Explanipedia

The Price of Dedication: An Analysis of Wage Trajectories in State and Local Public Health From 2017 to 2024 Open

S. R. Singh, Molly Gee, Madyson Popalis, Rachel Hare Bork, Valerie A. Yeager · 2025

Context: Salary plays a crucial role in recruiting and retaining employees in public health; however, information about trends in compensation is limited. Objective: To analyze trends in earnings among state and local governmental public h…

Innovations and Hiring Improvements to Address Public Health Workforce Recruitment Open

Emilie R. Madsen, Paulani Mui, Beth Resnick, Valerie A. Yeager · 2025

Objectives: This study engaged state and local health agency employees involved in the hiring process to examine the impact of hiring laws and civil service requirements on recruitment processes. Additionally, we identified innovative appr…

Availability of behavioral health crisis care and associated changes in emergency department utilization Open

Ashlyn Burns, Joshua R. Vest, Nir Menachemi, Olena Mazurenko, Paul I. Musey , et al. · 2024

Objective To determine whether availability of behavioral health crisis care services is associated with changes in emergency department (ED) utilization. Data Sources and Study Setting We used longitudinal panel data (2016–2021) on ED uti…

State Laws Governing the Hiring of Public Health Government Employees, 2023 Open

Valerie A. Yeager, Mollye Demosthenidy, Ashlyn Burns · 2024

Objective: Governmental public health agencies have experienced longstanding challenges in recruiting individuals at the state and local level. Understanding civil service laws as they relate to the hiring processes is an important compone…

Ohio Presents Opportunities For Understanding Hospital Alignment With Public Health Agencies On Community Health Assessments Open

Cory E. Cronin, S. R. Singh, Ashlyn Burns, Valerie A. Yeager, Neeraj Puro , et al. · 2024

Multisector collaboration is critical for improving population health. Improving alignment between nonprofit hospitals and local health departments is one promising approach to achieving health improvement, and a number of states are explo…

Market Factors Associated with Comprehensive Behavioral Health Crisis Care Availability: A Resource Dependence Theory Study Open

Ashlyn Burns, Joshua R. Vest, Nir Menachemi, Olena Mazurenko, Michelle P. Salyers , et al. · 2024

Behavioral health crisis care (BHCC) is a care delivery model for individuals experiencing acute distress related to a mental health or substance use disorder. We examined market factors associated with comprehensive BHCC availability usin…

A national overview of nonprofit hospital community benefit programs to address the social determinants of health Open

Berkeley Franz, Ashlyn Burns, Kristin Kueffner, Meeta Bhardwaj, Valerie A. Yeager , et al. · 2023

Decades of research have solidified the crucial role that social determinants of health (SDOH) play in shaping health outcomes, yet strategies to address these upstream factors remain elusive. The aim of this study was to understand the ex…

The impact of rural general hospital closures on communities—A systematic review of the literature Open

Carol A. Mills, Valerie A. Yeager, Kathleen T. Unroe, Ann Holmes, Justin Blackburn · 2023

Purpose To compile the literature on the effects of rural hospital closures on the community and summarize the evidence, specifically the health and economic impacts, and identify gaps for future research. Methods A systematic review of th…

Conducting a Comprehensive Assessment of the Public Health Workforce: Lessons Learned and Opportunities for the Future Open

Valerie A. Yeager, Katy Ellis Hilts, Shandy Dearth, Lindsey Sanner, Cassidy McNamee , et al. · 2023

Indiana was one of the earliest states to conduct a comprehensive public health workforce assessment in preparation for the use of federal funds for infrastructure strengthening. Experiences from this assessment provide insights that may b…

What Are Public Health Agencies Planning for Workforce Development? A Content Analysis of Workforce Development Plans of Accredited Public Health Departments Open

Valerie A. Yeager, Ashlyn Burns, Britt Lang, Jessica Kronstadt, Monica Hughes , et al. · 2023

