This document summarizes research assessing factors that influence a community health center's ability to recruit and retain family physicians. The researchers developed a Community Health Center Community Apgar Questionnaire (CHC CAQ) consisting of 50 questions in 5 classes. They administered the CHC CAQ to administrators and physicians at 11 Idaho community health centers. The CHC CAQ was designed to produce an overall score comparable to an Apgar score for infants. The scores can identify strengths and challenges to prioritize improvements. Top important factors across communities included spousal satisfaction, call coverage, income guarantee, and quality perception. Next steps include expanding the Community Apgar Program consultation to other states and developing a Nursing Community Apgar Questionnaire.
Weitzman 2013: State Health Policy Initiatives as Drivers for Improving Care...CHC Connecticut
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Weitzman 2013: State Health Policy Initiatives as Drivers for Improving Care...CHC Connecticut
Sue Birch presents on State Health Policy Initiatives as Drivers for Improving Care Outcomes: Colorado's Accountable Care Collaborative at the 2013 Weitzman Symposium
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University Medical Center of El Paso
Anchor Hospital -- Region 15
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Validity and bias in epidemiological studyAbhijit Das
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The purpose of this Health Policy Study is to better understand adolescents’ views on what are considered core components of the medical home and identify barriers to promoting adolescent health in relation to the medical home.
In addition, this study sought to better understand the needs and challenges in providing adolescents with access to medical homes—from the perspective of both adolescents and experts in adolescent health and medical home policy. To accomplish these goals, researchers conducted focus groups with adolescents, presented these findings to experts, and gathered experts’ reactions to the adolescents’ perspectives. This report includes a detailed description of the methods used for this study, followed by a summary of key focus group findings and the expert reactions to these findings.
Use of translation apps and websites in health care settingsBen Harris-Roxas
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On February 10, 2015, the Department of Learning Health Sciences sponsored a talk by guest speaker, William A. Yasnoff, MD, PhD, FACMI.
This presentation is Copyright 2015 William A. Yasnoff. All Rights Reserved.
While the concept of a learning health system (LHS) is not new, our expectations for its functionality have evolved dramatically over the past five decades. Medical practitioners have traditionally shared new insights, albeit slowly, via the peer-reviewed medical literature. However, the increasing application of information technology in healthcare has provided us with the capabilities necessary to vastly accelerate and improve this process so that each patient encounter both utilizes collective prior experience and immediately provides new data to guide subsequent care. A functional model of the LHS and a framework for assessing progress are introduced to illustrate how we are moving towards this goal. Key developments in the field, including the author’s own research, related to databases and registries, decision support, electronic medical records, and health information infrastructure are described in the context of this framework. Finally, a proposed design and implementation strategy for a fully functional health information infrastructure, the key underlying component of the LHS, is presented. Moving forward with this approach, we now have the opportunity to begin building, testing, and utilizing the efficient LHS that can truly revolutionize health care.
William Yasnoff, MD, PhD, is the founder and a managing partner of National Health Information Infrastructure (NHII) Advisors. He is Managing Partner of NHII Advisors, an informatics consulting firm in Arlington, Virginia. He received his MD from Northwestern University in 1975 and his PhD in Computer Science, also from Northwestern University, in 1980. Dr. Yasnoff has also been an Adjunct Professor of Health Sciences Informatics at Johns Hopkins University for the past eleven years and Associate Editor of the Journal of Biomedical Informatics since 2000. In 2013 he was appointed to the Institute of Medicine’s Population Health and Public Health Practice Board.
Howdy! Check this cool example of DNP captone project . To get more examples visit https://www.nursingcapstone.net/our-dnp-capstone-projects-writing-services/
The Commonwealth Fund 2015 International Health Care Policy Survey of Primary...Odyssey Recruitment
This study looks at primary care services in industrialised countries comparing access to the various systems. Switzerland and Germany have the best results with swift access to Family Physicians.
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Validity and bias in epidemiological studyAbhijit Das
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Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Latino Health Forum 2014
Anna Ratzliff, MD, PhD, Associate Director for Education, Division of Integrated Care & Public Health Department of Psychiatry & Behavioral Sciences, University of Washington
Latino Health Forum 2014
The purpose of this Health Policy Study is to better understand adolescents’ views on what are considered core components of the medical home and identify barriers to promoting adolescent health in relation to the medical home.
In addition, this study sought to better understand the needs and challenges in providing adolescents with access to medical homes—from the perspective of both adolescents and experts in adolescent health and medical home policy. To accomplish these goals, researchers conducted focus groups with adolescents, presented these findings to experts, and gathered experts’ reactions to the adolescents’ perspectives. This report includes a detailed description of the methods used for this study, followed by a summary of key focus group findings and the expert reactions to these findings.
