Brianaltonenmph.files.wordpress.com



BRIAN L ALTONEN PHD (ABD), MPH, MS

Beacon NY 12508

303-503-0845

altonenb@



STRATEGIC POPULATION HEALTH ANALYST— spatial analyst in business intelligence, human ecology, environmental health; 25+ years experience researching and evaluating populations, environments, SES, urban development settings, health and quality of life, place and health, cost-utilization.

EMPLOYMENT

DATA ANALYST, SENIOR BIOSTATISTICIAN

New York City Health and Hospital Corporation (Current. Contracted)

data analyst and statistician, employ standard SAS&SQL tools to evaluate clinical and claims data

data miner, generating SQL-SAS tools for large data pulls, analyses of healthcare and services

inventor of innovative queries for standardized reporting of ICDs, demographics, care practices

developer of unique visualization tools for report on depicting regional health, services cost, QOL

DATA MINER, ANALYST, RESEARCH MANAGER

Senior Biostatistician, McKesson, Inc. The Woodlands TX, 2014-April 2015

Senior Statistical Outcomes Research Manager, HealthHelp, Inc. Houston TX, August 2014-Feb. 2015

generate SOX, SAPs, FRDs, SAAS, protocols, and other report shells for standardized reports

produce reporting modules (lifereg, phreg, cox, kaplanmeyer) for standard line of therapy analyses

evaluated quality of service based upon demographics, claims and billing, outcomes (6.5M people)

modeled quality of care-revenues generated for different diagnostics, therapy, and surgical processes

utilized decision tree modeling to quantify costs, find barriers, and generate/predict savings

BUSINESS ANALYST, BIOSTATISTICIAN

Business Analyst (Population Health Biostatistician), Medco, Inc. 2010-2013

reviewed managed care activities using electronic health records and claims data (80M-110M people)

produced ICD, V- & E-Code, HICL, NDC analytic reports depicting nationwide population health

designed community based meaningful use analytics, testing facilities use, systems-patients compliance

evaluated Teradata mining tools for metrics focusing on efficiency, cost, utilization and fraud

published and presented results directly to clients (corporate PI and teams), professional audiences

MANAGER, BIOSTATISTICS

Postgraduate Institute for Medicine, Jobson, Inc. Denver CO. 2007-2010

engaged in performance improvement project reporting for several hundred CE/CME programs per year

designed surveys documenting end-of-year performance linked to ongoing clinical performance

analyzed, reported on student/teacher/patient performance for 250 medical education programs/year.

designed surveys to document end-of-year skills retention for 80,000 contacts(7500 replies)/year).

created text analysis tool for quantifying physicians practice and analyzing survey responses.

developed grounded theory method for quantifying doctor-patient medical records reviews.

MEDICARE/MEDICAID PROGRAM ANALYST/COMPLIANCE SPECIALIST

Denver Health Managed Care Denver CO 2004-2007

Quality Improvement Activity (QIA)/Performance Improvement Program (PIP) analyst/writer

designed, developed all NCQA, HEDIS, MCD, MCR programs for up to 550,000 patients/year

analyzed 400+ care givers, from four Medicaid/Medicare programs, 60,000 members.

reviewed 25+ health measures, 7 special studies, 3 service industry studies; 30-35 reports per year.

produced 20 to 50pp reports for HEDIS, NCQA, AHRQ, state, regional offices, special interest groups.

engaged in interventions required to improve outcomes

EDUCATION

PhD Business (ABD, grad. date ca. 2017), Healthcare Administration/HIT. Northcentral Univ., Phoenix AZ.

MPH, School of Community Health, grad. 2003. Portland State University, Portland, OR [gpa. est. 3.75]

MS, Geography Department, grad. 2000. Portland State University, Portland, OR [gpa est 3.8]

MD, D/R (3 years), SUNY at Stony Brook, Stony Brook, NY (MD program not completed)

BS, Biology, SUNY at Stony Brook, Stony Brook, NY [gpa 3.57]

BS, Earth and Space Sciences, SUNY at Stony Brook, Stony Brook, NY [gpa 3.57]

RESEARCH/WRITING SKILLS

Developed algorithms for Charlson, Chronic Disease, Elixhauser, ECOG, CIRS, BOD scores and indices

Automated reporting: generated 12,500* outcome figures per day, 0.5-1.0M figures/maps per year

Advanced quantitative analyst using Excel, Access, SPSS Modeler, S-Plus, VB, SAS, vector/raster GIS

Teradata (3+ years), Spatial Analyst, Population Data Specialist, IT-data quality analyst, SQL, SAS

Medicaid, Medicare, CHIP, Homeless, Cultural Medicine reviews and ICD-linked health indicators

Advanced qualitative analyst, completed 15 months training in grounded theory

Survey Analyst, tool developer, 10 yrs experience in SurveyMonkey, SurveyWriter, Epocrates.

