Brenda Leath | Albany Medical College (original) (raw)
Papers by Brenda Leath
142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014), Nov 19, 2014
2015 APHA Annual Meeting & Expo (Oct. 31 - Nov. 4, 2015), Nov 2, 2015
PubMed, May 1, 2002
"Correctional Health Care: Implications for Public Health Policy" is the first in a series of art... more "Correctional Health Care: Implications for Public Health Policy" is the first in a series of articles that examines the special health care needs of persons who are incarcerated in America's correctional facilities. The intent of the series is to gain a better understanding about the unmet health needs of incarcerated persons, the importance of addressing the health service delivery system in correctional facilities, and the implications that may arise from neglecting to address these health issues on health outcomes for individual detainees and society at-large when detainees transition back into the community. This article provides a descriptive overview of the corrections population, their sociodemographics, health care needs, and health concerns that are in need of improvement. This article also offers recommendations for public policy consideration to improve the overall health of inmates and society at large.
Online Journal of Public Health Informatics, Sep 21, 2018
The article highlights the Telehealth EcoSystem™ model, a holistic cross-sector approach for soci... more The article highlights the Telehealth EcoSystem™ model, a holistic cross-sector approach for socioeconomic revitalization, connectivity, interoperability and technology infrastructure development to address health equity for rural underserved communities. Two guiding frameworks, Community & Economic Development (CED) and Collective Impact, provided the foundation for the Telehealth EcoSystem™ model. Public and private organizational capacities are addressed by comprehensive healthcare and social service delivery through stakeholder engagement and collaborative decision-making processes. A focus is maintained on economic recovery and policy reforms that enhance population health outcomes for individuals and families who have economic challenges. The Telehealth EcoSystem™ utilizes an intranet mechanism that enables a range of technologies and electronic devices for health informatics and telemedicine initiatives. The relevance of the intranet to the advancement of health informatics is highlighted. Best practices in digital connectivity, HIPAA requirements, electronic health records (EHRs), and eHealth applications, such as patient portals and mobile devices, are emphasized. Collateral considerations include technology applications that expand public health services. The ongoing collaboration between a social science research corporation, a regional community foundation and an open access telecommunications carrier is a pivotal element in the sequential development and implementation of the Telehealth EcoSystem™ model in the rural southeastern region community.
EGEMS, Jan 29, 2016
This Methods Model/Framework is brought to you for free and open access by the the Publish at EDM... more This Methods Model/Framework is brought to you for free and open access by the the Publish at EDM Forum Community. It has been peer-reviewed and accepted for publication in eGEMs (Generating Evidence & Methods to improve patient outcomes).
Community Transportation, 2006
As part of an issue devoted to medical care and transportation, this article describes children’s... more As part of an issue devoted to medical care and transportation, this article describes children’s medical transportation needs. A graph shows that 30% of children have either minor chronic problems or one or more severe problems. Overall they represent 26% of the population. The article describes trends in children’s health care needs, including emergency room needs and chronic care diseases such as asthma, which afflicts nine million children under the age of 18. Lack of health insurances is a frequent barrier to timely medical care, and inadequate transportation options compound the problem. The article also discusses key highlights of health care and federal budget trends.
Home Healthcare Nurse: The Journal for The Home Care and Hospice Professional, May 1, 1998
Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional, 1998
Introduction: In alignment with the Alpha Kappa Alpha Sorority, Incorporated Asthma Prevention an... more Introduction: In alignment with the Alpha Kappa Alpha Sorority, Incorporated Asthma Prevention and Management Initiative, Alpha Sigma Omega Chapter in Columbus, Ohio and Nationwide Children's Hospital partnered to create an asthma parent mentorship program to enhance parental self-efficacy for adherence to treatment plans and prevention of serious asthma exacerbation. Methods: The study population included parents of children, ages 5-11, with poorly controlled asthma. Families were referred to the project from a Medicaid managed care organization or by an elementary school nurse. Participating parents attended an educational forum and were subsequently contacted monthly for 6-months by volunteer mentors who delivered scripted supportive and disease management messages. Content of the forum and the monthly messages was adapted from the APMI parent curriculum. Each parent completed a baseline survey in person and a 6-month follow-up survey via-phone. Results: Eleven parents, repre...
