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  1. Article ; Online: Management of chronic musculoskeletal pain in an adult with Down syndrome using a modified pain neuroscience approach: a case report.

    Osborne, Maria / Grimes, Jason K

    Physiotherapy theory and practice

    2022  Volume 39, Issue 12, Page(s) 2750–2755

    Abstract: Background: The use of pain neuroscience education (PNE) in the management of chronic musculoskeletal pain is well documented in the literature for the adult population. However, the use of this component within the larger biopsychosocial approach has ... ...

    Abstract Background: The use of pain neuroscience education (PNE) in the management of chronic musculoskeletal pain is well documented in the literature for the adult population. However, the use of this component within the larger biopsychosocial approach has not been examined in adults with intellectual disabilities. The purpose of this case report is to describe the utilization of a PNE approach combined with exercise in the physical therapy management of chronic musculoskeletal pain in an adult with Down syndrome.
    Case description: The patient was a 40-year-old man with Down syndrome who presented with chronic low back pain that affected his sleep, participation at work, and social activities. Modified metaphors were used to assist the patient in understanding his pain experience as part of a multi-modal program that included exercise and aquatic therapy.
    Outcomes: Upon concluding 11 weeks of treatment, the patient returned to his prior work schedule and social activities with a pain rating at worst of 3/10 on the numeric pain rating scale with only occasional pain episodes. His disability score on the Oswestry Disability Index improved by 39% relative to baseline.
    Discussion: The findings demonstrate how utilizing PNE within a physical therapy plan of care was used in the management of chronic musculoskeletal pain to improve function in an adult with Down syndrome.
    MeSH term(s) Male ; Humans ; Adult ; Musculoskeletal Pain/diagnosis ; Musculoskeletal Pain/therapy ; Down Syndrome/complications ; Chronic Pain ; Low Back Pain/therapy ; Pain Management
    Language English
    Publishing date 2022-07-01
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1045333-7
    ISSN 1532-5040 ; 0959-3985
    ISSN (online) 1532-5040
    ISSN 0959-3985
    DOI 10.1080/09593985.2022.2095682
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: CenSoc: Public Linked Administrative Mortality Records for Individual-level Research.

    Breen, Casey F / Osborne, Maria / Goldstein, Joshua R

    Scientific data

    2023  Volume 10, Issue 1, Page(s) 802

    Abstract: In the United States, much has been learned about the determinants of longevity from survey data and aggregated tabulations. However, the lack of large-scale, individual-level administrative mortality records has proven to be a barrier to further ... ...

    Abstract In the United States, much has been learned about the determinants of longevity from survey data and aggregated tabulations. However, the lack of large-scale, individual-level administrative mortality records has proven to be a barrier to further progress. We introduce the CenSoc datasets, which link the complete-count 1940 U.S. Census to Social Security mortality records. These datasets-CenSoc-DMF (N = 4.7 million) and CenSoc-Numident (N = 7.0 million)-primarily cover deaths among individuals aged 65 and older. The size and richness of CenSoc allows investigators to make new discoveries into geographic, racial, and class-based disparities in old-age mortality in the United States. This article gives an overview of the technical steps taken to construct these datasets, validates them using external aggregate mortality data, and discusses best practices for working with these datasets. The CenSoc datasets are publicly available, enabling new avenues of research into the determinants of mortality disparities in the United States.
    MeSH term(s) Humans ; Racial Groups ; Surveys and Questionnaires ; United States ; Mortality
    Language English
    Publishing date 2023-11-15
    Publishing country England
    Document type Dataset ; Journal Article
    ZDB-ID 2775191-0
    ISSN 2052-4463 ; 2052-4463
    ISSN (online) 2052-4463
    ISSN 2052-4463
    DOI 10.1038/s41597-023-02713-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Key factors for sustainable integration of pharmacists in team-based primary care physician practices.

    Dombrowski, Sarah Krahe / Bacci, Jennifer L / Klatt, Patricia M / Osborne, Maria / Castelli, Gregory / Burns, Anne / Somma McGivney, Melissa A

    Journal of the American Pharmacists Association : JAPhA

    2019  Volume 59, Issue 3, Page(s) 439–448.e1

    Abstract: Objectives: To (1) identify strategies for financial justification of pharmacists integrated into team-based primary care, (2) describe the payment models currently used for integration of pharmacists into team-based primary care, and (3) elicit key ... ...

