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Private Insurance Reimbursements For Newborn Hearing Screening In The United States, 2013-2014, Thuy Quynh Do, Winnie Chung, Scott Grosse 2020 Centers for Disease Control and Prevention

Private Insurance Reimbursements For Newborn Hearing Screening In The United States, 2013-2014, Thuy Quynh Do, Winnie Chung, Scott Grosse

Journal of Early Hearing Detection and Intervention

The purpose of this study was to describe private insurance reimbursements for newborn hearing screening (NBHS) in the United States. Data from the MarketScan® Commercial Databases were used to estimate reimbursement for privately insured infants born between January 1, 2013–December 31, 2014. Estimates were based on billed claims for hearing-related services during infancy (71,820 infants with inpatient NBHS, 1,104 with outpatient NBHS). Median reimbursement for NBHS performed in a hospital setting was $148.00 (range $113.51–$196.02) when billed as an inpatient service and $136.48 (range $86.08–$220.15) when billed as an ...


Black Women Survive Breast Cancer With Community-Based Care, Shelley I. White-Means, Jill Dapremont, Barbara D. Davis, Tronlyn Thompson 2020 University of Tennessee Health Science Center

Black Women Survive Breast Cancer With Community-Based Care, Shelley I. White-Means, Jill Dapremont, Barbara D. Davis, Tronlyn Thompson

Faculty Presentations

PURPOSE Community-based breast cancer support agencies who address non-medical, social determinants of health needs that serve as barriers to maximizing breast health outcomes may play a vital role in mitigating breast cancer mortality. They share a common emphasis on addressing social, economic, and psychological needs of breast cancer survivors and those at risk of breast cancer. This paper is third in a series of papers exploring why the rate of breast cancer mortality is two times higher for African American women than white women in Memphis. We sought insights from community-based breast cancer support agencies because they have a close-up ...


Understanding Elements Involved In Active Racial And Ethnic Minority Recruitment Practices For Biopharmaceutical-Sponsored Clinical Trials: A Socio-Ecological Qualitative Inquiry, Rebecca Rae Johnson 2020 Seton Hall University

Understanding Elements Involved In Active Racial And Ethnic Minority Recruitment Practices For Biopharmaceutical-Sponsored Clinical Trials: A Socio-Ecological Qualitative Inquiry, Rebecca Rae Johnson

Seton Hall University Dissertations and Theses (ETDs)

Inequitable participation in clinical trials continues to be a problem, and trial populations do not always reflect the demographics of the population that the investigational product will ultimately be treating. Because genetic differences between racial and ethnic groups affect the safety and efficacy of new treatments, it is important that standard of care decisions are made based on a representative population. The purpose of this study is to understand the socio-ecological elements that are involved in the active implementation of racial and ethnic minority recruitment practices for biopharmaceutical-funded trials in the United States. This general qualitative study was both descriptive ...


The Need For Leadership During Public Health Crises, Tanisha Adams 2020 Eastern Washington University

The Need For Leadership During Public Health Crises, Tanisha Adams

2020 Symposium Posters

This research is intended to educate the public health industry on the need for better crisis leadership preparations. The National Incident Management System (NIMS) is a national training program mandated by the Post-Katrina Emergency Management Reform Act of 2006. The program focuses primarily on Preparedness, Communications and Information Management, Resource Management, and Command and Management. NIMS is formatted in a way that the information can be used across a wide array of organization types. The Incident Command System (ICS) of NIMS has a "military-style, command-and-control model traditionally seen in emergency services and not in public health” (Kohn, Barnett, Galastri, Semon ...


Rural-Urban Residence And Mortality Among Three Cohorts Of U.S. Adults, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, Katherine Ahrens MPH, PhD 2020 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center

Rural-Urban Residence And Mortality Among Three Cohorts Of U.S. Adults, Erika C. Ziller Phd, Jennifer D. Lenardson Mhs, Katherine Ahrens Mph, Phd

Population Health

Though U.S. life expectancy has increased over the past 50 years, this benefit has not been geographically uniform and certain rural persons and communities face a mortality gap. Rural residents experience a shorter life expectancy than urban residents, with higher mortality rates from specific causes such as chronic obstructive pulmonary diseases, coronary heart disease, and lung cancer. Overall, there are higher mortality rates among rural residents for all five leading causes of death – heart disease, stroke, cancer, unintentional injury, and chronic lower respiratory disease – as compared to urban residents.

