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Using Data To Guide And Evaluate Responses To The Opioid Crisis: Rhode Island's Drug Overdose Dashboard, Brandon Marshall 2018 Brown University

Using Data To Guide And Evaluate Responses To The Opioid Crisis: Rhode Island's Drug Overdose Dashboard, Brandon Marshall

National Network of Libraries of Medicine New England Region (NNLM NER) Repository

The rapidly evolving nature of the nation’s overdose epidemic necessitates the dissemination of timely information to inform effective public health responses. Unfortunately, many overdose surveillance systems suffer from delays in reporting and other logistical challenges. In this webinar, Dr. Brandon Marshall from the Brown University School of Public Health will discuss Rhode Island’s drug overdose information and surveillance “dashboard”, PreventOverdoseRI.org. Participants will learn how the timely analysis and public dissemination of data being used to guide and evaluate policy and public health response to the overdose crisis in Rhode Island.

Learning Objectives:

Participant will:

  1. Learn about national ...


Residential Settings And Healthcare Use Of The Rural "Oldest-Old" Medicare Population, Nathan Paluso MPH, Zachariah Croll, Deborah Thayer MBA, Jean A. Talbot PhD, MPH, Andrew F. Coburn PhD 2018 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center,

Residential Settings And Healthcare Use Of The Rural "Oldest-Old" Medicare Population, Nathan Paluso Mph, Zachariah Croll, Deborah Thayer Mba, Jean A. Talbot Phd, Mph, Andrew F. Coburn Phd

Long-term Care

The aging of the baby boom generation is projected to dramatically increase the population aged 65 and older in the coming decades. In particular, those aged 85 and older (the ‘oldest old’) are expanding at a faster rate than any other age group and by 2050 are expected to make up 4.5 percent of the population, compared to 1.9 percent in 2012. Faster growth in the percentage of older people (65+) in rural than in urban areas is likely to challenge the healthcare and long term services and supports (LTSS) capacity in many rural communities.

This study used ...


The Harmful Sexual And Non-Sexual Behaviors Of Trafficked Women And Children In Mexico: A Study Of Victims Of Sexual Exploitation, Arun Kumar Acharya, Lilia Susana Padilla y Sotelo, Jose Juan Cervantes Niño 2018 Universidad Autonoma de Nuevo Leon

The Harmful Sexual And Non-Sexual Behaviors Of Trafficked Women And Children In Mexico: A Study Of Victims Of Sexual Exploitation, Arun Kumar Acharya, Lilia Susana Padilla Y Sotelo, Jose Juan Cervantes Niño

Dignity: A Journal on Sexual Exploitation and Violence

During the last 17 years, since the adoption of the Palermo Protocol, authorities at international and national levels have investigated and prosecuted trafficking cases, and aided victims. Nevertheless, every day thousands of people around the world are sold, lured with false promises and exploited. In Mexico, 10,000 young girls and women are said to be trafficked into cities for sexual exploitation every year. Trafficked victims suffer a wide range of sexual exploitation, physical and psychological violence, human rights violations including their right to dignity, and cruel and inhumane treatment, creating vulnerability and isolation. To cope, many victims adopt harmful ...


Identifying Windows Of Opportunity For Active Living And Healthy Eating Policies In Connecticut, 2016, Anna E. Greer, Ann-Uriel Knausenberger 2018 Sacred Heart University

Identifying Windows Of Opportunity For Active Living And Healthy Eating Policies In Connecticut, 2016, Anna E. Greer, Ann-Uriel Knausenberger

Public Health Faculty Publications

We examined the relative importance of 23 community issues among elected officials and health directors in Connecticut in 2016. For this cross-sectional study, 74 elected officials (40.7% response rate) and 47 health directors (62.7% response rate), who were purposively sampled, completed a questionnaire to rate their perceived importance of 23 community issues. Eight of these issues were related to active living, healthy eating, or obesity. We used χ2 tests to evaluate differences in responses. Compared with elected officials, health directors significantly more often perceived obesity, access to healthy groceries, poor nutrition, lack of pedestrian walkways, and pedestrian safety ...


