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Your search keyword '"Navale, Suparna M"' showing total 28 results
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28 results on '"Navale, Suparna M"'

2. Capturing the care of complex community‐based health center patients: A comparison of multimorbidity indices and clinical classification software.

Author

Navale, Suparna M., Koroukian, Siran, Cook, Nicole, Templeton, Anna, McGrath, Brenda M., Crocker, Laura, Bensken, Wyatt P., Quiñones, Ana R., Schiltz, Nicholas K., Wei, Melissa Y., and Stange, Kurt C.

Subjects
*MEDICAL records, *OLDER people, *CHRONIC diseases, *MEDICAL centers, *PRIMARY care
Abstract

Objective Data Sources and Study Setting Study Design Data Collection/Extraction Methods Principal Findings Conclusion To compare morbidity burden captured from multimorbidity indices and aggregated measures of clinically meaningful categories captured in primary care community‐based health center (CBHC) patients.Electronic health records of patients seen in 2019 in OCHIN's national network of CBHCs serving patients in rural and underserved communities.Age‐stratified analyses comparing the most common conditions captured by the Charlson, Elixhauser, and Multimorbidity Weighted (MWI) indices, and Classification Software Refined (CCSR) and Chronic Condition Indicator (CCI) algorithms.Active ICD‐10 conditions on patients' problem list in 2019.Approximately 35%–56% of patients with at least one condition are not captured by the Charlson, Elixhauser, and MWI indices. When stratified by age, this range broadens to 9%–90% with higher percentages in younger patients. The CCSR and CCI reflect a broader range of acute and chronic conditions prevalent among CBHC patients.Three commonly used indices to capture morbidity burden reflect conditions most prevalent among older adults, but do not capture those on problem lists for younger CBHC patients. An index with an expanded range of care conditions is needed to understand the complex care provided to primary care populations across the lifespan. [ABSTRACT FROM AUTHOR]

Published
2024
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4. Variation in multimorbidity by sociodemographics and social drivers of health among patients seen at community-based health centers

Author

Bensken, Wyatt P, primary, Navale, Suparna M, additional, McGrath, Brenda M, additional, Cook, Nicole, additional, Nishiike, Yui, additional, Mertes, Gretchen, additional, Goueth, Rose, additional, Jones, Matthew, additional, Templeton, Anna, additional, Zyzanski, Stephen J, additional, Koroukian, Siran M, additional, and Stange, Kurt C, additional

Published
2024
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8. Cancer burden in women with HIV on Medicaid: A nationwide analysis

Author

Zhou, Guangjin, primary, Koroukian, Siran M, additional, Navale, Suparna M, additional, Schiltz, Nicholas K, additional, Kim, Uriel, additional, Rose, Johnie, additional, Cooper, Gregory S, additional, Moore, Scott E, additional, Mintz, Laura J, additional, Avery, Ann K, additional, Mukherjee, Sudipto, additional, and Markt, Sarah C, additional

Published
2023
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9. sj-docx-1-whe-10.1177_17455057231170061 – Supplemental material for Cancer burden in women with HIV on Medicaid: A nationwide analysis

Author

Zhou, Guangjin, Koroukian, Siran M, Navale, Suparna M, Schiltz, Nicholas K, Kim, Uriel, Rose, Johnie, Cooper, Gregory S, Moore, Scott E, Mintz, Laura J, Avery, Ann K, Mukherjee, Sudipto, and Markt, Sarah C

Subjects
FOS: Clinical medicine, 111402 Obstetrics and Gynaecology
Abstract

Supplemental material, sj-docx-1-whe-10.1177_17455057231170061 for Cancer burden in women with HIV on Medicaid: A nationwide analysis by Guangjin Zhou, Siran M Koroukian, Suparna M Navale, Nicholas K Schiltz, Uriel Kim, Johnie Rose, Gregory S Cooper, Scott E Moore, Laura J Mintz, Ann K Avery, Sudipto Mukherjee and Sarah C Markt in Women's Health

Published
2023
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10. sj-docx-2-whe-10.1177_17455057231170061 – Supplemental material for Cancer burden in women with HIV on Medicaid: A nationwide analysis

Author

Zhou, Guangjin, Koroukian, Siran M, Navale, Suparna M, Schiltz, Nicholas K, Kim, Uriel, Rose, Johnie, Cooper, Gregory S, Moore, Scott E, Mintz, Laura J, Avery, Ann K, Mukherjee, Sudipto, and Markt, Sarah C

Subjects
FOS: Clinical medicine, 111402 Obstetrics and Gynaecology
Abstract

Supplemental material, sj-docx-2-whe-10.1177_17455057231170061 for Cancer burden in women with HIV on Medicaid: A nationwide analysis by Guangjin Zhou, Siran M Koroukian, Suparna M Navale, Nicholas K Schiltz, Uriel Kim, Johnie Rose, Gregory S Cooper, Scott E Moore, Laura J Mintz, Ann K Avery, Sudipto Mukherjee and Sarah C Markt in Women's Health

Published
2023
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11. sj-docx-3-whe-10.1177_17455057231170061 – Supplemental material for Cancer burden in women with HIV on Medicaid: A nationwide analysis

Author

Zhou, Guangjin, Koroukian, Siran M, Navale, Suparna M, Schiltz, Nicholas K, Kim, Uriel, Rose, Johnie, Cooper, Gregory S, Moore, Scott E, Mintz, Laura J, Avery, Ann K, Mukherjee, Sudipto, and Markt, Sarah C

