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Patient Falls, Nurse Communication, and Nurse Hourly Rounding in Acute Care: Linking Patient Experience and Outcomes
This study adds to the body of knowledge by statistically quantifying and providing linkages between nurse rounding frequency and patient fall rates using data from 31 military treatment facilities comprehensively over a period from fiscal year (FY) 2017 through FY2019. Poisson regression results indicated that hourly nurse rounding was associated with a reduction of more than 21% in fall rates (incidence rate ratio = 0.79, P (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Brief Report Source Type: research

Contributions of Community-Based Organizations Funded by the Centers for Disease Control and Prevention's HIV Testing Program
Conclusion: These findings demonstrate the essential role CDC-funded CBOs have in reaching, testing, and diagnosing groups at high risk for acquiring HIV infection. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Full Report Source Type: research

Liability Waivers for COVID-19: Law, Policy, and Practice
As businesses reopen, the practice of asking customers to sign COVID-19 liability waivers is increasing throughout the United States. Although the courts have not yet decided the enforceability of COVID-19–related liability waivers, existing case law, as well as new executive and legislative actions, suggests that such waivers may offer some protection to businesses from liability. Nevertheless, we believe that the legal and ethical rationales underlying liability waivers are not applicable to a pandemic. We further argue that the challenging nature of and the substantial unknowns about the novel coronavirus make waivers...
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Full Report Source Type: research

An Observational Study of the Association Between Exposure to Vacant Building Demolitions and Elevated Blood Lead Levels in Children Under Six in St Louis City
Conclusions: Although this study found no association between exposure to demolitions and EBLLs, results should be interpreted with caution, given numerous limitations. Given the consequences of childhood lead exposure, it is recommended that St Louis City conduct a similar analysis on demolitions conducted after 2020 using systematically collected demolition dates. Targeted testing or soil and air monitoring could also be informative. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Full Report Source Type: research

Considerations for Social Needs Screening in a Local Public Health Agency
This report shows how the Florida Department of Health in Hillsborough County (DOH) sought to address this for its clients. Program: This midstream intervention identified individual DOH client needs and navigated clients to community resources to address these social needs. Implementation: During the 2019 program, 768 DOH clients were screened, with 77% reporting having 1 or more social needs. Evaluation: Staff and clients identified various challenges clients faced navigating resources on their own, and the value in having resource navigators within the local public health agency. Discussion: ...
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Full Report Source Type: research

The Childhood Obesity Data Initiative: A Case Study in Implementing Clinical-Community Infrastructure Enhancements to Support Health Services Research and Public Health
We describe a participatory framework that enhanced and implemented innovative changes to an existing distributed health data network (DHDN) infrastructure to support linkage across sectors and systems. Our processes and lessons learned provide a potential framework for other multidisciplinary infrastructure development projects that engage in a participatory decision-making process. Program: The Childhood Obesity Data Initiative (CODI) provides a potential framework for local and national stakeholders with public health, clinical, health services research, community intervention, and information technology expertis...
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Full Report Source Type: research

A Governance Framework to Integrate Longitudinal Clinical and Community Data in a Distributed Data Network: The Childhood Obesity Data Initiative
Conclusion: CODI implemented a clinical-community governance strategy that built trust between organizations and allowed efficient data exchange within a DHDN. A thorough discovery process allowed CODI stakeholders to assess governance capacity and reveal regulatory and organizational obstacles so that the governance infrastructure could effectively leverage existing knowledge and address challenges. The MSUA and complementary governance documents can inform similar efforts. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Full Report Source Type: research

The Hepatitis C Clinical Exchange Network: A Local Health Department Partnership With Acute Care Hospitals to Promote Screening and Treatment of Hepatitis C Virus Infection
Discussion: HepCX was a multipronged initiative designed to promote hepatitis C testing and treatment initiation among providers at NYC acute care hospitals. Improvements were observed in confirmatory testing rates; however, treatment initiation rates did not change. Further efforts should be targeted to hospitals in need of additional resources for linkage to care and treatment of hepatitis C. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Full Report Source Type: research

Public Health and Health Care Partnerships for Improved Tobacco Cessation
Discussion: Initial findings suggest that this type of partnership model can be leveraged to gain organizational support, build capacity, address key barriers, and ensure that systems change strategies align with best practices for tobacco cessation across a diverse set of health care organizations. Findings presented in this report provide insights for other public health and health care organizations looking to implement similar initiatives. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Full Report Source Type: research

Using Health Navigators to Connect At-Risk Clients to Community Resources
Discussion: By using Health Navigators to assist clients with community resource engagement, the Center has prototyped and promoted an approach that complements clinical care, strengthening the community-clinical linkages that are needed to meaningfully manage chronic disease outside of the hospital or clinic setting. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Full Report Source Type: research

Gender Inequity in the Public Health Workforce
This article offers a multidimensional critique of gender inequity within the public health workforce through an examination of the literature. Results: There are three existing disparities between men and women in public health: unequal representation in leadership positions; persistence of wage discrimination; and disparities in scholarly publication and citations. Disparities are often more pronounced among women with intersectional identities (eg, race/ethnicity or other identities). Discussion: Gender inequity is structural, and solutions must address micro-, interactional, and macro-levels. The changing...
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Full Report Source Type: research

Leveraging Social and Structural Determinants of Health at the Centers for Disease Control and Prevention: A Systems-Level Opportunity to Improve Public Health
Discussion: Building sustainable SDOH infrastructures in public health institutions that reach across multiple health topics and non–health organizations could increase chances of meeting public health morbidity and mortality reduction goals, including decreasing health disparities. Although public health priorities and socioeconomic trends will change over time, experience suggests that social and structural factors will continue to influence the public's health. The CDC and state, tribal, local, and territorial public health institutions have played important leadership roles in the system of community and service ...
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Full Report Source Type: research

Kaiser Permanente's Good Health & Great Hair Program: Partnering With Barbershops and Beauty Salons to Advance Health Equity in West Baltimore, Maryland
Discussion: The initiative delivered critical health and social support services through a partnership with an established integrated health care system, community barbershops and beauty salons, a mobile health team, and social supports. This novel program utilized a mobile health clinic to provide extensive clinical services complemented by on-site social services. Patterns of service utilization and lessons learned could inform the design of similar programs. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Practice Full Report Source Type: research

Creating a Nonprofit Spin-Off to Implement a Community Health Improvement Plan: A Case Study of a Midsize Health Department in the Midwest
A common problem faced by local health departments is engaging cross-sector stakeholders to achieve shared community goals. Community engagement is critical for effective Community Health Improvement Plan (CHIP) development and implementation, while also being a standard for health department accreditation. This case study describes one city-county health department's development of a nonprofit arm to act as a catalyst for connecting community leaders to identify and collaboratively address community health goals. First, we describe our process to develop a nonprofit entity and strategically recruit community members to co...
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Case Study Source Type: research

A Systematic Review of Approaches for Continuous Quality Improvement Capacity-Building
Conclusions: This consolidation of guiding principles and core components for CQI capacity-building is valuable for public health and related workforces. Despite the uneven distribution of articles from health care, medical education, and public health settings, our findings can be used to guide public health organizations in building CQI capacity in a well-informed, systematic manner. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - February 1, 2022 Category: Health Management Tags: Systematic/Narrative Review Source Type: research