Community/Focus Group leader, experienced in ATLAS/TI, Ethnograph analyses of patients/consumers

Grantwriter (local agency letters, federal/national agency submissions, NIH)

IRB/HSR Committees, Institutional Review Board/Human Subjects Review training and experience

TECHNICAL SKILLS

BI analyst using Teradata, Business Objects, Dell-Perot, CVS Caremark, , , IBM Cognos & Watson, Alteryx/Tableau, EPIC, SOAR, SAS 9.4, SAS Enterprise, SPSS Modeler/Enterprise

Created 3D Population health metrics for GIS and non-GIS systems mapping of the United States

Developed algorithms for 3D mapping at high speed with SQL-SAS generated spatial grids

Oracle, Quattro Pro, Paradox, dBase, SPSS, VB, Visio, SATSCAN, ClusterSeer experience

ArcGIS, IDRISI. MapInfo, EpiMap. ESRI Avenue; MrSID, GeoTIFF, MultiSpecW32, ERDAS, GeoMedia

Crystal Reports, Photoshop, Adobe Writer, MS Office, Publisher, Power Point, Access, Excel

HIT TRAINING/CERTIFICATIONS

Quadramed (current)

Teradata. 2010-2014. Annual recertifications.

SAS, SAS Enterprise Updates and training, 2010-2014.

SPSS Modeler Non-Numeric Data Analyst Training (detailed text analytics), 2007; 2014.

INGENIX Symmetry/TM Healthcare (Beacon Programs) Strategies. 2010-2013.

CVS-CAREMARK National Pharma training and use, 2004-2007

UnitedHealth/Optumhealth training and reviews, 2010-2013.

Alteryx Tableau utilization and training, reviews. 2012-2103.

SurveyWriter, 2007-2010; SurveyMonkey, 2007-Present.

Grounded Theory text analysis programmer for open-ended survey questions, 2007-present.

Quarterly Patients Activities Monitoring for Denver, CO, Denver Health Managed Care, 2005-2007

National population health, small area to national level statistics, 2005-present.

Tiermed Systems, LLC. TIERMED /Compass Navigator training (NCQA-certified HEDIS software). 2005

NCQA/Medicaid, State of Colorado Study: Preventive Care in Prenatal/Postpartum Women, 2005

Performance Improvement Projects, in-house Data Management training, 2005

NCQA: Medicare Choice, Medicaid Choice populations "Diabetes Care and Prevention", 2004-2007.

Perot Systems (Dell) programmer, population and utilization cost analysis, 2004-2007.

NCQA: 2005 HEDIS, Data Management, Annual Updates, Recertifications, 2004-2007.

Employee Population Health Monitoring--utilizing intranet data, 2004

Denver Health/Denver Health Managed Care. MSIS/Integrated IS Training, 2004

NCPDP Pharmacy Database training: development and use, 2004

NCQA: "Childhood Immunizations -Well-Visits" Medicaid Performance Improvement Project, 2004

NCQA: 2004 HEDIS, Data Management. Update, Recertification, 2003

Denver Health Population Data, PEROT Systems training, 2003

Colorado State Immunization Program Database training (renewals), 2002-2004.

Electronic Lifetime Medical Records trainings, 2003-2007.

NCQA: 2003 HEDIS, Data Management, Update and Certification, 2002

Performance Improvement Project training by Colorado Medicaid/Medicare, 2004-2007.

Animation tools for public health: health education/health promotion 2000 training, 2007-present.

Portland State University. 15mo./15cr. Qualitative Analysis Series, 2000–2002

AWARDS & ACCOMPLISHMENTS

Reproduced “Black Box formula” for UnitedHealth/Optumhealth Personal Healthrisk scoring algorithm (Medco acknowledgment, 2012); modified and applied to NYCHHC program, 2015]

Received Communications Award from ESRI at 2006 Healthy GIS conference for Dutchess County, NY West Nile GIS mapping and surveillance project (Dutchess County, NY, Department of Health; Denver Health, CO., 2006)

STAR awards recipient for perfect scoring MCD PIPs, for fraud detection, and for time-cost savings (Denver Health, MCD, MCR, CHP and Employee Health Programs, Denver, CO, 2004-6)

ADJUNCT PROFESSORSHIPS/INSTRUCTORSHIPS

2005–2006 Arapahoe Community College Denver, CO. Introductory and Intermediate GIS (3 cr. ea.)

1988–2003 Medical Chemistry, PSU Portland, OR. Chemotaxonomist. Initiator of Taxol industry.

