M M Ward

Summary

Affiliation: University of Iowa
Country: USA

Publications

  1. ncbi CAH staff perceptions of a clinical information system implementation
    Marcia M Ward
    Center for Health Policy and Research, University of Iowa, Iowa City, 52242, USA
    Am J Manag Care 18:244-52. 2012
  2. ncbi A successful, voluntary, multicomponent statewide effort to reduce health care-associated infections
    Marcia M Ward
    University of Iowa, Iowa City, 52242, USA
    Am J Med Qual 27:66-73. 2012
  3. ncbi Direct medical cost of chronic obstructive pulmonary disease in the U.S.A
    M M Ward
    Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City 52242 1008, USA
    Respir Med 94:1123-9. 2000
  4. ncbi National Quality Forum 30 safe practices: priority and progress in Iowa hospitals
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, 200 Hawkins Drive, E210GH, Iowa City, IA 52242 1008, USA
    Am J Med Qual 21:101-8. 2006
  5. ncbi What would be the effect of referral to high-volume hospitals in a largely rural state?
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, Iowa City, Iowa 52242 1008, USA
    J Rural Health 20:344-54. 2004
  6. ncbi Physician process and patient outcome measures for diabetes care: relationships to organizational characteristics
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, Iowa City, Iowa 52242 1008, USA
    Med Care 42:840-50. 2004
  7. ncbi Provider adherence to COPD guidelines: relationship to organizational factors
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, Iowa City, IA 52242 1008, USA
    J Eval Clin Pract 11:379-87. 2005
  8. ncbi Implementation of strategies to prevent and control the emergence and spread of antimicrobial-resistant microorganisms in U.S. hospitals
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, Iowa City, Iowa 52242 1008, USA
    Infect Control Hosp Epidemiol 26:21-30. 2005
  9. ncbi Effectiveness of a nationally implemented smoking cessation guideline on provider and patient practices
    Marcia M Ward
    Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City 52242, USA
    Prev Med 36:265-71. 2003
  10. ncbi Clinical information system availability and use in urban and rural hospitals
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, 200 Hawkins Dr, E210GH, Iowa City 52242, USA
    J Med Syst 30:429-38. 2006

