A5061270896- Autism Spectrum Disorder Research
- Chronic Disease Management Strategies
- Family and Disability Support Research
- Child and Adolescent Health
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Child Development and Digital Technology
- LGBTQ Health, Identity, and Policy
- Medical Coding and Health Information
- Food Security and Health in Diverse Populations
- Child and Adolescent Psychosocial and Emotional Development
- Health disparities and outcomes
- Health Promotion and Cardiovascular Prevention
- Healthcare Policy and Management
- Emergency and Acute Care Studies
- Mental Health Treatment and Access
- Mobile Health and mHealth Applications
- Child Nutrition and Feeding Issues
- Pharmaceutical Practices and Patient Outcomes
- Suicide and Self-Harm Studies
- Traumatic Brain Injury Research
- Virology and Viral Diseases
- Human-Animal Interaction Studies
- Health Literacy and Information Accessibility
- Adolescent and Pediatric Healthcare
- Substance Abuse Treatment and Outcomes
Kaiser Permanente Center for Health Research
2016-2024
Northwestern University
2016-2021
University of Chicago
2021
Johnson University
2021
Rutgers, The State University of New Jersey
2021
Health Resources and Services Administration
2021
Indo-American Center
2021
University of Hawaiʻi at Mānoa
2021
Kaiser Permanente Washington Health Research Institute
2016
Ochin
2016
As the life expectancy of people infected with human immunodeficiency virus (HIV) infection has increased, spectrum illness evolved. We evaluated whether living HIV accessing primary care in US community health centers had higher morbidity compared HIV-uninfected patients receiving at same sites.We data from electronic records for 12 837 HIV-infected and 227 012 to evaluate relative prevalence diabetes mellitus, hypertension, chronic kidney disease, dyslipidemia, malignancies by serostatus....
Autism spectrum disorders (ASD) are lifelong neurodevelopmental disorders, and little is known about how parents address the health psychosocial consequences of ASD. Few studies have examined use various treatments services in a large, diverse sample children with ASD their families.This paper presents methods to create an autism research resource across multiple large delivery systems describes used by families.Four study sites conducted Web survey adolescents who were members Kaiser...
This study examines medical conditions diagnosed prior to the diagnosis of autism spectrum disorder (ASD). Using a matched case control design with 3911 ASD cases and 38,609 controls, we found that 38 out 79 were associated increased risk. Developmental delay, mental health, neurology had strongest associations (ORs 2.0–23.3). Moderately strong observed for nutrition, genetic, ear nose throat, sleep 2.1–3.2). machine learning methods, clustered children based on their demonstrated risk...
This study examines the impact of transition from ICD-9-CM to ICD-10-CM diagnosis coding on recording mental health disorders in electronic records (EHRs) and claims data ten large systems. We present rates these diagnoses across two years spanning October 2015 transition.Mental were identified EHR at care systems Mental Health Research Network (MHRN). Corresponding codes compiled monthly people receiving calculated for one year before after transition.For seven eight diagnostic categories,...
Background: The Affordable Care Act increases access to treatment services for people who suffer from substance use disorders (SUDs), including alcohol (AUDs) and opioid (OUDs). This increased has broad implications delivering health creates a dramatic need transformation in clinical care, service lines, collaborative care models. Medication-assisted treatments (MAT) are effective helping SUD patients reach better outcomes. article uses electronic record (EHR) data examine the prevalence of...
<h3>Objective:</h3> Recent research demonstrates an increased need to understand the contribution of social determinants health (SDHs) in shaping individual9s status and outcomes. We studied patients with diabetes safety-net centers evaluated associations their disease complexity, demographic characteristics, comorbidities, insurance status, primary language HbA1c level over time. <h3>Methods:</h3> Adult at least 3 distinct care visits between January 1, 2006, December 31, 2013, were...
