A5076166508- Geriatric Care and Nursing Homes
- Health disparities and outcomes
- Emergency and Acute Care Studies
- Dementia and Cognitive Impairment Research
- Health, Environment, Cognitive Aging
- Healthcare Policy and Management
- Frailty in Older Adults
- Palliative Care and End-of-Life Issues
- Intensive Care Unit Cognitive Disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Dysphagia Assessment and Management
- Family and Patient Care in Intensive Care Units
- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Systemic Lupus Erythematosus Research
- Health Systems, Economic Evaluations, Quality of Life
- Esophageal and GI Pathology
- Nutritional Studies and Diet
- Aortic aneurysm repair treatments
- Child Nutrition and Feeding Issues
- Food Security and Health in Diverse Populations
- Heart Failure Treatment and Management
- Patient Satisfaction in Healthcare
- Acute Ischemic Stroke Management
- Adolescent and Pediatric Healthcare
University of Wisconsin–Madison
2016-2025
UW Health University Hospital
2020-2024
University of Wisconsin Foundation
2024
William S. Middleton Memorial Veterans Hospital
2014-2024
Geriatric Research Education and Clinical Center
2014-2024
Google (United States)
2024
National Institute on Minority Health and Health Disparities
2022
Nationwide Children's Hospital
2022
Nia Association
2022
ID Genomics (United States)
2022
Interview with Dr. Amy Kind on a new tool for incorporating data neighborhood disadvantage into research, policy, and health interventions. (15:45)Download Better understanding of variations in could lead to improved insight the sociobiologic mechanisms that underlie disparities, which could, turn, facilitate development therapeutics
Measures of socioeconomic disadvantage may enable improved targeting programs to prevent rehospitalizations, but obtaining such information directly from patients can be difficult. U.S. neighborhood are more readily available rarely used clinically.To evaluate the association between at census block group level, as measured by Singh validated area deprivation index (ADI), and 30-day rehospitalization.Retrospective cohort study.United States.Random 5% national sample Medicare discharged with...
A growing body of evidence has shown that neighborhood characteristics have significant effects on quality metrics evaluate health plans or care providers. Using a data set an urban teaching hospital patient discharges, this study aimed to determine whether effect characteristics, measured by the Area Deprivation Index, could be observed patients' readmission risk, independent patient-level clinical and demographic factors. This found patients residing in more disadvantaged neighborhoods had...
Medicare's Hospital Readmissions Reduction Program (HRRP) does not account for social risk factors in adjustment, and this may lead the program to unfairly penalize safety-net hospitals. Our objective was determine impact of adjusting on HRRP penalties.Retrospective cohort study.Claims data 2 952 605 fee-for-service Medicare beneficiaries with acute myocardial infarction (AMI), congestive heart failure (CHF) or pneumonia from December 2012 November 2015.Poverty, disability, housing...
The US aging population is rapidly becoming more racially and ethnically diverse. Early diagnosis of dementia a health care priority.
To examine how skilled nursing facility (SNF) nurses transition the care of individuals admitted from hospitals, barriers they experience, and outcomes associated with variation in quality transitions.Qualitative study using grounded dimensional analysis, focus groups, in-depth interviews.Five Wisconsin SNFs.Twenty-seven registered nurses.Semistructured questions guided group individual interviews.SNF rely heavily on written hospital discharge communication to into SNF effectively. Nurses...
Social determinants of health, such as income, education, housing quality, and employment, are associated with disparities in Alzheimer disease health generally, yet these rarely incorporated within neuropathology research.
Objective To assess the relationship between a composite measure of neighborhood disadvantage, Area Deprivation Index ( ADI ), and control blood pressure, diabetes, cholesterol in Medicare Advantage (MA) population. Data Sources Secondary analysis 2013 Healthcare Effectiveness Information Set, enrollment data, disadvantage indicator. Study Design We tested association with intermediate health outcomes. Generalized estimating equations were used to adjust for geographic individual factors...
Identifying risk factors for brain atrophy during the aging process can help direct new preventive approaches dementia and cognitive decline. The association of neighborhood socioeconomic disadvantage with volume in this context is not well known.To test whether neighborhood-level associated decreased a cognitively unimpaired population enriched Alzheimer disease risk.This study, conducted from January 6, 2010, to 17, 2019, at an academic research neuroimaging center, used cross-sectional...
The Coordinated-Transitional Care (C-TraC) Program was designed to improve care coordination and outcomes among veterans with high-risk conditions discharged community settings from the William S. Middleton Memorial Veterans Hospital, in Madison, Wisconsin. Under program, patients work nurse case managers on health issues, including medication reconciliation, before after hospital discharge, all contacts made by phone once patient is at home. Patients who received C-TraC protocol experienced...
Residence in a disadvantaged neighborhood associates with adverse health exposures and outcomes, may increase risk for cognitive impairment dementia. Utilization of publicly available, geocoded disadvantage metric could facilitate efficient integration social determinants into models aging.
<h3>Objective</h3> To test the hypothesis that neighborhood-level disadvantage is associated with longitudinal measures of neurodegeneration and cognitive decline in an unimpaired cohort. <h3>Methods</h3> Longitudinal MRI testing data were collected from 601 cognitively participants Wisconsin Registry for Alzheimer9s Prevention Study Disease Research Center clinical Area Deprivation Index was geospatially determined based on participant residence geocode ranked relative to state residence....
<h3>Importance</h3> Patients identifying as Black and those living in rural disadvantaged neighborhoods are at increased risk of major (above-ankle) leg amputations owing to diabetic foot ulcers. Intersectionality emphasizes that the disparities faced by multiply marginalized people (eg, US individuals Black) greater than sum each individual disparity. <h3>Objective</h3> To assess whether intersecting identities race, ethnicity, residence, or a neighborhood associated with amputation death...
Residence in a disadvantaged neighborhood may be associated with an increased risk for cognitive impairment and dementia but is understudied nationally representative populations.
Despite their intuitive appeal and a long philosophical history, imagery-based accounts of the imagination have fallen into disfavor in contemporary discussions. pressure to reject such seems derive from two distinct sources. First, fact that mental images proved difficult accommodate within scientific conception mind has led numerous attempts explain away existence, this turn phenomenon imagining without reference ontologically dubious entities as images. Second, even those philosophers who...
To determine the frequency, causes, predictors, and consequences of 30-day readmission after abdominal aortic aneurysm (AAA) repair.Centers for Medicare & Medicaid Services (CMS) will soon reduce total reimbursements hospitals with higher-than-predicted rates vascular surgical procedures, including AAA repair. However, causes factors leading to in this population have never before been systematically analyzed.We analyzed elective repairs over a 2-year period from CMS Chronic Conditions...
Safety-net hospitals have higher-than-expected readmission rates. The relative roles of the mean disadvantage neighborhoods serve and individual patients in predicting a patient's are unclear.To examine independent contributions neighborhood hospital's service area to risk for 30-day readmission.Retrospective observational study.Maryland.All Maryland residents discharged from hospital 2015.Predictors included each resident (area index) (safety-net index). primary outcome was unplanned...
Background: Despite many studies reporting disparities in coronavirus disease-2019 (COVID-19) incidence and outcomes Black Hispanic/Latino populations, mechanisms are not fully understood to inform mitigation strategies. Objective: The aim was test whether neighborhood factors beyond individual patient-level associated with in-hospital mortality from COVID-19. We hypothesized that the Area Deprivation Index (ADI), a census-block-level composite measure, COVID-19 independently of race,...