1997–2001 Geography/Demographics, PSU Portland, OR. Population health, disease surveillance.

1982–1985 Emergency Medicine, SUNY at Stony Brook Stony Brook, Health Sciences Center, NY.

MOST RECENT PUBLICATIONS

Altonen, B. (2013). Commentary: John Lea’s Cholera with Reference to Geological Theory, April 1850. Int. J. Epidemiol. (2013) 42 (1): 58-61. doi: 10.1093/ije/dys242. [requested by publisher]

Loy B, Shkedy CE, Tankersley MA, Altonen BL. (2014). Do Case Rates Affect Physician’s Clinical Practice in Radiation Oncology? (June 2014).

Tankersley MA, DeFrance A, Altonen BL. (2014). Efficiency of non-invasive imaging modalities in the evaluation of outpatient chest pain: a 24-month retrospective study. HealthHelp and Humana; 2014: 40.

Tankersley MA, DeFrance A, Altonen BL. (2014). An evaluation of patients after use of a Wearable Cardioverter Defibrillator through 240 days. HealthHelp and Humana; 2014: 19. (May 2014).

MOST IMPORTANT CONTRIBUTIONS

HEXGRID modeling. Invention of hexagonal grid mapping formulas, processes, tool for spatially analyzing urban settings, dense populations, regional economics. Created 2004; theory published on internet in 2009; algorithm posted 2011; 7200 viewers since 2009; 3700 downloads since 2011.

Cost-Burden Algorithm. 2016. Created a method for anticipating and predicting self-insured, MCD, MCR, COM health care status phases or changes in life. Applied process to evaluating NYC patient care over their lifetime, evaluating risk to patients relative to age, complex disease patterns, religion, race, ethnicity, community resources, SES, income level, domestic and work settings.

Religion/Healthcare Population Health Phenotypes Algorithm. 2015. Developed the first algorithm used and applied for evaluating religion in relation to health, care practices, at the patient and institutional (pastoral counseling) level; used to assign health risk based upon history and place.

A polynomial modeling equation for evaluating disease outbreak rates and patterns. (Applied and tested during the worldwide Ebola outbreak in 2014.)

Immunizable Disease Outbreak Prediction Model, published 2012, 2013, one year before the 2014 measles outbreak. A 3D map of immunization refusals defining the centers of vaccination refusals. [see ]

National Population Health Grid (NPHG) program. Invented algorithms, methods for 3D hexagonal mapping of US population health. [27% more accurate; see ]

PROJECTS LIST (#=major innovations)

NYCHHS Projects/Personal IP (completed to date; #=innovative)

Demographic work

# SAS-SQL algorithm for reclassifying religions (or lack of) into ten basic categories with related health-related quality of life impacts generated by the role of religion in life, and how religious upbringing impacts patient performance and healthcare visits/activities behaviors.

# SAS-SQL algorithm (“QOL/Cost-Burden tool”) for evaluating changes in enrollment patterns over a patient’s lifespan, applied to long term analyses of this life experience and its impacts of health, insurance coverage, SES and income, and stage of life, quality of life (QOL) on long term planning.

# SAS-SQL tool for restratifying race and ethnicity into more succinct, useful categories (correction of data errors; team project involving 2 others)

* Population pyramids-5 boroughs, 8 networks, 11 acute care, 2 specialty facilities, 2 LTC, 4 FQHCs, including standard ethnicity/race reviews

* Population pyramids for patients, top 500 ICDs (Age-gender study to identify highest risk, peak age)

* Design of population pyramid reporting method and worksheet using SQL and Excel.

* A study of the lifespan and healthcare experience of sickle cell carriers and sickle cell active patients, in one year increments (female carriers outlive males two-fold, into their reproductive years).

* A study of the age distributions of patients for a couple hundred ICDs (mostly chronic diseases)

Algorithms/Visualization Tools invented or created

# SAS-SQL development of Survivors Analysis routine for 15+ years survival since the WTC 911 disaster, 845 patients retrospective cohort study evaluating all services and costs

# Development and testing of Patient:Visit Ratio (PVR), Visit:Procedure Ratio (VPR) and Patient:Procedure Ratio (PPR) algorithms used to review EMR data for quality and cost of care related research, at the ICD level, and for use in comparing services between different services, places, etc.

# SAS-SQL tools for evaluating ICD9 345.* (Epilepsy), using standard 135 and 303 ICDs subgroup

modeling, congenital disease and epilepsy-linked disease modeling (250 rows of ICD groups), 3 chronic disease management algorithms , for the assessment of Epilepsy patient type and prediction modeling (2000+ rows).

