AMIA 2021 Virtual Clinical Informatics Conference Presentations

Unsupervised Machine Learning to Configure EHR Position Preferences for Discrete Data Capture
C. Uptegraft, Defense Health Agency, Uniformed Services University of the Health Sciences; A. Holdaway, Defense Health Agency

Clinical Trial of an AI COVID-19 Model to Identify Patients Ready for Discharge
V. Major, S. Jones, A. Bagheri, F. Mendoza, J. Stadelman, V. Nguy, M. Quinn, P. Stella, N. Razavian, L. Horwitz, J. Austrian, Y. Aphinyanaphongs, NYU Grossman School of Medicine

Data Quality Improvement from AI-powered Auditing: A Pilot Study at an Academic Pediatric Hospital
N. Sahar, Semantic Health, Inc.; S. Serino, The Hospital for Sick Children; R. Cervantes, Semantic Health, Inc.; K. Jessa, The Hospital for Sick Children

A Continuous Benchmarking Community Challenge for COVID-19 Outcome Prediction
Y. Yan, University of Washington, Sage Bionetworks; T. Schaffter, Sage Bionetworks; T. Bergquist, Sage Bionetworks, University of Washington; T. Yu, J. Guinney, , Sage Bionetworks; V. Pejaver, N. Hammarlund, J. Prosser, S. Mooney, University of Washington

The Implementation of Biosignals Streaming and Signal Extraction System in Critical Care Units for Real-time Physiological Data Collection and Tele-monitoring Using Cloud Computing Platform
S. Chalanunt, S. Tanmuk, P. Khumrin, Chiang Mai University Faculty of Medicine

Assessing Readiness for Telehealth Using Patient Portals as a Proxy
A. McAlearney, C. Sieck, M. Gregory, G. Di Tosto, S. MacEwan, M. DePuccio, The Ohio State University College of Medicine; J. Lee, Nationwide Children’s Hospital, The Ohio State University College of Medicine; T. Huerta, D. Walker, The Ohio State University College of Medicine

Physician Perspectives About Telemedicine: Considering the Usability of Telehealth in Pediatric Gastroenterology in Response to COVID-19
J. Lee, Nationwide Children’s Hospital; G. Di Tosto, F. McAlearney, The Ohio State University; S. Miller, Johns Hopkins Children’s Center; E. Mezoff, R. Venkatesh, Nationwide Children’s Hospital; J. Huang, Rady Children’s Hospital San Diego; J. Lightdale, University of Massachusetts Medical School

Workflow for COVID-19 Outpatient Safety in Remote Monitoring and Telehealth
A. Bahrami, Bionous, Inc.; K. Butler, BPM+; E. Mercer, J. Hooker, Brigham Young University

User-centered Design of an Integrated Pediatric Admission Order Set to Improve Clinical Practice Guideline Adoption
J. Mrosak, Emory University, Children’s Healthcare of Atlanta, Inc.; S. Kandaswamy, Emory University; C. Stokes, Emory University, Children’s Healthcare of Atlanta Inc.; D. Roth, Emory University; E. Orenstein, Emory University, Children’s Healthcare of Atlanta, Inc.

Using Human-centered Design and Evidence-based Risk Communication Strategies to Design a Prognostic Tool for Pediatric Emergency Department Patients with Pneumonia
R. Turer, D. Williams, A. Weitkamp, M. Weinger, C. Reale, R. Beebe, S. Just, D. Arnold, J. Johnson, J. Stassun, Vanderbilt University Medical Center; J. Martin, S. Suresh, N. Rixe, Children’s Hospital of Pittsburgh of UPMC; L. Sartori, Vanderbilt University Medical Center, The Children’s Hospital of Philadelphia; K. Ampofo, Primary Children’s Hospital; J. Slagle, Vanderbilt University Medical Center

Interdisciplinary Rounds Chatbot to Improve Usability and Workflow Efficiency
K. Nair, North Shore University Hospital

An Early Warning System for Patients with Implantable Cardiac Device and Positive Blood Culture
S. Madani, D. Giuse, D. Albert, A. Weitkamp, Vanderbilt University Medical Center

