Department of Family & Community Medicine Lectures, Presentations, Workshops Copyright (c) 2013 Thomas Jefferson University All rights reserved. http://jdc.jefferson.edu/fmlectures Recent documents in Department of Family & Community Medicine Lectures, Presentations, Workshops en-us Thu, 18 Apr 2013 01:42:06 PDT 3600 Beyond Flexner: The Hunt for Medicine's Elusive Social Mission http://jdc.jefferson.edu/fmlectures/11 http://jdc.jefferson.edu/fmlectures/11 Tue, 16 Apr 2013 10:50:29 PDT 21st annual Paul C. Brucker, MD lecture

Fitzhugh S. M. Mullan is Murdock Head Professor of Medicine and Health Policy, a joint position in SPHHS and the SMHS. His primary appointment is in the Department of Health Policy.

A pediatrician whose far-reaching career has included clinical, administrative and editorial responsibilities in both the public and the private sector, Dr. Mullan is also a cancer survivor and the Founding President of the National Coalition for Cancer Survivorship. Cognizant of the importance of communicating with both lay and professional audiences, Dr. Mullan is a contributing editor to Health Affairs and the editor of that journal's "Narrative Matters" section; a prolific book reviewer; and author of a number of general-interest books, including Vital Signs: A Young Doctor's Struggle with Cancer and Big Doctoring in America: Profiles in Primary Care. Prior to joining the School's faculty in 1996, Dr. Mullan directed the Bureau of Health Professions in the federal Health Resources and Services Administration, earning the rank of Assistant Surgeon General.

Dr. Mullan is Director of the Department's Hirsh Program in Medicine and Public Policy, which works to advance understanding of the influence of medicine and medical education on health care and public health.

Presentation: 1 hour

]]> Fitzhugh Mullan, MD Cervical Cancer Screening Outcomes in a Refugee Population http://jdc.jefferson.edu/fmlectures/10 http://jdc.jefferson.edu/fmlectures/10 Fri, 18 Nov 2011 08:19:47 PST The purpose of our study was to determine the prevalence of abnormal Pap smears and high-risk HPV genotypes within our refugee population.

]]> Sarah Pickle, MD et al. Individual agency, community capacity building, and chronic illness care: Using participatory methods to implement the Stanford Chronic Disease Self Management Program in a Housing First Program http://jdc.jefferson.edu/fmlectures/9 http://jdc.jefferson.edu/fmlectures/9 Thu, 17 Nov 2011 10:50:48 PST Research questions:

Is a standardized chronic disease self management program (CDSMP) experienced as a valuable intervention by Pathways' consumers?

What is the impact of collaborative inquiry into health program development on participant's critical agency?

]]> Lara Carson Weinstein, MD, MPH et al. Baseline Monitoring of Standard Health Indicators in a Formerly Homeless Population http://jdc.jefferson.edu/fmlectures/8 http://jdc.jefferson.edu/fmlectures/8 Thu, 17 Nov 2011 10:42:42 PST Research Question: What are the rates of baseline health status indicators recording at Pathways to Housing (PTH) using select recommended measures from the National Association of State Mental Health Program Directors (NASMHPD) and the Healthcare Effectiveness Data Information Set (HEDIS)?

How do health indicators compare between clients receiving direct clinical care in the integrated care program vs non-integrated care clients?

]]> Lara Carson Weinstein, MD, MPH et al. Participatory Research at Pathways to Housing-PA: A Consumer Perspective http://jdc.jefferson.edu/fmlectures/7 http://jdc.jefferson.edu/fmlectures/7 Thu, 17 Nov 2011 10:35:55 PST Research Question: How does housing affect healthcare decision making?

Methods: 11 Clients took part in a 9-week project focused on health. Using qualitative methodology, weekly meetings were recorded, transcribed, then analyzed resulting in the development of thematic findings.

]]> Patways to Housing Consumer Health Research Team and Department of Family and Community Medicine Performance of Colorectal Cancer Screening Steps in Primary Care http://jdc.jefferson.edu/fmlectures/6 http://jdc.jefferson.edu/fmlectures/6 Tue, 09 Aug 2011 07:12:36 PDT Discussion:

This analysis revealed the differences in which physicians in primary care complete CRC screening steps. The approach and completion of screening steps varied greatly among practices.

There was a correlation between the quantitative data and the qualitative data. The analysis from both methodologies produced similar results and supports each other's assessment.

All of the practices analyzed possessed one of the essential elements (a physician recommendation) which is the foundation for increased screening. All of the practices have the potential to expand upon this foundation in order to ensure that all eligible patients are approached and screened for CRC.

The correlation between the essential elements and completion of screening will be further explored in future research.

