Medicine and Health Sciences Commons^™

Does Medicaid Crowd Out Other Public Health Spending? Projecting Aca’S Health & Economic Effects, Glen P. Mays

Glen Mays

Research Objective: Twenty-six states are expanding Medicaid eligibility under the Affordable Care Act (ACA) in 2014, and while federal funds cover most costs for newly eligible recipients, states must share the additional costs of covering previously-eligible state residents who newly enroll in Medicaid in response to ACA’s expanded outreach and enrollment incentives. States, together with their local government counterparts, also provide the vast majority (87%) of public sector funds for public health programs designed to promote health and prevent disease and injury on a population-wide basis. Fiscal constraints and generous federal matching funds create strong budgetary incentives for states to …

Maximizing Roi: Laboratories And The Value Of Next-Generation Public Health, Glen P. Mays

Glen Mays

Laboratories serve as information engines for the public health enterprise, and their importance to population health improvement is likely to grow considerably under U.S. health reform. This session will examine the changing landscape of public health responsibilities within a reforming U.S. health system, and the current and potential roles for public health laboratories in improving the health and economic value of investments in public health. The session examines key changes in the organization, financing, and delivery of public health services that are occurring through innovations to better integrate public health and medical care delivery, and the current and potential roles …

Application Of Remotely-Sensed Data For Modeling Malaria Infection In Lokoja, Nigeria, Fanan Ujoh Ph.D, Olarewaju Oluseyi Ifatimehin Ph.D

Dr. Fanan Ujoh

Aims: To estimate incidences of malaria infection in an urban setting using Remotely sensed data and matching same with hospital records to validate the use of Remote sensing data as a methodology for studying the prevalence of malaria.

Study Design: Analyses of 2006 Nigeriasat-1 and Land sat ETM+satellite data for modeling malaria infection.

Place and Duration of Study: Lokoja, Capital city of Kogi State in Central Nigeria, between March 2012 and January 2013.

Methodology: Extraction of land use types, NDVI and LST maps using ILWIS 3.3 and Idrisi software. Cross tabulation of extracted maps to carry out correlational analyses while …

Practice-Based Learning: Opportunities And Implications For Stem Education, Glen P. Mays

Glen Mays

This presentation examines how practice-based research strategies have been used to produce new knowledge and stimulate learning about how to improve the organization, financing, and delivery of public health services. I consider how practice-based research strategies can be adapted to advance knowledge and practice related to science, technology, engineering and mathematics (STEM) education and application.

Public Health Services & Systems Researchand The Reforming U.S. Health System, Glen P. Mays

Glen Mays

This session reviews progress in the field of public health services & systems research (PHSSR), with a specific focus on findings that can inform the implementation and impact of health reform strategies on the U.S. public health system.

Producing Population Health: Collective Action Requires Infrastructure, Incentives And Evidence, Glen P. Mays

Glen Mays

Population health improvement strategies are collective action problems that require targeted infrastructure, incentives, and information to succeed. Research on collective action problems and solutions in public health and other spheres of practice offer insight for the successful scale and spread of population health innovations.

Analysis Of The Spatial Distribution Of Health Facilities In Benue State, Nigeria, Fanan Ujoh Ph.D, Felix Kwaghsende Mr

Dr. Fanan Ujoh

The provision of adequate and equitable basic health services is becoming increasingly difficult due to rapid population growth, rising poverty levels and lack of available resources. One of the imperatives of health care provision is a concern for both social and spatial justice. This study is an attempt to examine the spatial distribution of health facilities in Benue State. The perspective taken is spatial and focuses on the problem of inadequacy and inequality of public health facilities among populations in Benue state. Health infrastructure provision within the State is analyzed along three lines: between Local Government Areas (LGAs) of the …

Creating Learning Systems: Lessons From Public Health Practice-Based Research Networks, Glen P. Mays

Glen Mays

Practice-based research networks (PBRNs) provide powerful mechanisms for implementing research studies that evaluate the health and economic effects of delivery system innovations. This presentation reviews strategies, emerging findings, and lessons learned from PBRNs and related studies conducted in U.S. public health settings. We give special focus to studies that examine multi-organizational and cross-sectoral strategies for population health improvement.

