Albert C. Hergenroeder¹, Douglas S. Moodie², Daniel J. Penny², Constance M. Wiemann¹, Blanca Sanchez-Fournier¹, Lauren K. Moore², Jane Head³

Congenital Heart Disease, Vol.13, No.4, pp. 548-553, 2018, DOI:10.1111/chd.12604

Abstract Objective: To describe changes in functional status between the last pediatric and first adult congenital heart disease (CHD) clinic visits in patients with moderate to severe CHD after implementing a healthcare transition (HCT) planning program.
Design: Quasi-experimental design. Patients were followed prospectively following the implementation of the intervention; Control patients transitioned from the Pediatric CHD Clinic into Adult CHD Clinic before the intervention.
Setting: Texas Children’s Hospital (TCH).
Patients: Sixteen to 25-year-olds, cognitively normal, English speaking patients with moderate to severe CHD who transitioned from the Pediatric to the Adult CHD clinic.
Interventions: An EMR-based transition planning tool (TPT) was… More >

Chien-Jung Lin¹, Eric Novak¹, Michael W. Rich¹, Joseph J. Billadello^1,2

Congenital Heart Disease, Vol.13, No.3, pp. 384-391, 2018, DOI:10.1111/chd.12582

Abstract Background: Adults with congenital heart disease (ACHD) have traditionally been viewed as an underinsured population. Whether this is true in the Affordable Care Act era is unknown. We determined insurance patterns in ACHD patients compared to the non-ACHD cardiology population in a contemporary cohort.
Methods: All cardiology outpatient visits between July 2016 and February 2017 to a large referral center in the United States were reviewed. The primary payer was categorized as health maintenance organization (HMO), preferred provider organization (PPO), Medicare, Medicaid, self-pay, or other. Diagnosis and lesion severity of ACHD were extracted from ICD-10 diagnostic codes… More >

Lindsay A. Edwards^1,2, Christine Bui^2,3, Antonio G. Cabrera^1,2, Jill Ann Jarrell^2,4,5

Congenital Heart Disease, Vol.13, No.3, pp. 362-368, 2018, DOI:10.1111/chd.12579

Abstract Objective: To improve outpatient advanced care planning (ACP) for adults with congenital/pediatric heart disease followed in a pediatric heart failure (HF) and transplant clinic through quality improvement (QI) methodology.
Design: A one-year QI project was completed. We conducted quarterly chart reviews and incorporated feedback from the providers to direct subsequent interventions.
Patients and Setting: Patients ≥18 years of age seen in the HF and Transplant Clinic for followup visit were included in analysis.
Interventions: Interventions focused on five main areas: identifying and training providers to have ACP discussions, standardizing the ACP discussion, standardizing ACP and advance directive (AD) documentation… More >

Jeffery B. Anderson¹, Devyani Chowdhury², Jean A. Connor³, Curt J. Daniels⁴, Craig E. Fleishman⁵, Michael Gaies⁶, Jeffrey Jacobs^7,8, John Kugler⁹, Nicolas Madsen¹, Robert H. Beekman⁶, Stacey Lihn¹⁰, Kay Stewart-Huey¹¹, Robert Vincent¹¹, Robert Campbell¹¹

Congenital Heart Disease, Vol.13, No.2, pp. 167-180, 2018, DOI:10.1111/chd.12575

Abstract Pediatric cardiovascular services are responding to the dynamic changes in the medical environment, including the business of medicine. The opportunity to advance our pediatric cardiology field through collaboration is now realized, permitting us to define meaningful quality metrics and establish national benchmarks through multicenter efforts. In March 2016, the American College of Cardiology hosted the first Adult Congenital/Pediatric Cardiology Section Congenital Heart Community Day. This was an open participation meeting for clinicians, administrators, patients/parents to propose metrics that optimize patient care and outcomes for a state-of-the-art congenital heart center of the 21st century. Care center… More >

Daniel E. Ehrmann¹, Matthew Mulvahill², Shaunda Harendt^1,3, Jessica Church¹, Amy Stimmler¹, Piyagarnt Vichayavilas^1,4, Sanja Batz^1,5, Jennifer Rodgers^1,5, Michael DiMaria¹, James Jaggers¹, Cindy Barrett¹, Jon Kaufman¹

