scholarly journals Shape-Up and Eat Right Families Pilot Program: Feasibility of a Weight Management Shared Medical Appointment Model in African-Americans With Obesity at an Urban Academic Medical Center

2018 ◽  
Vol 6 ◽  
Author(s):  
Gitanjali Srivastava ◽  
Kenya D. Palmer ◽  
Kathy A. Ireland ◽  
Ashley C. McCarthy ◽  
Kate E. Donovan ◽  
...  
Keyword(s):  
African Americans ◽  
Weight Management ◽  
Medical Center ◽  
Academic Medical Center ◽  
Pilot Program ◽  
Medical Appointment ◽  
Shared Medical Appointment ◽  
Academic Medical

scholarly journals Pursuit and Implementation of Hospital-Based Outpatient Direct Access to Physical Therapy Services: An Administrative Case Report

2010 ◽  
Vol 90 (1) ◽  
pp. 100-109 ◽  
Author(s):  
William G. Boissonnault ◽  
Mary Beth Badke ◽  
Jane Megan Powers
Keyword(s):  
Case Report ◽  
Physical Therapy ◽  
Medical Center ◽  
Academic Medical Center ◽  
Plain Film ◽  
Scope Of Practice ◽  
Direct Access ◽  
Pilot Program ◽  
Practice Model ◽  
Academic Medical

Background and Purpose Despite legislative approval of direct access to physical therapy, other regulatory barriers and internal institutional policies often must be overcome before this practice model can be fully adopted. Few institutional initiatives have been published describing strategies designed to change policies restricting direct patient access. This case report describes steps and strategies associated with successful implementation of a direct access physical therapy model at a large academic medical center. Case Description The process of obtaining institutional medical board and hospital authority board approval and implementing a pilot program is described. Program details, including therapist qualifications and scope of practice, the required internal training program, and program outcome assessment, are provided. The therapist scope of practice includes the ability to refer patients directly to a radiologist for plain film radiography. Early pilot program findings, including challenges faced and subsequent actions, are described. Outcomes Reviewed patient care decisions by therapists participating in the pilot program were deemed appropriate 100% of the time by physician chart reviewers. Approximately 10% of the patients seen were referred to a radiologist for plain film imaging, and 4% and 16% of the patients were referred to physicians for pain medications or medical consultation, respectively. The pilot program's success led to institutional adoption of the direct access model in all physical therapy outpatient clinics. Discussion Autonomy is described, in part, as self-determined professional judgment and action. This case report describes such an effort at a large academic medical center. The interdependent, collaborative relationship among physical therapists, physicians, and hospital administrators has resulted in the implementation of a patient-centered practice model based on the premise of patient choice.

scholarly journals Evaluation of a Pharmacist Led Oral Chemotherapy Clinic: A Pilot Program in the Gastrointestinal Oncology Clinic at an Academic Medical Center

Pharmacy ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 46 ◽  
Author(s):  
Julianne O. Darling ◽  
Farah Raheem ◽  
Katelyn C. Carter ◽  
Elizabeth Ledbetter ◽  
Jennifer F. Lowe ◽  
...  
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Clinic Visit ◽  
Oral Chemotherapy ◽  
Satisfaction Survey ◽  
Pilot Program ◽  
Continuous Variables ◽  
Percentage Difference ◽  
Academic Medical ◽  
Strongly Agree

Oral chemotherapy represents a major patient-centric advancement in therapy convenience. However, ownership of safe and correct administration of these agents requires significant patient education. To address this challenge, an in-person pharmacist-led oral chemotherapy education clinic in gastrointestinal oncology patients within an academic medical center was created and assessed. In this pilot program, a medication-specific quiz was administered to patients before and after education performed by a pharmacist to assess patient understanding of their new oral chemotherapy. A five-question satisfaction survey was also administered at the conclusion of the pharmacist clinic visit. Primary outcome was the percentage difference between pre-and post-education quiz scores. Secondary outcomes included patient satisfaction, time to treatment initiation, and number of pharmacist interventions. Frequencies and medians were used to describe categorical and continuous variables, respectively. Of the 18 patients analyzed, 50% were male and median age was 59.5 years. Approximately 28% had colon cancer, and 61% were treated with capecitabine. The median post-education scores improved from a pre-education score of 75% to 100%. Overall, seventeen of the eighteen patients responded with “strongly agree” to all satisfaction survey statements. An in-person oncology pharmacist-led oral chemotherapy education session demonstrated an improvement in patients’ understanding of their new oral chemotherapy treatment.

scholarly journals Racial Differences in Alzheimer’s Disease Specialist Encounters are Associated with Usage of Molecular Imaging and Dementia Medications: An Enterprise-Wide Analysis Using i2b2

2020 ◽  
pp. 1-15
Author(s):  
Charles F. Murchison ◽  
Richard E. Kennedy ◽  
Jonathan E. McConathy ◽  
Erik D. Roberson
Keyword(s):  
Alzheimer’S Disease ◽  
Primary Care ◽  
Alzheimer's Disease ◽  
African Americans ◽  
Racial Differences ◽  
Medical Center ◽  
Academic Medical Center ◽  
Primary Care Clinics ◽  
Academic Medical ◽  
Increased Risk

Background: African Americans are at increased risk for Alzheimer’s disease (AD) but barriers to optimal clinical care are unclear. Objective: To comprehensively evaluate potential racial differences in the diagnosis and treatment of AD in an academic medical center. Methods: We used the clinical informatics tool, i2b2, to analyze all patient encounters for AD or mild cognitive impairment (MCI) in the University of Alabama at Birmingham Health System over a three-year period, examining neuroimaging rates and dementia-related medication use by race and clinic site using ratio tests on contingency tables of stratified patient counts. Results: Enterprise-wide, African Americans were not underrepresented among outpatients seen for AD/MCI. However, there were differences in the clinic setting where visits occurred, with African Americans overrepresented in Geriatrics and primary care clinics and underrepresented in Memory Disorders specialty clinics. There were no racial differences in the rates at which any clinic ordered PET neuroimaging tests or dementia-related medications. However, unsurprisingly, specialty clinics ordered both PET neuroimaging and dementia-related medications at a higher rate than primary care clinics, and overall across the medical enterprise, African Americans were statistically less likely to have PET neuroimaging or dementia-related medications ordered. Conclusion: African Americans with AD/MCI were not underrepresented at this academic medical center but were somewhat less likely to have PET neuroimaging or to be on dementia-related medications, potentially in part from underrepresentation in the specialty clinics where these orders are more likely. The reasons for this underrepresentation in specialty clinics are likely multifactorial and important to better understand.

Evaluation of a Pharmacist-Directed Vancomycin Dosing and Monitoring Pilot Program at a Tertiary Academic Medical Center

2015 ◽  
Vol 49 (9) ◽  
pp. 1009-1014 ◽  
Author(s):  
Kathleen A. Marquis ◽  
Jeremy R. DeGrado ◽  
Stephanie Labonville ◽  
David W. Kubiak ◽  
Paul M. Szumita
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Pilot Program ◽  
Academic Medical

Gender differences in career progress and satisfaction in an academic medical center

2002 ◽  
Vol 2 (3) ◽  
pp. 95-104 ◽  
Author(s):  
JoAnn Manson ◽  
Beverly Rockhill ◽  
Margery Resnick ◽  
Eleanor Shore ◽  
Carol Nadelson ◽  
...  
Keyword(s):  
Gender Differences ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
Career Progress
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