Vanessa Thomas MD - EM Providers Knowledge Management Tropical Diseases

The experience of survival following Blood and Marrow Transplant in NSW, Aust...

Steury.dissertation presentation2014

nesteury

This study assessed the efficacy of using SMS reminders to improve adherence to a 6-dose antimalarial treatment in Zambia. The study involved 96 participants who were randomized into an intervention group that received SMS reminders or a control group. Adherence was measured using electronic monitors on medication bottles. The results found no significant difference in adherence rates between the groups, with both showing adherence over 65%. The study identifies limitations and implications for further research on using mHealth to improve malaria treatment adherence.

Secondary Cancers, Health Behaviour and Cancer Screening Adherence in survivo...

EPAD 2017 - Vitaly Smelov

How to formulate a systematic review question

ILRI

This document provides guidance on formulating a systematic review question. It discusses the key components of a review question, including defining the population, intervention/exposure, comparison, outcomes, and study type (PICOS/PECOS). The research question should be relevant and important. Types of questions include those about causation, diagnosis, prognosis, and treatment effects. The population, intervention/exposure, comparison, and outcomes should each be clearly defined. An example review question on interventions against Taenia solium specifies pigs and humans as the population, various drugs and sanitation programs as interventions, non-treated groups as the comparison, and efficacy and acceptance as outcomes. Study design such as observational studies and randomized controlled trials should also be

The document summarizes a study that evaluated the use of performance measurement among older adults. The study found that breast cancer screening increased over time, but most of the increase was among patients with limited life expectancy. Mortality rates and functional status remained stable during the period. The study concludes that increased emphasis on performance measures may exacerbate inappropriate screening rates among elderly patients with limited life expectancy, for whom screening may do more harm than good.

What Works in Chronic Care Management 6.12.09

This study analyzed data from 10 randomized controlled trials testing post-discharge care management programs for heart failure patients. It found that programs using multidisciplinary teams and in-person communication significantly reduced hospital readmissions and readmission days compared to routine care. However, programs relying only on telephone follow-up did not significantly reduce hospital use. The study concludes that payers should incentivize hospitals to adopt chronic care management programs shown to effectively reduce hospital utilization, which could lower costs for programs like Medicare that cover many patients with chronic illnesses.

Manzo_a2hc_aamas

gaetanomanzo

This document discusses using cohort and trajectory analysis in multi-agent support systems to provide personalized assistance to cancer survivors. It describes how combining several machine learning models can extract a patient's risk level and predict their likelihood of survival. For example, trajectory analysis of tumor stage 2 patients found an 80% chance of surviving over 5 years. Overall, the research aims to develop personalized chatbot and mobile app assistants that integrate a patient's electronic health records and behavior data with hybrid machine learning models to conduct advanced cohort and trajectory analysis for improved clinical decision support and quality of life support.

EPAD 2017 - Lawrence Drudge-Coates

Do we need a new system to price oncology pharmaceuticals?

State of Utah, Salt Lake City

Cancer Survivorship in Utah, Part 2

Tanning bed presentation 1

CTSR

This document discusses the risks of tanning bed use and malignant melanoma. It notes that tanning bed use increases melanoma risk by 75% and is classified as a Group 1 carcinogen. Despite this, many college students use tanning beds due to beliefs that it makes them look better and that "everything causes cancer these days." The document provides statistics on tanning bed use and examines reasons for use as well as myths about the supposed safety of indoor tanning. It concludes by providing contact information for the author.

ISCaHN Treatment Dashboard: Providing clinician decision support with data ge...

Illawarra Shoalhaven Cancer and Haematology Network (ISCaHN) has been using an oncology information system (OIS) as a complete electronic record for over 4 years. There has been both considerable and valuable treatment data generated at the point of care. Are we able to rapidly assess the outcomes of our own treatment data, and use this outcome data to help inform the delivery of care to our patients?

Characterizing Emergency Department Utilization By A Population-based Cohort...