Research Grants

  1. Health Information Technology Value in Rural Hospitals
    Marcia Ward; Fiscal Year: 2006

Detail Information

Publications47

  1. ncbi CAH staff perceptions of a clinical information system implementation
    Marcia M Ward
    Center for Health Policy and Research, University of Iowa, Iowa City, 52242, USA
    Am J Manag Care 18:244-52. 2012
    ..This study examines staff perceptions of patient care quality and the processes before and after implementation of a comprehensive clinical information system (CIS) in critical access hospitals (CAHs)...
  2. ncbi A successful, voluntary, multicomponent statewide effort to reduce health care-associated infections
    Marcia M Ward
    University of Iowa, Iowa City, 52242, USA
    Am J Med Qual 27:66-73. 2012
    ..Other states could use this approach as a model to engage clinicians in patient safety initiatives and thereby accelerate the rate at which clinical care and health care outcomes are improved...
  3. ncbi Direct medical cost of chronic obstructive pulmonary disease in the U.S.A
    M M Ward
    Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City 52242 1008, USA
    Respir Med 94:1123-9. 2000
    ..However, the cost of hospitalizations, nursing home stays, emergency department and physician visits are not insignificant...
  4. ncbi National Quality Forum 30 safe practices: priority and progress in Iowa hospitals
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, 200 Hawkins Drive, E210GH, Iowa City, IA 52242 1008, USA
    Am J Med Qual 21:101-8. 2006
    ..Most safe practices were equally endorsed by large and small hospitals, suggesting that the NQF goal of identifying safe hospital practices may be attainable for most of the safe practices...
  5. ncbi What would be the effect of referral to high-volume hospitals in a largely rural state?
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, Iowa City, Iowa 52242 1008, USA
    J Rural Health 20:344-54. 2004
    ..The Leapfrog Group and others have recommended evidence-based referral using specific volume thresholds for nonemergent cases. The literature is limited on the effect of such referral on hospitals, especially in rural areas...
  6. ncbi Physician process and patient outcome measures for diabetes care: relationships to organizational characteristics
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, Iowa City, Iowa 52242 1008, USA
    Med Care 42:840-50. 2004
    ..Optimal diabetes management relies on providers adhering to evidence-based practice guidelines in the processes of care delivery and patients adhering to self-management recommendations to maximize patient outcomes...
  7. ncbi Provider adherence to COPD guidelines: relationship to organizational factors
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, Iowa City, IA 52242 1008, USA
    J Eval Clin Pract 11:379-87. 2005
    ..The aim of the current analyses is to describe current adherence rates and the organizational factors related to provider adherence to the COPD guideline...
  8. ncbi Implementation of strategies to prevent and control the emergence and spread of antimicrobial-resistant microorganisms in U.S. hospitals
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, Iowa City, Iowa 52242 1008, USA
    Infect Control Hosp Epidemiol 26:21-30. 2005
    ....
  9. ncbi Effectiveness of a nationally implemented smoking cessation guideline on provider and patient practices
    Marcia M Ward
    Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City 52242, USA
    Prev Med 36:265-71. 2003
    ..However, the effectiveness of this guideline has not been reported. The goal of this project was to evaluate the effect of the AHCPR smoking cessation guideline on provider practices with smokers and on patient smoking rates...
  10. ncbi Clinical information system availability and use in urban and rural hospitals
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, 200 Hawkins Dr, E210GH, Iowa City 52242, USA
    J Med Syst 30:429-38. 2006
    ..Comparison of CIS within one state's urban and rural hospitals sheds light on variation in clinical support applications, decision support, and electronic medical record "readiness" in these settings...
  11. ncbi Nurses' perceptions of how clinical information system implementation affects workflow and patient care
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, Iowa City, USA
    Comput Inform Nurs 29:502-11. 2011
    ....
  12. ncbi Lost income and work limitations in persons with chronic respiratory disorders
    Marcia M Ward
    Department of Health Management and Policy, University of Iowa, 2726 Steindler Bldg, Iowa City, IA 52242 1008, USA
    J Clin Epidemiol 55:260-8. 2002
    ..The NHIS indicated that 19.9% of persons with chronic respiratory conditions report being unable to work. Comparisons across respiratory diseases are made...
  13. ncbi Self-reported abstinence effects in the first month after smoking cessation
    M M Ward
    Department of Health Management and Policy, University of Iowa, Iowa City 52242 1008, USA
    Addict Behav 26:311-27. 2001
    ....
  14. ncbi What factors influence provider knowledge of a congestive heart failure guideline in a national health care system?
    Karl F Welke
    Division of Cardiothoracic Surgery, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
    Am J Med Qual 18:122-7. 2003
    ..Guideline implementation efforts that target multiple organizational levels may increase provider knowledge...
  15. ncbi Organizational and provider characteristics fostering smoking cessation practice guideline adherence: an empirical look
    Thomas E Vaughn
    Department of Health Management and Policy, University of Iowa College of Public Health, USA
    J Ambul Care Manage 25:17-31. 2002
    ....
  16. ncbi Myocardial infarction mortality in rural and urban hospitals: rethinking measures of quality of care
    Paul A James
    Department of Family Medicine, Roy J and Lucille A Carver College of Medicine, University of Iowa, Iowa City, Iowa 52242, USA
    Ann Fam Med 5:105-11. 2007
    ..We examined characteristics of patients experiencing myocardial infarction and used an instrumental variable technique to adjust for unmeasured confounding when comparing mortality rates for these hospitals...
