Tom Belnap
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Optimizing multiple myeloma assessment for newly diagnosed patients across a large, 33 hospital healthcare system: A mixed methods analysis Open
Introduction Only 20-50% of patients with multiple myeloma (MM) who are transplant eligible (TE) undergo autologous stem cell transplantation (ASCT). Community oncologists commonly refer newly diagnosed patients with MM to specialized tran…
View article: Caregiving at end‐of‐life: How do family structure and dementia status impact antidepressant and anxiolytic prescriptions among families?
Caregiving at end‐of‐life: How do family structure and dementia status impact antidepressant and anxiolytic prescriptions among families? Open
INTRODUCTION End‐of‐life (EOL) caregiving is associated with stress and burden, especially for persons with dementia. Little is known, however, about how dementia diagnosis, family structure, and co‐residence influence the prevalence of an…
View article: Home Monitoring of High-Risk Individuals Receiving Opioids Post Orthopedic Surgery
Home Monitoring of High-Risk Individuals Receiving Opioids Post Orthopedic Surgery Open
Background: Postoperative patients receiving opioids are at risk for morbidity and mortality caused by opioid-induced respiratory depression (OIRD). Guidelines advocate electronic monitoring for OIRD during postoperative hospitalization, b…
View article: Screening for Social Determinants of Health During Primary Care and Emergency Department Encounters
Screening for Social Determinants of Health During Primary Care and Emergency Department Encounters Open
This cross-sectional study explores characteristics of patients who are screened and who screen positive for social determinants of health (SDOH) needs in different clinical settings within a large integrated health system.
Google Street View Images as Predictors of Patient Health Outcomes, 2017–2019 Open
Collecting neighborhood data can both be time- and resource-intensive, especially across broad geographies. In this study, we leveraged 1.4 million publicly available Google Street View (GSV) images from Utah to construct indicators of the…
Adapting a Complex, Integrated Health and Social Services Intervention in Two Communities Open
Research Objective Poor population health is not randomly distributed but follows a social gradient with adversity clustering in specific communities. Under the Alliance for Determinants of Health program, Intermountain Healthcare is leadi…
A Framework for Aligning Data from Multiple Institutions to Conduct Meaningful Analytics Open
Introduction: Health systems can be supported by collaborative networks focused on data sharing and comparative analytics to identify and rapidly disseminate promising care practices. Standardized data collection, quality assessment, and c…
Reducing Healthcare Costs Through Patient Targeting: Risk Adjustment Modeling to Predict Patients Remaining High-Cost Open
Context: The transition to population health management has changed the healthcare landscape to identify high risk, high cost patients. Various measures of patient risk have attempted to identify likely candidates for care management progr…
A Retrospective Analysis of Precision Medicine Outcomes in Patients With Advanced Cancer Reveals Improved Progression-Free Survival Without Increased Health Care Costs Open
Purpose: The advent of genomic diagnostic technologies such as next-generation sequencing has recently enabled the use of genomic information to guide targeted treatment in patients with cancer, an approach known as precision medicine. How…
Introduction of an Area Deprivation Index Measuring Patient Socio-economic Status in an Integrated Health System: Implications for Population Health Open
Introduction: Intermountain Healthcare is a fully integrated delivery system based in Salt Lake City, Utah. As a learning healthcare system with a mission of performance excellence, it became apparent that population health management and …
Using electronic health record data to identify prostate cancer patients that may qualify for active surveillance Open
Introduction: The introduction of the protein-specific antigen (PSA) test in care means that prostate cancer (PCa) is being detected earlier and more frequently. The result of increased screening using PSA, digital rectal examination and a…