Evidence & Resource Library

The SIREN Evidence & Resource Library has expanded to include both peer-reviewed publications and other types of resources such as webinars and screening tools/toolkits on medical and social care integration. To limit your search to peer-reviewed articles, select Peer Reviewed Research under Resource Type. If you have questions about how to use the library or suggestions about additional resources, view this help document or write us at [email protected]. Sign up to receive our monthly newsletter to get alerts about recent additions to the Evidence & Resource Library.

Displaying 11 - 20 of 34

Reducing emergency room visits and in-hospitalizations by implementing best practice for transitional care using innovative technology and big data

S. Hewner, S.S. Sullivan, G. Yu
Worldviews Evid Based Nurs

Background: Efforts to improve care transitions require coordination across the healthcare continuum and interventions that enhance communication between acute and community settings.

2018

Peer Reviewed Research

Pre-post with Comparison Group

Community navigators reduce hospital utilization in super-utilizers

M.P. Thompson, P.S.B. Podila, C. Clay, J. Sharp, S. Bailey-DeLeeuw, A.J. Berkley, B.G. Baker, T.M. Waters
Am J Manag Care

Objectives: Super-utilizers place a significant burden on the healthcare system. Blending the roles of patient navigators and community health workers may address the clinical and social needs of these patients.

2018

Peer Reviewed Research

Pre-post with Comparison Group

Hospital readmission and social risk factors identified from physician notes

A.S. Navathe, F. Zhong, V.J. Lei, F.Y. Chang, M. Sordo, M. Topaz, S.B. Navathe, R.A. Rocha, L. Zhou
Health Serv Res

Objective: To evaluate the prevalence of seven social factors using physician notes as compared to claims and structured electronic health records (EHRs) data and the resulting association with 30-day readmissions.

2018

Peer Reviewed Research

Other Study Design

ICD social codes: An underutilized resource for tracking social needs

J.M. Torres, J. Lawlor, J.D. Colvin, M.R. Sills, J.L. Bettenhausen, A. Davidson, G.J. Cutler, M. Hall, L.M. Gottlieb
Med Care

Background: Social determinants of health (SDH) data collected in health care settings could have important applications for clinical decision-making, population health strategies, and the design of performance-based incentives and penalties.

2017

Peer Reviewed Research

Other Study Design

Case study: Johns Hopkins Community Health Partnership: A model for transformation

S.A. Berkowitz, P. Brown, D.J. Brotman, A. Deutschendorf, L. Dunbar, A. Everett, D. Hickman, E. Howell, L. Purnell, C. Sylvester, R. Zollinger, M. Bellantoni, S.C. Durso, C. Lyketsos, P. Rothman, J-CHiP Program
Healthc

To address the challenging health care needs of the population served by an urban academic medical center, we developed the Johns Hopkins Community Health Partnership (J-CHiP), a novel care coordination program that provides services in homes, community clinics, acute care hospitals, emergency...

2016

Peer Reviewed Research

Other Study Design

Caregiver opinion of in-hospital screening for unmet social needs by pediatric residents

J.D. Colvin, J.L. Bettenhausen, K.D. Anderson-Carpenter, V. Collie-Akers, P.J. Chung
Acad Pediatr

Objective: Child health is strongly influenced by social determinants. Little is known about the opinions of primary caregivers regarding the physicians' role in addressing social needs.

2016

Peer Reviewed Research

Other Study Design

Hospital- and community-based interventions enhancing (re)employment for people with spinal cord injury: A systematic review

E.H. Roels, B. Aertgeerts, D. Ramaekers, K. Peers
Spinal Cord

Study Design: Systematic Review.

Objectives: To investigate the effect of interventions enhancing (re)employment following spinal cord injury (SCI).

Setting: Studies from multiple countries were included.

2016

Peer Reviewed Research

Review

Multiple behavior change intervention to improve detection of unmet social needs and resulting resource referrals

J.D. Colvin, J.L. Bettenhausen, K.D. Anderson-Carpenter, V. Collie-Akers, L. Plencner, M. Krager, B. Nelson, S. Donnelly, J. Simmons, V. Higinio, P.J. Chung
Acad Pediatr

Objective: It is critical that pediatric residents learn to effectively screen families for active and addressable social needs (ie, negative social determinants of health).

2016

Peer Reviewed Research

Other Study Design

Saving lives and saving money: Hospital-based violence intervention is cost-effective

C. Juillard, R. Smith, N. Anaya, A. Garcia, J.G. Kahn, R.A. Dicker
J Trauma Acute Care Surg

BACKGROUND: Victims of violence are at significant risk for injury recidivism, including fatality. We previously demonstrated that our hospital-based violence intervention program (VIP) resulted in a fourfold reduction in injury recidivism, avoiding trauma care costs of $41,000 per injury.

2015

Peer Reviewed Research

Other Study Design

Medical-legal strategies to improve infant health care: a randomized trial

R. Sege, G. Preer, S.J. Morton, H. Cabral, O. Morakinyo, V. Lee, C. Abreu, E. De Vos, M. Kaplan-Sanoff
Pediatrics

Background: Changes in health care delivery create opportunities to improve systems to better meet the needs of low-income families while achieving quality benchmarks.

2015

Peer Reviewed Research

Randomized Controlled Trial (RCT)
CSV