  17. ncbi Factors contributing to maternal birth-related trauma
    Lance L Roberts
    Department of Health Management and Policy, University of Iowa, Iowa City 52242, USA
    Am J Med Qual 22:334-43. 2007
    ..Finally, our risk-adjustment methodology could be used in a similar manner to analyze other discharge datasets for opportunities to improve maternal outcomes...
  18. ncbi Building a hospital referral expert system with a Prediction and Optimization-Based Decision Support System algorithm
    Chih Lin Chi
    Health Informatics Program, 3087 Main Library, The University of Iowa, Iowa City, IA 52242, USA
    J Biomed Inform 41:371-86. 2008
    ..With proper formulation, this expert system can combine multiple factors to give hospital-selection decision support at the individual level...
  19. ncbi Do postoperative complications vary by hospital teaching status?
    Smruti Vartak
    Center for Health Policy and Research, College of Public Health, University of Iowa, Iowa City, Iowa 52242, USA
    Med Care 46:25-32. 2008
    ..The purpose of this paper is to assess postoperative patient safety outcomes across teaching and nonteaching hospitals and to examine the relation of hospital and patient factors to patient safety outcomes...
  20. ncbi Health care information technology in rural America: electronic medical record adoption status in meeting the national agenda
    James A Bahensky
    Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, Iowa 52242, USA
    J Rural Health 24:101-5. 2008
    ....
  21. ncbi Transformation of Emergency Department processes of care with EHR, CPOE, and ER event tracking systems
    Smruti Vartak
    Center for Health Policy and Research, College of Public Health, University of Iowa, 5229 Westlawn, Iowa City, IA 52242, USA
    HIM J 38:27-32. 2009
    ..This surprising finding was examined in relationship to the multiple process-of-care changes in the ED...
  22. ncbi Impact of health information technology on detection of potential adverse drug events at the ordering stage
    Lance L Roberts
    Department of Health Management and Policy, College of Public Health, University of Iowa, 5229 Westlawn, Iowa City, IA 52242, USA
    Am J Health Syst Pharm 67:1838-46. 2010
    ..The impact of implementing commercially available health care information technologies at hospitals in a large health system on the identification of potential adverse drug events (ADEs) at the medication ordering stage was studied...
  23. ncbi Evaluating clinical decision support rules as an intervention in clinician workflows with technology
    Jane M Brokel
    University of Iowa, Iowa City, IA 52242, USA
    Comput Inform Nurs 29:36-42. 2011
    ....
  24. ncbi General dentists' referrals of 3- to 5-year-old children to pediatric dentists
    Michelle R McQuistan
    Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City 52242 1010, USA
    J Am Dent Assoc 137:653-60. 2006
    ..Little is known about general dentists' referral patterns. The authors explored the practice, dentist and patient characteristics associated with general dentists' likelihood of referring children aged 3 to 5 years to pediatric dentists...
  25. ncbi Variation in the use of procedures to monitor antimicrobial resistance in U.S. hospitals
    Stephen D Flach
    Department of Internal Medicine, Iowa City Veterans Affairs Medical Center, Iowa City, Iowa 52242, USA
    Infect Control Hosp Epidemiol 26:31-8. 2005
    ..Antimicrobial resistance is a growing clinical and public health crisis. Experts have recommended measures to monitor antimicrobial resistance; however, little is known regarding their use...
  26. ncbi Does patient-centered care improve provision of preventive services?
    Stephen D Flach
    Iowa City Veterans Affairs Medical Center, Public Policy Center, University of Iowa, Iowa City, Iowa, USA
    J Gen Intern Med 19:1019-26. 2004
    ..While patient-centered care (PCC) is desirable for many reasons, its relationship to treatment outcomes is controversial. We evaluated the relationship between PCC and the provision of preventive services...
  27. ncbi Classifying the effectiveness of Veterans Affairs guideline implementation approaches
    Bonnie J BootsMiller
    Center for Research in the Implementation of Innovative Strategies in Practice, Iowa City Veterans Affairs Medical Center, Iowa City, IA 52246, USA
    Am J Med Qual 19:248-54. 2004
    ..However, VA hospitals should consider selective combinations of approaches to ensure the use of the most effective implementation methods...
  28. ncbi Antimicrobial resistance trends and outbreak frequency in United States hospitals
    Daniel J Diekema
    Iowa City Veterans Affairs Medical Center, Dept of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    Clin Infect Dis 38:78-85. 2004
    ..The most common resistant pathogen in US hospitals is ORSA, which accounts for many recognized outbreaks and is increasing in frequency in most facilities. Current practices to prevent and control antimicrobial resistance are inadequate...
  29. ncbi Patient safety outcomes in small urban and small rural hospitals
    Smruti Vartak
    Center for Health Policy and Research, University of Iowa, Iowa City, IA 52242, USA
    J Rural Health 26:58-66. 2010
    ..To assess patient safety outcomes in small urban and small rural hospitals and to examine the relationship of hospital and patient factors to patient safety outcomes...
  30. ncbi The limited effect of screening for depressive symptoms with the PHQ-9 in rural family practices
    George R Bergus
    Department of Family Medicine, Carver College of Medicine, University of Iowa, Iowa City 52242, USA
    J Rural Health 21:303-9. 2005
    ..However, these studies were conducted before the widespread use of SSRIs or in settings other than traditional primary care...
  31. ncbi General dentists' referral of children younger than age 3 to pediatric dentists
    Michelle R McQuistan
    Department of Preventive and Community Dentistry, University of Iowa, Iowa City, Iowa, USA
    Pediatr Dent 27:277-83. 2005
    ..The purpose of this study was to assess which variables are associated with Iowa general dentists' referral of children younger than age 3 to pediatric dentists...
