian / Pacific Island Technology And Health, Reimund Serafica 2019 University of Nevada, Las Vegas

Introduction To Special Issue: Asian / Pacific Island Technology And Health, Reimund Serafica

Asian / Pacific Island Nursing Journal

Nurses are masters at multitasking—that is performing several nursing interventions simultaneously during a patient encounter. While the new technologies such as smart pumps, bar-code medication, administration systems, electronic health records (EHRs), wearables, and smartphones being introduced into our practice environments are designed to increases efficiency, promote safety, and streamline the work of nursing, we also need to see what is current and emerging in the research arena. We need to continue to seek new evidence-based practice to care effectively for the Asian/Pacific Islander populations and promote a healing environment while incorporating the advantages and efficiencies that technologies provide


Improving Population Health Through System Alignment: Lessons For Local Boards Of Health, Glen P. Mays 2019 University of Kentucky

Improving Population Health Through System Alignment: Lessons For Local Boards Of Health, Glen P. Mays

Glen Mays

This session for local board of health officials in Kentucky describes research from the Robert Wood Johnson Foundation's Systems for Action program about strategies to align medical, social, and public health delivery systems, and the health and economic effects of these initiatives.


Culturally Adaptive Storytelling Intervention Versus Didactic Intervention To Improve Hypertension Control In Vietnam- 12 Month Follow Up Results: A Cluster Randomized Controlled Feasibility Trial, Hoa L. Nguyen, Duc A. Ha, Robert J. Goldberg, Catarina I. Kiefe, German Chiriboga, Ha N. Ly, Cuong K. Nguyen, Ngoc T. Phan, Nguyen C. Vu, Quang P. Nguyen, Jeroan J. Allison 2018 Institute of Population, Health and Development

Culturally Adaptive Storytelling Intervention Versus Didactic Intervention To Improve Hypertension Control In Vietnam- 12 Month Follow Up Results: A Cluster Randomized Controlled Feasibility Trial, Hoa L. Nguyen, Duc A. Ha, Robert J. Goldberg, Catarina I. Kiefe, German Chiriboga, Ha N. Ly, Cuong K. Nguyen, Ngoc T. Phan, Nguyen C. Vu, Quang P. Nguyen, Jeroan J. Allison

Open Access Articles

INTRODUCTION: Vietnam is experiencing an epidemiologic transition with an increased prevalence of non-communicable diseases. The country needs novel, large-scale, and sustainable interventions to improve hypertension control. We report the 12 month follow-up results of a cluster randomized feasibility trial in Hung Yen province, Vietnam, which evaluated the feasibility and acceptability of two community-based interventions to improve hypertension control: a "storytelling" and a didactic intervention.

METHODS: The storytelling intervention included stories in the patients' own words about coping with hypertension and didactic content about the importance of healthy lifestyle behaviors in controlling elevated blood pressure levels. The didactic intervention included only ...


Trends In Opioid Use In Pediatric Patients In Us Emergency Departments From 2006 To 2015, Daniel M. Tomaszewski, Cody Arbuckle, Sun Yang, Erik J. Linstead 2018 Chapman University

Trends In Opioid Use In Pediatric Patients In Us Emergency Departments From 2006 To 2015, Daniel M. Tomaszewski, Cody Arbuckle, Sun Yang, Erik J. Linstead

Pharmacy Faculty Articles and Research

Importance The use of opioids to treat pain in pediatric patients has been viewed as necessary; however, this practice has raised concerns regarding opioid abuse and the effects of opioid use. To effectively adjust policy regarding opioids in the pediatric population, prescribing patterns must be better understood.

Objective To evaluate opioid prescribing patterns in US pediatric patients and factors associated with opioid prescribing.

Design, Setting, and Participants This cross-sectional study used publicly available data from the National Hospital Ambulatory Medical Care Survey from January 1, 2006, to December 31, 2015. Analysis included the use of bivariate and multivariate models to ...


Proceedings Of The 2018 Asian American/Pacific Islander Nurses Association Conference: Local To Global--Future Directions For Research On Health Disparities, Jillian Inouye 2018 University of Hawai'i at Manoa

Proceedings Of The 2018 Asian American/Pacific Islander Nurses Association Conference: Local To Global--Future Directions For Research On Health Disparities, Jillian Inouye

Asian / Pacific Island Nursing Journal

The Asian American / Pacific Islander Nurses Association’s 15th Annual International Conference was held September 22-23, 2018 at the Hilton Garden Inn, located in Southpoint, Durham, S.C. with 43 research presenters. The conference theme was Local to Global: Future Directions for Research on Health Disparities with a dozen internationally well-known leaders around the world as keynote and special session speakers. Drs. Hyeoneui Kim, PhD, MPH, RN; Duke University School of Nursing and Jeeyae Choi, PhD, RN; University of North Carolina Wilmington School of Nursing were co-chairs and led the conference topics which addressed the current trends and future directions ...


