Research Topics
| Robert G BrooksSummaryAffiliation: Florida State University Country: USA Publications
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Publications
To outsource or not to outsource: Examining the effects of outsourcing IT functions on financial performance in hospitalsNir Menachemi
Florida State University College of Medicine, USA
Health Care Manage Rev 32:46-54. 2007..Anecdotal evidence, based on case studies, suggests that outsourcing may be associated with significant cost savings. However, no generalizable evidence exists to support such assertions...
Quality of care in accredited and nonaccredited ambulatory surgical centersNir Menachemi
Center on Patient Safety, Division of Health Affairs, Florida State University College of Medicine, Tallahassee, USA
Jt Comm J Qual Patient Saf 34:546-51. 2008..Quality outcomes in ASCs accredited by either the Accreditation Association for Ambulatory Health Care (AAAHC) or The Joint Commission were compared with those of nonaccredited ASCs in Florida...
The rural physician workforce in Florida: a survey of US- and foreign-born primary care physiciansRobert G Brooks
Florida State University College of Medicine, Tallahassee, FL, 32306 4300, USA
J Rural Health 19:484-91. 2003..To meet the challenge of primary care needs in rural areas, continuing assessment of the demographics, training, and future work plans of practicing primary care physicians is needed...
Physicians' use of email with patients: factors influencing electronic communication and adherence to best practicesRobert G Brooks
Florida State University, College of Medicine, Division of Health Affairs, 1115 W Call Street, Tallahassee, Florida 32306 4300, USA
J Med Internet Res 8:e2. 2006..Yet, despite evidence of increased interest by patients, e-mail use by physicians for clinical care has been slow...
Availability of physician services in Florida, revisited: the effect of the professional liability insurance market on access to health careRobert G Brooks
Department of Family Medicine and Rural Health, College of Medicine, Florida State University, Tallahassee 32306 4300, USA
Arch Intern Med 165:2136-41. 2005..Access to care remains a key part of improving health care outcomes in the United States. Recent reports have suggested that the number of physicians able to meet the demands for access to care may be decreasing...
Patient safety-related information technology utilization in urban and rural hospitalsRobert G Brooks
Health Affairs, Florida State University College of Medicine, Tallahassee, Florida, USA
J Med Syst 29:103-9. 2005..These findings are valuable for those interested in the current status of hospital PSIT and set the stage for further studies relating these applications to clinical outcomes in urban and rural hospitals...
Impact of the medical professional liability insurance crisis on access to care in FloridaRobert G Brooks
Division of Health Affairs, College of Medicine, Florida State University, Tallahassee 32306 4300, USA
Arch Intern Med 164:2217-22. 2004..Almost half of the US states face serious problems with professional liability insurance (PLI). Despite this, little is known about how this crisis is affecting access to care, particularly in rural areas...
Advancing End-of-Life Care: lessons learned from a statewide panelRobert G Brooks
Family Medicine and Rural Health, College of Medicine, Florida State University, Tallahassee, Florida 32306 4300, USA
J Palliat Med 6:821-9. 2003..These alliances led to new projects on EOL care and have significantly improved communication and working relationships between organizations and individuals committed to improving EOL care...
Aligning public health financing with essential public health service functions and National Public Health Performance StandardsRobert G Brooks
Florida State University College of Medicine, Tallahassee, FL 32306, USA
J Public Health Manag Pract 15:299-306. 2009..Public health continues to utilize a majority of its available resources for individual healthcare services, despite increasing requests for improved population-based programs...
The roles of nature and nurture in the recruitment and retention of primary care physicians in rural areas: a review of the literatureRobert G Brooks
Health Affairs, Florida State University College of Medicine, Tallahassee, FL 32306 4300, USA
Acad Med 77:790-8. 2002..A systematic review of factors associated with recruitment and retention of primary care physicians in rural areas...
A comparative study of quality outcomes in freestanding ambulatory surgery centers and hospital-based outpatient departments: 1997-2004Askar S Chukmaitov
Division of Health Affairs, Department of Family Medicine and Rural Health, Florida State University College of Medicine, 1115 West Call Street, Suite 3200, Tallahassee, FL 32306 4300, USA
Health Serv Res 43:1485-504. 2008..To compare quality outcomes from surgical procedures performed at freestanding ambulatory surgery centers (ASCs) and hospital-based outpatient departments (HOPDs)...