We sought to close gaps in our understanding of the ...


The Evolving Management Of Aortic Valve Disease: Trends In The Utilization And Cost Of Savr, Tavr, And Medical Therapy, Andrew Goldsweig 2020 University of Nebraska Medical Center

The Evolving Management Of Aortic Valve Disease: Trends In The Utilization And Cost Of Savr, Tavr, And Medical Therapy, Andrew Goldsweig

Theses & Dissertations

Aortic stenosis (AS) and regurgitation (AR) may be treated with surgical aortic valve replacement (SAVR), transcatheter AVR (TAVR), or medical therapy (MT). Data are lacking regarding usage and cost of SAVR, TAVR, and MT for patients hospitalized with aortic valve disease. From the Nationwide Readmissions Database, we determined utilization and cost trends for SAVR, TAVR, and MT in patients with aortic valve disease admitted 2012-2016 for valve replacement, heart failure, unstable angina, non-ST-elevation myocardial infarction, or syncope. From 2012 through 2016, there was a 48.1% increase in the number of patients hospitalized for aortic valve disease annually. Overall, 19 ...


2020 County Health Rankings Tennessee Data And Updated Substance Abuse 2005-2019, Kelsey L. Grabeel, Jenny Moore 2020 University of Tennessee Health Science Center

2020 County Health Rankings Tennessee Data And Updated Substance Abuse 2005-2019, Kelsey L. Grabeel, Jenny Moore

Faculty Publications

No abstract provided.


Surgical Care Perspectives: Exploring Barriers And Facilitators To Surgery In Rural Nebraska, Sarah Stanislav 2020 University of Nebraska Medical Center

Surgical Care Perspectives: Exploring Barriers And Facilitators To Surgery In Rural Nebraska, Sarah Stanislav

Capstone Experience

Background: Minimally invasive surgery (MIS) is associated with less pain, faster recovery, and lower complication rates. Despite being the standard of care, it remains underutilized in rural Nebraska. Surgeon shortages and limited studies describing patient and provider factors influencing treatment gaps contribute to unnecessary complications and healthcare expenditure. Our study aimed to understand rural surgical care barriers and facilitators encountered by patients, providers, and stakeholders in Nebraska. Methods: This exploratory mixed methods study involved 17 semi-structured interviews using a snowball sampling of eligible participants affiliated with an MIS Advisory Committee. Two coders analyzed data using NVivo12. A follow-up review of ...


A Statewide Needs Assessment Of Perspectives On Training And Certification Of Community Health Workers In Nebraska, Jessica Ern 2020 University of Nebraska Medical Center

A Statewide Needs Assessment Of Perspectives On Training And Certification Of Community Health Workers In Nebraska, Jessica Ern

Capstone Experience

INTRODUCTION: Community Health Workers (CHWs) are a crucial growing component of the health care field in the U.S. According to the US Bureau of Statistics (2018), the CHW workforce is expected to grow 38% in the next ten years. While research has repeatedly shown the success of CHW-led programs and the financial benefits of CHWs, little work has been done to evaluate the training and certification preferences of CHWs in Nebraska. This project aimed to gather and analyze qualitative and quantitative data through an exploratory sequential mixed-methods approach to provide policy recommendations regarding the future training and potential certification ...


The Effect Of The Timing Of A Hospice Referral And The Perceived Quality Of Care By The Family, Caitlin Tran 2020 Dominican University of California

The Effect Of The Timing Of A Hospice Referral And The Perceived Quality Of Care By The Family, Caitlin Tran

Nursing | Senior Theses

Hospice care is a specialized type of palliative care for patients with a time-limiting illness. Despite its benefits, hospice remains underutilized. A key reason behind the underutilization are untimely referrals, often made during the last weeks or days of the patient’s life. The purpose of this paper is to investigate the existing barriers towards hospice that play into late referrals and its effect on patient/family satisfaction. This information will be examined to propose a pilot research study for further exploration.


Factors Associated With Urgent Care Reliance And Outpatient Health Care Use Among Children Enrolled In Medicaid., Rebecca R. Burns, Elizabeth R. Alpern, Jonathan Rodean, Therese Canares, Brian R. Lee, Matt Hall, Amanda Montalbano 2020 Children's Mercy Hospital

Factors Associated With Urgent Care Reliance And Outpatient Health Care Use Among Children Enrolled In Medicaid., Rebecca R. Burns, Elizabeth R. Alpern, Jonathan Rodean, Therese Canares, Brian R. Lee, Matt Hall, Amanda Montalbano

Manuscripts, Articles, Book Chapters and Other Papers

Importance: Urgent care (UC) centers are a growing option to address children's acute care needs, which may cause unanticipated changes in health care use.

