Publications

Scholarly Journals--Submitted

  • Krafft, E., Lee, J., Shah, H. Oh, J. & Nelson, A. (2021). Longitudinal Study of Job Satisfaction, Job Control, Job Stress, Spiritual Meaning and Medicare Payments Among Older Adults in the United States. Journal of Humanistic Psychology. (11/2021)
  • Castro, L., Lee, J., Morton, K. & Shah, H. Does Prayer after Experiencing Trauma Predict Later Stress (Under Review). International Journal for the Psychology and Religion. (08/2014)

Online Publications

Scholarly Journals--Published

  • Alammari D, Banta J E, Shah H, et al. (January 31, 2021) Meaningful Use of Electronic Health Records and Ambulatory Healthcare Quality Measures. Cureus 13(1): e13036. doi:10.7759/cureus.13036 Abstract Introduction Electronic Health Record (EHR) adoption rates for office-based physicians doubled between 2008 and 2015, from 42% to 89%, and more than 60% of all office-based physicians achieved meaningful use by 2016. The US government has paid billions of dollars in incentives to promote EHR meaningful use. Nonetheless, evidence linking EHR meaningful use to quality measures improvements is limited. Objective This study aims to examine the relationship between EHR meaningful use and capabilities among four quality measures in an ambulatory healthcare setting. Study design A cross-sectional study design of the 2015-2016 National Ambulatory Medical Care Survey dataset. Methods We used adjusted multivariate regression models to examine associations between (a) EHR meaningful use and (b) 10 EHR-computerized capabilities, with four quality measures (blood pressure screening, tobacco use screening, obesity screening, and obesity education). Results We analyzed 30,787 office visits, representing an annual estimate of 680 million national office visits. Results showed that 95% of visits were to offices meeting EHR meaningful use criteria. We found one positive association between EHR meaningful use and obesity screening (OR= 3.5, 95% CI [1.742-6.917]). We also found eight positive associations between EHR capabilities and three quality measures (screening for blood pressure and obesity, and obesity education). These associations included five EHR-computerized capabilities: “record patient problem list”, “view lab results”, “Reminders for interventions/screening”, “Order lab results” and “Recording clinical notes”. No EHR capability was associated with screening for tobacco use. Conclusions We looked at a handful of screening-oriented quality measures in ambulatory healthcare and found limited associations with EHR meaningful use but multiple positively significant associations with EHR capabilities. Although EHR meaningful use has become more commonly used, offering substantial administrative efficiency over paper records, current patterns of EHR meaningful use do not always appear to translate into a better quality of care in physician offices. However, quality measures used represent limited procedures for a handful of specific conditions and not the overall healthcare aspect. (01/2021)
  • Barilla, D., Shah, H., Rawson, R. (June 2019). Bold leadership is needed to transform healthcare. Journal of Healthcare Leadership (11), 81-85. https://doi.org/10.2147/JHL.S200952 Health care in the United States is going through significant changes and is at the forefront of the political landscape. While the health care debate rages on, leaders need to forge ahead and continue to work towards population-based health care and investing in their communities in a fiscally conscious way. Many innovations are happening but more needs to be done, especially in upstream services improving the health of the community. Research shows that investing in social care services and community-based investments results in lower health care expenditures and better health outcomes. Efforts should be placed on exploring a blended medical/social model of care while considering blended funding sources wherein the community needs to be active participants in this explorative process. (08/2019) (link)
  • Nelson, A., DeLeon, A., Modeste, N., , Marshak, H., Banta, J., Shah, H. (2018). Association of Covered California and Healthcare Access and Utilization among Latino Population. California Journal of Health Promotio. 16 (2). DOI: https://doi.org/10.32398/cjhp.v16i2.2089 Background and Purpose: The Patient Protection and Affordable Care Act resulted in establishment of Covered California (Covered CA), a marketplace providing federally subsidized health insurance in California. This study explored whether obtaining Covered CA coverage improves healthcare access and utilization among Latinos, and whether acculturation plays a role in utilization of healthcare. Methods: 270 Latino adults in San Diego community completed a self-report survey. Results: Those with Covered CA were significantly more likely to have a main provider (p<.0005), to select doctor’s office as location for services (p<.05), and significantly less likely (p<.0005) to report cost as an obstacle to care compared to uninsured participants. The more acculturated group was more likely to report receiving care at a doctor’s office (p<.05). Those who were less acculturated were more likely to report cost as an obstacle to care (p<.05). However, no significant associations were found between acculturation or insurance type and utilization of healthcare. Conclusion: Although health insurance and higher levels of acculturation do improve access, the study did not find their significant association with utilization of provider visits. Our results suggest that healthcare providers might want to consider additional factors to improve utilization of services instead of mainly emphasizing insurance. (08/2019)
  • Distelberg, B., Emerson, N, Gavaza, P., Tapanes, D., Brown, W, Shah, H., Williams Reade, J., and Montgomery, S. (2016). Cost-Benefit Analysis of a Family Systems Intervention for Managing Pediatric Chronic Illness. Family Intervention for Managing Pediatric Chronic Illness, 42(3), 371-382. doi: 10.1111/2Fjmft.12166 (07/2016)

Non-Scholarly Journals

  • 2019-2020 Environmental Scan. Healthpoint Hospital. Scan spanning global and local trends in Abu Dhabi for a specialty hospital to help with Strategy Facilitation. (11/2020)
  • - 2013-2015 LLUH Community Health Plan- Annual LLUBMC Environmental Scan (2008, 2009, 2010, 2011, 2012, 2013, 2014) (10/2008)

Abstract

  • Ciovica, A., Shah, H., Serrao, S., Morgan, R. et al. (August 8, 2012) Loma Linda University Behavioral Medicine Center Eating Disorder Program and the Use of the EDI-3 to Measure Outcomes. Presented Abstract at the Association for Ambulatory Behavioral Health Care Conference. (08/2012)