Can Pediatricians Provide Case-Management and Long-Term Follow-Up Data for their Patients with PCH?
|
|
- Tracy Cooper
- 6 years ago
- Views:
Transcription
1 The PCH Project Long Term Follow-Up of Patients with Primary Congenital Hypothyroidism (PCH) by Primary Care Providers Can Pediatricians Provide Case-Management and Long-Term Follow-Up Data for their Patients with PCH? Emily Bezar, M.A. Public Health Foundation Enterprises Lisa Feuchtbaum, Dr. P.H., M.P.H. California Department of Public Health
2 Background Primary Congenital Hypothyroidism (PCH) is the most common disorder identified in blood spot screening and affects 1 in 1,706 live births in California (CA) Most children with PCH need lifelong treatment Delayed or inappropriate treatment may cause severe neurocognitive disabilities Primary care providers (PCPs) have unique advantages in caring for patients with PCH Little is known about the role of PCPs in PCH-related care
3 Background (cont.) The PCH Project: a three-year grant funded by the Health Resources and Services Administration (HRSA) from August 1 st, 2013 through July 31 st, 2016 Participating states: California and Hawaii Target populations: PCPs and patients with PCH
4 PCH Project: Overall Objectives 1) Assess the willingness and capability of PCPs to provide long-term care for patients with PCH and their needs for PCH-related continuing medical education 2) Evaluate the current case management patterns and clinical outcomes 3) Determine PCPs willingness to obtain informed consent and provide data to the PCH long-term follow-up (LTFU) database 4) Investigate the practicality of providing real time LTFU data by PCPs and identify barriers incurred 5) Improve PCPs knowledge about PCH and increase their capability of providing care for patients with PCH
5 2-Year Long-Term Follow-Up Data Collection Data Collection Period: January 1, 2014 December 31, 2015 Participants: PCPs who indicated interest on a 2014 Survey and eventually agreed to participate in the LTFU data collection, and their patient(s) with PCH The study is encounter-based and purely observational It is a Pilot Study to: 1) Observe the case-management and care-coordination patterns of patients with PCH in a real clinical setting 2) Assess the feasibility of collecting clinical follow-up data from PCPs using the REDCap electronic data-collection platform
6 Three REDCap Electronic Data-Collection Forms Enrollment form (one time) Demographics, diagnostic and treatment history, family history of thyroid disease Follow-Up Visit form (longitudinal) One filled out for every visit: well-child, sick-visit or PCH condition-related visit Laboratory Results form (longitudinal) When new lab results are available
7 Update: Enrollment and Data Collection with REDCap 28 Enrolled Patients 19 Enrolled PCPs 24 with data collected 4 with no data 20 with 4 with approx. 1 lost to PCP 3 ICFs* not 2-years of data 1 year of data withdrawal* yet signed (projected) *Withdrawal due to *Informed institutional IRB issue Consent Forms 3 lost to follow-up 1 determined transient PCH 1 patient New PCP unknown 2 patients Change of PCP practice: new PCP declined to continue in study
8 Characteristics of Patients With Data Collected (N=24) Race/Ethnicity Asian 13% Mixed 4% Hispanic 54% White 29% Male 21 % Median Age 3.3 years (range) (1.4, 14.5) Type of Insurance Private 34 % Public (e.g., Medi-Cal) 54 % Military 4 % Other 8 % Maternal English Skills Very good 63 % Good 13 % Not good 12 % Does not speak Eng. 4 % Don t Know 8 %
9 Characteristics of Participating PCPs (N=19) Male sex 37 % Type of Practice Race/ethnicity Private practice 53 % Hispanic/Latino 5 % Group practice 37 % White 42 % County Hospital 5 % Asian 48 % Community clinic 5 % Black 0 % Mixed 5 % California Region Medical Specialty North 32 % General pediatrics 100 % South 47 % Years in Medical Practice Central 21 % Median (range) 22 (6,34)
10 Pediatricians and Office Staff are Very Busy! Do they have time to do additional data-entry for their patients with Primary Congenital Hypothyroidism? Is it easy for them to collect the data we are asking for? Is it good quality data? How can we help them?
