The days of healthcare professionals ignoring the word “dollar” are over as we face universal calls for our $2.7 trillion health care system to be financially sustainable and not waste an estimated $558 billion to $1.263 trillion per year. Referring to six “wedges” of waste…

When Hurricane Sandy pummeled the northeast and mid-Atlantic states in October, uprooting trees and causing massive flooding, at least three large hospitals were forced to evacuate after emergency generators failed. Governors of 10 states declared emergencies and requested federal aid…

PURPOSE: To update the information available on the number and type of faculty diversity programs at U.S. MD-degree-granting medical schools. METHOD: The authors conducted an environmental scan of the 124 MD-degree-granting medical schools included in the 2010 Faculty Roster. They…

OBJECTIVE: To explore barriers to early intervention (EI) evaluation among referred infants and toddlers. METHODS: We conducted semistructured interviews with parents of children referred for EI services and with EI staff. We purposively sampled families according to whether they…

An old disease is back. Cases of pertussis, or whooping cough, have more than tripled in the past five years, with 2012 on track to be the most severe in over a half-century. More than 37,000 cases have been reported so far – 37 times the number in 1976, which was the lowest since the…

BACKGROUND: The influence of community context on the effectiveness of evidence-based maternal and child home visitation programs following implementation is poorly understood. This study compared prenatal smoking cessation between home visitation program recipients and local-area…

We developed an electronic medical record (EMR)-based HPV vaccine decision support intervention targeting clinicians, (immunization alerts, education, and feedback) and families (phone reminders and referral to an educational website). Through telephone surveys completed by 162…

OBJECTIVE: To describe variation across selected US children's hospitals in screening for occult fractures in children <2 years old diagnosed with physical abuse and in infants <1 year old who have injuries associated with a high likelihood of physical abuse. METHODS: We…

OBJECTIVE: To describe 1 pediatric integrated delivery system's experience with the influenza A (H1N1) pandemic in 2009 to illustrate the benefits of coordination, scale, scope, and flexibility in handling large volumes of patients in many locations. METHODS: Through…

The global rise in non-communicable disease (NCD) suggests that US-based refugees are increasingly affected by chronic conditions. However, health services have focused on the detection of infectious disease, with relatively limited data on chronic NCDs. Using data from a…