    Abstract Objectives: To (1) identify strategies for financial justification of pharmacists integrated into team-based primary care, (2) describe the payment models currently used for integration of pharmacists into team-based primary care, and (3) elicit key factors facilitating sustainable pharmacist-provided patient care services in the primary care setting.
    Design: Qualitative analysis using semistructured interviews.
    Setting: Nonacademic outpatient primary care physician practices throughout the United States from January to April 2014.
    Participants: Pharmacists responsible for leadership of clinical pharmacists in primary care practices whose positions are supported through nondispensing patient care services.
    Main outcome measures: Current payment model, infrastructure, documentation strategies, and methods of quality assessment.
    Results: Twelve interviews were conducted. Practices included a combination of single- and mixed-payer models in integrated and nonintegrated health systems. Various billing strategies were used, particularly in nonintegrated models, to sustain pharmacists in primary care practices utilizing both fee-for-service (FFS) and value-based incentives payments. Five main themes were elicited: (1) Pharmacists are integrated and valuable members of health care teams; (2) pharmacists are documenting in an accessible electronic health record; (3) data tracking is a facilitator for justifying and adapting practice; (4) systematized processes for pharmacist integration exist in each practice; and (5) pharmacists' responsibilities on the team have grown and evolved over time.
    Conclusion: Pharmacists' contributions to improving patients' medication-related care are the same regardless of payment model. Financially sustainable integration of pharmacists on the team involves using a combination of FFS and value-based incentive payments, consistent documentation, meaningful collection of pharmacists' contributions to improve the quality of care, and a firm understanding of the practice's needs and financial structure. These themes can be used as a guide for pharmacists as they establish themselves in an FFS environment and adapt to a future in value-based care.
    MeSH term(s) Delivery of Health Care ; Education, Pharmacy ; Humans ; Interviews as Topic ; Leadership ; Patient Care/trends ; Patient Care Team/trends ; Pharmacists/economics ; Pharmacists/trends ; Physicians, Primary Care/economics ; Physicians, Primary Care/organization & administration ; Primary Health Care/organization & administration ; Professional Role ; Prospective Payment System ; Sustainable Development ; United States
    Language English
    Publishing date 2019-04-11
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2118585-2
    ISSN 1544-3450 ; 1544-3191 ; 1086-5802
    ISSN (online) 1544-3450
    ISSN 1544-3191 ; 1086-5802
    DOI 10.1016/j.japh.2019.02.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Pharmacist-Delivered Comprehensive Medication Management Within Family Medicine Practices An Evaluation of the SCRIPT Project.

    Castelli, Gregory / Bacci, Jennifer L / Dombrowski, Sarah Krahe / Osborne, Maria / Difilippo, Aaron / Klatt, Patricia M / McGivney, Melissa Somma

    Family medicine

    2018  Volume 50, Issue 8, Page(s) 605–612

    Abstract: Background and objectives: Pharmacist inclusion in patient-centered medical home (PCMH) teams has been shown to benefit both patients and practices. However, pharmacists' inclusion on these teams is not widespread, partly because the work they do is not ...

