Elizabeth Shenkman
Biographic Data
| ID | 5540552 |
|---|---|
| NAME | Elizabeth Shenkman |
| GIVEN NAMES | Elizabeth |
| FAMILY NAME | Shenkman |
| SIGNATURE | SHENKMAN E |
| AFFILIATIONS | University of Florida |
| ORCID | 0000-0003-4903-1804 |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 3 |
| AUTHOR COUNT | 22 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1996 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
PCORnet®: An Infrastructure Supporting Innovation in Clinical Study Design
PCORnet ® , a national resource funded by the Patient-Centered Outcomes Research Institute, is designed to enhance the nation’s capacity to conduct efficient, patient-centered health research. The robust and adaptable PCORnet infrastructure can be leveraged to support a variety of study designs. Within this framework, PCORnet ® Studies, a distinguished subset of research studies that meets specific criteria and approval, serve as exemplary models…
PCORnet®: 10 Years of Research Innovation
BACKGROUND: The PCORnet® infrastructure was funded by PCORI in 2014 to streamline clinical trials, increase patient-centered research, and generate knowledge that leads to improved health care and outcomes. In this paper, we summarize the significant achievements of the infrastructure over the last decade as well as recent accomplishments. We also provide an update on the expanded patient population who receive care at sites participating in PCOR…
Avenues for Strengthening PCORnet’s Capacity to Advance Patient-Centered Economic Outcomes in Patient-Centered Outcomes Research (PCOR)
PCORnet, the National Patient-Centered Clinical Research Network, provides the ability to conduct prospective and observational pragmatic research by leveraging standardized, curated electronic health records data together with patient and stakeholder engagement. PCORnet is funded by the Patient-Centered Outcomes Research Institute (PCORI) and is composed of 8 Clinical Research Networks that incorporate at total of 79 health system “sites.” As th…
Design, Development and Evaluation of the Citizen Science Cancer Curriculum (CSCC): A Design and Development Case Study
The purpose of this design and development case study is to provide an in-depth account of the needs analysis (through surveys and interviews), design, development and formative evaluation of the Citizen Science Cancer Curriculum (CSCC). The curriculum was developed as an online, self-paced educational program distributed as an Open Educational Resource using Creative Commons licensing. The instructional approach described in this design and deve…
A feasibility trial of parent HPV vaccine reminders and phone-based motivational interviewing
Without providing explicit consent to receive vaccine-related messages, parents nonetheless found postcards and interactive text messages acceptable. Centralizing MI to phone calls with trained staff was acceptable to parents and resulted in highly MI-adherent interviews
Classification Tree Analysis of Factors Associated with Oral Cancer Exam
Objective: In this study, we performed a classification tree analysis (CTA) to identify population subgroups that are less likely to have an oral cancer examination (OCE). Methods: We conducted telephone surveys (N = 2401) of adults residing in north Florida to collect data on OCE status and potential OCE predictors including demographics, medical and dental experience, and psychosocial factors. The CTA algorithm exhaustive chi-square automatic i…
Stakeholder Engagement in Developing an Electronic Clinical Support Tool for Tobacco Prevention in Adolescent Primary Care
Following guideline recommendations to promote tobacco prevention in adolescent primary care, we developed a patient-facing clinical support tool. The electronic tool screens patients for use and susceptibility to conventional and alternative tobacco products, and promotes patient−provider communication. The purpose of this paper is to describe the iterative stakeholder engagement process used in the development of the tool. During the pre-testin…
Rural-urban and racial-ethnic differences in awareness of direct-to-consumer genetic testing
Rural-urban and racial-ethnic differences exist in awareness of direct-to-consumer genetic testing. These differences may translate into disparities in the uptake of genetic testing, health behavior change, and disease prevention through precision and personalized medicine
Defining ‘quality’ from the patient's perspective: Findings from focus groups with Medicaid beneficiaries and implications for public reporting
BACKGROUND: With an increased emphasis on patient-centred outcomes and research, investigators seek to understand aspects of health care that are most important to patients. Such information is essential for developing report cards that present health-care quality information for consumers, which many states are adopting as a strategy to promote consumer choice. OBJECTIVE: This study examined the processes that women in Medicaid follow for select…