Hospital quality of care: does information technology matter? The relationship between information technology adoption and quality of careNir Menachemi
Center on Patient Safety, Florida State University College of Medicine, Tallahassee, FL, USA
Health Care Manage Rev 33:51-9. 2008..Hospitals have been slow to adopt information technology (IT) largely because of a lack of generalizable evidence of the value associated with such adoption...
Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in FloridaNir Menachemi
Florida State University College of Medicine, Tallahassee, Florida, USA
J Healthc Manag 52:398-409; discussion 410. 2007..Adoption of IT is associated with desirable performance on many important measures of hospital patient safety. Hospital leaders and other decision makers who are examining IT systems should consider the impact of IT on patient safety...
The influence of payer mix on electronic health record adoption by physiciansNir Menachemi
Florida State University College of Medicine, Tallahassee, FL, USA
Health Care Manage Rev 32:111-8. 2007..Numerous studies have examined the relationship between physician practice characteristics and electronic health record (EHR) adoption. Little is known about how payer mix influences physicians' decisions to implement EHR systems...
Bypassing the local rural hospital for outpatient proceduresCharles Saunders
Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee, FL 32306 4300, USA
J Rural Health 25:174-81. 2009..To assess the amount of local rural hospital outpatient department (HOPD) bypass for outpatient procedures...
Charting the use of electronic health records and other information technologies among child health providersNir Menachemi
Florida State University College of Medicine, Division of Health Affairs, and Department of Family Medicine and Rural Health, Tallahassee, Florida, USA
BMC Pediatr 6:21. 2006..As such, the objective of this study is to examine the use of electronic health record (EHR) systems and other IT applications among pediatricians and other child health providers (CHPs) in Florida...
The use of information technologies among rural and urban physicians in FloridaNir Menachemi
College of Medicine, Florida State University, 1115 West Call Street, Tallahassee, FL 32306 4300, USA
J Med Syst 31:483-8. 2007..While much of this variability can be explained by rural practice characteristics, these findings illustrate the need for further efforts to identify and alleviate barriers and encourage health IT adoption in rural areas...
Information technologies in Florida's rural hospitals: does system affiliation matter?Nir Menachemi
Center on Patient Safety, Florida State University College of Medicine, Tallahassee, FL 32306 4300, USA
J Rural Health 21:263-8. 2005..Financial barriers may cause rural hospitals to lag in adoption of information technology, however, formal studies that examine rural hospital adoption of information technology are lacking...
Continuing decline in service delivery for family physicians: is the malpractice crisis playing a role?Nir Menachemi
Division of Health Affairs, College of Medicine, Florida State University, Tallahassee 32306, USA
Qual Manag Health Care 15:39-45. 2006..This study was conducted to monitor trends in the reduction and elimination of services offered by family physicians. In addition, we examined whether the malpractice situation may be influencing these trends...
The relationship between pediatric volume and information technology adoption in hospitalsNir Menachemi
Center for Patient Safety, Florida State University College of Medicine, Tallahassee, FL 32312, USA
Qual Manag Health Care 16:146-52. 2007..However, no study has examined whether patient characteristics of hospitals are related to the adoption of health IT. This study examines IT adoption in hospitals that care for either a large number or a large proportion of children...
Are we ready for terrorism? Emergency medical technicians' and paramedics' training and self-perceived competence since September 11Art Clawson
Florida State University College of Medicine, Tallahassee, USA
Am J Disaster Med 2:26-32. 2007..Our results suggest that most emergency personnel are receiving terrorism-specific training, but gaps in competencies exist and require the attention of educators and policymakers...
Examining the adoption of electronic health records and personal digital assistants by family physicians in FloridaNir Menachemi
Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee, Florida 32306, USA
Inform Prim Care 14:1-9. 2006....
Are community health centers prepared for bioterrorism?Art Clawson
Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee, Florida 32306 4300, USA
Biosecur Bioterror 4:55-63. 2006..Policy and practice recommendations are included to more fully develop CHCs as a resource...
The effect of payer mix on the adoption of information technologies by hospitalsNir Menachemi
College of Medicine, Florida State University, Tallahassee, FL, USA
Health Care Manage Rev 32:102-10. 2007..However, no known study has examined whether patient characteristics of those treated at a given hospital influences the decision to adopt IT...
Reducing the impact of the health care access crisis through volunteerism: a means, not an endKaren W Geletko
Division of Health Affairs, Florida State University College of Medicine, 1115 W Call St, Tallahassee, FL 32306 4300, USA
Am J Public Health 99:1166-9. 2009..Volunteerism, although not a solution to the health care crisis, serves as a valuable adjunct pending full-scale health care reform...
