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https://www.readbyqxmd.com/read/29118277/impact-of-state-workforce-policies-on-underserved-patients-access-to-dental-care-a-longitudinal-study
#1
Hannah L Maxey, Connor W Norwood, Johannah B O'Connell, Ziyue Liu
Purpose: Dental diseases are almost entirely preventable, but discrepancies in access to oral healthcare limit the effectiveness of preventive interventions. Dental hygienists are strategically positioned to improve access to preventive dental procedures; however, state workforce policies determine their permitted clinical tasks.Methods: This study cross-referenced oral healthcare service use at Federally Qualified Health Centers (FQHCs) between 2004 and 2012 with the Dental Hygiene Professional Practice Index (DHPPI), which quantifies the various aspects of state policy environments for the dental hygiene workforce...
October 2017: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29117340/race-and-ethnicity-do-not-clinically-associate-with-quality-of-life-among-patients-with-chronic-severe-pain-in-a-federally-qualified-health-center
#2
Lara Dhingra, Robert Schiller, Raymond Teets, Sarah Nosal, Sandra Rodriguez, Gabriel Cruciani, Malcolm Barrett, Regina Ginzburg, Ebtesam Ahmed, Thomas Wasser, Jack Chen, Saskia Shuman, Casey Crump, Russell Portenoy
Objective: Previous research suggests that race/ethnicity predicts health-related quality of life (HRQL) in chronic pain populations but has not examined this in community settings. This study evaluated this association in 522 community-dwelling patients with chronic pain treated at a Federally Qualified Health Center (FQHC). Design: Cross-sectional secondary analysis. Setting: Six practice sites of an FQHC in New York. Subjects: One hundred forty-two non-Hispanic blacks, 121 non-Hispanic whites, 219 Hispanics, and 40 classified as "other" with severe chronic pain...
May 10, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29111835/improving-outcomes-in-adults-with-diabetes-through-an-interprofessional-collaborative-practice-program
#3
Jean Nagelkerk, Margaret E Thompson, Michael Bouthillier, Amy Tompkins, Lawrence J Baer, Jeff Trytko, Andrew Booth, Adam Stevens, Kayleah Groeneveld
In 2014, the Midwest Interprofessional Practice, Education and Research Center partnered with a Federally Qualified Health Center (FQHC) to implement an interprofessional collaborative practice (IPCP) education program to improve the health of adult patients with diabetes and to improve practice efficiency. This partnership included integrating an interprofessional team of students with the practice team. Twenty-five students and 20 staff engaged in the IPCP program, which included completion of educational modules on IPCP and implementation of daily huddles, focus patient visits, phone calls, team-based case presentations, medication reconciliation, and student-led group diabetes education classes...
November 7, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29018299/provision-of-medication-therapy-management-by-pharmacists-to-patients-with-type-2-diabetes-mellitus-in-a-federally-qualified-health-center
#4
Uche Anadu Ndefo, Aisha Morris Moultry, Portia N Davis, Raven Askew
BACKGROUND: Type-2 diabetes mellitus is a complex condition for which pharmacists are well suited to improve patient outcomes by delivering medication therapy management (MTM) services. When diabetes is well controlled, patients can avoid its long-term complications, such as cardiovascular and renal diseases. This article describes an MTM pilot program that was implemented at a federally qualified health center (FQHC). METHODS: This program was implemented at three clinics involving patients with uncontrolled diabetes, defined as hemoglobin A1c (HbA1c) greater than 8%...
October 2017: P & T: a Peer-reviewed Journal for Formulary Management
https://www.readbyqxmd.com/read/28974481/lack-of-adoption-of-a-mobile-app-to-support-patient-self-management-of-diabetes-and-hypertension-in-a-federally-qualified-health-center-interview-analysis-of-staff-and-patients-in-a-failed-randomized-trial
#5
Kathleen Thies, Daren Anderson, Benjamin Cramer
BACKGROUND: Thousands of mobile health (mHealth) apps have been developed to support patients' management of their health, but the effectiveness of many of the apps remains unclear. While mHealth apps appear to hold promise for improving the self-management of chronic conditions across populations, failure to balance the system demands of the app with the needs, interests, or resources of the end users can undermine consumers' adoption of these technologies. OBJECTIVE: The original aim of this study was to evaluate the effectiveness of a commercial mHealth app in improving clinical outcomes for adult patients in a Federally Qualified Health Center (FQHC) with uncontrolled diabetes and/or hypertension...
