Digital Commons Network^™

Social Needs Screenings Programs: Factors For Success, Varun Jayanti, Akshay Krishnan, Zachary Goldberg, Md, David Nash, Md, Mba

Health Equity and Quality Improvement (HEQI) Summit

Abstract

Introduction: In January 2024, the Centers for Medicare and Medicaid Services (CMS) implemented Health Quality Measure (HQM) 487, which required participating hospitals to annually screen admitted patients for the 5 domains of the Social Determinants of Health (SDOH). These requirements allowed hospitals to develop individualized, but compliant, screening programs. Previous SDOH screening research has focused on measurement tools, but not the mechanisms of screening present in various hospitals.

Research Objectives: This study will investigate the mechanism(s) for a social needs screening program (which is reflective of underlying SDOH disparity) in a large, multi-hospital academic health system in the Northeastern …

Key Stakeholder Perceptions Of Doula Support For Persons With Perinatal Opioid Use Disorder, Meghan Gannon, Phd, Msph, Dennis Hand, Phd, Vanessa Short, Phd, Taylor Carrubba, Grace Thiele, Samantha Pancoe, Sarah Lawson, Nadia H-Yazdi, Phd, Scott Keith, Phd, Diane Abatemarco, Phd

Health Equity and Quality Improvement (HEQI) Summit

Background

• Maternal child health disparities are prevalent among pregnant and parenting women in treatment for opioid use disorder (OUD).
• Doulas have been utilized as a perinatal support in other vulnerable populations to increase healthcare utilization and improve birth outcomes.
• While research demonstrated that doula services can be feasibly implemented for populations experiencing poverty and trauma, there are limited studies to support that this could be true for patients with OUD as well.

Developing A Taskforce To Improve Digital Health Equity, Samuel Wilson, Natalia Queenan, Julianna Lenoir, Alexzandra Gentsch, Jay Trivedi, Rohith Tudi, Nikita Nair, Akshay Krishnan, Andrew Vanichkachorn,, Tien Vu, Alexandra Cohen, Eleanor Jenkins, Marissa Witmer, David Rigas, Jeffrey Ndubisi, Isabella Muti, Kristin Rising, Md

Health Equity and Quality Improvement (HEQI) Summit

Our Population

• Thomas Jefferson University Hospital (TJUH) is a tertiary care center and L1 trauma center, and we serve patients from all areas in Philadelphia for acute health crises
• In Philadelphia, major disparities exist regarding health factors and health outcomes
• When stratifying by neighborhood or zip code, these disparities become even more apparent
• Several studies have also shown that these geographic demarcations coincide with racial disparities for access to health resources, like primary care physicians, COVID-19 vaccinations, and public health interventions
• Accessibility of health resources for our inpatients is thus highly variable.

Socioeconomic Status And Comorbidity Burden Influence On Mortality Index In Spinal Neurological Surgery Operations, Carey Preston, Bs, Pious Patel, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

• Pre-existing comorbidities are generally thought to increase risk of undergoing surgical procedures
• Low socioeconomic status (SES) has been correlated with increased comorbidity burden previously
• Patients with low SES undergoing spinal neurological surgery operations may have existing comorbidities that impact expected surgical outcomes
• Vizient Inpatient Mortality uses pre-existing comorbidities during an inpatient stay to estimate post-operative expected mortality
• With increased comorbidity burden, expected mortality in low SES patients may not be accurately represented by

Identifying Inappropriate Dual Anti-Platelet Therapy (Dapt) Utilization In The Outpatient Setting, Youssef Elfatatry, Julia Palecki, Nevin Varghese, Amry Majeed, Alexis Wickersham

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement:

• Dual anti-platelet therapy (DAPT) is a cornerstone in management of many cardiovascular and cerebrovascular conditions; however, inappropriate and prolonged use can lead to increased bleeding risk. Despite guidelines on optimal DAPT duration for various clinical scenarios, a proportion of patients receive inappropriately extended courses of therapy, exposing them to unnecessary risk.