EvidencePoint: A Clinical Decision Support System (CDSS) for the Rapid Development and Implementation of Electronic Health Record (EHR)-integrated Evidence-based CDS Applications
K. Dauber-Decker, J. Solomon, S. Khan, F. Malik, A. Ilyas, B. Coleman, Northwell Health Feinstein Institutes for Medical Research; M. Paradis, Northwell Health; T. Zanos, J. Hirsch, D. Barnaby, S. Richardson, M. Goldin, A. Spyropoulos, Northwell Health Feinstein Institutes for Medical Research; T. McGinn, CommonSpirit Health, Baylor College of Medicine

Clinical Decision Support to Increase Safe Beta-lactam Use in Patients with Reported Penicillin Allergies
N. Van Groningen, R. Duncan, M. Sonesen, A. Nguyen, J. Pevnick, Cedars-Sinai Medical Center

The Virtual Emergency Physician – Utilizing Technology and Innovation to Protect at-risk Healthcare Workers During a Pandemic
D. Rosenfield, T. Mizzi, G. Harvey, J. Fischer, The Hospital for Sick Children, University of Toronto Faculty of Medicine

Interdisciplinary Perspectives on Electronic Care Planning
S. Haque, RTI International; D. Dorr, Oregon Health & Science University; J. Hsiao, AHRQ

Survey to Assess Clinician and Healthcare Leaders’ Experiences with – and Perceptions of – COVID-19 Documentation Reduction Policies and Practices
A. Moy, J. Schwartz, E. Lucas, K. Cato, Columbia University; S. Rosenbloom, K. Johnson, Vanderbilt University; J. Murphy, Independent; D. Detmer, University of Virginia; S. Rossetti, Columbia University

Using Modern Web Applications to Reduce Burden, Increase Timeliness, and Improve Accuracy of COVID-19 Result Reporting to Public Health
T. Cullen, Pima County Health Department; A. Gleason, Executive Office of the President; A. Beckett, U.S. Centers for Disease Control and Prevention

Right-sizing (and Smart-working) Patient Message Workload to Reduce Burn-out
S. Day, S. Regli, N. Mollanazar, M. Miranda, L. Bowie, B. St John, D. Laumer, P. Hepschmidt, C. Hanson, Penn Medicine

COVID-19 Results: Evolving a Staff-based Support Model to an SMS, EHR + Staff Hybrid Model – How Penn Medicine Evolved a Resource intensive Clinician-based Results Management Strategy to One Leveraging SMS Technology in Support of Patients and Community Members through the Coronavirus Pandemic
C. Mallozzi, Penn Medicine; K. Lee, Penn Medicine, Hospital of the University of Pennsylvania; N. Mollanazar, University of Pennsylvania Perelman School of Medicine

Validating a Chatbot-based COVID-19 Symptom Triage Tool
E. Meer, M. Herriman, K. Volpp, K. Chaiyachati, J. McGreevey, Penn Medicine

The Use of Chatbots to Facilitate Patient-provider Communication During the COVID-19 Pandemic
K. Mazza, Z. Brown, Y. Romm, H. Koehler, A. Flynn, H. Bleau, C. Choi, Y. Kogan, B. Healy, S. Mishra, M. Oppenheim, Northwell Health; M. Diefenbach, Northwell Health, Feinstein Institutes for Medical Research

A Fully Integrated SMS Solution for COVID-19 Screening: Closing the Loop in Large Scale Screening Results Notification
A. Staib, Queensland Health, Metro South Hospital and Health Service, The University of Queensland Faculty of Medicine; H. Lim, eHealth Queensland, The University of Queensland Faculty of Medicine; L. Wall, D. Pullen, Queensland Health; N. Aird, eHealth Queensland; K. McNeil, Queensland Health

User Interface/User Experience (UIUX) Design Systems: A Case Study Examining the Veterans’ Affairs COVID-19 Pandemic Response
B. Lesselroth, The University of Oklahoma – Tulsa; K. Adams, Veterans Health Administration

Scale and Prevail: Rapid Development of Informatics Infrastructure for High-throughput COVID-19 Community Testing in Washington State
N. Hoffman, N. Krumm, M. Stoffel, P. Mathias, University of Washington

Health System Implementation of a Standardized Inpatient Obstetric Venous Thromboembolism Risk Assessment and Prophylaxis Treatment Guideline: Novel Clinical Decision Support Within Clinical Notes to Improve Compliance
H. Heo, J. Kidd, J. Feldman, J. Austrian, A. Vintzileos, NYU Langone Health

