Scholars@Duke
Frederick Salvatore Johnson

Frederick Salvatore Johnson

Assistant Professor of the Practice in Family Medicine and Community Health
Family Medicine and Community Health, Community Health
f.johnson@duke.edu
Duke Box 104652, Durham, NC 27710
710 West Main Street, Durham, NC 27701
Office hours Monday - Friday 
8am - 5pm  
Manage Profile
Embed Profile Data

Selected Publications

Addressing cost barriers to healthy eating with Eat Well, a prescription produce subsidy, for patients with diabetes and at risk for food insecurity: Study protocol for a type 1 hybrid effectiveness-implementation pragmatic randomized controlled trial.

Journal Article Contemp Clin Trials · August 5, 2024 BACKGROUND: Patients with diabetes at risk of food insecurity face cost barriers to healthy eating and, as a result, poor health outcomes. Population health management strategies are needed to improve food security in real-world health system settings. We ... Full text Link to item Cite

Residential Structural Racism and Prevalence of Chronic Health Conditions.

Journal Article JAMA Netw Open · December 1, 2023 IMPORTANCE: Studies elucidating determinants of residential neighborhood-level health inequities are needed. OBJECTIVE: To quantify associations of structural racism indicators with neighborhood prevalence of chronic kidney disease (CKD), diabetes, and hyp ... Full text Link to item Cite

Community-based organizations' perspectives on piloting health and social care integration in North Carolina.

Journal Article BMC Public Health · October 4, 2023 BACKGROUND: Community-based organizations (CBOs) are key players in health and social care integration initiatives, yet little is known about CBO perspectives and experiences in these pilot programs. Understanding CBO perspectives is vital to identifying b ... Full text Open Access Link to item Cite

COVID Collaborations: A Physician Assistant Program and Health Department Partnership.

Journal Article J Physician Assist Educ · September 1, 2022 The onset of the COVID-19 pandemic resulted in the displacement of clinical-phase medical learners across the country. Physician assistant (PA) and other health professions programs were challenged to innovate and offer alternate learning experiences that ... Full text Link to item Cite

Evaluating the Effectiveness of Community and Hospital Medical Record Integration on Management of Behavioral Health in the Emergency Department.

Journal Article J Behav Health Serv Res · October 2018 This study evaluated the correlation of an emergency department embedded care coordinator with access to community and medical records in decreasing hospital and emergency department use in patients with behavioral health issues. This retrospective cohort ... Full text Link to item Cite

Changing CHANGE: adaptations of an evidence-based telehealth cardiovascular disease risk reduction intervention.

Journal Article Transl Behav Med · March 1, 2018 Relatively few successful medication adherence interventions are translated into real-world clinical settings. The Prevention of Cardiovascular Outcomes in African Americans with Diabetes (CHANGE) intervention was originally conceived as a randomized contr ... Full text Open Access Link to item Cite

Randomized Trial of Population-Based Clinical Decision Support to Facilitate Care Transitions.

Journal Article Stud Health Technol Inform · 2017 Medicaid beneficiaries in 6 North Carolina counties were randomly assigned to 1 of 3 clinical decision support (CDS) care transition strategies: (1) usual care (Control), (2) CDS messaging to patients and their medical homes (Reports), or (3) CDS messaging ... Link to item Cite

Effect of teaching motivational interviewing via communication coaching on clinician and patient satisfaction in primary care and pediatric obesity-focused offices.

Journal Article Patient Educ Couns · February 2016 OBJECTIVE: Studies indicate needed improvement in clinician communication and patient satisfaction. Motivational interviewing (MI) helps promote patient behavior change and improves satisfaction. In this pilot study, we tested a coaching intervention to te ... Full text Link to item Cite

The Role of Early Wins in Long-Term Success

Chapter · October 30, 2015 The. Role. of. Early. Wins. in. Long-Term. Success. FREDERICKS. JOHNSON. R. emember the classic cliché, “winning breeds success”? Early wins are vital to successful collaboration, particularly the first cooperative undertaking. If the first ... ... Cite

A randomized trial of population-based clinical decision support to manage health and resource use for Medicaid beneficiaries.

Journal Article J Med Syst · February 2013 To determine whether a clinical decision support system can favorably impact the delivery of emergency department and hospital services. Randomized clinical trial of three clinical decision support delivery modalities: email messages to care managers (emai ... Full text Link to item Cite

Neighborhood clinics: An academic medical center-community health center partnership

Chapter · 2013 The number of uninsured and underinsured in the United States is growing,1 and the challenges of their care are complex. The providers and services available to the un/underinsured are limited, and financial barriers are compounded by such obstacles as lac ... Cite

Neighborhood clinics: An academic medical center-community health center partnership

Chapter · January 1, 2013 The number of uninsured and underinsured in the United States is growing,1 and the challenges of their care are complex. The providers and services available to the un/underinsured are limited, and financial barriers are compounded by such obstacles as lac ... Cite

Decision support for evidence-based pharmacotherapy detects adherence problems but does not impact medication use.

