{"title":"Integration of Social Service Delivery with Health Care— A Foundation’s Role in North Carolina’s Healthy Opportunities Pilot Program","authors":"S. Mims, Laurie Stradley","doi":"10.18043/001c.94876","DOIUrl":"https://doi.org/10.18043/001c.94876","url":null,"abstract":"","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"172 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lydia Newman, Stan Taylor, Denise Levis Hewson, Tom Wroth
{"title":"Is Primary Care Adapting to Medicaid Managed Care in North Carolina? Implications for Expansion and Future Managed Care Transitions","authors":"Lydia Newman, Stan Taylor, Denise Levis Hewson, Tom Wroth","doi":"10.18043/001c.94872","DOIUrl":"https://doi.org/10.18043/001c.94872","url":null,"abstract":"Realizing North Carolina’s comprehensive vision for Medicaid transformation requires strengthening the state’s primary care infrastructure. This can be done by building upon the value-based care incentives in the Advanced Medical Home model, strengthening payor data, aligning quality measures, easing administrative burdens, investing in primary care and its workforce pipeline, and ensuring payment models adequately support serving Medicaid expansion and the growing number of Medicaid health plans.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"47 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katherine M. Conners, Christy L. Avery, Faisal F. Syed
{"title":"Advancing Cardiovascular Risk Assessment with Artificial Intelligence: Opportunities and Implications in North Carolina","authors":"Katherine M. Conners, Christy L. Avery, Faisal F. Syed","doi":"10.18043/001c.91424","DOIUrl":"https://doi.org/10.18043/001c.91424","url":null,"abstract":"Cardiovascular disease mortality is increasing in North Carolina with persistent inequality by race, income, and location. Artificial intelligence (AI) can repurpose the widely available electrocardiogram (ECG) for enhanced assessment of cardiac dysfunction. By identifying accelerated cardiac aging from the ECG, AI offers novel insights into risk assessment and prevention.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"15 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139439174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Progress in Stroke Prevention and the North Carolina Stroke System of Care","authors":"Anna Bess Brown","doi":"10.18043/001c.91425","DOIUrl":"https://doi.org/10.18043/001c.91425","url":null,"abstract":"The Stroke Advisory Council and its partners created the NC Stroke System of Care, an online repository of strategies and resources, in efforts to prevent rising rates of stroke in our state and to steer our work. A stroke registry was developed to gain a more comprehensive view of stroke in the state and identify gaps in care and health inequities.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"46 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimizing Cancer Prevention in Adolescents by Improving HPV Vaccine Delivery","authors":"N. Vielot, Noel T. Brewer","doi":"10.18043/001c.91426","DOIUrl":"https://doi.org/10.18043/001c.91426","url":null,"abstract":"Routine HPV vaccination can prevent six cancers. Best practices for achieving high adolescent HPV vaccination coverage include automatically scheduled appointments, presumptive provider recommendations, standing orders, feedback on vaccination rates, and incentives. Promising practices include starting HPV vaccine recommendations and vaccine registry forecasting at age 9 and school entry requirements.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"58 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139441009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Emergency Medicine Bias in Treating Minorities with Sickle Cell Disease","authors":"Travis Robinson","doi":"10.18043/001c.91433","DOIUrl":"https://doi.org/10.18043/001c.91433","url":null,"abstract":"","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura M. Magennis, Job Chen, Brenda Vass, Sheila Kidwell, Nicole Stanfield, Dustin Allen
{"title":"NC MedAssist: Dispensing Hope throughout North Carolina","authors":"Laura M. Magennis, Job Chen, Brenda Vass, Sheila Kidwell, Nicole Stanfield, Dustin Allen","doi":"10.18043/001c.91431","DOIUrl":"https://doi.org/10.18043/001c.91431","url":null,"abstract":"By providing free medications to those who are uninsured and who have low income, organizations like NC MedAssist are able alleviate this barrier for thousands of North Carolinians each year. This article will describe the history and benefits of NC MedAssist.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"83 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adverse Childhood Experiences and Cardiovascular Disease Risks: Implications for North Carolina and the Need for an Upstream Approach","authors":"Adam Hege","doi":"10.18043/001c.91428","DOIUrl":"https://doi.org/10.18043/001c.91428","url":null,"abstract":"Adverse childhood experiences (ACEs) have a negative impact on people across the lifespan, including poorer health outcomes. Data have indicated that 60% of North Carolina adults have experienced at least one ACE, while concurrently heart disease is the leading cause of death. There is a need to study the linkages between the two, and researchers and leaders should take an upstream approach to doing so.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"4 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emilie D. Duchesneau, Heidi D. Klepin, Amresh D. Hanchate, Meng-Yun Lin, Shirley M. Bluethmann
{"title":"Big Data for Geriatric Oncology Research","authors":"Emilie D. Duchesneau, Heidi D. Klepin, Amresh D. Hanchate, Meng-Yun Lin, Shirley M. Bluethmann","doi":"10.18043/001c.91420","DOIUrl":"https://doi.org/10.18043/001c.91420","url":null,"abstract":"Cancer is the second leading cause of death in North Carolina and approximately half of cancers are diagnosed in older adults (≥ 65 years). Cancer clinical trials in older adults are limited and there is a lack of evidence on optimal care strategies in this population. We highlight how big data can fill in gaps in geriatric oncology research.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"51 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139441844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The North Carolina Tissue Consortium: Ensuring Equitable Representation and Accessibility to Cancer Specimens from Eastern North Carolina","authors":"M. McDaniel, N. Vohra, K. Verbanac","doi":"10.18043/001c.91422","DOIUrl":"https://doi.org/10.18043/001c.91422","url":null,"abstract":"The objective of the North Carolina Tissue Consortium is to facilitate cancer-related research by providing a means through which normal and malignant tissue specimens are procured, processed, stored, and distributed to researchers while protecting the rights and confidentiality of participants.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"46 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139442254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}