11 Factors affecting Feasibility of PCH Long-Term Follow-Up and Data Collection by PCPs Data Accessibility Data Collection Tools PCPs EMR-EHR Readiness PCPs Clinical Competence with PCH PCPs Time & Resources For Data Entry Care-coordination with Endocrinologists
12 Factors affecting Feasibility: Our Observations Data Accessibility Data Collection Tools PCPs EMR-EHR Readiness Hope for the best We can help a bit here PCPs Clinical Competence with PCH PCPs Time & Resources For Data Entry Care-coordination with Endocrinologists
13 Data Collection Tools PCPs Experience with REDCap So Far REDCap is very easy for PCPs to use feedback is good Few calls for help to Study Manager! Patterns of PCP engagement with REDCap: Most are completing multiple Visit Forms and Lab Results Forms in one data-entry session A deadline for finalizing 2014 data-collection was well-received and helped to motivate Incentive of $200 per patient/per year does not seem to be very important to most PCPs
14 REDCap s Data Monitoring and Graphics Tools are Helpful for Study Staff Scatter Plots Bar Charts
15 Factors affecting Feasibility: Our Observations Data Accessibility Data Collection Tools PCPs EMR-EHR Readiness Hope for the best We can help a bit here PCPs Clinical Competence with PCH PCPs Time & Resources For Data Entry Care-coordination with Endocrinologists
16 PCPs Clinical Competence with PCH 2014 Cross-sectional survey results revealed PCPs knowledge gaps in PCH case-management: Only 49 % knew the recommended frequency of blood tests to monitor PCH over a patient s lifespan Only 23% knew when to try a patient off levo-thyroxine treatment to determine if PCH is transient Continuing Medical Education (CME) can be a key element in a PCP-centered follow-up model
17 We Created a CME Course for Grand Rounds Developed with the PCH Project Advisory Committee Presented at 4 Children s Hospitals in C! and 1 in Hawaii during 2015, more to come in 2016
18 Stanford Online CME Course Fall 2015 Video-based learning modules with dramatizations, interviews and dynamic content We plan to promote this course to CA pediatricians with screen-positive NBS cases of PCH
19 REDCap Helps Integrate PCP Training Resources Treating Congenital Hypothyroidism Reference Guide Easily downloadable in REDCap Project File Repository
20
21 CME Pre- and Post- Course Evaluation Results: Confidence with CONFIRMING a PCH Diagnosis 100% 80% % improved their confidence 60% Very Confident 40% Confident 20% Somewhat confident % 2 Not confident at all Pre-Course Post-Course N=109
22 Confidence with INITIATING TREATMENT for PCH 100% 80% % improved their confidence 60% 40 Very Confident 40% 45 Confident 20% 0% Pre-Course Post-Course N=106 Somewhat confident Not confident at all
23 Confidence with PROVIDING FOLLOW-UP for PCH 100% 80% % improved their confidence 60% 40% Very Confident Confident 20% 0% Pre-Course Post-Course N=109 Somewhat confident Not confident at all
24 Factors affecting Feasibility: Our Observations Data Accessibility Data Collection Tools PCPs EMR-EHR Readiness Hope for the best We can help a bit here PCPs Clinical Competence with PCH PCPs Time & Resources For Data Entry Care-coordination with Endocrinologists
25 Care-coordination with Endocrinologists We observe that it is happening in different ways Many patients have standing orders for lab testing, e.g., every 3 months Wide variety of how PCPs receive lab results: phone, fax, , electronic access, even from a parent
26 EHR Integration: A Key Component of LTFU Care-Coordination and Data Collection Can PCPs provide a long-term Medical Home for follow-up of PCH patients? Yes, but is dependent on integration of EMR-EHR between PCP, Endocrine practices and labs An ideal REDCap data-collection tool for LTFU would be equally integrated
27 ! Post Follow-Up Survey : What do we want to know? Data Accessibility PCPs EMR-EHR Readiness? PCPs Time & Resources For Data Entry?? Was it easy to access your patient s lab results? How did you receive them? Did you get them automatically from an endocrinologist or the lab? Did you access your current EMR system We can to collect the LTFU clinical data? Did HLP! you prefer to print out the forms? Would electronic reminders to complete data-entry be helpful? Was the data-entry process a burden? Do you think this follow-up data is better collected by a specialist?
28 Study Strengths and Limitations Strengths: Individualized contact with PCP participants and aspects of case-study design allow for qualitative insights into case-management patterns Study helps us to validate the completeness and research utility of the PCH data set Limitations: Small and non-random patient sample: analysis of lab test data and clinical outcomes is not generalizable Questions about scalability and cost-feasibility remain: what would the data-quality monitoring burden be for a cohort of new patients each year in California?
29 Thank You! The contents, including all opinions and views expressed or implied, are entirely personal and do not necessarily represent the opinions or views of any person or organization, including the California Department of Public Health.