Congenital Heart Disease, Vol.13, No.1, pp. 31-37, 2018, DOI:10.1111/chd.12550

Abstract Background: Feeding practices after neonatal and congenital heart surgery are complicated and variable, which may be associated with prolonged hospitalization length of stay (LOS). Systematic assessment of feeding skills after cardiac surgery may earlier identify those likely to have protracted feeding difficulties, which may promote standardization of care.
Methods: Neonates and infants ≤3 months old admitted for their first cardiac surgery were retrospectively identified during a 1-year period at a single center. A systematic feeding readiness assessment (FRA) was utilized to score infant feeding skills. FRA scores were assigned immediately prior to surgery and 1, 2, and… More >

Sumeet S. Vaikunth^1,2, Roberta G. Williams³, Merujan Y. Uzunyan⁴, Han Tun⁵, Cheryl Barton³, Philip M. Chang⁵

Congenital Heart Disease, Vol.13, No.1, pp. 85-91, 2018, DOI:10.1111/chd.12549

Abstract Objective: Transition from pediatric to adult care is a critical time for patients with congenital heart disease. Lapses in care can lead to poor outcomes, including increased mortality. Formal transition clinics have been implemented to improve success of transferring care from pediatric to adult providers; however, data regarding outcomes remain limited. We sought to evaluate outcomes of transfer within a dedicated transition clinic for young adult patients with congenital heart disease.
Design, Setting, and Patients: We performed a retrospective analysis of all 73 patients seen in a dedicated young adult congenital heart disease transition clinic from January… More >

Ashley R. Kroeger¹, Jacqueline Morrison², Andrew H. Smith¹

Congenital Heart Disease, Vol.13, No.1, pp. 98-104, 2018, DOI:10.1111/chd.12525

Abstract Objective: Unplanned readmission to the pediatric cardiac intensive care unit (CICU) is associated with significant morbidity and mortality. The Pediatric Early Warning Score (PEWS) predicts ward patients at risk for decompensation but has not been previously reported to identify at-risk patients with cardiac disease prior to ward transfer. This study aimed to determine whether PEWS prior to transfer may serve as a predictor of unplanned readmission to the CICU.
Design: All patients discharged from a tertiary children’s hospital CICU from September 2012 through August 2015 were included for analysis. PEWS assessment was performed following transfer to the… More >

Lu Xin¹, Mengyi Li^2,*, Fangcheng Tang¹, Wenxia Zhou², Xiaotong Zheng³

International Journal of Mental Health Promotion, Vol.20, No.2, pp. 55-65, 2018, DOI:10.32604/IJMHP.2018.010723

Abstract Based on social cognitive career theory, this study examined career success criteria clarity and career decision-making self-efficacy as mediators in the relationship between career exploration and affective well-being. Data were collected from 475 emerging adults in their early career stages in China. The results showed that both career success criteria clarity and career decision-making self-efficacy mediated the relationship between career exploration and affective well-being. Career decision-making self-efficacy exhibited a stronger mediating effect on this relationship than career success criteria clarity. These findings reveal some important mechanisms underlying the role of career exploration in generating affective More >

Wenxia Zhou¹, Mengyi Li¹, Lu Xin^2,*, Jinqiang Zhu³

International Journal of Mental Health Promotion, Vol.20, No.2, pp. 41-54, 2018, DOI:10.32604/IJMHP.2018.010737

Abstract Based on basic psychological needs theory of self-determination theory, this study investigates the interaction effect of proactive personality and career exploration on well-being for graduating students during school-to-work transition. Using a survey sample of 216 graduating students in China, we found that: 1) Proactive personality had a positive relationship with well-being. 2) Career decision-making self-efficacy mediated the relationship between proactive personality and well-being. 3) Career exploration negatively moderated the relationship between proactive personality and career decision-making selfefficacy. The relationship between proactive personality and career decisionmaking self-efficacy was stronger when career exploration was lower. 4) Career More >

Yanmin Zhao, Baoguo Xie^*, Wenyuan Jin

International Journal of Mental Health Promotion, Vol.20, No.1, pp. 15-26, 2018, DOI:10.32604/IJMHP.2018.010747

Abstract Occupational well-being is optimal psychological functioning and experience in the workplace. This study examined the role of opportunities for career development as a mechanism that links supervisor’s transformational leadership and subordinates’ occupational well-being manifested by work engagement. Specifically, drawing on conservation of resources theory (COR), we developed a dual pathway model in which opportunities for promotion and for professional development were posited as two important mediators in the relationship between transformational leadership and work engagement. The hypotheses were tested with a sample of 215 Chinese civil servants. The results of structural equation modeling showed that More >