Use of translation apps and websites in health care settingsBen Harris-Roxas
Ben Harris-Roxas,1,2 Lisa Woodland,3,1 Joanne Corcoran,3 Jane Lloyd,1,4 Mark Harris,1 Rachael Kearns,1,2 Iqbal Hasan1
Australasian Association for Academic Primary Health Care ConferenceAdelaide, 12-13 July 2019
On February 10, 2015, the Department of Learning Health Sciences sponsored a talk by guest speaker, William A. Yasnoff, MD, PhD, FACMI.
This presentation is Copyright 2015 William A. Yasnoff. All Rights Reserved.
While the concept of a learning health system (LHS) is not new, our expectations for its functionality have evolved dramatically over the past five decades. Medical practitioners have traditionally shared new insights, albeit slowly, via the peer-reviewed medical literature. However, the increasing application of information technology in healthcare has provided us with the capabilities necessary to vastly accelerate and improve this process so that each patient encounter both utilizes collective prior experience and immediately provides new data to guide subsequent care. A functional model of the LHS and a framework for assessing progress are introduced to illustrate how we are moving towards this goal. Key developments in the field, including the author’s own research, related to databases and registries, decision support, electronic medical records, and health information infrastructure are described in the context of this framework. Finally, a proposed design and implementation strategy for a fully functional health information infrastructure, the key underlying component of the LHS, is presented. Moving forward with this approach, we now have the opportunity to begin building, testing, and utilizing the efficient LHS that can truly revolutionize health care.
William Yasnoff, MD, PhD, is the founder and a managing partner of National Health Information Infrastructure (NHII) Advisors. He is Managing Partner of NHII Advisors, an informatics consulting firm in Arlington, Virginia. He received his MD from Northwestern University in 1975 and his PhD in Computer Science, also from Northwestern University, in 1980. Dr. Yasnoff has also been an Adjunct Professor of Health Sciences Informatics at Johns Hopkins University for the past eleven years and Associate Editor of the Journal of Biomedical Informatics since 2000. In 2013 he was appointed to the Institute of Medicine’s Population Health and Public Health Practice Board.
Howdy! Check this cool example of DNP captone project . To get more examples visit https://www.nursingcapstone.net/our-dnp-capstone-projects-writing-services/
The Commonwealth Fund 2015 International Health Care Policy Survey of Primary...Odyssey Recruitment
This study looks at primary care services in industrialised countries comparing access to the various systems. Switzerland and Germany have the best results with swift access to Family Physicians.
EPIDEMIC INTELLIGENCE SERVICE PROGRAMME by Dr.Mahboob ali khan Phd Healthcare consultant
The Changing Paradigm of Health.A nation in transition; major improvements in last 50 years but progress uneven .Old and new challenges (epidemiological transition); factors driving ill-health (poverty, inequities) persist; also new opportunities (partnerships, technology) National capacity building & international collaboration are critical for responding to these challenges
Weitzman 2013 Relative patient benefits of a hospital-PCMH collaboration with...CHC Connecticut
Anuj K Dalal presents information on a PCORI research grant: Relative patient benefits of a hospital-PCMH collaboration within an ACO to improve care transitions.
Romana Hasnain-Wynia: Incorporating the Patient’s Perspective in ResearchNIHACS2015
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A series of Basic Koncepts and Cases covering 'General Management' spread over four presentations - simple and easy to comprehend through pictures. In case of doubts and confusions please feel free to contact me via the last slide options!! Cheers to learning!! :)
Primary Care Integration for a Rural Community Behavioral Health Clinic. 2015 Washington Behavioral Healthcare Conference: Fulfilling the Promise of Integrated Care
Vancouver, WA June 19, 2015
Develop a population health improvement plan, based on your evalua.docxhcheryl1
Develop a population health improvement plan, based on your evaluation of the best available demographic, environmental, and epidemiological data, that focuses on your diagnosis of a widespread population health issue.
Part of effectively engaging in evidence-based practice is the ability to synthesize raw health data with research studies and other relevant information in the literature. This will enable you to develop sound interventions, initiatives, and outcomes to address health concerns that you find in data during the course of your practice.
In this assessment, you have an opportunity to evaluate community demographic, environmental, and epidemiological data to diagnose a widespread population health issue, which will be the focus of a health improvement plan that you develop.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 2: Apply evidence-based practice to design interventions to improve population health.
Evaluate community demographic, epidemiological, and environmental data to diagnose widespread population health issues.
Develop an ethical health improvement plan to address a population health issue within a community.
Competency 3: Evaluate outcomes of evidence-based interventions.
Propose criteria for evaluating population health improvement plan outcomes.
Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
Justify the value and relevance of evidence used as the basis of a population health improvement plan.
Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.
Develop a strategy for communicating with colleagues and members of the community in an ethical, culturally sensitive, and inclusive way.
Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
Competency Map
Toggle Drawer
Questions to ConsiderAs you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
Recall an experience you have had working with a population, or as part of a community health improvement initiative, or a time in your care setting that you observed this type of work within your organization or community.
How were data and information about the community incorporated into the work?
Was the diversity of culture and beliefs in the community taken into account?
Were other,.
Assessment of healthcare providers’ collaboration at governmental hospitalsiyad shaqura
This is the presentation of master thesis in public health which was about the assessment of healthcare providers collaboration at governmental hospitals in Gaza Governorates in Palestine.
"Competencies to Practice Toolkit: A Repository of Workforce Development Resources for Public Health" presentation from the American Public Health Association's Annual Meeting.
Designing a Learning Health Organization for Collective ImpactTomas J. Aragon
"Designing a Learning Health Organization for Collective Impact" was my presentation given at the California HealthCare Foundation (CHCF) Health Care Leadership Program final seminar and graduation. Congratulations to the amazing fellow graduates!!!
1. Assessing Community Health Center Assets & Capabilities for Recruiting and Retaining Family Physicians:The Community Apgar Questionnaire David Schmitz, MD, FAAFP Associate Director of Rural Family Medicine Family Medicine Residency of Idaho Ed Baker, PhD Director, Center for Health Policy Boise State University Virginia’s State Rural Health Plan 2010 Rural Health Pre-Summit: Rural Workforce Danville, Virginia March 16, 2010
3. Background Contributors/Co-Investigators Denise Chuckovich, Executive Director, Idaho Primary Care Association Katrina Hoff, Director of Workforce Development, Idaho Primary Care Association Ayaka Nukui, MHS, Center for Health Policy, Boise State University
4. Background Funding Mary Sheridan, Supervisor, State Office of Rural Health and Primary Care, Idaho Department of Health and Welfare through a federal grant from the US Department of Health and Human Services, Health Resources and Services Administration Jim Girvan, Dean, College of Health Sciences, Boise State University, through a College of Health Sciences research fund Research and Physician Faculty time contributions made by Boise State University and Family Medicine Residency of Idaho
5. Background Boise State University and the Family Medicine Residency of Idaho have initiated a four year study of factors impacting recruitment and retention of physicians in Idaho Partners Idaho Office of Rural Health and Primary Care Idaho Hospital Association Idaho Academy of Family Physicians Idaho Medical Association Idaho Primary Care Association Boise State University Department of Nursing
6. Background How did we get here – Why research? An intersection of workforce, education and advocacy Partnerships with those with a natural interest in the work Idaho has a natural laboratory Researching what we do and what we think we know Evidenced based curricular development Accurate workforce assessments: quantitative and qualitative Community-focused differential workforce development: A validated tool improving recruitment for communities Physician-focused workforce development: Improving the educational “pipeline” of a rural physician workforce
7. Background Year 1 Idaho Family Physician Rural Work Force Assessment Pilot Study Year 2 Critical Access Hospital Community Apgar Questionnaire (CAH CAQ) Year 3 Examining the Trait of Grit and Satisfaction in Idaho Physicians Community Apgar Program (CAP) Consultation Pilot Program for Critical Access Hospitals Year 4 Community Health Center Community Apgar Questionnaire (CHC CAQ) Nursing Community Apgar Questionnaire (NCAQ)
8. Background Year One Research Survey of practicing rural physicians and critical access hospital administrators in Idaho Idaho rural family physicians have a broad scope of practice Idaho rural family physicians use technology to help provide care to rural residents and to maintain skills Idaho rural family physicians are satisfied with their practice in rural areas Idaho rural hospital administrators are satisfied with their family physician staffs Subset of findings published in the Journal of Rural Health in 2010 (Volume 26, Issue 1, pp. 85-89)
9. Background Year Two Research Development of the Critical Access Hospital Community Apgar Questionnaire (CAH CAQ) Validation of instrument across a group of 12 critical access hospitals in Idaho Prognosticates the success of a critical access hospitals in recruiting and retaining family physicians Differential diagnosis of strengths and limitations in order to prioritize improvements and to emphasize strengths Plan to submit research to Journal of Rural Health in Spring of 2010
10. Background Year Three Research Grit and Satisfaction Study Survey of 577 Idaho physicians in rural and non-rural areas practicing in primary care and specialty areas assessing trait of Grit and satisfaction with practice in Idaho Grit defined as perseverance and passion for long term goals Idaho physicians high in Grit (especially in subscale “perseverance of effort”) and satisfaction levels Statistical differences by medical training and practice location for Grit subscales and satisfaction levels Plan to submit to Annals of Family Medicine in Spring of 2010
