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  1. Article: Integrating Strategic and Operational Decision Making Using Data-Driven Dashboards: The Case of St. Joseph Mercy Oakland Hospital.

    Jack Weiner / Balijepally, Venugopal / Tanniru, Mohan

    Journal of healthcare management / American College of Healthcare Executives

    2015  Volume 60, Issue 5, Page(s) 319–330

    Abstract: ... at St. Joseph Mercy Oakland (SJMO) Hospital in Pontiac, Michigan, was instrumental in supporting ...

    Abstract Hospitals have invested and continue to invest heavily in building information systems to support operations at various levels of administration. These systems generate a lot of data but fail to effectively convert these data into actionable information for decision makers. Such ineffectiveness often is attributed to a lack of alignment between strategic planning and information technology (IT) initiatives supporting operational goals. We present a case study that illustrates how the use of digital dashboards at St. Joseph Mercy Oakland (SJMO) Hospital in Pontiac, Michigan, was instrumental in supporting such an alignment. Driven by a focus on key performance indicators (KPIs), dashboard applications also led to other tangible and intangible benefits. An ability to track KPIs over time and against established targets, with drill-down capabilities, allowed leadership to hold staff members accountable for achieving their performance targets. By displaying the dashboards in prominent locations (such as operational unit floors, the physicians' cafeteria, and nursing stations), SJMO ushered in transparency in the planning and monitoring processes. The need to develop KPI metrics and drive data collection efforts became ingrained in the work ethos of people at every level of the organization. Although IT-enabled dashboards have been instrumental in supporting this cultural transformation, the focus of investment was the ability of technology to make collective vision and action the responsibility of all stakeholders.
    MeSH term(s) Benchmarking ; California ; Decision Making, Organizational ; Hospitals, Religious ; Organizational Case Studies ; Quality Indicators, Health Care
    Language English
    Publishing date 2015-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1418083-2
    ISSN 1944-7396 ; 1096-9012
    ISSN (online) 1944-7396
    ISSN 1096-9012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Confession.

    Weiner, Joseph S

    Patient education and counseling

    2024  Volume 122, Page(s) 108160

    MeSH term(s) Humans ; Social Behavior ; Trust
    Language English
    Publishing date 2024-01-18
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 605590-4
    ISSN 1873-5134 ; 0738-3991
    ISSN (online) 1873-5134
    ISSN 0738-3991
    DOI 10.1016/j.pec.2024.108160
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Joseph-Pierre-Martin Rollet

    Weiner, D. B

    Dictionary of scientific biography vol. 11

    1975  

    Author's details D. B. Weiner
    MeSH term(s) Sexually Transmitted Diseases/history ; History, Modern 1601-
    Keywords France
    Language Undetermined
    Size p. 515-516.
    Document type Article
    Database Catalogue of the US National Library of Medicine (NLM)

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  4. Article: Joseph-Louis Renaut

    Weiner, D. B

    Dictionary of Scientific Biography XI

    1974  

    Author's details D. B. Weiner
    MeSH term(s) Histology/history ; History, Modern 1601-
    Keywords France
    Language Undetermined
    Size p. 373-374.
    Document type Article
    Database Catalogue of the US National Library of Medicine (NLM)

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  5. Article ; Online: Defining Overlooked Structures Reveals New Associations between the Cortex and Cognition in Aging and Alzheimer's Disease.

    Maboudian, Samira A / Willbrand, Ethan H / Kelly, Joseph P / Jagust, William J / Weiner, Kevin S

    The Journal of neuroscience : the official journal of the Society for Neuroscience

    2024  Volume 44, Issue 16

    Abstract: Recent work suggests that indentations of the cerebral cortex, or sulci, may be uniquely vulnerable to atrophy in aging and Alzheimer's disease (AD) and that the posteromedial cortex (PMC) is particularly vulnerable to atrophy and pathology accumulation. ...

    Abstract Recent work suggests that indentations of the cerebral cortex, or sulci, may be uniquely vulnerable to atrophy in aging and Alzheimer's disease (AD) and that the posteromedial cortex (PMC) is particularly vulnerable to atrophy and pathology accumulation. However, these studies did not consider small, shallow, and variable tertiary sulci that are located in association cortices and are often associated with human-specific aspects of cognition. Here, we manually defined 4,362 PMC sulci in 432 hemispheres in 216 human participants (50.5% female) and found that these smaller putative tertiary sulci showed more age- and AD-related thinning than larger, more consistent sulci, with the strongest effects for two newly uncovered sulci. A model-based approach relating sulcal morphology to cognition identified that a subset of these sulci was most associated with memory and executive function scores in older adults. These findings lend support to the retrogenesis hypothesis linking brain development and aging and provide new neuroanatomical targets for future studies of aging and AD.
    MeSH term(s) Humans ; Female ; Aged ; Male ; Alzheimer Disease/pathology ; Cerebral Cortex/pathology ; Aging/pathology ; Cognition ; Atrophy/pathology ; Magnetic Resonance Imaging
    Language English
    Publishing date 2024-04-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604637-x
    ISSN 1529-2401 ; 0270-6474
    ISSN (online) 1529-2401
    ISSN 0270-6474
    DOI 10.1523/JNEUROSCI.1714-23.2024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Directly Observed Care: Crossing the Chasm of Quality Measurement.

    Kelley, A Taylor / Weiner, Saul J / Francis, Joseph

    Journal of general internal medicine

    2022  Volume 38, Issue 1, Page(s) 203–207

    Abstract: After more than two decades of national attention to quality improvement in US healthcare, significant gaps in quality remain. A fundamental problem is that current approaches to measure quality are indirect and therefore imprecise, focusing on clinical ... ...

