School of Population Health Lectures, Presentations, Workshops Copyright (c) 2013 Thomas Jefferson University All rights reserved. http://jdc.jefferson.edu/hplectures Recent documents in School of Population Health Lectures, Presentations, Workshops en-us Sat, 01 Jun 2013 01:39:20 PDT 3600 A Global Health Framework Based on Competencies and Learning Opportunities in Graduate Health Education http://jdc.jefferson.edu/hplectures/28 http://jdc.jefferson.edu/hplectures/28 Thu, 30 May 2013 06:31:27 PDT Poster covers:
  • What is Global Health?
  • The Changing Global Landscape
  • Why Invest in Global Health Education?
  • Growth of Global Health Education Programs
  • What is Covered in Graduate Education?
  • Future Challenges and Opportunities

]]> Robert Simmons, DrPH, MPH, MCHES, CPH et al. 22nd Annual Dr. Raymond C. Grandon lecture: Healthcare Transformation: Is the Geisinger Model Scalable, Generalizable? http://jdc.jefferson.edu/hplectures/27 http://jdc.jefferson.edu/hplectures/27 Wed, 08 May 2013 11:56:44 PDT Dr. Steele is past Chairman of the American Board of Surgery. His investigations have focused on the cell biology of gastrointestinal cancer and pre-cancer and most recently on innovations in healthcare delivery and financing. A prolific writer, he is the author or co-author of more than 481 scientific and professional articles. He is also the recipient of several awards and carries a wealth of career experience.

PowerPoint slides located below. 45 PowerPoint slides.

]]> Glenn Steele, Jr., MD, PhD Teaching Cultural Humility and Competence: A Multi-disciplinary Course for Public Health and Health Services Students http://jdc.jefferson.edu/hplectures/26 http://jdc.jefferson.edu/hplectures/26 Mon, 30 Jul 2012 12:55:59 PDT Poster on the interdisciplinary Cultural Humility and Competence course taught at the Jefferson School of Population Health for the past several years.

Overall Course Aim:

Why a multi-disciplinary cultural humility competence course?

An in-depth and advanced understanding of cultural diversity, health inequities and cultural competence in inter-professional health and human service delivery and administration. Facilitate development of cultural competence and humility in one's self, colleagues and the work environment and its application to practice.

]]> Rob Simmons DrPh,MPH,CHES et al. The 21st Annual Dr. Raymond C. Grandon Lecture: Health Reform, Two Years On http://jdc.jefferson.edu/hplectures/25 http://jdc.jefferson.edu/hplectures/25 Thu, 17 May 2012 07:11:46 PDT Objectives:

1. Debate key health care reform issues and potential developments.

2. Identify opportunities for real reform in health care delivery.

3. Analyze feasible next steps for health care policy to support real reform.

This course has been designed for physicians, nurses, pharmacists, and public health professionals.

]]> Mark McClellan, MD, PhD Utilization of CT Scans and MRIs in an Insured Population with Migraine http://jdc.jefferson.edu/hplectures/24 http://jdc.jefferson.edu/hplectures/24 Fri, 10 Feb 2012 13:04:09 PST Background:

• Neuroimaging is a diagnostic tool that may be used to rule out a serious condition when a patient presents with head pain. It is not typically warranted for patients who have a normal neurologic exam, and may be over utilized despite established practice parameters set by the American Academy of Neurology.

•A decision to use neuroimaging should consider the type of headache and presence of any clinical features that suggest a serious condition.

Over-utilization of neuroimaging has cost and safety implications.

The United States Headache Consortium, a panel of experts on migraine, set the guidelines for diagnosis and treatment in 2000. In alignment with these guidelines, the Migraine Quality of Care Measurement Set seeks to reveal patterns in CT and MRI utilization for migraine sufferers, which may inform future policy decisions at the health plan-level.

]]> Neil I. Goldfarb et al. Association between TriptanUse and Cardiac Contraindications in an Insured Migraine Population http://jdc.jefferson.edu/hplectures/23 http://jdc.jefferson.edu/hplectures/23 Fri, 10 Feb 2012 12:55:45 PST Background

Safety concerns exist when using triptansto treat patients with cardiac contraindications.

–Triptans cause vasoconstriction, a safety concern for migraineurswith cardiovascular (CV) disease or other cardiac risk factors.

–All triptans contain contraindications in their package inserts to avoid use in patients with cardiac conditions.

•Previous research indicates that clinicians are less likely to prescribe triptansin patients with CV disease or CV risk factors.

Limited research has examined the proportion of migraine patients with cardiovascular disease or those individuals who were concurrently treated with triptans.

