Diabetes to Go

Diabetes to Go

Overview

Diabetes self-management education and support (DSMES) is key to reducing the burden of diabetes both on those living with this chronic, complex condition and on the healthcare system.1 DSMES is defined as the ongoing process of facilitating the knowledge, skills, and ability necessary for diabetes self-care.2–4 Effective delivery and patient uptake of DSMES has been shown to improve outcomes, including reduction in hemoglobin A1C, diabetes-related complications 5,6 and acute care encounters,7 and to promote adoption of healthy lifestyle behaviors.3,8–10

Research confirms that DSMES is largely underutilized. For example, less than 5% of Medicare beneficiaries access their DSMES benefits,11 and as few as 7% of patients with private insurance receive DSMES within the one-year after diabetes diagnosis.12 Innovative approaches for reaching patients with T2DM and successfully engaging them in DSMES are required to optimize its potential impact.

Diabetes survival skills education (DSSE), a component of DSMES, is the process of facilitating the core knowledge, skills, and ability necessary for safe and effective diabetes self-care in the short term.14–16 The goal of DSSE is to keep patients safe and stable during transitions of care (e.g., from hospital to home) and for patients with T2DM to be able to recognize when their diabetes is not well managed (e.g., hypo or hyperglycemic events).

Approaches to effectively deliver standardized self-care management education and support for adults living with Type 2 diabetes (T2DM) are needed to enable optimal outcomes.

Diabetes To Go is the education program of the MedStar Diabetes Institute.

This program has been developed by our diabetes specialists, including Endocrinologists and nurses, nutritionists, nurse practitioners and pharmacist who are diabetes educators, in partnership with our Primary Care Physicians. Our patients and a health literacy specialist helped develop and reviewed the program.

The Diabetes To Go Booklet covers diabetes survival skills – or the basics about diabetes.

The Diabetes To Go Pocket Guide is a brief summary of the same content that is found in the booklet.

The Diabetes To Go program has a full set of companion videos.  A few samples of these videos are found below for viewing.

 


For Patients

Know About Your Diabetes: Full Guide

Survival Skills Basics Pocket Guide

 


Diabetes to Go Sample Videos

 

Application Process: Logic Chart for Video Playlists

 


For Staff & Clincians

Process Chart for Education Delivery

Tablet Cleaning Job Aid

Create a Patient Account

Script: Invite a Patient to Join in Education

Survival Skills Basics Pocket Guide

 


MedStar Diabetes and Research Institutes’ “Diabetes To Go-Inpatient Study” was funded by the National Institutes of Health-NIDDK R34 DK-105903 Award. This grant funded redesign of the MDI’s Diabetes To Go education materials .


References

  1. Powers MA, Bardsley J, Cypress M, et al. Diabetes Self-management Education and Support in Type 2 Diabetes. Diabetes Educ. 2017;43(1):40-53. doi:10.1177/0145721716689694
  2. Armstrong C. ADA Updates Standards of Medical Care for Patients with Diabetes Mellitus. Am Fam Physician. 2017;95(1):40-43. http://www.ncbi.nlm.nih.gov/pubmed/28075100. Accessed May 5, 2017.
  3. Powers MA, Bardsley J, Cypress M, et al. Diabetes Self-Management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. J Acad Nutr Diet. 2015;115(8):1323-1334. doi:10.1016/j.jand.2015.05.012
  4. Beck J, Greenwood DA, Blanton L, et al. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Educ. 2017;43(10):1409-1419. doi:10.2337/dci17-0025
  5. Steinsbekk A, Rygg L, Lisulo M, Rise MB, Fretheim A. Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv Res. 2012;12(1):213. doi:10.1186/1472-6963-12-213
  6. Rise MB, Pellerud A, Rygg LØ, Steinsbekk A. Making and Maintaining Lifestyle Changes after Participating in Group Based Type 2 Diabetes Self- Management Educations: A Qualitative Study. PLoS One. 2013;8(5):e64009. doi:10.1371/journal.pone.0064009
  7. Healy SJ, Black D, Harris C, Lorenz A, Dungan KM. Inpatient diabetes education is associated with less frequent hospital readmission among patientswith poor glycemic control. Diabetes Care. 2013;36(10):2960-2967. doi:10.2337/dc13-0108
  8. Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Educ Couns. 2016;99:926-943. doi:10.1016/j.pec.2015.11.003
  9. Magee M, Bowling A, Copeland J, Fokar A, Pasquale P, Youssef G. The ABCs of diabetes: diabetes self-management education program for African Americans affects A1C, lipid-lowering agent prescriptions, and emergency department visits. Diabetes Educ. 37(1):95-103. doi:10.1177/0145721710392246
  10. Gurková E, Čáp J, Žiaková K. Quality of life and treatment satisfaction in the context of diabetes self-management education. Int J Nurs Pract. 2009;15(2):91-98. doi:10.1111/j.1440-172X.2009.01733.x
  11. Strawbridge LM, Lloyd JT, Meadow A, Riley GF, Howell BL. One-Year Outcomes of Diabetes Self-Management Training Among Medicare Beneficiaries Newly Diagnosed With Diabetes. Med Care. 2017;55(4):391-397. doi:10.1097/MLR.0000000000000653
  12. Li R, Shrestha SS, Lipman R, et al. Diabetes self-management education and training among privately insured persons with newly diagnosed diabetes--United States, 2011-2012. MMWR Morb Mortal Wkly Rep. 2014;63(46):1045-1049. http://www.ncbi.nlm.nih.gov/pubmed/25412060. Accessed July 8, 2019.
  13. Ferguson S, Swan M, Smaldone A. Does Diabetes Self-management Education in Conjunction With Primary Care Improve Glycemic Control in Hispanic Patients? Diabetes Educ. 2015;41(4):472-484. doi:10.1177/0145721715584404
  14. Hardee SG, Osborne KC, Njuguna N, et al. Interdisciplinary diabetes care: A new model for inpatient diabetes education. Diabetes Spectr. 2015;28(4):276-282. doi:10.2337/diaspect.28.4.276
  15. Youssef G, Ip EH, Magee M, et al. Validity and Reliability of a (Brief) Diabetes “Survival Skills” Knowledge Test: KNOW Diabetes. Diabetes Educ. 2019;45(2):184-193. doi:10.1177/0145721719828064
  16. Lewis VR, Benda N, Nassar C, Magee MF. Successful Patient Diabetes Education in the Emergency Department. Diabetes Educ. 2015;41(3):343-350. doi:10.1177/0145721715577484

 

 

 

 

 

 

Registration Now Open for the 2019 MedStar Health Research Symposium

Registration is open for the seventh annual MedStar Health Research Symposium on Thursday, May 30, 2019, from 1:30 to 6:30 pm at the Bethesda North Marriott Hotel and Conference Center. 

