A5021734217- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Data-Driven Disease Surveillance
- Electronic Health Records Systems
- Food Security and Health in Diverse Populations
- Chronic Disease Management Strategies
- Public Health Policies and Education
- Global Health Workforce Issues
- Diabetes Management and Education
- Colorectal Cancer Screening and Detection
- Health Literacy and Information Accessibility
- Mobile Health and mHealth Applications
- Community Health and Development
- Influenza Virus Research Studies
- Renal Diseases and Glomerulopathies
- Diabetes Treatment and Management
- Ethics in Clinical Research
- Health Systems, Economic Evaluations, Quality of Life
- Religion, Spirituality, and Psychology
- Religion, Society, and Development
- Cultural Competency in Health Care
- Global Cancer Incidence and Screening
- Healthcare Systems and Technology
- Geriatric Care and Nursing Homes
- Pharmacogenetics and Drug Metabolism
Institute for Family Health
2011-2024
Icahn School of Medicine at Mount Sinai
2012-2024
New York Academy of Medicine
2014
University of Samarra
2013
Mount Sinai Hospital
2013
New York City Department of Health and Mental Hygiene
2012
Parsons (United States)
2012
The Centers
2012
Columbia University
2012
Albert Einstein College of Medicine
2000-2011
Patients, clinicians, researchers and payers are seeking to understand the value of using genomic information (as reflected by genotyping, sequencing, family history or other data) inform clinical decision-making. However, challenges exist widespread implementation medicine, a prerequisite for developing evidence its real-world utility. To address these challenges, National Institutes Health-funded IGNITE (Implementing GeNomics In pracTicE; www.ignite-genomics.org ) Network, comprised six...
To assess the performance of electronic health record data for syndromic surveillance and to feasibility broadly distributed surveillance.
Alerting providers to public health situations requires timeliness and context-relevance, both lacking in current systems. Incorporating decision support tools into electronic records may provide a way deploy alerts clinicians at the point of care. A timely process for responding Health Alert Network messages sent by New York City Department Mental Hygiene was developed network community centers. Alerts with order sets recommended actions were created notify primary care local disease...
Purpose The purpose of this study was to evaluate Fine, Fit, and Fabulous (FFF), a faith-based diabetes prevention program for black Latino congregants at churches in low-income New York City neighborhoods. FFF includes nutrition education fitness activities while incorporating Bible-based teachings that encourage healthy lifestyles. Methods is 12-week, bilingual developed by the Bronx Health REACH coalition, Centers Disease Control Prevention-funded Center Excellence Elimination...
Electronic health records (EHRs) have great potential to serve as a catalyst for more effective coordination between public departments and primary care providers (PCP) in maintaining healthy communities. As system documenting patient data, EHRs can be harnessed improve surveillance communicable chronic illnesses. facilitate clinical alerts informed by goals that guide physicians real time their diagnosis treatment of patients. reassess agendas, the use this agenda settings should...
<h3>Importance</h3> Risk variants in the apolipoprotein L1 (<i>APOL1</i>[OMIM603743]) gene on chromosome 22 are common individuals of West African ancestry and confer increased risk kidney failure for people with hypertension. Whether disclosing<i>APOL1</i>genetic testing results to patients their clinicians affects blood pressure, disease screening, or patient behaviors is unknown. <h3>Objective</h3> To determine effects hypertension clinicians. <h3>Design, Setting, Participants</h3> This...
Although many public health initiatives have been implemented through collaborations with faith-based institutions, little is known about best practices for developing such programs. Using a community-based participatory approach, this case study examines the implementation of an initiative in Bronx, New York, that designed to educate community members promotion and disease management mobilize church seek equal access care services. The used qualitative methods, including collaborative...
This study seeks to understand the perspective of Black and Hispanic/Latino residents South Bronx, New York, on causes persistent racial ethnic disparities in health outcomes. In particular, it focuses how people who live this community perceive interact with care system. Findings from 9 focus groups 110 participants revealed a deep pervasive distrust system sense being disrespected, exacerbated by difficulties that patients experience communicating their providers. The paper suggests...
This case study provides a mid-course assessment of the Bronx Health REACH faith-based initiative four years into its implementation. The uses qualitative methods to identify lessons learned and reflect on benefits challenges using community-based participatory approach for development evaluation program designed address health disparities. Key findings concern role pastoral leadership, importance providing religious context promotion equality messages, creating bilingual/bi-cultural...
PurposeA critical gap in the adoption of genomic medicine into medical practice is need for rigorous evaluation utility interventions.MethodsThe Implementing Genomics Practice Pragmatic Trials Network (IGNITE PTN) was formed 2018 to measure clinical and cost-effectiveness interventions, assess approaches real-world application diverse settings, produce generalizable knowledge on trials using interventions. Five sites a coordinating center evaluated trial proposals developed working groups...
The Affordable Care Act made admirable strides toward the "triple aim" of reducing health care costs, increasing quality, and improving community at large. A key element reform is accountable organization (ACO), which restructures delivery such that networks providers are held responsible for a group patients they serve. recently announced Medicare ACO program lays foundation 2 its 3 major goals by allowing ACOs to share in any cost savings, provided meet quality criteria. Yet it seems...
<h3>PURPOSE</h3> The patient-centered medical home (PCMH) model has great potential for optimizing the care of chronically ill patients, yet there is much to be learned about various implementations this and their impact on patient processes outcomes. <h3>METHODS</h3> We examined changes in patterns health use a network Federally Qualified Health Centers throughout 9-year period practice transformation that included recognition all centers by National Committee Quality Assurance (NCQA) as...
Care management (CM) is a promising team-based, patient-centered approach “designed to assist patients and their support systems in managing medical conditions more effectively.” As little known about its implementation, this article describes CM implementation associated lessons from 12 Agency for Healthcare Research Quality–sponsored projects. Two rounds of data collection resulted project-specific narratives that were analyzed using an iterative analogous framework analysis. Informants...
Objective:To explore overall trends as well racial/ethnic disparities in utilization of different telehealth modalities (telephone vs. televideo) at federally qualified health centers (FQHCs) during the COVID-19 pandemic. Methods:Using electronic record data from a large New York-based FQHC system, we aggregated (separately) Behavioral Health and Family Practice visits per month occurring in-person, by telephone, or televideo graphed monthly across pre-pandemic, peak-pandemic,...
The advent of electronic medical records and health information exchange raise the possibility expanding public reporting to detect a broad range clinical conditions monitoring on scale. Expanding may require patient anonymity, matching records, re-identifying cases, recording characteristics for localization. privacy regulations under Health Insurance Portability Accountability Act 1996 (HIPAA) provide several mechanisms surveillance, including using laws regulations, activities,...
Community health centers (CHCs) face a unique set of challenges and can learn much from each other as they prepare for the adoption information technology (HIT).This paper presents research agenda aimed at providing CHCs will need to successfully implement HIT.Community must be able evaluate whether an investment in HIT is best way achieve improvements outcomes their communities given limited resources high demands face. better guide them selecting implementing that result improved quality...
In 2006, New York City, the largest school district in country, eliminated whole milk and reduced availability of sweetened 1,579 schools. Despite pressure from American Dairy Council, skepticism food administrators elected officials, difficulties inherent changing a system that serves 120,000,000 containers per year, community-led coalition prevailed. This article describes how parents, educational leaders, advocates, health professionals collaborated to educate children their families...