Lessons Learned: Pediatric Telemental Health in a Rural Medical Center in the Age of SARS‐CoV‐2

Abstract Objective New York City was the epicenter of the outbreak of the 2020 COVID-19 pandemic in the United States. As a large, quaternary care medical center, NYU Langone Medical Center was one of many New York medical centers that experienced an unprecedented influx of patients during this time. Clinical leadership effectively identified, oriented, and rapidly deployed a “COVID Army”, consisting of non-hospitalist physicians, to meet the needs of this patient influx. We share feedback from our providers on our processes and offer specific recommendations for systems experiencing a similar influx in the current and future pandemics. Methods In order to assess the experiences and perceived readiness of these physicians (n=183), we distributed a 32-item survey between March and June of 2020. Thematic analyses and response rates were examined in order to develop results. Results Responses highlighted varying experiences and attitudes of our front-line physicians during an emerging pandemic. Thematic analyses revealed a series of lessons learned, including the need to: (1) provide orientations, (2) clarify roles/ workflow, (3) balance team workload, (4) keep teams updated on evolving policies, (5) make team members feel valued, and (6) ensure they have necessary tools available. Conclusions Lessons from our deployment and assessment are scalable at other institutions.

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A Pipeline to Increase Public Health Diversity: Describing the Academic Enrichment Components of the Summer Public Health Scholars Program

Pedagogy in Health Promotion ◽

10.1177/23733799211046973 ◽

2021 ◽

Vol 7 (1_suppl) ◽

pp. 44S-50S ◽

Cited By ~ 2

Author(s):

Danielle M. Joyner ◽

Eman Faris ◽

Diana Hernández ◽

Joyce Moon Howard ◽

Robert E. Fullilove ◽

...

Keyword(s):

Public Health ◽

Medical Center ◽

Underrepresented Students ◽

Lessons Learned ◽

Public Health Workforce ◽

Columbia University ◽

Biomedical Sciences ◽

Health Training ◽

Public Health Training ◽

Academic Enrichment

A public health workforce that reflects the increasing diversity of the U.S. population is critical for health promotion and to eliminate persistent health disparities. Academic institutions must provide appropriate education and training to increase diversity in public health professions to improve efforts to provide culturally competent care and programs in the most vulnerable communities. Reaching into the existing talent pool of diverse candidates at the undergraduate level is a promising avenue for building a pipeline to advanced training and professional careers in the field of public health. The Summer Public Health Scholars Program (SPHSP) at the Columbia University Irving Medical Center (CUIMC) is a 10-week summer internship program with a mission to increase knowledge and interest in public health and biomedical sciences. Funded by the Centers for Disease Control and Prevention’s (CDC) Undergraduate Public Health Summer Programs, sponsored by the CDC’s Office of Minority Health and Health Equity, SPHSP aims to pipeline underrepresented students into public health graduate programs and careers by providing mentorship, academic enrichment, professional development, and field-based placements. The SPHSP is uniquely positioned to offer scholars a program that exposes them to core public health training components through the joint effort of all four CUIMC schools: public health, dentistry, nursing, and medicine. Here, we describe the program’s academic enrichment components, which provide advanced and multifaceted public health training opportunities. We discuss the impacts of the program on student outcomes and lessons learned in developing and refining the program model.

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Patient Centered Medical Home transformation at an academic medical center

Journal of Hospital Administration ◽

10.5430/jha.v5n1p34 ◽

2015 ◽

Vol 5 (1) ◽

pp. 34

Author(s):

Randy Wexler ◽

Jennifer Lehman ◽

Mary Jo Welker

Keyword(s):

