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Do We Want To Know About Patients’ Perceptions Of Care? Insights From Implementation Science, Kathleen Mazor 2017 University of Massachusetts Medical School

Do We Want To Know About Patients’ Perceptions Of Care? Insights From Implementation Science, Kathleen Mazor

UMass Center for Clinical and Translational Science Research Retreat

The presentation will introduce the “We Want to Know” program, the goal of which is to make it easy for patients and family members who have concerns about care to express their concern and get a response. It will also describe how the program is being adopted and implemented across 10 hospitals in the Washington DC/Baltimore area, and will draw on key implementation science concepts to highlight the challenges in translating the program into practice. This presentation is part of the mini-symposium entitled "Building Bridges to "Cross the Quality Chasm": The Challenges of Engaging Clinicians in Patient-Centered Care."


Shared Decision Making In Neurocritical Care: Barriers And Facilitators, Susanne Muehlschlegel 2017 University of Massachusetts Medical School

Shared Decision Making In Neurocritical Care: Barriers And Facilitators, Susanne Muehlschlegel

UMass Center for Clinical and Translational Science Research Retreat

The presentation will introduce the audience to shared decision-making in general, as well as specifically in critical care, including the barriers and facilitators of shared-decision making in stakeholders. The presentation will also highlight the ongoing research activities at UMMS to develop and implement the first neuro-critical care based decision support tool for surrogate decision makers. This presentation is part of the mini-symposium entitled "Building Bridges to "Cross the Quality Chasm": The Challenges of Engaging Clinicians in Patient-Centered Care."


Shared Decision-Making In The Emergency Department: Patient And Physician Perspectives, Elizabeth Schoenfeld 2017 University of Massachusetts Medical School, Baystate Health

Shared Decision-Making In The Emergency Department: Patient And Physician Perspectives, Elizabeth Schoenfeld

UMass Center for Clinical and Translational Science Research Retreat

This presentation will explore the perspectives of both ED physicians and ED patients regarding barriers to shared decision-making in the setting of emergency care. It will describe challenges, highlight modifiable barriers, and introduce ongoing research at UMMS Baystate. This presentation is part of the mini-symposium entitled "Building Bridges to "Cross the Quality Chasm": The Challenges of Engaging Clinicians in Patient-Centered Care."


Therapy Dogs And The Impact On Employees In The Pediatric Medical Setting, Laine Foith 2017 Abilene Christian University

Therapy Dogs And The Impact On Employees In The Pediatric Medical Setting, Laine Foith

Electronic Theses and Dissertations

More than 40% of nurses reported experiencing significant burnout. Burnout is characterized by disengagement, cynicism, negative views of personal accomplishment and ability, and emotional exhaustion. The healthcare providers that experience burnout can possibly expect a decrease in ability to recognize/report errors, increase of negative feelings toward the patient, and decrease levels of patient satisfaction (Ernest, 2014). One of the ways Schub (2015) suggested to regulate burnout for employees was to provide psychosocial support to colleagues to reduce stress. This study is one of the first attempts to bridge the gap between the unknown correlation between qualitative and quantitative benefits ...


Integrating Community Health Workers Across The Healthcare Continuum, Susanne Campbell, Liz Fortin, Marie Padilla 2017 University of Massachusetts Medical School

Integrating Community Health Workers Across The Healthcare Continuum, Susanne Campbell, Liz Fortin, Marie Padilla

Commonwealth Medicine Publications

This presentation explores the positive effect the Care Transformation Collaborative of Rhode Island (CTC) has had on in-home care of the elderly across the state. CTC helps existing community health teams develop new systems of care coordination, improve the communication between caretakers and patients and assist coordinators to measure success in effective ways.

CTC is a patient-centered medical home initiative managed by UMass Medical School.


Demonstrating Return On Investment For Community Health Worker Services: Translating Science Into Practice, Katharine London, Kelly Love, Roosa Tikkanen 2017 University of Massachusetts Medical School

Demonstrating Return On Investment For Community Health Worker Services: Translating Science Into Practice, Katharine London, Kelly Love, Roosa Tikkanen

Commonwealth Medicine Publications

Learn about interventions that employ community health workers to improve health outcomes for select patient groups while containing costs. UMass staff constructed models to focus on specific health issues, such as diabetes and asthma, in particular regions in Maine. The models are designed to promote widespread adoption of payment models and mechanisms that support CHWs’ work.


After Closure: Options For Pursuing A High Performance Rural Health System, Andrew F. Coburn PhD 2017 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center

After Closure: Options For Pursuing A High Performance Rural Health System, Andrew F. Coburn Phd

Rural Hospitals (Flex Program)

Presented at the 2017 National Rural Health Association Annual Meeting. Coburn, a member of the Rural Policy Research Institute Panel, discussed the following key questions: What kind of rural health system is possible in places that cannot support a full-service hospital? How does a rural community navigate the transition from hospital-centric care toward new models that deliver high performance? What implementation support will be needed? Coburn noted that there is no single model for re-configuring the rural health system after hospital closure; local assets, affiliations and partnerships, financial and delivery flexibility and capacities must be critically assessed to determine the ...