Objective: Recruiting and retaining public health employees and ensuring they have the skills necessary to respond are vital for meeting public health needs. As the first study examining health department (HD) workforce development plans (…

Adoption of Best Practices in Behavioral Health Crisis Care by Mental Health Treatment Facilities Open

Ashlyn Burns, Nir Menachemi, Valerie A. Yeager, Joshua R. Vest, Olena Mazurenko · 2023

Despite SAMHSA guidelines recommending comprehensive BHCC services, a fraction of facilities have fully adopted BHCC best practices. Efforts are needed to facilitate widespread uptake of BHCC best practices nationwide.

The State of the US Public Health Workforce: Ongoing Challenges and Future Directions Open

Jonathon P. Leider, Valerie A. Yeager, Chelsey Kirkland, Heather Krasna, Rachel Hare Bork , et al. · 2023

Between the 2009 Great Recession and the onset of the COVID-19 pandemic, the US state and local governmental public health workforce lost 40,000 jobs. Tens of thousands of workers also left during the pandemic and continue to leave. As gov…

Perceptions of Nurses Delivering Nursing Home Virtual Care Support: A Qualitative Pilot Study Open

Carol A. Mills, Yvette H. Tran, Valerie A. Yeager, Kathleen T. Unroe, Ann Holmes , et al. · 2023

Avoidable hospitalizations among nursing home residents result in poorer health outcomes and excess costs. Consequently, efforts to reduce avoidable hospitalizations have been a priority over the recent decade. However, many potential inte…

PERCEPTIONS OF NURSES DELIVERING NURSING HOME VIRTUAL CARE SUPPORT: A QUALITATIVE PILOT STUDY Open

Justin Blackburn, Carol J. Mills, Yvette H. Tran, Valerie A. Yeager, Kathleen T. Unroe , et al. · 2022

Avoidable hospitalizations among nursing home residents result in poorer health outcomes and excess costs. Consequently, efforts to reduce avoidable hospitalizations have been a priority over the recent decade. However, many potential inte…

Turnover, COVID-19, and Reasons for Leaving and Staying Within Governmental Public Health Open

Jonathon P. Leider, Gulzar H. Shah, Valerie A. Yeager, Jingjing Yin, Kusuma Madamala · 2022

Background and Objectives: Public health workforce recruitment and retention continue to challenge public health agencies. This study aims to describe the trends in intention to leave and retire and analyze factors associated with intentio…

Qualitative Insights From Governmental Public Health Employees About Experiences Serving During the COVID-19 Pandemic, PH WINS 2021 Open

Valerie A. Yeager, Emilie R. Madsen, Kay Schaffer · 2022

Objective: The purpose of the current study was to examine governmental public health employee experiences during the COVID-19 pandemic. Design and Setting: A total of 5169 responses to a PH WINS 2021 open-ended question were qualitatively…

Primary Care Case Conferences to Mitigate Social Determinants of Health: A Case Study From One FQHC System Open

Valerie A. Yeager, Heather Taylor, Nir Menachemi, Dawn P. Haut, Paul K. Halverson , et al. · 2021

Case conferences may be a feasible approach to understanding patient's complex social needs. Participants reported that case conferences may help mitigate the effects of these social issues and that they foster better inter-professional co…

Dance of Dollars: State Funding Effects on Local Health Department Expenditures Open

Abigail H. Viall, Betty Bekemeier, Valerie A. Yeager, Thomas W. Carton · 2021

Objective: We examined changes in total local health department (LHD) expenditures in the state of Washington following introduction of a new state funding program to support core public health services and infrastructure. Methods: We used…

Institutional factors associated with hospital partnerships for population health: A pooled cross-sectional analysis Open

Katy Ellis Hilts, P. Joseph Gibson, Justin Blackburn, Valerie A. Yeager, Paul K. Halverson , et al. · 2021