Journal Article Stud Health Technol Inform · 2013 Although evidence-based pharmacotherapies are a principal component of patient care, 30-50% of patients do not take their medications as prescribed. We conducted a randomized trial of two clinical decision support (CDS) interventions in 2219 patients: pati ... Link to item Cite

Clinical and economic results from a randomized trial of clinical decision support in a rural health network.

Journal Article Stud Health Technol Inform · 2011 BACKGROUND: Replication studies evaluate technologies in usual use settings. METHODS: We conducted a clinical trial to determine whether reductions in clinical and economic results observed in a previous study could be replicated in a larger setting. Subje ... Link to item Cite

Just for Us: in-home care for frail elderly and disabled individuals with low incomes.

Journal Article N C Med J · 2011 In response to increasing concerns about health care access, cost, and quality, Duke University Medical Center began a community-engaged, iterative, data-driven process in 1998 to develop innovative models to provide care earlier, more effectively, and at ... Link to item Cite

Coupling direct collection of health risk information from patients through kiosks with decision support for proactive care management.

Journal Article AMIA Annu Symp Proc · November 6, 2008 Data collection from patients for use in clinical decision making is foundational for medical practice. Increasingly, kiosks are being used to facilitate direct data collection from patients. However, kiosk-collected data are generally not integrated into ... Link to item Cite

Proactive population health management in the context of a regional health information exchange using standards-based decision support.

Journal Article AMIA Annu Symp Proc · October 11, 2007 The clinic-based healthcare model does not deliver high quality, cost-effective care to populations of patients. Despite public perception that aggressive investment in information technology will lead to improvements in the safety and quality of healthcar ... Link to item Cite

Addressing cost barriers to healthy eating with Eat Well, a prescription produce subsidy, for patients with diabetes and at risk for food insecurity: Study protocol for a type 1 hybrid effectiveness-implementation pragmatic randomized controlled trial.

Journal Article Contemp Clin Trials · August 5, 2024 BACKGROUND: Patients with diabetes at risk of food insecurity face cost barriers to healthy eating and, as a result, poor health outcomes. Population health management strategies are needed to improve food security in real-world health system settings. We ... Full text Link to item Cite

Residential Structural Racism and Prevalence of Chronic Health Conditions.

Journal Article JAMA Netw Open · December 1, 2023 IMPORTANCE: Studies elucidating determinants of residential neighborhood-level health inequities are needed. OBJECTIVE: To quantify associations of structural racism indicators with neighborhood prevalence of chronic kidney disease (CKD), diabetes, and hyp ... Full text Link to item Cite

Community-based organizations' perspectives on piloting health and social care integration in North Carolina.

Journal Article BMC Public Health · October 4, 2023 BACKGROUND: Community-based organizations (CBOs) are key players in health and social care integration initiatives, yet little is known about CBO perspectives and experiences in these pilot programs. Understanding CBO perspectives is vital to identifying b ... Full text Open Access Link to item Cite

COVID Collaborations: A Physician Assistant Program and Health Department Partnership.

Journal Article J Physician Assist Educ · September 1, 2022 The onset of the COVID-19 pandemic resulted in the displacement of clinical-phase medical learners across the country. Physician assistant (PA) and other health professions programs were challenged to innovate and offer alternate learning experiences that ... Full text Link to item Cite

Evaluating the Effectiveness of Community and Hospital Medical Record Integration on Management of Behavioral Health in the Emergency Department.

Journal Article J Behav Health Serv Res · October 2018 This study evaluated the correlation of an emergency department embedded care coordinator with access to community and medical records in decreasing hospital and emergency department use in patients with behavioral health issues. This retrospective cohort ... Full text Link to item Cite

Changing CHANGE: adaptations of an evidence-based telehealth cardiovascular disease risk reduction intervention.

Journal Article Transl Behav Med · March 1, 2018 Relatively few successful medication adherence interventions are translated into real-world clinical settings. The Prevention of Cardiovascular Outcomes in African Americans with Diabetes (CHANGE) intervention was originally conceived as a randomized contr ... Full text Open Access Link to item Cite

Randomized Trial of Population-Based Clinical Decision Support to Facilitate Care Transitions.

Journal Article Stud Health Technol Inform · 2017 Medicaid beneficiaries in 6 North Carolina counties were randomly assigned to 1 of 3 clinical decision support (CDS) care transition strategies: (1) usual care (Control), (2) CDS messaging to patients and their medical homes (Reports), or (3) CDS messaging ... Link to item Cite

Effect of teaching motivational interviewing via communication coaching on clinician and patient satisfaction in primary care and pediatric obesity-focused offices.