October 3, 2017: JMIR Human Factors
https://www.readbyqxmd.com/read/28919481/feasibility-of-implementing-group-well-baby-well-woman-dyad-care-at-federally-qualified-health-centers
#6
Gabriela Duran, Mariam Faiz-Nassar, Kristin Mmari, Cynthia S Minkovitz, Katherine A Connor
OBJECTIVE: Group care has been shown to be effective for delivery of infant well child care. Centering Parenting™ (CP) is a model of group dyad care for mothers and infants. CP may improve quality and efficiency of preventive care, particularly for low income families. Federally Qualified Health Centers (FQHC) may be optimal sites for implementation, however facilitators and barriers may be unique. The aim of this qualitative study was to assess stakeholder perspectives on the feasibility of implementing Centering Parenting(TM) in FQHCs in Baltimore...
September 14, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28905047/use-of-community-health-workers-and-patient-navigators-to-improve-cancer-outcomes-among-patients-served-by-federally-qualified-health-centers-a-systematic-literature-review
#7
REVIEW
Katherine B Roland, Erin L Milliken, Elizabeth A Rohan, Amy DeGroff, Susan White, Stephanie Melillo, William E Rorie, Carmita-Anita C Signes, Paul A Young
Introduction: In the United States, disparities in cancer screening, morbidity, and mortality are well documented, and often are related to race/ethnicity and socioeconomic indicators including income, education, and healthcare access. Public health approaches that address social determinants of health have the greatest potential public health benefit, and can positively impact health disparities. As public health interventions, community health workers (CHWs), and patient navigators (PNs) work to address disparities and improve cancer outcomes through education, connecting patients to and navigating them through the healthcare system, supporting patient adherence to screening and diagnostic services, and providing social support and linkages to financial and community resources...
2017: Health Equity
https://www.readbyqxmd.com/read/28884591/monitoring-of-recommended-metabolic-laboratory-parameters-among-medicaid-recipients-on-second-generation-antipsychotics-in-federally-qualified-health-centers
#8
Natalia E Uzal, Benjamin Chavez, Emily R Kosirog, Sarah J Billups, Joseph J Saseen
BACKGROUND: In 2004, a consensus statement outlining recommended metabolic monitoring for patients prescribed second-generation antipsychotics (SGAs) was published. More than a decade later, suboptimal adherence rates to these recommendations continue to be reported, which could lead to long-term and costly complications. OBJECTIVES: To define the prevalence of appropriately monitored Medicaid patients receiving care at federally qualified health centers (FQHCs) prescribed SGAs...
September 1, 2017: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/28876293/the-spatial-association-between-federally-qualified-health-centers-and-county-level-reported-sexually-transmitted-infections-a-spatial-regression-approach
#9
Kwame Owusu-Edusei, Thomas L Gift, Jami S Leichliter, Raul A Romaguera
BACKGROUND: The number of categorical sexually transmitted disease (STD) clinics is declining in the United States. Federally qualified health centers (FQHCs) have the potential to supplement the needed sexually transmitted infection (STI) services. In this study, we describe the spatial distribution of FQHC sites and determine if reported county-level nonviral STI morbidity were associated with having FQHC(s) using spatial regression techniques. METHODS: We extracted map data from the Health Resources and Services Administration data warehouse on FQHCs (ie, geocoded health care service delivery [HCSD] sites) and extracted county-level data on the reported rates of chlamydia, gonorrhea and, primary and secondary (P&S) syphilis (2008-2012) from surveillance data...
