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Employee Assistance Program

Barbara W Trautner, M Todd Greene, Sarah L Krein, Heidi L Wald, Sanjay Saint, Andrew J Rolle, Sara McNamara, Barbara S Edson, Lona Mody
OBJECTIVE To assess knowledge about infection prevention among nursing home personnel and identify gaps potentially addressable through a quality improvement collaborative. DESIGN Baseline knowledge assessment of catheter-associated urinary tract infection, asymptomatic bacteriuria, antimicrobial stewardship, and general infection prevention practices for healthcare-associated infections. SETTING Nursing homes across 14 states participating in the national "Agency for Healthcare Research and Quality Safety Program for Long-Term Care: Healthcare-Associated Infections/Catheter-Associated Urinary Tract Infection...
October 4, 2016: Infection Control and Hospital Epidemiology
Amy Meador, Jason E Lang, Whitney D Davis, Nkenge H Jones-Jack, Qaiser Mukhtar, Hua Lu, Sushama D Acharya, Meg E Molloy
Creating healthy workplaces is becoming more common. Half of employers that have more than 50 employees offer some type of workplace health promotion program. Few employers implement comprehensive evidence-based interventions that reach all employees and achieve desired health and cost outcomes. A few organization-level assessment and benchmarking tools have emerged to help employers evaluate the comprehensiveness and rigor of their health promotion offerings. Even fewer tools exist that combine assessment with technical assistance and guidance to implement evidence-based practices...
September 29, 2016: Preventing Chronic Disease
Kumiko Imahashi, Reiko Fukatsu, Yasoichi Nakajima, Megumi Nakamura, Tateo Ito, Mariko Horigome, Yuichiro Haruna, Tatsuya Noda, Yasuto Itoyama
A number of persons with an intractable disease (ID) experience work-related problems that could lead to job loss. The aim of this study was to ascertain perceptions regarding a range of work-related issues and corresponding support needs of individuals with an ID. Potential participants were people ages 15 to 64 with one of the 130 intractable chronic diseases designated in the Act to Comprehensively Support the Daily and Social Activities of Persons with Disabilities (Comprehensive Support for the Disabled Act)...
August 2016: Intractable & Rare Diseases Research
Jay Thomas Sutliffe, Joel Harvey Fuhrman, Mary Jo Carnot, Raena Marie Beetham, Madison Sarah Peddy
UNLABELLED: conduct interventions for health promotion and disease prevention to ameliorate chronic risk factors for disease, such as for cardiovascular disease (CVD). Likewise, nutrient-dense, plant-rich (NDPR) dietary patterns have been shown to be effective at preventing and improving chronic-disease conditions, including CVD. Objective • The study's aim was to determine the feasibility and effectiveness of an NDPR dietary intervention for worksites to lower CVD risk factors. Design • The study was a 6-wk pilot intervention using a pretest and posttest design...
September 2016: Alternative Therapies in Health and Medicine
Elizabeth B Froh, Diane L Spatz
BACKGROUND: The Surgeon General's Call to Action to Support Breastfeeding details the need for comprehensive employer lactation support programs. Our institution has an extensive employee lactation program, and our breastfeeding initiation and continuation rates are statistically significantly higher than state and national data, with more than 20% of our employees breastfeeding for more than 1 year. OBJECTIVE: The objective of this research was complete secondary data analysis of qualitative data collected as part of a larger study on breastfeeding outcomes...
September 6, 2016: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Monica Molino, Federica Emanuel, Margherita Zito, Chiara Ghislieri, Lara Colombo, Claudio G Cortese
BACKGROUND: Emotional labor, defined as the process of regulating feelings and expressions as part of the work role, is a major characteristic in call centers. In particular, interacting with customers, agents are required to show certain emotions that are considered acceptable by the organization, even though these emotions may be different from their true feelings. This kind of experience is defined as emotional dissonance and represents a feature of the job especially for call center inbound activities...
2016: Frontiers in Psychology
Thiruvengadam Nanthini, Karaline Karunagari
INTRODUCTION: Employees constitute a large and important sector of the world's population. The global labor force is about 2,600 million and 75% of this force is working in developing countries. Occupational health and safety (OHS) must be managed in every aspect of their work. Occupational safety and health (OSH), also commonly referred to as OHS or workplace health and safety (WHS) is an area concerned with the safety, health, and welfare of people engaged in any employment. The goal of OSH is to foster a safe and healthy work environment...