Considerations for Development of Child Abuse and Neglect Phenotype with Prioritizing Reduction of Racial Bias: A Qualitative Study
A. Landau, A. Blanchard, S. Salazar, N. Atkins, D. Patton, M. Topaz, Columbia University

Clinical Heuristic to Identify Patients with COVID-19 Who Can Safely Be Enrolled in an Outpatient Management Program
J. Cavalier, C. O’Brien, B. Goldstein, C. Zhao, A. Bedoya, Duke University

Identifying Factors Associated with Patient’s Risk for Hospitalization or Emergency Department Visits in Home Health Care
J. Song, Columbia University; M. McDonald, Y. Barron, Visiting Nurse Service of New York; K. Cato, S. Rossetti, Columbia University; S. Sridharan, Visiting Nurse Service of New York; S. Chae, A. Tark, The University of Iowa; V. Adams, Visiting Nurse Service of New York; K. Woo, Seoul National University; M. Kang, Brigham and Women’s Hospital, Harvard Medical School; M. Hobensack, Columbia University; M. Ojo, Visiting Nurse Service of New York; K. Bowles, University of Pennsylvania, Visiting Nurse Service of New York; M. Topaz, Columbia University, Visiting Nurse Service of New York

Rapid Implementation of Patient Screening, Triage and Telehealth for Ambulatory and Inpatient Addiction Psychiatry Services using Microsoft Teams, Microsoft Lists, and Microsoft Power Apps
S. Chan, Stanford University School of Medicine, VA Palo Alto Health Care System Mental Health Services, University of California San Francisco; M. Ostacher, Stanford University School of Medicine, VA Palo Alto Health Care System Mental Health Services; E. Anbalagan, Stanford University School of Medicine, VA Palo Alto Health Care System Mental Health Services; D. Guldmann, VA Palo Alto Health Care System Mental Health Services; K. Brodsky, VA Palo Alto Health Care System Mental Health Services, Stanford University School of Medicine

Enhancing Health Information Technology for Pandemic Response Workflow in a Specialized COVID-19 Safety-Net Hospital
D. Kaufman, SUNY Downstate Health Sciences University; Y. Senathirajah, J. Fawcett, University of Pittsburgh School of Medicine; K. Cato, Columbia University; A. Kushniruk, E. Borycki, University of Victoria; B. Arquilla, P. Roblin, P. Daniel, SUNY Downstate Health Sciences University

Bigger, Better, Faster, Stronger: Leveraging and Improving Refill Protocols at Your Health System
M. Peifer, J. Tokazewski, J. Howell, Penn Medicine

A Retrospective Analysis of the Performance of Intensive Care Unit Severity Scoring Systems across Different Ethnicities
R. Sarkar, Medway NHS Foundation Trust, King’s College London Faculty of Life Sciences and Medicine; C. Martin, University College London; H. Mattie, Harvard University, T.H. Chan School of Public Health; J. Gichoya, Emory University; D. Stone, University of Virginia School of Medicine; L. Celi, Massachusetts Institute of Technology

Health Literacy Does Not Explain Patient Portal Use: Results from a Secondary Analysis of a Randomized Controlled Trial
G. Di Tosto, D. Walker, C. Sieck, L. Wallace, S. MacEwan, M. Gregory, S. Scarborough, T. Huerta, A. McAlearney, The Ohio State University

Telehealth Equity: Practical Strategies to Prevent Virtual Care From Exacerbating Health Disparities
R. deMayo, C. Grindle, J. Im, Connecticut Children’s Medical Center, University of Connecticut School of Medicine

Will Apple Watches’ Passive Atrial Fibrillation Detection Prevent Strokes? Estimating Actionable Cohort Sizes for Anticoagulation Therapy with Real-world User Data
K. Feldman, Children’s Mercy Kansas City, University of Missouri Kansas City; R. Duncan, Cedars-Sinai Health System, Cedars-Sinai Medical Center; A. Nguyen, G. Cook-Wiens, Cedars-Sinai Medical Center; Y. Elad, Cedars-Sinai Health System, Cedars-Sinai Medical Center; T. Nuckols, Cedars-Sinai Medical Center; J. Pevnick, Cedars-Sinai Medical Center, Cedars-Sinai Health System