Community care coordination is a systematic approach for reducing health disparities by identifyi... more Community care coordination is a systematic approach for reducing health disparities by identifying health and support services needs such as insurance, transportation or housing assistance, and connecting underserved and high-risk patients to appropriate sources of health care and social and support services. This NIMHD-funded study responded to the lack of existing measures of community care coordination quality and used a participatory, consensus-based research approach to community care coordination measure design and testing. The study's collaborative process engaged five diverse community sites and received input from community stakeholders and technical experts. In this interactive roundtable session, the presenters will highlight how they used technology to support their work, including the development of a uniform database and centralized web portal to collect, store, and report on standardized performance measures. They will review several phases of the project includi...
Journal of the National Medical Association, 1988
A comprehensive family practice clerkship program at Howard University College of Medicine has be... more A comprehensive family practice clerkship program at Howard University College of Medicine has been conducted since 1970. This institution is one of three predominantly black institutions offering a family practice program. The senior clerkship is mandatory and at least 20 to 25 percent of each class elect to participate in a four-to six- week family practice preceptorship. As a result of the clerkship's success, over 50 percent of the program's graduates actively practice in primary medical manpower shortage or medically underserved areas.
Population Health Management, 2014
Promoting the adoption of comparative effectiveness research (CER)-informed strategies and practi... more Promoting the adoption of comparative effectiveness research (CER)-informed strategies and practices in diverse communities is essential to advance efforts aimed at achieving health equity and patient centered care for all. This must be done in conjunction with the use of effective strategies for disseminating interventions, health information and dataall of which are important elements for achieving patient centered care. On the horizon are new generations of EHRs, PHRs, mobile Apps, cloud-based data repositories, interactive remote monitoring devices, digital transport systems, social media applications, and more. Presenters describe how selected telehealth and social media technologies can offer responsive solutions that facilitate patient centeredness and personalized health care as a result of their ability to serve dually as interventions and dissemination tools. Illustrative examples are presented of blended traditional and contemporary technologies that have been tailored to...
Journal of the National Medical Association, 2002
of articles that examines the special health care needs of persons who are incarcerated in Americ... more of articles that examines the special health care needs of persons who are incarcerated in America's correctional facilities. The intent of the series is to gain a better understanding about the unmet health needs of incarcerated persons, the importance of addressing the health service delivery system in correctional facilities, and the implications that may arise from neglecting to address these health issues on health outcomes for individual detainees and society at-large when detainees transition back into the community. This article provides a descriptive overview of the corrections population, their sociodemographics, health care needs, and health concerns that are in need of improvement. This article also offers recommendations for public policy consideration to improve the overall health of inmates and society at large. OVERVIEW OF THE CORRECTIONS POPULATION As recently as March 2001, the growth of the prison population in the U.S. captured the attention of numerous news reporters. According to Randal, "...the number of inmates in the nation's prisons and jails reached nearly 1,932,000, a record number. While the U.S. accounts for just 5% of the global population, 25% of the world's prisoners are in American prisons and jails....Included among these prisoners are also more than 3,600 death row inmates..." (Randall, 2001). Factors contributing to the growth of the incarcerated population are attributed to stiffer sentencing laws in general, as well as laws associated with drug-related offenses. The socio-demographic characteristics of those who are incarcerated tends to be "...overwhelmingly the working class and poor and disproportionately minority... Racial minorities account for nearly 80% of all state drug offenders, many of whom end up as prison inmates...Black males are imprisoned in record numbers in the U.S. and on any given day, nearly one in eight black males aged 20 to 34 are in jail or prison..." (Randall, 2001). Schrieber states, "... The prison population is growing at a record pace-over 7% annuallybut for the first time, it's graying even faster. The U.S. Department of Justice estimates that by the end of next year the U.S. prison population will exceed 2 million. And like society at large, prisoners are getting older, sicker, and more costly to care for..." Reports indicate that the United States now surpasses Russia and takes second place in the world behind Rwanda in incarcerations (Eisner, 2001). Sentencing laws targeting
Context: In the United States, racial/ethnic minorities account for disproportionate disease and ... more Context: In the United States, racial/ethnic minorities account for disproportionate disease and death from type 2 diabetes, hypertension, and obesity; however, interventions with measured efficacy in comparative effectiveness research are often not adopted or used widely in those communities. Objective: To assess implementation and effects of comparative effectiveness research–proven interventions translated for minority communities. Design: Mixed-method assessment with pretest–posttest single-group evaluation design. Setting: US Department of Health and Human Services, Office of Minority Health, research contractor, and advisory board; health centers, including a federally qualified community health center in Chicago, Illinois; and public housing facilities for seniors in Houston, Texas. Participants: A total of 97 black, Hispanic, and Asian participants with any combination of health care provider–diagnosed type 2 diabetes, hypertension, or obesity. Interventions: Virtual trainin...