Mental Disorders As Brain Disorders: The Impact On Stigma Of Neuroscience-Based Mental Health Education, Katherine Tighe 2018 Union College

Mental Disorders As Brain Disorders: The Impact On Stigma Of Neuroscience-Based Mental Health Education, Katherine Tighe

Honors Theses

Stigmatization of mental illness is undoubtedly detrimental to those with mental health concerns as it limits employment, self-esteem and social support (Markowitz, 1998). In effort to combat the issue of stigma, previous research has evaluated the effectiveness of education as a method to reduce stigma in a college sample; finding that peer-led presentations are effective in reducing stigma (Kosyluk et al., 2016). The current study sought to evaluate the effectiveness of neuroscience-oriented presentation for reducing the stigma of mental illness among college students. Researchers asked 53 Union College students to complete seven-item Social Distance Scale (SDS; Penn et al., 1994 ...


Ltss Clinical Guidelines Help Health Plans Navigate The Challenges Of Increased Demand, Jessica Carpenter 2018 University of Massachusetts Medical School

Ltss Clinical Guidelines Help Health Plans Navigate The Challenges Of Increased Demand, Jessica Carpenter

Commonwealth Medicine Publications

Long term services and supports (LTSS) clinical guidelines are the foundation of a successful LTSS utilization management program. Strong guidelines help health plans drive LTSS programs toward positive outcomes such as consistency in decision making, clinically appropriate services, contained costs and program integrity. The goal is ensuring individuals receive the right service, in the right setting, and at the right time.

As the independent living movement continues to advance, more individuals with disabilities are seeking to live in their own homes or within a community setting. As such, there has been an increased demand for LTSS. Increased demand combined with ...


Transforming First Nations Health Care In British Columbia: An Organizational Challenge, Stephen Wilmot 2018 The University of Derby

Transforming First Nations Health Care In British Columbia: An Organizational Challenge, Stephen Wilmot

The International Indigenous Policy Journal

Following a series of agreements on First Nations health care in British Columbia beginning in 2005, several organizations were created to contribute to the development of a system of health care for First Nations in the province, with the aim of transforming First Nations health care to better meet users’ needs. This article considers the role of these organizations and their relationships with the provincial government, the federal government, and the First Nations people of British Columbia. It explores possible levels of transformation, as well as the possibilities and problems for these organizations in undertaking the transformation process, particularly with ...


A Budget Impact Model For Two Investigational Agents For The Treatment Of Nonalcoholic Steatohepatitis, Nicole M. Trask, Pavel Lavitas, Vincent Palumbo 2018 University of Massachusetts Medical School

A Budget Impact Model For Two Investigational Agents For The Treatment Of Nonalcoholic Steatohepatitis, Nicole M. Trask, Pavel Lavitas, Vincent Palumbo

Commonwealth Medicine Publications

Statistics show approximately 15 million Americans suffer from NASH, a nonalcoholic fatty liver disease that is projected to become the most common reason for liver transplantation. There are no FDA approved therapies for NASH, so doctors are forced to treat patients with off-label medications while keeping an eye out for breakthroughs in medication development.

Two novel therapies, obeticholic acid and elafibranor, are currently in Phase III trials. If they receive FDA approval, interest will be high as they will be the first treatments specifically labeled for NASH. We detail a budget impact model for a sample state Medicaid plan in ...


Impact Of A Pilot Outreach Program Upon Provider Awareness And Prescribing Of A Concerning Opioid Combination Regimen, Briana Santaniello, Thomas C. Pomfret, Mark A. Tesell, Nicole M. Trask, Caroline J. Alper, Karen M. Clements, Vincent Palumbo, Kimberly Lenz, Paul L. Jeffrey 2018 Magellan Rx Management

Impact Of A Pilot Outreach Program Upon Provider Awareness And Prescribing Of A Concerning Opioid Combination Regimen, Briana Santaniello, Thomas C. Pomfret, Mark A. Tesell, Nicole M. Trask, Caroline J. Alper, Karen M. Clements, Vincent Palumbo, Kimberly Lenz, Paul L. Jeffrey

Commonwealth Medicine Publications

This pilot program was developed in response to a drug utilization review within a large Medicaid population that revealed some hazardous practices. Co-prescribing of opioids with benzodiazepines, gabapentin, and other stimulants occurred in more than 500 members, putting them at risk for additive central nervous system depression, misuse, abuse, and death from overdose.