Hosted by the MedStar Health Research Institute and MedStar Health Academic Affairs, the MedStar Health Research Symposium is open to all members of the research community interested in learning more about research at MedStar. The Symposium offers the opportunity to connect with researchers, residents, executive leaders, and collaborative partners from across the region and our system to build meaningful relationships to further advance the health of our community.

The Research Symposium features scientific poster presentations from investigators across the system and the spectrum of care, information on research support services offered by MedStar Health Research Institute and the opportunity to connect with residents and researchers dedicated to advancing health. 

Learn more and register at MedStarHealth.org/Symposium

Agenda

8:30 am – 12:15 pm

Colloquium for Educators in the Health Professions

Hosted by GUMC’s Center for Innovation and Leadership in Education (CENTILE), the Colloquium for Educators in the Health Professions Colloquium is an opportunity for those across the system focused on education to gather, share ideas, and learn together.

12:15 pm – 1:15 pm

Plenary Speaker and Lunch

Holly J. Humphrey, MD, MACP, President of the Josiah Macy Jr. Foundation

1:30 pm - 2:30 pm

Pre-Symposium Professional Development and Advancement Sessions 

These 60-minute optional workshops are offered before the Symposium and are intended to provide small group educational sessions hosted by experts from the MedStar Health & Georgetown University communities. Each session focuses on a specific academic topic and is open to all Symposium attendees. Seats will be reserved for those who pre-register for the event. Attendees who do not pre-register for a session or who register on-site may attend these sessions on a first-come, first-seated basis.

  • Giving Feedback in Clinical Learning Environments
    Robin Gross, MD, FCCP; Rahul Bhat, MD; Shimae Fitzgibbons, MD; Sarah Thornton, MD
  • GUMC Academic Appointments & Promotions Updates
    Elliott Crooke, PhD; Rebecca Evangelista, MD
  • Harnessing the Power of Medical Informatics to Enhance Scholarship
    Nawar Shara, PhD
  • How to Teach and Assess Medical Professionalism
    Ming-Jung Ho, MD, DPhil; Sean Whelton, MD;
    Megha Fitzpatrick, MD
  • Navigating the New Joint IRB
    Kate Cohen, JD; Kristen Katopol, MS, CIM
  • Opportunities to Cultivate Expertise in Educational Scholarship
    Priscilla Furth, PhD; Tamika Auguste, MD; Amy Burke, MD
  • Stats Fundamentals
    Stephen Fernandez, MS
  • Tips and Tricks for Funding Success
    Raj Ratwani, PhD; Angela Thomas, DrPh; Federico Asch, MD

In addition, at this time is also the GME Town Hall. Residents, fellows, and faculty members from clinical sites throughout the MedStar Health GME consortium are invited to join for an interactive system-wide town hall session.

3:00 pm - 4:00 pm

Resident & Fellow Oral Presentations

As part of the MedStar Health system-wide resident research day, residents and fellows with the top scoring abstracts are invited to give a short oral presentation on their research to attendees. These presentations allow residents and fellows to gain the experience of presenting their research and allow them to share their work with the larger MedStar Health & Georgetown University communities.

4:00 pm

Abstract Presentations & Moderated Poster Sessions

The main feature of the Research Symposium, the Grand Ballroom opens to showcase the peer-reviewed abstract presentations from across MedStar Health & Georgetown University. Ranging from health services research to critical care to orthopedics, all departments and entities are represented by established investigators, residents, and fellows. Also featured during this time is a moderated poster session for resident and fellow submissions.

5:15 pm

Main Stage Presentations & Keynote Address

Join leadership from MedStar Health and Georgetown University in the main ballroom to recognize the importance of research and collaboration in our community and present awards to investigators with top scoring poster submissions. The keynote speaker for this year is Holly J. Humphrey, MD, MACP, president of the Josiah Macy Jr. Foundation.

6:30 pm

Post-Symposium Gratitude Reception 

Hosted by MedStar Philanthropy, all are invited to attend an on-site reception directly following the Moderated Poster Presentations & Awards in the main ballroom. This will provide further networking with MedStar leaders, researchers, associates, grateful patients and donors to research.

 

Congratulations to the 2019 Summer Research Scholars at MedStar Health

Every year, MedStar Health awards scholarships to approximately 30 first-year Georgetown University medical students in order to pursue research during the summer. For seven weeks, each summer scholar works under the direction of a MedStar Health physician-investigator to conduct research in a specific area, with the opportunity to have some clinical exposure during their summer between their first and second years of medical school. These scholars are housed at various locations throughout the MedStar system and their experience culminates with a capstone presentation in the fall.

Congratulations to the Class of 2022 Scholarship Recipients. Best of luck with your research!