Electronic Health Records: Cure-All Or Chronic Condition?, Chris Kimble

Chris Kimble

Computer-based information systems feature in almost every aspect of our lives, and yet most of us receive handwritten prescriptions when we visit our doctors and rely on paper-based medical records in our healthcare. Although electronic health record (EHR) systems have long been promoted as a cost-effective and efficient alternative to this situation, clear-cut evidence of their success has not been forthcoming. An examination of some of the underlying problems that prevent EHR systems from delivering the benefits that their proponents tout identifies four broad objectives - reducing cost, reducing errors, improving coordination and improving adherence to standards - and shows …

Health Reform Implementation: Update And Implications For Kentucky, Glen P. Mays

Glen Mays

This talk reviews the progress of health reform implementation in Kentucky with a focus on opportunities for aligning systems for medical care, public health, and social support delivery to improve population health.

Unifying Systems For Population Health: Infrastructure, Incentives & Evidence For Collective Action, Glen P. Mays

Glen Mays

This presentation, part of the SBM Presidential Symposium on Aligning Family, Clinical, and Community Systems, reviews the collective action problems that are commonly encountered in implementing multi-sector population health improvement strategies, and examines research on ways of using public health strategies and infrastructure to overcome these problems.

Catastrophic Incident Search And Rescue Lessons From The 2013 Colorado Floods, Thomas Miner, Richard N. Bradley

Richard N Bradley

The response to the Colorado floods is a textbook example of how to respond to catastrophic disasters Responders from hundreds of different organizations came together to form a single coordinated, unified command structure that resulted in the rapid and effective evacuation and rescue of hundreds of people in just three days. Local responders performed hundreds of highly dangerous rescues during the height of the storm. They established incident command at the county level using type 3 incident command teams. When they realized they were facing an unprecedented storm with catastrophic damage they asked for help and state and federal responders …

Workshop: Organizing Community-Engaged Scholarship To Improve Population Health, Glen P. Mays

Glen Mays

This workshop for researchers in the health and human services fields examines strategies for organizing community-engaged and practice-based research studies focused on improving population health.

Harnessing Community Engaged Scholarship For Collective Action To Improve Population Health, Glen P. Mays

Glen Mays

The growing body of theoretical and empirical scholarship on collective action problems offers important lessons about strategies for improving health on a population-wide basis.

Public Health Services & Systems Research: Current State Of The Field, Glen P. Mays

Glen Mays

New research is continuing to reveal pathways for improving health and reducing health disparities at reasonable costs through multi-sector public health strategies.

Developing Service Delivery Measures For Studies Of Practice Variation: The Mprove Study, Glen P. Mays

Glen Mays

The Multi-Network Practice and Outcome Variation (MPROVE) Study supports investigations of the causes and consequences of variation in public health service delivery through collecting a standardized set of delivery measures across more than 300 local practice settings in 6 states. The measures characterize volume, intensity, quality, efficiency, and equity of service delivery in three core domains of chronic disease prevention, communicable disease control, and environmental health protection.

The Public Health Pbrn Program: A Status Update, Glen P. Mays

Glen Mays

As of 2014 the Robert Wood Johnson Foundation's Public Health Practice-Based Research Networks Program has engaged more than 1600 U.S. public health agencies in research production and application, generating more than 60 ongoing and completed empirical studies, 70 peer-reviewed publications, and 200 presentations and professional and scientific meetings.

Mental Health, Public Health And Public Policies: The Same But Different - Editorial - (In Spanish), Diego A. Bernardini

Diego Bernardini MD, PhD

No abstract provided.

Public Health Services & Systems Research Inventory, Ann V. Kelly, Anna G. Hoover, Glen P. Mays

Glen Mays

This inventory summarizes research projects funded through the Robert Wood Johnson Foundation's Public Health Services & Systems Research (PHSSR) program, including studies supported by the National Coordinating Center for PHSSR, the Public Health Practice-Based Research Networks Program, and the National Network of Public Health Institutes.

Obstetric Emergencies, Si Lay Khaing

Khaing Si Lay

Life Saving, The obstetric patient is unique in medicine as two or more lives are involved with the challenge of needing to balance the sometimes conflicting interests of the mother and her fetus within a pregnant physiology.

Strengthening The Science Of Public Health Delivery: Complexities In Implementation, Inference & Translation, Glen P. Mays

Glen Mays

Delivery systems for public health programs and policies are diffuse and heterogeneous across the U.S., reflecting wide variation in the capacity to implement population-level health improvement strategies. This lecture examines strategies for evaluating the causes and consequences of variation in public health delivery across the U.S., with a focus on identifying pathways for improving the health and economic effects of policy and practice.