# SAS-SQL tools for evaluating ICD9 10.8-18.* (Tuberculosis), using standard 135 and 303 subgroup modeling, and assessment of TB type, severity and complexity for risk analyses, Upper Level Management tables, reports generation, (2000+ SAS-SQL rows).

# SAS Algorithm for merging three chronic disease risk modeling programs (Charlson, Elixhauser, and Federal Chronic Disease scores) into one tool (N and Logarithmic modeling, for evaluating total population health distributions and assigning individual patient risk scores.)

# SQL-SAS Algorithm for pulling data and producing statistics for all ICDs, in totum and for any subgroups

# SAS-SQL tools for regrouping ICD9 1-999.99 into 135 and 303 subgroups, for population health reviews

# Development of method for quantifying overall care at the visits and procedures level for a given range of ICD-defined illnesses, for the development of a disease registry and surveillance database.

# SAS-SQL tool for identifying culturally-bound, -linked and -related diseases, for the 5 major races

# SAS-SQL tool (ca. 500 lines) for identifying, evaluating ICD rankings per race/ethnic group, defining top 20 for each, producing separate tables and a merged table of top 20 for each race or ethnicity

* SAS-SQL tool for evaluating birth deformity, genetics disease ICD data, by patients and visits activities

* SAS-SQL tool for adding columns to data about ICD groupings and ICD-specific traits, geographic risks

* SAS-SQL tool for restratifying, regrouping ICDs and E and Vcodes for specific studies, such as chronic disease management, childhood diseases, geriatric LTC diseases

* SAS-SQL tool for identifying disease patterns linked to specific countries or large geographic regions

* SAS-SQL tool for evaluating antibiotic resistance testing at local and regional levels, and mapping these results, to monitor ongoing drug-resistance patterns [Extension of Kings Co Hosp. study and methods]

* SAS spatial analytics tool for evaluating specific culturally linked diseases in the five boroughs, at the small area level (zip code or smaller); applied to sickle cell, thalassemia, African cardiomegaly, specific Asian cardiac and behavioral health diagnoses (3D mapping)

* SAS spatial analytic tool for evaluating and displaying international disease patterns (using 3D mapping) linked to specific race, ethnicity or culture, tested on African-AfricanAmerican ICD patterns.

* SAS spatial analytic tool on socially important SES-linked behavioral health and disease patterns, i.e. tested on: childhood malnutrition, missed visits, delayed refills, frequent ED use

Special Studies

# A study of wife abuse by Region, Facility, Age, Race, Ethnicity, Religion. [3D geographic model/video]

# A study of infibulation (“female circumcision”) rates for the NYC area, by boroughs and zipcodes, age range (evaluated 2500 cases, reported during the last 10 years) [3D geographic model/video].

# SAS Algorithm for 3D mapping of ICD-patient data (counts, visits activity), at zip code level

# A combined healthrisk scoring tool: applied Charlson, Elixhauser and Chronic Disease score methods to all patients for 2015, added age range and race-ethnicity data; defined the highest cost, least healthy patients anticipated for 2016.

* A study of pedestrian/motor vehicle accident prone parts of NYC by zip (ICD, E and Vcodes)

* A study of the spatial distribution of attempted suicide claims, as noted in the EMR

Health Care Quality Improvement programs (Managed Care Activities, Colorado, NY/NJ)

* Evaluation of Pharmacy Services for High Cost Medicaid Choice Members, Apr 2006_2006

* Management of High Risk Pregnancies, 2005_2005

* Evaluation of use of local Smoking Cessation Hotline program by Managed Care members, 2005_2007

* Risk Assessment for Pre/Post-partum Diabetes Managed Care patients. 2004_2007

* Denver Health Managed Care Population Statistics. 2004_2007

* Ambulatory Care of High Risk Asthma Patients, a Managed Care project. 2004_2007

* Cervical Cancer Screening and Follow-up, a Managed Care project. 2004_2007

* Patient Compliance with CDC Child Immunization Requirements. 2004_2007

* Diabetes Care and Prevention, a Managed Care project. 2003

Medicare Required or Requested Projects/Reports (Colorado)

* Annual Well Visit and Preventive Care

* Diabetes Care Management (65+)

* Glaucoma Care Management (68+)

* Heart Failure-related Chronic Disease Management

* Colorectal Cancer Screening Rates

* Cardiac Screening costs for 65+ patients—diagnostic imaging cost evaluation

* Cardiac Care costs for patients requiring an arrhythmia implant.