January 2016: Indian Journal of Occupational and Environmental Medicine
Melissa K Richmond, Fred C Pampel, Randi C Wood, Ana P Nunes
OBJECTIVE: To test the impact of Employee Assistance Programs (EAPs) on reducing employee depression, anxiety, and risky alcohol use, and whether improvements in clinical symptoms lead to improved work outcomes. METHODS: The study used a prospective, quasi-experimental design with propensity score matching. Participants (n = 344) came from 20 areas of state government. EAP (n = 156) and non-EAP (n = 188) employees were matched on baseline demographic, psychosocial, and work-related characteristics that differentiate EAP from non-EAP users...
July 2016: Journal of Occupational and Environmental Medicine
Alicia G Dugan, Dana A Farr, Sara Namazi, Robert A Henning, Kelly N Wallace, Mazen El Ghaziri, Laura Punnett, Jeffrey L Dussetschleger, Martin G Cherniack
BACKGROUND: Correctional Officers (COs) have among the highest injury rates and poorest health of all the public safety occupations. The HITEC-2 (Health Improvement Through Employee Control-2) study uses Participatory Action Research (PAR) to design and implement interventions to improve health and safety of COs. METHOD: HITEC-2 compared two different types of participatory program, a CO-only "Design Team" (DT) and "Kaizen Event Teams" (KET) of COs and supervisors, to determine differences in implementation process and outcomes...
October 2016: American Journal of Industrial Medicine
Ling Sun, Lu-Xi Zou, Yu-Chen Han, Han-Ming Huang, Zhao-Ming Tan, Min Gao, Kun-Ling Ma, Hong Liu, Bi-Cheng Liu
BACKGROUND: There are limited data on the trends of incidence or prevalence of end stage renal disease (ESRD) in China. To assist in future planning for the ESRD program, the trends of incidence, prevalence and health care costs were analyzed and forecasted to the year 2025 by modeling of historical data from 2004 through 2014. METHODS: Nanjing urban employee basic medical insurance (NJUEBMI) data were obtained from the Nanjing Medical Insurance Information System from 2004 to 2014...
2016: BMC Nephrology
Maximilian Gradel, Stefan Moder, Leo Nicolai, Tanja Pander, Boj Hoppe, Severin Pinilla, Philip Von der Borch, Martin R Fischer, Konstantinos Dimitriadis
INTRODUCTION: During their formal studies medical students acquire extensive medical expertise. However, the medical profession demands additional competencies, such as those involved in efficient resource allocation, business administration, development, organization, and process management in the healthcare system. At present students are not sufficiently prepared for the physician's role as manager. In response, we designed the seminar course, MeCuM-SiGma, to impart basic knowledge about healthcare policy and management to students of medicine...
2016: GMS Journal for Medical Education
Bruce A Christiansen, David R Macmaster, Eric L Heiligenstein, Randal L Glysch, Donna M Riemer, Robert T Adsit, Kristine A Hayden, Christopher P Hollenback, Michael C Fiore
People with a mental illness and/or drug use disorder have a higher rate of smoking than adults in general. To address this challenge, recommendations include integrating tobacco-free policies and tobacco dependency treatment into the behavioral health care delivery system. Currently, little is known regarding levels of such integration. A 65-item Internet survey measuring integration assessed three areas: a) policies addressing the use of tobacco products; b) provision of evidence-based tobacco dependence treatment; and, c) capacity to help employees/volunteers quit tobacco use...
2016: Journal of Health Care for the Poor and Underserved
Geetha M Waehrer, Ted R Miller, Delia Hendrie, Deborah M Galvin
INTRODUCTION: Little is known about the effects of employee assistance programs (EAPs) on occupational injuries. MATERIALS AND METHODS: Multivariate regressions probed a unique data set that linked establishment information about workplace anti-drug programs in 1988 with occupational injury rates for 1405 establishments. RESULTS: EAPs were associated with a significant reduction in both no-lost-work and lost-work injuries, especially in the manufacturing and transportation, communication and public utilities industries (TCPU)...
