A5088233690- Dental Health and Care Utilization
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Merger and Competition Analysis
- Emergency and Acute Care Studies
- Dental Education, Practice, Research
- Oral microbiology and periodontitis research
- Primary Care and Health Outcomes
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Digital Platforms and Economics
- Intellectual Property Law
- Clinical practice guidelines implementation
- Legal principles and applications
- Glioma Diagnosis and Treatment
- Health Literacy and Information Accessibility
- Food Security and Health in Diverse Populations
- Child and Adolescent Health
- European and International Contract Law
- Neuroblastoma Research and Treatments
- Global Health Workforce Issues
- Cancer Treatment and Pharmacology
- Franchising Strategies and Performance
- Healthcare Systems and Technology
- Dental Research and COVID-19
American Dental Association
2020-2022
University of Florida
1994-2016
Florida College
2007-2016
University of Iowa
2016
University of Florida Health
2007-2015
Johns Hopkins Hospital
2013
The University of Texas MD Anderson Cancer Center
2013
National Institute of Mental Health and Neurosciences
2013
Columbia University
2013
Orlando Health
2013
Policymakers argue that emergency department (ED) visits for conditions preventable with high-quality outpatient care contribute to waste in the healthcare system. However, access ambulatory is uneven, especially vulnerable populations like minorities, poor, and those limited health literacy. The impact of literacy on ED are timely, unknown.The objective was determine association visits.We conducted an observational cross-sectional study potentially (outcome) among adults (≥18 years old)...
Journal Article A Large Outbreak of Antibiotic-Resistant Shigellosis at a Mass Gathering Get access Melinda Wharton, Wharton From the Division Field Services, Epidemiology Program Office, and Center for Infectious Diseases, Centers Disease Control, Atlanta, Georgia; North Carolina Health Raleigh; Vanderbilt University School Medicine, Nashville, Tennessee Search other works by this author on: Oxford Academic PubMed Google Scholar Richard A. Spiegel, Spiegel John M. Horan, Horan Reprints or...
Objective To examine receipt of early childhood caries preventive services ( ECCPS ) in two states' Medicaid programs before and after the implementation reimbursement to medical primary care providers (M‐ PCP s). Data Sources Enrollment claims data from Florida Texas for children ≤54 months age during period 2006–2010. Study Design We conducted time trend‐adjusted, difference‐in‐differences analyses by using modified Poisson regressions combined with generalized estimating equations GEE s)...
We sought to determine whether the prophylactic use of amphotericin B products (conventional and liposomal B) reduces incidence fungal infections in high-risk liver transplant recipients, if so, this lowers cost care. The study sample comprised 232 adult orthotopic transplants performed from 1994 2005 at a single center for patients classified as being high risk infections. High-risk who received with prophylaxis regimen (n = 58 transplants) were compared no 174 transplants). Fungal occurred...
Abstract Objective This study describes processes used to develop and test pediatric oral healthcare quality measures provides recommendations for implementation. Methods At the request of C enters M edicare edicaid S ervices, D ental Q uality A lliance ( DQA ) was formed in 2008 as a multi‐stakeholder group measures. For its initial focus on care, measure development included literature review environmental scan identify relevant concepts, which were rated importance, feasibility, validity...
The inability to access regular dental care may lead seeking at hospital emergency departments (EDs). However, EDs generally are not equipped or staffed provide definitive services. This study examined trends and patterns of ED use for dental-related reasons in Florida, a large, diverse state with serious barriers accessing care.Data this were drawn from ambulatory discharge records compiled by Florida's Agency Health Care Administration 2005-2014. Visits Florida defined the patient's...
To develop the first standardized definition of patient-centered dental home (PCDH).Primary data from a 55-member national expert panel and public comments.We used modified Delphi process with three rounds surveys to collect panelists' ratings PCDH characteristics open-ended comments. The was supplemented 1-month comment period.We calculated median ratings, analyzed consensus using interpercentile range adjusted for symmetry, qualitatively evaluated comments.Forty-nine experts (89%)...
Research Objective. To examine the impact of premium changes in Florida's State Children's Health Insurance Program (SCHIP) on enrollment duration. Data Sources. Administrative records, containing and demographic data, were used to identify 173,330 spells for 153,768 children SCHIP from July 2002 through June 2004. care claims data classify children's health status. Study Design. Accelerated failure time models immediate longer term effects length a temporary increase $15 $20 per family...
At the border of intellectual property monopolies and antitrust markets lies a field dissonance yet to be harmonized by statute or Supreme Court. Image Technical Services v. Eastman Kodak, 125 F.3d 1195, 1217 (9th Cir. 1997).
Importance: Examining the impact of Medicaid-managed care home-based and community-based service (HCBS) alternatives to institutional is critical given recent rapid expansion these models nationally. Objective: We analyzed effects STAR+PLUS, a Texas HCBS waiver program for adults with disabilities on quality chronic disease care. Design, Setting, Participants: compared before after mandatory transition disabled Medicaid enrollees older than 21 years from fee-for-service (FFS) or primary case...
To examine the impact of changing from a passive renewal process to an active in Florida's State Children's Health Insurance Program (SCHIP) on disenrollment.Administrative records, containing enrollment and demographic data, were used identify 414,396 spells January 2004 through February 2006. care claims data classify children's health status.A Cox proportional hazards model was analyze risk disenrolling, controlling for sociodemographic characteristics. Differential effects policy change...
Abstract Objectives Addressing inequities in oral health care requires identification of which populations are experiencing performance gaps and the extent those gaps. This study used Dental Quality Alliance (DQA) measures to examine variations quality by race ethnicity. Methods We eligibility claims data for 2018 children aged <21 years state Medicaid/CHIP programs available through Transformed Medicaid Statistical Information System. For a subset states with sufficient quality, we...
Abstract Objective This study validated two Dental Quality Alliance system‐level measures of oral healthcare quality for children – caries‐related emergency department (ED) visits and timely follow‐up those with a dentist including formal validation diagnosis codes used to identify ED measurement care. Methods The were specified implementation administrative claims data using from the Florida Texas Medicaid Children's Health Insurance Programs. Measure specification testing measure score...
Objective: To describe the stakeholder-engaged processes used to develop, specify, and validate 2 oral health care electronic clinical quality measures. Materials Methods: A broad range of stakeholders were engaged from conception through testing develop measures test feasibility, reliability, validity following National Quality Forum guidance. We assessed data element feasibility semistructured interviews with key using a Forum–recommended scorecard. created datasets synthetic patients...