Medicaid Projects/Reports (Colorado, Standard annual report modules for required health measures)

* Annual and Quarterly Population pyramids, Employee Health, MCD, MCR and CHIP. [Annual Reporting]

* Annual Eligibility Age-Gender 1-yr, 5-yr Population Pyramid Reports (Perot Systems)

* Childhood Immunization and Well Visits (0-2 yo), 20-24 measures per year (Well visits, (7) and Immunizations (16); Perfect Scores for research proposal, 95% Immunization Rates)

* Inappropriate Use of Antibiotics for Upper Respiratory Diseases in Children (0-5 yo), 4 measures

* Ambulatory Care of Asthma Patients (0-52 yo), 6 to 8 measures per year

* Chlamydia Screening (18-22 yo), 4 measures per year

* Chlamydia Screening and Pregnancies (18-22 yo), 8 measures (one time study requested by MCD)

* Diabetes Care Management (18-64 yo), approx. 50 measures per year.

* Follow-ups after a Hospital Discharge due to Behavioral Health ER Visits (18-45 yo), 4 measures

* High Risk Pregnancies, 6 measures (one time special study requested by MCD)

* Breast Cancer Screenings and Follow-ups (18-64 yo), 4 measures

* Cervical Cancer Screenings and Follow-ups (18-64 yo), 4 measures

* Chronic Disease Management for Hypertension Patients (18-64 yo), 6-8 measures

* Chronic Disease Timely Refill Rates (PMPM) for Prescription Drug Use, 2 measures

* Heart Failure-related Chronic Disease Management (18-64), 6 measures

* Chronic Disease Management Prescription Medication Compliance (18-64), 4 measures

* Pre-Natal-Post-Partum Care, Mother-Child Care Visits (18-24), 10 measures, (1 time study by MCD)

* Obesity (18-64), (BMI>24, 4 PCP compliance measures)

* Colorectal Cancer Screening Rates, 2 measures

* Gestational Diabetes (18-25 yo), 6 measures

* Smoking Cessation Counseling (18-64 yo), 2-4 measures

* Smoking Cessation Hotline Utilization Rates (QA study, 10 measures)

* Hotline-directed Case Management Activities (QA study, 30 measures)

* Pharmacy Services provided to High Cost Medicaid Choice Members, 6-8 utilization/cost measures (QA evaluation of CVS Caremark National Pharmacy Data for MCD)

* Pharmacy Services provided to Medicaid Choice Members utilizing Walk-in Mental Health Service Clinics, 6-8 utilization/cost measures (QA of CVS Caremark National Pharmacy Data)

* Non-steroidal Anticholinergic-Bronchodilator use by Asthmatic/COPD Chronic Disease Patients (QA evaluation of CVS Caremark National Pharmacy Data for MCD)

* Long term chronic use of pain relievers other than NSAIDS by MCD Patients (QA evaluation of CVS Caremark National Pharmacy Data for MCD)

* Anti-seizure Drug Compliance by MCD Patients (QA evaluation of CVS Caremark National Pharmacy Data for MCD)

* Multiple Sclerosis Drug Compliance by MCD Patients (QA evaluation of CVS Caremark National Pharmacy Data for MCD)

# Population Health Studies (based on 40-90M people, Medco data; 1-30 maps/report; all innovative)

* Epidemiologic 3D-Imagery in SAS, map video formula invented, Mar_Aug

* A SAS-based Disease Mapping Technique, Dec_Feb

* National Age-Gender Suicide ICD-V-E-Codes Gender-Age Groups Study. Dec

* 3D modeling of SIC population statistics, Nov_Feb

* Foreign Disease Penetration, ICDs mapped for zoonotic, microbial, fungal, viral ICDS. Apr.

* Unique Signs of Child Abuse, 150 indicator mapped in point, small grid formats without GIS. Apr.

* Terrorism and bioterrorism in the US, mapped using point and small grid formats, Mar_June

* National Age-Gender Acute/Chronic Diseases Study, Nov_Feb

* National Age-Gender Progressive Degenerative Genetic Diseases Study, Nov_Jan

* National Age-Gender E-codes and MVAs Study, Nov_Apr

* 3D modeling of population health statistics: Cost Analysis, Nov_Dec

* National Age-Gender Population Health Study, By Regions with Physiographic Influence, Nov_Apr

* National Age-Gender Gastrointestinal Cancer Study, See , Nov_Jan

* National Age-Gender Traumatic Amputations and Recovery Study, see , Nov_Jan

* National Age-Gender Developmental Disease/Disorder Study, Nov_Feb

* National Age-Gender Liver Disease Study, Nov_Dec

* Regional Age-Gender Non-Compliance Diagnoses Study, Nov_Feb

* National Age-Gender Traumatic Injuries Study, Nov_Feb

* National Age-Gender Fractures, Dislocations and Bone-Joint Injury Study, Nov_Apr