June 2016: Journal of Safety Research
Monica Kazlausky Esquivel, Claudio R Nigg, Marie K Fialkowski, Kathryn L Braun, Fenfang Li, Rachel Novotny
OBJECTIVE: To quantify the Head Start (HS) teacher mediating and moderating influence on the effect of a wellness policy intervention. DESIGN: Intervention trial within a larger randomized community trial. SETTING: HS preschools in Hawaii. PARTICIPANTS: Twenty-three HS classrooms located within 2 previously randomized communities. INTERVENTION: Seven-month multi-component intervention with policy changes to food served and service style, initiatives for employee wellness, classroom activities for preschoolers promoting physical activity (PA) and healthy eating, and training and technical assistance...
May 2016: Journal of Nutrition Education and Behavior
Jennifer M Aakre, Alicia Lucksted, Lea Ann Browning-McNee
Youth Mental Health First Aid USA (YMHFA) is a manualized training program designed to educate members of the public on common emotional problems and psychological disorders among youth and to provide trainees with tools anyone can use to assist young people in psychological distress. The present study used a pre versus post design to assess the ability of social service employees to generate appropriate strategies to use in hypothetical situations featuring a young person in distress, before versus after participation in the 8-hr YMHFA training...
May 2016: Psychological Services
R Scott Leslie, Todd Gilmer, Loki Natarajan, Melbourne Hovell
BACKGROUND: The Centers for Medicare & Medicaid Services (CMS) Medicare Health Plan Quality and Performance Ratings program, or Star Ratings program, includes 3 medication adherence outcome measures (Medication Adherence for Diabetes Medications, Medication Adherence for Hypertension, and Medication Adherence for Cholesterol), which contribute to approximately 31% of a Medicare Advantage prescription drug (MA-PD) plan's Part D summary rating and 12% of its overall star rating (a weighted summary of a plan's Part C and Part D ratings)...
May 2016: Journal of Managed Care & Specialty Pharmacy
Mengyao Zhang, Ghosh Debarchana
The disinclination of chain supermarkets to locate or pull out existing stores from impoverished neighborhoods is termed as "supermarket redlining". This paper attempts to map and understand the spatial effects of potential supermarket redlining on food vulnerability in urban disadvantaged neighborhoods of Hartford, Connecticut. Using a combination of statistical and spatial analysis functions, we first, built a Supermarket Redlining Index (SuRI) from five indicators such as sales volume, employee count, accepts food coupons from federally assisted programs, and size and population density of the service area to rank supermarkets in the order of their importance...
February 2016: Transactions in GIS: TG
Alon Yehoshua, Michael Chancellor, Sandip Vasavada, Daniel C Malone, Edward P Armstrong, Manher Joshi, Karen Campbell, Riya Pulicharam
BACKGROUND: Overactive bladder (OAB) is a common medical condition with significant economic and humanistic burden. Inadequately managed OAB may exacerbate or result in comorbidities such as depression, falls, and urinary tract infections, which can further increase the burden to the health care system. Anticholinergics are often prescribed for management of OAB with urinary incontinence ("wet" OAB). However, research has shown that patient adherence and persistence to anticholinergic therapy is poor, with approximately 80% of patients ultimately failing their first prescribed anticholinergic medication within the first year...
April 2016: Journal of Managed Care & Specialty Pharmacy
Shellie L Keast, Arthur Owora, Nancy Nesser, Kevin Farmer
BACKGROUND: The development of abuse-deterrent opioid prescription medications is a priority at the national level. Pharmaceutical manufacturers have begun marketing new formulations of currently available opioids that meet higher abuse resistance standards. Little information is available regarding the impact of these formulations on overall health care expenditures. OBJECTIVES: To (a) examine the relationship between health care expenditures and use of brand abuse-deterrent or tamper-resistant (ADTR) extended-release opioids versus standard dosage form (SDF) extended-release opioids in a state Medicaid population, and (b) determine whether this relationship was influenced by member-specific characteristics...
April 2016: Journal of Managed Care & Specialty Pharmacy
Shellie L Keast, Grant Skrepnek, Nancy Nesser
Rising numbers of enrollees in state Medicaid programs have resulted in the increased use of commercial managed care organizations by the states. Research shows that the implementation of these programs has produced mixed results. While many states have implemented managed care principles and have seen reductions in costs, some basic managed care tenets may not apply to a Medicaid population because of limited financial risk and responsibility. The application of commercial managed care organizations to these populations may not result in additional savings for those states already actively engaged in managed care...
February 2016: Journal of Managed Care & Specialty Pharmacy
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