David A. Horowitz - Academia.edu (original) (raw)

Papers by David A. Horowitz

The Good Education of Youth, 1957

Increasing costs, decreasing reimbursement, and enhanced regulatory requirements are challenges f... more Increasing costs, decreasing reimbursement, and enhanced regulatory requirements are challenges facing the health care, education, and research missions of academic medical centers. To meet these challenges, the University of Pennsylvania Health System developed a clinical utilization management program led and monitored by physicians. The program was developed within the academic department infrastructure, with specific initiatives originating in individual departments. The initiatives focused on reductions in length of stay and managed care denials, reduction in unnecessary diagnostic study utilization, and improvement in materials management. Without adversely affecting quality indicators, the expense savings at the university hospital for the first fiscal year after the program was established were more than $4.8 million. Use of this model should be applicable for many types of health system organizations.

Prologue. 1. Life at the Start of the 20th Century. 2. The Politics of Progressive Reform, 1896-1... more Prologue. 1. Life at the Start of the 20th Century. 2. The Politics of Progressive Reform, 1896-1912. 3. Wilsonian Reform and Global Order, 1912-1920. 4. The Politics and Culture of the Jazz Age 1920-1928. 5. The Great Depression and New Deal Reform 1929-1936. 6. Democratic Capitalism and the Liberal State, 1937-1941. 7. World War II: The War Against Fascism and the Search for Global Order. 8. The Search for Security, 1945-1954. 9. Republican Leadership and the Anticommunist Crusade, 1950-1954. 10. Eisenhowers Troubled Consensus, 1954-1960. 11. The Age of Liberal Activisim, 1960-1965. 12. Polarized America: Racial Turmoil and Vietnam, 1965-1968. 13. The Embattled Presidency, 1968-1976. 14. Struggling Giant: The Carter and Reagan Years, 1976-1988. 15. The Turn to Centrism: Bush, Clinton and Bush, 1988-2003.

Research in Gerontological Nursing, 2020

The current study investigated the feasibility of telehealth-delivered diabetes self-management e... more The current study investigated the feasibility of telehealth-delivered diabetes self-management education and support (DSMES) for older adults with type 2 diabetes mellitus following hospital discharge. The intervention included one in-person home visit and follow-up weekly virtual DSMES for 4 additional weeks. Diabetes knowledge was measured at baseline and completion of the program. The Telehealth Usability Questionnaire was completed following the final session. Hemoglobin A1C (A1C) level was abstracted from the electronic health record at baseline and 3 months post hospital discharge. Hospital re-admissions were measured at 30 days post index hospital stay. Of the 20 patients enrolled, 12 completed the intervention. The most common reason for attrition was discharge to a skilled nursing facility (3/20). Participants who completed the intervention increased their diabetes knowledge scores. A1C values decreased by 1.1%, and there were no hospital readmissions for any patient who c...

PEDIATRICS, 2002

Poor reimbursement of pediatricians for behavioral and developmental services and the disarray of... more Poor reimbursement of pediatricians for behavioral and developmental services and the disarray of children’s mental health services in the state led leaders of the North Carolina chapter of the American Academy of Pediatrics to organize an advocacy effort with the following objectives: 1) to articulate pediatricians’ perspective on the current crisis in delivering and coordinating children’s behavioral health services; 2) to represent the collective voice of both academic and community pediatricians in dialogue with mental health providers, Medicaid leaders, and the health and mental health segments of state government; 3) to build consensus about an achievable plan of action to address pediatricians’ reimbursement and systems issues; 4) to develop a full and appropriate role for pediatricians as providers and, potentially, coordinators of behavioral health care; and 5) to facilitate implementation of Medicaid changes, as a first step in carrying out this plan. This article describe...

Journal of telemedicine and telecare, 2009

We compared the effects of evidence-based disease management guidelines delivered to patients wit... more We compared the effects of evidence-based disease management guidelines delivered to patients with heart failure and diabetes using three different modalities: in-person visits alone (Control), in-person visits and a telephone intervention (Telephone), and in-person visits and telemonitoring (Telemonitoring). Patients were randomized to the three groups. There were 112 patients in the Control group, 93 in the Telephone group and 98 in the Telemonitoring group. During the first 60 days, 10% of the Control group were rehospitalized, 17% of the Telephone group and 16% of the Telemonitoring group. Having heart failure and receiving more in-person visits were significantly related to readmission and time to readmission. However, after adjusting for diagnosis and visits, the differences between the three groups were non-significant. There was a trend for increased risk of readmission for the Telephone group compared to Control alone (P = 0.07, risk ratio 2.2, 95% CI: 0.9 to 5.2) and for r...

Neurocritical Care, 2014

A variety of technologies have been developed to assist decision-making during the management of ... more A variety of technologies have been developed to assist decision-making during the management of patients with acute brain injury who require intensive care. A large body of research has been generated describing these various technologies. The Neurocritical Care Society (NCS) in collaboration with the European Society of Intensive Care Medicine (ESICM), the Society for Critical Care Medicine (SCCM), and the Latin America Brain The Neurocritical Care Society affirms the value of this consensus statement as an educational tool for clinicians.

