Webinar Training: an acceptable, feasible and effective approach for multi-site medical record abstraction: the BOWII experience

Avila, Chantal; Quinn, Virginia P.; Geiger, Ann M.; Kerby, Tessa; Charles, Meaghan St; Clough‐Gorr, Kerri M.

doi:10.1186/1756-0500-4-430

Cited by 12 publications

(14 citation statements)

References 13 publications

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“…In a health services study implementing a quality improvement program, webinars and in-person trainings were found to have comparable results within a primary care physician sample, and webinars were identified to be more cost-effective and flexible to participant schedules [ 33 ]. Other research has found similar results supporting the preference of using webinar-based training to support clinical system changes such as electronic medical record implementation [ 34 ]. However, webinars are primarily didactic and have limited adaptability to particular participant needs.…”

Section: Discussionsupporting

confidence: 60%

A comparison of how behavioral health organizations utilize training to prepare for health care reform

et al. 2017

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BackgroundUnder the Affordable Care Act, States have obtained Medicaid waivers to overhaul their behavioral health service systems to improve quality and reduce costs. Critical to implementation of broad service delivery reforms has been the preparation of organizations responsible for service delivery. This study focused on one large-scale initiative to overhaul its service system with the goal of improving service quality and reducing costs. The study examined the participation of behavioral health organizations in technical assistance efforts and the extent to which organizational factors related to their participation.MethodsThis study matched two datasets to examine the organizational characteristics and training participation for 196 behavioral health organizations. Organizational characteristics were drawn from the Substance Abuse and Mental Health Services Administration National Mental Health Services Survey (N-MHSS). Training variables were drawn from the Clinical Technical Assistance Center’s master training database. Chi-square analyses and multivariate logistic regression models were used to examine the proportion of organizations that participated in training, the organizational characteristics (size, population served, service quality, infrastructure) that predicted participation in training, and for those who participated, the type (clinical or business) and intensity of training (webinar, learning collaborative, in-person) they received.ResultsOverall 142 (72. 4%) of the sample participated in training. Organizations who pursued training were more likely to be large in size (p = .02), serve children in addition to adults (p < .01), provide child evidence-based practices (p = .01), and use computerized scheduling (p = .01). Of those trained, 95% participated in webinars, 64% participated in learning collaboratives and 35% participated in in-person trainings. More organizations participated in business trainings than clinical (63.8 vs. 59.2%). Organizations serving children had higher odds of participating in both clinical training (OR = 5.91, p < .01) and business training (OR = 4.24, p < .01) than those that did not serve children.ConclusionsThe majority of organizations participated in trainings indicating desire for technical assistance to prepare for health care reform. Larger organizations and organizations serving children were more likely to participate potentially indicating increased interest in preparation. Over half participated in business trainings highlighting interest in learning to improve efficiency. Further understanding is needed to support organizational readiness for health care reform initiatives among behavioral health organizations.

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Section: Discussionsupporting

confidence: 60%

A comparison of how behavioral health organizations utilize training to prepare for health care reform

et al. 2017

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“…We collected data elements from electronic sources and through standardized medical record reviews conducted at each site by medical record abstractors trained via web-based technology who entered data directly into a computer-based, menu-driven data collection system [17,18]. The medical record abstractor inter-rater reliability across sites was a weighted average of 95% agreement (range 89%–98%) [18].…”

Section: Methodsmentioning

confidence: 99%

“…The medical record abstractor inter-rater reliability across sites was a weighted average of 95% agreement (range 89%–98%) [18]. A study of medical record reviews conducted during the five years after breast cancer diagnosis showed good inter-rater reliability for the CCI [19] and little bias from comorbidity misclassification [20].…”

Section: Methodsmentioning

confidence: 99%

Incident comorbidities and all-cause mortality among 5-year survivors of Stage I and II breast cancer diagnosed at age 65 or older: a prospective-matched cohort study