11. Background Year Three Research (Con’t) Community Apgar Program Consultation Pilot Program for Critical Access Hospitals (CAH CAP) Developed and implement the CAH CAP Consultation Pilot Program in Idaho CAH CAP Consultation Pilot Program year one activities implemented in three sites with positive feedback Second year activities for initial three sites scheduled Other critical access hospital sites being recruited
12. Background Year Four Research Community Health Center Community Apgar Questionnaire (CHC CAQ) CHC CAQ developed CHC CAQ validated across all community health centers in Idaho Preliminary data presented to 2010 NWRRHC Technical report due July 2010 to Idaho Office of Rural Health and Primary Care Plan to submit to Journal of Rural Health in Fall 2010
13. Background Year Four Research (Con’t) Nursing Community Apgar Questionnaire Nursing Community Apgar Questionnaire (NCAQ) developed with Nursing Department faculty at Boise State University NCAQ Instrument developed Initial research efforts being presented at the Western Institute of Nursing 43rd Annual Communicating Nursing Research Conference in April 2010 Plans under way to implement and validate the NCAQ in critical access hospitals in Idaho in 2010
14. Study Design CHC CAQ Research Objectives Develop an objective measurement tool (CHC CAQ) to assess the characteristics and parameters of Idaho community health centers related to successful recruitment and retention of family physicians Administer the CHC CAQ to community health center medical leaders in a structured interview format Analyze the results, produce a written summary of the findings and disseminate the results to interested local, state, regional and national parties
15. Study Design CHC CAQ Development Literature review conducted during prior year research Site visits statewide to communities during prior year research Discussions with physicians, administrators and Idaho Primary Care Association workforce committee members prior to study
16. Study Design The CHC CAQ Questions aggregated into 5 Classes Geographic Economic Scope of Practice Medical Support Facility and Community Support Each Class contains 10 factors for a total of 50 factors/questions representing specific elements related to recruitment and retention of family medicine physicians in community health centers Three open-ended questions
17. Study Design:Class/Factor Examples Geographic Class Schools, climate, perception of community, housing, spousal satisfaction Economic Class Loan repayment, salary, signing bonus, part-time opportunities Scope of Practice Class Mental health, inpatient care, obstetrics, emergent care, administrative duties
18. Study Design:Class/Factor Examples Medical Support Class Nursing, allied mental health, pharmacy, perception of quality, call coverage Facility and Community Support Class Physical plant and equipment, EMR, CHC leadership, community support of physician
19. Study Design Community Apgar Score Designed to produce an overall assessment comparable to an neonatal Apgar score Constructed from the sum of weighed parameters in the five classes of the CAQ (similar to the five dimensions of the neonatal Apgar) to create a repeatable measure of a community’s assets and capabilities Intended to prognosticate the success of a community health center in recruiting and retaining family physicians Designed to differentially diagnose a community health center’s relative strengths and challenges in order to prioritize improvements and identify marketing opportunities by examining component Class and Factor Apgar scores
20. Study Design CHC CAQ Target Communities All 13 community health centers in Idaho One site per community health center if community health center had multiple sites Communities classified as alpha [N=9] or beta [N=4] based on historical success in recruiting and retaining physicians Final sample included 7 alpha and 4 beta communities as one community health center was excluded from this data analysis due to potential researcher conflicts of interest and a second only employed physician assistants and no physicians
21. Study Design CHC CAQ Respondents 11 community health center administrators and 11 community health center physicians with leadership roles in recruitment and retention [Total N=22] CHC CAQ Administration Participants mailed the CHC CAQ survey in advance with consent form [IRB approval from Boise State University] and one hour interviews scheduled Separate structured one hour interviews by Dr. David Schmitz for each participant where consent form was reviewed and executed and CAQ completed
22. Selected Findings CHC CAQ Areas of Emphasis Community Advantages and Challenges Community Importance Ratings Community Apgar Scores CHC CAQ Analytical Framework Respondent type (administrator vs physicians) Community type (alpha vs. beta) Across Factor, Class and Summary Differential Diagnosis of Community Health Centers’ Assets and Capabilities
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26. Top 10 Important Factors across All 50 Factors 3.95 Overall 3.9 3.85 3.8 3.75 3.7 Mean Score 3.65 3.6 3.55 3.5 3.45 3.4 spousal call/practice income recreational revenue flow stability of physical plant perception of community loan repayment satisfaction coverage guarantee opportunities physician and equipment quality need/support of workforce physician Top 10 Important Factors
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49. Continue to implement the Community Apgar Program (CAP) for Idaho critical access hospitals
50. Export the Community Apgar Program (both CAQ and CHC versions) to other states (e.g.,Virginia, Wyoming, Montana)
51. Develop a plan to implement and validate the Nursing Community Apgar Questionnaire (NCAQ) in critical access hospitals in Idaho
52. Develop a NCAP and link with the CAH CAP and the CHC CAP