Frank S. Pellegrini, M.D. Scholars
Recipient Research Area Location Mentor(s)
Brett Habermehl Patient Safety MI2/MWHC Seth Krevat, MD/Angela Thomas, DrPH, MPH, MBA
Thomas Pacheco Quality Improvement MI2/MWHC/MGUH Raj Ratwani, PhD
Pines-Kleinman Mental & Behavioral Health Scholar
Recipient Research Area Location Mentor(s)
Tyler McGehee Psychiatry MGUH Matthew Biel, MD
MedStar Health Primary Care Scholarships at MedStar Franklin Square (MFSMC)
Recipient Research Area Location Mentor(s)
Harry Tsou Family Medicine MFSMC Nancy Barr, MD
Alex Zhao Family Medicine MFSMC Nancy Barr, MD
MedStar Health Scholarships in Baltimore, MD
Recipient Research Area Location Mentor(s)
Anthony Jourdan Asthma & Allergy MUMH Sudhir Sekhsaria, MD
Julia Hernandez Internal Medicine MGSH David Weisman, MD/Rosemarie Maraj, MD
Arvin Daneshmand Internal Medicine MUMH Ruchi Prasad, MD/Alex Yazaji, MD/Stephanie Detterline, MD
Joseph Bano Sports Medicine MUMH Andy Lincoln, ScD
William Rate Orthopaedic Surgery MUMH Jacob Wisbeck MD
Kunal Kirloskar Endocrinology MUMH Pamela Schroeder, MD
Christian Delgado Curtis Hand Center MUMH Avi Giladi, MD
Jai Won Jung Radiology MUMH Quang Nguyen, MD
MedStar Health Scholarships in Washington, DC
Recipient Research Area Location Mentor(s)
Erik DiGiacomo Pulmonary/Critical Care MGUH Daniel Jamieson, MD/Rajiv Sonti, MD
Robert Cragon Vascular Surgery MWHC Steven Abramowitz, MD
Nicholas Bader Surgical Oncology MGUH Waddah Al-Refaie, MD
Matthew Sweeney Surgical Oncology MGUH Waddah Al-Refaie, MD
Ben Hack ID, Hepatitis & HIV MWHC Dawn Fishbein, MD
Krissy Kent OB/Gyn, HIV & Pregnancy MWHC Rachel Scott, MD
Ciara Sanchez OB/Gyn, HIV & Pregnancy MWHC Rachel Scott, MD
Joseph Nealon General Surgery/Surgical Education MGUH Shimae Fitzgibbons, MD
Sarah Schumacher General Surgery/Surgical Education MGUH Shimae Fitzgibbons, MD
Annemarie Newark Acute Care Surgery/Surgical Critical Care MWHC Erin Hall, MD, MPH
Brandon Stryder Acute Care Surgery/Surgical Critical Care MWHC Erin Hall, MD, MPH
Taymour Hashemzadeh Emergency Medicine/Ethics MGUH/MWHC Norine McGrath, MD
Maria Cacciapuoti Emergency Medicine MWHC Maryann Amirshahi, MD
Emilie Melvin Human Factors Engineering MI2 Kristen Miller, DrPH, CPPS
Vikram Siberry Human Factors Engineering MI2/MHRI Deliya Wesley, PhD, MPH
Ehab Bahrun Burn Surgery MWHC Laura Johnson, MD
Lily Joseph Palliative Care MWHC Michael Pottash, MD
Kevin McGowan Surgical Critical Care MWHC Seife Yohannes, MD
MedStar Health Scholarships in Population Health
Recipient Research Area Location Mentor(s)
Brynley Dean Community Pediatrics MGUH Janine Rethy, MD
Adaah Sayyed Neurology & Multiple Sclerosis Center GUMC Carlo Tornatore, MD
Sara Torres Psychiatry MGUH Matthew Biel, MD
Heng Nhuong Emergency Medicine MWHC Munish Goyal, MD
MedStar Health Orthopedic Institute Scholarships
Recipient Research Area Location Mentor(s)
Kevin Berardino Orthopedic Surgery Orthopedic Institute Evan Argintar, MD
Nikita Deshpande Orthopedic Surgery Orthopedic Institute Evan Argintar, MD





Privacy Policy & Terms of Service

DRAFT

 

 

 

Privacy Policy

Effective November 23, 2018

This Privacy Policy explains our practices regarding the collection, use and disclosure of information that we receive through our services, which include our Site, the services (including a virtual currency wallet), and our mobile device application (“App”) (together, the “Services”). This Privacy Policy does not apply to any third party websites, services or applications, even if they are accessible through our Services. Unless we define a term in this Privacy Policy, all capitalized terms used in this Privacy Policy have the same meanings as in our Terms of Service.

All individuals whose responsibilities include the processing of personal information on our behalf are expected to protect that data by adherence to this Privacy Policy. This Privacy Policy is intended to meet requirements globally, including those in North America, Europe, APAC, and other jurisdictions.

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(a)Third Party Sites. The Site and Services may contain links to other websites and other websites may reference or link to our Site or other Services. These other domains and websites are not controlled by us, and we does not endorse or make any representations about third party websites or social media platforms. Any information that you provide on or to a third party service or that is collected by a third party service is provided directly to the owner or operator of the third party service and is subject to the owner’s or operator’s privacy policy. We do not endorse, screen or approve and are not responsible for the privacy practices, security practices or content of such other websites or applications. To protect your information, we recommend that you carefully review the privacy policies of all third party services that you access.

(b)Blogs and Forums. Our Services may include or link to sites or services that offer publicly accessible blogs, community forums, or private messaging features. The Site and our other Services may also contain links and interactive features with various social media platforms (e.g., widgets) as described above. If you already use these platforms, their technologies and cookies may be set on your device when using our Site or other Services. You should be aware that personal information which you voluntarily include and transmit online in a publicly accessible blog, chat room, social media platform or otherwise online, or that you share in an open forum may be viewed and used by others without any restrictions. We are unable to control such uses of your information when interacting with a social media platform, and by using such services you assume the risk that the personal information provided by you may be viewed and used by third parties for any number of purposes.

(c)SDKs and APIs. We may use third party software development kits (“SDKs”) and APIs as part of the functionality of our Services. Third party SDKs may allow third parties including advertisers to collect your personal information to provide content that is more relevant to you.

  1. Third Party Payment Processing

You may acquire virtual items or merchandise through our Services. When you make purchases through the Services, we may process your payments through a virtual currency exchange or a third party application, including the Apple App Store, Google Play App Store, Amazon App Store (together with any similar applications, “App Stores”) and social networking sites such as Facebook. The third party application may collect certain financial information from you to 5.process a payment on our behalf, including your name, email address, address and other billing information.