Geographic Location Impacts Patient Portal Use by Desktop and Mobile Devices
S. MacEwan, C. Sieck, A. McAlearney, The Ohio State University

Examining Relationships Between Patient Portal Account Status and Patient Satisfaction Scores
N. Fareed, S. MacEwan, S. Vink, P. Jonnalagadda, A. McAlearney, The Ohio State University

Engaging Housestaff as Informatics Collaborators in an Academic Medical Center: Educational and Operational Opportunities
J. Shenson, B. Weia, L. White, H. Hong, I. Jankovic, Stanford University

An Effective Low-cost High-impact Digital Health Startup Incubation Model at an Academic Institution
H. Hong, Stanford University

A Framework for Co-designing Contextually Relevant Sociotechnical Interventions: Addressing Preventive Cardiovascular Health in Rural Settings
M. Partogi, S. Gaviria-Valencia, N. Pick, R. Bonacci, J. Mitchell, R. Chaudhry, K. Swanson, A. Arruda-Olson, Mayo Foundation for Medical Education and Research

Patients as Co-designers of a Mobile integrative Oncology Navigation Resource
D. Womack, Oregon Health & Science University; R. Kennedy, eCare Informatics; A. Rademacher, Oregon Health & Science University; S. Chamberlin, Oregon Health & Science University School of Medicine; C. Sliney, Oregon Health & Science University Hospital

The Food and Drug Administration (FDA)’s Biologics Effectiveness and Safety (BEST) Initiative’s Patient Experience Application Designed to Support Natural History Studies
H. Ezzeldin, J. Lee, M. Ho, U.S. Food and Drug Administration; M. Griffith, H. Huang, IBM Global Business Services; S. Stothers, U.S. Food and Drug Administration; S. Aschettino, N. Lari, IBM Global Business Services; D. Boyce, A. Robert, P. Goel, T. Ehrhard, National Organization for Rare Disorders; S. Anderson, U.S. Food and Drug Administration

Shared Decision Making for Drug Interactions: Design and Usability of a SMART on FHIR app
T. Reese, G. Del Fiol, University of Utah; J. Butler, University of Utah Health; J. Hurwitz, The University of Arizona College of Medicine Phoenix; A. Gomez-Lumbreras, University of Utah Health; M. Brown, University of Arizona; D. Malone, University of Utah Health

The “Lost” Specimen - Missing Results Related to Improper Discharge Documentation in the EHR
J. Betesh, University of Pennsylvania; D. Carr, Pennsylvania Hospital; M. Thai, C. Kerner, Penn Medicine

Non-interruptive Clinical Decision Support to Improve Documentation Compliance
B. Steitz, A. Wright, B. Dunworth, J. Wanderer, Vanderbilt University Medical Center

User-centered Design of Central Venous Access Device Documentation
S. Kandaswamy, Emory University School of Medicine; A. Gill, Emory University, Children’s Healthcare of Atlanta; S. Wood, Children’s Healthcare of Atlanta; L. Mckay, J. Hike, M. Popkin, E. Ray, H. Maude, C. Johnston, T. White, Children’s Healthcare of Atlanta; E. Orenstein, Emory University School of Medicine, Children’s Healthcare of Atlanta

The Impact of the Implementation of a Sepsis Early Warning System in the Emergency Department Setting: A Prospective Randomized Controlled Quality Initiative
Y. Tarabichi, A. Cheng, D. Bar-Shain, C. Emerman, J. Siff, MetroHealth Medical Center, Case Western Reserve University; C. Wang, Case Western Reserve University; D. Kaelber, B. Watts, MetroHealth Medical Center, Case Western Reserve University; M. Hecker, Case Western Reserve University

Developing and Sustaining a Clinician Champion Program at an Academic Medical Center
D. Mize, Vanderbilt University Medical Center

Mitigating Surge Capacity: Successfully Implementing a Platform to Predict and Manage Bed Utilization for a Large Healthcare System During COVID-19
A. Cochran, K. Thompson, J. Hartz, S. Joy, B. Schwenzfeier, S. Pion, C. Danzi, Atrium Health