* 3D modeling of population health statistics, Oct_Dec

* National Age-Gender Abuse and Neglect Study, See . Oct_Dec

* National Age-Gender Psychiatric Syndromes and Behavioral Health Study, Sep_Sep

* National Age-Gender Organ Transplants Study, , Sep

* National Age-Gender Heart Valve ICDs Study, Sep_Oct

* National Age-Gender Headaches and Migraines Study, Sep

* National Age-Gender Joint Replacements Study, Aug_May

* National Population Health Age-Gender Studies related to Socioeconomically-linked disease and unhealthy health behavior patterns: Smoking, Drinking and Drug Abuse, Aug_May

* National Population Health Age-Gender Studies related to Socioeconomically-linked disease and unhealthy health behavior patterns: Epilepsy, Aug_Sep

* Regional ICD-based Incidence/Prevalence Disease Research of the US: Modeling Cost Relationships for 15-24 economically discrete regions defined by this methodology, Aug_Dec

* National Age-Gender Psychosomatic Syndromes and Health Prevention/Health Promotion Study, Aug

* The frequency and prevalence behaviors of a controversial African-American cultural practice: infibulation and other female genital surgical practices, Aug_May

* National Population Health Age-Gender Studies related to Socioeconomically-linked disease and unhealthy behaviors: STDs, July_Sep

* Regional ICD-based Incidence/Prevalence Disease Research of the US: ICDs evaluation. 15-24 regions identified based on a review of Census Bureau, NCQA and other Federal standards. Regions evaluated and compared with the rest of the country for numerous ICDs. July_Mar

* The National Aging Population Study. New statistical method tested for evaluating ICD-related differences across different Age-Gender 1-year Age groups. July_Sep

* Regional ICD-based Incidence/Prevalence Disease Research of the US: Age-Gender Modeling. 15-24 regions of the US were identified based on a review of Census Bureau, NCQA and other Federal standards. Regions independently evaluated for 160+ common high cost diseases. June _June

* National Age-Gender Chicken Pox, Small Pox, Measles Diagnoses by ICDs Study. June_Dec

* A new way to document and measure prevalence of shaken baby syndrome and other child abuse practices. Integrative Population Health Modeling project series. Jan_Dec

* National Statistics for Culturally-bound syndromes. Integrative Population Health Modeling. Evaluations included SUNDS, Takotsubo syndrome, African Cardiomyopathy, Infibulation, Factitious Disorder, Pibloktoq, Uqamairineq, and Demonic Possession. Integrative Population Health Modeling project series. June_Dec

University Health Education/Health Promotion Programs (Portland OR; Hudson Valley, NY)

* OTC Nutritional Supplements use by a local Geriatric Population. 2002_2010 (25 pp)

* Oregon State Childhood Immunization Program. Database design, utilization, quality analysis. Oregon Department of Human Services, Public Health Division, Childhood Immunization Program. 2002.

* Oregon State Cancer database (technical review of county database for annual recertification and NIH approval, 20 pp).

* OIHM: A Complementary/Alternative Medicine (CAM) Adult Education Program. (MPH program internship/ final report. 2002 (75pp, with tables, figs.)

* B.I.T.E.: Better Intuition Toward Eating (An SES-based Nutrition Education Program): Low Income Hispanics population. 15 month social service program, Estimated Cost $225,000. 2001 (12 pp proposal)

* The Role of Community in the Development of Cancer Screening Programs: Socioeconomics and cancer prevention programs. 2002_2003.

* Development and Testing an Algorithm used to define risk and toxicity for cancer, designing a new risk formula based upon NIH, CDC, AMA, American Cancer Society, CERCLIS, NIOSH, and EPA methods. 2001

* Defining High Risk areas for New York Hudson Valley West Nile (GIS) outbreaks. 2000

* Socioeconomics history, health, and culture for a Southeast Asian populations: a Laotian, Cambodian and Hmong cultural health study. 2000_2001

* Breast Cancer Screening Programs and Socioeconomic Status (GIS): ArcView application to reassessing high risk areas and low screening frequencies. 2000_2001 (review of state dataset, report/maps generated)

* The Role of a New Age Religion in Community and Individual Health. A combined qualitative/quantitative research project. 2000_2002

* The Utilization of Herbal Medicine and Nutritional Supplements by Athletes--herbal medicine/nutritional supplement marketing and long term health and safety concerns. 1999_2000

* The Spatial Distribution of Indigent/Homeless Population Sites within an urban setting. 1998.

* Southeast Asian Population Health. Development of a public health monitoring program for Laotian and Hmong populations, based upon WHO recommendations. 1999_2005.

