Timing of Prenatal Care Initiation in the Health Resources and Services Administration Health Center Program in 2017

2020 ◽  
Vol 173 (11_Supplement) ◽  
pp. S29-S36 ◽  
Author(s):  
Carolyn Robbins ◽  
Samantha Martocci
Author(s):  
David Hartzband ◽  
Feygele Jacobs

To better understand existing capacity and help organizations plan for the strategic and expanded uses of data, a project was initiated that deployed contemporary, Hadoop-based, analytic technology into several multi-site community health centers (CHCs) and a primary care association (PCA). An initial data quality exercise was carried out after deployment, in which a number of analytic queries were executed using both the existing electronic health record (EHR) applications and in parallel, the analytic stack. Each organization carried out the EHR analysis using the definitions typically applied for routine reporting. The analysis using the analytic stack was carried out using those common definitions established for the Uniform Data System (UDS) by the Health Resources and Service Administration.  In addition, interviews with health center leadership and staff were completed to understand the context for the findings.The analysis uncovered many challenges and inconsistencies with respect to the definition of core terms (patient, encounter, etc.), data formatting, and missing, incorrect and unavailable data. At a population level, apparent underreporting of a number of diagnoses, specifically obesity and heart disease, was also evident in the results of the data quality exercise, for both the EHR-derived and stack analytic results.Data awareness, that is, an appreciation of the importance of data integrity, data hygiene and the potential uses of data, needs to be prioritized and developed by health centers and other healthcare organizations if analytics are to be used in an effective manner to support strategic objectives. While this analysis was conducted exclusively with community health center organizations, its conclusions and recommendations may be more broadly applicable. 


2019 ◽  
Vol 7 (14) ◽  
pp. 245
Author(s):  
Cathia Valadão Silva ◽  
Elza de Fátima Ribeiro Higa ◽  
Maria José Sanches Marin ◽  
Flávia Cristina Goulart ◽  
Carlos Alberto Lazarini

Resumo: O envelhecimento acarreta múltiplas alterações e doenças, intensificando, assim, a necessidade de recursos de saúde. A literatura aponta que, nesta fase da vida, é frequente a polimedicação, caracterizada pelo uso de cinco ou mais medicamentos. Logo, objetivou-se compreender as experiências de idosos sobre o significado da polimedicação. Pesquisa com abordagem qualitativa, a partir de entrevistas com 14 idosos, atendidos em Unidade Básica de Saúde, as quais foram gravadas, transcritas e, posteriormente, submetidas à técnica de Análise de Conteúdo, modalidade temática. Na análise, emergiram três categorias temáticas: Saúde e longevidade, Quantidade excessiva, e Confiança no médico. Idosos usuários de Unidade Básica de Saúde, ao serem estimulados a refletir sobre o significado do uso diário de cinco ou mais medicamentos, expressaram experiências acerca da polimedicação.Palavras-chave: Idosos; Polimedicação; Centros de Saúde. Elderly attended in the basic health unit: experiences on polymedicationAbstract: Aging brings multiple changes and diseases, thus intensifying the need for health resources. The literature indicates that, at this stage of life, polymedication is frequent, characterized by the use of five or more drugs. Therefore, it was aimed to understand the experiences of the elderly about the meaning of the polymedication. Research with a qualitative approach, based on interviews with 14 elderly people, attended at a Basic Health Unit, which were recorded, transcribed and later submitted to the Content Analysis technique, thematic modality. In the analysis, three thematic categories emerged: Health and longevity, Excessive Quantity, and Trust in the physician. Elderly users of the Basic Health Unit, when being stimulated to reflect on the meaning of the daily use of five or more medications, expressed experiences about the polymedication.Keywords: Elderlies; Polypharmacy; Health Center. 


2007 ◽  
Vol 1 (2) ◽  
pp. 96-105 ◽  
Author(s):  
Nicole V. Wineman ◽  
Barbara I. Braun ◽  
Joseph A. Barbera ◽  
Jerod M. Loeb

ABSTRACTBackground: To assess the state of health center integration into community preparedness, we undertook a national study of linkages between health centers and the emergency preparedness and response planning initiatives in their communities. The key objectives of this project were to gain a better understanding of existing linkages in a nationally representative sample of health centers, and identify health center demographic and experience factors that were associated with strong linkages.Methods: The objectives of the study were to gain a baseline understanding of existing health center linkages to community emergency preparedness and response systems and to identify factors that were associated with strong linkages. A 60-item questionnaire was mailed to the population of health centers supported by the Health Resources and Services Administration’s Bureau of Primary Health Care in February 2005. Results were aggregated and a chi square analysis identified factors associated with stronger linkages.Results: Overall performance on study-defined indicators of strong linkages was low: 34% had completed a hazard vulnerability analysis in collaboration with the community emergency management agency, 30% had their role documented in the community plan, and 24% participated in community-wide exercises. Stronger linkages were associated with experience responding to a disaster and a perception of high risk for experiencing a disaster.Conclusions: The potential for health centers to participate in an integrated response is not fully realized, and their absence from community-based planning leaves an already vulnerable population at greater risk. Community planners should be encouraged to include health centers in planning and response and centers should receive more targeted resources for community integration. (Disaster Med Public Health Preparedness. 2007;1:96–105)


2017 ◽  
Vol 140 (2) ◽  
pp. 153-158 ◽  
Author(s):  
Katherine M. Johnson ◽  
Frances M. Paley ◽  
Anna M. Modest ◽  
Michele R. Hacker ◽  
Sabine Shaughnessy ◽  
...  

Author(s):  
Lina Eta Safitri ◽  

ABSTRACT Background: After families, school plays an important role in taking account of children’s health at elementary school. This is because students spend a lot of time at schools and often encountered various health problems. Studies have shown that School Health Based Centre are particularly suited to meet the children needs for proper health services. This study aimed to evaluate the implementation of trias of school health center program (UKS) at Giwangan elementary school, Yogyakarta. Subjects and Method: This was a qualitative study with case study approach. The study was conducted at Giwangan elementary school, Yogyakarta, Indonesia, in May 2018. The key informants were supervisor and head of UKS. The informants were selected by purposive sampling. The data were collected by in-depth interview, observation, and study document. Results: Input evaluation showed that facilities and infrastructure in the school health center were not optimally available. Evaluation process found that there were some obstacles faced by school health center in providing health education in students. Output evaluation showed that there was lack of personnel to implement school health center service. There has never been a little doctor training for students. Conclusion: There is a need to improve facilities and number of personnel in school health center. Keywords: school health center program, evaluation Correspondence: Lina Eta Safitri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email:[email protected] DOI: https://doi.org/10.26911/the7thicph.04.52


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