Project AIM:

• We aim to (1) identify inappropriate DAPT use using established clinical guidelines at two academic primary care clinics and (2) develop and implement a targeted best practice advisory (BPA) in EPIC to address gaps in adherence to DAPT guidelines to enhance patient safety and …

Quemando Leña En Guatemala: Salud, Sostenibilidad Y Costumbres, Sydney Underhill

World Languages and Cultures Senior Capstones

In the Central American country of Guatemala, firewood is an important fuel source. Eighty-eight percent of households in rural areas use wood stoves and open fires to cook and heat their homes. This tradition has fundamental roots in the culture and customs of Guatemala. Unfortunately, these methods contribute to air pollution. Consequently, it also results in smoke inhalation, which causes health problems. Additionally, the massive agriculture of other crops decreases the amount of firewood available to these households, affecting the sustainability of the resource. Some communities resist changing their use of firewood due to the profound nature that firewood holds …

The Effects Of Burnout And Secondary Trauma On Parole Officers Working With Elderly Inmates, Kiley Leeann West

Theses and Dissertations

The purpose of this study was to understand the impact of working with aging inmates on parole officers. Overall, previous research has shown those who work with parolees experience secondary trauma and burnout due to long contact hours, and lack of job training and resources. Research, however, has been limited on parole officers who work with the elderly offender population. Arguably, older inmates face unique obstacles that are in addition to the general offender population such as chronic health conditions, physical disabilities, and lack of family support. As the number of elderly parolees continues to increase, parole officers who work …

Seeing Is Believing: Religious Views, Perceptions Of Pollution, And Environmental Attitudes, Katelynn (Sage) Shadoan

Department of Sociology: Dissertations, Theses, and Student Research

This study explores the intersection of religious beliefs, perceptions of pollution, and environmental attitudes among Americans. Drawing upon Lynn White's seminal argument regarding Christian theology and its implications for environmental stewardship, this research investigates the role of biblical literalism in shaping environmental attitudes, particularly among conservative Christians. Using nationally representative survey data and logistic regression models, the study examines how the perceptions of pollution moderate the effects of views of the Bible on environmental concern. The findings reveal that while perceived pollution exposure is strongly associated with environmental attitudes, it does not moderate the association between biblical literalism and environmental …

Student-Parent Needs: A Study At Coastal Carolina University, Breton Poster

Honors Theses

This article focuses on Student-Parents as an under-represented group on Coastal Carolina University’s (CCU) campus. Student-Parents face many additional difficulties in their college experience, compared to traditional students. The goal of this study is to bring attention to the needs of student-parents on CCU’s campus and determine how certain stress factors related to being a student-parent can influence their college experience. We found that a majority of student-parents on CCU’s campus faced high levels of financial stress, academic stress, and social stress. As a result, we suggest providing additional resources for student-parents to use on CCU’s campus to help combat …

Improving Primary And Gynecological Care In Transmasculine Patients, Alison N. Mautner, Joanna Petrides

Rowan-Virtua Research Day

Introduction: This study aimed to assess the healthcare experiences of transmasculine individuals in primary and gynecological care settings. An online, anonymous survey was conducted to gather insights into positive and adverse encounters, factors influencing care-seeking behaviors, and strategies for improving care delivery in this population.

Methods: A survey was administered between June 1st and July 23rd, 2023, recruiting participants from three LGBTQ+ affirming healthcare offices in South Jersey and via Reddit. Data analysis involved SPSS to gain information from 499 valid responses.

Results: The majority of participants (55%) were aged 18-24, with 51% identifying as transgender men. Over two-thirds (68.5%) …

The Impact Of The Covid-19 Mask Mandate On Effective Communication Between Healthcare Providers And Deaf/Hoh Patients, Antonia J. Conti, Alexa Gingerich

Rowan-Virtua Research Day

During the peak of the COVID-19 pandemic, many countries mandated the use of facial masks in public environments, especially in healthcare settings.[3] While this was beneficial in reducing the spread of the coronavirus disease, it created many challenges for the deaf/HoH community.[4] In particular, it limited effective communication between healthcare providers and deaf/HoH patients. It was found that masks limit word recognition for both deaf/HoH and non-deaf/HoH individuals. Additionally, both surgical and N95 masks hinder word recognition for deaf/HoH individuals and significantly impact communication during medical appointments.

Investigating Risk Factors Contributing To The High Incidence Of Covid-19 Among The Diné People Of The Navajo Nation, Elizabeth Lila Reynolds

Rowan-Virtua Research Day

Background: COVID-19 became international news in December 2019 and subsequently impacted global health. The research shows that the Diné people of the Navajo Nation were one of the most severely impacted populations¹. The Navajo Nation is a region spanning Arizona, New Mexico, and Utah that is composed of North American indigenous people known as the Diné. Purpose: To explore the risk factors contributing to the increased rates of COVID-19 infection and severity of infection among the Diné people. Methods: This literature review research process utilized PubMed and JAMA to find scholarly articles on this topic. Search terms …