Background Hospitals are increasingly engaging in partnerships to address population health in response to national policies, such as value-based payment models. However, little is known about how institutional factors influence hospital p…

Impact of Medicaid expansion on smoking prevalence and quit attempts among those newly eligible, 2011–2019 Open

Katy Ellis Hilts, Justin Blackburn, P. Joseph Gibson, Valerie A. Yeager, Paul K. Halverson , et al. · 2021

Expanded coverage for tobacco cessation services through Medicaid alone may not be enough to increase quit-attempts or sustain a reduction in overall prevalence of smoking in newly eligible populations over time. Medicaid programs should c…

Public Health and Health Care Partnerships for Improved Tobacco Cessation Open

Katy Ellis Hilts, Valerie A. Yeager, Harold Kooreman, Regina Smith, Brian Busching , et al. · 2021

Context: Tobacco use remains a leading cause of preventable death and disease. While most tobacco users are interested in quitting, few receive professional assistance. Program: This state health department–led project leveraged partnershi…

Hospital Partnerships for Population Health: A Systematic Review of the Literature Open

Katy Ellis Hilts, Valerie A. Yeager, P. Joseph Gibson, Paul K. Halverson, Justin Blackburn , et al. · 2021

EXECUTIVE SUMMARY The U.S. healthcare system continues to experience high costs and suboptimal health outcomes that are largely influenced by social determinants of health. National policies such as the Affordable Care Act and value-based …

Identifying Opportunities to Strengthen the Public Health Informatics Infrastructure: Exploring Hospitals’ Challenges with Data Exchange Open

Daniel M. Walker, Valerie A. Yeager, John Lawrence, Ann Scheck McAlearney · 2021

Policy Points Even though most hospitals have the technological ability to exchange data with public health agencies, the majority continue to experience challenges. Most challenges are attributable to the general resources of public healt…

Application for Public Health Accreditation Among US Local Health Departments in 2013 to 2019: Impact of Service and Activity Mix Open

Jonathon P. Leider, Jessica Kronstadt, Valerie A. Yeager, Kellie Hall, Chelsey K. Saari , et al. · 2020

Objectives. To examine correlates of applying for accreditation among small local health departments (LHDs) in the United States through 2019. Methods. We used administrative data from the Public Health Accreditation Board (PHAB) and 2013,…

Challenges in Translating National and State Reopening Plans Into Local Reopening Policies During the COVID-19 Pandemic Open

Joshua R. Vest, Justin Blackburn, Valerie A. Yeager · 2020

This article is made available for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization…

Public Health Officials and COVID-19: Leadership, Politics, and the Pandemic Open

Paul K. Halverson, Valerie A. Yeager, Nir Menachemi, Michael R. Fraser, Lori Tremmel Freeman · 2020

Health Official Roles Attending the now virtual meetings of the Association of State and Territorial Health Officials (ASTHO) alumni society facilitates seeing old friends and meeting new members. However, attendance at the alumni society …

Progress and Challenges with Connecting Hospitals with the Public Health System Open

Daniel M. Walker, John Lawrence, Valerie A. Yeager · 2020

Improving the health information technology (HIT) infrastructure of the public health system is critical for public health activities and population health management. To strengthen the public health HIT infrastructure, CMS included specif…

Core Competency Gaps Among Governmental Public Health Employees With and Without a Formal Public Health Degree Open

Heather Taylor, Valerie A. Yeager · 2019

Objectives: To examine the role of a formal public health degree as it relates to core competency needs among governmental public health employees. Design: This cross-sectional study utilizes the 2017 Public Health Workforce Interests and …

Public Health Undergraduates in the Workforce: A Trickle, Soon a Wave? Open

Paul C. Erwin, Angela J. Beck, Valerie A. Yeager, Jonathon P. Leider · 2019

The Role of Salary in Recruiting Employees in State and Local Governmental Public Health: PH WINS 2017 Open

Valerie A. Yeager, Jonathon P. Leider · 2019

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