  1. Revisions to this Privacy Policy

We may revise this Privacy Policy from time to time. If we make any material changes to this Privacy Policy, we’ll notify you of those changes by posting them on the Services or by sending you an email or other notification, and we’ll update the “Last Updated Date” above to indicate when those changes will become effective.

  1. Your Choices

We offer you choices regarding the collection, use and sharing of your information. Please note that if you decide not to provide us with the information that we request, you may not be able to access all of the features of the Services.

(a)Opt-Out of our Mailings. We may periodically send you free newsletters and e-mails that directly promote our Services. When you receive such promotional communications from us, you will have the opportunity to “opt-out” (either through your Account or by following the unsubscribe instructions provided in the e-mail you receive). We do need to send you certain communications regarding the Services, and you will not be able to opt out of those communications – e.g., communications regarding updates to our Terms of Service or this Privacy Policy or information about billing.
(b)Opt-out of Cookies and Ad Tracking. You can opt out of the collection and use of your information for ad targeting by going to https://www.aboutads.info/choices or https://www.youronlinechoices.eu/ to limit collection through the Site or by configuring the settings on your mobile device to limit ad tracking through the App. As noted above, you may stop or restrict the placement of cookies on your computer or remove them from your browser by adjusting your web browser preferences. To be clear, these cookie-based opt-outs must be performed on each device and browser that you wish to have opted-out. Please note that cookie-based opt-outs are not effective on mobile applications. However, on many mobile devices, application users may opt out of certain mobile ads via their device settings. Further information about your options can be found here: https://www.networkadvertising.org/mobile-choice.
(c)Modifying or Deleting Your Information. The Services offer the ability to modify or delete your information in the following ways: (i) logging into your Account and updating your address and contact information and (ii) deleting your Account.

  1. Responding to Do Not Track Signals

Our Site does not have the capability to respond to “Do Not Track” signals received from various web browsers.

  1. Data Retention

We retain the personal information we receive as described in this Privacy Policy for as long as you use our Services or as necessary to fulfill the purpose(s) for which it was collected, provide our Services, resolve disputes, establish legal defenses, conduct audits, pursue legitimate business purposes, enforce our agreements, and comply with applicable laws.

  1. The Security of Your Information

We take reasonable administrative, technical and physical measures designed to protect the information that we collect from or about you from unauthorized access, use or disclosure. When you enter information on our forms, we encrypt this data using SSL or other technologies. We offer a variety of security techniques including a PIN, a paper key and biometric authorization (e.g., fingerprint, Face ID or touch ID) depending on your device. Please be aware, however, that no method of transmitting information over the Internet or storing information is completely secure. Accordingly, we cannot guarantee the absolute security of any information.

  1. International Transfer

You agree that all information, including personal information, may be transferred to, and maintained on, computers located outside of your state, province, country or other governmental jurisdiction where the privacy laws may not be as protective as those in your jurisdiction. You agree that all personal information collected via or by us may be transferred, processed, and stored anywhere in the world, including but not limited to, the United States, the European Union, in the cloud, on our servers, on the servers of our affiliates or the servers of our service providers. Your personal information may be accessible to law enforcement or other authorities pursuant to a lawful request. By providing information to us, you explicitly consent to the storage of your personal information in these locations.

  1. Our Policy Toward Children

Our Services are not directed to children, and we do not knowingly collect information from children. If we learn that we have collected information from a child under 13 (or 16 in some jurisdictions), we will take steps to delete such information from our files as soon as possible.

  1. Your HIPAA Privacy Rights.

Federal law permits users to request and obtain from, free of charge, a list of the third parties to whom we have disclosed their personal information (if any) for their direct marketing purposes in the prior calendar year, as well as the type of personal information disclosed to those parties. Except as otherwise provided in this Privacy Policy, we do not share personal information with third parties for their own marketing purposes.

  1. Redress/Compliance and Accountability

If you have any questions about our privacy practices, this Privacy Policy, or how to lodge a complaint with the appropriate authority, please contact us by email at [email protected]. We will address your concerns and attempt to resolve any privacy issues in a timely manner.

 

 

 

Terms of Service

These Terms of Service (which we call the “Terms”) form a legally binding contract between you and MedStar Health Research Institute Department of Biostatistics and Biomedical Informatics (“B&B”). (“B&B”). By using our websites, online or mobile applications, and other products and services (collectively, our “Services”), you are agreeing to these Terms.

ARBITRATION NOTICE: Please be advised that these Terms contain an arbitration clause. You and B&B agree that any dispute between us will be resolved by mandatory binding arbitration and you and B&B waive any right to participate in a class action lawsuit or class wide arbitration.