Accountable Care Organizations And Alternative Payment Methods: Opportunities For Community Health Workers, Katharine London 2017 University of Massachusetts Medical School

Accountable Care Organizations And Alternative Payment Methods: Opportunities For Community Health Workers, Katharine London

Commonwealth Medicine Publications

Learn the different care delivery systems and alternative payment methods that can support community health worker (CHW) services, including approaches used by the Massachusetts Medicaid program, MassHealth. The benefits of reform include improved health outcomes for patients by utilizing CHWs, and more financial flexibility for accountable care organizations through new funding mechanisms. These methods give providers and payers the flexibility to develop new approaches on their own in order to improve health outcomes.


Evaluating Knowledge Of Developmental Disabilities Among Wic Participants, Carolina Regalado Murillo, Katharine Zuckerman Dr., Alison Chavez, Julie A. Reeder Dr. 2017 Portland State University

Evaluating Knowledge Of Developmental Disabilities Among Wic Participants, Carolina Regalado Murillo, Katharine Zuckerman Dr., Alison Chavez, Julie A. Reeder Dr.

Student Research Symposium

Background: Children in racial/ethnic minority and low-income families are more likely to experience low rates of early developmental disability (DD) diagnosis. Racial/ethnic and language differences in parent information about DDs could contribute to diagnostic delays, but little is known about differences in parent DD familiarity.

Objectives: To assess DD knowledge and information in a sample of low-income families.

Methods: We conducted a self-administered survey on 539 parents attending their child’s appointment at the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in six Oregon counties. Survey items assessed familiarity with early signs of DDs, self-reported ...


‘Xóm Bệnh Nhân’ Ở Hà Nội: Hỗ Trợ Từ Cộng Đồng Chưa Thể Giảm Nhẹ Gánh Nặng Chi Phí, Phuong T. Nguyen, Thu-Trang Vuong 2017 Vuong & Associates

‘Xóm Bệnh Nhân’ Ở Hà Nội: Hỗ Trợ Từ Cộng Đồng Chưa Thể Giảm Nhẹ Gánh Nặng Chi Phí, Phuong T. Nguyen, Thu-Trang Vuong

Quan-Hoang Vuong

Patients’ contribution as a quid pro quo for community supports? Evidence from Vietnamese co-location
clusters (in Vietnamese)


New Outpatient Experience Survey Design: A Quality Improvement Case Study, Nathan Paluso 2017 University of Southern Maine

New Outpatient Experience Survey Design: A Quality Improvement Case Study, Nathan Paluso

Muskie School Capstones

The purpose of this capstone project is to evaluate the implementation process for a new survey methodology introduced by Maine Medical Partners (MMP), by following the Plan-Do-Study-Act (PDSA) quality improvement cycle framework. This new survey has been implemented to collect data on patients’ experiences in the MMP outpatient facilities, and is offered to the patients via iPad at check-out after their appointment. Through observation at MMP practices and MMP staff interviews, strengths and weaknesses of the implementation process have been identified. Evidence-based solutions pertaining to the identified weaknesses have been selected through a literature review and are incorporated in recommendations ...


2nd Place: Patient Activation Among Diverse Populations: A Systematic Review (Final Research Paper), Megan Kenney 2017 Chapman University

2nd Place: Patient Activation Among Diverse Populations: A Systematic Review (Final Research Paper), Megan Kenney

Kevin and Tam Ross Undergraduate Research Prize

The purpose of this article was to review the current research regarding patient activation among diverse populations. Patient activation is defined as an individual’s knowledge, skill, and confidence in managing his or her own health and health care. A total of 62 articles were used in this review (54 primary research articles, six retrospective analyses, and two systematic reviews). Articles were obtained using the EBSCO search engine through the Leatherby Libraries at Chapman University. Preliminary and secondary searches were conducted using the keywords “patient activation.” Only articles published within the last ten years (2007 to 2017) were included to ...


The Relationship Between Quality Improvement And Health Information Technology Use In Local Health Departments, Kendra Johnson, Kim K. Nguyen, Shimin Zheng, Robin P. Pendley 2017 East Tennessee State University

The Relationship Between Quality Improvement And Health Information Technology Use In Local Health Departments, Kendra Johnson, Kim K. Nguyen, Shimin Zheng, Robin P. Pendley

Shimin Zheng

This research examined if there is a relationship between engagement in quality improvement (QI) and health information technology (HIT) for local health departments (LHDs) controlling for workforce, finance, population, and governance structure. This was a cross-sectional study that analyzed data obtained from the Core questions and Module 1 in the NACCHO 2010 Profile of LHDs. Descriptive statistics, bivariate analyses, and logistic regression analyses were conducted. Findings suggest that LHD engagement in QI has a relationship with utilization of HIT including electronic health records, practice management systems, and electronic syndromic surveillance systems. This study provides baseline information about the HIT use ...


