Articles by Yunfeng Shi, PhD

A Multistakeholder Effort in Pennsylvania to Improve the Accuracy of Reporting Fatal Drug Overdoses
ByYunfeng Shi, PhD,Glenn Sterner, PhD,Kelly A. Wolgast, DNP,Laina McInerney,Varidhi Duggal, MHA,Hannah Earley,Isabella Rater,Kristine Gonnella, MPH,Elaine Arsenault, MA The authors describe a novel training program for death certifiers in Pennsylvania, which has been designed to specifically focus on some of the main challenges in the death certification process and resulted in a useful model that can potentially be adopted by other states or municipalities.

This article demonstrates that few patient encounters with indicators of need for diabetes self-management education result in a provider referral to the service.

Health Information Technology for Ambulatory Care in Health Systems
ByYunfeng Shi, PhD,Alejandro Amill-Rosario, MPH,Robert S. Rudin, PhD,Shira H. Fischer, MD, PhD,Paul Shekelle, MD,Dennis Scanlon, PhD,Cheryl L. Damberg, PhD Health systems are important in driving electronic health record adoption in ambulatory clinics, although the uptake of key functionalities varies across systems.

Trends in the Use of Clinical Decision Support by Health System–Affiliated Ambulatory Clinics in the United States, 2014-2016
ByRobert S. Rudin, PhD,Shira H. Fischer, MD, PhD,Yunfeng Shi, PhD,Paul Shekelle, MD,Alejandro Amill-Rosario, MPH,M. Susan Ridgely, JD,Dennis P. Scanlon, PhD,Cheryl L. Damberg, PhD Use of clinical decision support (CDS) in ambulatory clinics is increasing but remains modest. The CDS function with the greatest use is basic medication screening, which increased from 52% of clinics nationally in 2014 to 61% in 2016.


The authors discuss health information technology in the context of health systems, the potential harm of electronic health record vendor consolidation, and overcoming barriers in providers’ experience.

This study investigates the impact of state prescription drug monitoring programs on drug overdose mortality rates for all drug categories.


The Longitudinal Impact of Aligning Forces for Quality on Measures of Population Health, Quality and Experience of Care, and Cost of Care
ByYunfeng Shi, PhD,Dennis P. Scanlon, PhD,Raymond Kang, MA,Megan McHugh, PhD,Jessica Greene, PhD,Jon B. Christianson, PhD,Muriel Jean-Jacques, MD, MAPP,Yasmin Mahmud, MPH,Jeffrey A. Alexande 
Evaluating a Complex, Multi-Site, Community-Based Program to Improve Healthcare Quality: The Summative Research Design for the Aligning Forces for Quality Initiative
ByDennis P. Scanlon, PhD,Laura J. Wolf, MSW,Jeffrey A. Alexander, PhD,Jon B. Christianson, PhD,Jessica Greene, PhD,Muriel Jean-Jacques, MD, MAPP,Megan McHugh, PhD,Yunfeng Shi, PhD,Brigitt Leitze 
The authors investigated multi-sectoral healthcare alliance responses to the ACA and whether these responses differed between states supportive and unsupportive of health reform.

Using longitudinal data, this paper examines to what extent comparative quality information in the form of healthcare "report cards" is reaching chronically ill adults.

Evaluating a Community-Based Program to Improve Healthcare Quality: Research Design for the Aligning Forces for Quality Initiative
ByDennis P. Scanlon, PhD,Jeffrey A. Alexander, PhD,Jeff Beich, PhD,Jon B. Christianson, PhD,Romana Hasnain-Wynia, PhD,Megan C. McHugh, PhD,Jessica N. Mittler, PhD,Yunfeng Shi, PhD,Laura J. B