30 Research Team Lisa Feuchtbaum, Dr. P.H., M.P.H. Principal Investigator Genetic Disease Screening Program, CDPH Co-Investigators: Ning Rosenthal, M.D., Ph.D. Principal Research Scientist Premier Inc. Los Angeles, CA Sylvia Mann Au, M.S., CGC Hawaii Department of Health, Genetic Section Laura Bachrach, M.D. Professor of Pediatrics Division of Endocrinology Stanford University Medical Center Study Manager: Emily Bezar, M.A. Public Health Foundation Enterprises Advisory Committee Swati Banerjee, M.D. Division of Pediatric Endocrinology Valley Children s Hospital, Madera, C! Mitchell E. Geffner, M.D. Chief, Center for Endocrinology, Diabetes and Metabolism, Children s Hospital Los Angeles, CA Michael Gottschalk, M.D., Ph.D. Chief, Pediatric Endocrinology UC San Diego/Rady Children s Hospital, CA Mary Rutherford, M.D. Pediatrician Children s Hospital Oakland, CA Stuart K. Shapira, M.D., Ph.D. Chief Medical Officer and Associate Director for Science National Center on Birth Defects and Developmental Disabilities (NCBDDD) CDC, Atlanta, GA
31 Acknowledgements ACMG and the NBSTRN LPDR Team Amy Brower Jennifer Loutrel Michael Watson Irina Butler Bruce Bowdish The PCH Project Research Team The PCH Project Advisory Committee Human Resources and Services Administration, Maternal and Child Health Bureau
32
Impact of Continuing Medical Education on Primary Care Providers Knowledge and Confidence in Caring for Patients with Congenital Hypothyroidism
Impact of Continuing Medical Education on Primary Care Providers Knowledge and Confidence in Caring for Patients with Congenital Hypothyroidism Emily Bezar, MA 1, Ning Rosenthal, MD, PhD 2, Lisa Feuchtbaum
More informationShort-term and Long-term Follow-up #1 Re-assessing Business as Usual in Follow-up
Short-term and Long-term Follow-up #1 Re-assessing Business as Usual in Follow-up Tuesday, Oct. 28 8:30am-10:00am Moderators Carol Johnson, University of Iowa Hospitals and Clinics and Lisa Feuchtbaum,
More informationHPV Vaccination. Steps for Increasing. in Practice. An Action Guide to Implement Evidence-based Strategies for Clinicians*
Steps for Increasing HPV Vaccination in Practice An Action Guide to Implement Evidence-based Strategies for Clinicians* *Includes pediatricians, family physicians, general internists, obstetriciangynecologists,
More informationThis evaluation was funded by the Centers for Disease Control and Prevention
Preventing Older Adult Falls: Evaluating the integration of Clinical Falls Prevention and the Electronic Health Record American Evaluation Association 2016 Meeting October 29, 2016 This evaluation was
More informationGenetics in Primary Care Institute: Co-Management Between Primary Care and Genetic Service Providers
Genetics in Primary Care Institute: Co-Management Between Primary Care and Genetic Service Providers Ingrid Larson RN, CPNP Director Beacon Program Children s Mercy Hospital Kansas City, MO Heartland Genetics
More informationImmunization Updates & Collaborative Projects: Working Together to Protect Moms & Babies. Rebeca Boyte, MAS, CLEC
Immunization Updates & Collaborative Projects: Working Together to Protect Moms & Babies Rebeca Boyte, MAS, CLEC Message from STD Branch: Think SYPHILIS! It s on the rise and it s serious. 500% increase
More informationCalifornia Sickle Cell Disease Longitudinal Data Collection Project
California Sickle Cell Disease Longitudinal Data Collection Project Susan Paulukonis, California Rare Disease Surveillance, California Department of Public Health (CDPH) Mary Hulihan, Division of Blood
More informationSouth Carolina s Diabetes Prevention Toolkit for Physicians and Health Care Teams. Gerald Wilson, MD
South Carolina s Diabetes Prevention Toolkit for Physicians and Health Care Teams Gerald Wilson, MD About the Presenter Dr. Wilson Chair of SC Diabetes Advisory Council (DAC) There are no financial relationships
More informationPrenatal Tdap: What Works? Best Practices to Protect Moms & Babies. Rebeca Boyte, MAS, CLEC
Prenatal Tdap: What Works? Best Practices to Protect Moms & Babies Rebeca Boyte, MAS, CLEC What we ll cover 2» Brief Background on Pertussis» Common Problems and Possible Solutions» Resources WHAT WE KNOW
More informationThe Tennessee EHDI Information System
Tracking Babies Along the 1-3-6 Journey The Tennessee EHDI Information System Yinmei Li, MD, PhD State Chronic Disease Epidemiologist Director, Surveillance, Epidemiology and Evaluation Tennessee Department
More informationKathryn J. Swoboda, MD, FACMG NBSTRN Meeting
Kathryn J. Swoboda, MD, FACMG NBSTRN Meeting SPOT SMA LPDR resource: overview of clinical research forms and overall database Feasibility and utility of a minimal common set of data elements vs. a more
More informationRiding the Current: Upstream and Downstream Approaches to Implement Adult Immunization Strategies
Riding the Current: Upstream and Downstream Approaches to Implement Adult Immunization Strategies Paul Nguyen Community Health Partnership Connie Chung-Bohling California Department of Public Health Session
More informationDate January 20, Contact Information
Curriculum Vitae Deborah Golant Badawi, MD Medical Director, Office of Genetics and People with Special Health Care Needs Maryland Department of Health and Mental Hygiene Date January 20, 2016 Contact
More informationBuilding Clinical Capacity about ASD and other Neurodevelopmental Disabilities among Rural Providers
2 0 1 6 N A V I G AT I N G C H A N G E : B u i l d i n g O u r F u t u r e To g e t h e r Building Clinical Capacity about ASD and other Neurodevelopmental Disabilities among Rural Providers Kruti Acharya,
More informationLos Angeles County PATH: PrEP and TLC+ for HIV Prevention. PATH Community Advisory Board Member Application
Los Angeles County PATH: PrEP and TLC+ for HIV Prevention PATH Community Advisory Board Member Application We would like to invite you to become a member of the PrEP and TLC+ for HIV Prevention (PATH)