Lep Prevalence In Southern New Jersey And The Use Of Interpreting Services In Healthcare Settings, Katherine Chavarria, Ariana Blake, Marlyn Valentin

Rowan-Virtua Research Day

Language barriers pose a great challenge to populations of Limited English Proficiency (LEP) in understanding their health, diagnosis, and treatments in healthcare settings. Our research aimed to gain a better understanding of the language access needs in Southern New Jersey. We analyzed census data in order to determine the prevalence of LEP populations in Southern New Jersey, as well as the languages most spoken by LEP populations. Additionally, our research looked at the use of interpreting services in healthcare settings. In Camden county, specifically we found that the top 3 languages spoken by LEP populations were Spanish, Vietnamese, and Chinese. …

Evaluation Of Unexplained Bone Fractures In A 3-Month-Old Infant – A Case Report, Hannah Ngo, Rachel Silliman Cohen

Rowan-Virtua Research Day

Child physical abuse is a significant cause of injury in infants and young children and can present in a variety of ways. Failure to recognize abuse in infants and young children can be life-threatening and is often recurrent until safety interventions occur. Consequently, it is of paramount importance that providers strongly consider child physical abuse on the differential, along with metabolic bone disease and accidental traumatic injury, when evaluating fractures in young children and infants. This case report will focus on the evaluation of a 3-month-old male infant who was admitted to the hospital with irritability and decreased right arm …

Review Of Missing Data Elements For Client Enrollment In The Minority Aids Initiative For High-Risk Men Of Nj, Vrushank Shah

Rowan-Virtua Research Day

The Minority AIDS Initiative study funded in NMI seeks to enhance healthcare outcomes for underserved individuals. Implementing outreach programs, the initiative provides healthcare and post-treatment follow-up to this demographic. The proposed project, a component of this study, concentrates on individuals with substance abuse disorder, specifically targeting those who have been onboarded but subsequently lost to follow-up. In the United States, approximately 20 million people are diagnosed with substance abuse disorder, yet in 2016, only 3.8 million received treatment. Within this cohort, between 20% and 70% of individuals undergoing residential substance abuse treatment disengage before completion. Various factors hinder the sustained …

Unveiling The Impact: Structural Racism And Childhood Lead Exposure's Health Consequences In Philadelphia, Mahhum Naqvi, Mahrukh Naqvi, Justin Stout, Colton Spencer

Rowan-Virtua Research Day

Childhood lead exposure poses a significant risk to health and well-being, adversely affecting brain function, nervous system development, and behavioral patterns. This study examines the health disparities and inequities associated with childhood lead exposure in Philadelphia, focusing on structural racism and residential segregation as crucial lenses for analysis. By delving into the sociocultural context of lead exposure, this study underscores the imperative of collaborative efforts among stakeholders to safeguard Philadelphia's most vulnerable populations. Healthcare professionals and policymakers play pivotal roles in enhancing funding and prevention strategies. Addressing this issue through the prism of structural racism allows for the identification and …

Colorblind Racial Attitudes And Emotion Dysregulation: Impact On White People’S Ethnocultural Empathy And Feelings Towards People Of Color, Vanessa L. Veltre, Alissa Hochman

Rowan-Virtua Research Day

Colorblind racial attitudes, which minimize the importance of race, have been identified as a barrier to understanding systemic racism and fostering empathy towards people of color (POC). This study aimed to examine the relationship between emotion dysregulation and White people's ethnocultural empathy and warmth towards people of color, and to explore the potential moderating role of colorblind racial attitudes.

The study utilized data from 511 White participants (ages 19-50) who completed the Difficulties in Emotion Regulation Scale (DERS), Colorblind Racial Attitudes Scale (CoBRAS), Scale of Ethnocultural Empathy (SEE), and a feeling thermometer scale measuring warmth towards POC. Participants were categorized …

Cost-Effectiveness And Outcomes Of Utilizing Tisagenlecleucel Therapy (Car T-Cell) In Pediatric Acute Lymphoblastic Leukemia In Comparison To Standard Of Care (Soc) Therapies: A Scoping Review, Andrew Atschinow, Evangeline Attota, Warren Chan, Pooja Kasarapu, Priyal Shah, Karina Vizzoni

Rowan-Virtua Research Day

Aims

This review aims to assess the correlations between outcomes and cost of treatment methods for pediatric acute lymphoblastic leukemia patients, specifically comparing CAR T-cell therapy and Standard-of-Care (SoC) therapy. The socioeconomic background of patients will also be taken into consideration to see if there are differences in their outcomes.

