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April 2017

The Most Important Things I have Learned About Improving Healthcare

April 28 @ 9:00 am - 10:30 am
Paul V. Miles, MD; Senior Quality Advisor, American Board of Pediatrics; Visiting Professor, Department of Pediatrics; University of Missouri School of Medicine; Columbia, MO

4th Annual MetroHealth Duncan V. Neuhauser Quality Improvement Lecture   Bio: Paul V. Miles, MD, graduated from Stanford University, completed medical school at UCLA and pediatric training at Harbor/UCLA. He was in private pediatric practice for twenty-four years in Twin Falls, Idaho and served as Director of Clinical Quality Improvement and Co-Director of the Center of Excellence in Rural Healthcare at Magic Valley Regional Medical Center. He held adjunct faculty positions at Case Western University School of Medicine and the…

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The Promises and Perils of a Produce Prescription Program: A Qualitative Exploration

April 14 @ 9:00 am - 10:30 am
Allison V. Schlosser, MSW, Department of Medical Anthropology & Global Health, Doctoral Candidate in Medical Anthropology, Case Western Reserve University, Research Assistant, Prevention Research Center for Healthy Neighborhoods (PRCHN)

Bio: Allison Schlosser is a doctoral candidate in Medical Anthropology at Case Western Reserve University. Her research focuses on health beliefs and healthcare experiences among socio-economically marginalized populations in the United States. She has a Bachelor of Science degree in Psychology from the University of Illinois Urbana-Champaign (2002) and a Master of Social Work degree in gender, health, and community practice from Washington University (2007). She has conducted research on the prevention and treatment of drug use for the last…

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March 2017

Forecasting the Burden of Type 2 Diabetes Using Electronic Health Records

March 31 @ 9:00 am - 10:30 am
Douglas D. Gunzler, Ph.D.; KL2 Scholar; Assistant Professor of Medicine and Epidemiology & Biostatistics; Center for Health Care Research & Policy; MetroHealth Medical Center; Case Western Reserve University

Abstract One-size-fits-all approaches to patient care for individuals with Type 2 Diabetes (DM2) have often failed to show objective results in managing DM2. Patients with risk factors for adverse DM2 health outcomes are more likely to struggle with managing DM2. We propose methods, using electronic health records, to improve DM2 patient monitoring by measuring individualized risk level to forecast the burden of the disease. In order to help facilitate greater taxonomy in how to care for individual DM2 patients, we…

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Leading and Managing Value Based Care: Are We Up to the Task?

March 24 @ 9:00 am - 10:30 am
Richard Snow, DO, MPH, Primary Care Physician, Muskingum Valley Health Care; Principal, Applied Health Services

Abstract The development of skills necessary to provide better health, better healthcare and lower costs will be rewarded under evolving payment models. Early findings from the Comprehensive Primary Care and the Bundled Payment for Care Improvement Initiatives demonstrate mixed results in terms of cost reductions.  Competencies in change management, clinical informatics/ health services research and quality improvement are critical in leading system redesign to achieve the triple aims. We will discuss key skills and potential clinician curriculum using 2 examples…

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Multimorbidity and Health Outcomes: Using a Data-driven Approach to Gain New Insights

March 10 @ 9:00 am - 10:30 am
Siran M. Koroukian, PhD, Population Health and Outcomes Research Core,, Clinical and Translational Science Collaborative, Associate Professor, Department of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University

Brief Abstract: In outcomes research, we often equate multimorbidity with multiple chronic conditions, thus ignoring functional, cognitive, and sensory impairment, as well as a number of other geriatric syndromes that are highly prevalent in older adults. In addition, we tend to account for one condition at a time, when many of these conditions are closely inter-related and present in clusters. Using a data-driven approach, we have identified combinations of conditions that are associated with health outcomes and health care use.…

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February 2017

Developing Localized Implementation Strategies for Community-level Obesity Prevention

February 24 @ 9:00 am - 10:30 am
Darcy A. Freedman, PhD, MPH, Associate Professor, Department of Epidemiology and Biostatistics, Associate Director, Prevention Research Center for Healthy Neighborhoods, School of Medicine, Case Western Reserve University

Abstract: Obesity is a complex health issue influenced by a number of factors including community context. The aim of this presentation is to describe a mixed methods consensus-based modeling approach used to identify community readiness and capacity factors related to implementation of community-level interventions that address contextual factors influencing obesity risk. These include nutrition-related policy, systems, and environmental interventions such as farmers’ markets, healthy food retail initiatives, healthy eating in childcare policies, and farm-to-school programming. Consensus modeling methods resulted in…

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Neighborhood-Level Mechanisms for Major Cardiovascular Event Risk

February 17 @ 9:00 am - 10:30 am
Jarrod E. Dalton, PhD, Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Assistant Staff, Health Outcomes Research and Clinical Epidemiology Section, Department of Quantitative Health Sciences, Cleveland Clinic

This will be a working session in which we will seek new hypotheses to explore with our integrated EHR and neighborhood-level datasets.  I will spend some time at the beginning giving some background information.

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Life-Years Lost to Preventable Causes-of-Death in the U.S.

February 3 @ 9:00 am - 10:30 am
Glen Taksler, PhD, Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine and Associate Staff, Cleveland Clinic Medicine Institute
January 2017

Medicare Access and Chip Reauthorization Act (MACRA): The Why, What and How it impacts MetroHealth and Other Health Systems

January 27 @ 9:00 am - 10:30 am
Nabil Chehade MD, MSBS, CPC, Senior Vice President for Population Health, The MetroHealth System

The Return on Investment of Medicaid Expansion

January 20 @ 9:00 am - 10:30 am
Loren Anthes, MBA, Public Policy Fellow, The Center for Medicaid Policy, The Center for Community Solutions

As a requirement of the state’s last budget, the Ohio Department of Medicaid was required to assess several aspects of the policy decision to expand Medicaid coverage to low-income non-disabled childless adults. With a new congress, a Trump administration focused on reform, and with the termination of the Kasich administration’s oversight of Medicaid, will the results of this study influence the decisions of policymakers? What did the assessment say and what were the outcomes? What is on deck in terms…

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