Publications by authors named "Kristyn J Smith"
Health care disparities have been magnified by the COVID-19 pandemic. Only recently has the medical community acknowledged implicit bias and systemic racism as a public health emergency. Graduate medical education has been slow to adopt curricula beyond lecture-based formats that specifically address social determinants of health (SDOH) and its impact on communities.
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- The study aimed to see if the HERO Scorecard could predict changes in health care spending for organizations.
- Individual health care claims from 33 organizations were analyzed, comparing those with high vs. low HERO Scorecard scores from 2009 to 2011.
- High scorers had a noticeable decrease in health care costs, while low scorers saw stable costs; the ability to predict health risks was inconclusive due to limited low scoring employers.*
Objective: To develop, evaluate, and improve the reliability and validity of the CDC Worksite Health ScoreCard (HSC).
Methods: We tested interrater reliability by piloting the HSC at 93 worksites, examining question response concurrence between two representatives from each worksite. We conducted cognitive interviews and site visits to evaluate face validity of items and refined the instrument for general distribution.