Stakeholder Engagement In Developing An Electronic Clinical Support Tool For Tobacco Prevention In Adolescent Primary Care, Ramzi G. Salloum, Ryan P. Theis, Lori Pbert, Matthew J. Gurka, Maribeth Porter, Diana Lee, Elizabeth A. Shenkman, Lindsay A. Thompson 2018 University of Florida

Stakeholder Engagement In Developing An Electronic Clinical Support Tool For Tobacco Prevention In Adolescent Primary Care, Ramzi G. Salloum, Ryan P. Theis, Lori Pbert, Matthew J. Gurka, Maribeth Porter, Diana Lee, Elizabeth A. Shenkman, Lindsay A. Thompson

Open Access Articles

Following guideline recommendations to promote tobacco prevention in adolescent primary care, we developed a patient-facing clinical support tool. The electronic tool screens patients for use and susceptibility to conventional and alternative tobacco products, and promotes patient(-)provider communication. The purpose of this paper is to describe the iterative stakeholder engagement process used in the development of the tool. During the pre-testing phase, we consulted with scientists, methodologists, clinicians, and Citizen Scientists. Throughout the development phase, we engaged providers from three clinics in focus groups. Usability testing was conducted via in-depth, cognitive interviewing of adolescent patients. Citizen Scientists (n = 7) played ...


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 ...


Designing Shared Decision-Making Interventions For Dissemination And Sustainment: Can Implementation Science Help Translate Shared Decision Making Into Routine Practice, Andy S. Tan L, Kathleen M. Mazor, Daniel McDonald, Stella J. Lee, Demetria McNeal, Daniel D. Matlock, Russell E. Glasgow 2018 Dana-Farber Cancer Institute

Designing Shared Decision-Making Interventions For Dissemination And Sustainment: Can Implementation Science Help Translate Shared Decision Making Into Routine Practice, Andy S. Tan L, Kathleen M. Mazor, Daniel Mcdonald, Stella J. Lee, Demetria Mcneal, Daniel D. Matlock, Russell E. Glasgow

Open Access Articles

Shared decision making (SDM) is not widely practiced in routine care due to a variety of organizational, provider, patient, and contextual factors. This article explores how implementation science-which encourages attention to the multilevel contextual factors that influence the adoption, implementation, and sustainment of health care practices-can provide useful insights for increasing SDM use in routine practice. We engaged with stakeholders representing different organizations and geographic locations over three phases: 1) multidisciplinary workgroup meeting comprising researchers and clinicians (n = 11); 2) survey among a purposive sample of 47 patient advocates, clinicians, health care system leaders, funders, policymakers, and researchers; and 3 ...


Randomized Controlled Trial Of Individualized Treatment Summary And Survivorship Care Plans For Hematopoietic Cell Transplantation Survivors, Navneet S. Majhail, Jan Cerny 2018 Cleveland Clinic

Randomized Controlled Trial Of Individualized Treatment Summary And Survivorship Care Plans For Hematopoietic Cell Transplantation Survivors, Navneet S. Majhail, Jan Cerny

Open Access Articles

Survivorship care plans may facilitate long-term care for cancer survivors, but their effectiveness has not been established in hematopoietic cell transplantation recipients. We evaluated the impact of individualized survivorship care plans on patient-reported outcomes among transplant survivors. Adult (>/=18 years at transplant) survivors who were 1-5 years post-transplantation, proficient in English, and without relapse or secondary cancers were eligible for this multicenter randomized trial. Care plans were developed based on risk-factors and treatment exposures using patient data routinely submitted by transplant centers to the Center for International Blood and Marrow Transplant Research and published guidelines for long-term follow-up of transplant ...


Update: Rural/Urban Disparities In Pneumococcal Vaccine Service Delivery Among The Fee-For-Service Medicare Population, 2012-2015, Joseph C. Vanghelof, Aric Schadler, Patricia R. Freeman, Jeffery C. Talbert 2018 University of Kentucky

Update: Rural/Urban Disparities In Pneumococcal Vaccine Service Delivery Among The Fee-For-Service Medicare Population, 2012-2015, Joseph C. Vanghelof, Aric Schadler, Patricia R. Freeman, Jeffery C. Talbert

Rural & Underserved Health Research Center Publications

Overview of Key Findings

  • Between 2014 and 2015, the number of pneumococcal vaccine services delivered to fee-for-service (FFS) Medicare beneficiaries increased by 380% as a result of uptake of PCV13 vaccine.
  • Continued disparities in delivery of pneumococcal vaccine services to FFS Medicare beneficiaries in rural and urban communities are noted, with a 63% higher vaccination rate observed in urban areas.
  • The majority of pneumococcal vaccine services delivered to FFS Medicare beneficiaries were provided by primary care providers, although pharmacy providers delivered close to one-fourth (24.2%) of these services.
  • Pharmacy providers in rural communities play an increasing role in pneumococcal ...


Empowering First Aiders Through Innovative Instructor Resources, J. Victoria Logan, Dominique MacDonald 2018 University of Calgary

Empowering First Aiders Through Innovative Instructor Resources, J. Victoria Logan, Dominique Macdonald

International Journal of First Aid Education

No abstract provided.


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