More informationAmplifying the National Prediabetes Awareness PSA Campaign
Amplifying the National Prediabetes Awareness PSA Campaign RightCare Initiative University of Best Practices Meeting Los Angeles, March 25, 2016 Mary N. Rousseve Communications Lead Prevention First (1305)
More informationL. Feuchtbaum, J. Carter, F. Lorey, Genetic Disease Screening Program, California Department of Public Health, Richmond, CA
L. Feuchtbaum, J. Carter, F. Lorey, Genetic Disease Screening Program, California Department of Public Health, Richmond, CA Background California Follow-up System (SIS) Short-term follow-up for all screened
More informationTrends across the country. Indiana Early Hearing Detection 4/13/2015
Trends across the country Indiana Early Hearing Detection and Intervention (EHDI) Shortage of pediatric audiologists Shortage of educators and SLPs skilled in working with deaf and hard of hearing children
More informationSTANDARD OPERATING PROCEDURE (SOP) #102
STANDARD OPERATING PROCEDURE (SOP) #102 SOP #102 Title: Guidelines for BMS National Database Recruitment, Consenting, and Withdrawal of Participants Approved by: BMS Project Directors Effective Date: 4/14/2014
More informationCommunicating with Patients: A Survey of Dental Team Members
Communicating with Patients: A Survey of Dental Team Members Preliminary Results Institute of Medicine The Committee on an Oral Health Initiative June 28, 2010 Linda Neuhauser, DrPH, MPH Consultant and
More informationPerspectives from Minnesota NASDDDS Annual Conference November 14, 2014
Cultural Competence: Making it Happen Perspectives from Minnesota NASDDDS Annual Conference November 14, 2014 100% 90% 80% Minnesota's Changing Population Diversity 86% 84% 81% 80% 78% 77% 75% 70% 60%
More informationPatient Activation + Engagement: Implementing Diabetes Group Appointments
Patient Activation + Engagement: Implementing Diabetes Group Appointments Janelle Howe, Director, Disease Management Aurora Galindo Simental, Health Educator June 20, 2013 Solutions-Oriented Approaches
More informationElectronic Communication Systems: Energizing the Patient with Diabetes to Engage in Their Own Health Care
University of Massachusetts Medical School escholarship@umms UMass Center for Clinical and Translational Science Research Retreat 2016 UMass Center for Clinical and Translational Science Research Retreat
More informationCHRONIC HEPATITIS B AND C COHORT STUDY (CHECS)
CHRONIC HEPATITIS B AND C COHORT STUDY (CHECS) CDC CONTACT Scott D Holmberg, M.D., M.P.H. Chief, Epidemiology and Surveillance Branch Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis,
More informationRelease # For Publication: Wednesday, June 21, 2017
University of California, Berkeley Institute of Governmental Studies 109 Moses Hall, #2370 Berkeley, CA 94720-2370 Tel: 510-642-1473 Fax: 510-642-3020 Email: igs@berkeley.edu Release #2017-11 For Publication:
More information2-1-1 as Gateway to Better Health Outcomes for Young Children
2-1-1 as Gateway to Better Health Outcomes for Young Children AIRS Conference, May 24, 2017 Patricia Herrera, MS 2-1-1 Los Angeles County Bergen Nelson, MD, MS Children s Hospital of Richmond Virginia
More informationCollaboration Between WIC and EHDI to Improve Follow-Up of Newborn Hearing Screening in Greater Cincinnati
Collaboration Between WIC and EHDI to Improve Follow-Up of Newborn Hearing Screening in Greater Cincinnati Lisa Hunter, Ph.D., Scott Wexelblatt, M.D. Jareen Meinzen-Derr, Ph.D., Susan Wiley, M.D. Laura
More informationRoutinizing HIV and HCV Testing Using an Innovative, Scalable and Sustainable Dual Testing Model
Routinizing HIV and HCV Testing Using an Innovative, Scalable and Sustainable Dual Testing Model Catelyn Coyle MPH, MEd Public Health National Symposium June 2014 Outline Background Description of model
More informationImplementation of Newborn Screening for Duchenne Muscular Dystrophy.
Implementation of Newborn Screening for Duchenne Muscular Dystrophy. Michele A. Lloyd-Puryear, MD, PhD 1, Stuart J Moat, PhD 2, Amy Brower 3, PhD, Annie Kennedy 1, Petra Furu 4, Michael Watson, PhD 3,
More informationTestimony to the California State Assembly Select Committee on Delinquency Prevention and Youth Development, Los Angeles CA, April 4, 2014
Steve Wirtz, Ph.D., Chief, Injury Surveillance and Epidemiology Section Safe and Active Communities Branch, California Department of Public Health (CDPH) Testimony to the California State Assembly Select
More informationStraub Clinic and Hospital Implementation Strategy Plan. May 2013
Straub Clinic and Hospital Implementation Strategy Plan May 2013 Table of Contents 1 Introduction... 1 2 Community Served by Straub Clinic and Hospital... 2 3 Community Benefit Planning Process... 3 3.1
More informationLargest USA Think Tank for Special Needs Children
Largest USA Think Tank for Special Needs Children P2i is led and supported by a who s who list of thought leaders and influencers in pediatrics and chronic diseases (not exhaustive) Forum Institute 1 Select
More informationPromoting Shared Decision Making for Colorectal Cancer Screening in Primary Care. Alison Brenner, PhD MPH
Promoting Shared Decision Making for Colorectal Cancer Screening in Primary Care Alison Brenner, PhD MPH Background Colon Cancer Colon cancer is the third leading cause of cancer death in the United States
More informationImplementing Lung Cancer Screening in Federally Qualified Health Centers: Concerns about Resources and Quality
Implementing Lung Cancer in Federally Qualified Health Centers: Concerns about Resources and Quality CPCRN Tobacco and Lung Cancer Work Group Presented by Robin Vanderpool, DrPH University of Kentucky
More informationCDC s New Milestone Tracker: There s an App for That!
