A5076257601- Telemedicine and Telehealth Implementation
- Innovations in Medical Education
- Diversity and Career in Medicine
- Healthcare Policy and Management
- Dental Education, Practice, Research
- Cytomegalovirus and herpesvirus research
- Primary Care and Health Outcomes
- Surgical Simulation and Training
- Mycobacterium research and diagnosis
- Trauma Management and Diagnosis
- Bone fractures and treatments
- Hepatitis C virus research
- Medical Education and Admissions
- Herpesvirus Infections and Treatments
- Mobile Health and mHealth Applications
- Abdominal Trauma and Injuries
- Radiology practices and education
- Virology and Viral Diseases
- Antifungal resistance and susceptibility
- Cardiac, Anesthesia and Surgical Outcomes
- Bacterial Identification and Susceptibility Testing
- Urinary Tract Infections Management
- Transplantation: Methods and Outcomes
- Social Media in Health Education
- Blood groups and transfusion
VA Center for Clinical Management Research
2024-2025
University of Michigan
2024-2025
University of Washington
2023
The University of Texas Southwestern Medical Center
2017-2020
Southwestern Medical Center
2019
University of California, San Francisco
2006-2014
California State University, East Bay
2007-2014
Loyola University Medical Center
1995
We sought to determine whether US Medical Licensing Examination (USMLE) Step 1 score, American Board of Surgery (ABS) In-Training (ABSITE) and other variables are associated with failing the ABS qualifying certifying examinations. Identifying such factors may assist in early implementation an academic intervention for at-risk residents.Retrospective review.Seventeen general surgery training programs western United States.Six hundred seven residents who graduated 2000-2007.First-time pass...
Importance The Veterans Health Administration (VHA) launched the Clinical Resource Hub (CRH), a national telehealth contingency staffing program, to address primary care shortages and improve veteran access care. How this large-scale intervention affects quality of is unknown. Objective To assess for chronic disease management among US veterans receiving high vs low levels CRH-delivered services whether racial ethnic minority experience outcomes similar those White when Design, Setting,...
Introduction: Telehealth expanded rapidly following the COVID-19 pandemic and has become an integral part of healthcare delivery. However, concerns remain that increased telehealth availability may contribute to higher overall utilization spending. To assess telehealth's impact on outpatient evaluation management (E&M) visit volume, we compared E&M before after across specialties with varying levels use. Methods: We analyzed 100% Medicare Fee-For-Service (FFS) claims compare monthly...
Abstract Introduction Telehealth can promote access to healthcare, especially among individuals enrolled in Medicaid. However, we currently lack data on patient experiences of telehealth from low-income individuals. Methods Using collected 2021 and 2022 a statewide survey enrollees the Heathy Michigan Plan, Michigan’s Medicaid expansion program, conducted an analysis study patients’ using telehealth. Results Approximately one-third reported visit within past year. Individuals reporting...
The rapid expansion of telehealth transformed how primary care practices deliver care; however, uncertainties about the quality telehealth-delivered compared with in-person remain. While there are concerns that increased may introduce wasteful care, affects delivery low-value is unknown.
Heart transplant (HT) recipients are at higher risk of varicella zoster virus (VZV) reactivation. Risk factors for VZV reactivation currently not well defined, impeding the ability to design and implement strategies minimize burden this illness in population. Automated data extraction tools were used retrieve from electronic health record (EHR) all adult HT our center between 2010 2016. Information Organ Procurement Transplantation Network Standard Analysis Research Files was merged with...
This survey study reports veterans’ perception of the timeliness, patient-centeredness, affordability, and quality care, services, facilities they receive across US.
Abstract Background Antimicrobial usage is the most important driver of antimicrobial resistance. Despite compelling reasons to use antimicrobials judiciously, it has been challenging implement stewardship programs (ASP) in solid-organ transplant (SOT) population. The objective our study assess impact multidrug-resistant bacterial infections (MDRBI) on 1-year post-transplant survival SOT recipients. Methods In this retrospective cohort study, we included all patients with a first from...
Abstract Background We created a retrospective and prospective database of SOT recipients using innovative data mining tools. This study describing the epidemiology BSI in serves as proof concept such techniques clinical research. Methods The design was retrospective, single-center, cohort study. Data tools were used to extract information from electronic medical record merged it with SRTR (Figure 1). First January 1, 2010 December 31, 2015 included. Charts subjects positive blood cultures...
We created a retrospective database of solid-organ transplant (SOT) recipients using innovative data mining tools. This study describing the epidemiology Varicella Zoster Virus (VZV) reactivation in SOT serves as proof concept such techniques clinical research. The design was single-center cohort study. Using tools, information extracted from electronic medical record and merged with Scientific Registry Transplant Recipients. First January 1, 2010–December 31, 2016 were included. Charts...
Abstract Background Despite advances in diagnostic and therapeutic tools, mortality of invasive fungal disease (IFD) lung transplant (LT) recipients remains high. This study aimed to describe the epidemiology IFD LT at a large academic center. Methods retrospective single-center cohort included all first-time transplanted between 2010 2016 University Texas Southwestern Medical Center Dallas, TX. Data mining tools were used extract data from electronic health record merge it with information...
Despite the emergence of noninvasive studies as gold standard venous diagnosis, many authors still insist upon formal preoperative venacavograms prior to insertion an inferior vena cava (IVC) filter. Conversely, employed only nonin vasive examinations and intraoperative fluoroscopy in 123 consecutive filter placements either Greenfield (n=66) or LGM (Vena Tech) device (n=57) by surgical service. They reviewed patients' postop erative hospital courses identify complications that could have...