Farzad Mostashari
Biographic Data
| ID | 5538182 |
|---|---|
| NAME | Farzad Mostashari |
| GIVEN NAMES | Farzad |
| FAMILY NAME | Mostashari |
| SIGNATURE | MOSTASHARI F |
| AFFILIATIONS | New York City Department of Health and Mental Hygiene |
| VERIFIED | No |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 57 |
| WORKS AS AUTHOR | 21 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2001 |
| LATEST PUBLICATION YEAR | 2021 |
| H-INDEX | 3 |
What Medicare Can Teach Medicaid About Value-Based Care
Health care payments should reward the value of services delivered over volume. Private insurance companies and public payers are working to provide better incentives to move toward value for health care practices and clinicians across all lines of business. Medicare and Medicaid are the largest publicly funded programs in this country, covering 62.8 million and 76.5 million people in the US, respectively. 1 It is clear that Medicare is more adap…
Promoting Competition in the Health Care Marketplace
Health care consolidation reduces competition and increases prices, with limited benefits to quality of care. Although the Department of Justice (DOJ) successfully litigated against antitiering and antisteering practices by Atrium Health in 2018, it has only filed 2 antitrust cases against hospital systems since
We Must Fix US Health and Public Health Policy
Despite a history of public health progress and the most expensive health care system in the world, the United States failed in its initial response to COVID-19. Much of this failure resulted from a presidential administration that sidelined, undermined, and maligned public health. But the roots of failure are deeper. Recovering from the pandemic and building health and public health back better will require recognizing the roots of failure and w…
A National Study of Challenges to Electronic Health Record Adoption and Meaningful Use
BACKGROUND: Adoption and implementation of electronic health records (EHRs) has not been without challenges as it infuses technology into what has been a historically manual process of recording patient information. In an effort to identify these challenges, the Office of the National Coordinator for Health Information Technology leveraged the Regional Extension Center population of over 140,000 providers to develop a structured way to track chal…
Using Health Information Exchange to Improve Public Health
Public health relies on data reported by health care partners, and information technology makes such reporting easier than ever. However, data are often structured according to a variety of different terminologies and formats, making data interfaces complex and costly. As one strategy to address these challenges, health information organizations (HIOs) have been established to allow secure, integrated sharing of clinical information among numerou…
Estimation of HIV Prevalence, Risk Factors, and Testing Frequency among Sexually Active Men Who Have Sex with Men, Aged 18–64 Years—New York City, 2002
Benefits and Barriers to Electronic Laboratory Results Reporting for Notifiable Diseases
Objectives. Despite national support for electronic laboratory reporting (ELR), the transition from paper to electronic reporting has been slow both nationally and locally. We assessed the ELR experience of New York City’s surveillance programs to identify barriers to ELR implementation and generalizable lessons about automated electronic notifiable disease surveillance. Methods. We conducted interviews with key staff of the New York City Departm…
Discordance between Sexual Behavior and Self-Reported Sexual Identity
BACKGROUND: Persons reporting sexual identity that is discordant with their sexual behavior may engage in riskier sexual behaviors than those with concordant identity and behavior. The former group could play an important role in the spread of sexually transmitted diseases. OBJECTIVE: To describe discordance between self-described sexual identity and behavior among men who have sex with men and associations between identity-behavior and risk beha…
Health Care Access and Utilization among Women Who Have Sex with Women
Diarrheal Illness Detected Through Syndromic Surveillance After a Massive Power Outage
Objectives. We investigated increases in diarrheal illness detected through syndromic surveillance after a power outage in New York City on August 14, 2003. Methods. The New York City Department of Health and Mental Hygiene uses emergency department, pharmacy, and absentee data to conduct syndromic surveillance for diarrhea. We conducted a case–control investigation among patients presenting during August 16 to 18, 2003, to emergency departments …
A Space–Time Permutation Scan Statistic for Disease Outbreak Detection
BACKGROUND: The ability to detect disease outbreaks early is important in order to minimize morbidity and mortality through timely implementation of disease prevention and control measures. Many national, state, and local health departments are launching disease surveillance systems with daily analyses of hospital emergency department visits, ambulance dispatch calls, or pharmacy sales for which population-at-risk information is unavailable or ir…
