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https://www.readbyqxmd.com/read/28033091/using-health-information-technology-and-data-to-improve-chronic-disease-outcomes-in-federally-qualified-health-centers-in-maryland
#1
Erica A Smith, Judy Lapinski, Judy Lichty-Hess, Kristi Pier
Federally Qualified Health Centers provide health care services to underserved communities and vulnerable populations. In Maryland, the burden of chronic disease is high among Federally Qualified Health Center patients. Electronic health records (EHRs) are becoming more widely used, and effective use of EHR data may improve chronic disease outcomes. This article describes the process of developing a data aggregation and analytics platform to support health centers in using population health data based on standardized clinical quality measures...
December 29, 2016: Preventing Chronic Disease
https://www.readbyqxmd.com/read/28007445/functional-goals-and-predictors-of-their-attainment-in-low-income-community-dwelling-older-adults
#2
Brian W Waldersen, Jennifer L Wolff, Laken Roberts, Allysin E Bridges, Laura N Gitlin, Sarah L Szanton
OBJECTIVE: To describe functional goals and factors associated with goal attainment among low-income older adults with disabilities living in the community. DESIGN: Secondary analysis from two studies of CAPABLE. Functional goals were coded using the International Classification of Functioning, Disability, and Health (ICF) framework. The percentage of goals attained at five months follow-up was computed within each ICF domain. Multivariate logistic regression was used to identify factors associated with goal attainment...
December 19, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27991834/caregiver-treatment-preferences-for-children-with-a-new-versus-existing-attention-deficit-hyperactivity-disorder-diagnosis
#3
Susan dosReis, Alex Park, Xinyi Ng, Emily Frosch, Gloria Reeves, Charles Cunningham, Ellen M Janssen, John F P Bridges
OBJECTIVES: Parental experiences with managing their child's attention-deficit/hyperactivity disorder (ADHD) can influence priorities for treatment. This study aimed to identify the ADHD management options caregivers most prefer and to determine if preferences differ by time since initial ADHD diagnosis. METHODS: Primary caregivers (n = 184) of a child aged 4-14 years old in care for ADHD were recruited from January 2013 through March 2015 from community-based pediatric and mental health clinics and family support organizations across the state of Maryland...
December 19, 2016: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/27919566/the-five-s-s-a-communication-tool-for-child-psychiatric-access-projects
#4
Joyce Harrison, Kate Wasserman, Janna Steinberg, Rheanna Platt, Kelly Coble, Kelly Bower
Given the gap in child psychiatric services available to meet existing pediatric behavioral health needs, children and families are increasingly seeking behavioral health services from their primary care clinicians (PCCs). However, many pediatricians report not feeling adequately trained to meet these needs. As a result, child psychiatric access projects (CPAPs) are being developed around the country to support the integration of care for children. Despite the promise and success of these programs, there are barriers, including the challenge of effective communication between PCCs and child psychiatrists...
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27769877/clinical-effectiveness-and-cost-savings-in-diabetes-care-supported-by-pharmacist-counselling
#5
Magaly Rodriguez de Bittner, Viktor V Chirikov, Ian M Breunig, Roxanne W Zaghab, Fadia Tohme Shaya
OBJECTIVE: To determine the effectiveness and cost savings of a real-world, continuous, pharmacist-delivered service with an employed patient population with diabetes over a 5-year period. SETTING: The Patients, Pharmacists Partnerships (P(3) Program) was offered as an "opt-in" benefit to employees of 6 public and private self-insured employers in Maryland and Virginia. Care was provided in ZIP code-matched locations and at 2 employers' worksites. PRACTICE DESCRIPTION: Six hundred two enrolled patients with type 1 and 2 diabetes were studied between July 2006 and May 2012 with an average follow-up of 2...
January 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/27760245/implications-of-the-patient-protection-and-affordable-care-act-on-insurance-coverage-and-rehabilitation-use-among-young-adult-trauma-patients
#6
Cheryl K Zogg, Fernando Payró Chew, John W Scott, Lindsey L Wolf, Thomas C Tsai, Peter Najjar, Olubode A Olufajo, Eric B Schneider, Elliott R Haut, Adil H Haider, Joseph K Canner
Importance: Trauma is the leading cause of death and disability among young adults, who are also among the most likely to be uninsured. Efforts to increase insurance coverage, including passage of the Patient Protection and Affordable Care Act (ACA), were intended to improve access to care and promote improvements in outcomes. However, despite reported gains in coverage, the ACA's success in promoting use of high-quality care and enacting changes in clinical end points remains unclear...
December 21, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27742854/factors-associated-with-receiving-rapid-hiv-testing-among-individuals-on-probation-or-parole
#7
Michael S Gordon, Steven B Carswell, Monique Wilson, Timothy W Kinlock, Lauren Restivo, Michelle McKenzie, Josiah D Rich
Despite the strong correlation between HIV and corrections, testing and prevention efforts have largely been ignored among community corrections populations. The current study is a secondary analysis to compare characteristics of individuals under community corrections supervision who completed rapid HIV testing with those who refused such testing (N = 2,382) in Baltimore, Maryland, and Providence, Rhode Island. Results indicate that the following variables were significantly associated with the receipt of rapid HIV testing: being female (p = ...
