scholarly journals Comparison of Diabetes Control Among Haitians, African Americans, and Non-Hispanic Whites in an Urban Safety-Net Hospital

Diabetes Care ◽  
2010 ◽  
Vol 34 (1) ◽  
pp. 58-60 ◽  
Author(s):  
V. G. Vimalananda ◽  
J. L. Rosenzweig ◽  
H. J. Cabral ◽  
M. M. David ◽  
K. E. Lasser
Keyword(s):  
African Americans ◽  
Safety Net ◽  
Diabetes Control ◽  
Safety Net Hospital ◽  
Urban Safety

scholarly journals 338 Factors Associated With Colonoscopy No-Show Among African Americans in an Urban Safety-Net Hospital

2019 ◽  
Vol 114 (1) ◽  
pp. S200-S200
Author(s):  
Suaka Kagbo-Kue ◽  
Iloabueke Chineke ◽  
Taiwo Ajose ◽  
Keerthi Padooru ◽  
Florence Iloh ◽  
...  
Keyword(s):  
African Americans ◽  
Safety Net ◽  
Factors Associated ◽  
Safety Net Hospital ◽  
Urban Safety

Racial disparities and survival with non-small lung cancer (NSCLC) at an urban safety net hospital.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e19102-e19102
Author(s):  
David J. Ernst
Keyword(s):  
Lung Cancer ◽  
African Americans ◽  
Median Survival ◽  
Demographic Data ◽  
Hospital Setting ◽  
Safety Net ◽  
Disease Stage ◽  
Primary Therapy ◽  
Safety Net Hospital ◽  
Urban Safety

e19102 Background: Disparities in cancer outcomes have been documented for many tumor types. This study aims to investigate the influence of race on clinical presentation, treatment and outcome of non-small cell lung cancer at a safety net hospital. Methods: A retrospective review of all patients with NSCLC diagnosed at an urban safety net hospital was done. Demographic data, diagnostic approach, primary therapy, and survival were analyzed. Results: There were 359 patients with NSCLC who met study inclusion criteria. There were 179 Caucasian, 177 African American, and 3 Asian patients. Nearly half of all patients had metastatic disease at the time of diagnosis (Stage I 15%, Stage II 5%, Stage III 28%, and Stage IV 49%). Treatment varied by disease stage, but not by race, 35.2% Caucasians and 39.5% African Americans were treated with radiation, 42.5% Caucasians and 44.6% African Americans were treated with chemotherapy, and 26.3% Caucasians and 20.9% African Americans were treated with surgery. Median survival was very short and again, did not vary by race: for Caucasians diagnosed with any stage of NSCLC was 6.439 months, whereas in African Americans it was 7.852 months. Conclusions: In a safety net hospital setting, there were no disparities in treatment based on race and median survival in this study was uniformly poor. Significant comorbidity was likely and will be investigated further.

scholarly journals COVID-19 Pandemic and the Cholecystitis Experience at a Major Urban Safety-Net Hospital

2021 ◽  
Vol 264 ◽  
pp. 117-123
Author(s):  
Katherine F Vallès ◽  
Miriam Y Neufeld ◽  
Elisa Caron ◽  
Sabrina E Sanchez ◽  
Tejal S Brahmbhatt
Keyword(s):  
Safety Net ◽  
Safety Net Hospital ◽  
Urban Safety

scholarly journals Homelessness and discharge delays from an urban safety net hospital

Public Health ◽  
2014 ◽  
Vol 128 (11) ◽  
pp. 1033-1035 ◽  
Author(s):  
J. Feigal ◽  
B. Park ◽  
C. Bramante ◽  
C. Nordgaard ◽  
J. Menk ◽  
...  
Keyword(s):  
Safety Net ◽  
Safety Net Hospital ◽  
Urban Safety

scholarly journals Implementation of a Continuous Glucose Monitoring Program at a Safety Net Hospital During Covid 19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A345-A346
Author(s):  
Erin E Finn ◽  
Lindsay Schlichting ◽  
Rocio Ines Pereira
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Continuous Glucose Monitoring ◽  
Monitoring Program ◽  
Glucose Monitoring ◽  
Safety Net ◽  
Surgical Intensive Care Unit ◽  
Close Monitoring ◽  
Safety Net Hospital ◽  
Urban Safety