The Role Of Simulation In Mixed-Methods Research: A Framework & Application To Patient Safety, Jeanne-Marie Guise, Matthew Hansen, William E. Lambert, Kerth O'Brien 2017 Oregon Health & Science University

The Role Of Simulation In Mixed-Methods Research: A Framework & Application To Patient Safety, Jeanne-Marie Guise, Matthew Hansen, William E. Lambert, Kerth O'Brien

Psychology Faculty Publications and Presentations

Background: Research in patient safety is an important area of health services research and is a national priority. It is challenging to investigate rare occurrences, explore potential causes, and account for the complex, dynamic context of healthcare - yet all are required in patient safety research. Simulation technologies have become widely accepted as education and clinical tools, but have yet to become a standard tool for research.

Methods: We developed a framework for research that integrates accepted patient safety models with mixed- methods research approaches and describe the performance of the framework in a working example of a large National Institutes ...


Secrets For Effective Survey Invitations, Carla Hillerns, Pei-Pei Lei 2017 University of Massachusetts Medical School

Secrets For Effective Survey Invitations, Carla Hillerns, Pei-Pei Lei

Center for Health Policy and Research (CHPR) Publications

Blog post to AEA365, a blog sponsored by the American Evaluation Association (AEA) dedicated to highlighting Hot Tips, Cool Tricks, Rad Resources, and Lessons Learned for evaluators. The American Evaluation Association is an international professional association of evaluators devoted to the application and exploration of program evaluation, personnel evaluation, technology, and many other forms of evaluation. Evaluation involves assessing the strengths and weaknesses of programs, policies, personnel, products, and organizations to improve their effectiveness.


Physician Role In Physical Activity For African-American Males Undergoing Radical Prostatectomy For Prostate Cancer, Faustine Williams, Kellie R. Imm, Graham A. Colditz, Ashley J. Housten, Lin Yang, Keon L. Gilbert, Bettina F. Drake 2017 East Tennessee State University

Physician Role In Physical Activity For African-American Males Undergoing Radical Prostatectomy For Prostate Cancer, Faustine Williams, Kellie R. Imm, Graham A. Colditz, Ashley J. Housten, Lin Yang, Keon L. Gilbert, Bettina F. Drake

Faustine Williams

Purpose Physical activity is recognized as a complementary therapy to improve physical and physiological functions among prostate cancer survivors. Little is known about communication between health providers and African-American prostate cancer patients, a high risk population, regarding the health benefits of regular physical activity on their prognosis and recovery. This study explores African-American prostate cancer survivors’ experiences with physical activity prescription from their physicians. Methods Three focus group interviews were conducted with 12 African-American prostate cancer survivors in May 2014 in St. Louis, MO. Participants’ ages ranged from 49 to 79 years, had completed radical prostatectomy, and their time out ...


Addressing Racial Disparities In Breast Cancer Treatment Delays: An Application Of Group Model Building (Gmb), Faustine Williams, Nancy Zoellner, Maisha Flannel, L. Noel, J. Habif, P. Hovmand, Sarah Gehlert 2017 East Tennessee State University

Addressing Racial Disparities In Breast Cancer Treatment Delays: An Application Of Group Model Building (Gmb), Faustine Williams, Nancy Zoellner, Maisha Flannel, L. Noel, J. Habif, P. Hovmand, Sarah Gehlert

Faustine Williams

No abstract provided.


Geographical Location And Stage Of Breast Cancer Diagnosis: A Systematic Review Of The Literature, Faustine Williams, Aimee S. James, Stephen Jeanetta 2017 East Tennessee State University

Geographical Location And Stage Of Breast Cancer Diagnosis: A Systematic Review Of The Literature, Faustine Williams, Aimee S. James, Stephen Jeanetta

Faustine Williams

Objective: To examine systematically the literature on the effect of geographical location variation on breast cancer stage at diagnosis, race/ethnicity, and socioeconomic status.

Methods. Eight electronic databases were searched using combination of key words. Of the 312 articles retrieved from the search, 36 studies from 12 countries were considered eligible for inclusion.

Results. This review identified 17 (47%) of 36 studies in which breast cancer patients residing in geographically remote/rural areas had more late-stage diagnosis than urban women. Ten (28%) studies reported higher proportions of women diagnosed with breast cancer resided in urban than rural counties. Nine (25 ...


Care Connectors In Knox County, Tennessee, Beatriz E Satizabal 2017 University of Tennessee, Knoxville

Care Connectors In Knox County, Tennessee, Beatriz E Satizabal

University of Tennessee Honors Thesis Projects

No abstract provided.


Adopting Children With Down Syndrome: A Qualitative Study Of Family Experiences, Emily L. Richter 2017 University of Arkansas, Fayetteville

Adopting Children With Down Syndrome: A Qualitative Study Of Family Experiences, Emily L. Richter

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study is to qualitatively investigate and compare the family beliefs, values, and perceptions of parenting of families who have adopted children with Down syndrome (DS) to parents who have biological children with DS. Participants in the study included 27 parents of biological children with DS and six parents of adopted children with DS. Participants were interviewed through a digital survey that was distributed through Qualtrics Online Survey Software. Quantitative analysis placed the participants into groups and qualitative analysis was used to identify beliefs, values, and perceptions. Results showed that while both adoptive and biological parents indicated ...


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