  1. Who Can Use Our Services
    By using the Services, you state that: (i) you can form a binding contract with B&B; and (ii) you agree to comply with these Terms and all applicable laws and regulations.
  2. Our Property
    The Services, including all work, material and/or product, taken by, submitted to, provided for or created through use of any portion of our Services is wholly the sole and exclusive property of B&B.  Any unauthorized use of such property beyond the Terms stated herein or any unauthorized monetary exploitation or financial gain resulting therefrom shall constitute infringement of our intellectual property and you may be potentially liable for maximum damages, sanctions, disgorgement of profits, penalties and fines, as permitted by law.
  3. Rights We Grant You
    B&B grants you a personal, non-assignable, nonexclusive, revocable, and non-sublicensable license to access and use our Services. This license is for the sole purpose of letting you use our Services in a way that these Terms allow. Any software that we provide you may automatically download and install upgrades, updates, or other new features. You may be able to adjust these automatic downloads through your device’s settings. You may not copy, modify, distribute, sell, or lease any part of our Services, nor may you reverse engineer or attempt to extract the source code of that software, unless applicable laws prohibit these restrictions or you have our written permission to do so. For avoidance of doubt, you have not been granted any rights whatsoever in any content that is created or edited with use of any portion of our Services as such content remains the sole property of B&B. Should you wish to license and/or exploit the rights of the content you created for, you must contact B&B in advance and submit your written request providing enough details describing your request to B&B’s satisfaction and agree that you shall not license and/or exploit the content created hereunder for any reason whatsoever beyond sharing on your personal social media profiles (i.e. Facebook, Twitter, Instagram) without B&B’s mutual approval. Should you receive any monetary or financial gain resulting from the exploitation and/or publication of the content you created hereunder without receiving B&B’s advance written approval, B&B shall be entitled to recover all net proceeds you actually receive or realize and shall have the right to demand an inspection and accounting thereof of all related bookkeeping and records.
  4. Rights You Grant us
    Some of our Services let you create, upload, post, send, receive, and store content including, without limitation, any voice input, voice note or audio recording when using any portion of our Services; any photos and images taken or provided to us when using any portion of our Services; any songs, greetings and audio recordings or voice notes generated or created when using any portion of our Services; any images, models, graphics, simulations and/or other content generated or created when using any portion of our Services.  You grant us and our affiliates a worldwide, royalty-free, irrevocable, perpetual, sublicensable, and transferable license to host, store, use, display, reproduce, modify, adapt, edit, publish, and distribute that content and to create derivative works from, promote, exhibit, broadcast, syndicate, publicly perform, and publicly display your content in any form and in any and all media or distribution methods (now known or later developed). We may access, review, screen and delete your content at any time and for any reason. We shall not be responsible for the content you create, upload, post, send or store through or related to our Services and you shall alone remain responsible for the content you create, upload, post, send, or store through our Services. Any feedback or suggestions you submit about B&B or our products or Services are non-confidential and will become the sole property of B&B.
  5. Content of Others
    Some of the content on our Services is produced by users and other third parties. Whether that content is posted publicly or sent privately, the content is the sole responsibility of the person or organization that submitted it. Although B&B reserves the right to remove any content that violates these Terms, we do not necessarily review all of it. Therefore, we do not take responsibility for any other content that others provide through our Services. You acknowledge and agree that B&B is not responsible for examining or evaluating any aspect of any third-party services, applications or websites (collectively “Third Party Apps”) including those that use the Services. We make no representations or endorsements regarding those Third Party Apps, including without limitation as to their quality, accuracy, completeness, copyright compliance, legality, decency, reliability, security or any other aspect.
  6. Privacy
    Your privacy matters to us. You can learn how we handle your information when you use our Services by reading our privacy policy. We encourage you to review the privacy policy as your use of our Services signify that you agree that B&B can collect, use and transfer your information consistent with that policy.
  7. Respecting Other People’s Rights
    B&B respects the rights of others. You may not upload, post, send or store content that: violates or infringes someone else’s rights of publicity, privacy, copyright, trademark or other intellectual property right; bullies, harasses or intimidates; defames; or spams or solicits B&B users. You must also respect B&B rights. These Terms do not grant you any right to: use branding, logos, designs, photographs, audio, recordings, videos or any other materials used in our Services except as explicitly allowed by these Terms or our Services; copy, archive, download, upload, distribute, syndicate, broadcast, perform, display, make available, or otherwise use any portion of our Services or the content on our Services except as set forth in these Terms or as our Services allow; use our Services or any content on our Services for any commercial purposes without our consent. In short: You may not use our Services or the content on our Services in ways that are not authorized by these Terms. Nor may you help or enable anyone else in doing so.
  8. Respecting Copyright
    B&B honors the requirements set forth in the Digital Millennium Copyright Act. We therefore take reasonable steps to expeditiously remove from our Services any infringing material that we become aware of. And if B&B becomes aware that one of its users has repeatedly infringed copyrights, we will take reasonable steps without our power to terminate the user’s ability to access or use our Services. If you believe that anything on our Services infringes a copyright that you own or control, please file a notice with our office at: 6525 Belcrest Avenue, Suite 700, Hyattsville, MD 20781, email: [email protected]. If you file a notice with our designated agent, it must comply with the requirements set forth at 17 U.S.C. § 512(c)(3). That means the notice must: contain the physical or electronic signature of a person authorized to act on behalf of the copyright owner; identify the copyrighted work claimed to have been infringed; identify the material that is claimed to be infringing or to be the subject of infringing activity and that is to be removed, or access to which is to be disabled, and information reasonably sufficient to let us locate the material; provide your contact information, including your address, telephone number, and an email address; provide a personal statement that you have a good-faith belief that the use of the material in the manner complained of is not authorized by the copyright owner, is agent or the law; and provide a statement that the information in the notification is accurate and, under penalty of perjury, that you are authorized to act on behalf of the copyright owner.
  9. Safety
    By using our Services, you agree that: you will not use our Services for any purpose that is illegal or prohibited in these Terms; you will not use any robot, spider, crawler, scraper or other automated means or interface to access our Services or extract other user’s information; you will not use or develop any third-party applications that interact with our Services or other users’ content or information without our written consent; you will not use our Services in a way that could interfered with, disrupt, negatively affect, or inhibit other users from fully enjoying our Services, or that could damage, disable, overburden, or impair the functioning of our Services; you will not use or attempt to use another user’s account, username or password without their permission; you will not solicit login credentials from another user; you will not post content that contains pornography, graphic violence, threats, hate speech or incitements to violence; you will not upload viruses or other malicious code or otherwise compromise the security of our Services; you will not attempt to circumvent any content-filtering techniques we employ, or attempt to access areas or features of our Services that you are not authorized to access; you will not probe, scan or test the vulnerability of our Services or any system or network; and you will not encourage or promote any activity that violates these Terms.
  10. Your Account