Abstract Background: COVID 19 disproportionately impacts individuals with diabetes leading to increased morbidity and mortality. Hyperglycemia is common in hospitalized patients with COVID requiring intensive monitoring and management. Close monitoring of glucoses requires increased use of personal protective equipment (PPE), which has been in limited supply since the beginning of the pandemic. The FDA granted conditional allowance for use of continuous glucose monitors (CGM) in hospital settings during the COVID pandemic to allow for preservation of PPE. We present the process of implementing a continuous glucose monitoring program in an urban safety net hospital. Methods: The program was implemented at a county urban safety net hospital. Patients were eligible to be started on Dexcom G6 CGM if they had hyperglycemia requiring multiple insulin injections daily, were in contact isolation, and were located in 1 of 3 units of the hospital (medical intensive care unit [MICU], surgical intensive care unit, COVID 19 floor unit). Initial program was started in the MICU and subsequently expanded. Nurses and staff underwent training using videos, in-person demonstrations, and written guides. Informational Technology modified the electronic medical system to allow for ordering and documentation of CGM values by nurses. Supplies were stored both on unit and in central supply allowing for primary team to initiate monitoring independent of diabetes team. Records of patients participating in program were maintained by the diabetes team. Amount of PPE saved was estimated to be 10 instances/day while on insulin drip and 3/day when using subcutaneous insulin. Results: A total of 69 patients used a CGM during their hospital course. Average age was 56 years old, 69 % were male, average BMI 31, and 84% had known diabetes prior to admission. The majority of patients were critically ill with 68% intubated, 48% on vasopressors, 6% requiring dialysis, 38% on insulin drip, 46% were on tube feeds, and 74% received steroids. The racial demographics of the patients were 72% White, 3% Black, 4% Native American, 4% Asian, and 14% other. For ethnicity, 73% identified as Hispanic and half spoke Spanish as their primary language. An estimated 2600 instances of PPE were saved. Challenges that were faced in implementing the program included consistent training of large numbers of staff, maintaining supplies in stock, troubleshooting discordant values, and restricting use of CGM to patients who met qualifications. Conclusion: Overall, the implementation of CGM was successful and received a positive response. Staff in the primary units quickly became comfortable with the application of the technology. Potential challenges in the future include ongoing training, improving troubleshooting of technology, validating the accuracy of the devices, and developing funding for CGM equipment and interpretation.

Behavioral Health Patient Engagement in Video-based Visits through a Patient Portal at an Urban Safety-Net Hospital During COVID-19: Direct Patient Outreach and Case-Control Study (Preprint)

2021 ◽  
Author(s):  
Han Yue ◽  
Victoria Mail ◽  
Maura DiSalvo ◽  
Christina Borba ◽  
Joanna Piechniczek-Buczek ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Behavioral Health ◽  
Patient Engagement ◽  
Safety Net ◽  
Patient Portal ◽  
Patient Portals ◽  
Safety Net Hospital ◽  
Urban Safety

BACKGROUND Patient portals are a safe and secure way for patients to connect with providers for video-based telepsychiatry and help to overcome the financial and logistical barriers associated with face-to-face mental health care. Due to the coronavirus disease 2019 (COVID-19) pandemic, telepsychiatry has become increasingly important to obtaining mental health care. However, financial, and technological barriers, termed the “digital divide,” prevent some patients from accessing the technology needed to utilize telepsychiatry services. OBJECTIVE As part of an outreach project during COVID-19 to improve patient engagement with video-based visits through the hospital’s patient portal among adult behavioral health patients at an urban safety net hospital, we aimed to assess patient preference for patient portal-based video visits or telephone-only visits, and to identify the demographic variables associated with their preference. METHODS Patients in an outpatient psychiatry clinic were contacted by phone and preference for telepsychiatry by phone or video through a patient portal, as well as device preference for video-based visits, were documented. Patient demographic characteristics were collected from the electronic medical record. RESULTS One hundred and twenty-eight patients were reached by phone. Seventy-nine patients (61.7%) chose video-based visits and 69.6% of these patients preferred to access the patient portal through a smartphone. Older patients were significantly less likely to agree to video-based visits. CONCLUSIONS Among behavioral health patients at a safety-net hospital, there was a relatively low engagement with video-based visits through the hospital’s patient portal, particularly among older adults.

Nourishing Underserved Populations Despite Scarcer Resources: Adaptations of an Urban Safety Net Hospital During the COVID-19 Pandemic

2021 ◽  
pp. e1-e4
Author(s):  
Olivia Weinstein ◽  
Kate Donovan ◽  
Ashley C. McCarthy ◽  
Latchman Hiralall ◽  
Lindsay Allen ◽  
...  
Keyword(s):  
Public Health ◽  
Underserved Populations ◽  
Safety Net ◽  
Home Delivery ◽  
Underserved Population ◽  
Food Pantry ◽  
Community Program ◽  
Safety Net Hospital ◽  
Virtual Classes ◽  
Urban Safety

A safety-net hospital in Boston, Massachusetts, made adaptations to its Nourishing Our Community Program to accommodate restrictions brought on by the COVID-19 pandemic to continue providing food and education to patients. While participation in programs decreased overall, some of the adaptations made, including virtual classes and food pantry home delivery, were well received and are planned to be maintained after the pandemic subsides. By making adjustments to operational procedures, the Nourishing Our Community Program continued to reach its underserved population despite pandemic challenges. (Am J Public Health. Published online ahead of print February 18, 2021: e1–e4. https://doi.org/10.2105/AJPH.2020.306132 )

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