A5079116093- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Innovations in Medical Education
- Interprofessional Education and Collaboration
- Shoulder Injury and Treatment
- Patient Satisfaction in Healthcare
- Orthopedic Surgery and Rehabilitation
- Health Promotion and Cardiovascular Prevention
- Nursing Roles and Practices
- Healthcare Systems and Technology
- Health Sciences Research and Education
- Health and Medical Research Impacts
- Health Policy Implementation Science
- Clinical practice guidelines implementation
- Geriatric Care and Nursing Homes
- Knowledge Management and Sharing
- Healthcare cost, quality, practices
- Diabetes Management and Education
- Medical Malpractice and Liability Issues
- Global Health Workforce Issues
- Healthcare Quality and Management
- Cancer survivorship and care
- Mental Health and Patient Involvement
- Organizational Learning and Leadership
- Competency Development and Evaluation
Rutgers, The State University of New Jersey
2005-2024
Brunswick (United States)
2024
Community Partners
2024
Johnson University
2002-2021
National Board of Medical Examiners
2020
Indiana University – Purdue University Indianapolis
2020
University of Miami
2020
University of Dental Medicine
2006-2012
Rutgers Cancer Institute of New Jersey
2007-2012
Brigham and Women's Hospital
2010
EXECUTIVE SUMMARY Faced with a rapidly changing healthcare environment, primary care practices often have to change how they practice medicine. Yet is difficult, and the process by which improvement can be understood facilitated has not been well elucidated. Therefore, we developed model of using data from quality intervention that was successful in creating sustainable improvement. A multidisciplinary team evaluated Study To Enhance Prevention Understanding Practice (STEP-UP), randomized...
This study examines the Chronic Care Model (CCM) as a framework for preventing health risk behaviors such tobacco use, risky drinking, unhealthy dietary patterns, and physical inactivity. Data were obtained from primary care practices participating in national promotion initiative sponsored by Robert Wood Johnson Foundation. Practices owned hospital system exhibiting culture of quality improvement more likely to offer recommended services assessment, behavioral counseling, referral...
<b>PURPOSE</b> The aim of this study was to assess whether the quality diabetes care differs among practices employing nurse-practitioners (NPs), physician’s assistants (PAs), or neither, and which practice attributes contribute any differences in care. <b>METHODS</b> This cross-sectional 46 family medicine from New Jersey Pennsylvania measured adherence American Diabetes Association guidelines via chart audits 846 patients with diabetes. Practice characteristics were identified by staff...
<b>BACKGROUND</b> This study aimed to elucidate how clinical preventive services are delivered in family practices and this information might inform improvement efforts. <b>METHODS</b> We used a comparative case design observe service delivery 18 purposefully selected Midwestern medicine offices from 1997 1999. Medical records, observation of outpatient encounters, patient exit cards were calculate practice-level rates services. Field notes direct encounters prolonged the practice...
Abstract Improving health care delivery is a pressing societal goal, and information scientists have role in effecting change. Information science research has led to understanding theories practices of use within the informing professions, but one its subspecialties, Knowledge Management (KM), also potential influence enhance other professional disciplines. This concept paper makes argument that KM beneficial framework help clinicians manage their ultimately administer quality patients. The...
Emergency department (ED) use for non-urgent needs is widely viewed as a contributor to various health care system flaws and inefficiencies. There are few qualitative studies designed explore the complexity of patients’ decision-making process ED vs . primary alternatives. In this study, semi-structured interviews were conducted with 30 patients who discharged from low acuity area university hospital ED. A grounded theory approach including cycles immersion/crystallization was used identify...
Our website uses cookies to enhance your experience. By continuing use our site, or clicking "Continue," you are agreeing Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications Network Open Cardiology Dermatology Health Forum Internal Medicine Neurology Oncology Ophthalmology Otolaryngology–Head & Neck Surgery Pediatrics Psychiatry Archives of (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning /...
<b>PURPOSE</b> The Using Learning Teams for Reflective Adaptation (ULTRA) study used facilitated reflective adaptive process (RAP) teams to enhance communication and decision making in hopes of improving adherence multiple clinical guidelines; however, the failed show significant improvements. purpose this was examine qualitative data from 25 intervention practices understand how they engaged a team-based collaborative change management strategy types issues addressed. <b>METHODS</b> We...
Interactive online diaries are a novel approach for evaluating project implementation and provide real-time communication between evaluation staff members those implementing program. Evaluation teams can guide the lines of inquiry ensure that data captured as develops. When used together with conventional strategies, interactive allow an in-depth understanding implementation, well challenges program confront solutions they develop. also help evaluators address such self-reporting bias,...
<i>Background:</i> Diabetes care requires management of complex clinical information. We examine the relationship between diabetic outcomes and practices’ use <i>Methods:</i> performed a cross-sectional, secondary analysis baseline data from 50 community primary practices participating in practice improvement project. Medical record review assessed targets for diabetes (HbA<sub>1c</sub> ≤8, LDL ≤100, BP ≤130/85). Practices’ information was derived clinician responses to survey on their...
Background: Knowledge management (KM) is the process by which people in organizations find, share, and develop knowledge for action. KM affects performance influencing work relationships to enhance learning decision making. Purpose: To identify how family medicine practices exhibit KM. Methodology: A model a template of concepts were derived from comprehensive organizational literature review. Two higher two lower performing purposefully selected existing comparative case studies based on...
Survivor care plans have been described as useful tools for enhancing the quality of follow-up that cancer survivors receive after their active treatment has completed. The relative success current survivor plan models is strongly dependent on actions individual patients. In this qualitative study 33 survivors, we explored patients' understanding and motivations resources seeking care. Three types experiences were identified from narratives patients treated in community oncology NCI...
During the past decade, many hospitals experienced difficulty integrating primary care practices into their health systems. We hypothesized that this may be, in part, a result of limited understanding practice organizational designs. The structure and function have not been well studied. In article, we answer following questions: Are all same, or do variations design exist? Do hospital designs predict affiliated practices? If variation exists, what are management implications? Eighteen...
The practice of medicine is a shared social contract between the medical profession and public. Assessments for licensure should reflect competencies that patients expect their physicians be patient-centered mirror progressive nature education. National Board Medical Examiners recently accepted recommendations Committee to Review United States Licensing Examination Program align examination sequence with two decision points: when student enters into supervised graduate training, physician...
Efforts to redesign primary care practices are beginning address how decisions made in the practice setting. This study contributes these efforts by examining associations between staff participation decision-making, productivity, and turnover practices. The is informed organizational theories of that emphasize cognitive affective influences on employee output behavior.This research used data collected from involved a national initiative sponsored Robert Wood Johnson Foundation....