Measuring quality: Caries‐related emergency department visits and follow‐up among children
These National Quality Forum endorsed measures provide valid methodologies for assessing the rate of caries-related ED visits, an important system-level outcome indicator of outpatient prevention and disease management, and the timeliness of follow-up with a dentist. There is significant variation in caries-related ED visits among state Medicaid programs, and most ED visits do not have follow-up with a dentist within 30 days
Improving Adolescent Health Risk Assessment: A Multi-method Pilot Study
Objectives Given poor compliance by providers with adolescent health risk assessment (HRA) in primary care, we describe the development and feasibility of using a health information technology (HIT)-enhanced HRA to improve the frequency of HRAs in diverse clinical settings, asking adolescents' recall of quality of care as a primary outcome. Methods We conducted focus groups and surveys with key stakeholders (Phase I) , including adolescents, clin…
Developing and testing pediatric oral healthcare quality measures
Broad stakeholder engagement, rigorous measure development and testing processes, and regular opportunities for public input contributed to the development and validation of the first set of fully specified and tested pediatric oral healthcare quality measures, which have high feasibility for implementation in both public and private sectors. This achievement marks an important essential step toward improving oral healthcare and oral health outco…
Quality of Care for Chronic Conditions Among Disabled Medicaid Enrollees: An Evaluation of a 1915 (b) and (c) Waiver Program
IMPORTANCE: Examining the impact of Medicaid-managed care home-based and community-based service (HCBS) alternatives to institutional care is critical given the recent rapid expansion of these models nationally. OBJECTIVE: We analyzed the effects of STAR+PLUS, a Texas Medicaid-managed care HCBS waiver program for adults with disabilities on the quality of chronic disease care. DESIGN, SETTING, AND PARTICIPANTS: We compared quality before and afte…
Recruiting Low Income and Racially/Ethnically Diverse Adolescents for Focus Groups
Do Florida Medicaid Providers’ Barriers to HPV Vaccination Vary Based on VFC Program Participation
Effects of an Integrated Care System on Quality of Care and Satisfaction for Children with Special Health Care Needs
Association Between Perinatal Medical Expenses and a Waiver to Increase Florida Healthy Start Services Within Florida Medicaid Programs: 1998 To 2006
To assess the association between perinatal care expenditures and a Medicaid waiver to increase Florida Healthy Start services among Florida Medicaid non-managed care organization (non-MCO) program enrollees. We assessed perinatal care expenditures from Medicaid claims and encounter data among non-MCO enrollees with increased risk pregnancies who gave birth in Florida during 1998-2006. We used a pre-post design to compare adjusted perinatal medic…
Using three legacy measures to develop a health-related quality of life tool for young adult survivors of childhood cancer
Parents’ Experiences in Choosing a Health Plan for Their Children with Special Health Care Needs
Quality of Life Measurement for Children with Life-Threatening Conditions: Limitations and a New Framework
The Effects of Reinsurance in Financing Children's Health Care
This paper examines the effects of reinsurance on the financial performance of health plans serving enrollees in a State Children's Health Insurance Program (SCHIP). We demonstrate that simple reinsurance policies can reduce substantially the variation in the financial performance of plans with different case mixes, even when the plans bear the cost of the reinsurance and are not fully insured against large expenditures on individual enrollees
The School Enrollment-Based Health Insurance program: Socioeconomic factors in enrollees' use of health services
OBJECTIVES: The School Enrollment-Based Health Insurance program is designed to reduce financial barriers to children's health care use. This study sought to determine if any socioeconomic measures differed between enrollees with at least one health care encounter and those with no encounters. METHODS: Logistic regression was used to assess the impact of various predictors on the odds that a child would use health care services. RESULTS: Children…
The School Enrollment-Based Health Insurance program: Socioeconomic factors in enrollees' use of health services