World Medical & Health Policy
142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014), Nov 19, 2014
2015 APHA Annual Meeting & Expo (Oct. 31 - Nov. 4, 2015), Nov 2, 2015
PubMed, May 1, 2002
"Correctional Health Care: Implications for Public Health Policy" is the first in a series of art... more "Correctional Health Care: Implications for Public Health Policy" is the first in a series of articles that examines the special health care needs of persons who are incarcerated in America's correctional facilities. The intent of the series is to gain a better understanding about the unmet health needs of incarcerated persons, the importance of addressing the health service delivery system in correctional facilities, and the implications that may arise from neglecting to address these health issues on health outcomes for individual detainees and society at-large when detainees transition back into the community. This article provides a descriptive overview of the corrections population, their sociodemographics, health care needs, and health concerns that are in need of improvement. This article also offers recommendations for public policy consideration to improve the overall health of inmates and society at large.
Online Journal of Public Health Informatics, Sep 21, 2018
The article highlights the Telehealth EcoSystem™ model, a holistic cross-sector approach for soci... more The article highlights the Telehealth EcoSystem™ model, a holistic cross-sector approach for socioeconomic revitalization, connectivity, interoperability and technology infrastructure development to address health equity for rural underserved communities. Two guiding frameworks, Community & Economic Development (CED) and Collective Impact, provided the foundation for the Telehealth EcoSystem™ model. Public and private organizational capacities are addressed by comprehensive healthcare and social service delivery through stakeholder engagement and collaborative decision-making processes. A focus is maintained on economic recovery and policy reforms that enhance population health outcomes for individuals and families who have economic challenges. The Telehealth EcoSystem™ utilizes an intranet mechanism that enables a range of technologies and electronic devices for health informatics and telemedicine initiatives. The relevance of the intranet to the advancement of health informatics is highlighted. Best practices in digital connectivity, HIPAA requirements, electronic health records (EHRs), and eHealth applications, such as patient portals and mobile devices, are emphasized. Collateral considerations include technology applications that expand public health services. The ongoing collaboration between a social science research corporation, a regional community foundation and an open access telecommunications carrier is a pivotal element in the sequential development and implementation of the Telehealth EcoSystem™ model in the rural southeastern region community.
EGEMS, Jan 29, 2016
This Methods Model/Framework is brought to you for free and open access by the the Publish at EDM... more This Methods Model/Framework is brought to you for free and open access by the the Publish at EDM Forum Community. It has been peer-reviewed and accepted for publication in eGEMs (Generating Evidence & Methods to improve patient outcomes).
Community Transportation, 2006
As part of an issue devoted to medical care and transportation, this article describes children’s... more As part of an issue devoted to medical care and transportation, this article describes children’s medical transportation needs. A graph shows that 30% of children have either minor chronic problems or one or more severe problems. Overall they represent 26% of the population. The article describes trends in children’s health care needs, including emergency room needs and chronic care diseases such as asthma, which afflicts nine million children under the age of 18. Lack of health insurances is a frequent barrier to timely medical care, and inadequate transportation options compound the problem. The article also discusses key highlights of health care and federal budget trends.
Home Healthcare Nurse: The Journal for The Home Care and Hospice Professional, May 1, 1998
Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional, 1998
Introduction: In alignment with the Alpha Kappa Alpha Sorority, Incorporated Asthma Prevention an... more Introduction: In alignment with the Alpha Kappa Alpha Sorority, Incorporated Asthma Prevention and Management Initiative, Alpha Sigma Omega Chapter in Columbus, Ohio and Nationwide Children's Hospital partnered to create an asthma parent mentorship program to enhance parental self-efficacy for adherence to treatment plans and prevention of serious asthma exacerbation. Methods: The study population included parents of children, ages 5-11, with poorly controlled asthma. Families were referred to the project from a Medicaid managed care organization or by an elementary school nurse. Participating parents attended an educational forum and were subsequently contacted monthly for 6-months by volunteer mentors who delivered scripted supportive and disease management messages. Content of the forum and the monthly messages was adapted from the APMI parent curriculum. Each parent completed a baseline survey in person and a 6-month follow-up survey via-phone. Results: Eleven parents, repre...
Community care coordination is a systematic approach for reducing health disparities by identifyi... more Community care coordination is a systematic approach for reducing health disparities by identifying health and support services needs such as insurance, transportation or housing assistance, and connecting underserved and high-risk patients to appropriate sources of health care and social and support services. This NIMHD-funded study responded to the lack of existing measures of community care coordination quality and used a participatory, consensus-based research approach to community care coordination measure design and testing. The study's collaborative process engaged five diverse community sites and received input from community stakeholders and technical experts. In this interactive roundtable session, the presenters will highlight how they used technology to support their work, including the development of a uniform database and centralized web portal to collect, store, and report on standardized performance measures. They will review several phases of the project includi...