October 2016: Journal of Correctional Health Care
https://www.readbyqxmd.com/read/27736218/impact-of-a-community-dental-access-program-on-emergency-dental-admissions-in-rural-maryland
#8
Sandi Rowland, Jonathon P Leider, Clare Davidson, Joanne Brady, Alana Knudson
OBJECTIVES: To characterize the expansion of a community dental access program (CDP) in rural Maryland providing urgent dental care to low-income individuals, as well as the CDP's impact on dental-related visits to a regional emergency department (ED). METHODS: We used de-identified CDP and ED claims data to construct a data set of weekly counts of CDP visits and dental-related ED visits among Maryland adults. A time series model examined the association over time between visits to the CDP and ED visits for fiscal years (FYs) 2011 through 2015...
December 2016: American Journal of Public Health
https://www.readbyqxmd.com/read/27729444/can-payment-reform-be-social-reform-the-lure-and-liabilities-of-the-triple-aim
#9
Sandra J Tanenbaum
The formulation of the triple aim responds to three problems facing the US health care system: high cost, low quality, and poor health status. The purpose of this article is to analyze the potential of the health care system to achieve the triple aim and, specifically, the attempt to improve population health by rewarding providers who contain costs. The first section of the article will consider the task of improving population health through the health care system. The second section of the article will discuss CMS's efforts to pay providers to achieve the triple aim, that is, to improve health care and population health while containing cost...
October 11, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/27703998/favorable-socioeconomic-status-and-recreational-polydrug-use-are-linked-with-sexual-hepatitis-c-virus-transmission-among-human-immunodeficiency-virus-infected-men-who-have-sex-with-men
#10
Yun-Chi Chen, Kjell J Wiberg, Yu-Hsiang Hsieh, Arun Bansal, Philipe Bolzan, Janelle A Guy, Erastus N Maina, Andrea L Cox, Chloe L Thio
Background.  Sexual transmission of hepatitis C virus (HCV) among human immunodeficiency virus (HIV)-infected men who have sex with men (MSM) is an emerging issue. Studies addressing the temporal trends and risk factors associated with incident HCV in HIV-infected MSM in the community-based primary care settings in the United States are scarce. Methods.  Using a retrospective cohort study design, HCV incidence, defined as HCV antibody seroconversion, was determined in 1147 HIV-infected men receiving care at Chase Brexton Health Care clinics in Baltimore, Maryland between 2004 and 2014...
September 2016: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/27694364/educating-health-care-providers-in-treatment-of-patients-with-ebola-virus-disease
#11
Ellen J Eckes, Debbie Gutierrez, Ann Peterson, Melissa Hubbard, Kevin Barrett, Ann Marie Matlock
Nurses manage patients with common infectious diseases by following institutional guidelines based on expert advice, evidence in the literature, and a wealth of experience. Today nurses are challenged to provide care to patients with multidrug-resistant organisms and virulent infectious diseases such as Ebola virus disease. Management of some patients with virulent infectious diseases occurs in the context of minimal experience with the pathogen, course of infection, diagnostics, nursing care, and treatment...
October 2016: Critical Care Nurse
https://www.readbyqxmd.com/read/27687079/perceptions-of-gown-and-glove-use-to-prevent-methicillin-resistant-staphylococcus-aureus-transmission-in-nursing-homes
#12
Jennifer S Albrecht, Lindsay Croft, Daniel J Morgan, Mary-Claire Roghmann
OBJECTIVES: To explore current use and perceptions of glove and gown use in nursing homes. DESIGN: Qualitative study using focus groups and semi-structured interviews. SETTING: Three community-based nursing homes in Maryland. PARTICIPANTS: Direct care staff, administrators, and residents. METHODS: We conducted three focus groups among nursing home staff, one focus group among nursing home administrators, and five interviews with residents...
September 24, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27680304/predictors-of-hiv-related-risk-perception-and-prep-acceptability-among-young-adult-female-family-planning-patients
#13
Danielle B Garfinkel, Kamila A Alexander, Reagan McDonald-Mosley, Tiara C Willie, Michele R Decker
HIV pre-exposure prophylaxis (PrEP) presents new opportunities for HIV prevention. While women comprise approximately 20% of new HIV infections in the US, significant questions remain about how to most effectively facilitate PrEP uptake for this population. Family planning clinics are a dominant source of health care for young women and support an estimated 4.5 million women annually. We explore characteristics associated with HIV risk perception and PrEP acceptability among young adult women seeking reproductive health services in a high-prevalence setting...
September 29, 2016: AIDS Care
https://www.readbyqxmd.com/read/27664879/readmission-after-major-surgery-effect-of-the-postdischarge-environment
#14
Marcelo Cerullo, Faiz Gani, Sophia Y Chen, Joseph K Canner, Timothy M Pawlik
BACKGROUND: Although uncoordinated postdischarge care has been associated with poor clinical outcomes, the effect of discharge to a low healthcare resource area (LHRA) on readmission remains undetermined. We sought to assess how the quality of discharge area health resources impact readmission following major surgery. METHODS: This cross-sectional study was performed by linking Maryland state data for 2012-2015 to the Agency for Healthcare Research and Quality Area Health-Resource File...