How Much Time Do You Have? When Small Changes in Electronic Health Record Vendor Functionality Bring Big Consequences to a Health System
J. McGreevey, K. Xu, University of Pennsylvania Health System; C. Fanning, University Medical Center of Princeton at Plainsboro, Penn Medicine Princeton Health; C. Buzzard, Penn Medicine; J. Betesh, University of Pennsylvania, University of Pennsylvania Health System

Digitalizing Bed-side Clinical Tests in the Fight Against COVID-19: Emergence of the ‘Self Shield’ Platform
P. Siribaddana, V. Dissanayake, Commonwealth Centre for Digital Health, University of Colombo

Using a RAPIDS Strategy and Integrated Product Team for Best Practices: Combined Clinical and SDOH Risk Model for Severe COVID-19
H. Tetteh, Uniformed Services University of the Health Sciences, Joint Artificial Intelligence Center, Howard University College of Medicine; B. Experton, Humetrix; P. Walker, Joint Artificial Intelligence Center; C. Burrow, Humetrix

Digital Contact Tracing within a Pediatric Healthcare Center during the COVID-19 Pandemic
P. Hong, J. Herigon, Boston Children’s Hospital, Harvard Medical School; C. Uptegraft, Defense Health Agency; B. Samuel, D. Brown, Boston Children’s Hospital; J. Bickel, J. Hron, Boston Children’s Hospital, Harvard Medical School

Leveraging the ECRI Guidelines Trust Snapshots for Rapid Evaluation of COVID-19 Guidelines
J. Michel, ECRI, The Children’s Hospital of Philadelphia, The University of Pennsylvania; A. Wert, K. Mathews, ECRI; M. Leafe, ECRI, St. Joseph’s University; A. Mujahid, J. Kaczmarek, ECRI

42 Physician Specialties Optimized in 6 Months
D. Peachee, M. Duggan, Lakeland Regional Medical Center, Inc.

Leveraging the EHR to Meet Documentation Requirements and Ensure Guideline Congruent Use of Remdesivir During the COVID-19 Pandemic
N. Pettit, P. Bhagat, A. Lew, C. Nguyen, A. Nelson, A. Choksi, M. Wong, D. Voas-Marszowski, The University of Chicago Medicine; J. Pisano, University of Chicago Medicine Infectious Diseases & Global Health

Reducing Alert Fatigue with the Med Alerts Working Group
S. Nelson, D. Mulherin, K. Young, Vanderbilt University Medical Center; E. Breeden, Lipscomb University College of Pharmacy and Health Sciences; C. Lehmann, The University of Texas Southwestern Medical Center; A. Wright, A. McCoy, Vanderbilt University Medical Center

A Provider-to-Provider Radiology e-Consult Tool for Interprofessional Collaboration
M. Peifer, P. Hill, S. Haines, S. Thomas, Penn Medicine

EMR Tools to Support a Multidisciplinary Approach to Medical Child Abuse
A. Chong, L. Bernard-Stover, S. Nienow, C. Kuelbs, Rady Children’s Hospital San Diego, University of California San Diego

“Research On Demand”: A Cloud Based Platform for Collaborative Research
S. Kethireddy, Northeast Georgia Health System, Inc., Cleveland Clinic; C. Paravate, M. Meersman, Northeast Georgia Health System, Inc.

Learning Decision Thresholds for Risk-stratification Models from Aggregate Clinician Behavior
B. Patel, E. Steinberg, S. Pfohl, N. Shah, Stanford University

Dig Deeper: Finding (and fixing) the Root Cause of Add-on Laboratory Failures
T. Anstett, University of Colorado Anschutz Medical Campus; C. Smith, University of New Mexico School of Medicine; A. Stokes, K. Hess, University of Colorado Health; L. Patten, M. Ho, University of Colorado Anschutz Medical Campus; C. Lin, University of Colorado Anschutz Medical Campus, University of Colorado Health

Limitations of using the Electronic Health Record Context in Clinical Decision Support Criteria
H. Salmasian, D. Bates, Brigham and Women’s Hospital

Self-guided Cognitive Behavioral Therapy Apps: Can They Help? Systematic Assessment of Features, Functionality, and Congruence with Evidence
L. Martinengo, A. Stona, K. Griva, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore; P. Dazzan, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, National Institute for Health Research Biomedical Research Centre at South London and Maudsley NHS Foundation Trust; C. Pariante, Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King’s College London; F. von Wangenheim, Eidgenossische Technische Hochschule Zurich Departement Management Technologie und Okonomie; J. Car, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Imperial College London School of Public Health