Adoption factors associated with patient safety-related information technologyNir Menachemi
Center on Patient Safety, Florida State University College of Medicine, Tallahassee, USA
J Healthc Qual 26:39-44. 2004..Other factors and implications are discussed as well...
Incomplete EHR adoption: late uptake of patient safety and cost control functionsNir Menachemi
Center on Patient Safety, Florida State University College of Medicine, Tallahassee 32306 4300, USA
Am J Med Qual 22:319-26. 2007..Overall, many physicians are only partially adopting EHR technologies, suggesting that published adoption rates may be exaggerating the true rate of diffusion...
Hospital financial performance: does IT governance make a difference?Darrell Burke
Medical Informatics, College of Information, Florida State University, Tallahassee, FL 32106 2100, USA
Health Care Manag (Frederick) 27:71-8. 2008..Reporting to the chief financial officer brings positive outcomes; reporting to the chief executive officer has a mixed financial result; and reporting to the chief operating officer was not associated with discernible financial impact...
EHR and other IT adoption among physicians: results of a large-scale statewide analysisNir Menachemi
Center on Patient Safety, Florida State University College of Medicine, USA
J Healthc Inf Manag 20:79-87. 2006..Overall, large practice size, specialty practice, physician age and gender, and multi-specialty practice affiliation were significantly related to the use of many, but not all, of these IT applications in the ambulatory setting...
A state-based analysis of public health preparedness programs in the United StatesLeslie M Beitsch
Center for Medicine and Public Health, Florida State University College of Medicine, 1115 W Call St, Tallahassee, FL 32306 4300, USA
Public Health Rep 121:737-45. 2006....
The changing face of access to family physician services in rural FloridaNir Menachemi
Division of Health Affairs, Florida State University, 1269 West Call Street, Tallahassee, FL 32306, USA
Fam Med 37:54-8. 2005....
Diffusion of information technology supporting the Institute of Medicine's quality chasm care aimsDarrell Burke
College of Information, Florida State University, USA
J Healthc Qual 27:24-32, 39. 2005..Results suggest that, on average, hospitals have not yet embraced HIT to support the IOM's care aims and that associated organizational factors vary according to care aim...
Roles of local public health agencies within the state public health systemLeslie M Beitsch
Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL 32306, USA
J Public Health Manag Pract 12:232-41. 2006..In this study we assessed the structure and function of local and district health agencies throughout the United States. We compared these findings with those from a previous national assessment done a decade earlier...
Managed care penetration and other factors affecting computerized physician order entry in the ambulatory settingNir Menachemi
Department of Family Medicine and Rural Health, Center on Patient Safety, Florida State University College of Medicine, Tallahassee, FL 32306, USA
Am J Manag Care 12:738-44. 2006....
Public health at center stage: new roles, old propsLeslie M Beitsch
Center for Medicine and Public Health, Florida State University FSU College of Medicine, Tallahassee, USA
Health Aff (Millwood) 25:911-22. 2006..Although the public health system has both traditional and newly defined roles to play, resources, as measured by per capita spending and workforce availability, have not kept pace...
Hospital information technology and positive financial performance: a different approach to finding an ROINir Menachemi
Center on Patient Safety, Florida State University College of Medicine, Tallahassee, USA
J Healthc Manag 51:40-58; discussion 58-9. 2006....
Investigating response bias in an information technology survey of physiciansNir Menachemi
College of Medicine, Florida State University, 1115 West Call Street, Tallahassee, Florida 32306, USA
J Med Syst 30:277-82. 2006..Overall, response bias was not detected using established methodologies in this mailed survey of physician EHR use. Similar surveys of physicians, even with a lower than expected response rate, may still be valid...
Quality of care differs by patient characteristics: outcome disparities after ambulatory surgical proceduresNir Menachemi
Center on Patient Safety, Florida State University College of Medicine, Tallahasse, FL 32306 4300, USA
Am J Med Qual 22:395-401. 2007..Thus, many of the racial and gender disparities in the inpatient surgical literature are also observed in the ambulatory setting. More research is needed to determine the source of these disparities...
Proliferation of electronic health records among obstetrician-gynecologistsNir Menachemi
Florida State University College of Medicine, Tallahassee, FL 32312, USA
Qual Manag Health Care 15:150-6. 2006..To examine the current use of electronic health records (EHRs) and their key subfunctions among obstetrician-gynecologists and compare this trend with other doctors...