Family Medicine ◽

Patient Outcomes ◽

Medical Home ◽

Medical Center ◽

Academic Medical Center ◽

Lessons Learned ◽

Patient Centered Medical Home ◽

Model Of Care ◽

Patient Centered ◽

Academic Medical

Background: Primary care is playing an ever increasing role in the design and implementation of new models of healthcare focused on achieving policy ends as put forth by government at both the state and federal level. The Patient Centered Medical Home (PCMH) model is a leading design in this endeavor.Objective: We sought to transform family medicine offices at an academic medical center into the PCMH model of care with improvements in patient outcomes as the end result.Results: Transformation to the PCMH model of care resulted in improved rates of control of diabetes and hypertension and improved prevention measures such as smoking cessation, mammograms, Pneumovax administration, and Tdap vaccination. Readmission rates also improved using a care coordination model.Conclusions: It is possible to transform family medicine offices at academic medical centers in methods consistent with newer models of care such as the PCMH model and to improve patient outcomes. Lessons learned along the way are useful to any practice or system seeking to undertake such transformation.

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Hepatic surgery at a VA tertiary medical center: lessons learned

The American Journal of Surgery ◽

10.1016/j.amjsurg.2010.07.014 ◽

2010 ◽

Vol 200 (5) ◽

pp. 591-595 ◽

Cited By ~ 10

Author(s):

Farzad Alemi ◽

Edwin Kwon ◽

Chris Freise ◽

Sang-Mo Kang ◽

Ryutaro Hirose ◽

...

Keyword(s):

Medical Center ◽

Lessons Learned ◽

Hepatic Surgery

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Engaging Housestaff as Informatics Collaborators: Educational and Operational Opportunities

Applied Clinical Informatics ◽

10.1055/s-0041-1740258 ◽

2021 ◽

Vol 12 (05) ◽

pp. 1150-1156

Author(s):

Jared A. Shenson ◽

Ivana Jankovic ◽

Hyo Jung Hong ◽

Benjamin Weia ◽

Lee White ◽

...

Keyword(s):

Positive Impact ◽

Care Delivery ◽

Medical Center ◽

Academic Medical Center ◽

Clinical Information ◽

Lessons Learned ◽

First Year ◽

Hospital Governance ◽

Staff Members ◽

It Systems

Abstract Background In academic hospitals, housestaff (interns, residents, and fellows) are a core user group of clinical information technology (IT) systems, yet are often relegated to being recipients of change, rather than active partners in system improvement. These information systems are an integral part of health care delivery and formal efforts to involve and educate housestaff are nascent. Objective This article develops a sustainable forum for effective engagement of housestaff in hospital informatics initiatives and creates opportunities for professional development. Methods A housestaff-led IT council was created within an academic medical center and integrated with informatics and graduate medical education leadership. The Council was designed to provide a venue for hands-on clinical informatics educational experiences to housestaff across all specialties. Results In the first year, five housestaff co-chairs and 50 members were recruited. More than 15 projects were completed with substantial improvements made to clinical systems impacting more than 1,300 housestaff and with touchpoints to nearly 3,000 staff members. Council leadership was integrally involved in hospital governance committees and became the go-to source for housestaff input on informatics efforts. Positive experiences informed members' career development toward informatics roles. Key lessons learned in building for success are discussed. Conclusion The council model has effectively engaged housestaff as learners, local champions, and key informatics collaborators, with positive impact for the participating members and the institution. Requiring few resources for implementation, the model should be replicable at other institutions.

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Vancomycin Area Under the Curve Dosing and Monitoring at an Academic Medical Center: Transition Strategies and Lessons Learned

Journal of Pharmacy Practice ◽

10.1177/0897190019834369 ◽

2019 ◽

Vol 33 (6) ◽

pp. 774-778 ◽

Cited By ~ 4

Author(s):

Eric R. Gregory ◽

Donna R. Burgess ◽

Sarah E. Cotner ◽

Jeremy D. VanHoose ◽

Alexander H. Flannery ◽

...

Keyword(s):

Technology Development ◽

Medical Center ◽

Academic Medical Center ◽

Area Under The Curve ◽

Kidney Injury ◽

Lessons Learned ◽

Academic Medical ◽

Transition Strategies ◽

Evaluation Stage ◽

Information Technology Development

Due to the inconsistent correlation of vancomycin trough concentrations with 24-hour area under the curve (AUC) and a desire to reduce rates of vancomycin-associated acute kidney injury, an institutional guideline was implemented by the Antimicrobial Stewardship Team in September 2017 to monitor vancomycin using AUC. Three stages were utilized to organize the process: preparation, implementation, and evaluation. The preparation stage was used to present literature to key stakeholders, and pharmacy meetings focused on the development of a dosing and monitoring guideline. Along with institution-wide education, the implementation stage included information technology development and support. The evaluation stage was comprised of quality improvement and clinical research. Future plans include dissemination of the results and analyses. Numerous lessons were learned due to barriers experienced during the process, but the transition was successful.