CDC s New Milestone Tracker: There s an App for That! Katie K. Green, MPH, CHES Health Communication Specialist Karnesha Slaughter, MPH Health Communication Specialist CDC s Empowering parents and other
More informationMaking sense of Implementation
Making sense of Implementation Dr Sharon Mickan Course Director MSc Evidence-Based Health Care Combine evidence to implement an effective clinical intervention using an effective Knowledge Translation
More informationUsing a Data to Care Approach to Eliminate Hepatitis C in People Living with HIV in NYC
Project SUCCEED: Using a Data to Care Approach to Eliminate Hepatitis C in People Living with HIV in NYC Nirah Johnson, LCSW NYC Department of Health Viral Hepatitis Program Data to Care CDC-developed
More information16 th Annual IHA Stakeholders Meeting Session 2C
16 th Annual IHA Stakeholders Meeting Session 2C September 19, 2017 Hilton Los Angeles Airport Thank you to our Content Partner: Medication Adherence AppleCare Pharmacy Programs Confidential and proprietary.
More informationUC Davis Train New Trainers (TNT) Primary Care Psychiatry (PCP): Fellowship
UC Davis Train New Trainers (TNT) Primary Care Psychiatry (PCP): Fellowship Robert M. McCarron, D.O., DFAPA, FACP Co-Director TNT PCP Fellowship Psychiatry, Internal Medicine, Pain Medicine Psychosomatic
More informationCalifornia Colon Cancer Control Program (CCCCP)
California Colon Cancer Control Program (CCCCP) Diane Keys, CCCCP Program Director Chronic Disease Control Branch MISSION OF THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH Dedicated to optimizing the health
More informationCalifornia Newborn Hearing Screening Program: Tracking Our Babies
California Newborn Hearing Screening Program: Tracking Our Babies Lisa Satterfield, M.S., CCC/A California Department of Health Care Services Newborn Hearing Screening Program California Newborn Hearing
More informationSummary. Grant ID , California Chapter 1 American Academy of Pediatrics, Clinical Effort Against Secondhand Smoke Exposure
Summary California Chapter 1, American Academy of Pediatrics (CC1AAP) is seeking funds to develop the Clinical Effort Against (CEASE) California. CEASE is a nationally recognized evidence based smoking
More informationToday s Presenters. Tara Redd, MEd, MCHES Emory University. Jean Marie Place, PhD Ball State University. Molly French, MS Alzheimer s Association
Today s Presenters Molly French, MS Alzheimer s Association Tara Redd, MEd, MCHES Emory University Jean Marie Place, PhD Ball State University Cheryl Dye, PhD Clemson University AN ALZHEIMER S CURRICULUM
More informationEmerging Trends in Genetic Services and Newborn Screening. Spring LEND Directors Meeting Michael S. Watson, PhD April 30, 2009
Emerging Trends in Genetic Services and Newborn Screening Spring LEND Directors Meeting Michael S. Watson, PhD April 30, 2009 Regional Genetics and Newborn Screening Collaboratives Coordinating Center
More informationElectronic Support for Public Health Vaccine Adverse Event Reporting System (ESP:VAERS)
Grant Final Report Grant ID: R18 HS 017045 Electronic Support for Public Health Vaccine Adverse Event Reporting System (ESP:VAERS) Inclusive dates: 12/01/07-09/30/10 Principal Investigator: Lazarus, Ross,
More informationThe Healthcare Cost of Symptomatic Congenital CMV Disease in Privately Insured US Children: Estimates from Administrative Claims Data
National Center on Birth Defects and Developmental Disabilities The Healthcare Cost of Symptomatic Congenital CMV Disease in Privately Insured US Children: Estimates from Administrative Claims Data Scott
More informationC.H.A.I.N. Report. Strategic Plan Progress Indicators: Baseline Report. Report 2003_1. Peter Messeri Gunjeong Lee David Abramson
Report 2003_1 Strategic Plan Progress Indicators: Baseline Report Peter Messeri Gunjeong Lee David Abramson Columbia University Mailman School of Public Health In collaboration with the Medical and Health
More informationPersonalized patient data and behavioral nudges to improve adherence to chronic cardiovascular medications (The Nudge Study)
Personalized patient data and behavioral nudges to improve adherence to chronic cardiovascular medications (The Nudge Study) Text Messaging at Scale in Diverse Health Systems to Support Adherence to Cardiac
More informationImpact of a Clinical Interventions Bundle on Uptake of HPV Vaccine at an Urban, Hospital-based OB/GYN Clinic
Impact of a Clinical Interventions Bundle on Uptake of HPV Vaccine at an Urban, Hospital-based OB/GYN Clinic Uma Deshmukh MD, MUP OB/GYN Resident Yale School of Medicine Department of Obstetrics, Gynecology,
More informationAdult Immunization: CDC Communication Efforts and the Consumer Perspective
Adult Immunization: CDC Communication Efforts and the Consumer Perspective Kristine Sheedy, PhD Associate Director for Communication Science National Center for Immunization and Respiratory Diseases Office
More informationFRIDAY NOON LECTURE SERIES
U54 Pilot Study (2015-2018) NIH/NCI Grant U54 143931 FRIDAY NOON LECTURE SERIES Aziza Lucas Wright, M.Ed. Instructor Charles R. Drew University of Medicine and Science Community Engagement Division College