Research Methodology for MCD, MCR, CHP, Managed Care work

* Internal Data Acquisition and Information Resources Development Processes involving Managed Care Medicaid Choice/Medicare/CHP+/Employee Health Insurance Programs. 2005

* Design of an automated system for calculating statistical outcomes by comparing two datasets for Managed Care Quality Improvement Team. 2005

* Design of automated data analysis system for Monitoring Managed Care Programs. SSI/SSDI Medicare/Medicaid/CHP+ Managed Care Programs 2005_2006

* Independent Monitoring of Case Management Activities for Quality Assurance Assessment. An automated Case Management Nurses Team Monitoring System for Quality of Care Activities. 2003

* National Age-Gender Acute/Chronic Diseases Study. Integrative Population Health Modeling project series. Evaluated all HEDIS, NCQA, and CDM ICDs. 2010

* Population Pyramids and Health. Integrative Population Health Modeling project series. 2009_2010

* Improvements made in Survey tools for large populations, 2008

* Design of a methodology for assessing Level 4 (clinical performance) and Level 5 (population health) impacts of Continuing Education programs targeting physicians, allied health care providers and health care administrators (GIS utilization), 2008_2009

* Utilization of Sequential Timed Series and Segmented Data Analysis techniques for analyzing education programs and designing performance improvement activities for physicians. 2008_2009

* Improving Time-cost efficiency when implementing large population surveys. Mann Whitney/Kruskal-Wallis ANOVA predictive modeling techniques, 2008_2009

* Predictive Modeling of Outcomes based on very low response counts. Postgraduate education, 2007

* Design of an Automated Text Mining Program tool using Professional Medical Lexicons, 2005_2006

* A Hexagonal Grid Algorithm for Spatially Analyzing Epidemiologic Data (GIS), with application to various Community Health QI Programs. 2005

HISTORICAL MEDICAL GEOGRAPHY WORK

Historical Disease Cartography

Posted on the internet (one page each, with lengthy essay). The first or most important maps related to medicine, health insurance, spatial epidemiology & medical geography, with notes and analyses (at ).

• Friedrich Schnurrer’s ‘Charte Uber die geographische Ausbreitung der Krankheiten’ (1827) FIRST TRANSLATOR, WORK IN PROGRESS.

• Valentine Seaman. Study of Yellow Fever outbreak and penetration in NYC (1797/8)

• Scouttetten’s Cholera Diffusion map for Eastern Europe and Russia (1831)

• Heinrich Berghaus’s ‘Planiglob . . . der vornehmsten Krankheiten’ (1848)

• A Disease Mist Hangs over Bethnal Green (1847, 1848-9 (miasma theory of cholera)

• John Lea and the Geology of Cholera (1850) [Preceded John Snow’s map of greater fame]

• Adolph Muhry’s Global Disease Map (1856)

• Daniel Drake – Principal Diseases of the Interior Valley, 1844 (1850, 15 maps)

• U.S. Government Documents. 1837 – 1865, Texas Fever migration due to Longhorns

• Sir Henry W. Acland – ‘Health, Work and Play’ in Oxford, 1854-7 [sanitation, military]

• Alexander Keith Johnston’s Map of World Diseases – A Detailed Review (1856)

• Alexander Keith Johnston – “Health & Disease” in North America [Focus study]

• William Aitken’s Realms of Men – Hygiology and Disease (World Diseases map, 1872)

• Charles Denison – Rocky Mountain Health Resorts (1877, 1881)

• Charles Denison – Phthisis, Climate and Mountain Air (1887)

• Four Prussian Diseases (ca. 1880)

• Central Mexico Disease Geography (published as part of a World Encyclopedia set, ca. 1880)

• Bowditch’s Pedology (soil), Hydrology and Consumption Maps (3 areas in Massachusetts, 1862)

• Public Health crises in Manhattan (1865 – 1870, Microbial Theory of Disease mapping)

• Debauchery and Trysts (continuation of NYC Public Health mapping, 1867 – 1870)

• Dr. Robert C. Hamill – the Geography of Erysipelas in Chicago, Illinois (1867)

• Enteric Fever Epidemics (1873, milk industry sanitation, bovine microbial disease)

• Cholera series

o John C. Peters’ Disease Maps (1875, Cholera, several regional, one global map)

o B. Judson and the Mississippi Valley (1873 cholera, temporal flow patterns)

o Alfred E. Stille, M.D. – Cholera, Vibrio, and Quarantine (1885, a world map)

o Mr. Netten Radcliff: the first or earliest Timed Series Maps (1856-1873)

• Sydney H. Carney’s Series of Medical Charts (1874, the first insurance company maps)

• Alfred Haviland –Cancer in Great Britain (1875, 2ed. 1893)

• #Robert Lawson’s Pandemic Waves Theory and the World Isoclines Map (ca. 1860-1875)

• #Tripe’s Scarlatina Waves map and theory (1874)