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Integration of an Academic Medical Center and a Large Health System: Implications for Pharmacy

Hospital Pharmacy ◽

10.1177/0018578718823735 ◽

2019 ◽

Vol 54 (3) ◽

pp. 170-174

Author(s):

Brian L. Erstad ◽

Tina Aramaki ◽

Kurt Weibel

Keyword(s):

Health System ◽

Health Systems ◽

Integration Method ◽

Medical Center ◽

Academic Medical Center ◽

Lessons Learned ◽

Faculty Members ◽

Pharmacy Services ◽

Academic Medical ◽

High Level

Objective: To provide lessons learned for colleges of pharmacy and large health systems that are contemplating or in the process of undergoing integration. Method: This report describes the merger of an academic medical center and large health system with a focus on the implications of the merger for pharmacy from the perspectives of both a college of pharmacy and a health system’s pharmacy services. Results: Overarching pharmacy issues to consider include having an administrator from the college of pharmacy directly involved in the merger negotiation discussions, having at least one high-level administrator from the college of pharmacy and one high-level pharmacy administrator from the health system involved in ongoing discussions about implications of the merger and changes that are likely to affect teaching, research, and clinical service activities, having focused discussions between college and health system pharmacy administrators on the implications of the merger on experiential and research-related activities, and anticipating concerns by clinical faculty members affected by the merger. Conclusion: The integration of a college of pharmacy and a large health system during the acquisition of an academic medical center can be challenging for both organizations, but appropriate pre- and post-merger discussions between college and health system pharmacy administrators that include a strategic planning component can assuage concerns and problems that are likely to arise, increasing the likelihood of a mutually beneficial collaboration.

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The Tennessee Men’s Health Report Card: A Model for Men’s Health Policy Advocacy and Education

American Journal of Men s Health ◽

10.1177/1557988319882586 ◽

2019 ◽

Vol 13 (5) ◽

pp. 155798831988258 ◽

Cited By ~ 1

Author(s):

Derek M. Griffith ◽

Andrea R. Semlow ◽

Mike Leventhal ◽

Clare Sullivan

Keyword(s):

Medical Center ◽

Well Being ◽

The United States ◽

Men’S Health ◽

Report Card ◽

The State ◽

Lessons Learned ◽

Men's Health ◽

Health Report ◽

Vanderbilt University

Tennessee is the only state in the United States that has regularly published a document monitoring men’s health and assessing men’s health disparities. Vanderbilt University, Vanderbilt University Medical Center, the Tennessee Department of Health, Meharry Medical College, Tennessee Men’s Health Network, and health providers and advocates across the state have come together to publish a set of indicators as the Tennessee Men’s Health Report Card (TMHRC). This article describes the origins, structure, development, and lessons learned from publishing report cards in 2010, 2012, 2014, and 2017. The report card highlights statistically significant changes in trends over time, identifies racial, ethnic, age, and geographic differences among men, highlights connections to regional and statewide public health initiatives, and suggests priorities for improving men’s health in Tennessee. State data were compared to Healthy People 2020 Objectives and graded based on the degree of discrepancy between the goal and the current reality for Tennessee men. Over the four iterations of the report card, the TMHRC team has made significant adjustments to the ways they analyze and present the data, utilize grades and graphics, consider the implications of the data for the economic well-being of the state, and disseminate the findings across the state to different stakeholders. It is important to go beyond creating a summary of information; rather, data should be shared in ways that are easily understood, actionable, and applicable to different audiences. It is also critical to highlight promising policy and programmatic initiatives to improve men’s health in the state.

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