Evaluation of school absenteeism data for early outbreak detection, New York City
Monitoring school absenteeism may be moderately useful for detecting large citywide epidemics, however, school-level data were noisy and we were unable to demonstrate any practical value in using cluster analysis to detect localized outbreaks. Based on these results, we will not implement prospective monitoring of school absenteeism data, but are evaluating the utility of more specific school-based data for outbreak detection
Smoking Practices in New York City
Adult Tobacco Use Levels After Intensive Tobacco Control Measures
Objectives. We sought to determine the impact of comprehensive tobacco control measures in New York City. Methods. In 2002, New York City implemented a tobacco control strategy of (1) increased cigarette excise taxes; (2) legal action that made virtually all work-places, including bars and restaurants, smoke free; (3) increased cessation services, including a large-scale free nicotine-patch program; (4) education; and (5) evaluation. The health d…
Use of Pharmacy Data to Evaluate Smoking Regulations’ Impact on Sales of Nicotine Replacement Therapies in New York City
Objectives. Recently, New York City and New York State increased cigarette excise taxes and New York City implemented a smoke-free workplace law. To assess the impact of these policies on smoking cessation in New York City, we examined over-the-counter sales of nicotine replacement therapy (NRT) products. Methods. Pharmacy sales data were collected in real time as part of nontraditional surveillance activities. We used Poisson generalized estimat…
Syndromic Surveillance
Enhanced drop-in syndromic surveillance in New York City following September 11, 2001
Use of ambulance dispatch data as an early warning system for communitywide influenzalike illness, New York City
Clinical evaluation of the Emergency Medical Services (EMS) ambulance dispatch-based syndromic surveillance system, New York City
Innovative Surveillance Methods for Rapid Detection of Disease Outbreaks and Bioterrorism
A system designed to rapidly identify an infectious disease outbreak or bioterrorism attack and provide important demographic and geographic information is lacking in most health departments nationwide. The Department of Defense Global Emerging Infections System sponsored a meeting and workshop in May 2000 in which participants discussed prototype systems and developed recommendations for new surveillance systems. The authors provide a summary of…
Trust and the Acceptance of and Adherence to Antiretroviral Therapy
BACKGROUND: Antiretroviral therapy (ART) has resulted in reduced AIDS incidence and mortality. Socially marginalized individuals with HIV infection, particularly injection drug users (IDUs), have received less ART and derived less benefit than others. Little is known about the therapeutic process necessary to promote acceptance of and adherence to ART among marginalized HIV-infected populations. We report on the correlates of both acceptance of a…
Health Care Access and Utilization among Women Who Have Sex with Women
Adult Tobacco Use Levels After Intensive Tobacco Control Measures
Objectives. We sought to determine the impact of comprehensive tobacco control measures in New York City. Methods. In 2002, New York City implemented a tobacco control strategy of (1) increased cigarette excise taxes; (2) legal action that made virtually all work-places, including bars and restaurants, smoke free; (3) increased cessation services, including a large-scale free nicotine-patch program; (4) education; and (5) evaluation. The health d…
Smoking Practices in New York City
Benefits and Barriers to Electronic Laboratory Results Reporting for Notifiable Diseases
Objectives. Despite national support for electronic laboratory reporting (ELR), the transition from paper to electronic reporting has been slow both nationally and locally. We assessed the ELR experience of New York City’s surveillance programs to identify barriers to ELR implementation and generalizable lessons about automated electronic notifiable disease surveillance. Methods. We conducted interviews with key staff of the New York City Departm…
Innovative Surveillance Methods for Rapid Detection of Disease Outbreaks and Bioterrorism
A system designed to rapidly identify an infectious disease outbreak or bioterrorism attack and provide important demographic and geographic information is lacking in most health departments nationwide. The Department of Defense Global Emerging Infections System sponsored a meeting and workshop in May 2000 in which participants discussed prototype systems and developed recommendations for new surveillance systems. The authors provide a summary of…
Estimation of HIV Prevalence, Risk Factors, and Testing Frequency among Sexually Active Men Who Have Sex with Men, Aged 18–64 Years—New York City, 2002
