Scholars@Duke
David Yung Ming

David Yung Ming

Associate Professor of Pediatrics
Pediatrics, Hospital Medicine
david.ming@duke.edu
DUMC Box 100800, Durham, NC 27710
DUMC Box 100800, Durham, NC 27710

Selected Publications

Translating ethical and quality principles for the effective, safe and fair development, deployment and use of artificial intelligence technologies in healthcare.

Journal Article J Am Med Inform Assoc · February 16, 2024 OBJECTIVE: The complexity and rapid pace of development of algorithmic technologies pose challenges for their regulation and oversight in healthcare settings. We sought to improve our institution's approach to evaluation and governance of algorithmic techn ... Full text Link to item Cite

Interfacility Transfer Outcomes Among Children With Complex Chronic Conditions: Associations Between Patient-Level and Hospital-Level Factors and Transfer Outcomes.

Journal Article Hosp Pediatr · February 1, 2024 OBJECTIVES: Determine patient- and referring hospital-level predictors of transfer outcomes among children with 1 or more complex chronic conditions (CCCs) transferred to a large academic medical center. METHODS: We conducted a retrospective chart review o ... Full text Link to item Cite

Impact of a hospital service for adults with chronic childhood-onset disease: A propensity weighted analysis.

Journal Article Journal of hospital medicine · December 2023 BackgroundYoung adults with chronic childhood-onset diseases (CCOD) transitioning care from pediatrics to adult care are at high risk for readmission after hospital discharge. At our institution, we have implemented an inpatient service, the Med-P ... Full text Open Access Cite

Feasibility of Implementation of a Mobile Digital Personal Health Record to Coordinate Care for Children and Youth With Special Health Care Needs in Primary Care: Protocol for a Mixed Methods Study.

Journal Article JMIR Res Protoc · September 20, 2023 BACKGROUND: Electronic health record (EHR)-integrated digital personal health records (PHRs) via Fast Healthcare Interoperability Resources (FHIR) are promising digital health tools to support care coordination (CC) for children and youth with special heal ... Full text Link to item Cite

Outcomes of End-User Testing of a Care Coordination Mobile App With Families of Children With Special Health Care Needs: Simulation Study.

Journal Article JMIR Form Res · August 28, 2023 BACKGROUND: Care for children with special health care needs relies on a network of providers who work to address the medical, behavioral, developmental, educational, social, and economic needs of the child and their family. Family-directed, manually creat ... Full text Link to item Cite

Predictive Modeling to Identify Children With Complex Health Needs At Risk for Hospitalization.

Journal Article Hosp Pediatr · May 1, 2023 BACKGROUND: Identifying children at high risk with complex health needs (CCHN) who have intersecting medical and social needs is challenging. This study's objectives were to (1) develop and evaluate an electronic health record (EHR)-based clinical predicti ... Full text Link to item Cite

Caregiving Across the Life Course: A Health Policy Priority for North Carolina.

Journal Article N C Med J · March 2023 At least one in five North Carolinians is an informal caregiver for a relative or friend with a serious health problem, illness, or disability. Existing state-level systems are inadequate to support caregivers' needs. We propose 10 recommendations for adop ... Full text Link to item Cite

Goal-Concordance in Children with Complex Chronic Conditions.

Journal Article J Pediatr · February 2023 OBJECTIVES: To characterize delivery of goal-concordant end-of-life (EOL) care among children with complex chronic conditions and to determine factors associated with goal-concordance. STUDY DESIGN: This was a retrospective review of goals of care discussi ... Full text Link to item Cite

Caregiver Perspectives on Telemedicine for Postdischarge Care for Children With Medical Complexity: A Qualitative Study.

Journal Article J Pediatr Health Care · 2023 INTRODUCTION: The objectives of this study were to describe the perspectives of caregivers of children with medical complexity on telemedicine video visits (TMVV) for posthospitalization care and determine whether TMVV may be a viable alternative to in-per ... Full text Link to item Cite

Children and youth with special healthcare needs

Chapter · January 1, 2023 Children and youth with special health care needs (CYSHCN) are defined as children “who have or are at increased risk for chronic physical, developmental, behavioral or emotional conditions and who also require health and related services of a type or amou ... Full text Cite

Catalyzing Cross-Sector Collaboration: Lessons from a Virtual Pediatric Complex Care Coalition.

Journal Article Prog Community Health Partnersh · 2023 BACKGROUND: Children with complex health needs (CCHN) have intersecting medical, behavioral health, and social needs. Unfortunately, fragmentation across health and social services sectors often results in uncoordinated care for CCHN and their families. OB ... Full text Link to item Cite

Healthcare Utilization for Medicaid-Insured Children with Medical Complexity: Differences by Sociodemographic Characteristics.

Journal Article Matern Child Health J · December 2022 OBJECTIVE: To compare differences in healthcare utilization and costs for Medicaid-insured children with medical complexity (CMC) by race/ethnicity and rurality. METHODS: Retrospective cohort of North Carolina (NC) Medicaid claims for children 3-20 years o ... Full text Link to item Cite

A Tailored SMS Text Message-Based Intervention to Facilitate Patient Access to Referred Community-Based Social Needs Resources: Protocol for a Pilot Feasibility and Acceptability Study.

Journal Article JMIR Res Protoc · October 11, 2022 BACKGROUND: Health care providers are increasingly screening patients for unmet social needs (eg, food, housing, transportation, and social isolation) and referring patients to relevant community-based resources and social services. Patients' connection to ... Full text Open Access Link to item Cite

Identifying Priorities to Improve the System of Care for Children With Complex Health Needs in North Carolina: Process and Outcomes of Systematic Stakeholder Engagement.