Background Antipsychotic medications (AP) are inappropriately prescribed to young people. The goal of this pragmatic trial was test a four‐component approach improved targeting antipsychotic prescribing people aged ≥3 and <18 years. Methods Clinicians in four health systems were cluster randomized by the number previous AP orders service line – specialty mental all others. Intervention arm clinicians received best practice alert child psychiatrist consultation feedback. Families system...
Parents of children with autism spectrum disorder (ASD) and other chronic health conditions often face exceptional caregiving demands that can lead to challenges related maintaining succeeding in employment. Detailed information on the specific ways which these impact parent employment could aid designing equitable, effective policies support families. The r-Kids study used electronic records identify three groups children: those ASD, asthma, or neither condition (control), from several care...
Little is known about statin underutilization among diabetes mellitus patients cared for in community health centers, which tend to serve socioeconomically disadvantaged populations. Implications of the American College Cardiology/American Heart Association (ACC/AHA) guidelines on preexisting gaps treatment this population are unclear.We included 32 440 adults (45% male, 63% nonwhite, 29% uninsured/Medicaid) aged 40 75 years with who received care within 16 center groups 11 states Community...
To assess the impact of provider incentive policy on smoking status documentation.
The study was designed to evaluate whether an educational intervention train the health center (HC) staff optimize care for sexual and gender minority (SGM) patients could improve documentation of orientation identity (SOGI) increase preventive screenings.
Frances Lynch1, Janet Cummings2, Kristal Rust1, Ashli Owen-Smith2, Karen Coleman3, Jeanne Madden4, Vincent Yau5, Kathy Pearson1, Phillip Crawford1, Maria Massolo5, Virginia Quinn3 and Lisa Croen5 1Kaiser Permanente Northwest 2Kaiser Southeast 3Kaiser Southern California 4Harvard Pilgrim Health Care 5Kaiser Northern
Vincent Yau1, Frances Lynch2, Jeanne Madden3, Ashli Owen-Smith4, Karen Coleman5, Stephen Bent6, Maria Massolo1, Kathy Pearson2, Phillip Crawford2, Heather Freiman4 and Magdalena Pomichowski5 1Kaiser Permanente Northern California 2Kaiser Northwest 3Harvard Pilgrim Health Care 4Kaiser Southeast 5Kaiser Southern 6University of California, San Francisco
Childhood obesity has increased significantly in the United States. Racial subgroups are often grouped into categories research, limiting our understanding of disparities. This study describes prevalence among youth diverse racial and ethnic backgrounds receiving care at community health centers (CHCs). cross-sectional elevated body mass index (BMI) (≥85th percentile) (≥95th aged 9 to 19 years CHCs 2014. Multilevel logistic regression estimated BMI by age, race/ethnicity, sex. Among 64 925...
Background/Aims: The United States currently uses ICD version 9 (ICD-9) for diagnosis and procedure coding. Federal regulations require that U.S. health care providers adopt the next (ICD-10) by 10/1/2015. new expands number of codes from about 13,000 to 68,000, increases approximately 4,000 90,000. Centers Medicare & Medicaid Services delayed its ICD-10 implementation date 10/1/2014 10/1/2015 as a result congressional action. However, changes electronic records based on have continued move...
Phillip Crawford1, Frances Lynch1, Lisa Croen2, Karen Coleman3, Ashli Owen-Smith4, Vincent Yau2 and Kathryn Pearson1 1Kaiser Permanente Northwest 2Kaiser Northern California 3Kaiser Southern 4Kaiser Southeast
Background/Aims: To better characterize and reduce health disparities faced by sexual gender minorities (SGM), efforts to collect orientation identity within the electronic record (EHR) are currently burgeoning across United States. In 2006, Kaiser Permanente Northwest (KPNW) began collecting information about activity of patients sex their partners in social history module its EHR. The aims our work were describe trends capture this over a 9-year period discuss relevance these findings...
Background/Aims: Early intervention services in the first few years of life significantly improve outcomes for children with autism spectrum disorders (ASD). Yet there are often delays identification and diagnosis ASD. If health systems were better able to identify at high risk ASD bring them comprehensive evaluation earlier, more could be benefit from early intervention.