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Browsing by Author "Smith, Faye"
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Item Comorbidity Profile and Health Care Utilization in Elderly Patients with Serious Mental Illnesses(Elsevier, 2013-12) Hendrie, Hugh C.; Hay, Don; Lane, Kathleen A.; Gao, Sujuan; Purnell, Christianna; Munger, Stephanie; Smith, Faye; Dickens, Jeanne; Boustani, Malaz A.; Callahan, Christopher M.; Department of Psychiatry, IU School of MedicineObjectives Patients with serious mental illness are living longer. Yet there remain few studies that focus on health care utilization and its relationship to comorbidities in these elderly mentally ill patients. Design Comparative study. Information on demographics, comorbidities and health care utilization were taken from an electronic medical record system. Setting Wishard Health Services senior care and community mental health clinics. Participants Patients age 65 years and over-255 patients with serious mental illness (schizophrenia, major recurrent depression and bipolar illness) attending a mental health clinic and a representative sample of 533 non-demented patients without serious mental illness attending primary care clinics. Results Patients having serious mental illness had significantly higher rates of medical emergency room visits (p=0.0027) and significantly longer lengths of medical hospitalizations (p<0.0001) than did the primary care control group. The frequency of medical comorbidities such as diabetes, coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, thyroid disease, and cancer were not significantly different between the groups. Hypertension was lower in the mentally ill group (p<0.0001). Reported falls (p<0.0001), diagnoses of substance abuse (p=0.02), and alcoholism (p=0.0016) were higher in the seriously mentally ill. The differences in health care utilization between the groups remained significant after adjusting for comorbidity levels, lifestyle factors, and attending primary care. Conclusions Our findings of higher rates of emergency care, longer hospitalizations, and increased frequency of falls, substance abuse, and alcoholism suggest the elderly seriously mentally ill remain a vulnerable population requiring an integrated model of health care.Item How to Request and Obtain Feasibility Numbers and Data for Research through the Regenstrief Data Core and the Indiana CTSI Informatics and Data Analysis Core (CIDAC)(Office of the Vice Chancellor for Research, 2015-04-17) Hoover, Sarah; Kesterson, Joe; Smith, Faye; Hudson, BrendaThis poster presents a one-page, high-level summary view targeted at investigators and other individuals who have need to request numbers for research, explaining the process wherein requests can be made for feasibility and/or research data. Individuals seeking data for feasibility and/or research projects may utilize web based forms to make requests. Requests are tracked and managed by the Regenstrief Data Core. There are separate forms for Feasibility/Preliminary requests and Research Data requests. The purpose of this poster is to familiarize researchers with: Where to locate these forms on the Indiana CTSI website The steps needed to fill out and submit the appropriate request form The events that transpire between making the request and receiving data In addition, a description of available services through CIDAC and the Regenstrief Data Core is provided, included but not limited to expertise in study planning and implementation, assistance with subject recruitment and management and prospective descriptive clinical and demographic data.Item Screening, referral, and participation in a weight management program implemented in five CHCs(Johns Hopkins University Press, 2010-05) Clark, Daniel; Chrysler, Lisa; Perkins, Anthony; Keith, Nicole R.; Willis, Deanna R.; Abernathy, Greg; Smith, Faye; Department of Medicine, IU School of MedicineCommunity health centers have the potential to lessen obesity. We conducted a retrospective evaluation of a quality improvement program that included electronic body mass index (BMI) screening with provider referral to an in-clinic lifestyle behavior change counselor with weekly nutrition and exercise classes. There were 26,661 adult patients seen across five community health centers operating the weight management program. There were 23,593 (88%) adult patients screened, and 12,487 (53%) of these patients were overweight or obese (BMI >or=25). Forty percent received a provider referral, 15.6% had program contact, and 2.1% had more than 10 program contacts. A mean weight loss of seven pounds was observed among those patients with more than 10 program contacts. No significant weight change was observed in patients with less contact. Achieving public health impact from guideline recommended approaches to CHC-based weight management will require considerable improvement in patient and provider participation.