Diarrheal Illness Detected Through Syndromic Surveillance After a Massive Power Outage
Objectives. We investigated increases in diarrheal illness detected through syndromic surveillance after a power outage in New York City on August 14, 2003. Methods. The New York City Department of Health and Mental Hygiene uses emergency department, pharmacy, and absentee data to conduct syndromic surveillance for diarrhea. We conducted a case–control investigation among patients presenting during August 16 to 18, 2003, to emergency departments …
Using Health Information Exchange to Improve Public Health
Public health relies on data reported by health care partners, and information technology makes such reporting easier than ever. However, data are often structured according to a variety of different terminologies and formats, making data interfaces complex and costly. As one strategy to address these challenges, health information organizations (HIOs) have been established to allow secure, integrated sharing of clinical information among numerou…
Use of Pharmacy Data to Evaluate Smoking Regulations’ Impact on Sales of Nicotine Replacement Therapies in New York City
Objectives. Recently, New York City and New York State increased cigarette excise taxes and New York City implemented a smoke-free workplace law. To assess the impact of these policies on smoking cessation in New York City, we examined over-the-counter sales of nicotine replacement therapy (NRT) products. Methods. Pharmacy sales data were collected in real time as part of nontraditional surveillance activities. We used Poisson generalized estimat…
Enhanced drop-in syndromic surveillance in New York City following September 11, 2001
Use of ambulance dispatch data as an early warning system for communitywide influenzalike illness, New York City
Clinical evaluation of the Emergency Medical Services (EMS) ambulance dispatch-based syndromic surveillance system, New York City
Trust and the Acceptance of and Adherence to Antiretroviral Therapy
BACKGROUND: Antiretroviral therapy (ART) has resulted in reduced AIDS incidence and mortality. Socially marginalized individuals with HIV infection, particularly injection drug users (IDUs), have received less ART and derived less benefit than others. Little is known about the therapeutic process necessary to promote acceptance of and adherence to ART among marginalized HIV-infected populations. We report on the correlates of both acceptance of a…
Syndromic Surveillance
Enhanced drop-in syndromic surveillance in New York City following September 11, 2001
Use of ambulance dispatch data as an early warning system for communitywide influenzalike illness, New York City
Clinical evaluation of the Emergency Medical Services (EMS) ambulance dispatch-based syndromic surveillance system, New York City
Innovative Surveillance Methods for Rapid Detection of Disease Outbreaks and Bioterrorism
A system designed to rapidly identify an infectious disease outbreak or bioterrorism attack and provide important demographic and geographic information is lacking in most health departments nationwide. The Department of Defense Global Emerging Infections System sponsored a meeting and workshop in May 2000 in which participants discussed prototype systems and developed recommendations for new surveillance systems. The authors provide a summary of…
A Space–Time Permutation Scan Statistic for Disease Outbreak Detection
BACKGROUND: The ability to detect disease outbreaks early is important in order to minimize morbidity and mortality through timely implementation of disease prevention and control measures. Many national, state, and local health departments are launching disease surveillance systems with daily analyses of hospital emergency department visits, ambulance dispatch calls, or pharmacy sales for which population-at-risk information is unavailable or ir…
Evaluation of school absenteeism data for early outbreak detection, New York City
Monitoring school absenteeism may be moderately useful for detecting large citywide epidemics, however, school-level data were noisy and we were unable to demonstrate any practical value in using cluster analysis to detect localized outbreaks. Based on these results, we will not implement prospective monitoring of school absenteeism data, but are evaluating the utility of more specific school-based data for outbreak detection
Smoking Practices in New York City
Adult Tobacco Use Levels After Intensive Tobacco Control Measures
Objectives. We sought to determine the impact of comprehensive tobacco control measures in New York City. Methods. In 2002, New York City implemented a tobacco control strategy of (1) increased cigarette excise taxes; (2) legal action that made virtually all work-places, including bars and restaurants, smoke free; (3) increased cessation services, including a large-scale free nicotine-patch program; (4) education; and (5) evaluation. The health d…