The bulletin of the National Association of Secondary School Principals, 1948

Journal of Immunological Methods, 1984

The cellular enzyme-linked immunospecific assay (CELISA) uses ligands conjugated to calf intestin... more The cellular enzyme-linked immunospecific assay (CELISA) uses ligands conjugated to calf intestinal alkaline phosphatase to quantitate antibody bound to antigens on the surfaces of whole cells. Since the endogenous alkaline phosphatase present in many cell types contributes unwanted background noise to the assay, ways of inhibiting endogenous cellular alkaline phosphatase were investigated. We found that the endogenous alkaline phosphatase in human peripheral blood mononuelear cells was incompletely inhibited by EDTA or L-eysteine. Levamisole, however, inhibited endogenous cellular alkaline pliosphatase completely without impairing the sensitivity of the CELISA. The use of levamisole is recommended for assays that use alkaline phosphatase conjugates to detect molecules on the surfaces of cells that also contain endogenous alkaline phosphatase.

Journal of Cardiac Failure, 2008

Home Health Care Management & Practice, 2009

A disease management study conducted in home care with 303 patients with diabetes, heart failure,... more A disease management study conducted in home care with 303 patients with diabetes, heart failure, or both revealed information deficits that make disease and quality management difficult. Nurses used a guideline checklist to indicate the amount and type of information available to them on admission and by the end of the episode of care. Nurses reported having data on 7% to 94% of the data elements. Whether a lipid profile had been done, the HbA1C (glycosolated hemoglobin test, also called a hemoglobin A1C) levels, or ejection fractions were known for 7%, 17%, and 18%, respectively. When nurses reported information related to ACE-I use (N = 183), they reported that 76% of patients were on ACE-I (angiotensin-converting enzyme inhibitor) or acceptable alternative for heart failure. But no information was reported on ACE-I use for 12% of the patients (N = 24). Potential solutions to these deficits in information and quality include increased use of guidelines in home care, guideline che...

Archives of Pediatrics & Adolescent Medicine, 1982

... The results of physical examination were normal, hema¬ tocrit level was 57% (capillary sample... more ... The results of physical examination were normal, hema¬ tocrit level was 57% (capillary sample), blood glucose level was 45 mg ... DAVID A. HOROWITZ, MD Boston City Hospital Boston WILLIAM JABLONSKI, MD Framingham, Mass KISHOR A. MEHTA, MD Framingham Union ...

Annals of Internal Medicine, 1999

Here is an engaging way to sharpen diagnostic skills: a selection of 150 clinical case studies in... more Here is an engaging way to sharpen diagnostic skills: a selection of 150 clinical case studies in internal medicine--some demonstrating more than one point. Readers will be challenged by common manifestations of uncommon disorders as well as uncommon presentations of common problems. Each case provides clinical aspects of history taking, physical exams, and differential diagnosis, and represents any one of ten top subspecialties in internal medicine. References are included for each case, both for substantiation and for additional information

Annals of Internal Medicine, 1998

The American Historical Review, 2000

Working papers are in draft form. This working paper is distributed for purposes of comment and d... more Working papers are in draft form. This working paper is distributed for purposes of comment and discussion only. It may not be reproduced without permission of the copyright holder. Copies of working papers are available from the author.

The American Historical Review, 2008

... Paula Wald and copyeditor Bethany Johnson. Thanks also to the staff of the Uni-versity of Ken... more ... Paula Wald and copyeditor Bethany Johnson. Thanks also to the staff of the Uni-versity of Kentucky history department for help with logistics: Rachelle Green, Tina Hagee, and Carol O&amp;#x27;Reilly. My family, Erica, Laura, and Matthew ...

The Historian, 1997

here are moral issues behind block booking, blind booking, the uniform "T contract, arbitrations,... more here are moral issues behind block booking, blind booking, the uniform "T contract, arbitrations, and all other trade practices," motion picture reformer Catheryne Cooke Gilman explained to a colleague in 1927.' So-called "purity crusaders" lobbied in the 1920s and '30s against what they perceived to be the undermining of traditional moral values by the film industry. Other critics, such as independent movie exhibitors who resented the iron control motion picture producers wielded over the industry, spoke from economic concerns. Historians have amply described the antitrust and censorship assaults on Hollywood during this time, which were an outgrowth of other reform efforts of the Progressive Era that preceded World War 1. But while scholars have acknowledged the Progressive Era roots of motion picture reformers, the relationship between market-oriented activists and moral purity crusaders needs to be explored further. The present essay describes the development of the tenuous and fluctuating anti-Hollywood alliance between these two groups of reformers that emerged after 1920. It attempts to assess their success in tying industry practices such as "block booking" to the moral quality of film content, and further suggests how the liaison between economic and moral protesters offers significant insights into the cultural conflicts that accompanied the growth of a corporate and consumer-oriented economy and society. Capitalized at over $1 billion, motion pictures constituted one of the nation's leading industries by 1920. Eight corporate giants accounted for 90 percent of the 800 films produced each year in the United States. Funds from leading investment firms enabled Hollywood studios to integrate operations and dramatically increase their ownership of motion picture theaters across the country in the decade after World War I. Centralized booking, national advertising, and system-wide accounting provided enormous cost advantages to companies such as Paramount, Warner Bros., RKO, the Fox syndicate, and Loew's-MGM. By the 1930s, when 23,000 film