OBJECTIVES: The School Enrollment-Based Health Insurance program is designed to reduce financial barriers to children's health care use. This study sought to determine if any socioeconomic measures differed between enrollees with at least one health care encounter and those with no encounters. METHODS: Logistic regression was used to assess the impact of various predictors on the odds that a child would use health care services. RESULTS: Children…
Quality of Life Measurement for Children with Life-Threatening Conditions: Limitations and a New Framework
The School Enrollment-Based Health Insurance program: Socioeconomic factors in enrollees' use of health services
OBJECTIVES: The School Enrollment-Based Health Insurance program is designed to reduce financial barriers to children's health care use. This study sought to determine if any socioeconomic measures differed between enrollees with at least one health care encounter and those with no encounters. METHODS: Logistic regression was used to assess the impact of various predictors on the odds that a child would use health care services. RESULTS: Children…
The Effects of Reinsurance in Financing Children's Health Care
This paper examines the effects of reinsurance on the financial performance of health plans serving enrollees in a State Children's Health Insurance Program (SCHIP). We demonstrate that simple reinsurance policies can reduce substantially the variation in the financial performance of plans with different case mixes, even when the plans bear the cost of the reinsurance and are not fully insured against large expenditures on individual enrollees
Parents’ Experiences in Choosing a Health Plan for Their Children with Special Health Care Needs
Quality of Life Measurement for Children with Life-Threatening Conditions: Limitations and a New Framework
Effects of an Integrated Care System on Quality of Care and Satisfaction for Children with Special Health Care Needs
Association Between Perinatal Medical Expenses and a Waiver to Increase Florida Healthy Start Services Within Florida Medicaid Programs: 1998 To 2006
To assess the association between perinatal care expenditures and a Medicaid waiver to increase Florida Healthy Start services among Florida Medicaid non-managed care organization (non-MCO) program enrollees. We assessed perinatal care expenditures from Medicaid claims and encounter data among non-MCO enrollees with increased risk pregnancies who gave birth in Florida during 1998-2006. We used a pre-post design to compare adjusted perinatal medic…
Using three legacy measures to develop a health-related quality of life tool for young adult survivors of childhood cancer
Do Florida Medicaid Providers’ Barriers to HPV Vaccination Vary Based on VFC Program Participation
Recruiting Low Income and Racially/Ethnically Diverse Adolescents for Focus Groups
Developing and testing pediatric oral healthcare quality measures
Broad stakeholder engagement, rigorous measure development and testing processes, and regular opportunities for public input contributed to the development and validation of the first set of fully specified and tested pediatric oral healthcare quality measures, which have high feasibility for implementation in both public and private sectors. This achievement marks an important essential step toward improving oral healthcare and oral health outco…
Quality of Care for Chronic Conditions Among Disabled Medicaid Enrollees: An Evaluation of a 1915 (b) and (c) Waiver Program
IMPORTANCE: Examining the impact of Medicaid-managed care home-based and community-based service (HCBS) alternatives to institutional care is critical given the recent rapid expansion of these models nationally. OBJECTIVE: We analyzed the effects of STAR+PLUS, a Texas Medicaid-managed care HCBS waiver program for adults with disabilities on the quality of chronic disease care. DESIGN, SETTING, AND PARTICIPANTS: We compared quality before and afte…
Improving Adolescent Health Risk Assessment: A Multi-method Pilot Study
Objectives Given poor compliance by providers with adolescent health risk assessment (HRA) in primary care, we describe the development and feasibility of using a health information technology (HIT)-enhanced HRA to improve the frequency of HRAs in diverse clinical settings, asking adolescents' recall of quality of care as a primary outcome. Methods We conducted focus groups and surveys with key stakeholders (Phase I) , including adolescents, clin…
Defining ‘quality’ from the patient's perspective: Findings from focus groups with Medicaid beneficiaries and implications for public reporting
BACKGROUND: With an increased emphasis on patient-centred outcomes and research, investigators seek to understand aspects of health care that are most important to patients. Such information is essential for developing report cards that present health-care quality information for consumers, which many states are adopting as a strategy to promote consumer choice. OBJECTIVE: This study examined the processes that women in Medicaid follow for select…
