A5036316468- Child and Adolescent Health
- Telemedicine and Telehealth Implementation
- Healthcare Systems and Technology
- Emergency and Acute Care Studies
- Adolescent and Pediatric Healthcare
- Healthcare Policy and Management
- Childhood Cancer Survivors' Quality of Life
- COVID-19 and healthcare impacts
- Infant Development and Preterm Care
- Obesity and Health Practices
- Patient Safety and Medication Errors
- Child and Adolescent Psychosocial and Emotional Development
- Mobile Health and mHealth Applications
- Hospital Admissions and Outcomes
- Health Sciences Research and Education
- Dental Research and COVID-19
- Dental Health and Care Utilization
- Architecture, Design, and Social History
- Health Literacy and Information Accessibility
- Vaccine Coverage and Hesitancy
- Social Media in Health Education
- Iron Metabolism and Disorders
- Pneumonia and Respiratory Infections
- Posttraumatic Stress Disorder Research
- Oral microbiology and periodontitis research
Columbia University
2014-2024
New York Hospital Queens
2018-2024
Morgan Stanley Children's Hospital
2009-2023
Columbia University Irving Medical Center
2017-2022
Boston Children's Hospital
2022
Harvard University
2022
NewYork–Presbyterian Hospital
2018-2021
Montefiore Medical Center
2020
Albert Einstein College of Medicine
2020
During the height of COVID-19 pandemic, telemedicine visits surged to increase access and maintain continuity care, while reducing transmission disease. However, few curricula exist for training residents on how care patients via telemedicine, especially in pediatrics. We aimed create evaluate an interactive, competency-based pilot curriculum, meet urgent need train telemedicine. The curriculum was developed 2020 includes a didactic, cased-based discussions, direct observation exercise. A...
ABSTRACT: Objective: To implement comprehensive screening for child behavior and social determinants of health in an urban pediatric practice explore rates referrals follow-up positive screens. Method: Quality improvement methodology was used to routine using adapted version the Survey Well Being Young Children, a screen, all children aged 6 months 10 years. Rates screen administration documentation were assessed 18 months. Medical records convenience sample (N = 349) reviewed track A...
Infants born to mothers with postpartum depression (PPD) are at risk for adverse developmental outcomes. Mothers of premature infants 40% more likely develop PPD when compared the general population. Current published studies on implementing screening in Neonatal Intensive Care Unit (NICU) do not comply American Academy Pediatrics (AAP) guideline, which recommends multiple points first year and includes partner screening. Our team implemented that follows AAP guideline all parents admitted...
Social determinants of health (SDOH) account for 80% modifiable factors in a population's health. Addressing SDOH healthcare setting can improve care, patient experience, outcomes, and decrease cost. Therefore, screening SODH the pediatric has become an essential evidence-based component preventative care. Multiple barriers exist its implementation, particularly trainees.Using resident-driven quality improvement (QI) methodology, we aimed to increase >90% 9 individual questions at newborn...
Abstract Background Immunization reminders in electronic health records (EHR) provide clinical decision support (CDS) that can reduce missed immunization opportunities. Little is known about using CDS rules from a regional information system (IIS) to power local EHR reminders. Objective This study aimed assess the impact of IIS CDS-provided on receipt immunizations low-income, urban population for both routine and those recommended patients with chronic medical conditions (CMCs). Methods We...
Pediatricians caring for patients with child abuse or neglect (CABN) may experience secondary traumatic stress (STS) from traumatized patients, burnout (BO) workplace stress. This be buffered by compassion satisfaction (CS), positive meaning one’s work. For this study, STS, BO, and CS specific to a pediatrician’s care of CABN were assessed residents, hospitalists, intensivists, outpatient physicians. Using the Professional Quality Life Scale modified experiences, participants (n = 62) had...