• Robert William Felkin –Tropical Diseases map series (1889, two separate pages and reviews)

• The Typhoid Fever Epidemic of Cumberland, Maryland, 1889 – akin to Snow’s famous work, involving a Salmonella outbreak

• Rudolph Matas – Dengue (1889, Chapter from Book)

• The First Census Disease Maps (1890, all maps posted)

• U.S. Government Documents. Zymotics in Washington DC (1891)

• U.S. Government Documents. 1843 – 1892, the Contagious Lung Plague of Cattle

• Mexico and its Diseases, Part 2 (1893)

• Brockhaus’ Infektionskrankheiten Im Deutschen Reiche, Part 1 (1901-1902)

• Pyle’s Disease Diffusion and Migration Patterns maps (1960)

Historical Medical Geography (with pages on the internet)

• 1717 – Lancisi – On the Noxious Effluvium of Marshes (considered “the first” topography-specific disease theory, supporting and perpetuating the miasma theory)

• 1720 – J.C. Homann – Medicinae Cum Geosophia Nexu, or The Medical-Geography Connection

• 1763 – the “Extraordinary Disease” at Martha’s Vineyard and Nantucket (probably yellow fever)

• 1786 – Benjamin Rush – An early rendering of Sequent Occupancy

• 1798 – Charles Caldwell’s Theory (1799)

• 1799 – James Tilton – Military Medicine and his Observations on Yellow Fever

• 1799 – Samuel Mitchell (NY Congress, Medical College) – An Outline on Medical Geography

• 1799 – Samuel Anderson and the Mystery of Yellow Fever in Curaçoa and On Board

• 1802 - The Diagnosis of James River Ringworm – an example of Historical Disease Mapping & Predictive Modeling (Thomas Jefferson’s plantation outbreak, African American disease)

• 1802 – Dr. Caldwell versus Dr. Barton – Soil and Goitre

• 1802 – Dr. Caldwell’s Oration on Endemic Disease Patterns

• 1806 - Medical Naturalist Jean Baptiste Leblond’s theory, Climate Zones, Yellow Fever

• 1806 – The Next War – Yellow Fever in Upstate New York and Matthew Brown

• 1807 – Medical Topography of Ohio, by Gideon Forsyth, Wheeling

• 1808 – May’s Lick, Kentucky – Daniel Drake

• 1809 – Marietta, Ohio – Early Statistical Epidemiology

• 1814 – The Latitude of Pestilence Theory

• 1821 – Hennen’s Medical Topography

• 1832 – Henry Marshall’s Disease Geography article

• 1832 – Lewis Beck’s Report on Cholera in Canada and New York – an early example of hierarchical diffusion modeling and interpretation

• 1847 – Dr. Carl Friedrich Canstatt’s Handbuch der medicinischen Klinik (Disease nosology derived from geographic interpretations; previously unpublished.)

• 1852 – William Farr’s Elevation and Cholera paper

• 1861 – Robert Lawson’s Pandemic Waves Theory – c1860-1890

• 1863 – William Aitken, on William Farr’s 1850s Disease Nosology

• 1866 – Richard E. Haughton’s “On the Changes of Types of Diseases”

• 1878 – James Little – On the Geographic Distribution of Zymosis and Disease

• 1879 – Thomas Wrigley Grimshaw: from Zymosis to the Bacterial Theory of Disease

• Ca. 1895 – Sequent Occupancy Theory (predecessor to epidemiological transition theory, defined by Derwent Stainthorpe Whittlesey (1890-1956))

Instructorships/Lectureships

GIS-Introductory Level, with lab (2007)

GIS-Intermediate Level, with lab (2007)

ArcView GIS and population health/disease applications (2002)

Remote Sensing – the use of IDRISI, IDRISI32, and other remote sensing tools) (1997-9)

Remote Sensing – Flora Patterns based on AVHRR (phytochemistry and RS) (2000)

Chemicals in Plants – Medical Anthropology/Native American ethnobotany (2000)

Chemicals in Plants – Medical History/Oregon Trail Medical History (1997)

Chemicals in Plants – The evolution of chemicals in plants (1989-1994)

Chemicals in Plants – Ethnobotany tables (10k most used spp., 45 uses each, 1993-2003)

Chemicals in Plants – Bioengineering, plant tissue chemistry, new products (1989-1990)

Non-profit/Special Interest Groups on Campus

Pre-med special interest groups

Pre-med/pre-pharm/pre-allied health advisor/mentor

GIS-special interest groups

Complementary medicine special interest groups

‘Epilepsy Energy’ special interest groups

Native American special interest groups

Publishing Invitations

International Journal of Applied Epidemiology

Internal Medicine

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download