Research Topics
| Nir MenachemiSummaryAffiliation: University of Alabama at Birmingham Country: USA Publications
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Publications
A taxonomy of state public health preparedness units: an empirical examination of organizational structureNir Menachemi
Department of Health Care Organization and Policy, University of Alabama at Birmingham, Atlanta, GA, USA
J Public Health Manag Pract 18:250-8. 2012..This study empirically identifies a taxonomy of similarly structured SPHPUs and examines whether this structure is associated with state geographic, demographic, and threat-vulnerability characteristics...
Predictors of physician satisfaction among electronic health record system usersNir Menachemi
Department of Heath Care Organization and Policy, University of Alabama, Birmingham School of Public Health, AL, USA
J Healthc Qual 32:35-41. 2010..Lastly, several individual EHR functionalities were independently related to improved satisfaction...- The relationship between local hospital IT capabilities and physician EMR adoptionNir Menachemi
Department of Health Care Organization and Policy, UAB School of Public Health, Ryals 330, 1530 3rd Ave South, Birmingham, AL 35294 0022, USA
J Med Syst 33:329-35. 2009..Given this existing relationship between hospital IT capabilities and physician adoption patterns, federal policies designed to encourage this more directly will positively promote the proliferation of EMR systems... - The role of information technology usage in physician practice satisfactionNir Menachemi
Department of Health Care Organization and Policy, University of Alabama at Birmingham, USA
Health Care Manage Rev 34:364-71. 2009..Despite the growing use of information technology (IT) in medical practices, little is known about the relationship between IT and physician satisfaction... 
The use of physician-patient email: a follow-up examination of adoption and best-practice adherence 2005-2008Nir Menachemi
School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA
J Med Internet Res 13:e23. 2011..Physician-patient email use has been low; and previous data from Florida suggest that physicians who email with patients rarely implement best-practice guidelines designed to protect physicians and patients...- Environmental factors and health information technology management strategyNir Menachemi
Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, USA
Health Care Manage Rev 36:275-85. 2011..Previous studies have provided theoretical and empirical evidence that environmental forces influence hospital strategy... - Influence of pay-for-performance programs on information technology use among child health providers: the devil is in the detailsNir Menachemi
Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA
Pediatrics 123:S92-6. 2009..This study explored how various pay-for-performance compensation methods are related to health information technology use... - Physician and practice characteristics associated with longitudinal increases in electronic health records adoptionNir Menachemi
University of Alabama at Birmingham, USA
J Healthc Manag 56:183-97; discussion 197-8. 2011..These results are important for physicians to consider in their potential adoption of EHRs and should also be considered by policymakers interested in promoting increased use of EHRs by physicians... - Florida doctors seeing Medicaid patients show broad interest in federal incentives for adopting electronic health recordsNir Menachemi
University of Alabama, Birmingham, AL, USA
Health Aff (Millwood) 30:1461-70. 2011..In particular, the centers should focus on providing physicians with information about costs of electronic health record systems... - Use of health information technology by children's hospitals in the United StatesNir Menachemi
aDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA
Pediatrics 123:S80-4. 2009..The purpose of this study was to examine the adoption of health information technology by children's hospitals and to document barriers and priorities as they relate to health information technology adoption... - Market factors and electronic medical record adoption in medical practicesNir Menachemi
Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, USA
Health Care Manage Rev 37:14-22. 2012..Previous studies identified individual or practice factors that influence practice-based physicians' electronic medical record (EMR) adoption. Less is known about the market factors that influence physicians' EMR adoption... - 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... - 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)... - The influence of payer mix on electronic prescribing by physiciansDavid W Au
Health Services Administration, University of Alabama at Birmingham, USA