OPEN ACCESSAugust 2, 2022Mental Health in the Medical Home: A Longitudinal Curriculum for Pediatric Residents on Behavioral and Mental Care Nicole Meyers, MD, Beth Maletz, DNP, PMHNP, Evelyn Berger-Jenkins, MPH, Mariellen Lane, Erin Shindle, Marguerite Costich, MS, Steve Caddle, Connie Kostacos, Gabriella Paskin, Kalpana Pethe, Sydney Shope, RN, Marina Catallozzi, MSCE, Suzanne Friedman, MD Chief Resident, Department of Pediatrics, NewYork-Presbyterian Morgan Stanley Children's Hospital...
Background: Despite evidence that use of evidence-based communication tools (EBCT) with a universal precautions approach improves health outcomes, medical trainees report inadequate skills training. Objective: We developed, implemented, and evaluated novel, interactive curriculum featuring 30-minute, single-session didactic video content, facilitated case-based discussions preceptor modeling to improve EBCT among pediatric residents. A direct observation (DO) checklist was developed for...
OPEN ACCESSOctober 22, 2020A Curriculum to Improve Pediatric Residents' Telephone Triage Skills Lauren T. Roth, MD, Mariellen Lane, Suzanne Friedman, MD https://orcid.org/0000-0001-5592-3927 Instructor, Department of Pediatrics, Montefiore Medical Center E-mail Address: [email protected] , Associate Professor, Columbia University Irving Assistant https://doi.org/10.15766/mep_2374-8265.10993 SectionsAboutPDF ToolsDownload Citations ShareFacebookTwitterEmail Abstract Introduction: triage...
Accurate discharge documentation is critical to ensuring a safe and effective transition of care following hospitalization, yet many summaries do not meet consensus standards for content. A local needs assessment demonstrated gaps in 3 essential elements: diagnosis, medications, follow-up appointments. This study aimed increase the completion three elements from baseline 45% by 20 percentage points over 16 months patients discharged general pediatrics service.
<sec> <title>BACKGROUND</title> Since the COVID-19 pandemic, telemedicine has been widely integrated into primary care pediatrics. While initial studies showed some concern for disparities in use, uptake a low income, language diverse community over long term yet to be described. </sec> <title>OBJECTIVE</title> We aimed assess relationship between demographics and patient portal activation visits, as well characterize diagnoses addressed low-income, primarily Latino population time....
Background Since the COVID-19 pandemic, telemedicine has been widely integrated into primary care pediatrics. While initial studies showed some concern for disparities in use, uptake pediatric patients a low-income, primarily Latino community over sustained period yet to be described. Objective We aimed assess relationship between demographics, patient portal activation, and visits, as well characterize diagnoses addressed telemedicine, population time. Methods A multidisciplinary team...
In the setting of COVID-19, pediatric primary care in New York City faced multiple challenges, requiring large-scale practice reorganization. We used quality improvement principles to implement changes delivery rapidly.Plan-do-study-act cycles were used, based on drivers consolidation, reorganization in-person and urgent care, telehealth expansion, patient outreach, mental health linkages, team communication, safety.The average visit volume pediatrics decreased from 662 per week 370....
Dental caries are the most common chronic condition of childhood and have significant medical, psychological, financial consequences. The American Academy Pediatrics (AAP) recommends primary care physicians apply fluoride varnish (FV) every 3 to 6 months from tooth emergence through age 5.Through a resident-led quality improvement (QI) project, we aimed provide FV 50% patients ages 1 5 who did not dental visit in preceding or receive elsewhere past month.From May 2017 April 2018, conducted 7...
Patient-to-physician continuity is the result of coordinated and consistent care. Optimizing can be a challenge in medical training without impacting work hours. We sought to use quality improvement science during graduate increase outpatient continuity.
Background/Objective: Phone triage systems are increasingly used by primary care clinics to improve patient satisfaction and direct low-acuity patients appropriate settings. Despite the prevalence of telephone triage, majority pediatric training programs do not include this practice in their curricula. Our aim was increase volume after-hours phone calls per week 25% secondarily reduce “treat release” emergency department (ED) visits 5% over course a 9-month quality improvement (QI) study....