John Cantiello - Academia.edu (original) (raw)

Papers by John Cantiello

Research paper thumbnail of The American Recovery and Reinvestment Act

The health care manager, Oct 1, 2010

Research paper thumbnail of Chapter 4: Readiness and Change Management During Electronic Medical Records Adoption

Research paper thumbnail of Physical Education in Elementary Schools

Research paper thumbnail of Chronic physical health conditions among children of different racial/ethnic backgrounds

Public Health, 2013

Objectives-It is estimated that 20% of children in the USA are affected by at least one chronic d... more Objectives-It is estimated that 20% of children in the USA are affected by at least one chronic disease. Although the burden of chronic conditions is greater for minority populations of children, research that has explored the prevalence and risk factors of chronic disease across different racial/ ethnic groups is scarce. The aim of this study was to examine racial/ethnic disparities in the prevalence rates of common physical, chronic diseases in White, Black and Hispanic children; and assess the effect of several factors on the risk of having a chronic disease. Methods-Using the 2007 National Survey of Childrens Health, prevalence estimates were calculated for asthma, hearing impairment, visual impairment, joint/bone/muscle problems, brain injury and other illnesses for each racial/ethnic group. Multivariate logistic regression analyses were conducted to examine the effects of several risk factors on the risk of each of these health conditions.

Research paper thumbnail of To What Extent Are ACO and PCMH Models Advancing the Triple Aim Objective? Implications and Considerations for Primary Care Medical Practices

Journal of Ambulatory Care Management

Research paper thumbnail of C Your Way to Success: Classroom and Community Collaborations

Research paper thumbnail of Chapter 5: Choosing the Appropriate Electronic Medical Records System: A Clinic’s Journey to Innovation

Research paper thumbnail of Writing Well: Teaching Students Professional Writing Skills

Research paper thumbnail of Equitable Experiences: Online, Hybrid, and Traditional Classrooms

Research paper thumbnail of The impact of demographic and perceptual variables on a young adult's decision to be covered by private health insurance

BMC health services research, Jan 12, 2015

The large number of uninsured individuals in the United States creates negative consequences for ... more The large number of uninsured individuals in the United States creates negative consequences for those who are uninsured and for those who are covered by health insurance plans. Young adults between the ages of 18 and 24 are the largest uninsured population subgroup. This subgroup warrants analysis. The major aim of this study is to determine why young adults between the ages of 18 and 24 are the largest uninsured population subgroup. The present study seeks to determine why young adults between the ages of 18 and 24 are the largest population subgroup that is not covered by private health insurance. Data on perceived health status, perceived need, perceived value, socioeconomic status, gender, and race was obtained from a national sample of 1,340 young adults from the 2005 Medical Expenditure Panel Survey and examined for possible explanatory variables, as well as data on the same variables from a national sample of 1,463 from the 2008 Medical Expenditure Panel Survey. Results of t...

Research paper thumbnail of Utilizing Telemedicine Techniques to Confront Rural Mental Health Care Challenges: The Progression Towards a Technological Health Ecosystem

Journal of Health & Medical Informatics, 2012

Due to the unique population characteristics of Rural America, the diagnosis and treatment of med... more Due to the unique population characteristics of Rural America, the diagnosis and treatment of medical conditions is a challenge. This is especially true when specialists are needed, in particular for mental health care including psychiatry. Provision of care often falls to primary care providers, who may fail to recognize symptoms or misdiagnose a condition. In addition, a stigma is often attached to mental health issues and precludes many people from seeking treatment, particularly due to embarrassment and perceived confidentiality issues. This paper will describe the rural population and mental health issues faced by patients and providers. Challenges will be explored from a systems theory viewpoint, as well as from community development perspectives. Solutions will be offered ranging from the broad theoretical perspective including policy options, and specific solutions for practitioners in various settings. Of particular focus is telemedicine in the form of telepsychiatry. This option is mentioned throughout this paper in terms of current usage in specific settings as well as provider and patient acceptance of the technology. Telemedicine utilizes computer technology to transmit data, voice, video, and a combination of the three with live video feeds. This implies the technology is available not only in terms of computers and other hardware, but also the infrastructure, or availability of internet connection. In rural areas, this may require satellite based internet connections or other options.

Research paper thumbnail of Utilizing Active Learning Techniques to Prepare Future Leaders for Policy Reform

Research paper thumbnail of Assisted Living Resident Characteristics: Differences by Community Size using the 2010 National Survey of Residential Care Facilities

Research paper thumbnail of Advantages and Disadvantages of the Patient-Centered Medical Home: A Critical Analysis and Lessons Learned

The health care manager

This article provides a detailed examination of the pros and cons associated with patient-centere... more This article provides a detailed examination of the pros and cons associated with patient-centered medical homes (PCMHs). Opinions and findings from those who have studied PCMHs and those who have been directly involved with this type of health care model are outlined. Key lessons from providers are detailed, and critical success factors are highlighted. This synthesized analysis serves to lend evidence to health care managers and providers who are considering implementation of the PCMH model.