Use of Pharmacy Data to Evaluate Smoking Regulations’ Impact on Sales of Nicotine Replacement Therapies in New York City
Objectives. Recently, New York City and New York State increased cigarette excise taxes and New York City implemented a smoke-free workplace law. To assess the impact of these policies on smoking cessation in New York City, we examined over-the-counter sales of nicotine replacement therapy (NRT) products. Methods. Pharmacy sales data were collected in real time as part of nontraditional surveillance activities. We used Poisson generalized estimat…
Discordance between Sexual Behavior and Self-Reported Sexual Identity
BACKGROUND: Persons reporting sexual identity that is discordant with their sexual behavior may engage in riskier sexual behaviors than those with concordant identity and behavior. The former group could play an important role in the spread of sexually transmitted diseases. OBJECTIVE: To describe discordance between self-described sexual identity and behavior among men who have sex with men and associations between identity-behavior and risk beha…
Health Care Access and Utilization among Women Who Have Sex with Women
Diarrheal Illness Detected Through Syndromic Surveillance After a Massive Power Outage
Objectives. We investigated increases in diarrheal illness detected through syndromic surveillance after a power outage in New York City on August 14, 2003. Methods. The New York City Department of Health and Mental Hygiene uses emergency department, pharmacy, and absentee data to conduct syndromic surveillance for diarrhea. We conducted a case–control investigation among patients presenting during August 16 to 18, 2003, to emergency departments …
Estimation of HIV Prevalence, Risk Factors, and Testing Frequency among Sexually Active Men Who Have Sex with Men, Aged 18–64 Years—New York City, 2002
Benefits and Barriers to Electronic Laboratory Results Reporting for Notifiable Diseases
Objectives. Despite national support for electronic laboratory reporting (ELR), the transition from paper to electronic reporting has been slow both nationally and locally. We assessed the ELR experience of New York City’s surveillance programs to identify barriers to ELR implementation and generalizable lessons about automated electronic notifiable disease surveillance. Methods. We conducted interviews with key staff of the New York City Departm…
Using Health Information Exchange to Improve Public Health
Public health relies on data reported by health care partners, and information technology makes such reporting easier than ever. However, data are often structured according to a variety of different terminologies and formats, making data interfaces complex and costly. As one strategy to address these challenges, health information organizations (HIOs) have been established to allow secure, integrated sharing of clinical information among numerou…
A National Study of Challenges to Electronic Health Record Adoption and Meaningful Use
BACKGROUND: Adoption and implementation of electronic health records (EHRs) has not been without challenges as it infuses technology into what has been a historically manual process of recording patient information. In an effort to identify these challenges, the Office of the National Coordinator for Health Information Technology leveraged the Regional Extension Center population of over 140,000 providers to develop a structured way to track chal…
What Medicare Can Teach Medicaid About Value-Based Care
Health care payments should reward the value of services delivered over volume. Private insurance companies and public payers are working to provide better incentives to move toward value for health care practices and clinicians across all lines of business. Medicare and Medicaid are the largest publicly funded programs in this country, covering 62.8 million and 76.5 million people in the US, respectively. 1 It is clear that Medicare is more adap…
Promoting Competition in the Health Care Marketplace
Health care consolidation reduces competition and increases prices, with limited benefits to quality of care. Although the Department of Justice (DOJ) successfully litigated against antitiering and antisteering practices by Atrium Health in 2018, it has only filed 2 antitrust cases against hospital systems since
We Must Fix US Health and Public Health Policy
Despite a history of public health progress and the most expensive health care system in the world, the United States failed in its initial response to COVID-19. Much of this failure resulted from a presidential administration that sidelined, undermined, and maligned public health. But the roots of failure are deeper. Recovering from the pandemic and building health and public health back better will require recognizing the roots of failure and w…
Medicine (19 works) · Environmental health (13 works) · Data-Driven Disease Surveillance (10 works) · Political science (8 works) · Public health (8 works) · Business (6 works) · Demography (6 works) · Medical emergency (6 works) · Nursing (6 works) · Computer Science (5 works)