This study analyzed data from 658 insured pregnant women in a Midwestern county to compare risks and outcomes between those who did and did not utilize the emergency department (ED) during their peripartum period. The study found that 218 women (33%) visited the ED at least once during this time. ED users were more likely to experience psychosocial risks like postpartum depression and smoking, have poorer birth outcomes like prematurity, and have inadequate prenatal care. After adjusting for demographic factors, ED use was associated with a higher likelihood of postpartum depression, smoking during pregnancy, unstable housing, delayed prenatal care initiation, and missing a postpartum visit.

Pathways to smoking care for cancer patients (P-SCIP): Stage 1

Informed Medical Decisions Foundation

As survival from cancer has improved over time, the potential impact of cigarette smoking on cancer patients and survivors is of increasing relevance. In addition to increased risk of chronic disease such as cardiovascular and respiratory disease, continued smoking after a cancer diagnosis increases the risk of second primary cancer, cancer recurrence and is a cause of treatment complications. As well the profound adverse impact of continued smoking on health outcomes in cancer patients, continued smoking among people with cancer incurs significant cost to the health system.

Decisions about Medication Use and Cancer Screening Among Elderly Adults in t...

This study surveyed U.S. adults aged 40 and older about their medical decision making regarding cancer screening tests and medications for common conditions. It found that decision processes were generally poor across age groups. While knowledge about treatments was higher for medications than screening, all groups valued potential benefits highly. The oldest group (75+) reported less discomfort with some cancer screenings and less importance on costs or side effects of medications. The study concludes there is opportunity to better educate elderly patients and their doctors about estimated benefits, competing risks when considering screenings or adding medications.

EPAD 2017 - James N'Dow

Office of Health Economics

This document discusses how big data can be used to address major challenges in prostate cancer research and clinical practice. It proposes a model to create a standardized, collaborative data platform that integrates large clinical datasets from multiple European and non-European sources. This would allow for novel analytics and computational approaches to gain new insights into prostate cancer outcomes and improve standardized care pathways. Key elements for success include involvement of experts in prostate cancer and big data as well as all stakeholders, including patients. Education is needed to encourage data sharing while protecting privacy.

Valuing the EQ-5D-Y Using a Discrete Choice Experiment: Do Adult and Adolesce...

A Diverse Autism Registry for Etiologic and Effectiveness Studies Prevalance ...

HMO Research Network

This document describes the creation of a large autism registry using data from multiple health care organizations to study the prevalence, characteristics, treatments, and causes of autism spectrum disorders. The registry will utilize existing electronic health records, surveys, and biosamples to establish a diverse population for investigating autism interventions and genetic/causal factors through rapid identification and enrollment in large studies. Initial results found an overall autism prevalence of 1.2% with variations across sites and more males than females diagnosed.

Create to Innovate for Cancer Care: Guest Speaker Dr. Lisa Quintiliani

CFTCC

NY Prostate Cancer Conference - K. Touijer - Highlights of Day 2 breakout ses...

European School of Oncology

1. The document discusses factors that should be incorporated into models to predict therapy-induced toxicities following radical prostatectomy, such as surgeon experience and surgical technique. 2. It addresses predicting urinary incontinence and erectile dysfunction following surgery and touches on morbidity profiles. 3. The need for standardized reporting of surgical complications using criteria such as the Martin criteria is discussed, as well as designing next generation predictive models in urology.

SGIM Poster-Final

L. Kyle Horton MD, MBA

The study found that 17% of Pap tests ordered in their resident clinic were inappropriate based on USPSTF guidelines. They created an intervention called the "Pap Clinic" which used an EMR template to guide decision making and patient discussions about cervical cancer screening guidelines. After implementing this clinic, they found a statistically significant decrease in inappropriate Pap tests, from 17% pre-intervention to 1.7% post-intervention. While the results were promising, the study had limitations including a small sample size and potential for selection bias. The intervention showed that templates in EMRs have potential to improve adherence to screening guidelines.

Presentation 1

Víctor Barragán

The document discusses the differences between using a short module within an existing survey versus conducting a dedicated survey to study violence. A short module faces challenges like ensuring sample representativeness, requiring extra interviewer training, and potentially lower disclosure rates. It also discusses how a dedicated survey, like the WHO's Women's Health and Life Experiences survey, can provide more comprehensive information through sections that thoroughly cover topics like health, relationships, injuries, and experiences. Overall, a dedicated survey allows for a more in-depth understanding of violence but requires greater resources compared to a short module.

