A5022848894- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Health and Medical Research Impacts
- Opioid Use Disorder Treatment
- Healthcare Policy and Management
- Heart Failure Treatment and Management
- Health Sciences Research and Education
- Mental Health and Patient Involvement
- Chronic Disease Management Strategies
- Substance Abuse Treatment and Outcomes
- Cardiac Arrest and Resuscitation
- Patient-Provider Communication in Healthcare
- HIV, Drug Use, Sexual Risk
- Cardiac Health and Mental Health
- Peripheral Artery Disease Management
- Healthcare cost, quality, practices
- Multiple and Secondary Primary Cancers
- Cardiac pacing and defibrillation studies
- Interprofessional Education and Collaboration
- Economic and Financial Impacts of Cancer
- Patient Satisfaction in Healthcare
- Prenatal Substance Exposure Effects
- Healthcare Systems and Practices
- Cardiovascular Function and Risk Factors
University of Missouri–Kansas City
2020-2024
Saint Luke's Hospital
2022-2024
Health Innovations (United States)
2024
Saint Luke's Health System
2021-2024
Janssen (United States)
2024
National Heart Lung and Blood Institute
2023
Bayer (United States)
2023
National Institutes of Health
2023
Impaq International (United States)
2014
Agency for Healthcare Research and Quality
2011
To compare the prevalence of high out-of-pocket burdens among patients with cancer other chronically ill and well patients, to examine sociodemographic characteristics associated cancer.The sample included persons 18 64 years age who received treatment for cancer, taken from a nationally representative US population 2001 2008 Medical Expenditure Panel Survey. We examined proportion living in families medical spending, including insurance premiums, relative income, defining health care...
BACKGROUND: Pursuing initial invasive or conservative management of chronic coronary disease (CCD) is a preference-sensitive decision that should include shared decision-making. Communicating the benefits either approach challenging, as individual patients rarely achieve population-averaged outcomes reported in clinical trials. Our objective was to develop patient aid (PDA) with patient-specific estimates for versus CCD, based on ISCHEMIA trial (International Study Comparative Health...
As research defines new treatments and policies to improve the health of patients, an increasing challenge has been translate these insights into routine clinical practice benefit patients society. An important exploration is how theories human behavior change fit science implementation quality improvement. In this paper, we begin with a brief review intellectual roots improvement, followed by discussion principles can inform both goals challenges in using theories. The offered through...
To address the opioid epidemic in Kansas City, Missouri, local health systems sought to implement a referral peer recovery coaches (PRCs) for clients presenting with use disorder. Client referrals were made primarily through system emergency departments, where PRCs met facilitate linkages support up twelve months. This study aimed evaluate and improve program implementation process mapping at three systems.
The Agency for Healthcare Research and Quality (AHRQ's) Patient Safety Program is responsive to AHRQ's mission of quality improvement in healthcare. As part this program, AHRQ has invested projects prevent healthcare-associated infections (HAIs), funding increased significantly over the last decade. AHRQ-funded have focused on generating new knowledge promoting nationwide implementation proven HAI prevention measures diverse healthcare settings.To provide insight strategies by: first,...
After left ventricular assist device (LVAD) implantation, caregivers may experience increasing burden because of new roles and responsibilities. We examined the association between caregiver at baseline patient recovery after long-term LVAD implantation in patients ineligible for heart transplantation.Between October 1, 2015, December 31, 2018, data from 60 with a (age, 60-80 years) through 1 postoperative year were analyzed. Caregiver was measured using Oberst Caregiving Burden Scale,...
Introduction: High variability in heart failure (HF) readmissions persists despite national efforts and incentives. A standardized care path, CodeHF, was developed for use the emergency department (ED) to better identify HF patients warranting admission. CodeHF implemented Kansas City 2018. Despite positive patient hospital-level outcomes, of has lagged. Hypothesis: qualitative study conducted understand barriers facilitators behind implementation with goal tailoring strategies increase...
Research Objective: A challenge to improving the quality and value of healthcare has been need for multiple stakeholders collaborate in a coordinated effort. To address this, novel program developed create regional commitment deliver high care that is more patient-centered efficient. Study Design: The Kansas City Quality & Value Innovation Consortium (QVIC) created network hospitals other stakeholder innovate on delivery. This initiative began by first identifying systems’ priorities...
Research Objective: Translating evidence into practice and communities is a complex process that often takes years. The shifting healthcare landscape from volume- to value-based demands learning health systems shift more rapid uptake of evidence. field dissemination implementation (D&I) science seeks inform how evidence-based interventions can be successfully adopted, implemented maintained in care delivery community settings. A significant challenge implementing finding researchers the...
OBJECTIVES/GOALS: Commercial health insurance payers invest in disease management programs (DM) to coordinate care for complex patients. To overcome gaps connecting patients hospitalized with heart failure DM, we implemented a novel warm handoff referral between hospital providers and payer DM using the Implementation Research Logic Model (IRLM). METHODS/STUDY POPULATION: A research quality improvement team collaborated champions from one three build pilot an inpatient-based who were...
Introduction: Despite the rapid accumulation of evidence, translating this evidence into clinical practice is slow and inefficient. A key barrier limited understanding implementation science (IS). As part a regional strategy to improve value healthcare, Healthcare Institute for Innovations in Quality (HI-IQ) built curriculum certificate program, Training Implementation: Actionable Research Approaches (TIARA) train researchers providers with skills IS. Methods: HI-IQ has multi-stakeholder...
ABSTRACT IMPACT: Implementing a team science approach with broad engagement from academic researchers, healthcare payers, providers, patients, and community-based organizations is complex, yet critical to implementing evidence into real world settings. OBJECTIVES/GOALS: 1. Participants will be able deploy novel strategies for creating training regional multi-stakeholder consortium improve the quality value of healthcare. 2. examine ways in which provides holistic sustainable care outcomes...