Journal Article Patient Educ Couns · February 2016 OBJECTIVE: Studies indicate needed improvement in clinician communication and patient satisfaction. Motivational interviewing (MI) helps promote patient behavior change and improves satisfaction. In this pilot study, we tested a coaching intervention to te ... Full text Link to item Cite

The Role of Early Wins in Long-Term Success

Chapter · October 30, 2015 The. Role. of. Early. Wins. in. Long-Term. Success. FREDERICKS. JOHNSON. R. emember the classic cliché, “winning breeds success”? Early wins are vital to successful collaboration, particularly the first cooperative undertaking. If the first ... ... Cite

A randomized trial of population-based clinical decision support to manage health and resource use for Medicaid beneficiaries.

Journal Article J Med Syst · February 2013 To determine whether a clinical decision support system can favorably impact the delivery of emergency department and hospital services. Randomized clinical trial of three clinical decision support delivery modalities: email messages to care managers (emai ... Full text Link to item Cite

Neighborhood clinics: An academic medical center-community health center partnership

Chapter · 2013 The number of uninsured and underinsured in the United States is growing,1 and the challenges of their care are complex. The providers and services available to the un/underinsured are limited, and financial barriers are compounded by such obstacles as lac ... Cite

Neighborhood clinics: An academic medical center-community health center partnership

Chapter · January 1, 2013 The number of uninsured and underinsured in the United States is growing,1 and the challenges of their care are complex. The providers and services available to the un/underinsured are limited, and financial barriers are compounded by such obstacles as lac ... Cite

Decision support for evidence-based pharmacotherapy detects adherence problems but does not impact medication use.

Journal Article Stud Health Technol Inform · 2013 Although evidence-based pharmacotherapies are a principal component of patient care, 30-50% of patients do not take their medications as prescribed. We conducted a randomized trial of two clinical decision support (CDS) interventions in 2219 patients: pati ... Link to item Cite

Clinical and economic results from a randomized trial of clinical decision support in a rural health network.

Journal Article Stud Health Technol Inform · 2011 BACKGROUND: Replication studies evaluate technologies in usual use settings. METHODS: We conducted a clinical trial to determine whether reductions in clinical and economic results observed in a previous study could be replicated in a larger setting. Subje ... Link to item Cite

Just for Us: in-home care for frail elderly and disabled individuals with low incomes.

Journal Article N C Med J · 2011 In response to increasing concerns about health care access, cost, and quality, Duke University Medical Center began a community-engaged, iterative, data-driven process in 1998 to develop innovative models to provide care earlier, more effectively, and at ... Link to item Cite

Coupling direct collection of health risk information from patients through kiosks with decision support for proactive care management.

Journal Article AMIA Annu Symp Proc · November 6, 2008 Data collection from patients for use in clinical decision making is foundational for medical practice. Increasingly, kiosks are being used to facilitate direct data collection from patients. However, kiosk-collected data are generally not integrated into ... Link to item Cite

Proactive population health management in the context of a regional health information exchange using standards-based decision support.

Journal Article AMIA Annu Symp Proc · October 11, 2007 The clinic-based healthcare model does not deliver high quality, cost-effective care to populations of patients. Despite public perception that aggressive investment in information technology will lead to improvements in the safety and quality of healthcar ... Link to item Cite

Neighborhood clinics: an academic medical center-community health center partnership.

Journal Article J Health Care Poor Underserved · August 2007 This report describes a clinic run by a federally-qualified health center and an academic medical center. The clinic expands the community's primary care capacity, combining advantages of big and small settings, and of its dual affiliation. Survey data sug ... Full text Link to item Cite

Just for Us: an academic medical center-community partnership to maintain the health of a frail low-income senior population.

Journal Article Gerontologist · April 2006 PURPOSE: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. DESIGN AND METHODS: The program provides ... Full text Link to item Cite

Dynamics of patient targeting for care management in Medicaid: a case study of the Durham Community Health Network.

Journal Article Care Manag J · 2006 Targeting appropriate patients for care management is crucial to maximizing quality of care and cost-effectiveness in Medicaid care management programs. This study examined patient characteristics predicting selection for care management pre- and postmanag ... Full text Link to item Cite

Assessing the potential economic value of health information technology interventions in a community-based health network.

Journal Article AMIA Annu Symp Proc · 2005 Health information professionals recognize the need to demonstrate that the benefits of health information technological (HIT) interventions outweigh their costs. However, such cost-benefit analyses are rarely conducted for HIT interventions, due in part t ... Link to item Cite

Developing a framework for conducting economic evaluations of community-based health information technology interventions.

Journal Article AMIA Annu Symp Proc · 2005 This study describes a framework for conducting economic analyses for health information technology (HIT) interventions, in the context of three interventions that are currently being implemented in a community-based health network caring for 17,779 Medica ... Link to item Cite