Research paper thumbnail of Assisted Living Resident Characteristics: Differences by Community Size using the 2010 National Survey of Residential Care Facilities

Research paper thumbnail of The evolution of quality improvement in healthcare: patient-centered care and health information technology applications

Journal of Hospital Administration, 2016

Research paper thumbnail of Information sharing among health care employers: using technology to create an advantageous culture of sharing

Advances in Health Care Management, 2012

This paper uses the theory of interagency information sharing as a lens to determine the benefits... more This paper uses the theory of interagency information sharing as a lens to determine the benefits, risks, and past experiences of those involved in information sharing. The authors analyze the current existent literature related to sharing of information between health care employers. A theory that could be useful in the creation of a policy and management framework that would facilitate information sharing is also thoroughly explored. Commentary and analysis result in strategies for health care employers to utilize when facing the challenging issues involved with hiring employees. The paper details how human resource professionals can utilize technology and existing theory to properly implement information sharing techniques into their organization. The information technology changes that are taking place within health care organizations and systems across the country create the opportunity for these organizations and systems to proactively implement strategies that will positively affect organizational performance. By investing in information sharing techniques while utilizing the theories outlined in this paper, organizations and systems may avoid many of the issues associated with hiring problem employees.

Research paper thumbnail of Information sharing among health care employers: using technology to create an advantageous culture of sharing

Advances in health care management, 2012

This paper uses the theory of interagency information sharing as a lens to determine the benefits... more This paper uses the theory of interagency information sharing as a lens to determine the benefits, risks, and past experiences of those involved in information sharing. The authors analyze the current existent literature related to sharing of information between health care employers. A theory that could be useful in the creation of a policy and management framework that would facilitate information sharing is also thoroughly explored. Commentary and analysis result in strategies for health care employers to utilize when facing the challenging issues involved with hiring employees. The paper details how human resource professionals can utilize technology and existing theory to properly implement information sharing techniques into their organization. The information technology changes that are taking place within health care organizations and systems across the country create the opportunity for these organizations and systems to proactively implement strategies that will positively...

Research paper thumbnail of Determinants of health insurance coverage rates for young adults: an analytical literature review

Advances in health care management, 2011

This chapter summarizes the major determinants of health insurance coverage rates among young adu... more This chapter summarizes the major determinants of health insurance coverage rates among young adults. Socioeconomic status, demographics, actual and perceived health status, perceived value, and perceived need are all examined in order to determine what the literature reveals regarding each variable and how each variable impacts a young adult's decision to purchase health insurance. Results indicate that socioeconomic status, demographics, perceived value, and perceived need were the most significant determinates of health insurance status of young adults. A conceptual framework is also examined and used to illustrate theoretical implications. Managerial implications for marketing health plans to young adults are also addressed. Finally, policy implications concerning the new Patient Protection and Affordable Care Act are addressed.

Research paper thumbnail of EHR Implementation in a New Clinic: A Case Study of Clinician Perceptions

Journal of Medical Systems, 2013

Driven by the Health Information Technology for Economic and Clinical Health (HITECH) Act large n... more Driven by the Health Information Technology for Economic and Clinical Health (HITECH) Act large numbers of physicians and hospitals are now implementing electronic health records (EHR) with the general expectation that such systems will improve the quality, safety and efficiency of health care services. Studies of conversions from paper to electronic records paint a mixed picture with healthcare providers pleased with some aspects of their EHRs but dissatisfied with others. These prior studies focused on conversions from paper to electronic records. Many provider impressions, therefore, may have been influenced by reactions to the process of being required to change well established patterns. In order to help separate such reactions from true evaluations of the efficacy of the EHR, we decided to survey the providers in a new health center. To insure that the information gathered was not merely anecdotal, we used a well-established format starting with a semi-structured interview which facilitates analysis and recognition of major themes. We included questions around several important areas including workflow, communication, patient satisfaction, productivity, documentation, and quality of care. Ten main themes emerged: impeding patient flow, hindering communication in office, improving communication after the visit, improving tracking of patient care, spending less time with patients, requiring more training, wanting more features, diminishing productivity, appreciating benefits of templates, and enhancing internal communication. The need for better training appeared to be of especially high importance as it impacted several of the other themes. We believe that our study helps validate the similar concerns expressed in studies of transitions from paper to electronic record systems. Our method may be generally useful to other clinics because it facilitates timely recognition of themes, both positive and negative, that clinicians and clinic managers would want to know at an early stage. Prompt knowledge of such developing themes may help to accentuate the positive aspects of the EHR and to prevent negative themes from developing into serious problems that might be considered serious unintended consequences of EHR usage.