Methods

Peer-reviewed publications were collected from PubMed and Web of Science. The keyword strings used were “acute lymphoblastic leukemia,” “pediatric acute lymphoblastic leukemia,” “pediatric,” “CAR T-cell therapy,” and “cost-effectiveness.” 27 citations were obtained. Titles were screened by 6 authors. Articles met the inclusion criteria including potential Quality-Adjusted Life Year (QALY) …

Relationship Between Caregiver Burden And Socioeconomic Status, Nikitha Pappachen, Maithri Goud

Rowan-Virtua Research Day

In this study, caregiver burden measures the psychosocial strain a caregiver experiences as a result of caring for a person with autism. In addition, this study focuses on the effect of socioeconomic status on caregiver burden. A previous study found an association between lower primary caregiver education level and more sleep problems for children with autism³. Thus, the finding focuses on the child with autism as opposed to the caregiver burden. Other studies focus on elements that affect caregiver burden such as sleep quality, mental health, and cultural aspects. If it is known that socioeconomic status significantly affects …

Overcoming Disparities In The Treatment Of Alzheimer’S Disease, Christian Gamboa, Tribhuvan Lanka, Elaine Flowers, Nayarith Lopez

Rowan-Virtua Research Day

Background: Deaths due to Alzheimer’s have been increasing at an exponential rate for the last 24 years, with an astounding 145% increase between the years 2000-2024. Early detection is key to slowing down the rate of decline. Unfortunately, Latino and African American individuals delay seeking care, which predisposes them to worse outcomes. To date, socioeconomic limitations are the main factors leading to delayed care in Latino and African American communities. A service project was developed with the aim of addressing limitations that result in delays to seeking care within Latino and African American communities.

Methods: A systematic review of available …

Exploring Hypertension Prevalence Among Ill-Housed Individuals In Urban Environments, Lia Summer Goldberg, Sameer Shah, Nikhila Archakam, Murod Khikmatov, Kesha Choksi, Anddee White

Rowan-Virtua Research Day

This study explores the interrelations of hypertension, homelessness, and access to healthcare in urban ill-housed populations. It was found that conditions such as heart disease and diabetes significantly exacerbate hypertension, which remains highly prevalent due to the population's limited access to consistent medical care. Homelessness further complicates the management of hypertension due to unstable living conditions, making adherence to treatment and follow-up with healthcare providers challenging. Additionally, factors like higher rates of substance abuse and malnutrition among homeless populations contribute to worsening hypertension, which, if untreated, can lead to severe health crises including heart attacks and strokes.

The research underscores …

Pros, Cons, And The Barriers To Implementing A Universal Healthcare System In The United States, Arpun Shah

Rowan-Virtua Research Day

Background: The United States has the most expensive healthcare system in the world. Despite that, it also has worse health outcomes than that of several other countries. The United States is also the only wealthy/developed country without universal healthcare. Universal healthcare, also known as a single-payer healthcare system, refers to the concept that the government finances and governs healthcare for most, if not all residents of the country. The United States currently has a multi-payer system, which means that healthcare is financed through various sources such as the public and private sectors. Purpose: The purpose of this is …

Association Between Cultural Factors And Postpartum Depression, Usha Modukuru

Rowan-Virtua Research Day

Postpartum depression (PPD) is present in 17.22% of the world population. The negative physical and psychological impacts of PPD impact not only the mother, but also those around her. This raises the importance of identifying factors contributing to its onset. Studies have shown that PPD prevalence rates vary between non-Western and Western regions of the world. Cultural postpartum practices differed significantly region to region. Search terms including postpartum depression and cultures were used to find peer-reviewed articles, primary surveys, and patient interviews between 2013-2023. Qualitative analyses were performed on the results. Ethnokinship cultures, commonly present in non-Western countries, prioritized social …

Is There An Association Between Living In A Rural Area And The Incidence Of Postoperative Complications Or Hospital Readmissions Following Left Ventricular Assist Device (Lvad) Implantation, Compared To Urban Lvad Recipients?, Samrat Gollapudi, Abhiram Gollapudi, Srinidhi Banala, Sheraj Singh, Bhaumik Patel

Rowan-Virtua Research Day

Background: Left ventricular assist devices (LVADs) are utilized as a therapeutic option for patients with end-stage heart failure. While LVAD implantation can significantly improve survival rates and quality of life, the procedure is not without risks, and postoperative complications are common. This review aims to investigate whether there is an association between living in a rural area and the incidence of postoperative complications or hospital readmissions following LVAD implantation, compared to urban LVAD recipients.