Journal Article Acad Pediatr · August 2022 OBJECTIVE: Children with complex health needs (CCHN) have both medical (eg, chronic conditions) and health-related social needs (eg, potentially adverse social determinants of health) that require ongoing health care and support from multiple community ser ... Full text Link to item Cite

Redesigning Care of Hospitalized Young Adults With Chronic Childhood-Onset Disease.

Journal Article Cureus · August 2022 Background Young adults with chronic childhood-onset disease (CCOD) are routinely admitted to internal medicine hospitalist services, yet most lack transition preparation to adult care. Providers and patients feel the strain of admissions to adult services ... Full text Open Access Link to item Cite

Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity.

Journal Article J Pediatr Health Care · 2022 OBJECTIVES: To evaluate feasibility and acceptability of post-hospitalization telemedicine video visits (TMVV) during hospital-to-home transitions for children with medical complexity (CMC); and explore associations with hospital utilization, caregiver sel ... Full text Open Access Link to item Cite

Parent-to-parent peer support for children and youth with special health care needs: Preliminary evaluation of a family partner program in a healthcare system.

Journal Article J Pediatr Nurs · 2022 PURPOSE: Children and youth with special health care needs (CYSHCN) have complex care and coordination needs that are often managed by parents or primary caregivers. This study describes a parent-to-parent peer support pilot program for parents of CYSHCN i ... Full text Link to item Cite

Feasibility of implementing systematic social needs assessment for children with medical complexity.

Journal Article Implement Sci Commun · November 21, 2021 BACKGROUND: Children with medical complexity (CMC) have inter-related health and social needs; however, interventions to identify and respond to social needs have not been adapted for CMC. The objective of this study was to evaluate the feasibility of impl ... Full text Link to item Cite

Strategies for Reimagining Complex Care.

Journal Article J Gen Intern Med · September 2021 Full text Link to item Cite

Point-of-Care Complexity Screening Algorithm to Identify Children With Medical Complexity.

Journal Article Hosp Pediatr · January 2021 OBJECTIVES: For pediatric complex care programs to target enhanced care coordination services to the highest-risk patients, it is critical to accurately identify children with medical complexity (CMC); however, no gold standard definition exists. The aim o ... Full text Link to item Cite

A novel curriculum to train physician assistant students how to write effective discharge summaries.

Journal Article Med Educ Online · December 2019 Background: Physician assistants (PAs) are an integral part of inpatient care teams, but many PAs do not receive formal education on authoring discharge summaries. High-quality discharge summaries can mitigate patient risk during transitions of care by imp ... Full text Link to item Cite

Discharge summary training curriculum: a novel approach to training medical students how to write effective discharge summaries.

Journal Article Clin Teach · October 2019 BACKGROUND: Resident physicians at teaching hospitals write many discharge summaries (DCSs), but receive little formal training or feedback. Poor DCS quality poses a potential patient safety risk. METHODS: We developed a curriculum to train fourth-year med ... Full text Link to item Cite

Mobile Complex Care Plans to Enhance Parental Engagement for Children With Medical Complexity.

Journal Article Clin Pediatr (Phila) · January 2019 Care plans can reduce care fragmentation for children with medical complexity (CMC); however, implementation is challenging. Mobile health innovations could improve implementation. This mixed methods study's objectives were to (1) evaluate feasibility of m ... Full text Open Access Link to item Cite

The Impact of Hospital Health Network Affiliation on Discharge Communication Preferences of Primary Care Providers.

Journal Article J Ambul Care Manage · 2018 Primary care physicians (PCPs) experience differential postdischarge access to electronic health records, depending upon affiliation with the discharging hospital's health network. To better understand whether this affiliation impacts discharge communicati ... Full text Link to item Cite

CaPOW! Using Problem Sets in a Capstone Course to Improve Fourth-Year Medical Students' Confidence in Self-Directed Learning.

Journal Article Acad Med · March 2017 PROBLEM: Despite the importance of self-directed learning (SDL) in the field of medicine, individuals are rarely taught how to perform SDL or receive feedback on it. Trainee skill in SDL is limited by difficulties with self-assessment and goal setting. APP ... Full text Open Access Link to item Cite

An evaluation of physician predictions of discharge on a general medicine service.

Journal Article J Hosp Med · December 2015 The goal of this study was to evaluate general medicine physicians' ability to predict hospital discharge. We prospectively asked study subjects to predict whether each patient under their care would be discharged on the next day, on the same day, or neith ... Full text Open Access Link to item Cite

The impact of depth of infection and postdischarge surveillance on rate of surgical-site infections in a network of community hospitals.

Journal Article Infect Control Hosp Epidemiol · March 2012 OBJECTIVE: To describe the epidemiology of surgical-site infections (SSIs) in community hospitals and to explore the impact of depth of SSI, healthcare location at the time of diagnosis, and variations in surveillance practices on the overall rate of SSI. ... Full text Link to item Cite

Paraquat ingestion: a challenging diagnosis.

Journal Article Pediatrics · June 2010 Paraquat is an herbicide that is highly toxic to humans. Pediatric ingestion has become uncommon in the United States because of preventative efforts. We report here an unintentional, fatal paraquat ingestion by an 8-year-old child. Storage in an inappropr ... Full text Link to item Cite