Subjects
FOS: Clinical medicine, 111402 Obstetrics and Gynaecology
Abstract

Supplemental material, sj-docx-3-whe-10.1177_17455057231170061 for Cancer burden in women with HIV on Medicaid: A nationwide analysis by Guangjin Zhou, Siran M Koroukian, Suparna M Navale, Nicholas K Schiltz, Uriel Kim, Johnie Rose, Gregory S Cooper, Scott E Moore, Laura J Mintz, Ann K Avery, Sudipto Mukherjee and Sarah C Markt in Women's Health

Published
2023
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14. Excess cancer prevalence in men with HIV: A nationwide analysis of Medicaid data

Author

Koroukian, Siran M., primary, Zhou, Guangjin, additional, Navale, Suparna M., additional, Schiltz, Nicholas K., additional, Kim, Uriel, additional, Rose, Johnie, additional, Cooper, Gregory S., additional, Moore, Scott Emory, additional, Mintz, Laura J., additional, Avery, Ann K., additional, Mukherjee, Sudipto, additional, and Markt, Sarah C., additional

Published
2022
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16. The Role of Frailty in Failure to Rescue After Cardiovascular Surgery

Author

Dewan, Krish C., primary, Navale, Suparna M., additional, Hirji, Sameer A., additional, Koroukian, Siran M., additional, Dewan, Karan S., additional, Svensson, Lars G., additional, Gillinov, A. Marc, additional, Roselli, Eric E., additional, Johnston, Douglas, additional, Bakaeen, Faisal, additional, and Soltesz, Edward G., additional

Published
2021
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27. Abstract 16230: Multimorbidity Predicts Patient-Centered Outcomes After Cardiac Surgery

Author

Dewan, Krish C, Zhou, Guangjin, Navale, Suparna M, Koroukian, Siran M, Schiltz, Nicholas K, Gillinov, Marc, and Soltesz, Edward G

Abstract

Introduction:Though frailty is known to negatively impact outcomes after cardiac surgery (CS), it has not been uniformly defined. We used multimorbidity (MM) to characterize frail CS patients, determine its effect on patient-centered outcomes, and identify combinations of baseline characteristics that predict poor health after CS.Methods:889 patients who underwent CS were identified from the Health and Retirement Study, a representative sample of U.S. adults age ?50 from 1993-2012. MM was composed of chronic conditions, functional limitations, and geriatric syndromes. Outcomes included self-rated worse health at follow-up and 2-year mortality. A tree-based classification and regression (CART) algorithm identified the most impactful combinations of baseline characteristics that predicted poor outcomes.Results:Over the study period, patients with limitations in all three MM measures increased from 29% to 37% (p=0.02). Falls (p=0.003) and chronic comorbidities at baseline including cancer (p=0.045) and arthritis (p<0.001) also increased. Geriatric syndromes and functional limitations, not chronic comorbidities, predicted worse health in multivariable regression. Severe pain, impaired vision, and persistent dizziness were among the top individual predictors of worse reported health. Difficulty in lifting 10 pounds, rising from a chair, moving a large object, and walking several blocks predicted 2-year mortality. CART analysis demonstrated that the combination of difficulty rising from a chair, difficulty climbing stairs, and age <75 were present in over 60% of patients reporting worse health.Conclusions:MM has significantly increased over the past three decades. Functional limitations and geriatric syndromes in older patients play a major role in influencing patient-centered outcomes. These results highlight the importance of optimizing functional reserve in older patients to optimize quality of life after CS.

Published
2019
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28. Care Delivery in Community Health Centers Before, During, and After the COVID-19 Pandemic (2019-2022).

Author

Cook N, McGrath BM, Navale SM, Koroukian SM, Templeton AR, Crocker LC, Zyzanski SJ, Bensken WP, and Stange KC

Subjects
Humans, Child, Pandemics, Delivery of Health Care, Community Health Centers, COVID-19 epidemiology, Telemedicine
Abstract

Introduction: Health centers provide primary and behavioral health care to the nation's safety net population. Many health centers served on the frontlines of the COVID-19 pandemic, which brought major changes to health center care delivery., Objective: To elucidate primary care and behavioral health service delivery patterns in health centers before and during the COVID-19 public health emergency (PHE)., Methods: We compared annual and monthly patients from 2019 to 2022 for new and established patients by visit type (primary care, behavioral health) and encounter visits by modality (in-person, telehealth) across 218 health centers in 13 states., Results: There were 1581,744 unique patients in the sample, most from health disparate populations. Review of primary care data over 4 years show that health centers served fewer pediatric patients over time, while retaining the capacity to provide to patients 65+. Monthly data on encounters highlights that the initial shift in March/April 2020 to telehealth was not sustained and that in-person visits rose steadily after November/December 2020 to return as the predominant care delivery mode. With regards to behavioral health, health centers continued to provide care to established patients throughout the PHE, while serving fewer new patients over time. In contrast to primary care, after initial uptake of telehealth in March/April 2020, telehealth encounters remained the predominant care delivery mode through 2022., Conclusion: Four years of data demonstrate how COVID-19 impacted delivery of primary care and behavioral health care for patients, highlighting gaps in pediatric care delivery and trends in telehealth over time., Competing Interests: Conflict of interest:: The authors have no conflicts of interest to declare., (© Copyright by the American Board of Family Medicine.)

Published
2024
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