Allied Health Professionals

Part of the health care workforce with clinical training in fields other than medicine, nursing, pharmacy, or dentistry.

Penn Center for Community Health Workers: Step-by-Step Approach to Sustain an Evidence-Based Community Health Worker Intervention at an Academic Medical Center

Sep. 19, 2016

Anna U. Morgan, David T. Grande, Tamala Carter, Judith A. Long, Shreya Kangovi

In the American Journal of Public Health, Anna Morgan and colleagues, including Dave Grande, Judith Long, and Shreya Kangovi, describe the process by which Penn’s Center for Community Health Workers grew from a small grant-funded research project into a robust program serving 2,000 patients annually and funded through the health system’s operational budget. The authors describe an 8-step framework to engage both low-income patients and funders, determine outcomes, and calculate return on investment. The case illustrates a path toward sustainability for other community-based...

Clinical Decision Support Tool for Parental Tobacco Treatment in Primary Care

Apr. 22, 2016

Brian Jenssen, Tyra Byrant-Stephens, Frank Leone, Robert Grundmeier, Alexander Fiks

In Pediatrics, Brian Jenssen and colleagues, including Frank Leone and Alexander Fiks, evaluate the effectiveness of an intervention to help primary care pediatricians provide smoking cessation treatment to parents/caregivers who smoke. The authors created a clinical decision support tool, embedded it in the electronic health record, and evaluated its use and clinical impact. Participating clinicians, at an urban primary care center, received training in smoking cessation counseling, nicotine replacement therapy (NRT) prescribing, referring to an adult treatment program and use of...

Built Environment Assessment: Multidisciplinary Perspectives

Apr. 19, 2016

Karen Glanz, Susan Handy, Kathryn Henderson, Sandy Slater, Erica Davis, Lisa Powell

In SSM Population Health, Karen Glanz and colleagues examine how different disciplinary perspectives can contribute to environmental context-based assessment related to obesity.  The authors also make recommendations for encouraging effective advances in built-environment assessment. A multidisciplinary team of experts convened in 2013 to discuss how their respective disciplines can collaborate to integrate environmental assessment to prevent obesity. There has been significant progress in collaboration across key disciplines that contribute to studies of built environments and...

Change In Length of Stay and Readmissions Among Hospitalized Medical Patients after Inpatient Medicine Service Adoption of Mobile Secure Text Messaging

Apr. 13, 2016

Mitesh Patel, Neha Patel, Dylan Small, Roy Rosin, Jeffrey Rohbach, Nathaniel Stromberg, C. William Hanson, David Asch

In the Journal of General Internal Medicine, Mitesh Patel and colleagues, including Dylan Small, Roy Rosin, and David Asch, evaluate the association between an inpatient medicine service’s adoption of mobile secure text messaging and patient length of stay and readmissions. The authors observed the change in length of stay and 30-day readmissions between a control site and one that implemented text messaging. They find a significant decrease in length of stay for the intervention site during and after the rollout of inpatient text communication. There was no significant difference...

Educating Health Professionals on Social Determinants of Health

Apr. 6, 2016

Health professionals are ill-prepared to address social factors that contribute to poor health, because these factors often lie beyond the scope of medical education. But just as addressing social determinants of health (SDH) involves stretching beyond traditional medical practices, educating health professionals involves stretching beyond traditional medical education.

Independent Contractors in Public Mental Health Clinics: Implications for Use of Evidence-Based Practices

Mar. 29, 2016

Rinad Beidas, Rebecca Stewart, Courtney Wolk, Dainelle Adams, Steven Marcus, Arthur Evans, Kamilah Jackson, Geoffrey Neimark, Matthew Hurford, Joan Erney, Ronnie Rubin, Trevor Hadley, Frances Barg, David Mandell

In Psychiatric Services, Rinad Beidas and colleagues, including Steven Marcus, Trevor Hadley and David Mandell analyze the associations of utilizing independent contractors with clinician knowledge and attitudes toward evidence-based practices (EBP), and organizational culture and climate. They also describe the impact of using independent contractors on mental health services delivery from the perspective of organizational leadership. Community mental health clinics are increasingly utilizing independent contractors to provide clinical services. At the same time, many...

The Perfect Storm: Collision of the Business of Mental Health and the Implementation of Evidence-Based Practices

Mar. 29, 2016

Rebecca Steward, Danielle Adams, David Mandell, Trevor Hadley, Arthur Evans, Ronnie Rubin, Joan Erney, Geoffrey Neimark, Matthew Hurford, Rinad Beidas

In Psychiatric Services, Rebecca Stewart and colleagues, including David Mandell, Trevor Hadley and Rinad Beidas examine how financial factors affect the implementation of evidence-based practices (EBPs) in a large urban publicly funded mental health system. They interviewed 33 agency leaders and 16 policymakers, who described financial distress in community mental health agencies, and reported concerns about complex and expensive implementation of EBPs. These stakeholders agree that the cost of implementing EBPs should be shared between the agencies and the health system; however...