Objectives: To identify factors associated with high UC reliance among children enrolled in Medicaid and examine the association between UC reliance and outpatient health care use.

Design, Setting, and Participants: A retrospective cohort study used deidentified data on 4 133 238 children from the Marketscan Medicaid multistate claims database to calculate UC reliance and outpatient health care use. Children were younger than 19 years, with 11 months or more of continuous Medicaid enrollment and 1 ...


Managing Stress In A Constantly-Changing Workforce, Lorri Burch-Hubbard 2020 East Tennessee State University

Managing Stress In A Constantly-Changing Workforce, Lorri Burch-Hubbard

Electronic Theses and Dissertations

When staffing reductions occur in the workplace, staff left behind may face increased stress, may not be given the support they need to manage the feelings caused by the reduction. This study was conducted to evaluate the impact of stress caused by staffing reductions has on medical technologists (MT), medical technicians (MLT) and respiratory therapists (RT), and to identify any common methods of stress management used by those staff who remain in the organization.

Literature research showed the negative impact stress can have on individuals when it is not addressed, such as decreased work performance, health issues, and even the ...


Dnp Project: Improving No-Show Rates In Primary Care, Mai-Linh T. Nguyen, Sarah M. Kuzara 2020 Southern Illinois University Edwardsville

Dnp Project: Improving No-Show Rates In Primary Care, Mai-Linh T. Nguyen, Sarah M. Kuzara

Doctor of Nursing Practice Projects

Abstract

This paper explores the factors that contribute to no-show rates in the primary care setting and effective interventions to improve no-show rates. The average no-show rate in the primary care setting is 23%, (Dantas, Fleck, Olivaria, & Humacher 2018). In 2018, the no-show rate at the WeCare Clinic was 50-60%. A literature review was conducted to gather information regarding why patients choose to no-show their appointments, the common causes of high no-show rates, and effective interventions found to decrease no-show rates. We investigated the primary causes of a high no-show rate at the WeCare Clinic by interviewing staff and analyzing ...


Stigmatizing Attitudes Towards People Who Smoke: A Survey Of Primary Care Physicians, Liz Scharnetzki, Leo B. Waterston, Susan E. Leeds, Jamie L. Studts, Neil Korsen, Paul K J Han 2020 Maine Medical Center

Stigmatizing Attitudes Towards People Who Smoke: A Survey Of Primary Care Physicians, Liz Scharnetzki, Leo B. Waterston, Susan E. Leeds, Jamie L. Studts, Neil Korsen, Paul K J Han

Costas T. Lambrew Research Retreat 2020

Background: Growing evidence suggests that stigmatization is an important barrier to the receipt and delivery of optimal heath care services. While the consequences of stigmatizing attitudes have been well-studied for some conditions (e.g., HIV, mental health disorders), less is understood about smoking stigma and, in particular, the effects of physicians’ stigmatizing attitudes towards people who smoke. Addressing this knowledge gap is an important need for efforts to prevent lung cancer and other smoking-related illnesses.


Mmc Biobank: A Resource For Translational Research., Anne C. Breggia, Sue LaPierre, Christopher Keister, Hanna Renedo, Dawn Charnetzky, Hannah Brown, Howard Feller, Susan Nester, Robert Christman, Michael Jones, Tony Sellner, Liz Hamir, Lindsay Cote, Heidi Ingersoll 2020 Maine Medical Center

Mmc Biobank: A Resource For Translational Research., Anne C. Breggia, Sue Lapierre, Christopher Keister, Hanna Renedo, Dawn Charnetzky, Hannah Brown, Howard Feller, Susan Nester, Robert Christman, Michael Jones, Tony Sellner, Liz Hamir, Lindsay Cote, Heidi Ingersoll

Costas T. Lambrew Research Retreat 2020

BioBank Director develops an Internal Investigator protocol which outlines collection logistics, sample processing, communications with clinical personnel for executing the study plan and transport of samples to MMCRI.