The poster presentation outlines the objectives, methods, and results of a telephonic outreach program that addressed these safety concerns. It captures prescriber awareness of the presence and risks of potentially deadly medication combinations among members in their care, with some intriguing results.

Our experts provide health plans ...


A Medicaid Compromise Expanded Coverage For Hoosiers, But Important Questions Linger, Robert W. Seifert 2018 University of Massachusett Medical School

A Medicaid Compromise Expanded Coverage For Hoosiers, But Important Questions Linger, Robert W. Seifert

Commonwealth Medicine Publications

In today’s polarized political environment, it is easy to forget that most policy decisions are not black or white, but rather some indeterminate shade of gray. A case in point is Indiana’s Medicaid waiver, which the federal government just approved for a three-year extension.


Latina Immigrant Women & Children’S Well-Being & Access To Services After Detention, Laurie Cook Heffron, Josie V. Serrata, Gabriela Hurtado 2018 St. Edward's University

Latina Immigrant Women & Children’S Well-Being & Access To Services After Detention, Laurie Cook Heffron, Josie V. Serrata, Gabriela Hurtado

Latino Public Policy

Since 2011, the United States has seen a dramatic increase in the arrival of Central American immigrant women and their children. During the last two years, the US government apprehended more than 100,000 immigrant families, primarily Central American women traveling with their children (US Dept. of Homeland Security, 2015). Evidence suggests that Central American women’s motivations to migrate and experiences during migration are often tied to violence (Cook Heffron, 2015; UN High Commissioner for Refugees, 2015), and yet their experiences after arriving in the US do not always support their rights, recovery or healing. In fact, Central American ...


New Payment Methods And Delivery System Reforms Can Support Sustainable Funding For Community Health Worker Services, Katharine London 2018 University of Massachusetts Medical School

New Payment Methods And Delivery System Reforms Can Support Sustainable Funding For Community Health Worker Services, Katharine London

Commonwealth Medicine Publications

Extensive evidence shows that Community Health Workers (CHWs) can help health systems meet the triple aim: improve population health, improve quality of care and contain costs, while also promoting health equity and community engagement. However, most CHW programs are grant funded, and when the funding ends, the program ends.


Making The Case For Sustainable Funding For Community Health Worker Services: Talking To Payers And Providers, Katharine London 2018 University of Massachusetts Medical School

Making The Case For Sustainable Funding For Community Health Worker Services: Talking To Payers And Providers, Katharine London

Commonwealth Medicine Publications

In this presentation, Katharine London of the Center for Health Law and Economics makes her case for offering sustainable funding for community health worker services. Research has shown community health workers can have a distinct impact on health systems, helping them improve population health and contain costs, while also promoting health equity and community engagement.

This presentation was designed to assist CHWs and other advocates in engaging with policymakers and payers to support CHW sustainability and develop a financial plan for their CHW work. It was presented as part of a CHW Sustainability event held at the Families USA’s ...


The Kentucky Medicaid Waiver Penalizes Enrollees For Emergency Room “Misuse”, Rebecca Laes-Kushner 2018 University of Massachusetts Medical School

The Kentucky Medicaid Waiver Penalizes Enrollees For Emergency Room “Misuse”, Rebecca Laes-Kushner

Commonwealth Medicine Publications

Kentucky’s 1115 Medicaid Waiver, approved by CMS on January 12, 2018, uses small financial incentives and punishments to try to change the behavior of enrollees.

Enrollees in Kentucky’s Medicaid program, Kentucky HEALTH (Helping to Engage and Achieve Long Term Health), will receive virtual accounts, called a My Rewards Account, into which credits will be placed for their positive activities related to health (completing health risk assessment - $25) and careers (passing the GED - $50). The credits can be used to pay for certain services not covered by health plans, such as vision and dental services.

However, members’ accounts will ...


An Ambivalent Embrace: Service Needs And Gaps For Asian Immigrants In New Destinations, John J. Chin 2018 Hunter College, City University of New York

An Ambivalent Embrace: Service Needs And Gaps For Asian Immigrants In New Destinations, John J. Chin

Journal of Health Disparities Research and Practice

Asian immigrants to the U.S. are settling in "new destinations," but there has been little research on their health care and social service needs. Our analysis of Census data to identify cities with the fastest Asian immigrant population growth (1990-2000) yielded 33 smaller cities in 13 states. The cities ranged in population from 7,677 to 86,660; were spread across 13 states in the Northeast, South, and Midwest regions of the US; and varied widely demographically. Pilot surveys conducted in 2009 indicated that, although many residents had positive attitudes towards immigrants, many were also concerned about job competition ...