More informationRESULTS OF A STUDY ON IMMUNIZATION PERFORMANCE
INFLUENZA VACCINATION: PEDIATRIC PRACTICE APPROACHES * Sharon Humiston, MD, MPH ABSTRACT A variety of interventions have been employed to improve influenza vaccination rates for children. Overall, the
More informationCalifornia Health Care Options Program
California Health Care Options Program July 15, 2015 Medi-Cal Managed Care 2015 Our Program Objective Health Care Options (HCO) Program objective - To ensure that all Medi-Cal applicants/beneficiaries
More informationRavenswood Family Health Center
Ravenswood Family Health Center Federally Qualified Health Center located in East Palo Alto, CA (a majorityminority community) Serving patients from South San Mateo County & beyond for 15+ years Primary,
More informationMorehouse College January 2010 Health and Wellness Topic
Morehouse College January 2010 Health and Wellness Topic The following slides are provided by the Centers for Disease Control and Prevention Information Taken directly from the CDC website: http://www.cdc.gov/diabetes/statistics/diabetes_slides.htm
More informationAbout this consent form
Protocol Title: Development of the smoking cessation app Smiling instead of Smoking Principal Investigator: Bettina B. Hoeppner, Ph.D. Site Principal Investigator: n/a Description of Subject Population:
More informationWELL-WOMAN EXAM REVEALS RISK. Katie Jones, MPH, CHES Iowa Department of Public Health Erin Hinderaker, MS, RD, LD Des Moines University
WELL-WOMAN EXAM REVEALS RISK Katie Jones, MPH, CHES Iowa Department of Public Health Erin Hinderaker, MS, RD, LD Des Moines University Disclaimer The information provided in this presentation is for informational
More informationUC Brain Tumor Center Molecular Therapeutics Pilot Grant Program 2013/2014
Introduction An estimated 25,000 new cases of primary brain tumors will be diagnosed in the United States in 2013, and an estimated 170,000 patients will be diagnosed with brain metastases, most often
More informationHealth Priorities of the National Children s Study
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/focus-on-future-medicine-and-genetics/health-priorities-of-the-nationalchildrens-study/4012/
More informationTeeth, Taxes, and Treatment: Making the Case for Oral Health. Tahoe
Teeth, Taxes, and Treatment: Making the Case for Oral Health Tahoe Teeth, Taxes and Treatment: Making the Case for Oral Health Voices for Change: Mobilizing for Health Equity Oral Health Projects Medical-Dental
More informationHealth Policy Research Brief
Health Policy Research Brief May 2010 Older Californians At Risk for Avoidable Falls Steven P. Wallace, Nadereh Pourat, Eva Durazo and Rosana Leos More than a half million older Californians (565,000)
More informationTelehealth: California Health & Wellness Experience
Telehealth: California Health & Wellness Experience Ramiro Zúñiga, MD, MBA, FAAFP Medical Director rzuniga@cahealthwellness.com National Council for Behavioral Health Hill Day 10/2/2017 Centene Corporation
More informationAre You Ready to Sail. February 11, 2016
Are You Ready to Sail your SHIP?! February 11, 2016 Acknowledgement and Disclaimer This webinar was supported by funds made available from the Centers for Disease Control and Prevention, Office for State,
More informationSion K. Harris, PhD, Lon Sherritt, MPH, Erin B. Gibson MPH, Laura Grubb, MD MPH, Ronald Samuels, MD, Thomas Silva, MD, Louis Vernacchio, MD MSc,
Sion K. Harris, PhD, Lon Sherritt, MPH, Erin B. Gibson MPH, Laura Grubb, MD MPH, Ronald Samuels, MD, Thomas Silva, MD, Louis Vernacchio, MD MSc, Wendy Wornham, MD, Jesse Boggis, BA, John R. Knight, MD
More informationHIV Pre- Exposure Prophylaxis
HIV Pre- Exposure Prophylaxis KNOWLEDGE AND ATTITUDES IN NORTH QUEENSLAND GENERAL PRACTITIONERS Principle Investigator: William Lane Co-Supervisor 1: Professor Clare Heal Co-Supervisor 2: Dr Jennifer Banks
More informationUNIVERSITY OF CALIFORNIA, SAN FRANCISCO CONSENT TO PARTICIPATE IN A RESEARCH STUDY
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO CONSENT TO PARTICIPATE IN A RESEARCH STUDY Study Title: Assessment of Biochemical Pathways and Biomarker Discovery in Autism Spectrum Disorder This is a research
More informationShort Term Follow Up Technical Assistance Webinar March 2015
Presentations: Short Term Follow Up Technical Assistance Webinar March 2015 State Profile Mississippi Ashlyn Booker, MBA The Controversy of Mild Congenital Hypothyroidism Caroline Nucup-Villaruz, MD Vermont
More informationPathways to MCH Leadership Making Lifelong Connections Meeting April 6, 2017
Pathways to MCH Leadership Making Lifelong Connections Meeting April 6, 2017 Lauren Raskin Ramos, MPH Director, Division of MCH Workforce Development Maternal and Child Health Bureau (MCHB) Health Resources
More informationThe Integrative Pain Management Program: A Pilot Clinic Serving High-Risk Primary Care Patients with Chronic Pain
The Integrative Pain Management Program: A Pilot Clinic Serving High-Risk Primary Care Patients with Chronic Pain IM4US CONFERENCE 25 AUGUST 2017 EMILY HURSTAK, MD, MPH, MAS SAN FRANCISCO DEPARTMENT OF
More informationThis report summarizes the stakeholder feedback that was received through the online survey.