    You are responsible for any activity that occurs in your account. Please select a strong password that you don’t use for any other account. By using our Services, you agree that, in addition to exercising common sense: you will not create more than one account for yourself; you will not create another account if we have already disabled your account, unless you have our written permission to do so; you will not buy, sell, rent or lease access to your B&B account without our written permission; you will not share your password; you will not log in or attempt to access our Services through unauthorized third-party applications or clients. If you think that someone has gained access to your account, please immediately reach out to B&B Support.
  11. Data Charges
    You are responsible for any mobile charges that you may incur for using our Services, including text-messaging and data charges. If you’re unsure what those charges may be, you should ask your service provider before using our Services.
  12. Third-Party Services
    If you use a service, feature or functionality that is operated by a third party and made available through our Services (including Services we jointly offer with the third party), each party’s terms will be given the respective party’s relationship with you. B&B is not responsible or liable for those third party terms or actions taken under the third party’s terms.
  13. Modifying the Services and Termination
    We may add or remove features, products, or functionalities, and we may also suspend or stop our Services altogether. We may take any of these actions at any time, and when we do, we may not provide with you any notice beforehand. B&B may terminate these Terms with you at any time, for any reason, and without advanced notice. That means that we may stop providing with you any Services, or impose new or additional limits on your ability to use our Services. For example, we may deactivate your account due to prolonged inactivity. Regardless of who terminates these Terms, both you and B&B continue to be bound by Sections 3, 6 12-21 of the Terms.
  14. Indemnity
    You agree, to the extent permitted under applicable law, to indemnify, defend and hold harmless B&B, our directors, officers, employees, and affiliates from and against any and all complaints, charges, claims, damages, losses, costs, liabilities, and expenses (including attorneys’ fees) due to, arising out of, or relating in any way to: (a) your access to or use of our Services; (b) your content; and (c) your breach of these Terms.
  15. Disclaimers
    We try to keep our Services up and running and free of annoyances. But we make no promises that we will succeed. OUR SERVICES ARE PROVIDED “AS IS” AND “AS AVAILABLE” AND TO THE EXTENT PERMITTED BY APPLICABLE LAW WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE AND NON-INFRINGEMENT. IN ADDITION, WHILE B&B ATTEMPTS TO PROVIDE A GOOD USER EXPERIENCE, WE DO NOT REPRESENT OR WARRANT THAT: (A) OUR SERVICES WILL ALWAYS BE SECURE, ERROR-FREE OR TIMELY; (B) OUR SERVICES WILL ALWAYS FUNCTION WITHOUT DELAYS, DISRUPRTIONS ON IMPERFECTIONS; OR (C) THAT ANY B&B CONTENT, USER CONTENT, OR INFORMATION YOU OBTAIN ON OR THROUGH OUR SERVICES WILL BE TIMELY OR ACCURATE. B&B TAKES NO RESPONSBILITY AND ASSUMES NO LIABILITY FOR ANY CONTENT THAT YOU, ANOTHER USER, OR A THIRD PARTY CREATES, UPLOADS, POSTS, SENDS, RECEIVES, OR STORES ON OR THORUGH OUR SERVICES. YOU UNDERSTAND AND AGREE THAT YOU MAY BE EXPOSED TO CONTENT THAT MIGHT BE OFFENSIVE, ILLEGAL, MISLEADING OR OTHERWISE INAPPROPRIATE, NONE OF WHICH B&B WILL BE RESPONSIBLE FOR.
  16. Limitation of Liability
    TO THE MAXIMUM EXTENT PERMITTED BY LAW, B&B AND OUR DIRECTORS, SHAREHOLDERS, EMPLOYEES, AFFILIATES, LICENSORS AND SUPPLIERS WILL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, PUNITIVE OR MULTIPLE DAMAGES, OR ANY LOSS OF PROFITS OR REVENUES, WHETHER INCURRED DIRECTLY OR INDIRECTLY, OR ANY LOSS OF DATA, USE, GOODWILL, OR OTHER INTANGIBLE LOSSES, RESULTING FROM: (A) YOUR ACCESS TO OR USE OF OR INABILITY ACCESS OR USE OF OUR SERVICES; (B) THE CONDUCT OR CONTENT OF OTHER USERS OR THIRD PARTIES ON OR THROUGH OUR SERVICES; (C) UNAUTHORIZED ACCESS, USE, OR ALTERATION OF YOUR CONTENT, EVEN IF B&B HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES; OR (D) YOUR CONTENT CREATED WITH, FROM OR THROUGH SOME PORTION OF OUR SERVICES.. IN NO EVENT WILL B&B’s AGGREGATE LIABILITY FOR ALL CLAIMS RELATING TO OUR SERVICES EXCEED THE GREATER OF $100 USD OR THE AMOUNT YOU PAID B&B, IF ANY, IN THE LAST 12 MONTHS. SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF CERTAIN DAMAGES, SO SOME OR ALL OF THE EXCLUSIONS AND LIMITATIONS IN THIS SECITON MAY NOT APPLY TO YOU.
  17. Arbitration, Class Waiver and Jury Waiver
    PLEASE READ THE FOLLOWING PARAGRAPHS CAREFULLY AS THEY REQUIRE YOU TO ARBITRATE DISPUTES WITH B&B, AND LIMIT THE MANNER IN WHICH YOU CAN SEEK RELIEF FROM US.
  1. Applicability of Arbitration Agreement
    All claims and disputes arising out of or relating to these Terms or the use of our Services that cannot be resolved in small claims court, will be resolved by binding arbitration on an individual basis, except that you and B&B are not required to arbitrate any dispute in which either party seeks equitable relief for the alleged use unlawful use of copyrights, trademarks, trade names, logos, trade secrets or patents.
  2. Arbitration Rules
    The Federal Arbitration Act governs the interpretation and enforcement of this dispute-resolution provision. Arbitration will be initiated through the American Arbitration Association (“AAA”). If the AAA is not available to arbitrate, the parties will select an alternative arbitral forum. The rules of the arbitral forum will govern all aspects of this arbitration, except to the extent those rules conflict with these Terms. The arbitration will be conducted by a single neutral arbitrator. Any claims or disputes where the total amount sought is less than $10,000 USD may be resolved through binding non-appearance-based arbitration, at either party’s election. Any judgment on the award rendered by the arbitrator may be entered in any court of competent jurisdiction.
  3. Additional Rules for Non-appearance Arbitration
    If non-appearance arbitration is elected, the arbitration will be conducted by telephone, online, written submissions, or any combination of the three; the specific manner will be chosen by the party initiating the arbitration. The arbitration will not involve any personal appearance by the parties or witnesses unless the parties mutually agree otherwise.
  4. Authority of the Arbitrator
    The arbitrator will decide the jurisdiction of the arbitrator and the rights and liabilities, if any, of you and B&B. The dispute will not be consolidated with any other matters or joined with any other cases or parties. The arbitrator will have the authority to grant motions dispositive of all or part of any claim or dispute. The arbitrator will have the authority to award monetary damages and to grant any non-monetary remedy or relief available to an individual under applicable law, the arbitral forum’s rules, and the Terms. The arbitrator will issue a written award and statement of a decision describing the essential findings and conclusions on which the award is based, including the calculation of any damages awarded. The arbitrator has the same authority to award relief on an individual basis that a judge in a court of law would have. The award of the arbitrator is final and binding upon you.
  5. Waiver of Jury Trial
    YOU AND B&B WAIVE ANY CONSTITUTIONAL AND STATUTORY RIGHTS TO GO TO COURT AND HAVE A TRIAL IN FRONT OF A JUDGE OR A JURY. You and B&B are instead electing to have claims and disputes resolved by arbitration. Arbitration procedures are typically more limited, more efficient, and less costly than rules applicable in court and are subject to very limited review by a court. In any litigation between you and B&B over whether to vacate or enforce an arbitration award, YOU AND B&B WAIVE ALL RIGHTS TO A JURY TRIAL, and elect instead to have the dispute be resolved by a judge.
  6. Waiver of Class or Consolidated Actions
    ALL CLAIMS AND DISPUTES WITHIN THE SCOPE OF THIS ARBITRATION AGREEMENT MUST BE ARBITRATED OR LITIGATED ON AN INDIVIDUAL BASIS AND NOT ON A CLASS BASIS. CLAIMS OF MORE THAN ONE CUSTOMER OR USER CANNOT BE ARBITRATED OR LITIGATED JOINTLY OR CONSOLIDATED WITH THOSE OF ANY OTHER CUSTOMER OR USER. If, however, this wavier of class or consolidated actions is deemed invalid or unenforceable, neither you nor we are entitled to arbitration; instead all claims and disputes will be resolve in a court as set forth in Section 17.
  7. Confidentiality
    No part of the procedures will be open to the public or the media. All evidence discovered or submitted at the hearing is confidential and may not be disclosed, except by written agreement of the parties, pursuant to court order, or unless required by law. Notwithstanding the foregoing, no party will be prevented from submitting to a court of law any information needed to enforce this arbitration agreement, to enforce an arbitration award, or to seek injunctive or equitable relief.
  8. Right to Waive
    Any rights and limitations set forth in this arbitration agreement may be waived by the party against whom the claim is asserted. Such waiver will not waive or affect any other portion of this arbitration agreement.
  9. Arbitration Agreement Survival
    This arbitration agreement will survive the termination of your relationship with B&B.
  1. Choice of Law; Exclusive Venue
    The Agreement is governed by Maryland law, excluding its choice of laws principles. The exclusive venue for any litigation arising from or related to the Agreement, the Services shall be the courts of Howard County, Maryland, except for any optional arbitration as described above. This Agreement will not be construed against either party as the drafter.

