A5015151253- Healthcare Policy and Management
- Patient Safety and Medication Errors
- Emergency and Acute Care Studies
- Primary Care and Health Outcomes
- Electronic Health Records Systems
- Health Systems, Economic Evaluations, Quality of Life
- Vaccine Coverage and Hesitancy
- Pharmaceutical Practices and Patient Outcomes
- Medication Adherence and Compliance
- Blood Pressure and Hypertension Studies
- Medical Malpractice and Liability Issues
- Patient Satisfaction in Healthcare
- Heart Failure Treatment and Management
- Geriatric Care and Nursing Homes
- Diabetes Management and Education
- Chronic Disease Management Strategies
- Food Security and Health in Diverse Populations
- Healthcare Quality and Management
- Healthcare cost, quality, practices
- Health Policy Implementation Science
- Dementia and Cognitive Impairment Research
- Health disparities and outcomes
- Healthcare Systems and Technology
- Global Health Care Issues
- Health Literacy and Information Accessibility
Alliant Energy (United States)
2017-2024
Alliant International University
2017-2020
Emory University
2009-2020
Development Agency of Serbia
2010-2019
Iowa City VA Health Care System
2016
Veterans Health Administration
2016
HCL Technologies (India)
2016
Northern Illinois University
2016
AcademyHealth
2015
Georgia Institute of Technology
2015
Poor quality of healthcare contributes to impaired health and excess mortality in individuals with severe mental disorders. The authors tested a population-based medical care management intervention designed improve primary community settings.A total 407 subjects illness at an urban center were randomly assigned either the or usual care. For group, managers provided communication advocacy providers, education, support overcoming system-level fragmentation barriers care.At 12-month follow-up...
Four vaccines are recommended by the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices adolescents. Parental attitudes may play a key role in vaccination uptake this age group. In 2011, we conducted cross-sectional survey among parents of adolescents one county Georgia to identify parental toward adolescent vaccination, reasons vaccine acceptance or refusal, impact physician recommendation vaccination. Physician was reported as top receipt intent...
The purpose of this study is to assess the validity patient activation construct as measured by Patient Activation Measure (PAM) survey correlating PAM scores with diabetes self-management behaviors, attitudes, and knowledge in a predominantly minority uninsured population.A convenience sample patients presenting an urban public hospital clinic was surveyed contacted phone 6 months later. included questions about activation, health care utilization.A total 287 agreed participate. Most were...
Behavioral health homes provide primary care services to patients with serious mental illness treated in community settings. The objective of this study was compare quality and outcomes between an integrated behavioral home usual care.The a randomized trial developed as partnership center Federally Qualified Health Center. A total 447 one or more cardiometabolic risk factors were randomly assigned either the for 12 months. Participants received medical on-site from nurse practitioner...
<h3>Objective.</h3> —To determine the correlation among obstacles to medical care, lack of a regular source and delays in seeking care. <h3>Design.</h3> —Cross-sectional survey patients presenting for ambulatory care during 7-day period. Multiple logistic regression models were used identify independently associated with outcome variables. <h3>Setting.</h3> —Urban public hospital. <h3>Patients.</h3> —A total 3897 disadvantaged predominantly minority patients. <h3>Main Outcome Measures.</h3>...
Background— Medication errors and adverse drug events are common after hospital discharge due to changes in medication regimens, suboptimal instructions, prolonged time follow-up. Pharmacist-based interventions may be effective promoting the safe use of medications, especially among high-risk patients such as those with low health literacy. Methods Results— The Pharmacist Intervention for Low Literacy Cardiovascular Disease (PILL-CVD) study is a randomized controlled trial conducted at 2...
OBJECTIVES: To evaluate the feasibility and effectiveness of a falls management program (FMP) for nursing homes (NHs). DESIGN: A quality improvement project with data collection throughout FMP implementation. SETTING: NHs in Georgia owned operated by single nonprofit organization. PARTICIPANTS: All residents participating NHs. INTERVENTION: convenience sample 19 implemented FMP. The is multifaceted culture change intervention. Key components included organizational leadership buy‐in support,...
Background: Reminder-recall interventions have improved immunization rates in numerous studies.Objective: To evaluate the impact of large-scale, registrybased reminder-recall on low an inner-city population.
We assessed the degree that managed care organization (MCO) enrollees used preventive services and engaged in diabetes self-management behaviors by race/ethnicity. A 40-item selfadministered survey was mailed to 19,483 diabetic MCO enrollees. The measured use of eight engagement four among who self-identified as black, white, or Hispanic. Of 6,035 surveys analyzed, 4,623 respondents (76.6%) were 984 (16.3%) 428 (7.0%) Black Hispanic reported more healthcare visits (mean 7.0 6.5,...
The growing burden of chronic disease, an aging population, and rising health care costs threaten the sustainability our current model for delivery. At same time, innovations in predictive offer a pathway to reduce disease by preventing mitigating development disease. Academic centers are uniquely positioned evaluate comparative effectiveness personalized interventions, given institutional core competencies innovative knowledge development. authors describe Emory University's commitment...
The economic impacts from preventing health care-associated infections (HAIs) can differ for patients, care providers, third-party payers, and all of society. Previous studies the provider perspective have estimated an burden approximately $10 billion annually HAIs. impact using a societal cost has been illustrated by modifying previously published analysis to include value mortality risk reductions. resulting costs society HAIs exceed $200 annually. This article describes alternative...
The objective of this study was to identify facilitators and barriers the implementation 10 National Quality Forum (NQF) medication processes culture safety practices in Georgia hospitals. In-depth interviews with hospital administrators were conducted programs that support NQF safe practices. Hospitals identified significant as well other key factors resulted adoption and/or nonadoption Informants also strategies used overcome experienced. Facilitators both include administrative leadership...
Pay-for-performance is proliferating, yet its impact on key stakeholders remains uncertain. The Society of General Internal Medicine systematically evaluated ethical issues raised by performance-based physician compensation. We conclude that current arrangements are based fundamentally acceptable principles, but guided an incomplete understanding health-care quality. Furthermore, their implementation without evidence safety and efficacy ethically precarious because potential risks to...