THE DEPARTMENT OF PUBLIC HEALTH AT WEILL CORNELL MEDICAL CENTER February 2, 2012
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1 THE DEPARTMENT OF PUBLIC HEALTH AT WEILL CORNELL MEDICAL CENTER February 2, 2012
2 Mission To improve healthcare and strengthen medical education by bringing the public health disciplines into the Medical College and NYPH research, patient care, and teaching agenda. Strategy: Develop a critical mass that can provide expertise in the public health and social sciences Initiate and collaborate
3 Our Focus
4 Department Organization Chairman Cornell Analytics Admin Biostat/Epi Community Ethics Health Policy Outcomes Prevention Quality/ Informatics Global Health CORE EAPC CHIP Methadone Midtown
5 Total # of Personnel People as of June 30, Year
6
7 FUNDING SOURCES: FY 2011 Clinical 19% Institutional 23% Gifts 6% Research 52%
8 Department of Public Health Looking Back: Size almost doubles 87% Growth m 13.5m
9 Department of Public Health Looking Back: Research Increases Total - 61 Grants Total - 5 Grants
10 PO/NYP Clinical Activities Collaborating on practice organization, quality improvement, patient safety, and clinical resource utilization Through CHIP, developing and assessing innovative IT methods and applications Participating in CIMA Serving as liaisons for Weill Cornell Community Clinic Providing ethics consultation Partnering in WCMC s public health preparedness initiatives The Division of Community and Public Health Programs: The Midtown Center for Treatment and Research, The Vincent Dole Treatment and Research Institute, The Employee Assistance Program Consortium
11 Educational Programs Medical College in New York and Qatar Core courses in all 4 medical school years Global Health Education Premedical program in Qatar Master of Science in Clinical & Translational Investigation (CTSC) Certificate and M.S. in Medical Informatics
12 Educational Programs House Staff Education Healthcare systems, biostatistics, medical ethics Preventive Medicine Residency & Public Health Research Fellowships Postdoctoral & Visiting Fellowships Department Seminars & Visiting Professorships
13 Research Areas & Initiatives Clinical Health Services Research Outcomes/Comparative Effectiveness Medical Practice Organization Quality of Care Medical Informatics Biostatistical Methods Prevention & Health Behavior Medical Ethics Disease & Disaster Preparedness
14 Advancing the Science and Art of Medicine: Journals in the Past Year
15 Recent Research Highlights ADA adopts WCMC/PH patient assessment score for diabetes risk (Ann Intern Med) Gaps in optimal medical treatment before angioplasty (JAMA) Recognition of and advances for minimally conscious patients (Arch Neurol, JAMA, Neuromodulation, others) Electronic prescribing reduces outpatient medication errors (J Gen Intern Med, Jt Comm J Qual Saf) Models proposed and tested for evaluating EHRs/HIT (J Am Med Inform Assoc)
16 Research Highlights Development and multiple studies using HSS/CERT total joint replacement registry 30K pts. Hip replacement implants have equivalent effectiveness; metal-on-metal implants present more safety concerns (BMJ) Match between patient-surgeon expectations for joint replacement outcomes (Arthritis Care Res, J Bone Joint Surg Am, BMC Musculoskelet Disord) Comparative Accuracy of CTP and CTA in SAH (AJNR)
17 Research Highlights Physician expenses ($31B) interacting with health insurance plans (Health Aff) MD time outside of Pt visits (Health Aff) Assuring complete lab test f/u (Arch Intern Med) Medicare P4P did not decrease access for minority patients (best article of the year in Health Serv Res) The reliability and validity of readmission rates as a hospital quality measure (JAMA) Out Pt dx errors (JAMA)
18 Research Highlights Lifetime costs and survival for HIV (Med Care) Earlier initiation of HIV therapy costeffective (PLoS Med) Comprehensive guide for hospital emergency preparedness exercises (AHRQ) The importance of diabetes as a risk factor for vascular diseases in Qatar (ACCA & BMC-PH) Risk factors for and genetics of DM & its complications
19 New and Noteworthy New Programs and Program News: Examples MDEpiNet/ICOR Decision Support and Appropriate Use of Imaging Tests and Procedures Effectiveness of diabetes meds on HgA1C Variations, costs, and outcomes in NYS
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