  32. ncbi Benchmarking Veterans Affairs Medical Centers in the delivery of preventive health services: comparison of methods
    Bradley N Doebbeling
    Iowa City Veterans Affairs Medical Center, REAP Program for Interdisciplinary Research in Health Care Organization, Iowa 52242, USA
    Med Care 40:540-54. 2002
    ....
  33. ncbi Implementation of hospital computerized physician order entry systems in a rural state: feasibility and financial impact
    Robert L Ohsfeldt
    Department of Health Management and Policy, 200 Hawkins Drive, University of Iowa, Iowa City, IA 52246, USA
    J Am Med Inform Assoc 12:20-7. 2005
    ..The aim of this study was to estimate the costs of implementing computerized physician order entry (CPOE) systems in hospitals in a rural state and to evaluate the financial implications of statewide CPOE implementation...
  34. ncbi Are United States hospitals following national guidelines for the analysis and presentation of cumulative antimicrobial susceptibility data?
    Erika J Ernst
    University of Iowa College of Pharmacy, Iowa City, IA, USA
    Diagn Microbiol Infect Dis 49:141-5. 2004
    ..0031). Adherence to guidelines for preparation and dissemination of antibiograms could be improved. Institutional commitment to high quality, on-site microbiology laboratory services will improve adherence to these guidelines...
  35. ncbi Critical access hospital informatics: how two rural Iowa hospitals overcame challenges to achieve IT excellence
    James A Bahensky
    Department of Health Management and Policy, College of Public Health, University of Iowa, USA
    J Healthc Inf Manag 22:16-22. 2008
    ....
  36. ncbi Physician knowledge, attitudes and practices regarding a widely implemented guideline
    Marcia M Ward
    Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City 52242-1008, USA
    J Eval Clin Pract 8:155-62. 2002
    ..There are numerous opportunities for health care organizations to overcome the barriers to physician adoption of clinical practice guidelines in their day-to-day practice...
  37. ncbi Effect of meeting Leapfrog volume thresholds on complication rates following complex surgical procedures
    Veerasathpurush Allareddy
    Department of Health Management and Policy, College of Public Health, The University of Iowa, Iowa City, IA, USA
    Ann Surg 251:377-83. 2010
    ..The objectives of the current study are to examine the association between hospital volume and complications and also to examine the association between complications and in-hospital mortality following 5 complex surgical procedures...
  38. ncbi Cost-of-illness studies in the United States: a systematic review of methodologies used for direct cost
    Gerd Clabaugh
    Department of Health Management and Policy, University of Iowa, Iowa City, IA, USA
    Value Health 11:13-21. 2008
    ..It draws conclusions regarding the adequacy of current COI research methods and makes recommendations on improving them...
  39. ncbi Antecedents of clinical information technology sophistication in hospitals
    Mirou Jaana
    Canada Research Chair in Information Technology in Health Care, HEC Montreal, Canada and Department of Health Management and Policy, American University of Beirut, Lebanon
    Health Care Manage Rev 31:289-99. 2006
    ....
  40. ncbi A 10-Rights framework for patient care quality and safety
    Douglas S Wakefield
    University of Missouri Center for Health Care Quality, Department of Health Management and Informatics, Missouri, USA
    Am J Med Qual 22:103-11. 2007
    ....
  41. ncbi Development of a measure of clinical information systems expectations and experiences
    Douglas S Wakefield
    Center for Health Care Quality, University of Missouri Columbia, Columbia, Missouri 65212, USA
    Med Care 45:884-90. 2007
    ..The purpose of this study is to describe the development and initial psychometric properties of a measure of expectations and experiences regarding the impact of clinical information systems on work process and outcomes...
  42. ncbi Clinical information technology in hospitals: a comparison between the state of Iowa and two provinces in Canada
    Mirou Jaana
    Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Lebanon
    Int J Med Inform 74:719-31. 2005
    ..More initiatives using the instrument would lead to enhancement in IT assessment tools that can be used for evaluation of IT in relation to patient management and quality outcomes...
  43. ncbi Effect of critical access hospital conversion on patient safety
    Pengxiang Li
    Division of General Internal Medicine, University of Pennsylvania, 1215 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA
    Health Serv Res 42:2089-108; discussion 2294-323. 2007
    ....
  44. ncbi The direct cost of care for psoriasis and psoriatic arthritis in the United States
    Harold S Javitz
    Center for Health Sciences, SRI International, Menlo Park, California 94025, USA
    J Am Acad Dermatol 46:850-60. 2002
    ....
  45. ncbi Role of multihospital system membership in electronic medical record adoption
    Pengxiang Li
    Division of General Internal Medicine, University of Pennsylvania, Philadelphia, USA
    Health Care Manage Rev 33:169-77. 2008
    ..Nevertheless, substantial variation currently exists in the adoption of electronic medical records (EMRs) resulting in differences in hospital HIT capacity...
  46. ncbi Cost of illness of chronic angina
    Harold S Javitz
    Center for Health Sciences, SRI International, Menlo Park, California, USA
    Am J Manag Care 10:S358-69. 2004
    ..Some components of care were not available, and estimated costs will be significantly higher if private payer reimbursement rates are used...
  47. ncbi Complexity of medication-related verbal orders
    Douglas S Wakefield
    Department of Health Management and Informatics, Center for Health Care Quality, University of Missouri Columbia, MO 65121, USA
    Am J Med Qual 23:7-17. 2008
    ....

Research Grants3

  1. Health Information Technology Value in Rural Hospitals
    Marcia Ward; Fiscal Year: 2006
    ..The toolkits will facilitate rural hospitals' ability to utilize current and emerging evidence to guide HIT investment and implementation decisions that fit their particular healthcare environment. ..