Advancing LGBTQ Health – Hot topics on the national stage

Dec. 9, 2015

Although Section 1557 of the ACA may not be well known to the public, it took center stage at the recent Gay and Lesbian Medical Association (GLMA) annual conference in Portland, Oregon. The conference educates practitioners and students about the unique health needs of lesbian, gay, bisexual, transgender and queer (LBGTQ) individuals and families, and reports on the latest research on LGBTQ health. Here are some of the latest research and policy developments emerging from the conference.

Section 1557 of the ACA

Carrots and Sticks: Achieving High Healthcare Personnel Influenza Vaccination Rates without a Mandate

Oct. 22, 2015

Marci Dreesa, Kathleen Wrotena, Mary Smedley, Tabe Masea, J. Sanford Schwartz

In Infection Control and Hospital Epidemiology, Marci Drees and colleagues, including J. Sanford Schwartz, evaluate the efficacy of implementing a multimodal campaign to increase influenza vaccination among healthcare personnel (HCP) without a mandate. The authors implemented an integrated multimodal approach incorporating peer pressure, accountability, and financial incentives to improve the HCP influenza vaccination rate. Employee compliance, vaccination, exemption and declination rates were compared with those of the seasons prior to the intervention. The authors find that...

Barriers to the Use of PPE to Prevent Pertussis Exposures in a Pediatric Primary Care Network

Oct. 22, 2015

Julie Fierro, Maria Middleton, Adrienne Smallwood, Susan Rettig, Chris Feudtner, Susan Coffin, Kristen Feemster

In the Journal of Pediatric Infectious Diseases, Julie Fierro and colleagues, including Chris Feudtner and Kristen Feemster, identify barriers to healthcare workers (HCW) use of personal protection equipment (PPE) to prevent pertussis transmission in ambulatory pediatric settings. The authors examined the knowledge, attitudes, and beliefs about pertussis and the use of inflection control measures among HCW. Their results show that although the majority of HCWs reported using PPE for patients with suspected pertussis, only a minority used PPE for patients with any respiratory...

Perceptions of High-Risk Patients and Their Providers on the Patient-Centered Medical Home

Apr. 1, 2015

Shreya Kangovi, Katherine Kellom, Christopher Sha, Sarah Johnson, Casey Chanton, Tamala Carter, Judith A. Long, David Grande

In the Journal of Ambulatory Care Management, Shreya Kangovi and colleagues, including Judith Long and David Grande, analyze patient and primary care practice staff perceptions of patient-centered medical homes (PCMH). Through a multi-state qualitative survey, the authors explore areas of agreement and tension between the perceptions of chronically ill, low-income patients and their primary care practice staff on PCMH principles and implementation strategies. PCMH are a team-based delivery model that emphasize continuity of care and health outcomes. Kangovi and colleagues’ conclude some...

Predictors of Community Therapists’ Use of Therapy Techniques in a Large Public Mental Health System

Apr. 1, 2015

Rinad S. Beidas, Steven Marcus, Gregory A. Aarons, Kimberly E. Hoagwood, Sonja Schoenwald, Arthur C. Evans, Matthew O. Hurford, Trevor Hadley, Frances K. Barg, Lucia M. Walsh, Danielle R. Adams, David S. Mandell

In JAMA Pediatrics, Rinad Beidas and colleagues explore the effects of individual and organizational characteristics on therapists’ self-reported use of different therapy techniques - cognitive behavioral therapy (CBT), family therapy, and psychodynamic therapy techniques. The study focuses on the Philadelphia public mental health system, currently engaged in a large-scale effort to increase the use of CBT. The study results show that although both individual and organizational factors are important, the relative significance of the factors varies by treatment type. Key findings include...

Comparison of HIV Outcomes for Patients Linked at Hospital Versus Community-Based Clinics

Mar. 1, 2015

Asher J. Schranz, Kathleen A. Brady, Florence Momplaisir, Joshua P. Metlay, Alisa J. Stephens-Shields, Baligh R. Yehia

In AIDS Patient Care and STDs, Asher Schranz (New York University) and colleagues, including Baligh Yehia, compare HIV treatment outcomes for patients in hospital-based clinics versus those accessing care in a community clinic. The authors studied 2008-2011 data on HIV-infected adults in Philadelphia, assessing treatment outcomes in terms of retention in care, use of antiretroviral therapy, and viral suppression. Controlling for differences in patient and clinic characteristics, the authors find no difference in treatment outcomes between patients in hospital-based and community-based...

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