CommonHealth: Your Health Record on Android. Personal, Portable, Prepared.
I. Sim, E. Meeks, A. Robinson, B. Turner, L. Yuan, J. Wallace, University of California San Francisco; B. Hoefs, J. Kizer, B. Perkins, J. Pollak, The Commons Project

Quantitative and Qualitative Outcomes using IT-supported Pharmacogenomics at the Point of Care
J. Diamond, Handlesman Family Practice/2bPrecise; N. Cote, Murfreesboro Medical Clinic and SurgiCenter

Characterizing ED Physician Multitasking and Workflow Fragmentation in the EHR using Time-motion Data to Inform Understanding of Documentation Burden
A. Moy, L. Aaron, K. Cato, S. Rossetti, Columbia University

Returning Joy of Work to Physicians
C. Norquist, HonorHealth

Beyond Digitized Paper: Leveraging SMART on FHIR to Support a Problem-oriented Medical Record
D. Pillai, Intelligent Medical Objects, Inc.

Decision Support Dashboards for the Senior Leaders of the Ministry of Health, Sri Lanka
K. Wijayaweera, M. Abusayeed, N. Cooray, A. Wickramasinghe, Ministry of Health, Sri Lanka, University of Colombo

Designing a Clinical Dashboard for Visualizing Variation in Pediatric Perioperative Opioid Use
C. Safranek, L. Feitzinger, A. Cummings Joyner, N. Woo, V. Smith, C. Vasilakis, T. Anderson, J. Fehr, A. Shin, D. Scheinker, E. Wang, J. Xie, Stanford University

Crossing the Data Chasm: A Needs-based Dashboard for Providing Individualized Clinical Performance Data to Pediatric Residents
J. Yarahuan, H. Lo, L. Bass, Texas Children’s Hospital, Baylor College of Medicine; A. Siller, Baylor College of Medicin, /Texas Children’s Hospital; A. Yu, The University of Texas Southwestern Medical Center; K. Warlaumont, Boston University, Boston Medical Center; L. Hess, Texas Children’s Hospital, Baylor College of Medicine

Healthcare IT Equity Maturity (HITEM) Model – A Framework for Digital Equity
M. Hightower, University of Utah Health

A Population Disconnected from Health: Broadband Access, Neighborhood Disadvantage, Prevention and Disease
J. Ruff, K. Berg, D. Gunzler, The MetroHealth System, Case Western Reserve University School of Medicine; J. Dalton, Cleveland Clinic; A. Perzynski, The MetroHealth System, Case Western Reserve University School of Medicine

Words Matter: What is the Prevalence of Stigmatizing Language within the EHR?
J. Steinkamp, E. Anyanwu, B. Adeli, C. Childs, C. Guerra, S. Airan-Javia, University of Pennsylvania

Real-time Innovation Using Cross-sector Health Information Exchange to Improve COVID-19 Care Coordination for Homeless Persons
S. Hewner, University at Buffalo; S. Walker, Capital Area Alliance for the Homeless; S. DeSilvey, University of Vermont College of Medicine, The Gravity Project

Leveraging Informatics for Health Services Outcomes Research: Evaluating All-cause Inpatient Stroke Mortality Using a Statewide Health Information Exchange
P. Jonnalagadda, The Ohio State University Wexner Medical Center; B. Dixon, Regenstrief Institute, Inc., Indiana University Richard M Fairbanks School of Public Health; L. Williams, Richard L Roudebush VA Medical Center, Indiana University School of Medicine; S. Rahurkar, The Ohio State University Wexner Medical Center

Challenges of using Health Information Exchange HL7v2 ADT Messages for Hospital Capacity Surveillance
M. Crockett, The University of Oklahoma School of Community Medicine; D. Kendrick, The University of Oklahoma School of Community Medicine, MyHealth Access Network; J. Homco, M. Van Cain, The University of Oklahoma School of Community Medicine

NACHC Cosmos: Addressing Challenges in COVID-19 Informatics and Interoperability
J. Gresh, National Association of Community Health Centers