EPAD 2017 - Tit Albreht

Engaging multidisciplinary teams in translational research and quality improv...

The Sydney West Translational Cancer Research Centre is a five year program grant funded by the Cancer Institute NSW aimed at improving patient outcomes through translational research. Multidisciplinary teams (MDTs) are key to the delivery of cancer care in Australia. There is a lack of knowledge and research into how these MDT teams can best be engaged in translational research from basic science through to implementation science and quality improvement.

Low 3-dose completion and missed opportunities for the HPV vaccine in Utah

dylanturner22

This document summarizes research on HPV vaccine uptake in Utah. It finds that while HPV vaccination rates have increased in Utah, the 3-dose completion rate remains below the national average at 24.1%. Focus groups with providers and parents in Utah identified some factors contributing to this, including missed opportunities to vaccinate, the need for multiple doses making completion challenging, and a lack of parent education. Interventions like improved provider recommendation and reminder systems may help increase completion rates in Utah. The research aims to better understand factors influencing HPV vaccination to guide future initiatives to reduce cervical cancer burden.

Maria Ludbrook, Te Hurihanga

guestf8acfe0

Te Hurihanga is a therapeutic and bicultural pilot youth offender programme in New Zealand. It aims to reduce re-offending among high-risk male youth aged 14-17 through a multi-phase therapeutic intervention model delivered in a residential setting and community. Preliminary outcomes after 2 years indicate reductions in the number, rate, and severity of re-offenses for most youth completing the programme, as well as decreased estimates of risk for re-offending. However, outcomes were more mixed for those exiting the programme early.

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Evaluating the Use of Performance Measurement Among Older Adults 4.25.08

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Manzo_a2hc_aamas

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EPAD 2017 - Lawrence Drudge-Coates

Do we need a new system to price oncology pharmaceuticals?

State of Utah, Salt Lake City

Cancer Survivorship in Utah, Part 2

Tanning bed presentation 1

CTSR

ISCaHN Treatment Dashboard: Providing clinician decision support with data ge...

Characterizing Emergency Department Utilization By A Population-based Cohort...

Pathways to smoking care for cancer patients (P-SCIP): Stage 1

Informed Medical Decisions Foundation

Decisions about Medication Use and Cancer Screening Among Elderly Adults in t...

EPAD 2017 - James N'Dow

Office of Health Economics

Valuing the EQ-5D-Y Using a Discrete Choice Experiment: Do Adult and Adolesce...

A Diverse Autism Registry for Etiologic and Effectiveness Studies Prevalance ...

HMO Research Network

Create to Innovate for Cancer Care: Guest Speaker Dr. Lisa Quintiliani

CFTCC

NY Prostate Cancer Conference - K. Touijer - Highlights of Day 2 breakout ses...

European School of Oncology

SGIM Poster-Final

L. Kyle Horton MD, MBA

Presentation 1

Víctor Barragán

EPAD 2017 - Tit Albreht

Engaging multidisciplinary teams in translational research and quality improv...

University of Michigan Department of Emergency Medicine

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Evaluating the Use of Performance Measurement Among Older Adults 4.25.08

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Manzo_a2hc_aamas

EPAD 2017 - Lawrence Drudge-Coates

Do we need a new system to price oncology pharmaceuticals?

Cancer Survivorship in Utah, Part 2

Tanning bed presentation 1

ISCaHN Treatment Dashboard: Providing clinician decision support with data ge...

Characterizing Emergency Department Utilization By A Population-based Cohort...

Pathways to smoking care for cancer patients (P-SCIP): Stage 1

Decisions about Medication Use and Cancer Screening Among Elderly Adults in t...

EPAD 2017 - James N'Dow

Valuing the EQ-5D-Y Using a Discrete Choice Experiment: Do Adult and Adolesce...

A Diverse Autism Registry for Etiologic and Effectiveness Studies Prevalance ...

