Using the 4 M of the Age Friendly Health System to improve MIPS documentation in Primary care: A Feasibility study

Age Friendly Health Systems (AFHS) commit to evidence-based, low-risk, coordinated care that is centered on what matters most to older adults, their families and caregivers. Nova Southeastern University South Florida Geriatric Workforce Enhancement Program (NSU SFGWEP) has partnered with multiple primary care clinics to provide dedicated AFHS training and support to increase AFHS transformation in Broward and Miami-Dade Counties. As part of the initiative, SFGWEP provide didactic training, clinic on-site brief demonstration, and infographic guidance for EHR documentation. NSU SFGWEP activities are conducted through training surveys, provider feedback, and e-clinical measures that align with CMS MIPS measures. Three participating health systems report annually on seven e-clinical measures that, collectively, provide indicators of the 4Ms of AFHS (what matters, medication management, mentation and mobility.) From baseline to Year 1, NSU SFGWEP saw improvement in controlled hypertension (54% to 94%), opioid screening (<1% to 11%), advance care planning (21% to 35%) and falls risk assessment (45% to 59%). Results demonstrate the need to continue and expand AFHS interventions for sustainability. In Year 2, SFGWEP will continue to expand awareness of best practices and benefits of the AFHS through education and training at NSU and at the various primary care sites. As mutual collaboration and implementation methods are shared among participating members, the expectation is that quality healthcare of our elder community adults will measurably improve.

Assessing Needs, Well-being, and Telehealth Access of Older Adults with Limited Resources during COVID-19 Pandemic

The COVID-19 pandemic created new barriers and challenges to accessing primary care services, particularly among older adults who already faced barriers related to access to care, including transportation, health literacy, and self-management support. Nova Southeastern University South Florida Geriatric Workforce Enhancement Program (NSU SFGWEP) partnered with primary care clinics to conduct wellness calls to older adult patients identified through clinic EHR. The wellness calls’ objectives were to 1) discuss COVID-19 protective measures; 2) assess wellness needs and access to care barriers; and 3) screen for telehealth support. From September 2020 to February 2021, the team (including medical students, public health students, and SFGWEP staff) contacted 200 patients via telephone and conducted a comprehensive wellness survey developed by the study team, informed by validated surveys. Among the 200 patients called, 60% (n=34) were very concerned about the Covid-19 pandemic, 33% (n=34) reported often feeling isolated from others, and 20% (n=34) expressed difficulty getting medical care. A smaller subset of patients reported concern about limited COVID-19 testing (n=1), lack of knowledge about seeing their provider via telehealth (n=7), lack of face masks (n=1), and challenges with obtaining medication refills (n=1). Following wellness calls, the NSU SFGWEP team provided education, referred to clinical resources, and, for low-income patients with access to care challenges, provided Samsung Tablets (n=50) with peer training to enable telehealth.

Online Social Environment Impacts Feelings of Social Connection in Older Adults During the COVID-19 Pandemic

Evidence suggests that nearly one-third of older adults experience loneliness and/or social isolation; an increase in these rates during the current pandemic is anticipated. The Lifelong Learning Institute (LLI) at Nova Southeastern University (NSU) in South Florida has worked to engage seniors in fun learning activities and social opportunities since 1977. When “stay at home” orders went into effect in March, 2020 the LLI moved to online program delivery via Zoom. To understand the implementation of zoom among LLI members, NSU students, researchers and LLI member advisory committee developed a cross-sectional research study using an online survey that was administered to LLI members three months post-zoom implementation in May, 2020. Results among the 127 responders demonstrated that a majority of members were not comfortable using zoom (57%) especially the chat, reactions or camera features. More than 80% of responders did report that zoom helped them keep their spirits up. Respondents had specific feedback to improve Zoom programming including Youtube videos on use, retraining, training on features (e.g. chat, camera, reaction), closed captioning, program reminders and links sent out more frequently and within 30 minutes of start time. There were also several comments about internet connectivity, identifying opportunities for router and internet plan education. Finally, respondents noted new opportunities to enhance virtual programming including engaging speakers from across the nation and world. In summary, direct feedback from seniors on how to improve the online social and learning environment is pivotal to improving experience, programming and social connection during COVID-19.

Introducing a New Editorial Board Member: Anastasiya Quimby, DDS, MD

A keystone of the journal`s growth and reputation is uniting the best specialists from all around the world within the Editorial Board (EB). As we know, not only the highly experienced surgeons are invited to the EB but also those who simultaneously accelerate the academic progress and show a discernible publication history in the Web of Science. Anastasiya Quimby, DDS, MD is a Director, Head and Neck Microvascular Reconstructive Surgery Program and Assistant Professor, Department of Oral and Maxillofacial Surgery, NOVA Southeastern University, Fort Lauderdale, Florida, United States. Dr. Quimby`s (Fig 1) scholar portfolio is so impressive: book chapter1 and a lot of peer-reviewed works related with cutting-edge reconstructive techniques2-5.

Something for Everyone: A Review of Qualitative Inquiry and Research Design: Choosing among Five Approaches

Qualitative Inquiry and Research Design: Choosing Among Five Approaches (2018), by John W. Creswell and Cheryl N. Poth was written for anyone who is considering themselves to be researchers or interested in learning more about qualitative research. As students in doctoral programs studying family therapy at Nova Southeastern University, we felt that parts of the text were explicitly tailored toward the social sciences; however, the chapters are useful for anyone interested in qualitative research from many angles and aspects.

