- Public Health Policies and Education
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Disaster Response and Management
- Electronic Health Records Systems
- Disaster Management and Resilience
- Mobile Health and mHealth Applications
- Health Literacy and Information Accessibility
- Complex Systems and Decision Making
- Healthcare Policy and Management
- Community Health and Development
- Food Security and Health in Diverse Populations
- Nursing Diagnosis and Documentation
- Health Sciences Research and Education
- School Health and Nursing Education
- Geriatric Care and Nursing Homes
- Heart Failure Treatment and Management
- Mental Health and Patient Involvement
- Evaluation and Performance Assessment
- Digital Mental Health Interventions
- Healthcare Systems and Technology
- Health Education and Validation
- Vaccine Coverage and Hesitancy
- Chronic Disease Management Strategies
- Gun Ownership and Violence Research
Columbia University Irving Medical Center
2007-2021
Columbia University
2009-2019
Yale University
2019
Merrill (United States)
2013-2018
Agency for Healthcare Research and Quality
2017-2018
University of Manchester
2018
Visiting Nurse Service of New York
2018
New York University
2018
Appalachian State University
2018
Coronado Unified School District
2017
To collaborate with community members to develop tailored infographics that support comprehension of health information, engage the viewer, and may have potential motivate health-promoting behaviors.The authors conducted participatory design sessions members, who were purposively sampled grouped by preferred language (English, Spanish), age group (18-30, 31-60, >60 years), level literacy (adequate, marginal, inadequate). Research staff elicited perceived meaning each infographic, preferences...
Defining the public health workforce and specifying its performance requirements present equal challenges as nation anticipates needs for twenty-first century. The core group of professionals employed by government agencies works in close partnership with a wide range public, private, voluntary organizations. wider circle includes almost all physicians, dentists, nurses, plus many other health, environmental, safety professionals. task ensuring that this is prepared skills knowledge to face...
Background Heuristic evaluation is used in human–computer interaction studies to assess the usability of information systems. Nielsen's widely heuristics, first developed 1990, are appropriate for general but do not specifically address systems that produce visualizations. Objective This article develops a heuristic checklist can be evaluate Principles from heuristics were combined with principles by prior researchers visualization. Methods We nominal group technique determine an final set....
Emergency preparedness is an expectation of public health organizations and individual practitioners. Organizational performance standards for agencies have been developed during the last several years, providing a foundation development competency statements to guide practice in program areas, like emergency response. This article provides results from project that response competencies workers. Documentation qualitative research methods used, which include validation with community, can be...
To evaluate the complex dynamics involved in implementing electronic health information exchange (HIE) for public reporting at a state department, and to identify policy implications inform similar implementations.Qualitative data were collected over 8 months from seven experts New York State Department of Health who implemented web services protocols querying, receipt, validation supplied by regional organizations. Extensive project documentation was also collected. During group meetings...
Abstract Objective To explore home care nurses’ numeracy and graph literacy their relationship to comprehension of visualized data. Materials Methods A multifactorial experimental design using online survey software. Nurses were recruited from 2 Medicare-certified health agencies. Numeracy measured validated scales. randomized 1 4 conditions. Each condition displayed data for quality indicators, in different formats (bar graph, line spider table). mixed linear model the impact numeracy,...
Patient-generated health data (PGHD) collected digitally with mobile (mHealth) technology has garnered recent excitement for its potential to improve precision management of chronic conditions such as atrial fibrillation (AF), a common cardiac arrhythmia. However, sustained engagement is major barrier collection PGHD. Little known about barriers or strategies intervene upon through application design.
Abstract Introduction: Public health agencies have been participating in emergency preparedness exercises for many years. A poorly designed or executed exercise, an unevaluated inadequately evaluated plan, may do more harm than good if it leads to a false sense of security, and results poor performance during actual emergency. At the time this project began, there were no specific standards public aspects drills, defined criteria evaluation agency health. Objective: The objective study was...
Thoroughly characterizing and continuously monitoring the public health workforce is necessary for ensuring capacity to deliver services. A prerequisite this develop a standardized methodology classifying workers, permitting valid comparisons across agencies over time, which does not exist workforce. An expert working group, all of whom are authors on paper, was convened during 2012-2014 taxonomy. The purpose taxonomy facilitate systematic characterization workers while delineating set...
The introduction of electronic health records has produced many challenges for clinicians. These include integrating technology into clinical workflow and fragmentation relevant information across systems. Dashboards, which use visualized data to summarize key patient information, have the potential address these issues. In this article, we outline a usability evaluation dashboard designed home care nurses. An iterative design process was used, consisted (1) contextual inquiry (observation...
A public health workforce that is competent to respond emergencies extremely important. We report on the impact of a training program designed prepare nurses appropriately emergencies. The focused basic emergency preparedness competencies and response role workers employed by New York City School Department Health Mental Hygiene Program. evaluation methods included pre/post-testing followed repeat post-test one month after program. resulted in positive shifts both knowledge attitudes.
Unnecessary hospital readmissions are one source of escalating costs that may be reduced through improved care coordination, but how best to design and evaluate coordination programs is poorly understood. Measuring patient flow between service visits could support decisions for coordinating care, particularly conditions such as congestive heart failure (CHF) which have high morbidity, costs, readmission rates.To determine the feasibility using network analysis explore patterns delivery...
Public health workforce size and composition have been difficult to accurately determine because of the wide variety methods used define job title terms, occupational categories, worker characteristics. In 2014, a preliminary consensus-based public taxonomy was published standardize manner in which data are collected analyzed by outlining uniform categories terms. We summarize development taxonomy's 2017 iteration provide guidelines for its implementation efforts. To validate utility, 2014...
Competency designation is important for any discipline to define individual performance expectations. Although public health (PH) agencies have always responded emergencies, expectations not been specified. The authors identified competencies necessary organizations meet standards. In the first stage, a Delphi survey served identify needed by staff respond emergency, including bio-terrorism, yielding competency sets four levels of workers. second focus groups were used assess with agencies....
Elevated hospital readmission rates from home care are an indicator of poor quality, and particularly high for patients with heart failure. Readmissions may be avoided by optimizing continuity care.To explore perceptions among clinicians the barriers they face information need to improve failure.Focus groups were conducted teams at a large certified healthcare agency in Northeastern United states.In total, there 61 participants across 6 focus groups. Three overarching themes emerged:...
Home health care (HHC) clinicians serving individuals with Alzheimer’s disease and related dementias (ADRD) do not always have information about the person’s ADRD diagnosis, which may be used to improve HHC plan of care. This retrospective cohort study examined characteristics 56,652 patients varied documentation diagnoses. Data included clinical assessments Medicare claims for a 6-month look-back period 4-year follow-up. Nearly half sample had an diagnosis observed in either prior or...