October 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27658673/engaging-patient-advocates-and-other-stakeholders-to-design-measures-of-patient-centered-communication-in-cancer-care
#15
Katherine Treiman, Lauren McCormack, Murrey Olmsted, Nancy Roach, Bryce B Reeve, Christa E Martens, Rebecca R Moultrie, Hanna Sanoff
BACKGROUND: Patient-centered communication (PCC) is an essential component of patient-centered care and contributes to patient satisfaction, health-related quality of life, and other important patient outcomes. OBJECTIVE: The aim of this study was to develop and test survey questions to assess patients' experiences with PCC in cancer care. METHODS: We used a conceptual model developed by the National Cancer Institute as our framework. The survey questions align with the six core functions of PCC defined in the model: Exchanging Information, Managing Uncertainty, Enabling Patient Self-Management, Fostering Healing Relationships, Making Decisions, and Responding to Emotions...
September 23, 2016: Patient
https://www.readbyqxmd.com/read/27636873/optimizing-the-use-of-discharge-medication-lists-in-nursing-facilities
#16
Andrea C Backes, Patricia Cash, Jessica Jordan
OBJECTIVE: To highlight the need to optimize the use of discharge medication lists in nursing facilities. SETTING: In January 2014, the care transitions (CT) pharmacists at Frederick Memorial Hospital, Frederick, Maryland, began a pilot project in which they identified and followed high-risk patients transitioning from hospital to nursing facility and from nursing facility to home. PRACTICE DESCRIPTION: This pilot project served as a needs assessment to identify opportunities to improve patients' transition from nursing facility to home with the goal of reducing hospital readmissions...
September 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27620940/location-of-fatal-prescription-opioid-related-deaths-in-12-states-2008-2010-implications-for-prevention-programs
#17
Keith W Easterling, Karin A Mack, Christopher M Jones
INTRODUCTION: Prescription opioid pain reliever overdose is a major public health issue in the United States. To characterize the location of drug-related deaths, we examined fatal prescription opioid and illicit drug-related deaths reported in 12 states. METHODS: Data are from the Substance Abuse and Mental Health Services Administration's Drug Abuse Warning Network (DAWN). Medical examiners or coroners in 12 states (MA, MD, ME, NH, NM, OK, OR, RI, UT, VA, VT, WV) reported details of state-wide drug-related mortality during 2008-2010...
September 2016: Journal of Safety Research
https://www.readbyqxmd.com/read/27611065/meeting-abstracts-academy-of-managed-care-pharmacy-nexus-2016
#18
(no author information available yet)
The Academy of Managed Care Pharmacy (AMCP) Abstracts program provides a forum through which authors can share their insights and outcomes of advanced managed care practice through publication in AMCP's Journal of Managed Care & Specialty Pharmacy (JMCP). Poster presentations are Tuesday, October 4, at 4:00 pm. The posters will also be displayed on Wednesday, October 5. The reviewed abstracts are published in the JMCP Meeting Abstracts supplement. The AMCP Nexus 2016 Meeting in National Harbor, Maryland, is expected to attract more than 2,000 managed care pharmacists and other health care professionals who manage and evaluate drug therapies, develop and manage networks, and work with medical managers and information specialists to improve the care of all individuals enrolled in managed care programs...
October 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27544458/short-term-impact-of-a-teen-pregnancy-prevention-intervention-implemented-in-group-homes
#19
Roy F Oman, Sara K Vesely, Jennifer Green, Janene Fluhr, Jean Williams
PURPOSE: Youth living in group home settings are at significantly greater risk for sexual risk behaviors; however, there are no sexual health programs designed specifically for these youth. The study's purpose was to assess the effectiveness of a teen pregnancy-prevention program for youth living in group home foster care settings and other out-of-home placements. METHODS: The study design was a cluster randomized controlled trial involving youth (N = 1,037) recruited from 44 residential group homes located in California, Maryland, and Oklahoma...
August 17, 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/27512721/factors-associated-with-emergency-department-visits-a-multistate-analysis-of-adult-fee-for-service-medicaid-beneficiaries
#20
Parul Agarwal, Thomas K Bias, Suresh Madhavan, Nethra Sambamoorthi, Stephanie Frisbee, Usha Sambamoorthi
OBJECTIVE: The objective of this study was to examine the association of patient- and county-level factors with the emergency department (ED) visits among adult fee-for-service (FFS) Medicaid beneficiaries residing in Maryland, Ohio, and West Virginia. METHODS: A cross-sectional design using retrospective observational data was implemented. Patient-level data were obtained from 2010 Medicaid Analytic eXtract files. Information on county-level health-care resources was obtained from the Area Health Resource file and County Health Rankings file...
January 2016: Health Services Research and Managerial Epidemiology
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