Reviewer Acknowledgements

Aquatic Science and Technology (AST) would like to acknowledge the following reviewers for their assistance with peer review of manuscripts for this issue. Many authors, regardless of whether AST publishes their work, appreciate the helpful feedback provided by the reviewers. Their comments and suggestions were of great help to the authors in improving the quality of their papers. Each of the reviewers listed below returned at least one review for this issue.Reviewers for Volume 7, Number 2 Augusto E. Serrano, University of the Philippines Visayas, PhilippinesAyman El-Gamal, Coastal Research Institute, EgyptDavid Kerstetter, Nova Southeastern University Oceanographic Center, USALevent BAT, Sinop University Fisheries Faculty, TurkeyLuciana Mastrantuono, Department of Environmental Biology, ItalyTai-Sheng Cheng, National University of Taiwan, TaiwanMaggie LiuAquatic Science and TechnologyMacrothink Institute*************************************5348 Vegas Dr.#825Las Vegas, Nevada 89108United StatesTel: 1-702-953-1852 ext. 524Fax: 1-702-420-2900E-mail: [email protected]: http://ast.macrothink.org

Reviewer Acknowledgements

Aquatic Science and Technology (AST) would like to acknowledge the following reviewers for their assistance with peer review of manuscripts for this issue. Many authors, regardless of whether AST publishes their work, appreciate the helpful feedback provided by the reviewers. Their comments and suggestions were of great help to the authors in improving the quality of their papers. Each of the reviewers listed below returned at least one review for this issue.Reviewers for Volume 7, Number 1Augusto E. Serrano, University of the Philippines Visayas, The PhilippinesDavid Kerstetter, Nova Southeastern University Oceanographic Center, USALevent BAT, Sinop University Fisheries Faculty, TurkeyTai-Sheng Cheng, National University of Taiwan, Taiwan Maggie LiuAquatic Science and TechnologyMacrothink Institute*************************************5348 Vegas Dr.#825Las Vegas, Nevada 89108United StatesTel: 1-702-953-1852 ext. 524Fax: 1-702-420-2900E-mail: [email protected]: http://ast.macrothink.org

Developing Leadership Potential for Success in a VUCA (Volatile, Unpredictable, Complex, and Ambiguous) World

A key challenge facing business schools today is the opportunity to teach and foster leadership skills and behavior. This is a particularly pertinent issue given the strong emphasis that many business schools place on creating leaders, as demonstrated by its prominence in mission statements. Though teaching leadership can be approached in a variety of ways, this chapter presents an innovative approach for developing business leaders that is aligned with the mission of the Huizenga College of Business and Entrepreneurship (HCBE) at Nova Southeastern University. Through a partnership with Korn Ferry, the world's largest provider of executive search and a distinguished authority on leadership and talent, an assessment of leadership potential followed by personalized coaching is provided for MBA students. Assessment results are integrated for developmental applications throughout the curriculum, which serves to enhance student career potential and employment opportunities. Quantitative and qualitative results provide support for this approach to developing leaders.

Reviewer Acknowledgements

International Journal of Chemistry wishes to acknowledge the following individuals for their assistance with peer review of manuscripts for this issue. Their help and contributions in maintaining the quality of the journal is greatly appreciated. Many authors, regardless of whether International Journal of Chemistry publishes their work, appreciate the helpful feedback provided by the reviewers. Reviewers for Volume 10, Number 4   Abdul Rouf Dar, University of Florida, USA Ahmad Galadima, Usmanu Danfodiyo University, Nigeria Ahmet Ozan Gezerman, Yildiz Technical University, Turkey Asghari Gul, Comsats IIT, Pakistan Ayodele Temidayo Odularu, University of Fort Hare, South Africa Binod P Pandey, The Pennsylvania State University, USA Di Cui, Temple University, USA Elnaz Rostampour, Islamic Azad University, Iran Fatima Tuz Johra, Kookmin University, Bangladesh Han Zhang, TP Therapeutics, USA Hesham G. Ibrahim, Al-Mergheb University, Libya Ho Soon Min, INTI International University, Malaysia Juan R. Garcia, Research Institute on Catalysis and Pertrochemistry (INCAPE), Argentina Khaldun M. Al Azzam, Batterjee Medical College for Sciences and Technology, Saudi Arabia Madduri Srinivasarao, Purdue University, USA Mohamed Abass, Ain Shams University, Egypt Mustafa Oguzhan Kaya, Siirt University, Turkey Nejib Hussein Mekni, Al Manar University, Tunisia Praveen Kumar, Texas Tech University, USA Qun Ye, Institute of Materials Reseach and Engineering, Singapore R. K. Dey, Birla Institute of Technology (BIT), India Rabia Rehman, University of the Punjab, Pakistan Rodrigo Vieira Rodrigues, University of São Paulo, Brazil Saurav Sarma, University of Columbia Missouri, USA Sitaram Acharya, Texas Christian University, USA Syed A. A. Rizvi, Nova Southeastern University, USA Vijay Ramalingam, Columbia University, USA Zhixin Tian, Tongji University, China         Albert John On behalf of, The Editorial Board of International Journal of Chemistry Canadian Center of Science and Education