Gary Oftedahl

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OBJECTIVES To evaluate the use of a modified Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey to support quality improvement in a collaborative focused on patient-centred care, assess subsequent changes in patient experiences, and identify factors that promoted or impeded data use. BACKGROUND Healthcare systems are increasingly using(More)
BACKGROUND Translational research is increasingly important as academic health centers transform themselves to meet new requirements of National Institutes of Health funding. Most attention has focused on T1 translation studies (bench to bedside) with considerable uncertainty about how to enhance T2 (effectiveness trials) and especially T3 (implementation(More)
OBJECTIVE The purpose of the study was to investigate the perceptions of administrators and clinicians regarding a public health facilitated collaborative supporting the translation into practice of the Institute for Clinical Systems Improvement (ICSI) Adult Obesity Guideline. DESIGN AND SAMPLE This qualitative study was conducted with 10 health care(More)
In 2009, the Institute for Clinical Systems Improvement held a roundtable on personal health records (PHRs). Participants shared their thoughts about which features and functions are desired in a PHR, areas that need further exploration, and ways PHRs could make health care more efficient and effective. This article summarizes those discussions.
Evidence-based clinical guidelines are being developed to bridge the gap between research and practice with the goals of improving health care quality and population health. However, disseminating, implementing, and ensuring ongoing use of clinical guidelines in practice settings is challenging. The purpose of this study was to demonstrate the feasibility(More)
OBJECTIVE To ascertain perspectives of multiple stakeholders on contributors to inappropriate care for older adults with multiple chronic conditions. METHOD Perspectives of 36 purposively sampled patients, clinicians, health systems, and payers were elicited. Data analysis followed a constant comparative method. RESULTS Structural factors triggering(More)
Practice system tools improve chronic disease care, but are generally lacking for the care of depression in most primary care settings. To describe the frequency of various depression-related practice system tools among Minnesota primary care clinics interested in improving depression care. Cross-sectional survey. Physician leaders of 82 clinics in(More)
OBJECTIVE(S) A public health nurse (PHN) in the Midwestern United States (U.S.) led a collaborative system-level intervention to translate the Institute of Clinical Systems Improvement (ICSI) Adult Obesity Guideline into interprofessional practice. This study (1) evaluated the extent of guideline translation across organizations and (2) assessed the Omaha(More)
A middle-aged patient with "brown bowel syndrome" or gastrointestinal ceroidosis manifested as malabsorption of undetermined cause is described. Autopsy revealed involvement of the entire gastrointestinal tract and unusual cardiac findings. Microscopically, the pigment responsible for the discoloration is a lipofuchsin that is deposited in the smooth muscle(More)
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