Anticoagulation In The Very Old: Does Age Matter?, F. Jaspar Abu-Jaber, Kerri Barton, Caroline Knight, Frances Leslie Lucas, Robert Stein 2020 Pen Bay Medical Center

Anticoagulation In The Very Old: Does Age Matter?, F. Jaspar Abu-Jaber, Kerri Barton, Caroline Knight, Frances Leslie Lucas, Robert Stein

Costas T. Lambrew Research Retreat 2020

Background: There is a 4.5% annual risk of a thromboembolic stroke in patients with atrial fibrillation (AF) and a CHADS2-VASC score 2 or greater. Among these patients, anticoagulation using Warfarin or a direct oral anticoagulant has been shown to reduce the risk of events by 45%. However, there has been some provider concern about the increased risk of bleeding while on anticoagulation in patients who are older, frailer, and have multiple comorbidities. Previous studies have suggested that anticoagulation is recommended in nearly all patients with a CHADS2-VASC score at 2 or greater. Understanding factors that make patients poor candidates ...


Association Of Race/Ethnicity And Population Density With Disparities In Timeliness Of Rectal Cancer Therapy, Susanna S. Hill 2020 University of Massachusetts Medical School

Association Of Race/Ethnicity And Population Density With Disparities In Timeliness Of Rectal Cancer Therapy, Susanna S. Hill

GSBS Dissertations and Theses

Objective:

Access to care is key to effective rectal cancer treatment. We hypothesized that ethnic/racial minorities living in high population density areas would have the greatest delays in cancer care compared to whites living in medium population density areas.

Methods:

Using 2004-2016 National Cancer DataBase data, we identified stage I-III patients with invasive rectal adenocarcinoma who underwent surgery. The data were analyzed by race/ethnicity (whites, blacks, or Hispanics) and population density (metropolitan or urban/rural). Multivariable ANCOVA was performed to evaluate the duration of time from diagnosis to surgery.

Results:

The study population consisted of 76,131 patients ...


Special Issue – July/August 2020: Sustaining A Focus On Human Experience In The Face Of Covid-19, Patient Experience Journal 2020 The Beryl Institute

Special Issue – July/August 2020: Sustaining A Focus On Human Experience In The Face Of Covid-19, Patient Experience Journal

Patient Experience Journal

At this critical time in our shared history, we are faced with a powerful challenge, the rapid impact of COVID-19 on our healthcare systems and community. With that acknowledgement, we are refocusing our 2020 special issue of Patient Experience Journal (PXJ) to address Sustaining a Focus on Human Experience in the Face of COVID-19. Submissions received for our initially planned special issue on patient & family experience in behavioral health will remain in review and consideration for future issues of PXJ.

There are heroic efforts taking place minute-by-minute to address the clinical and personal needs of patients, while also addressing the ...


Patient Experience Journal Awards: Celebrating Our 2019 Recipients, Patient Experience Journal 2020 The Beryl Institute

Patient Experience Journal Awards: Celebrating Our 2019 Recipients, Patient Experience Journal

Patient Experience Journal

In association with The Beryl Institute, Patient Experience Journal introduced the inaugural Patient Experience Journal (PXJ) Awards. The annual awards celebrate important contributions to the literature and articles of impact in research and practice. They also introduce groundbreaking authors who are working to expand evidence and insights on patient experience and the human experience in healthcare. The winners are selected from the articles published in PXJ and chosen by the Editorial Board of the journal. The award categories are shared and recipients introduced.


Development And Reliability Of A Patient Experience Inventory Tool For Hospitals, Agnes Barden, Nicole Giammarinaro, Natalie Bashkin, Larry Lutsky 2020 Northwell Health

Development And Reliability Of A Patient Experience Inventory Tool For Hospitals, Agnes Barden, Nicole Giammarinaro, Natalie Bashkin, Larry Lutsky

Patient Experience Journal

This study explores the development and reliability testing of the newly developed Patient Experience Inventory for Hospitals (PXI-H). Created as an organizational self-assessment patient experience tool, it guides healthcare leaders in evaluating attitudes and behaviors as well as structures and programs impacting patient experience within a hospital setting. The PXI-H is organized within four pillars: Leadership, Education and Development, Data and Analytics and Patient-and-Family Centeredness, which were determined to be internally consistent based on examining coefficient alphas and the item-total correlations. Principal component analysis also determined items with highest loadings aligned onto the pillars in which there were assigned, confirming ...


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