Journal of the National Medical Association, 1988
A comprehensive family practice clerkship program at Howard University College of Medicine has be... more A comprehensive family practice clerkship program at Howard University College of Medicine has been conducted since 1970. This institution is one of three predominantly black institutions offering a family practice program. The senior clerkship is mandatory and at least 20 to 25 percent of each class elect to participate in a four-to six- week family practice preceptorship. As a result of the clerkship's success, over 50 percent of the program's graduates actively practice in primary medical manpower shortage or medically underserved areas.
Population Health Management, 2014
Promoting the adoption of comparative effectiveness research (CER)-informed strategies and practi... more Promoting the adoption of comparative effectiveness research (CER)-informed strategies and practices in diverse communities is essential to advance efforts aimed at achieving health equity and patient centered care for all. This must be done in conjunction with the use of effective strategies for disseminating interventions, health information and dataall of which are important elements for achieving patient centered care. On the horizon are new generations of EHRs, PHRs, mobile Apps, cloud-based data repositories, interactive remote monitoring devices, digital transport systems, social media applications, and more. Presenters describe how selected telehealth and social media technologies can offer responsive solutions that facilitate patient centeredness and personalized health care as a result of their ability to serve dually as interventions and dissemination tools. Illustrative examples are presented of blended traditional and contemporary technologies that have been tailored to...
Journal of the National Medical Association, 2002
of articles that examines the special health care needs of persons who are incarcerated in Americ... more of articles that examines the special health care needs of persons who are incarcerated in America's correctional facilities. The intent of the series is to gain a better understanding about the unmet health needs of incarcerated persons, the importance of addressing the health service delivery system in correctional facilities, and the implications that may arise from neglecting to address these health issues on health outcomes for individual detainees and society at-large when detainees transition back into the community. This article provides a descriptive overview of the corrections population, their sociodemographics, health care needs, and health concerns that are in need of improvement. This article also offers recommendations for public policy consideration to improve the overall health of inmates and society at large. OVERVIEW OF THE CORRECTIONS POPULATION As recently as March 2001, the growth of the prison population in the U.S. captured the attention of numerous news reporters. According to Randal, "...the number of inmates in the nation's prisons and jails reached nearly 1,932,000, a record number. While the U.S. accounts for just 5% of the global population, 25% of the world's prisoners are in American prisons and jails....Included among these prisoners are also more than 3,600 death row inmates..." (Randall, 2001). Factors contributing to the growth of the incarcerated population are attributed to stiffer sentencing laws in general, as well as laws associated with drug-related offenses. The socio-demographic characteristics of those who are incarcerated tends to be "...overwhelmingly the working class and poor and disproportionately minority... Racial minorities account for nearly 80% of all state drug offenders, many of whom end up as prison inmates...Black males are imprisoned in record numbers in the U.S. and on any given day, nearly one in eight black males aged 20 to 34 are in jail or prison..." (Randall, 2001). Schrieber states, "... The prison population is growing at a record pace-over 7% annuallybut for the first time, it's graying even faster. The U.S. Department of Justice estimates that by the end of next year the U.S. prison population will exceed 2 million. And like society at large, prisoners are getting older, sicker, and more costly to care for..." Reports indicate that the United States now surpasses Russia and takes second place in the world behind Rwanda in incarcerations (Eisner, 2001). Sentencing laws targeting
Context: In the United States, racial/ethnic minorities account for disproportionate disease and ... more Context: In the United States, racial/ethnic minorities account for disproportionate disease and death from type 2 diabetes, hypertension, and obesity; however, interventions with measured efficacy in comparative effectiveness research are often not adopted or used widely in those communities. Objective: To assess implementation and effects of comparative effectiveness research–proven interventions translated for minority communities. Design: Mixed-method assessment with pretest–posttest single-group evaluation design. Setting: US Department of Health and Human Services, Office of Minority Health, research contractor, and advisory board; health centers, including a federally qualified community health center in Chicago, Illinois; and public housing facilities for seniors in Houston, Texas. Participants: A total of 97 black, Hispanic, and Asian participants with any combination of health care provider–diagnosed type 2 diabetes, hypertension, or obesity. Interventions: Virtual trainin...
World Medical & Health Policy