- Electronic Health Records Systems
- Healthcare Systems and Technology
- Mobile Health and mHealth Applications
- Telemedicine and Telehealth Implementation
- Health Literacy and Information Accessibility
- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Patient Satisfaction in Healthcare
- Social Media in Health Education
- Opioid Use Disorder Treatment
- Global Cancer Incidence and Screening
- Health disparities and outcomes
- Healthcare cost, quality, practices
- Substance Abuse Treatment and Outcomes
- Quality and Safety in Healthcare
- Patient-Provider Communication in Healthcare
- Smoking Behavior and Cessation
- Community Health and Development
- Health Systems, Economic Evaluations, Quality of Life
- Global Maternal and Child Health
- Colorectal Cancer Screening and Detection
- Data Quality and Management
- Patient Safety and Medication Errors
- Pharmaceutical Practices and Patient Outcomes
The Ohio State University
2016-2025
The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
2025
Boston University
2016-2024
Harvard University
2016-2024
Boston Medical Center
2016-2024
Tufts University
2024
Massachusetts Department of Public Health
2024
Institute for Behavioral Medicine
2018-2022
Washington University in St. Louis
2022
Catalyst Health Economics Consultants Ltd
2018-2019
Background: Age and race disparities in the use of new technologies-the digital divide-may be limiting potential patient-facing health information technology to improve care. Objective: To investigate whether exist patient portals designed specifically for inpatient environment. Methods: Patients admitted six hospitals affiliated with a large, Midwestern academic medical center from July 2017 2018 were provided access tablet equipped an portal recruited participate study (n = 842)....
Personal health records (PHRs) offer a tremendous opportunity to generate consumer support in pursing the triple aim of reducing costs, increasing access, and improving care quality. Moreover, surveys United States indicate that consumers want Web-based access their medical records. However, concerns consumers' low information literacy levels physicians' resistance sharing notes will limit PHRs' utility relatively small portion population have reduced both product innovation policy...
Opioid overdose deaths remain high in the U.S. Despite having effective interventions to prevent deaths, there are numerous barriers that impede their adoption. The primary aim of HEALing Communities Study (HCS) is determine impact an intervention consisting community-engaged, data-driven selection, and implementation integrated set evidence-based practices (EBPs) on reducing opioid deaths.The HCS a four year multi-site, parallel-group, cluster randomized wait-list controlled trial. (n = 67)...
People use a variety of means to find health information, including searching the Internet, seeking print sources, and talking healthcare providers, family members, friends. Doctors are considered most trusted source but people may be underutilizing them in favor Internet. A multinomial logistic regression cross-sectional data from Cycle 4 Health Information National Trends Survey (HINTS) was conducted. Independent variables included gender, age, rurality, cancer history, general health,...
Evidence-based practices for reducing opioid-related overdose deaths include education and naloxone distribution, the use of medications treatment opioid disorder, prescription safety. Data are needed on effectiveness a community-engaged intervention to reduce through enhanced uptake these practices.
BackgroundCommunity stigma against people with opioid use disorder (OUD) and intervention (e.g., toward naloxone) exacerbate the overdose crisis. We examined effects of Communities that HEAL (CTH) on perceived opioid-related community by stakeholders in HEALing Study (HCS).MethodsWe collected three surveys from coalition members 66 communities across four states participating HCS. were randomized into Intervention (Wave 1) or Wait-list Control 2) arms. conducted multilevel linear mixed...
The Meaningful Use (MU) program has promoted electronic health record adoption among US hospitals. Studies have shown that been slower than desired in certain types of hospitals; but generally, the overall rate increased However, these studies neither evaluated advanced functionalities records (beyond MU) nor forecasted maturation over an extended period a holistic fashion. Additional research is needed to prospectively assess hospitals' technology and advancement patterns.This study...
In past years, policies and regulations required hospitals to implement advanced capabilities of certified electronic health records (EHRs) in order receive financial incentives. This has led accelerated implementation information technologies (HIT) care settings. However, measures commonly used evaluate the success HIT implementation, such as adoption, technology acceptance, clinical quality, fail account for complex sociotechnical variability across contexts different trajectories within...
Purpose: Assessed racial disparities in health information-seeking behavior and trust of information sources from 2007 to 2017. Design: Pooled cross-sectional survey data. Setting: Health Information National Trends Survey (HINTS). Participation: Data included 6 iterations HINTS (pooled: N = 19 496; 2007: n 3593; 2011: 3959; 2013: 3185; Food Drug Administration [FDA] 2015: 3738; 2017: 3285; FDA 1736). Measures: Outcome variables were seeking, high confidence, several sources. Independent...
