A5001871477- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Child and Adolescent Health
- Adolescent and Pediatric Healthcare
- Emergency and Acute Care Studies
- Patient Safety and Medication Errors
- Healthcare cost, quality, practices
- Medical Malpractice and Liability Issues
- Patient Satisfaction in Healthcare
- Antibiotic Use and Resistance
- Vaccine Coverage and Hesitancy
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Asthma and respiratory diseases
- Congenital Heart Disease Studies
- Health Literacy and Information Accessibility
- Streptococcal Infections and Treatments
- Health Sciences Research and Education
- Child Nutrition and Feeding Issues
- Healthcare Quality and Management
- Influenza Virus Research Studies
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Social Media in Health Education
- Pancreatitis Pathology and Treatment
- Health Policy Implementation Science
- Pharmaceutical studies and practices
The Ohio State University
2014-2023
Nationwide Children's Hospital
2011-2023
American Academy of Pediatrics
2021
Children's Hospital Association
2021
National Institute for Children’s Health Quality
2021
New York University
2021
Atrium Medical Cente
2021
Agency for Healthcare Research and Quality
2021
Community Partners
2018
The Ohio State University Wexner Medical Center
2018
Medication administration errors that take place in the home are common, especially when liquid preparations used and complex medication schedules with multiple medications involved; children chronic conditions disproportionately affected. Parents other caregivers low health literacy and/or limited English proficiency at higher risk for making administering to their care. Recommended strategies reduce relate provider prescribing practices; literacy-informed verbal counseling (eg, teachback...
Quality measures are used for a variety of purposes in health care, including clinical care improvement, regulation, accreditation, public reporting, surveillance, and maintenance certification. Most quality 1 3 types: structure, process, or outcome. Health should address the domains across continuum reflect patient family experience. Measure development pediatric has number important challenges, gaps evidence base; fact that most conditions must be age-specific; long, resource-intensive...
Pay for performance (P4P) is a mechanism by which purchasers of health care offer greater financial rewards to physicians improving processes or outcomes care. To our knowledge, P4P has not been studied within the context pediatric accountable organization (ACO).To determine whether promotes improvement in primary physicians.This retrospective cohort study was conducted from January 1, 2010, December 31, 2013. A differences-in-differences design used test improved physician an ACO serving...
Project ECHO (Extension for Community Healthcare Outcomes) is a teleconsultation model enhancing the treatment of underserved patients in primary care. Previous behavioral health (BH) adaptations have primarily focused on adults or specific diagnoses and relied self-reported outcomes. The purpose this pilot was to adapt support pediatric care providers addressing common BH needs conduct an initial evaluation its effectiveness. Overall, participants reported high levels satisfaction...
Healthcare claims are underutilized to identify factors associated with high outpatient antibiotic use.We evaluated ambulatory encounter of Medicaid-insured children in 34 Ohio counties 2014. Rates total and azithromycin prescriptions dispensed were determined by county patient residence. Standardized treatment rates estimated for uncomplicated upper respiratory tract encounters (acute otitis media, pharyngitis, sinusitis, presumed viral infection) after adjusting age provider type....
<h3>Objectives</h3> To estimate the resource utilization in hospitalizations for common pediatric conditions or procedures involving patients with chronic disease vs those no and to develop an economic model of hospital per-patient profit (or loss) when insurance contracts fail account presence disease. <h3>Setting Design</h3> A retrospective analysis selected acute found 1991 1992 MedisGroups National Comparative Data Base. <h3>Patients</h3> We studied 30,379 admissions conditions,...
Children with medical complexity experience frequent interactions the system and often receive care that is costly, duplicative, inefficient. The growth of value-based contracting creates incentives for systems to improve their care. This project was designed health, health value, utilization a population-based cohort children neurologic impairment feeding tubes.A freestanding children's hospital affiliated accountable organization jointly developed quality improvement initiative....
Asthma is a leading cause of pediatric emergency department (ED) use. Optimizing asthma outcomes goal Nationwide Children's Hospital (NCH) and its affiliated Accountable Care Organization. NCH's Primary Network, comprised 12 offices serving predominantly Medicaid population, sought to determine whether an Specialty Clinic (ASC) operated within single primary care office could reduce ED rates improve quality measures, relative all other network offices.An ASC was piloted with four components:...
We sought to identify factors associated with long duration and/or non-first-line choice of treatment for pediatric skin and soft-tissue infections (SSTIs).Retrospective cohort study.Ambulatory encounter claims Medicaid-insured children lacking chronic medical conditions treated SSTI animal bite injury in Ohio 2014.For all diagnoses, was defined as >7 days. Non-first-line included 2 antimicrobials dispensed on the same calendar day or any not listed Infectious Diseases Society America...
Quality improvement (QI) methodologies are not widely implemented in primary care practices. As an accountable organization serving pediatric Medicaid recipients Ohio, Partners For Kids (PFK) sought to build QI capacity affiliated practices improve organizational performance on key quality measures.A team of specialists developed a comprehensive training program focused initiatives. From 2014 2017, community-based, with PFK were recruited participate QI. The outcome, assessed yearly, was the...
To contrast trends in rural and urban pediatric home health care use among Medicaid enrollees.Medicaid administrative claims data were used to assess differences for child members a large accountable organization (ACO) Ohio. Descriptive statistics assessed over 10-year period between 2010 2019.Pediatric increased markedly the low-income (CFC) disabled (ABD) categories. Over past 10 years, CFC-enrolled children from communities have seen more visits, fewer emergency department (ED) well...
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Congenital heart disease (CHD), the most common congenital malformation, often requires surgical correction. As mortality rates are low, a quality marker linked with outcomes is hospital length of stay (LOS). Reduced LOS associated better long-term outcomes, reduced hospital-acquired complications, and improved patient-family satisfaction. This project aimed to reduce aggregate median postoperative for four CHD lesions from baseline 6.2 days by 10%.This single-center study utilized Institute...
<h3>Background</h3> Quality improvement (QI) practice facilitators (PFs) may help primary care providers (PCPs) improve by adapting approaches to characteristics. Partners For Kids, an accountable organization affiliated with Nationwide Children9s Hospital (NCH), offers PFs guide PCPs through QI projects adopt clinical recommendations and patient outcomes. example, one focus area is fluoride varnish (FV) application prevent dental caries in young children, which was added the American...