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December 2017

Immunizations and Electronic Health Records: Moving the Needle on Interoperability

December 8 @ 9:00 am - 10:30 am
Peter J. Greco, M.D., Director of Clinical Informatics, Infrastructure, Associate Professor of Medicine, Case Western Reserve University at The MetroHealth System

Conceptual Models for Systems Research: Rethinking Our Current Paradigm

December 1 @ 9:00 am - 10:30 am
Neal V. Dawson, M.D., , Emeritus Professor of Medicine, Epidemiology & Biostatistics, Center for Health Care Research and Policy, Case Western Reserve University at MetroHealth Medical Center

The presentation slides can be viewed at the following link:  http://chrp.org/wp-content/uploads/2017/12/HSR_12_01_2017_Slides.pdf      

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November 2017

Distilling Crude EHR Data

November 10 @ 9:00 am - 10:30 am
Alex Milinovich, BA, Systems Analyst III, Quantitative Health Sciences Department, Cleveland Clinic Lerner Research Institute

Creating a clinical data repository for research is a challenging yet extremely useful task.  By preemptively standardizing, normalizing, and transforming EHR data into a clinical data repository, thousands of hours can be saved when compared to working with raw EHR data.  Via utilization of the Unified Medical Language System (UMLS) ontology, coding-agnostic queries can be written to extract more meaningful data much quicker and reliably than ever before.  Because Cleveland Clinic uses this framework, live population exploration can occur right…

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The ‘Funny Business’ of Medicine

November 3 @ 9:00 am - 10:30 am
Susan M. Mego, MHA, Executive Director – Managed Care, The MetroHealth System, ACO Executive, MetroHealth Care Partners, MetroHealth Population Health Innovation Institute

Brief Bio: Susan M. Mego, MHA Susan Mego is Executive Director – Managed Care for The MetroHealth System leading managed care strategies, value-based contract negotiations, payer performance, and resulting partnerships. She is also ACO Executive for MetroHealth Care Partners, which operates a risk-bearing CMS Track 3 Medicare Shared Savings Program Accountable Care Organization. Ms. Mego serves on the Population Health Innovation Institute’s executive team and recently led the MetroHealth Care Plus Medicaid Expansion Waiver health plan initiative. Ms. Mego earned…

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October 2017

Implementing an Evidence-based Strategy in Primary Care: Ask-Advise-Connect and eReferral to Reduce Tobacco Use

October 20 @ 9:00 am - 10:30 am
Susan A. Flocke, PhD, Associate Professor of Population and Quantitative Health Sciences, and Oncology, Associate Director of the Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University

The burden of smoking tobacco on morbidity and mortality is substantial. While rates of smoking have generally declined in the US, rates have not declined for the lowest economic classes. Guidelines urge primary care practices to routinely provide tobacco cessation care (i.e., assess tobacco use, provide brief cessation advice, and refer to cessation support). The purpose of this study is to assess the uptake and impact of a systems-based strategy to address provision of tobacco cessation care among primary care…

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Precision Public Health and Population Health: New Tools for Understanding, New Opportunities for Intervening

October 13 @ 9:00 am - 10:30 am
Amy R. Sheon, PhD, MPH, Executive Director, Urban Health Initiative, Case Western Reserve University School of Medicine

Presentation Slides: HSR_10_13_2017_Slides In this interactive discussion, we will review: • Precision Public Health—a new paradigm for population health improvement; • Cleveland & Cuyahoga Health Data Matters and other data visualization tools to assess population health, generate hypotheses about relationships between social determinants of health and health outcomes, and identify potential opportunities for intervention; • A cutting edge mode proposed for MetroHealth to increase patient engagement with their health ; and • Opportunities available for clinicians, researchers and health systems…

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The Federal Statistical Research Data Center (FSRDC) for Healthcare Researchers

October 6 @ 9:00 am - 10:30 am
Roberto Pinheiro, PhD, Senior Research Economist, Federal Reserve Bank of Cleveland

Dr. Pinheiro will discuss how healthcare researchers can benefit from having access to a Federal Statistical Research Data Center (FSRDC). He will present a brief overview of the data available at the FSRDC, emphasizing the distinctions between the restricted data at the FSRDC and the publicly available counterparts. Moreover, he will quickly describe the application process to be granted access to the data. Finally, he will briefly present a paper in health economics (“Health Insurance as a productive factor” by…

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September 2017

Defining the Evidence for Personal Connected Health and Research Gaps

September 29 @ 9:00 am - 10:30 am
John Sharp, MSSA, PMP, FHIMSS, Director, Personal Connected Health Alliance, Adjunct Faculty, Health Informatics, Kent State University

Link to Slide Presentation here.   Personal Connected Health is defined as improving health and wellness through connectivity which empowers the individual.  The connected health movement relies fundamentally on patient-facing devices and technology, promising to support patients in their proactive, self-management efforts. In spite of a growing market, many have questioned the effectiveness of apps and devices to have an impact on health. This presentation will review the state of the evidence for personal connected health through a topical review…

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The 340B Program and Its Intersection with The Drug Price Relief Act

September 22 @ 9:00 am - 10:30 am
Michael Dalton, Director, State Government Relations, The MetroHealth System

The intent of this presentation is to share background on how the 340B program is an important component in supporting the delivery of care for Ohio’s safety net providers. In addition, we will explore how participants in the program and the patients they serve will be negatively impacted if Issue 2: The Drug Price Relief Act passes in November. BIO: Michael Dalton is the Director for State Government Relations at The MetroHealth Medical Center where he is primarily responsible for…

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Social Determinants of Birth Outcomes in Ohio

September 8 @ 9:00 am - 10:30 am
Joseph G. Ahern, Fellow, Applied Research, The Center for Community Solutions

ABSTRACT: This paper follows up on a report published by The Center for Community Solutions in November, 2016, Birth Outcomes in Ohio, 2010-2014. We examine demographic and clinical correlates of low birth weight and prematurity among births in Ohio, which have been identified as leading risk factors for infant mortality. Over 800,000 Ohio birth records from 2010 to 2015 were included in this analysis.  Through logistic regression, we examine the effect of several independent variables on low birth weight and…

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