With opioid misuse, use disorder (OUD), and overdose deaths persisting at epidemic levels in the U.S., largest implementation study addiction research-the HEALing Communities Study (HCS)-is evaluating impact of That Heal (CTH) intervention on reducing 67 disproportionately affected communities from four states (i.e., "sites"). Community-tailored dashboards are central to CTH intervention's mandate implement a community-engaged data-driven process. These support participating community's...
Screening for breast and colorectal cancer has resulted in reductions mortality; however, questions remain regarding how these interventions are being diffused to all segments of the population. If an intervention is less amenable diffusion, it could be associated with disparities mortality rates, especially rural vs urban areas.
Passage of the Patient Protection and Affordable Care Act (ACA) increased roles hospitals health systems play in care delivery led to a wave consolidation medical groups hospitals. As such, traditional patient interaction with an independent provider is becoming far less common, replaced by frequent interactions integrated systems. It thus increasingly important for these organizations have effective social media presence. Moreover, age informed consumer, patients desire readily accessible,...
Given the strong push to empower patients and make them partners in their health care, we evaluated current capability of hospitals offer information technology that facilitates patient engagement (PE).Using an ontology mapping approach, items from American Hospital Association Information Technology Supplement were mapped defined levels categories within PE Framework. Points assigned for each function based upon level it encompassed create a PE-information (PE-IT) score. Scores divided into...
Objective To improve understanding of facilitators EHR system implementation, paying particular attention to opportunities maximize physician adoption and effective deployment. Data Sources/Study Setting Primary data collected from 47 35 administrative key informants six U.S. health care organizations identified because purported success with implementation. Study Design We conducted interviews focus groups in an extensive qualitative study. Collection/Extraction Methods Verbatim transcripts...
Background: Communication is key in chronic disease management, and the internet has altered manner which patients providers can exchange information. Adoption of secure messaging differs among due to digital divide that keeps some populations from having effective access online resources. Objective: This study aimed examine current state patient-provider communication, exploring trends over time use communication tools. Methods: A 3-part analytic process was used following: (1) reanalysis,...
For patients with complex care needs, engagement in disease management activities is critical. Chronic illnesses touch almost every person the United States. The costs are real, personal, and pervasive. In response, often seek tools to help them manage their health. Patient portals, personal health records tethered an electronic record, show promise as that value can improve Although patient portals currently focus on outpatient experience, Ohio State University Wexner Medical Center...
Health services and population health innovations advance when knowledge transfer exchange (KTE) occurs among researchers, practitioners, policy-makers consumers using high-quality evidence. However, few KTE models have been evaluated in practice. Communities of practice (CoP) – voluntary, self-organizing, focused groups individuals organizations may provide one option. This paper outlines an approach to lay the foundation for a CoP within area Web-assisted tobacco interventions (WATI). The...
Health systems are facing significant pressure to either implement health information technology (HIT) that have "certified" electronic record applications and fulfill the federal government's definition of "meaningful use" or risk substantial financial penalties in near future. To this end, hospitals adopted one three strategies, described as "best breed," suite," "single vendor," meet organizational regulatory demands. The single-vendor strategy is used by simple majority U.S. hospitals,...
Abstract Hospitals and health systems are using web-based social media tools to market themselves consumers with increasingly sophisticated strategies. These efforts designed shape the consumers' expectations, influence their purchase decisions, build a positive reputation in marketplace. Little is known about how these marketing taking form if they have any relationship satisfaction services receive. The purpose of this study assess exists between quality hospitals' public websites...
Children's hospitals are faced with the rising need for technological innovation. Their prospective health care consumers, who increasingly depend on Web and social media communication consumer engagement, drive this need. As patients family members navigate presence of hospitals, it is important these specialized organizations to present themselves their services efficiently.The purpose study was evaluate website content children's in order identify opportunities improve design create...
As electronic health records (EHRs) become ubiquitous in the care industry, privacy breaches are increasing and being made public. These may make consumers wary of technology, undermining its potential to improve coordination research.Given developing concerns around personal information stored digital format, it is important for providers understand how views on security be associated with patient disclosure information. This study aimed shifting behavior.Using a pooled cross-section data...