Health Care Manage Rev 36:95-101. 2011..Limited studies have examined electronic prescribing (e-prescribing) adoption in physician office practices. Specifically, none have explored the influence of payer mix on e-prescribing adoption among physicians... - 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... - 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... - 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 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... - 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... - 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... - 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.... - 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... - 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... - 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... - Payer mix and EHR adoption in hospitalsDong Yeong Shin
Department of Health Services Administration, University of Alabama at Birmingham, USA
J Healthc Manag 57:435-48; discussion 449-50. 2012..However, it is still uncertain whether the available incentives will offset the barriers many hospitals face in achieving meaningful use of EHRs... - Did copayment changes reduce health service utilization among CHIP enrollees? Evidence from AlabamaBisakha Sen
Lister Hill Center for Health Policy, and Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, AL, USA
Health Serv Res 47:1603-20. 2012..To explore whether health care utilization changed among enrollees in Alabama's CHIP program, ALL Kids, following copayment increases at the beginning of fiscal year 2004... - The impact of CHIP coverage on children with asthma in AlabamaNir Menachemi
University of Alabama at Birmingham, 1530 3rd Avenue S, Birmingham, AL 35294, USA
Clin Pediatr (Phila) 51:247-53. 2012..8 vs 5.2 vs 4.4; P < .0001). As a result, significant declines in the mean costs per child were observed. Ongoing ALL Kids coverage is associated with improved disease-management and lower costs for persistent asthma... - 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... - Physicians who treat the elderly in rural Florida: trends indicating concerns regarding access to careAnne Gunderson
Department of Geriatrics, Florida State University College of Medicine, Tallahassee, FL, USA
J Rural Health 22:224-8. 2006..Rural elderly patients are faced with numerous challenges in accessing care. Additional strains to access may be occurring given recent market pressures, which would have significant impact on this vulnerable population... - Health care CIOs: assessing their fit in the organizational hierarchy and their influence on information technology capabilityDarrell Burke
Medical Informatics, College of Information, Florida State University, Tallahassee, FL 32106 2100, USA
Health Care Manag (Frederick) 25:167-72. 2006..Further, regression analyses suggest that CIO tenure is associated with greater health care information technology adoption, whereas the reporting structure of the CIO is not. Management implications of the findings are discussed... - 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... - Best of breed strategies--hospital characteristics associated with organizational HIT strategyDarrell Burke
University of Alabama at Birmingham, USA
J Healthc Inf Manag 23:46-51. 2009..These findings enable hospital leaders to compare strategies with their peers. Moreover, IT vendors can identify the types of hospitals that would most likely benefit from their products or services... - Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitalsFeliciano B Yu
Division of Emergency Medicine, Department of Pediatrics, University of Alabama at Birmingham, Children s Health System, 1600 7th Avenue South, Information Technology, Suite 200 14, Birmingham, AL 35233, USA
Am J Med Qual 24:278-86. 2009..Using a large sample of hospitals, our study found significant positive associations between specific objective quality indicators and CPOE implementation... - Development and testing of a scale to assess physician attitudes about handheld computers with decision supportMidge N Ray
Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35294 3361, USA
J Am Med Inform Assoc 13:567-72. 2006..The authors developed and evaluated a rating scale, the Attitudes toward Handheld Decision Support Software Scale (H-DSS), to assess physician attitudes about handheld decision support systems... - 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... - 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... - Environmental market factors associated with physician career satisfactionOlena Mazurenko
University of Alabama at Birmingham, USA
J Healthc Manag 57:307-22; discussion 323-4. 2012..76, 95% CI: 0.61 to 0.95) had lower odds of being satisfied. A better understanding of an organization's environment could assist healthcare managers in shaping their policies and strategies to increase physician satisfaction... - 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... - 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... - Hospital patient safety levels among healthcare's "most wired" institutionsFeliciano Yu
University of Alabama at Birmingham, School of Medicine and Medical Imformaticist, Children s Hospital of Alabama, USA
J Healthc Qual 32:16-23. 2010.... - 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... - EHR adoption among doctors who treat the elderlyValerie A Yeager
Department of Health Care Organization and Policy, University of Alabama at Birmingham, School of Public Health, Birmingham, AL, USA