Australia: Prevention Of Tobacco Use And Cigarettes, Shemal Sarma 2018 Augustana College, Rock Island Illinois

Australia: Prevention Of Tobacco Use And Cigarettes, Shemal Sarma

Global Public Health

The use and abuse of Alcohol and Tobacco are two concerns of public health care system in Australia. In 1995, 3.2 adults in Australia were identified at risk of developing chronic conditions from smoking tobacco. This was equivalent to around 23.5% of the adult population (quitnow). Tobacco is associated with an increased risk of a wide range of health conditions, including heart disease, diabetes, stroke, cancer, renal disease, eye disease and respiratory conditions such as asthma, emphysema and bronchitis. Higher infant and young adult mortality rate. Tobacco products are also linked to habitual forming good making the user ...


“When One Shingle Sends Up Smoke”: The Summit Beacon Advises Akron About The Epidemic Cholera, 1849, Elizabeth Hall 2018 The University of Akron

“When One Shingle Sends Up Smoke”: The Summit Beacon Advises Akron About The Epidemic Cholera, 1849, Elizabeth Hall

Nineteenth-Century Ohio Literature

Elizabeth Hall explains the American cholera epidemic of 1849, with special attention to how cholera afflicted Akron, a booming canal town in Northeast Ohio. The article presents the full text of 1849 Akron newspaper articles on cholera and explains how their mix of good and bad information was published right before scientific breakthroughs in cholera research.


So Many Hospitals, So Little Information: How Hospital Value Based Purchasing Is A Game Of Chance, Andrew I. Friedson, William C. Horrace, Allison F. Marier 2018 University of Colorado, Denver

So Many Hospitals, So Little Information: How Hospital Value Based Purchasing Is A Game Of Chance, Andrew I. Friedson, William C. Horrace, Allison F. Marier

Center for Policy Research

As part of the Patient Protection and Affordable Care Act, participating Medicare hospitals have part of their Medicare reimbursements withheld and then redistributed based on quality performance. The Hospital Value Based Purchasing reimbursement plan relies partly on ordinal rankings of hospitals to determine how money is distributed. We analyze the quality metric distributions used for payment and show that there is not enough information to reliably differentiate hospitals from one another near the payment cutoffs; and conclude that a large part of the payment formula is driven by sampling variability rather than true quality information. Alternative reimbursement plans are developed.


Increasing Access To The James River Park System: A Community Roadmap With The Blackwell, Oak Grove, And Bellemeade Neighborhoods, Max A. Ewart 2018 Masters of Urban and Regional Planning

Increasing Access To The James River Park System: A Community Roadmap With The Blackwell, Oak Grove, And Bellemeade Neighborhoods, Max A. Ewart

Master of Urban and Regional Planning Capstone Projects

Natural Parks like the James River Park System offer a host of benefits. They improve our mental health, make us better environmental stewards, Improve socialization, and make a healthier population by lowering the rates of asthma, obesity and hypertension. These public health outcomes disproportionately impacts minority communities in the City of Richmond, a population that visits the James River Park System at a lower rate than white communities do. This plan identifies the barriers preventing access for minority communities and gives recommendations to improve access in the City of Richmond.


Paid Parental Leave In The United States: Reconciling Competing Demands, Sydney Joseph 2018 Claremont Colleges

Paid Parental Leave In The United States: Reconciling Competing Demands, Sydney Joseph

CMC Senior Theses

The United States is the only developed nation that fails to provide its citizens with paid parental leave. The lack of parental benefit provision operates to the detriment of individuals and society as a whole by contributing to inequity across gender, race, socioeconomic status, and sexual orientation. As the demographics of the American workforce have changed, public policy has not kept pace. Paid parental leave is associated a number of health, economic, and social benefits. However, the greatest barrier to legislating paid parental leave is the philosophical underpinnings of American politics, specifically the strong current of liberal individualism and absence ...


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