]]> Salini Mohanty, MPH et al. Capacity Building for Participatory Health Services Research in Housing First http://jdc.jefferson.edu/fmlectures/5 http://jdc.jefferson.edu/fmlectures/5 Mon, 08 Aug 2011 11:48:07 PDT Background:

Pathways to Housing ends chronic homelessness for individuals with serious mental illness (SMI) by providing housing first, and then combining that housing with supportive treatment services in the area of mental and physical health, substance abuse, education, and employment. Housing is provided in apartments scattered throughout a community. This "scattered site" model fosters a sense of home and self-determination, and it helps speed client's reintegration into the community. The Pathways model has been remarkable successful in addressing chronic homelessness.

Research Question

What are the chronic physical disease self management support needs of Pathways to Housing clients?

]]> Lara Carson Weinstein, MD Making REAL Health Reform Work http://jdc.jefferson.edu/fmlectures/4 http://jdc.jefferson.edu/fmlectures/4 Mon, 18 Apr 2011 08:37:16 PDT Len Nichols PhD is Professor of Health Policy and the Director of the Center for Health Policy Research and Ethics at George Mason University. Prior to this, he spent 5 years as Director of the Health Policy Program at the New America Foundation, a non-profit, non-partisan policy research institute based in Washington, D.C. Dr. Nichol’s work bridges the worlds of health economics and health services research for health system stakeholders and clinical leaders, elected and appointed policy officials and journalists. He has been intimately involved in health reform debates, policy development, and communication for the past 2 decades, and is one of the few analysts in Washington that maintains the respect and engagement of elected officials from both sides of the aisle. Len has published widely in a variety of health journals, frequently testifies before Congress, and is actively involved in providing technical expertise to members of Congress, governors, state legislators, and other policy officials around the country. He has consistently sought to add moral arguments to the health policy debate, which can become so technical – and distorted – that it is easy to lose sight of why this issue is so important to real people and to our country. Because of his reputation as an honest and knowledgeable health reform analyst, he is frequently interviewed and quoted by major media outlets including the New York Times, Washington Post, Los Angeles Times, National Journal, the Wall Street Journal, Time and Newsweek magazines, National Public Radio, Lerher News Hour, the British Broadcasting Service, NBC Nightly News, ABC News Tonight, and CBS Evening News.

Prior to his work at the New America Foundation, Len was Vice President of the Center for Studying Health System Change, and a Principal Research Associate at the Urban Institute. During the first two years of the Clinton Administration, he served as Senior Advisor for Health Policy at the Office of Management and Budget (OMB). From 1980-1991, Len was Chair of the Economics Department at Wellesley College, and from 1991-1992 was a visiting Public Health Service Fellow at the Agency for Health Care Policy and Research. He has served on Medicare’s Competitive Pricing Advisory Commission (CPAC) pursuant to the BBA, and as a member of the 2001 Technical Review Panel for the Medicare Trustees Reports. He has also been an advisor to the World Bank, the Pan American Health Organization, as well as various state governments and departments of the US Government. Len received his Ph.D. from the University of Illinois at Champaign-Urbana in 1980.

]]> Len Nichols, PhD Implementing Integrated Primary and Behavioral Healthcare Within a Housing First Program http://jdc.jefferson.edu/fmlectures/3 http://jdc.jefferson.edu/fmlectures/3 Mon, 28 Mar 2011 07:55:29 PDT At Pathways to Housing-Philadelphia, mental health services to support consumers' independent living are delivered through Assertive Community Treatment (ACT) teams. ACT is an evidence-based mental health intervention known to reduce psychiatric hospitalization and increase housing stability. ACT team members include social workers, substance abuse, counselors, nurses, and psychiatrists, with ideal staff to client ratios of 1 to 10. Through a novel collaboration between the program and the Deparment of Family and Community Medicine at Thomas Jefferson University, a primary-care physician was embedded into the ACT services to form an integrated health-care team.

]]> Lara C. Weinstein, MD et al. Health Care Reform. Can we do more than rearrange the deck chairs? http://jdc.jefferson.edu/fmlectures/2 http://jdc.jefferson.edu/fmlectures/2 Mon, 20 Apr 2009 10:17:35 PDT Elliot Fisher Patient centered primary care: Why large employers are rediscovering the value of family medicine and primary care http://jdc.jefferson.edu/fmlectures/1 http://jdc.jefferson.edu/fmlectures/1 Fri, 16 May 2008 06:55:06 PDT Paul Grundy, MD, MPH, IBM's Director of Healthcare, Technology, and Strategic Initiative, delivered the 16th annual Paul C. Brucker Lecture at the Department of Family & Community Medicine's 2008 Spring Conference.

]]> Paul Grundy MD, MPH