]]> Daisy Ng-Mak, PhD et al. International evidence on medical spending. http://jdc.jefferson.edu/hplectures/22 http://jdc.jefferson.edu/hplectures/22 Tue, 08 Nov 2011 06:18:43 PST Presented for the Casualty Actuarial Society 2011 Seminar on Reinsurance, Philadelphia, PA.

Handouts are also available at: http://www.casact.org/education/reinsure/2011/handouts/C17-Lieberthal.pdf

the audio is available at: http://www.casact.org/education/reinsure/2011/audio/C17.mp3

and it is associated with the paper: http://jdc.jefferson.edu/healthpolicyfaculty/45/

23 PowerPoint slides.

]]> Robert D. Lieberthal, PhD International evidence on medical spending. http://jdc.jefferson.edu/hplectures/21 http://jdc.jefferson.edu/hplectures/21 Tue, 08 Nov 2011 06:14:35 PST Presented for the American Statistical Association Health Policy Statistics Section.9th International Conference on Health Policy Statistics, Cleveland, OH.

14 PowerPoint slides

Presentation associated with this paper: http://jdc.jefferson.edu/healthpolicyfaculty/45/.

]]> Robert D. Lieberthal, PhD Validating the PRIDIT method for determining hospital quality with outcomes data. http://jdc.jefferson.edu/hplectures/20 http://jdc.jefferson.edu/hplectures/20 Mon, 07 Nov 2011 13:35:20 PST Presented for The 46th Actuarial Research Conference, University of Connecticut, Storrs, CT.

15 PowerPoint slides

]]> Robert D. Lieberthal, PhD et al. International evidence on medical spending risk. http://jdc.jefferson.edu/hplectures/19 http://jdc.jefferson.edu/hplectures/19 Mon, 07 Nov 2011 13:12:55 PST Presented for the American Risk and Insurance Association. 2011 ARIA Annual Meeting, San Diego, CA.

20 PowerPoint slides.

Presentation is associated with the paper: http://jdc.jefferson.edu/healthpolicyfaculty/45/

]]> Robert D. Lieberthal, PhD Detecting Hospital Quality with PRIDIT. http://jdc.jefferson.edu/hplectures/18 http://jdc.jefferson.edu/hplectures/18 Mon, 07 Nov 2011 13:08:52 PST Presented for the Temple University, Fox School of Business Department of Risk, Insurance & Healthcare Management. Robert A. Hedges Research Seminar Series, Philadelphia, PA.

25 PowerPoint slides

Associated papers available at: http://onlinelibrary.wiley.com/doi/10.1111/j.1475-6773.2007.00821.x/abstract

and the 2008 Proceedings of the Joint Statistical Meeting.

]]> Robert D. Lieberthal, PhD Finding high quality hospitals in Philadelphia. http://jdc.jefferson.edu/hplectures/17 http://jdc.jefferson.edu/hplectures/17 Mon, 07 Nov 2011 13:03:20 PST Guest lecture for PBH609 GIS Mapping. Fall, 2010 session. Philadelphia, PA.

15 PowerPoint slides.

]]> Robert D. Lieberthal, PhD High frequency evidence on variation in spending growth. http://jdc.jefferson.edu/hplectures/16 http://jdc.jefferson.edu/hplectures/16 Mon, 07 Nov 2011 12:58:59 PST Presented for the American Statistical Association Health Policy Statistics Section. 9th International Conference on Health Policy Statistics, Poster session I, Cleveland, OH.

Policy Implications:

  • Health insurance regulation should include compensation for taking on riskier groups.
  • Health programs should focus on changing needs for risk management versus health management throughout the life cycle.

Funding to support this work came from AHRQ grant R36 HS018835-01.

]]> Robert D. Lieberthal, PhD Strategies for financing healthcare costs over the long term. http://jdc.jefferson.edu/hplectures/15 http://jdc.jefferson.edu/hplectures/15 Mon, 07 Nov 2011 12:53:33 PST Presented for the American Statistical Association Health Policy Statistics Section. 9th International Conference on Health Policy Statistics, Poster session I, Cleveland, OH.

Funding to support this work came from AHRQ grant R36 HS018835-01.

Policy Implications:

-Health insurance companies should use a broad, diversified investment portfolio as their optimal investment strategy -Insurance regulators should be focused on longer term lines of health insurance

]]> Robert D. Lieberthal, PhD International evidence on medical spending. http://jdc.jefferson.edu/hplectures/14 http://jdc.jefferson.edu/hplectures/14 Mon, 07 Nov 2011 12:39:26 PST The 46th Actuarial Research Conference, Poster session I, University of Connecticut, Storrs, CT. August 11, 2011.

