Many of our IHPS fellows, staff, and faculty will be flying to Seattle next week for AcademyHealth’s Annual Research Meeting. I first attended the ARM in 1994 at the recommendation of one of my mentors and have attended every year since then – this will be my 30th time! IHPS is an Organizational Member of AcademyHealth and our faculty have served on its Board of Directors (Claire Brindis) and many other of its committees. Read on to learn how we’ll be engaged at this year’s ARM!
Joanne Spetz
(photo above: Catherine Chen at AcademyHealth ARM 2015)
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IHPS at AcademyHealth's Annual Research Meeting
IHPS faculty, trainees and staff will present a wide variety of research and chair several panels at the 2023 AcademyHealth Annual Research Meeting.
The schedule of IHPS presentations is here.
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Andrew B. Bindman Professorship in Health Policy and Primary Care |
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Congratulations to
Dean Schillinger, MD who was named to the new Andrew B. Bindman Professorship in Health Policy and Primary Care!
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Anu Agarwal's research interests include ACHD and Cardio-Obstetrics outcomes research aimed to reduce mortality, morbidity, and to improve quality of life. She has been using big data to help understand the health care needs of this patient population (especially related to health care costs, service use and impact of insurance policies) and inform health policies. She co-led the design and implementation of the first National longitudinal patient-powered digital adult CHD registry to understand patient needs and help drive research, and is the CO-PI of the PCORI grant to link the patient reported data from the registry to patients electronic health records. More recently, she has been working on developing and testing digital interventions to promote patient engagement in navigating the adult system to access specialized ACHD care. Her primary goal is to promote patient empowerment and patient engagement to improve health outcomes. |
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There is an increasingly recognized need for medical school curricula to promote competency in LGBTQ+ terms and concepts. However, this traditional focus on cultural competency is incomplete. Students must also develop skills in structural humility, defined as the ability to explore how historical, policy and socio-economic factors impact the health of marginalized groups. In a recent Medical Education article, Archna Eniasivam, MD, Megha Garg, MD, MPH along with colleague Benjamin Jones share the findings from a new, required small group curriculum using a structural humility framework they developed. The curriculum addressed structural factors impacting LGBTQ+ health by highlighting histories of LGBTQ+ community activism.
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On January 1, 2021, the US Centers for Medicare & Medicaid Services (CMS) modified outpatient evaluation and management (E/M) coding requirements, including the elimination of history and physical examination documentation. Centers for Medicare & Medicaid Services sought to reduce physician documentation burden by reducing electronic health record (EHR) documentation time. In a recent JAMA Health Forum article, Natalya Maisel, Robert Thombley, Julia Adler-Milstein, PhD and colleagues share the findings from their study assessing changes in outpatient physician documentation time after these changes.
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Hydroxychloroquine (HCQ) is commonly used for patients with autoimmune conditions. Long-term use of HCQ can cause retinal toxicity, but this risk can be reduced if high doses are avoided. In a recent JMIR Medical Informatics article, Gabriela Schmajuk, MD, Mary Whooley, MD and colleagues share their findings from an electronic health record–based dashboard they developed and piloted to improve the safe prescribing of HCQ within the Veterans Health Administration (VHA). They observed pilot facilities over a 1-year period to determine whether they were able to improve the proportion of patients receiving inappropriate doses of HCQ. They found the use of an electronic health record-based dashboard reduced the proportion of patients receiving higher than recommended doses of HCQ and significantly improved performance at 6 VHA facilities. National roll-out of the dashboard will enable further improvements in the safe prescribing of HCQ.
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During the COVID-19 pandemic, health care systems were faced with the urgent need to implement strategies to address the behavioral health needs of health care workers. A primary concern of any large health care system is developing an easy-to-access, streamlined system of triage and support despite limited behavioral health resources. In a recent Journal of Medical Internet Research article, Christina Mangurian, MD, MAS and colleagues share the findings from their study that provides a detailed description of the design and implementation of a chatbot program designed to triage and facilitate access to behavioral health assessment and treatment for the workforce of a large academic medical center. The University of California, San Francisco (UCSF) Faculty, Staff, and Trainee Coping and Resiliency Program (UCSF Cope) aimed to provide timely access to a live telehealth navigator for triage and live telehealth assessment and treatment, curated web-based self-management tools, and nontreatment support groups for those experiencing stress related to their unique roles.
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Rita Redberg:
(The Seattle Times)
Hilary Seligman:
(Axios)
Tracey Woodruff:
(The Guardian)
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