vember 15, 2016 Test Result Management Preliminary Consultation Online Survey Report and Analysis Introduction: The College s current Test Results Management policy is under review. This review is being
More informationKen Buback, MA, CPCC (USA)
Ken Buback, MA, CPCC (USA) Brian Marsh, MBA, PCC (USA) Express Coaching: A Breakthrough Research Study on Improving the Health Status of Diabetic Patients 1 Agenda Overview of organization and managed
More information"I hope this can be shared with everyone in lots of schools": A novel intervention to improve social skills of peers of children with autism
University of Wollongong Research Online Faculty of Social Sciences - Papers Faculty of Social Sciences 2012 "I hope this can be shared with everyone in lots of schools": A novel intervention to improve
More informationThe Dementia Community Awareness Programme: Understand Together Campaign & Dementia Elevator Project
The Dementia Community Awareness Programme: Understand Together Campaign & Dementia Elevator Project Ann-Marie Coen Dementia Elevator Project, Dublin City University What is the Dementia Community Awareness
More informationReducing Secondhand Smoke Exposure in Children
THE CLINICAL EFFORT AGAINST SECONDHAND SMOKE EXPOSURE Reducing Secondhand Smoke Exposure in Children Presented by: Jyothi Marbin, MD CTTS FAAP Cindy Nelson Purdy, PNP MPH Disclosure First 5 California
More informationAct Early Summit Project: A National Perspective Connecticut Act Early Forum January 25, Learn the Signs. Act Early.
Act Early Summit Project: A National Perspective Connecticut Act Early Forum January 25, 2011 Presented by Jennifer Bogin, AUCD Developed in collaboration with Georgina Peacock & Cheryl Rhodes National
More informationGIFT. For more information call 1-(833) or
For more information call 1-(833) 879-5983 or email postmortemdonation@cbttc.org GIFT The gift of a post-mortem tissue donation benefits other children diagnosed with a pediatric brain tumor and can provide
More informationPediatrician. The Three Musketeers Of Telegenetics 10/8/2012 BRADLEY SCHAEFER SHOBANA KUBENDRAN SIDDHARTHAN SIVAMURTHY
The Three Musketeers Of Telegenetics BRADLEY SCHAEFER SHOBANA KUBENDRAN SIDDHARTHAN SIVAMURTHY SUPPORTED IN PART BY A GRANT FROM HRSA U22MC03962 Pediatrician 1 Aim Increase access to genetic services Determine
More informationHow Doctors Feel About Electronic Health Records. National Physician Poll by The Harris Poll
How Doctors Feel About Electronic Health Records National Physician Poll by The Harris Poll 1 Background, Objectives, and Methodology New research from Stanford Medicine, conducted with The Harris Poll
More informationRight Care Initiative
Right Care Initiative Clinical Quality Improvement Leadership Collaborative Los Angeles CVD HOT SPOT: Heart Disease and Stroke Spreading Evidence-based Strategies to Reduce Premature Disability and Death
More informationParticipants in the Program
Type 2 Diabetes Performance Improvement Initiative: Chart Reviews Participants in the Program 318 clinicians have registered 192 have started the program 126 have started their initial chart review 26
More informationTraining the Next Generation of Spanish- Speaking HIV Physicians: Experiences from a Minority AIDS Initiative (MAI) Project
Training the Next Generation of Spanish- Speaking HIV Physicians: Experiences from a Minority AIDS Initiative (MAI) Project Tom Donohoe, MBA Professor of Family Medicine Director, Los Angeles Region/Pacific
More informationEasy Breathing. An asthma management program for Pediatricians, Primary Care Practitioners, and Family Practitioners.