Create to Innovate for Cancer Care: Guest Speaker Dr. Lisa Quintiliani

NY Prostate Cancer Conference - K. Touijer - Highlights of Day 2 breakout ses...

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EPAD 2017 - Tit Albreht

Engaging multidisciplinary teams in translational research and quality improv...

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The Computerized Symptom Capture Tool (C-SCAT)

dylanturner22

The Computerized Symptom Capture Tool (C-SCAT) is a novel iPad application designed to explore symptoms and symptom clusters from the perspective of adolescents and young adults with cancer. The study tested the feasibility and acceptability of using C-SCAT with 72 adolescents and young adults receiving chemotherapy. Participants were able to complete C-SCAT within 25 minutes on average. The majority found it an acceptable way to report their symptoms and felt it increased their self-awareness. Most participants identified multiple symptoms and some described symptom clusters. The study demonstrates the potential for C-SCAT to generate rich data on individual symptom experiences to inform symptom management.

Firearms, Violence, and the Emergency Department: Developing the Science of I...

Beyond Indicators and Reporting: M&E as a Systems Strengthening Intervention

MEASURE Evaluation

This document discusses monitoring and evaluation (M&E) systems and their importance in strengthening health systems. It notes that while demand for M&E is increasing, many country systems remain weak. Progress has been made in harmonizing indicators and developing tools and guidelines. Case studies from Jamaica and Cote d'Ivoire show how focused efforts to strengthen M&E systems can improve data quality and use over time. Building strong M&E requires addressing technical, organizational and behavioral factors and is a long-term intervention that needs sustained investment.

Development of the SaFETy Score: A Clinical Screening Tool for Predicting Fut...

University of Michigan Department of Emergency Medicine

1) Researchers developed a 4-item screening tool called the SaFETy Score to predict risk of future firearm violence using data from a cohort study of youth in Flint, Michigan. 2) The 4 predictors in the SaFETy Score assess serious fighting, number of friends carrying weapons, community gunshot exposure, and experiences being threatened with a gun. 3) When evaluated in the validation data, the SaFETy Score showed good discrimination of risk levels between scores of 0 to 10 and was a stronger predictor of future firearm violence than reason for the emergency department visit alone.

Sanjeev Arora, MD, Director, Project Echo

Investnet

Project ECHO aims to expand access to specialty healthcare for common and complex diseases in rural and underserved areas through its teleECHO model. It uses videoconferencing and case-based learning to train primary care providers to safely and effectively treat diseases like hepatitis C. Evaluations show providers gain clinical skills and patients achieve similar treatment outcomes to specialty clinics. The model has been successfully implemented for over a dozen disease areas.

Dotson

Virginia Rural Health Association

The document summarizes best practices in rural health care presented at the 2010 Virginia Rural Health Summit. It identifies common barriers to rural health care access such as lack of providers and long distances. It then highlights exemplar programs in four areas - oral health, maternal/newborn health, behavioral health, and telemedicine. For each area, one or two programs are described that improved health outcomes through innovative models of service delivery. The document concludes with policy opportunities to advance rural health, such as improving Medicaid reimbursement and reforming regulations around dental hygienists and malpractice insurance.

Population health management anderson

Benjamin Pease

This document discusses population health management and how it can help address health needs. It begins by defining population health management as improving systems and policies that affect healthcare quality, access, and outcomes to ultimately improve the health of an entire population. It then provides examples of individual-focused patient care policies and population-focused policies. Population-focused policies aim to improve access to services, overcome non-medical barriers to maximize health outcomes, coordinate care, provide meaningful integration, and monitor and address health disparities. The document concludes by describing a case study of a stroke risk screening program developed in North Carolina to identify modifiable stroke risks in high-risk communities.

Preferred Treatment and Prevention Strategies for Recurrent Community-Associa...

Center for Managing Chronic Disease

The document summarizes the results of an internet-based survey of 192 adult and pediatric healthcare providers regarding their preferred treatment and prevention strategies for recurrent community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) skin and soft-tissue infections (SSTIs). There were differences observed between adult and pediatric providers in their choice of empiric and directed antibiotic treatment, as well as in their use of decolonization strategies for patients and households with recurrent infections. Comparative studies are needed to determine optimal antibiotic regimens and effectiveness of decolonization strategies.