Research paper thumbnail of The American Recovery and Reinvestment Act

The health care manager, Oct 1, 2010

Research paper thumbnail of Chapter 4: Readiness and Change Management During Electronic Medical Records Adoption

Research paper thumbnail of Physical Education in Elementary Schools

Research paper thumbnail of Chronic physical health conditions among children of different racial/ethnic backgrounds

Public Health, 2013

Objectives-It is estimated that 20% of children in the USA are affected by at least one chronic d... more Objectives-It is estimated that 20% of children in the USA are affected by at least one chronic disease. Although the burden of chronic conditions is greater for minority populations of children, research that has explored the prevalence and risk factors of chronic disease across different racial/ ethnic groups is scarce. The aim of this study was to examine racial/ethnic disparities in the prevalence rates of common physical, chronic diseases in White, Black and Hispanic children; and assess the effect of several factors on the risk of having a chronic disease. Methods-Using the 2007 National Survey of Childrens Health, prevalence estimates were calculated for asthma, hearing impairment, visual impairment, joint/bone/muscle problems, brain injury and other illnesses for each racial/ethnic group. Multivariate logistic regression analyses were conducted to examine the effects of several risk factors on the risk of each of these health conditions.

Research paper thumbnail of To What Extent Are ACO and PCMH Models Advancing the Triple Aim Objective? Implications and Considerations for Primary Care Medical Practices

Journal of Ambulatory Care Management

Research paper thumbnail of C Your Way to Success: Classroom and Community Collaborations

Research paper thumbnail of Chapter 5: Choosing the Appropriate Electronic Medical Records System: A Clinic’s Journey to Innovation

Research paper thumbnail of Writing Well: Teaching Students Professional Writing Skills

Research paper thumbnail of Equitable Experiences: Online, Hybrid, and Traditional Classrooms

Research paper thumbnail of The impact of demographic and perceptual variables on a young adult's decision to be covered by private health insurance

BMC health services research, Jan 12, 2015

The large number of uninsured individuals in the United States creates negative consequences for ... more The large number of uninsured individuals in the United States creates negative consequences for those who are uninsured and for those who are covered by health insurance plans. Young adults between the ages of 18 and 24 are the largest uninsured population subgroup. This subgroup warrants analysis. The major aim of this study is to determine why young adults between the ages of 18 and 24 are the largest uninsured population subgroup. The present study seeks to determine why young adults between the ages of 18 and 24 are the largest population subgroup that is not covered by private health insurance. Data on perceived health status, perceived need, perceived value, socioeconomic status, gender, and race was obtained from a national sample of 1,340 young adults from the 2005 Medical Expenditure Panel Survey and examined for possible explanatory variables, as well as data on the same variables from a national sample of 1,463 from the 2008 Medical Expenditure Panel Survey. Results of t...

Research paper thumbnail of Utilizing Telemedicine Techniques to Confront Rural Mental Health Care Challenges: The Progression Towards a Technological Health Ecosystem

Journal of Health & Medical Informatics, 2012

Due to the unique population characteristics of Rural America, the diagnosis and treatment of med... more Due to the unique population characteristics of Rural America, the diagnosis and treatment of medical conditions is a challenge. This is especially true when specialists are needed, in particular for mental health care including psychiatry. Provision of care often falls to primary care providers, who may fail to recognize symptoms or misdiagnose a condition. In addition, a stigma is often attached to mental health issues and precludes many people from seeking treatment, particularly due to embarrassment and perceived confidentiality issues. This paper will describe the rural population and mental health issues faced by patients and providers. Challenges will be explored from a systems theory viewpoint, as well as from community development perspectives. Solutions will be offered ranging from the broad theoretical perspective including policy options, and specific solutions for practitioners in various settings. Of particular focus is telemedicine in the form of telepsychiatry. This option is mentioned throughout this paper in terms of current usage in specific settings as well as provider and patient acceptance of the technology. Telemedicine utilizes computer technology to transmit data, voice, video, and a combination of the three with live video feeds. This implies the technology is available not only in terms of computers and other hardware, but also the infrastructure, or availability of internet connection. In rural areas, this may require satellite based internet connections or other options.

Research paper thumbnail of Utilizing Active Learning Techniques to Prepare Future Leaders for Policy Reform

Research paper thumbnail of Assisted Living Resident Characteristics: Differences by Community Size using the 2010 National Survey of Residential Care Facilities

Research paper thumbnail of Advantages and Disadvantages of the Patient-Centered Medical Home: A Critical Analysis and Lessons Learned

The health care manager

This article provides a detailed examination of the pros and cons associated with patient-centere... more This article provides a detailed examination of the pros and cons associated with patient-centered medical homes (PCMHs). Opinions and findings from those who have studied PCMHs and those who have been directly involved with this type of health care model are outlined. Key lessons from providers are detailed, and critical success factors are highlighted. This synthesized analysis serves to lend evidence to health care managers and providers who are considering implementation of the PCMH model.

