Searched for: person:griggj02
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COVID-19 in the New York City Jail System: Epidemiology and Health Care Response, March-April 2020
Chan, Justin; Burke, Kelsey; Bedard, Rachael; Grigg, James; Winters, John; Vessell, Colleen; Rosner, Zachary; Cheng, Jeffrey; Katyal, Monica; Yang, Patricia; MacDonald, Ross
OBJECTIVES/OBJECTIVE:People detained in correctional facilities are at high risk for infection with severe acute respiratory syndrome coronavirus 2, the virus that causes coronavirus disease 2019 (COVID-19). We described the epidemiology of the COVID-19 outbreak in a large urban jail system, including signs and symptoms at time of testing and risk factors for hospitalization. METHODS:This retrospective observational cohort study included all patients aged ≥18 years who were tested for COVID-19 during March 11-April 28, 2020, while in custody in the New York City jail system (N = 978). We described demographic characteristics and signs and symptoms at the time of testing and performed Cox regression analysis to identify factors associated with hospitalization among those with a positive test result. RESULTS:Of 978 people tested for COVID-19, 568 received a positive test result. Among symptomatic patients, the most common symptoms among those who received a positive test result were cough (n = 293 of 510, 57%) and objective fever (n = 288 of 510, 56%). Of 257 asymptomatic patients who were tested, 58 (23%) received a positive test result. Forty-five (8%) people who received a positive test result were hospitalized for COVID-19. Older age (aged ≥55 vs 18-34) (adjusted hazard ratio [aHR] = 13.41; 95% CI, 3.80-47.33) and diabetes mellitus (aHR = 1.99; 95% CI, 1.00-3.95) were significantly associated with hospitalization. CONCLUSIONS:A substantial proportion of people tested in New York City jails received a positive test result for COVID-19, including a large proportion of people tested while asymptomatic. During periods of ongoing transmission, asymptomatic screening should complement symptom-driven COVID-19 testing in correctional facilities. Older patients and people with diabetes mellitus should be closely monitored after COVID-19 diagnosis because of their increased risk for hospitalization.
PMID: 33673760
ISSN: 1468-2877
CID: 4807192
A Mobile Clinic Care Coordination Program: Enhancing Patient Care with Innovative Roles for Undergraduate Students
Nguyen, Thuy; Ng, Yunfai; Lehenaff, Ryanne; McCoy, Dakota; Laughrey, Megan; Grigg, James; Stein, Gerald H; Hardt, Nancy S
The University of Florida Mobile Outreach Clinic's Care Coordination Program uses trained undergraduate volunteers to provide vital services; these include patient intake, recording vital signs, scribing first drafts of clinic notes, and making follow-up phone calls. The program and its benefits are replicable as demonstrated by our systematic implementation plan.
PMID: 31130534
ISSN: 1548-6869
CID: 4410282
Transforming medical student international engagement to a focus on educational programs
Rivera-Ramos, M; Plascencia, E; Devos, Elizabeth; Grigg, James
ORIGINAL:0014627
ISSN: 2214-9996
CID: 4418252
Developing team skills competencies for the global health context: interprofessional predeparture training for health science students engaging in global health projects at the University of Florida
DeVos, Elizabeth L; Ikponmwonba, C; Patel, K; McKune, SL; Grigg, James; Blue, A
ORIGINAL:0014629
ISSN: 2214-9996
CID: 4418272
Building sustainable programs from brigades: development and implementation of a student-led global health program at the University of Florida
Baer, SD; Grigg, James; Lauzardo, M; DeVos, Elizabeth
ORIGINAL:0014628
ISSN: 2214-9996
CID: 4418262
A case-based approach to village health worker supervisor continuing education [Meeting Abstract]
Grigg, James; Iyer, S; Goss, E: Patel, A; Murakami, N; Luepp, T; Fung-Chaw, G; Paccione, G
ORIGINAL:0014630
ISSN: 2214-9996
CID: 4418282
CLINICAL REASONING CURRICULUM: TEACHING CLINICAL REASONING PRINCIPLES AS PART OF RESIDENCY EDUCATION [Meeting Abstract]
Goss, Erin J.; Iyer, Shwetha; Grigg, James; LeFrancois, Darlene; Paccione, Gerald
ISI:000358386902111
ISSN: 0884-8734
CID: 4410332
The impact of certified diabetes educators on diabetes performance and variation among primary care sites within an integrated health system
Grigg, James; Ning, Yuming; Santana, Calie
OBJECTIVES: Primary care networks within integrated health systems can experience significant variation in diabetes care. We studied an established, 20-site network to determine the impact of a quality improvement intervention to add certified diabetes educators (CDEs). We sought to measure whether sites with CDEs had higher quality and whether care improved over time more in sites with CDEs, beyond the existing differences among sites. METHODS: Diabetes quality outcomes were (1) HbA1c =8%, (2) low-density lipoprotein (LDL) =100 mg/dL, (3) microalbumin checked, (4) blood pressure (BP) =130/80 mm Hg (tight control), and (5) BP =140/90 mm Hg (lenient control). Baseline differences brought us to divide sites into 3 site types by predominant payer and teaching status (commercial/nonteaching, mixed [mostly government-sponsored]/teaching and mixed/nonteaching). We measured the association between CDEs and each outcome using a 2-level mixed effects logistic regression with site type as a random effect. RESULTS: Our analysis included 13 001 patients with visits and labs pre- and post-CDE implementation. Sites with CDEs improved significantly in 2 of 5 outcomes compared with sites without CDEs. Improvements occurred in microalbumin checks (odds ratio = 2.21, P < .001) and BP <140/90 mm Hg (odds ratio = 1.46, P = .03). There was no improvement in the other measures of diabetes quality. Of note, commercial/nonteaching and mixed/teaching sites also improved significantly in these 2 outcomes compared with mixed/nonteaching sites during that time period. CONCLUSIONS: We found that CDEs are associated with significant improvements in some diabetes outcomes. However, heterogeneity among primary care sites in an integrated network persists and all types of sites might not benefit equally from a quality improvement intervention like CDEs.
PMID: 24488252
ISSN: 2150-1327
CID: 994742
GHACS: THE GLOBAL HEALTH/CLINICAL SKILLS FACULTY DEVELOPMENT FELLOWSHIP AT MONTEFIORE [Meeting Abstract]
Iyer, Shwetha; Grigg, James; Goss, Erin J.; Capps, Linnea; LeFrancois, Darlene; Paccione, Gerald
ISI:000331939302416
ISSN: 0884-8734
CID: 4410322
IMPROVEMENTS IN DIABETES QUALITY OVER TIME ARE ASSOCIATED WITH DIFFERENCES IN PAYER MIX, TEACHING STATUS, AND THE PRESENCE OF DIABETES PERSONNEL IN A LARGE URBAN AMBULATORY NETWORK [Meeting Abstract]
Santana, Calie; Grigg, James; Ning, Yuming
ISI:000209142900291
ISSN: 0884-8734
CID: 4410302