August 16, 2017: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/28872987/using-quality-improvement-methods-to-implement-an-early-childhood-oral-health-initiative-a-federally-qualified-health-center-pilot-study
#10
Rocio B Quinonez, Elizabeth Consky, Katrina Mattison, Greg Randolph
OBJECTIVES: To assess the use of quality improvement (QI) methods to implement an early childhood oral health program (Baby Oral Health Program-bOHP) in four federally qualified health center (FQHC) dental clinics. STUDY DESIGN: Using a mixed-methods study design, survey responses, administrative data, QI project templates, and focus group measures were collected. Plan-Do-Study-Act (PDSA) cycles as mini-projects to improve the implementation of bOHP were examined...
2017: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/28844733/a-pilot-replication-of-quit-a-randomized-controlled-trial-of-a-brief-intervention-for-reducing-risky-drug-use-among-latino-primary-care-patients
#11
Lillian Gelberg, Ronald M Andersen, Melvin W Rico, Mani Vahidi, Guillermina Natera Rey, Steve Shoptaw, Barbara D Leake, Martin Serota, Kyle Singleton, Sebastian E Baumeister
BACKGROUND: QUIT is the only primary care-based brief intervention that has previously shown efficacy for reducing risky drug use in the United States (Gelberg et al., 2015). This pilot study replicated the QUIT protocol in one of the five original QUIT clinics primarily serving Latinos. DESIGN: Single-blind, two-arm, randomized controlled trial of patients enrolled from March-October 2013 with 3-month follow-up. SETTING: Primary care waiting room of a federally qualified health center (FQHC) in East Los Angeles...
June 13, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28815008/evaluation-of-medication-adherence-in-chronic-disease-at-a-federally-qualified-health-center
#12
Alvin B Oung, Emily Kosirog, Benjamin Chavez, Jason Brunner, Joseph J Saseen
BACKGROUND: While medication adherence in chronic disease has been evaluated in the general population, limited data are available among Medicaid recipients, especially within federally qualified health centers (FQHCs). This study determined baseline medication adherence for Medicaid recipients receiving care in an FQHC for first-line medications used in hypertension, hyperlipidemia, and diabetes. Secondary outcomes included baseline adherence for individual patient factors. METHODS: Patients from the Salud Family Health Centers, an FQHC with a large percentage of both Spanish-speaking patients and providers, were included in this study...
August 2017: Therapeutic Advances in Chronic Disease
https://www.readbyqxmd.com/read/28812930/increasing-colorectal-cancer-screening-at-an-urban-fqhc-using-ifobt-and-patient-navigation
#13
Richard L Martin, Madelaine Tully, Allison Kos, David Frazer, Amy Williamson, Amy Conlon, James J Enser, Noelle K LoConte
INTRODUCTION: Colorectal cancer is the second leading cause of cancer death in the United States. Black Americans suffer even higher incidence and death rates than the general population. Genetics and patient perceptions explain some of this difference, however, modifiable health care system factors such as lack of access to colon cancer screening also contribute. Partnering an academic health center with local community groups, we piloted a colorectal cancer screening program at a Federally Qualified Health Center (FQHC) serving predominately low socioeconomic status Black Americans...
September 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/28804072/assessing-culture-and-climate-of-federally-qualified-health-centers-a-plan-for-implementing-behavioral-health-interventions
#14
Teresa L Kramer, Karen L Drummond, Geoffrey M Curran, John C Fortney
OBJECTIVE: This study examines organizational factors relating to climate and culture that might facilitate or impede the implementation of evidence-based practices (EBP) targeting behavioral health in federally qualified health centers (FQHCs). METHODS: Employees at six FQHCs participating in an evidence-based quality improvement (EBQI) initiative for mood disorders and alcohol abuse were interviewed (N=32) or surveyed using the Organizational Context Survey (OCS) assessing culture and climate (N=64)...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28797923/opportunity-for-interprofessional-collaborative-care-findings-from-a-sample-of-federally-qualified-health-center-patients-in-the-midwest
#15
L J Smith, V Johnson-Lawrence, M Andrews, S Parker
OBJECTIVES: Federally qualified health centers (FQHCs) frequently serve more socio-economically disadvantaged populations; existing literature suggests that underserved groups are more likely to experience various chronic physical and mental health conditions. FQHC patients may have significant needs for various specialty services that are beyond common FQHC providers. This study examines chronic condition prevalence, healthcare satisfaction, and use of multiprovider services in a Midwest FQHC patient population...