Jordan

Thwin

Lash

et al. 2014

Breast Cancer Res Treat

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Purpose Five-year breast cancer survivors, diagnosed after 65 years of age, may develop more incident comorbidities than similar populations free of cancer. We investigated if older breast cancer survivors have a similar comorbidity burden 6–15 years after cancer diagnosis to matched women free of breast cancer at start of follow-up and if incident comorbidities are associated with all-cause mortality. Methods In this prospective cohort study, 1,361 older five-year early stage breast cancer survivors diagnosed between 1990 and 1994 and 1,361 age- and health system-matched women were followed for ten years. Adjudicated medical record review captured prevalent and incident comorbidities during follow-up or until death as collected from the National Death Index. Results Older five-year breast cancer survivors did not acquire incident comorbidities more often than matched women free of breast cancer in the subsequent 10 years (HR=1.0, 95%CI: 0.93,1.1). Adjusted for cohort membership, women with incident comorbidities had a higher mortality rate than those without incident comorbidities (HR=4.8, 95%CI: 4.1,5.6). A breast cancer history continued to be a hazard for mortality 6–15 years after diagnosis (HR=1.3, 95%CI: 1.1,1.4). Conclusions We found that older breast cancer survivors who developed comorbidities had an increased all-cause mortality rate even after adjusting for age and prevalent comorbidity burden. Additionally, survivors acquire comorbidities at a rate similar to older women free of breast cancer. These results highlight the association between comorbidity burden and long-term mortality risk among older breast cancer survivors and their need for appropriate oncology and primary care follow-up.

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“…Demographic, health‐related, breast cancer‐related, history of cancer, incident malignancies, and follow‐up for mortality variables were collected from medical records and electronic sources (cancer registry, administrative and clinical records, and National Death Index). Standardized medical record reviews were conducted by trained medical record abstractors, and data were entered directly into a computer‐based, menu‐driven data‐collection system 14…”

Section: Methodsmentioning

confidence: 99%

“…Standardized medical record reviews were conducted by trained medical record abstractors, and data were entered directly into a computer-based, menu-driven data-collection system. 14…”

Section: Data Collectionmentioning

confidence: 99%

Incident malignancies among older long‐term breast cancer survivors and an age‐matched and site‐matched nonbreast cancer comparison group over 10 years of follow‐up

Clough‐Gorr

Thwin

Bosco

et al. 2012

Cancer

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BACKGROUND Of the approximately 2.4 million American women with a history of breast cancer, 43% are aged ≥65 years and are at risk for developing subsequent malignancies. METHODS Women from 6 geographically diverse sites included 5-year breast cancer survivors (N = 1361) who were diagnosed between 1990 and 1994 at age ≥65 years with stage I or II disease and a comparison group of women without breast cancer (N = 1361). Women in the comparison group were age-matched and site-matched to breast cancer survivors on the date of breast cancer diagnosis. Follow-up began 5 years after the index date (survivor diagnosis date or comparison enrollment date) until death, disenrollment, or through 15 years after the index date. Data were collected from medical records and electronic sources (cancer registry, administrative, clinical, National Death Index). Analyses included descriptive statistics, crude incidence rates, and Cox proportional hazards regression models for estimating the risk of incident malignancy and were adjusted for death as a competing risk. RESULTS Survivors and women in the comparison group were similar: >82% were white, 55% had a Charlson Comorbidity Index of 0, and ≥73% had a body mass index ≤30 kg/m2. Of all 306 women (N = 160 in the survivor group, N = 146 in the comparison group) who developed a first incident malignancy during follow-up, the mean time to malignancy was similar (4.37 ± 2.81 years vs 4.03 ± 2.76 years, respectively; P = .28), whereas unadjusted incidence rates were slightly higher in survivors (1882 vs 1620 per 100,000 person years). The adjusted hazard of developing a first incident malignancy was slightly elevated in survivors in relation to women in the comparison group, but it was not statistically significant (hazard ratio, 1.17; 95% confidence interval, 0.94-1.47). CONCLUSIONS Older women who survived 5 years after an early stage breast cancer diagnosis were not at an elevated risk for developing subsequent incident malignancies up to 15 years after their breast cancer diagnosis.

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Webinar Training: an acceptable, feasible and effective approach for multi-site medical record abstraction: the BOWII experience

Cited by 12 publications

References 13 publications

A comparison of how behavioral health organizations utilize training to prepare for health care reform

A comparison of how behavioral health organizations utilize training to prepare for health care reform

Incident comorbidities and all-cause mortality among 5-year survivors of Stage I and II breast cancer diagnosed at age 65 or older: a prospective-matched cohort study

Incident malignancies among older long‐term breast cancer survivors and an age‐matched and site‐matched nonbreast cancer comparison group over 10 years of follow‐up

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