The medicine and public health initiative ten years laterLeslie M Beitsch
Center for Medicine and Public Health, Division of Health Affairs, Florida State University College of Medicine, Tallahassee, Florida 32306 4300, USA
Am J Prev Med 29:149-53. 2005..In order to meet the numerous health challenges facing our nation, from terrorism to chronic disease, and for MPHI to be successful, medicine and public health must work in tandem...
Quality improvement in local health departments: results of the NACCHO 2008 surveyLeslie M Beitsch
Florida State University College of Medicine, Tallahassee, Florida 32306, USA
J Public Health Manag Pract 16:49-54. 2010..To assess the current status of quality improvement (QI) within local health departments (LHDs) and examine the characteristics associated with such QI efforts...
Reviewing the benefits and costs of electronic health records and associated patient safety technologiesNir Menachemi
Division of Health Affairs, Florida State University, Tallahassee, FSU College of Medicine, USA
J Med Syst 30:159-68. 2006..This trend suggests the early stage of this knowledge base. Additional research utilizing broader perspectives and multidisciplinary techniques will be needed before a better understanding of ROI from health IT is achieved...
Structure and functions of state public health agenciesLeslie M Beitsch
Division of Health Affairs, Florida State University College of Medicine, 1115 W Call St, Tallahassee, FL 32306 4300, USA
Am J Public Health 96:167-72. 2006..We assessed the structure and functions of state health departments throughout the United States and compared our findings with those from a previous national assessment conducted in 1990...
How well does diagnosis-based risk-adjustment work for comparing ambulatory clinical outcomes?Askar S Chukmaitov
Department of Family Medicine and Rural Health, Florida State University College of Medicine, 1115 West Call Street, Suite 3200 C, Tallahassee, FL 32306 4300, USA
Health Care Manag Sci 12:420-33. 2009..We also recommend using risk-adjustment with all available diagnoses...
Protecting rural communities from terrorism: a statewide, community-based modelArt Clawson
Florida State University, College of Medicine, Tallahassee, FL 32306 4300, USA
J Rural Health 19:7-10. 2003..This model can serve as a possible framework for other states and communities...
Type 2 diabetes mellitus among Florida children and adolescents, 1994 through 1998Christine J Macaluso
University of South Florida, Tampa, FL, USA
Public Health Rep 117:373-9. 2002..This study was undertaken to examine the trends in the diagnosis of Type 2 diabetes mellitus among children and adolescents with new-onset diabetes seen from 1994 through 1998 at the three university-based diabetes centers in Florida...
Market effects on electronic health record adoption by physiciansMaziar Abdolrasulnia
Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, USA
Health Care Manage Rev 33:243-52. 2008..Current studies have examined organizational and personal barriers to adoption; however, the influence of market characteristics has not been studied...
The role of organizational factors in the adoption of healthcare information technology in Florida hospitalsNeset Hikmet
Center for Research in Healthcare Systems and Policies, College of Business Administration, University of South Florida, 8350 N Tamiami Trail, SMC C222, Sarasota, FL 34243, USA
Health Care Manag Sci 11:1-9. 2008..For instance, hospital size appears to be less relevant for administrative HIT, where its effect is compensated by those of system membership and tax status. Implications for future HIT research and practice are discussed...
Crossing the secular divide: government and faith-based organizations as partners in healthRobert G Brooks
Int J Psychiatry Med 32:223-34. 2002....
Assessing the effectiveness of food worker training in Florida: opportunities and challengesRoberta M Hammond
Florida Department of Health, Bureau of Community Environmental Health, Tallahassee 32399 1712, USA
J Environ Health 68:19-24, 32. 2005..Further work needs to be done to estabish the most useful methods and approaches for assessing effectiveness and hence the public health impact of food worker training...
Surveillance results from the first West Nile virus transmission season in Florida, 2001Carina G M Blackmore
Bureau of Epidemiology, Florida Department of Health, Jacksonville, Florida 32331, USA
Am J Trop Med Hyg 69:141-50. 2003..West Nile virus-positive animals detected by multiple surveillance systems preceded seven of these cases by two weeks or more...
Predicting death from HIV/AIDS: a case-control study from Florida public HIV/AIDS clinicsSpencer Lieb
Florida Department of Health, Tallahassee 32399 1715, USA
J Acquir Immune Defic Syndr 30:351-8. 2002..After markedly decreasing for 3 years, HIV/AIDS mortality declined only slightly in 1999...