Non-Profit Hospitals And Community Benefits: A Comprehensive Analysis, Andrew Parks, Cezar Brian C. Mamaril, Glen P. Mays

Cezar Brian C Mamaril

No abstract provided.

The Status Of Public Health Services & Systems Research In The U.S.: Implications For British Columbia, Glen Mays

Glen Mays

Research on the organization, financing, and delivery of public health services has accelerated in the U.S. in recent years. This applied scholarship has been fueled in part by the changes and natural experiments created by global economic recession and by comprehensive federal and state health reforms. Co-occuring changes in public health organization and financing have occurred in Canada and more specifically in British Columbia, where valuable scholarship on public health delivery is also underway. This presentation reviews the progress and current directions of PHSSR scholarship in the U.S., and identifies opportunities and implications for British Columbia.

Global Health Program: Experiences From The School Of Nursing, Michelle A. Cole, Shery Watson, Eileen Yost

Eileen Yost

Hosted by Majid Sadigh, MD, Director of the Global Health at Danbury Hospital/WCHN. Presented by: Michelle Cole, DNP, MSN, RN; Assistant Professor/Guatemala Missions Coordinator Shery Watson, PhD(c), MSN, RN; Clinical Assistant Professor/Jamaica Missions Coordinator Eileen Yost, PhD(c), MSN, RN-C; Clinical Assistant Professor/Guatemala Missions Coordinator.

Oral Health Access And Service Utilization Of Foster Care Alumni, Ann Carrellas, Angelique G. Day

Angelique G Day

This mixed method study examines factors related to poor access to oral health care of young adults who have transitioned from foster care. Foster youth who left care without support were 4.7 times more likely and young women were 3.4 times more likely to have unmet dental needs. Interviews and focus groups supported the lack of oral health care many of these youth experience upon exiting foster care. Most states’ Medicaid programs do not provide comprehensive dental care for adults past the age of 20 and this is not changed by the Patient Protection and Affordable Health Care Act of …

The Qigong And Quality Of Life Trial: Implications For Women In Cancer Survivorship Phase, Siew Yim Loh Assoc Prof

Siew Yim Loh

Background: Qigong is widely acknowledged by Asian breast cancer survivors as a potent health-promoting physical activity. This study investigated the hypothesis that quality of life (QoL) in the Qigong group is better than the placebo (aerobic) or usual care group. Methods: 197 participants were randomly assigned to either the 8-week Qigong, Placebo or Usual care (control) group. Measurement taken at baseline and post-intervention included QoL, distress and fatigue. Analysis of Covariance (ANCOVA) and Kruskal Wallis were used to examine for differences between groups of the measurements. Results: 95 consented participants completed the 8 week trial. The adherence rate for Qigong …

Applying A Causal Road Map In Settings With Time-Dependent Confounding: Commentary On “The Parametric G-Formula For Time-To-Event Data: Toward Intuition With A Worked Example.", Maya Petersen

Maya Petersen

No abstract provided.

Causal Models And Learning From Data: Integrating Causal Modeling And Statistical Estimation, Maya Petersen, M J. Van Der Laan

Maya Petersen

No abstract provided.

Geographic Access To Hospice Care For Children With Cancer In Tennessee, 2009 To 2011, Lisa C. Lindley, Phd, Rn, Sheri L. Edwards

Lisa C Lindley

In many states, cancer is the leading cause of death among children. The geographic interface between the need for hospice and the supply of pediatric hospice may be critical in whether children with cancer are able to access care. The purpose of our study was to describe the geographic distribution of pediatric hospice need and supply and to identify areas lacking pediatric hospice care in Tennessee over a 3 year time period. We used data from the 2009 to 2011 Tennessee Cancer Registry and Joint Annual Report of Hospices. ArcGIS was used to create a series of longitudinal maps. We …

Text 4 Health: Addressing Consumer Health Information Needs Via Text Reference Service, Van M. Ta Park

Van M. Ta Park

This study seeks to provide empirical evidence about how health-related questions are answered in text reference service in order to further the understanding of how to best use texting as a reference service venue to fulfill people’s health information needs. Two hundred health reference transactions from My Info Quest, the first nation-wide collaborative text reference service, were analyzed identify the types of questions, length of transactions, question-answering behavior, and information sources used in the transactions. Findings indicate that texting-based health reference transactions are usually brief, and cover a wide variety of topics. The most popular questions are those seeking general …