Poster conclusions:

  • U.S. spending is high.
  • Long tailed medical linked insurance may be easier to write in the U.S.
  • U.S. healthcare cost curve is not outrageous.
  • Average spending
  • Low volatility

Poster is associated with this paper: http://jdc.jefferson.edu/healthpolicyfaculty/45/

]]> Robert D. Lieberthal, PhD Knowledge and Perceived barriers about Diabetic Retinopathy and Dilated eye exam in patients with Diabetes http://jdc.jefferson.edu/hplectures/13 http://jdc.jefferson.edu/hplectures/13 Mon, 08 Aug 2011 12:15:56 PDT Conclusions:
  • The results of this study suggest that 68% of the population from this primary care practice got a dilated eye exam within a year. Facilitators were awareness/knowledge about the DR and DFE, eye problems and information from their doctors.
  • Almost 20% of the patients did not get an eye exam as recommended. Various barriers included cost, transportation issues, time constraint issues, lack of symptoms of the disease, and fear of the exam.
  • There is a significance difference in getting an eye exam by the type of insurance with a smaller percentage of Medicaid recipients (60%) meeting the guidelines compared to Private (94% and 80%) (p=0.01)
  • Improved provider education efforts that address patient barriers may increase adherence to the recommendations for getting a DFE.
  • Information and support on diabetic retinopathy and the importance of a dilated eye exam can help motivate diabetes patients to be examined by ophthalmologists.

]]> Manisha Verma, MD, MPH et al. The 20th Annual Dr. Raymond C. Grandon Lecture: A Roadmap to Creating a Real Health Care System http://jdc.jefferson.edu/hplectures/12 http://jdc.jefferson.edu/hplectures/12 Thu, 19 May 2011 11:35:30 PDT Michael B. McCallister, MBA, is the Chairman of the Board and CEO of Humana, Inc. Under his guidance, Humana has assumed a leadership position in the health benefits industry, gaining a reputation as the industry’s leading consumer company, leveraging innovative products, processes and technology to deliver lower costs and a superior health plan experience for Humana’s more than 10 million health plan members nationwide.

Under Mr. McCallister’s direction, Humana is helping people achieve lifelong well-being, offering guidance and actionable information designed to empower employers and consumers to choose, finance and use their health benefits with confidence and success.

Mr. McCallister holds an MBA degree from Pepperdine University in Malibu, CA, and a bachelor’s degree from Louisiana Tech University in Ruston, LA.

]]> Michael B. McCallister, MBA Fitwits MD: An intervention to prevent childhood obesity http://jdc.jefferson.edu/hplectures/11 http://jdc.jefferson.edu/hplectures/11 Wed, 13 Apr 2011 08:39:30 PDT Objectives: The purpose of this presentation is to describe a comprehensive evaluation undertaken to study the feasibility of Fitwits MD, an intervention designed to assist primary care physicians to increase health fluency and affect wellness choices of children and their families. Childhood obesity is a growing epidemic but there are few if any successful interventions to alter the course of childhood obesity. The intervention was created through the use of participatory design.

]]> Diane J. Abatemarco, PhD, MSW et al. Office Based Prevention of Child Abuse and Neglect: Lessons Learned from the Practicing Safety QuIIN Project http://jdc.jefferson.edu/hplectures/10 http://jdc.jefferson.edu/hplectures/10 Wed, 13 Apr 2011 08:33:32 PDT Parental behavior effects child psychosocial development. Parents who once had the benefits and supports of extended families and communities are now more isolated in their parenting. The isolation of families increases stress. New parents receive little education and support to deal with stress and the added stress of a newborn or their very young children. This poster presentation will describe a quality improvement project based in pediatric practices. The study was designed to test methods to increase anticipatory guidance, screening, and referral for psychosocial development. The project included physician use of chart data to identify outcomes of their enhanced care. The study included quantitative and qualitative methods (i.e. in depth interviews surveys, etc.) to determine physician adoption of prevention bundles. 15 practices throughout the U.S. adopted new practices to screen and refer for maternal depression, infant crying, toileting and discipline. Physicians do not typically use the chart data to inform their practices but will if prompted as shown in this study. Outcome measures such as developmental assessments can be used by physicians to determine the impact and quality of care of interventions on child health. This work demonstrates that physicians can play an important role with the use of enhanced tools to treat the “new morbidities” that arise in the first three years of life.

]]> Diane Abatemarco, PhD, MSW et al. Prevention, Intervention and Evaluation of Maternal Child Health Programs and Practices http://jdc.jefferson.edu/hplectures/9 http://jdc.jefferson.edu/hplectures/9 Wed, 13 Apr 2011 08:27:36 PDT PowerPoint presentation given by Diane Abatemarco, PhD, MSW.

]]> Diane J. Abatemarco, PhD, MSW