Research paper thumbnail of Assisted Living Resident Characteristics: Differences by Community Size using the 2010 National Survey of Residential Care Facilities

Research paper thumbnail of The evolution of quality improvement in healthcare: patient-centered care and health information technology applications

Journal of Hospital Administration, 2016

Research paper thumbnail of Information sharing among health care employers: using technology to create an advantageous culture of sharing

Advances in Health Care Management, 2012

This paper uses the theory of interagency information sharing as a lens to determine the benefits... more This paper uses the theory of interagency information sharing as a lens to determine the benefits, risks, and past experiences of those involved in information sharing. The authors analyze the current existent literature related to sharing of information between health care employers. A theory that could be useful in the creation of a policy and management framework that would facilitate information sharing is also thoroughly explored. Commentary and analysis result in strategies for health care employers to utilize when facing the challenging issues involved with hiring employees. The paper details how human resource professionals can utilize technology and existing theory to properly implement information sharing techniques into their organization. The information technology changes that are taking place within health care organizations and systems across the country create the opportunity for these organizations and systems to proactively implement strategies that will positively affect organizational performance. By investing in information sharing techniques while utilizing the theories outlined in this paper, organizations and systems may avoid many of the issues associated with hiring problem employees.

Research paper thumbnail of Information sharing among health care employers: using technology to create an advantageous culture of sharing

Advances in health care management, 2012

This paper uses the theory of interagency information sharing as a lens to determine the benefits... more This paper uses the theory of interagency information sharing as a lens to determine the benefits, risks, and past experiences of those involved in information sharing. The authors analyze the current existent literature related to sharing of information between health care employers. A theory that could be useful in the creation of a policy and management framework that would facilitate information sharing is also thoroughly explored. Commentary and analysis result in strategies for health care employers to utilize when facing the challenging issues involved with hiring employees. The paper details how human resource professionals can utilize technology and existing theory to properly implement information sharing techniques into their organization. The information technology changes that are taking place within health care organizations and systems across the country create the opportunity for these organizations and systems to proactively implement strategies that will positively...

Research paper thumbnail of Determinants of health insurance coverage rates for young adults: an analytical literature review

Advances in health care management, 2011

This chapter summarizes the major determinants of health insurance coverage rates among young adu... more This chapter summarizes the major determinants of health insurance coverage rates among young adults. Socioeconomic status, demographics, actual and perceived health status, perceived value, and perceived need are all examined in order to determine what the literature reveals regarding each variable and how each variable impacts a young adult's decision to purchase health insurance. Results indicate that socioeconomic status, demographics, perceived value, and perceived need were the most significant determinates of health insurance status of young adults. A conceptual framework is also examined and used to illustrate theoretical implications. Managerial implications for marketing health plans to young adults are also addressed. Finally, policy implications concerning the new Patient Protection and Affordable Care Act are addressed.

Research paper thumbnail of EHR Implementation in a New Clinic: A Case Study of Clinician Perceptions

Journal of Medical Systems, 2013

Driven by the Health Information Technology for Economic and Clinical Health (HITECH) Act large n... more Driven by the Health Information Technology for Economic and Clinical Health (HITECH) Act large numbers of physicians and hospitals are now implementing electronic health records (EHR) with the general expectation that such systems will improve the quality, safety and efficiency of health care services. Studies of conversions from paper to electronic records paint a mixed picture with healthcare providers pleased with some aspects of their EHRs but dissatisfied with others. These prior studies focused on conversions from paper to electronic records. Many provider impressions, therefore, may have been influenced by reactions to the process of being required to change well established patterns. In order to help separate such reactions from true evaluations of the efficacy of the EHR, we decided to survey the providers in a new health center. To insure that the information gathered was not merely anecdotal, we used a well-established format starting with a semi-structured interview which facilitates analysis and recognition of major themes. We included questions around several important areas including workflow, communication, patient satisfaction, productivity, documentation, and quality of care. Ten main themes emerged: impeding patient flow, hindering communication in office, improving communication after the visit, improving tracking of patient care, spending less time with patients, requiring more training, wanting more features, diminishing productivity, appreciating benefits of templates, and enhancing internal communication. The need for better training appeared to be of especially high importance as it impacted several of the other themes. We believe that our study helps validate the similar concerns expressed in studies of transitions from paper to electronic record systems. Our method may be generally useful to other clinics because it facilitates timely recognition of themes, both positive and negative, that clinicians and clinic managers would want to know at an early stage. Prompt knowledge of such developing themes may help to accentuate the positive aspects of the EHR and to prevent negative themes from developing into serious problems that might be considered serious unintended consequences of EHR usage.