- Medication Adherence and Compliance
- Pharmaceutical Practices and Patient Outcomes
- Cannabis and Cannabinoid Research
- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- Homelessness and Social Issues
- Pharmacy and Medical Practices
- Interprofessional Education and Collaboration
- Artificial Intelligence in Healthcare
- Acute Lymphoblastic Leukemia research
- Prenatal Substance Exposure Effects
- Mobile Health and mHealth Applications
- Mental Health Treatment and Access
- Health Literacy and Information Accessibility
- Electronic Health Records Systems
- Health and Medical Research Impacts
- Health Policy Implementation Science
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Digital Mental Health Interventions
- Heart Failure Treatment and Management
- Healthcare Systems and Technology
- Antibiotic Use and Resistance
- Food Security and Health in Diverse Populations
- Sexuality, Behavior, and Technology
Center for Innovation
2023-2024
Geisinger Medical Center
2015-2024
Geisinger Health System
2014-2022
In surveys, interviews, and focus groups, patients taking medications offered Web portal access to their primary care physicians' (PCPs) notes report improved adherence regimens. However, objective confirmation has yet be reported.To evaluate the association between patient Internet physician visit medication adherence.This study is a retrospective comparative analysis at one site of OpenNotes quasi-experimental trial. The setting includes practices Geisinger Health System (GHS) in Danville,...
Objectives This substudy’s objectives were to (1) examine the transferability of a four archetype framework (simplified pattern prototypical features) for patients at high risk opioid use disorder (OUD) developed from previous study with similar population; (2) explore how patient preferences terminology can inform clinician communication strategies OUD across archetypes and (3) perceptions risks archetypes. Design qualitative collected data via semistructured phone interviews about views on...
<b><i>Introduction:</i></b> Pennsylvania opened its first medical marijuana (MMJ) dispensary in 2018. Qualifying conditions include six determined to have no or insufficient evidence support refute MMJ effectiveness. We conducted a study describe access and determine whether proximity was associated with certifications community demographics. <b><i>Methods:</i></b> Using data from the Department of Health, we geocoded locations linked them US...
The hematopoietic cellular therapy (HCT) pharmacist is an essential member of the multidisciplinary care team. Yet, standardized incorporation a at transplantation centers remains challenging. Implementation science uses theory-driven and systematic approaches to integrate interventions into clinical practice. We describe our experience implementing HCT center conducted program evaluation using Reach, Effectiveness, Adoption, Maintenance (RE-AIM) framework. implemented 1 full-time equivalent...
<sec> <title>BACKGROUND</title> Medical Marijuana (MMJ) is available in Pennsylvania and participation the state-regulated program requires a patient to register receive certification by an approved physician. There currently no integration of MMJ data into health records that would allow for physicians rapidly identify patients are using MMJ, as there with other scheduled drugs. This absence formal sharing structure necessitates tools aid consistent documentation practices enable...
Abstract Background Medical marijuana (MMJ) is available in Pennsylvania, and participation the state-regulated program requires patient registration receiving certification by an approved physician. Currently, no integration of MMJ data with health records exists Pennsylvania that would allow clinicians to rapidly identify patients using MMJ, as other scheduled drugs. This absence a formal sharing structure necessitates tools aiding consistent documentation practices enable comprehensive...
<sec> <title>BACKGROUND</title> Patient portal secure messaging allows patients to describe health-related behaviors in ways that may not be sufficiently captured standard electronic health record (EHR) documentation, but little is known about how cannabis discussed on this platform. </sec> <title>OBJECTIVE</title> This study aimed identify patient and provider messages contextualize these discussions over periods before after its legalization for medical purposes Pennsylvania....
Background Patient portal secure messaging allows patients to describe health-related behaviors in ways that may not be sufficiently captured standard electronic health record (EHR) documentation, but little is known about how cannabis discussed on this platform. Objective This study aimed identify patient and provider messages contextualize these discussions over periods before after its legalization for medical purposes Pennsylvania. Methods We examined 382,982 sent by 15,340 6101...
Pharmacist-led collaborative interventions can support improved medication use and adherence during transitions of care (TOC). Community pharmacists are not always actively connected with other health-care team professionals, however, their confidence in having necessary information may vary.To assess community pharmacists' perceptions information, provided, communication, before after a postdischarge intervention designed to increase communication between inpatient pharmacists.A survey...
Abstract Elimination of the X-waiver increased potential buprenorphine prescribers 13-fold, but growth in prescribing will likely be much lower. We explored self-assessments nonwaivered primary care clinicians (PCCs) for factors affecting their likelihood to prescribe were eliminated (since realized January 2023) and impacts a clinical decision-support (CDS) tool opioid use disorder (OUD). Cross-sectional survey data obtained between 2021 March 2022 from 305 PCCs at 3 health systems. Factors...
The Health Care Systems Research Network (HCSRN) is comprised of 19 not-for-profit health systems with embedded research departments. network's annual conference serves as a forum for member institutions to highlight findings, explore new collaborations, and share insights opportunities. Abstracts accepted oral poster presentation at the 2021 HCSRN Conference are published in this supplement Journal Patient-Centered Reviews, official scientific journal conference.
Abstract Objective Community pharmacists are often the first healthcare professional encountered following discharge from a hospital, but what extent of services provided is not fully described across variety community pharmacy settings. Our objective was to capture and report recommendations made by during transitions care interventional study determine if visit‐related factors affected risk readmission. Methods The content pharmacists' notes were analyzed encounters for patients discharged...
Jove Graham1, Dione Mercer1, Lorraine Tusing1 and Walter Stewart2 1Geisinger Health System 2Sutter
Abstract Background Pennsylvania opened its first medical marijuana (MMJ) dispensary in 2018. Qualifying conditions include six determined to have insufficient evidence support or refute MMJ effectiveness. We conducted a study describe access and determine whether proximity was associated with certifications community demographics. Methods Using data from the Department of Health, we geocoded locations linked them U.S. Census Bureau data. created measures population-weighted centroid Zip...