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Item An Examination of How National Policies are Driving Population Health Outcomes and Organizational Change in Private and Public Sectors(2020-03) Hilts, Katy Ellis; Menachemi, Nir; Blackburn, Justin; Gibson, P. Joseph; Halverson, Paul K.; Yeager, Valerie A.The United States spends more on healthcare than any other country in the world, but still trails most other countries when it comes to important health indicators. There has been an increasing recognition that in order to address this discrepancy, the U.S. health system must begin to address the underlying social determinants contributing to poor health outcomes. In light of this, the concept of “population health” has emerged as a framework and model for how to better address the social determinants contributing to unhealthy behaviors and increased rates of morbidity and mortality in the U.S. Various national initiatives, including reform related to how doctors and hospitals are paid, have been developed with the purpose of increasing the adoption of strategies to address population health among public and private organizations. In this dissertation I attempt to assess how these national policies are driving behavior and outcomes related to improving population health in private and public sectors. It is comprised of three papers focused on 1) a systematic review of literature to assess how hospitals are responding to policies that encourage them to form partnerships to address population health, 2) a quantitative analysis of how the Affordable Care Act has impacted population health by addressing tobacco use with policies to increase Medicaid coverage for tobacco cessation services, and 3) an empirical examination to identify hospital strategic partnerships to address population health and determine hospital and market characteristics associated with these partnerships. The main findings of this study indicate that while there is a growing amount of peer reviewed literature focused on hospital partnerships for population health there is still a need for more generalizable studies with rigorous study designs in this area; Medicaid Expansion as a part of the Affordable Care Act is associated with lower prevalence of tobacco use; and policies, such as Accountable Care Organization and Bundled Payment models, may be influencing hospitals to engage with a broad set of partners to support population health activities. Collectively these studies provide new evidence to suggest that national policies may be driving behavior in private and public sectors related to population health.Item From the Editor's Desktop(H.W. Wilson Company, 2004) Burek Pierce, Jenniferhis issue of Indiana Libraries marks a transition: Emily Okada, who has served as Editor since 2000, has stepped aside and facilitated my role as the new Editor of Indiana Libraries. I use the phrase “stepped aside” purposefully: Emily has not left Indiana Libraries entirely but instead now offers her experience and advice in the capacity of Associate Editor. The working relationship we have developed led to the thematic focus on partnerships for this general issue. One simple denotation of partnership is this: “A relationship of individuals or groups marked by mutual cooperation and responsibility.” The realities of working with partners are more complex, challenging, and nuanced than such a simple definition might suggest. The articles presented here represent different ways that Indiana librarians put this concept into practice. Librarians, administrators, faculty, and library school students describe the ways partnerships benefit both libraries and the communities they serve.Item Management Basics: Trust: The Glue That Holds Partnerships Together(H.W. Wilson Company, 2004) Wiethoff, CarolynThe only way to make a man trustworthy is to trust him. Henry Stimson (1867 - 1950) Do not trust all men, but trust men of worth; the former course is silly, the latter a mark of prudence. Democritus (460 BC - 370 BC) Trust, or “an individual’s belief in, and willingness to act on the basis of, the words, actions, and decisions of another”, is one of the most important components of partnerships. Without it, groups experience suspicion, defensiveness, and harmful conflict. With it, partnerships can thrive as people comfortably come together to collaborate and share ideas openly. An understanding of trust—what it is, how it develops, and how it can be repaired—is important for anyone planning to partner with others.Item Perceived roles, benefits and barriers of virtual global health partnership initiatives: a cross-sectional exploratory study(BMC, 2022-04-28) Umphrey, Lisa; Paasi, George; Windsor, William; Abongo, Grace; Evert, Jessica; Haq, Heather; Keating, Elizabeth M.; Lam, Suet Kam; McHenry, Megan S.; Ndila, Carolyne; Nwobu, Charles; Rule, Amy; Tam, Reena P.; Olson, Daniel; Olupot‑Olupot, Peter; Pediatrics, School of MedicineBackground: Virtual global health partnership initiatives (VGHPIs) evolved rapidly during the COVID-19 pandemic to ensure partnership continuity. However the current landscape for VGHPI use and preference is unknown. This study aimed to increase understanding of GH partners' perspectives on VGHPIs. Methods: From 15 October to 30 November 2020, An online, international survey was conducted using snowball sampling to document pandemic-related changes in partnership activities, preferences for VGHPIs, and perceived acceptability and barriers. The survey underwent iterative development within a diverse author group, representing academic and clinical institutions, and the non-profit sector. Participants from their professional global health networks were invited, including focal points for global health partnerships while excluding trainees and respondents from the European Economic Area. Analysis stratified responses by country income classification and partnership type. Authors used descriptive statistics to characterize responses, defining statistical significance as α = 0.05. Results: A total of 128 respondents described 219 partnerships. 152/219 (69%) partnerships were transnational, 157/219 (72%) were of > 5 years duration, and 127/219 (60%) included bidirectional site visits. High-income country (HIC) partners sent significantly more learners to low- to middle-income country (LMIC) partner sites (p < 0.01). Participants commented on pandemic-related disruptions affecting 217/219 (99%) partnerships; 195/217 (90%) were disruption to activities; 122/217 (56%) to communication; 73/217 (34%) to access to professional support; and 72/217 (33%) to funding. Respondents indicated that VGHPIs would be important to 206/219 (94%) of their partnerships moving forward. There were overall differences in resource availability, technological capacity, and VGHPI preferences between LMIC and HIC respondents, with a statistically significant difference in VGHPI acceptability (p < 0.001). There was no significant difference between groups regarding VGHPIs' perceived barriers. Conclusions: The pandemic disrupted essential partnership elements, compounding differences between LMIC and HIC partners in their resources and preferences for partnership activities. VGHPIs have the potential to bridge new and existing gaps and maximize gains, bi-directionality, and equity in partnerships during and after COVID-19.Item The role of information science within the clinical translational science ecosystem(Cambridge University Press, 2024-11-27) Ragon, Bart; Seymour, Anne; Whipple, Elizabeth C.; Surkis, Alisa; Haberstroh, Amanda; Muilenburg, Jennifer; Rethlefsen, Melissa L.; Aspinall, Erinn E.; Deaver, Jill; Dexter, Nadine; Barger, Renae; Contaxis, Nicole; Glenn, Emily J.; Hinton, Elizabeth; Kern, Barbara; Little, Micquel; Pickett, Keith; Sevetson, Erika; Tao, Donghua; von Isenburg, Megan; Werner, Debra A.; Wheeler, Terrie R.; Holmes, Kristi; Ruth Lilly Medical Library, School of MedicineAcademic health sciences libraries ("libraries") offer services that span the entire research lifecycle, positioning them as natural partners in advancing clinical and translational science. Many libraries enjoy active and productive collaborations with Clinical and Translational Science Award (CTSA) Program hubs and other translational initiatives like the IDeA Clinical & Translational Research Network. This article explores areas of potential partnership between libraries and Translational Science Hubs (TSH), highlighting areas where libraries can support the CTSA Program's five functional areas outlined in the Notice of Funding Opportunity. It serves as a primer for TSH and libraries to explore potential collaborations, demonstrating how libraries can connect researchers to services and resources that support the information needs of TSH.