    Abstract Background and objectives: Pharmacist inclusion in patient-centered medical home (PCMH) teams has been shown to benefit both patients and practices. However, pharmacists' inclusion on these teams is not widespread, partly because the work they do is not well known. The Successful Collaborative Relationships to Improve PatienT care (SCRIPT) project was started in August 2009 to understand the clinical and economic impact of pharmacists providing direct patient care. The objective of this study was to describe the work of pharmacists practicing as integrated members of the patient care team within PCMHs through retrospective analysis of their patient care documentation over a 4-year time frame. Two pharmacists were placed into four suburban medical home practices in Pittsburgh, Pennsylvania to perform comprehensive medication management (CMM). These pharmacists documented their CMM encounters in an electronic health record and a database for reporting purposes.
    Methods: This study is a retrospective, descriptive analysis of pharmacist-documented CMM encounters from February 2010 through February 2014. Pharmacists' work-including patient demographics, disease states, and medication therapy problems-was recorded in a Microsoft Access database and tabulated.
    Results: The pharmacists conducted 11,206 CMM encounters with 3,777 unique patients during the study period. The pharmacists identified 9,375 medication therapy problems (MTPs) and performed 14,092 interventions. Pharmacists most commonly worked with patients with diabetes, hypertension, pain, and hyperlipidemia. Physician and patient acceptance of the pharmacists' work was high.
    Conclusions: Pharmacists working in family medicine offices contribute to patient care through identification and resolution of MTPs and also by collaborating with PCMH teams.
    MeSH term(s) Delivery of Health Care, Integrated/organization & administration ; Family Practice/organization & administration ; Female ; Humans ; Male ; Medication Therapy Management/organization & administration ; Medication Therapy Management/trends ; Middle Aged ; Patient Care Team/organization & administration ; Patient-Centered Care/organization & administration ; Pharmacists ; Professional Role ; Retrospective Studies
    Language English
    Publishing date 2018-09-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639374-3
    ISSN 1938-3800 ; 0742-3225
    ISSN (online) 1938-3800
    ISSN 0742-3225
    DOI 10.22454/FamMed.2018.391124
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Evaluating Pennsylvania Pharmacists' Provision of Community-based Patient Care Services to Develop a Statewide Practice Network.

    Osborne, Maria A / Snyder, Margie E / Hall, Deanne L / Coley, Kim C / McGivney, Melissa Somma

    Innovations in pharmacy

    2014  Volume 2, Issue 4, Page(s) 61

    Abstract: Objective: To identify and describe Pennsylvania pharmacists who currently provide or are interested in providing community-based patient care services and are interested in joining a statewide practice network.: Design: Cross-sectional survey.: ... ...

    Abstract Objective: To identify and describe Pennsylvania pharmacists who currently provide or are interested in providing community-based patient care services and are interested in joining a statewide practice network.
    Design: Cross-sectional survey.
    Setting: February to June 2009 in Pennsylvania.
    Participants: 1700 pharmacists.
    Intervention: Mailed and electronic survey.
    Main outcome measures: Number and geographic location of pharmacists providing or interested in providing community-based patient care in Pennsylvania. Description of patient care documentation methods; physical space; services provided; perceived barriers to providing patient care; training needs; and interest in joining a statewide practice network.
    Results: The final analysis included data from 1700 pharmacists. Approximately one-third of pharmacists (n=554) were providing patient care services to community-based patients. Most were routinely documenting (67.5%) and many had a semi-private or private space to provide care. MTM and immunizations were the most common services provided. Respondents reported the most significant barrier to providing MTM, diabetes education, and smoking cessation education was time constraints, whereas training was a barrier for immunization provision. Most pharmacists were not being compensated for patient care services. Of the 869 pharmacists interested in joining a statewide network, those providing care were more interested in joining than those who were not (70.8% vs. 43.8%, p < 0.001). CONCLUSION: Pennsylvania pharmacists are interested in providing community-based patient care services and joining a statewide practice network focused on providing community-based patient care services. This research serves as a foundation for building a pharmacist practice network in Pennsylvania.
    Language English
    Publishing date 2014-11-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2689516-X
    ISSN 2155-0417
    ISSN 2155-0417
    DOI 10.24926/iip.v2i4.244
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The pharmacists' role in the Patient-Centered Medical Home (PCMH): a white paper created by the Health Policy Committee of the Pennsylvania Pharmacists Association (PPA).

    Berdine, Hildegarde / Dougherty, Tanya / Ference, Jonathan / Karpa, Kelly / Klootwyk, Jacqueline / Kozminski, Melinda / Leon, Nicholas / Osborne, Maria / Welch, Adam C / Willey, Vincent J / Peterson, Andrew / Stanchak, Lauren A / Whisler, Allen G

    The Annals of pharmacotherapy

    2012  Volume 46, Issue 5, Page(s) 723–750

    MeSH term(s) Health Policy ; Humans ; Medication Therapy Management/organization & administration ; Patient-Centered Care/methods ; Patient-Centered Care/organization & administration ; Pennsylvania ; Pharmaceutical Services/organization & administration ; Pharmacists ; Professional Role ; Societies, Pharmaceutical
    Language English
    Publishing date 2012-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1101370-9
    ISSN 1542-6270 ; 1060-0280
    ISSN (online) 1542-6270
    ISSN 1060-0280
    DOI 10.1345/aph.1R189
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