Methods: A comprehensive review of the literature was conducted, examining studies that compared postoperative outcomes between rural and urban LVAD recipients. Data were extracted on adverse …

A Brief Overview Of Food Insecurity In Southern New Jersey, Lisa Ting Huang, Krisha Darji, Jariatou Diallo, Amin Abdul Khan

Rowan-Virtua Research Day

Atlantic County, located off the Jersey Shore, faces the highest level of food insecurity in New Jersey, with a rate of 11.2% as of 2021, surpassing the state's overall rate of 8.8%. This situation contributes to health issues such as hypertension, diabetes, and heart disease.

The objective of this research is to understand and address the persistence of food insecurity in Atlantic County. Community stakeholders and local physicians were interviewed to identify barriers and disparities contributing to food insecurity.

Methods included a literature review using keywords like "food insecurity" and "southern New Jersey". Proposed interventions suggest collaboration with health centers …

Addressing The Black Maternal Mortality Rate, Kennedy Sanders, Venkateswar Venkataraman, Kate Whelihan

Rowan-Virtua Research Day

Introduction: As of 2021, the Black maternal mortality rate in the United States was 69.9 deaths per 100,000 live births as compared to the national average of 32.9 and the White American average of 26.61. It has been demonstrated that this discrepancy is not fully explained by socioeconomic status. Doulas are professionals who provide support and guidance throughout pregnancy, birth, and early parenthood. Encouraging the use of doulas may be an effective approach to improve the birth experience for Black mothers. Methods: A literature review was performed using PubMed and the following search strings: maternal mortality rate (+race, +race +ethnicity, …

Sunscreen Cost And Its Effect On Skin Cancer In Low-Income Communities: A Systemic Review, John Sauer

Rowan-Virtua Research Day

This research examines the pivotal connection between sunscreen affordability and its impact on skin cancer prevalence, especially in low-income communities. Despite universal dermatological recommendations for daily sunscreen use, stringent criteria contribute to elevated prices, averaging around $10 for a 6 oz unit. This financial strain is compounded for families adhering to recommended application rates, leading to significant economic burdens. Outdoor laborers, less likely to follow guidelines, face heightened risks. Government programs' excluding sunscreen costs further exacerbate challenges for low-income communities, contributing to increased skin cancer incidence. This review aims to establish a correlation between sunscreen cost and skin cancer rates, …

Barriers To Healthcare Access Between English And Spanish Speakers In An Underserved Population, Adeena Javed, Dale Johnson, Gerardo J. Rivera-Colón, Nathaniel J. Byrnes, Kristin Bertsch, Anne C. Jones

Rowan-Virtua Research Day

• According to the NJ State Department of Health, Atlantic County has higher rates of smoking, respiratory disease, hypercholesterolemia, as well as death rates due to coronary heart disease, HIV, and all cancers compared to the NJ state average1,2.

• With over 20% of Atlantic County's population identifying as Hispanic, Spanish speakers encounter greater obstacles compared to their English-speaking counterparts in accessing healthcare services and improving health outcomes1,2 .

• Existing research indicates that various factors, including health insurance coverage, proximity to healthcare facilities, transportation options, health literacy levels, and trust in the medical profession, significantly influence access to healthcare …

Hi My Name Is: A Film On The Sources And Consequences Of Labeling The Black Identity In America, Hannah Mitchell

Undergraduate Theses

This project aims to explore how formal and informal labels given to Black people in the United States impact Black people’s self-perceptions, with attention to how intersectional identities (e.g. queer, person with disability) can complicate those impacts. Labeling theory (Cullen, 1976) provides the theoretical lens to explore how the Black identity, and Black people in this country, are threatened by externally assigned and internally actualized labels. Data is presented in the form of a film compiled from video interviews with 12-15 Black individuals. Participants were recruited in a purposive manner with intersectional identity traits in mind (e.g. age, gender identity, …

Social Identity Theory In Emergency Response Organizations, Erik J. Litzenberg

Health, Exercise, and Sports Sciences ETDs

Emergency response organizations operate in an increasingly complex environment and could benefit from further understanding of culture. While there is not a single measure of culture, Social Identity Theory (SIT) examines the effect of group informed identities on individual perceptions and group participation. The purpose of this study was to explore SIT as it relates to emergency response organizations. A survey was shared with responders across the United States; a total of 397 responses were collected and analyzed. Social identification and groupness scores were relatively high (Mean = 5.40 on a scale of 1-7; Mean = 7.29 on a scale …