Health and Medical Administration Commons^™

An Overview Of The Health Delivery System In The State Of Mississippi, Cerlyn K. Ellis

Publications and Research

Imagine residing in a high-income country that doesn’t provide access to necessary healthcare. The state of Mississippi remains one of the poorest states in the United States. This has resulted in poor health outcomes and chronic access barriers. Residents of Mississippi ranks poorly in most health indicators, including Infectious Disease, Infant Mortality, Clinic Care, Obesity, Diabetes, and Premature Death.

With half of all rural hospitals in Mississippi threatened with closure, access and quality of care barriers will become more challenging to resolve. This comes partly as a result of the state largely governed by Republicans and the legislators refusing to …

Just Culture: It's More Than Policy, Linda Ann Paradiso, Nancy Sweeney

Publications and Research

Any healthcare organization’s top priority is effective and safe care. Despite this, medical error is the third-leading cause of death in the US. Hospitals are imperfect systems where nurses have competing demands and are forced to improvise and develop workarounds. Errors rarely occur in a vacuum, rather they’re a sequence of events with multiple opportunities for correction. Clinical nurses can have a significant impact on reducing errors due to their proximity to patients. When errors are identified, the events and impact on safe care need to be shared. Just culture is a safe haven that supports reporting. In a just …

A Two-Way Interactive Text Messaging Application For Low-Income Patients With Chronic Medical Conditions: Design-Thinking Development Approach, Monika Marko-Holguin, Stephanie Luz Cordel, Benjamin William Van Voorhees, Joshua Fogel, Emily Sykes, Marian Fitzgibbon, Anne Elizabeth Glassgow

Publications and Research

Background: Two-way interactive text messaging between patient and community health workers (CHWs) through mobile phone SMS (short message service) text messaging is a form of digital health that can potentially enhance patient engagement in young adults and families that have a child with chronic medical conditions such as diabetes mellitus, sickle cell disease, and asthma. These patients have complex needs, and a user-centered way can be useful for designing a tool to address their needs.

Objective: The aim of this study was to utilize the user-centered approach of design thinking to develop a two-way interactive communication SMS text messaging tool …

Why Doula Services Should Become An Essential Health Benefit In New York State, Jalisha Hanshaw, Amy White

Publications and Research

Doulas are birth workers who assist expecting mothers through pregnancy, birth and postpartum using holistic techniques. Techniques include: prenatal yoga, birth affirmations and induction acupuncture. Doulas are underrated healthcare providers who deserve the same respect as clinical and non-clinical providers. Doulas are well-rounded alternative care providers who focus on mental, emotional, and physical well being of mothers. Also, they know special alternative medical techniques that prevent mothers from maternal mortality among other negative health outcomes. The amount of time and effort doulas perform with expecting mothers are equal or more than the average medical healthcare provider and should be a …

Factors Associated With Outpatient Follow-Up After A Pediatric Inpatient Stay At A Community Hospital, Shuchi Jani, Joshua Fogel, Clare Kelly

Publications and Research

Background and objectives: Pediatric settings often use a patient-centered medical home model in caring for patients in the outpatient setting and for attempting to connect inpatient care with outpatient followup. This medical home model has proven to be beneficial in many aspects of patient care, but there needs to be a good transition between inpatient and outpatient services. Our goal in this study is to determine the association of particular variables with adherence to outpatient follow-up after a general inpatient stay, in the pediatric population.

Methods: In a retrospective sample of 221 patients, we study the association of variables such …