October 2017: Public Health
https://www.readbyqxmd.com/read/28751056/federally-qualified-health-center-substitution-of-local-health-department-services
#16
Jeremy W Snider, Betty R Bekemeier, Douglas A Conrad, David E Grembowski
INTRODUCTION: Strategic and budgetary considerations have shifted local health departments (LHDs) away from safety net clinical services and toward population-focused services. Federally Qualified Health Centers (FQHCs) play an increasing role in the safety net, and may complement or substitute for LHD clinical services. The authors examined the association between FQHC service levels in communities and the presence of specific LHD clinical services in 2010 and 2013. METHODS: Data from LHD surveys and FQHC service data were merged for 2010 and 2013...
July 24, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28718382/establishing-clinical-pharmacy-services-with-prescribing-privileges-in-a-federally-qualified-health-center-primary-care-clinic
#17
Jeany K Jun
OBJECTIVES: To describe the process and cost of establishing clinical pharmacy services with prescribing privileges in a federally qualified health center (FQHC) primary care clinic. SETTING: The primary care clinic was located in a low-income area of Southern California and served patients with Medicaid and Medicare. The primary care clinic had preventive medicine and family medicine physicians, a family medicine residency program, behavioral health services, and a registered dietician...
January 1, 2017: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28704970/integrating-mental-and-physical-health-care-for-low-income-americans-assessing-a-federal-program-s-initial-impact-on-access-and-cost
#18
Evan V Goldstein
Individuals with mental health disorders often die decades earlier than the average person, and low-income individuals disproportionately experience limited access to necessary services. In 2014, the U.S. Health Resources & Services Administration (HRSA) leveraged Affordable Care Act funds to address these challenges through behavioral health integration. The objective of this study is to assess the US$55 million program's first-year impact on access and cost. This analysis uses multivariable difference-in-difference regression models to estimate changes in outcomes between the original 219 Federally Qualified Health Center (FQHC) Behavioral Health Integration grantees and two comparison groups...
July 12, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/28702315/participation-in-a-farmers-market-fruit-and-vegetable-prescription-program-at-a-federally-qualified-health-center-improves-hemoglobin-a1c-in-low-income-uncontrolled-diabetics
#19
Richard Bryce, Claudia Guajardo, Deliana Ilarraza, Nicki Milgrom, Denise Pike, Kathryn Savoie, Felix Valbuena, Lisa R Miller-Matero
Fruit and vegetable prescription programs have been shown to increase consumption of fresh produce, but whether they have an impact on medical outcomes is unknown. The purpose of this study was to examine the role of participation in a farmers' market and fruit and vegetable prescription program on changes in hemoglobin A1C (HbA1C), blood pressure (BP) and weight in patients with uncontrolled type 2 diabetes at a federally qualified health center (FQHC) in Detroit, MI. The 13-week Fresh Prescription program (June 2015-October 2015) was designed to improve access and consumption of produce among low-income patients with uncontrolled type 2 diabetes...
September 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28665905/implementation-of-practice-transformation-patient-experience-according-to-practice-leaders
#20
Denise D Quigley, Alina I Palimaru, Alex Y Chen, Ron D Hays
OBJECTIVE: Examine practice leaders' perceptions and experiences of how patient-centered medical home (PCMH) transformation improves patient experience. SUBJECTS: Thirty-six interviews with lead physicians (n = 13), site clinic administrators (n = 13), and nurse supervisors (n = 10). METHODS: Semi-structured interviews at 14 primary care practices within a large urban Federally Qualified Health Center (FQHC) delivery system to identify critical patient experience domains and mechanisms of change...
July 2017: Quality Management in Health Care
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