J Eval Clin Pract 16:1103-7. 2010.... - 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... - 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... - Barriers to ambulatory EHR: who are 'imminent adopters' and how do they differ from other physicians?Nir Menachemi
Center on Patient Safety, Florida State University College of Medicine, Tallahassee, Florida, USA
Inform Prim Care 14:101-8. 2006..Chi-square analysis and logistic regression models were used to identify trends among imminent adopters and to compare barriers among respondents in each of the adoption categories above... - Is there a relationship between physician and facility volumes of ambulatory procedures and patient outcomes?Askar S Chukmaitov
Division of Health Affairs, and Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee, FL 32306, USA
J Ambul Care Manage 31:354-69. 2008..Further examinations of associations of outpatient physician and facility volumes and patient outcomes are suggested... - 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... - 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... - 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.... - 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.... - Rural physicians' attitudes toward the elderly: evidence of ageism?Anne Gunderson
Florida State University College of Medicine, Tallahassee, USA
Qual Manag Health Care 14:167-76. 2005..The trends identified are important because they may directly influence the quality of care that this population receives... - 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... - 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... - Factors affecting the adoption of telemedicine--a multiple adopter perspectiveNir Menachemi
College of Medicine, Florida State University, Tallahassee, Florida 32306-2100, USA
J Med Syst 28:617-32. 2004..A discussion of the implications is included... - Breast cancer knowledge and attitudes toward mammography as predictors of breast cancer preventive behavior in Kazakh, Korean, and Russian women in KazakhstanAskar Chukmaitov
Division of Health Affairs, Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee, FL 32306 4300, USA
Int J Public Health 53:123-30. 2008.... - 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.... - The relationship between computerized physician order entry and pediatric adverse drug events: a nested matched case-control studyFeliciano Yu
Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA
Pharmacoepidemiol Drug Saf 18:751-5. 2009..In conclusion, we found significant beneficial associations between reportable ADE and CPOE adoption in a representative sample of pediatric hospitals... - 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... - 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... - Continuity of insurance coverage and ambulatory care-sensitive hospitalizations/ED visits: evidence from the children's health insurance programDavid J Becker
University of Alabama at Birmingham, Birmingham, AL, USA
Clin Pediatr (Phila) 50:963-73. 2011..To assess the effects of continuity of insurance coverage on treatment of ambulatory-care sensitive conditions (ACSC). Study Population: 42,382 children enrolled in ALL Kids (Alabama Children's Health Insurance Program) for 3 or more years... - Perceptions of medical errors by internal medicine residents: development and validation of a new scaleNir Menachemi
Florida State University, College of Medicine, Tallahassee, USA
Qual Manag Health Care 14:144-54. 2005..Results indicated that 13.9% of the variation in the perceived cost of medical errors and 17.1% of the variation in the perceived need for additional physician education was explained by the factor structure... - 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.... - 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... - 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... - Characteristics of hospitals that outsource information system functionsNir Menachemi
Center on Patient Safety, Florida State University College of Medicine, USA
J Healthc Inf Manag 19:63-9. 2005..However, having a physician in a senior level IT position did seem to correlate. Lastly, the data indicate that a hospital's profit status is not generally related to IS outsourcing... - 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... - 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... - The nature of the public health emergency preparedness literature 2000-2008: a quantitative analysisValerie A Yeager
Department of Healthcare Organization and Policy and the South Central Center for Public Health Preparedness, University of Alabama at Birmingham School of Public Health, Birmingham, AL 35294, USA
J Public Health Manag Pract 16:441-9. 2010..This study characterizes the nature, size, and knowledge gaps of the public health emergency preparedness (PHEP) literature... - Governance's role in local health departments' information system and technology usageJoshua R Vest
Health Policy and Management, Jiann Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA 30460, USA
J Public Health Manag Pract 18:160-8. 2012..Therefore, understanding how LHDs' governance facilitates or inhibits the adoption and use of such IS and IT tools is critical...