Easy Breathing An asthma management program for Pediatricians, Primary Care Practitioners, and Family Practitioners. The Asthma Center The Asthma Center at Connecticut Children s Medical Center was established
More informationImproving Chicago's HIV Care Cascade:
Improving Chicago's HIV Care Cascade: Year 1: Scaling up routine HIV testing Year 2: Exploring new uses for HIV surveillance data Chicago Site Project Summary November 19 th, 2012 Ron Lubelchek, MD Associate
More informationWe are inviting you to participate in a research study/project that has two components.
Dear TEACCH Client: One of the missions of the TEACCH Autism Program is to support research on the treatment and cause of autism and related disorders. Therefore, we are enclosing information on research
More informationCurrent State of Visualization of EHR data: What's needed? What's next? (Session No: S50)
Current State of Visualization of EHR data: What's needed? What's next? (Session No: S50) Panel: Danny Wu, University of Michigan Vivian West, Duke University Dawn Dowding, Columbia University Hadi Kharrazi,
More informationHollis Day, MD, MS Chief, Geriatrics BMC
Hollis Day, MD, MS Chief, Geriatrics BMC Mari-Lynn Drainoni, PhD Associate Professor, Department of Health Law Policy and Management, BUSPH Co-Director, Evans Center for Implementation and Improvement
More informationLong-Term Follow-Up Elements of Pompe Disease. Marci Sontag, PhD Amy Brower, PhD June 22, 2017
Long-Term Follow-Up Elements of Pompe Disease Marci Sontag, PhD Amy Brower, PhD June 22, 2017 Presentation Outline Long-Term Follow-Up and Newborn Screening Key Efforts and Guidance Resources and Tools
More informationAlexis Howerton On Starting Up From New Science
Magazine Article August 2, 2018 Alexis Howerton On Starting Up From New Science Source: Life Science Leader By Wayne Koberstein, Executive Editor, Life Science Leader magazine Follow Me On Twitter @WayneKoberstein
More informationSTATE TDAP VACCINE PROGRAM
STATE TDAP VACCINE PROGRAM CDPH provides free Tdap vaccine for local public health departments. This vaccine then is distributed to clinics through out county. Vaccine to be specifically given to: Woman
More informationDIANA ECHEVERRY-FRANCK CURRICULUM VITAE
DIANA ECHEVERRY-FRANCK CURRICULUM VITAE PERSONAL DATA: Business Address: Charles Drew University of Medicine and Science, Clinical Trials Unit, 1731 East 120 th Street, Los Angeles, Ca 90059; (323) 357-3631
More informationImplementing and Evaluating a Peer Enhanced Intervention:
Implementing and Evaluating a Peer Enhanced Intervention: Results from a randomized control trial Jane Fox, MPH, Boston University School of Public Health Janet Goldberg, MPH, PATH Center, The Brooklyn
More informationPublic Views of the Zika Virus Outbreak
Public Views of the Zika Virus Outbreak Technical Assistance for National Public Health Information Coalition Harvard Opinion Research Program Harvard T.H. Chan School of Public Health Harvard T.H. Chan
More informationPediatric family health history: a genetic screening and clinical decision support tool
Pediatric family health history: a genetic screening and clinical decision support tool November 20, 2013 Implementation Webinar Natalie Mikat-Stevens, MPH American Academy of Pediatrics Emily Edelman,
More informationDesigning an Electronic Medical Record-based Clinical Decision Support Tool to Improve CVD Screening in Rheumatoid Arthritis Patients
Designing an Electronic Medical Record-based Clinical Decision Support Tool to Improve CVD Screening in Rheumatoid Arthritis Patients Provided and Certified By Grant Award # 045604 Report Date: March 29,
More informationApplying to the CHPRC HIV/AIDS Policy Research Fellows Program
Applying to the CHPRC HIV/AIDS Policy Research Fellows Program Updated: October 16, 2017 About the Fellows Program Seeks to enhance the capacity of individuals and organizations to develop, monitor, and
More informationTranslating Health Services Research in Sickle Cell Disease to Policy
Translating Health Services Research in Sickle Cell Disease to Policy Jean L. Raphael, MD, MPH Associate Professor of Pediatrics Baylor College of Medicine Director, Center for Child Health Policy and
More informationHelp for Pregnant Women to Quit Smoking and Stay Quit
BABY & ME Tobacco Free Hendricks County Health Department 355 S. Washington St. #211 Danville, IN 46122 Phone: (317) 745-9222 Fax: (317) 745-9383 Help for Pregnant Women to Quit Smoking and Stay Quit UPDATED
More informationAutism Activities at CDC: The Public Health Model
Autism Activities at CDC: The Public Health Model Act Early Region II Summit Bronx, NY March 26, 2009 Marshalyn Yeargin-Allsopp, MD Georgina Peacock, MD, MPH National Center on Birth Defects and Developmental
More informationDevelopment of an ipad waiting room app for contraceptive counseling in Title X clinics
Development of an ipad waiting room app for contraceptive counseling in Title X clinics Melissa Gilliam, MD, MPH Summer Martins, MPH Stephanie Mistretta, MA Jessyca Dudley, MPH Shirley Yan Disclosure The
More informationHIV Testing Survey, 2002
Special Surveillance Report Number 5 HIV Testing Survey, 2002 DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Centers for Disease Control and Prevention Atlanta, Georgia 30333 . The HIV/AIDS
More information