Measuring quality: Caries‐related emergency department visits and follow‐up among children
These National Quality Forum endorsed measures provide valid methodologies for assessing the rate of caries-related ED visits, an important system-level outcome indicator of outpatient prevention and disease management, and the timeliness of follow-up with a dentist. There is significant variation in caries-related ED visits among state Medicaid programs, and most ED visits do not have follow-up with a dentist within 30 days
Stakeholder Engagement in Developing an Electronic Clinical Support Tool for Tobacco Prevention in Adolescent Primary Care
Following guideline recommendations to promote tobacco prevention in adolescent primary care, we developed a patient-facing clinical support tool. The electronic tool screens patients for use and susceptibility to conventional and alternative tobacco products, and promotes patient−provider communication. The purpose of this paper is to describe the iterative stakeholder engagement process used in the development of the tool. During the pre-testin…
Rural-urban and racial-ethnic differences in awareness of direct-to-consumer genetic testing
Rural-urban and racial-ethnic differences exist in awareness of direct-to-consumer genetic testing. These differences may translate into disparities in the uptake of genetic testing, health behavior change, and disease prevention through precision and personalized medicine
Classification Tree Analysis of Factors Associated with Oral Cancer Exam
Objective: In this study, we performed a classification tree analysis (CTA) to identify population subgroups that are less likely to have an oral cancer examination (OCE). Methods: We conducted telephone surveys (N = 2401) of adults residing in north Florida to collect data on OCE status and potential OCE predictors including demographics, medical and dental experience, and psychosocial factors. The CTA algorithm exhaustive chi-square automatic i…
A feasibility trial of parent HPV vaccine reminders and phone-based motivational interviewing
Without providing explicit consent to receive vaccine-related messages, parents nonetheless found postcards and interactive text messages acceptable. Centralizing MI to phone calls with trained staff was acceptable to parents and resulted in highly MI-adherent interviews
Design, Development and Evaluation of the Citizen Science Cancer Curriculum (CSCC): A Design and Development Case Study
The purpose of this design and development case study is to provide an in-depth account of the needs analysis (through surveys and interviews), design, development and formative evaluation of the Citizen Science Cancer Curriculum (CSCC). The curriculum was developed as an online, self-paced educational program distributed as an Open Educational Resource using Creative Commons licensing. The instructional approach described in this design and deve…
Avenues for Strengthening PCORnet’s Capacity to Advance Patient-Centered Economic Outcomes in Patient-Centered Outcomes Research (PCOR)
PCORnet, the National Patient-Centered Clinical Research Network, provides the ability to conduct prospective and observational pragmatic research by leveraging standardized, curated electronic health records data together with patient and stakeholder engagement. PCORnet is funded by the Patient-Centered Outcomes Research Institute (PCORI) and is composed of 8 Clinical Research Networks that incorporate at total of 79 health system “sites.” As th…
PCORnet®: An Infrastructure Supporting Innovation in Clinical Study Design
PCORnet ® , a national resource funded by the Patient-Centered Outcomes Research Institute, is designed to enhance the nation’s capacity to conduct efficient, patient-centered health research. The robust and adaptable PCORnet infrastructure can be leveraged to support a variety of study designs. Within this framework, PCORnet ® Studies, a distinguished subset of research studies that meets specific criteria and approval, serve as exemplary models…
PCORnet®: 10 Years of Research Innovation
BACKGROUND: The PCORnet® infrastructure was funded by PCORI in 2014 to streamline clinical trials, increase patient-centered research, and generate knowledge that leads to improved health care and outcomes. In this paper, we summarize the significant achievements of the infrastructure over the last decade as well as recent accomplishments. We also provide an update on the expanded patient population who receive care at sites participating in PCOR…
Medicine (18 works) · Health care (13 works) · Family medicine (12 works) · Nursing (10 works) · Public health (9 works) · Environmental health (8 works) · Medicaid (8 works) · Population (8 works) · Psychology (7 works) · Healthcare Policy and Management (6 works)