If any provision of these Terms is found unenforceable, then that provision will be severed from these Terms and not affect the validity and enforceability of any remaining provisions. You cannot assign the Agreement without our written agreement. We can assign the agreement to any entity that agrees to be bound by the terms of the Agreement.

Given the breadth of our Services, we sometimes need to craft additional terms and conditions for specific Services. Those additional terms and conditions, which will be available with the relevant Services, then become part of your agreement with us if you use those Services.

These terms make up the entire agreement between you and B&B, and supersede any prior agreements. These Terms do not create or confer any third-party beneficiary rights. If we do not enforce a provision in these Terms, it will not be considered a waiver. We reserve all rights not expressly granted to you. You may not transfer any of your rights or obligations under these Terms without our consent. These terms were written in English and to the extent the translated version of these Terms conflict with the English version, the English version will control.

Contact Us

B&B welcomes comments, questions, concerns or suggestions. Please send feedback to us by emailing [email protected]

Dated: November 2018

 

MedStar Researchers to Evaluate Clinical Decision Support Resources through Federal Contract

Zach Hettinger, MD, MS
Kristen Miller, DrPH, CPPS

Hyattsville, MD (August 21, 2018)—Researchers from MedStar Health will investigate the implementation and efficacy of shareable clinical decision support resources as part of healthcare team communications through a one-year contract award from the Agency for Healthcare Research and Quality (AHRQ). Jointly led by Kristen Miller, DrPH, CPPS, and Zach Hettinger, MD, MS, from the National Center for Human Factors in Healthcare at MedStar Health, the collaborative team will seek to understand the role and usage of clinical decision support resources that are available from the AHRQ Clinical Decision Support Connect platform. The platform is a repository that shares structured data and resources, providing tools for promoting a collaborative model of clinical decision support. 

With the implementation of electronic health records, the way that healthcare teams communicate is changing. Clinical decision support resources seek to ensure that the entire healthcare team, from doctors to nurses to pharmacists, is receiving the correct information at the appropriate time to help inform their clinical decisions to enhance patient outcomes. By leveraging a shared clinical support system, healthcare systems can increase efficiency in communication across care teams, leading to more positive patient outcomes.

“Providing clinicians with decision support, through the electronic health record, at the point of care, is critically important – but the process is complex. A key barrier is the need for most organizations to independently develop, deploy, and manage clinical decision support content. Shareable resources have the potential to standardize and optimize care, reduce costs, and moderate redundant work across healthcare systems.” says Dr. Miller.

The research team will leverage human factors engineering methodologies, including stakeholder interviews, an ethnographic approach for task analysis, along with process mapping, usability testing, and business case development as part of the contract. The resulting analysis will be used as the strategic evidence necessary to build a business case that considers key aspects of an organization’s clinical and business strategies.

Dr. Miller is a clinically-oriented, human factors researcher, and focuses on medical decision making and behavior, informatics, and the assessment of medical interventions and practices. Dr. Hettinger is the medical director and director of cognitive informatics at the National Center for Human Factors in Healthcare at MedStar Health and a practicing emergency medicine physician at MedStar Union Memorial Hospital. Other key team members include Jessica Howe, MA, senior human factors specialist and system safety specialist, Joseph Blumenthal, clinical informatics researcher and developer, and Derek DeLia, PhD, director of health economics and health systems research at the MedStar Health Research Institute.