    Abstract After more than two decades of national attention to quality improvement in US healthcare, significant gaps in quality remain. A fundamental problem is that current approaches to measure quality are indirect and therefore imprecise, focusing on clinical documentation of care rather than the actual delivery of care. The National Academy of Medicine (NAM) has identified six domains of quality that are essential to address to improve quality: patient-centeredness, equity, timeliness, efficiency, effectiveness, and safety. In this perspective, we describe how directly observed care-a recorded audit of clinical care delivery-may address problems with current quality measurement, providing a more holistic assessment of healthcare delivery. We further show how directly observed care has the potential to improve each NAM domain of quality.
    MeSH term(s) Humans ; Delivery of Health Care ; Quality Improvement ; Quality of Health Care
    Language English
    Publishing date 2022-09-20
    Publishing country United States
    Document type Editorial ; Research Support, U.S. Gov't, P.H.S. ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-022-07781-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Enjoy the Vase.

    Weiner, Joseph S

    JAMA

    2021  Volume 325, Issue 7, Page(s) 629

    MeSH term(s) Bereavement ; Female ; Humans ; Lung Neoplasms/psychology ; Male ; Philosophy ; Prostate-Specific Antigen/blood ; Prostatic Neoplasms/psychology ; Spouses
    Chemical Substances Prostate-Specific Antigen (EC 3.4.21.77)
    Language English
    Publishing date 2021-02-16
    Publishing country United States
    Document type Journal Article ; Personal Narrative
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2020.26876
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Increasing Incidence of Streptococcus anginosus Group Intracranial Infections Associated With Sinusitis, Otitis Media, and Mastoiditis in Children.

    Hoyer, Elisabeth A / Joseph, Marritta / Dunn, James / Weiner, Howard L / Dimachkieh, Amy / Flores, Anthony R / Sanson, Misu A / Ayele, Hossaena / Hanson, Blake M / Kaplan, Sheldon L / Vallejo, Jesus G / McNeil, J Chase

    The Pediatric infectious disease journal

    2024  

    Abstract: Background: The Streptococcus anginosus group (SAG) pathogens have the potential to cause head and neck space infections, including intracranial abscesses. Several centers noted an increase in intracranial abscesses in children during the SARS-CoV-2 ... ...

    Abstract Background: The Streptococcus anginosus group (SAG) pathogens have the potential to cause head and neck space infections, including intracranial abscesses. Several centers noted an increase in intracranial abscesses in children during the SARS-CoV-2 pandemic, prompting a Centers for Disease Control and Prevention health alert in May 2022. We examined the epidemiology of pediatric intracranial abscesses at a tertiary care center with a focus on SAG pre- and post-pandemic.
    Methods: Cases of intracranial abscesses of any microbiologic etiology admitted from January 2011 to December 2022 were identified using International Classification of Diseases 10 codes. Subjects were cross-referenced with culture results from the microbiology laboratory at Texas Children's Hospital. Cases included were those associated with either otitis media, mastoiditis or sinusitis and medical records were reviewed.
    Results: A total of 157 cases were identified and 59.9% (n = 94) were caused by SAG. The incidence of all sinogenic/otogenic intracranial infections (P = 0.002), and SAG-specific infections (P = 0.004), increased from 2011 to 2022. SAG infection was more often associated with multiple surgeries, and these subjects were more likely to require craniotomy or craniectomy. Among sinogenic abscesses, S. intermedius was the most common pathogen, while among otogenic cases, S. pyogenes predominated. From March 2020 to Dec 2022, 9/49 cases tested positive for SARS-CoV-2 (18.4%); characteristics of infection were not significantly different among cases with and without SARS-CoV-2.
    Conclusions: Over the last decade, intracranial complications of sinusitis/otitis have been increasing, specifically those caused by SAG; this trend, however, predated the SARS-CoV-2 pandemic. SAG was associated with a greater need for surgical intervention, specifically neurosurgery. Further work is necessary to determine the cause for these rising infections.
    Language English
    Publishing date 2024-04-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392481-6
    ISSN 1532-0987 ; 0891-3668
    ISSN (online) 1532-0987
    ISSN 0891-3668
    DOI 10.1097/INF.0000000000004346
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Sulcal morphology of posteromedial cortex substantially differs between humans and chimpanzees.

    Willbrand, Ethan H / Maboudian, Samira A / Kelly, Joseph P / Parker, Benjamin J / Foster, Brett L / Weiner, Kevin S

    bioRxiv : the preprint server for biology

    2023  

    Abstract: Recent studies identify a surprising coupling between evolutionarily new sulci and the functional organization of human posteromedial cortex (PMC). Yet, no study has compared this modern PMC sulcal patterning between humans and non-human hominoids. To ... ...

    Abstract Recent studies identify a surprising coupling between evolutionarily new sulci and the functional organization of human posteromedial cortex (PMC). Yet, no study has compared this modern PMC sulcal patterning between humans and non-human hominoids. To fill this gap in knowledge, we first manually defined 918 sulci in 120 chimpanzee (
    Language English
    Publishing date 2023-02-06
    Publishing country United States
    Document type Preprint
    DOI 10.1101/2023.02.06.527223
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Reply to S.G. Chun et al.

    Weiner, Joseph P

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology

    2020  Volume 38, Issue 29, Page(s) 3457–3458

    MeSH term(s) Brain Neoplasms ; Humans ; Radiation ; Radiotherapy, Intensity-Modulated
    Language English
    Publishing date 2020-08-12
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 604914-x
    ISSN 1527-7755 ; 0732-183X
    ISSN (online) 1527-7755
    ISSN 0732-183X
    DOI 10.1200/JCO.20.01284
    Database MEDical Literature Analysis and Retrieval System OnLINE

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