Perceived caregiver financial barriers and asthma outcomes in urban elementar...

Engaging the hard_to_engage_through_innovative_channels

George Van Antwerp

Patterns of adoption and use of a web-based decision support system for CVD r...

Health Informatics New Zealand

ENCA 2016 - Genoa - Bas Vastert

anton gruss

The SHARE project aimed to improve care and research collaborations for pediatric rheumatology in Europe from 2012-2015. Key results included: 1. Surveys identifying needs in European countries and best practices for diagnosis, treatment, and obtaining consent. 2. Development of consensus treatment guidelines for conditions like JDM and childhood SLE through literature reviews and expert consensus. 3. An updated pediatric rheumatology website and patient information translated into multiple languages. 4. Papers identifying barriers to international data and sample sharing between countries due to differences in ethical approval processes. The project provided guidance to improve uniformity of care for pediatric rheumatic diseases across Europe and opportunities to facilitate research collaboration and influence European policies.

Evaluating the Effectiveness of a Parenting Curriculum Training of Trainers a...

mishtx

- The study evaluated the effectiveness of training community educators in the Building Family Connections (BFC) parenting curriculum and its utilization in border Hispanic communities in Texas. - 34 community educators were trained and saw significant increases in their knowledge of adolescent sexual health issues. They reported that the training prepared them well. - The educators then provided the BFC curriculum to 263 Hispanic parenting adults, who also demonstrated significant increases in knowledge, attitudes, and parent-child communication behaviors around sexual health. - The results suggest that using trained community educators is an effective model for improving parent-child sexual health communication, especially in minority populations like Hispanics.

Weitzman 2013: Project ECHO

CHC Connecticut

The document discusses Project ECHO and its mission to expand access to specialty healthcare for common and complex diseases in rural and underserved areas. Project ECHO uses teleconferencing and case-based learning to train primary care clinicians to treat and manage conditions like hepatitis C. An evaluation showed primary care clinicians trained through Project ECHO achieved similar treatment outcomes for hepatitis C as specialists at a university medical center, improving access to care for rural and minority populations.

A Toolkit for Evaluating the Impact of HIV/AIDS Programming on Children in Af...

MEASURE Evaluation

This document describes the development of a standardized toolkit for evaluating the impact of HIV/AIDS programming on children in Africa funded by PEPFAR (President's Emergency Plan for AIDS Relief). It details the process of identifying core indicators, developing survey tools for children and caregivers, piloting the tools, and finalizing them along with implementation guidance. The goal is to produce comparable data across interventions to inform programs and enable evidence-based decision making. The standardized toolkit includes questionnaires, manuals, analytical guidance, and other resources to evaluate PEPFAR's progress in caring for orphans and vulnerable children.

INBRE Vaccination Research

Liz Corey, MPH

This document analyzes the risk of measles and pertussis outbreaks in schools in Gallatin County, Montana. It finds that while vaccination rates are generally high, a small increase in unvaccinated students could increase outbreak risk for some schools. Private schools and smaller districts tend to have higher exemption rates and lower vaccination coverage. The analysis scores school districts based on policies, procedures, and exemptions to determine relative outbreak risk. Districts with higher exemption rates and less stringent policies receive higher risk scores.

Biregional je presentation_surveilance

lankansikh

This document summarizes JE surveillance in Sri Lanka. It describes how surveillance data is used to quantify disease frequency, identify endemic and high-risk areas, forecast outbreaks, design control programs, and evaluate effectiveness. Methods include routine notification, event-based surveillance, case-based investigation, and laboratory testing. Data shows declining morbidity since 2003 and changing age distribution, with most cases in those 1-10 years old and over 30. Challenges include maintaining interest and funding as burden declines and improving laboratory and case investigation. Solutions proposed are strengthening review and feedback mechanisms and mandatory reporting and investigation.

HIV, HCV, and TB Infection among Injection Drug Users in San Diego

UC San Diego AntiViral Research Center

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Sanjeev Arora, MD, Director, Project Echo

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