Collaborating on this research will be Children’s Hospital of Philadelphia (CHOP), as a primary analysis location, and two secondary healthcare systems, Medical University of South Carolina and Hahnemann University Hospital. “By implementing the resources at multiple sites, we will have the ability to make systematic comparisons and produce a rigorous evaluation that demonstrates within-site and between-site analyses to test the efficiencies of shareable clinical decision support resources in multiple healthcare settings,” says Dr. Miller.

This federal contract was awarded through AHRQ’s ACTION III (Accelerating Change and Transformation in Organizations and Networks) funding mechanism. This is one of four contracts that have been awarded to MedStar Health as part of this federal contract vehicle, including one that was awarded earlier this year.


About MedStar Health Research Institute

The MedStar Health Research Institute is the research arm of MedStar Health, the largest healthcare provider in Maryland and the Washington, D.C., region. MHRI provides scientific, administrative and regulatory support for research programs throughout the MedStar Health system. MHRI’s expertise includes translational research into disease prevention, diagnosis, and treatment. These programs complement the key clinical services and teaching programs in the 10 MedStar hospitals and other MedStar entities. For more information, visit www.MedStarResearch.org

About MedStar Health
MedStar Health is a not-for-profit health system dedicated to caring for people in Maryland and the Washington, D.C., region while advancing the practice of medicine through education, innovation, and research. MedStar’s 30,000 associates, 6,000 affiliated physicians, 10 hospitals, ambulatory care and urgent care centers, and the MedStar Health Research Institute are recognized regionally and nationally for excellence in medical care. As the medical education and clinical partner of Georgetown University, MedStar trains more than 1,100 medical residents annually. MedStar Health’s patient-first philosophy combines care, compassion and clinical excellence with an emphasis on customer service. For more information, visit MedStarHealth.org.

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Eva Hochberger
Communications & Planning Manager
Phone: 301-560-2917
[email protected] 

Optimizing Health Information Technology: MedStar Researcher Receives Large Grant to Design a Safer System for Managing Medication Administration

Raj Ratwani, PhD

Hyattsville, MD (July 11, 2018)Raj Ratwani, PhD, has been awarded an R01 grant from the Agency for Healthcare Research and Quality (AHRQ) to study electronic medication administration records to identify current safety issues and needs of clinicians and then develop new prototype solutions. Dr. Ratwani, center director and scientific director at MedStar Health’s National Center for Human Factors in Healthcare, is a leading expert in the study of usability and design of health information technology systems.

As technology usage in patient care grows, researchers continue their work to identify best practices for the use of health information systems and their effect on patient outcomes. This research seeks to better understand the flow of information among healthcare team members and how they use electronic medication administration records.

“Managing medications has become more complex,” said Dr. Ratwani, “and if health information technology is not designed, developed, and implemented to support clinicians in medication management patients may be harmed.”

The multidisciplinary research team includes Nancy Staggers, PhD, RN, FAAN; Jessica Howe, MS; Allan Fong, MS, and Katie Adams, BS; along with other physicians, nurses, human factors experts and data scientists, all of whom have extensive experience in health information technology systems and are focused on improving the functionality of these systems to increase patient safety. For this research, MedStar Health will collaborate with a patient safety organization and a health information technology systems vendor.

The research team will analyze a diverse set of nearly two million patient safety event reports to identify hazards and the needs of the full healthcare team who use this software. This analysis will produce a taxonomy of potential safety hazards in the electronic medication administration systems that vendors can apply to the development of new systems.

As part of the project, the team will design, develop, and test options to help facilitate a better flow of information among clinicians, using wireframes and prototypes to simulate potential solutions.

This funding continues the work of MedStar Health’s National Center for Human Factors in Healthcare in health information technology with 4 active R01 awards. Dr. Ratwani is currently the principal investigator on another AHRQ funded R01 focusing on improving usability and safety guidelines for health information technology. Kristen Miller, DrPH, CPPS, is the principal investigator on a National Library of Medicine R01 focused on effective clinical decision support development. Zach Hettinger, MD, MS, is the principal investigator on an AHRQ funded R01 focused on technology to support emergency department communication.


About MedStar Health Research Institute

The MedStar Health Research Institute is the research arm of MedStar Health, the largest healthcare provider in Maryland and the Washington, D.C., region. MHRI provides scientific, administrative and regulatory support for research programs throughout the MedStar Health system. MHRI’s expertise includes translational research into disease prevention, diagnosis and treatment. These programs complement the key clinical services and teaching programs in the 10 MedStar hospitals and other MedStar entities. For more information, visit www.MedStarResearch.org. 

About MedStar Health

MedStar Health is a not-for-profit health system dedicated to caring for people in Maryland and the Washington, D.C. region, while advancing the practice of medicine through education, innovation, and research. MedStar’s 30,000 associates, 6,000 affiliated physicians, 10 hospitals, ambulatory care and urgent care centers, and the MedStar Health Research Institute are recognized regionally and nationally for excellence in medical care. As the medical education and clinical partner of Georgetown University, MedStar trains more than 1,100 medical residents annually. MedStar Health’s patient-first philosophy combines care, compassion and clinical excellence with an emphasis on customer service. For more information, visit MedStarHealth.org.

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Newsroom

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Contact:
Eva Hochberger
Communications & Planning Manager
Phone: 301-560-2917
[email protected] 

Medstar Researcher Interviewed on Work on MD Hospital Payment Reform

Published in Leader’s Edge magazine, Jessica Galarraga, MD, MPH, was interviewed with Jesse Pines, MD on their research into Maryland’s payment reform policies, specifically their work on global budget and the impact on both the hospital and the patient. Read more. 

Recent Posts

Newsroom

Click below to go to our Newsroom.

Contact:
Eva Hochberger
Marketing & Communications Coordinator
Phone: 301-560-2917
[email protected]