Challenges of Population-based Measurement of Suicide Prevention Activities Across Multiple Health Systems

Suicide is a preventable public health problem. Zero Suicide (ZS) is a suicide prevention framework currently being evaluated by Mental Health Research Network investigators embedded in six Health Care Systems Research Network (HCSRN) member health systems implementing ZS. This paper describes ongoing collaboration to develop population-based process improvement metrics for use in, and comparison across, these and other health systems. Robust process improvement metrics are sorely needed by the hundreds of health systems across the country preparing to implement their own best practices in suicide care. Here we articulate three examples of challenges in using health system data to assess suicide prevention activities, each in ascending order of complexity: 1) Mapping and reconciling different versions of suicide risk assessment instruments across health systems; 2) Deciding what should count as adequate suicide prevention follow-up care and how to count it in different health systems with different care processes; and 3) Trying to determine whether a safety planning discussion took place between a clinician and a patient, and if so, what actually happened. To develop broadly applicable metrics, we have advocated for standardization of care processes and their documentation, encouraged standardized screening tools and urged they be recorded as discrete electronic health record (EHR) variables, and engaged with our clinical partners and health system data architects to identify all relevant care processes and the ways they are recorded in the EHR so we are not systematically missing important data. Serving as embedded research partners in our local ZS implementation teams has facilitated this work

Blueberry Progress Reports

The 1981 edition of the Blueberry Progress Reports was prepared for the Maine Blueberry Commission and the University of Maine Blueberry Advisory Committee by researchers with the Maine Life Sciences and Agriculture Experiment Station and Maine Cooperative Extension Service at the University of Maine, Orono. Projects in this report include: 1. Weed Control in Lowbush Blueberry Fields 2. Pruning of Blueberries 3. 1982 Blueberry Fruit Fly Monitoring IPM Program 4. Physiology and Culture of the Lowbush Blueberry 5. Blueberry Diseases: Incidence and Control 6. Control, biology, and ecology of insects affecting lowbush blueberries 7. Blueberry Extension Progress Report 8. Plan of Work - 1982 - Blueberry Extensio

Blueberry Progress Reports

The 1980 edition of the Blueberry Progress Reports was prepared for the Maine Blueberry Commission and the University of Maine Blueberry Advisory Committee by researchers with the Maine Life Sciences and Agriculture Experiment Station and Maine Cooperative Extension Service at the University of Maine, Orono. Projects in this report include: 1. Weed Control in Lowbush Blueberry Fields 2. Pruning of Blueberries 3. Integrated Pest Management of Blueberries in Maine 4. Physiology and Culture of the Lowbush Blueberry 5. Blueberry Diseases: Incidence and Control 6. Insects Affecting the Blueberry 7. Effect of Plant-Water Stress on Lowbush Blueberry Growth, Yield and Quality 8. Blueberry Extension Progress Report 9. Plan of Work -1981- Blueberry Extensio

Blueberry Progress Reports

The 1982 edition of the Blueberry Progress Reports was prepared for the Maine Blueberry Commission and the University of Maine Blueberry Advisory Committee by researchers with the Maine Life Sciences and Agriculture Experiment Station and Maine Cooperative Extension Service at the University of Maine, Orono. Projects in this report include: 1. Introduction 2. Blueberry IPM Program 3. Guthion Drift Study 4. Control, Biology, and Ecology of Insects 5. Blueberry Diseases: Incidence and Control 6. Physiology and Culture of the Lowbush Blueberry 7. Weed Control in Lowbush Blueberries 8. Pruning Blueberrie

2002 Wild Blueberry Project Reports

The 2002 edition of the Wild Blueberry Project Reports was prepared for the Wild Blueberry Commission of Maine and the Wild Blueberry Advisory Committee by researchers at the University of Maine, Orono. Projects in this report include: 1. Factors Affecting Microbial and Pesticide Residue Levels on Wild Blueberries 2. Effect of Blueberry Products on Oxidation in Meat Based Food 3. Determination of Pesticide Residue Levels in Freshly Harvested and Processed Wild Blueberries 4. Detection of Infested Wild Blueberries using Near-Infrared Spectroscopy 5. Investigation Of The Mechanism By Which Blueberry Fractions Maintain Arterial Integrity 6. Antioxidant Assessment in the Elderly 7. Water Use of Wild Blueberries and the Impact of Plant Water Stress on Yield 8. Control Tactics for Wild blueberry Pest Insects 9. IPM Strategies 10. Pest Biology 11. Wild Blueberry Pollination Research 12. Survey and Determination of Effective Control of Stem Blight and Leaf Spot Diseases in Wild Blueberry Fields 13. Effect of Foliar-applied Iron Chelate Concentration on Leaf Iron Concentration, Wild Blueberry Growth and Yield 14. Effect of Boron Application Methods on Boron Uptake in Wild Blueberries 15. Effect of Foliar N spray on Leaf N Concentration, Growth and Yield of Wild Blueberries 16. Effect of Foliar Spray (4-13-15) on Leaf Nutrient Concentration, Growth and Yield of Wild Blueberries 17. Effect of Foliar Copper Application on Growth and Yield of Wild Blueberries 18. Effect of Foliar Copper and/or Iron Application on Growth and Yield of Wild Blueberries 19. Effect of Soil pH on Nutrient Uptake 20. Assessment of Hexazinone Alternatives for Weed Control in Wild Blueberries and Weed Control 21. Evaluation of Fall Applications of Sulfonylurea Herbicides for Bunchberry Control in Wild Blueberries 22. Evaluation and Demonstration of Techniques for Filling in Bare Spots in Wild Blueberry Fields 23. Blueberry Extension Education Program Base 24. 2002 Pesticide Groundwater Survey 25. Cultural Weed Management using sulfur to lower the p

Blueberry Progress Reports

The 1983 edition of the Blueberry Progress Reports was prepared for the Maine Blueberry Commission and the University of Maine Blueberry Advisory Committee by researchers with the Maine Agricultural Experiment Station and Maine Cooperative Extension Service at the University of Maine, Orono. Projects in this report include: 1. Introduction 2. Forest Tent Caterpillar in Blueberries 3. Control, Biology, and Ecology of Insects Affecting Lowbush Blueberries 4. Blueberry Diseases: Incidence and Control 5. Physiology and Culture of the Lowbush Blueberry 6. Weed Control in Lowbush Blueberry Fields 7. Product Development of Lowbush Blueberrie

2003 Wild Blueberry Project Reports

The 2003 edition of the Wild Blueberry Project Reports was prepared for the Wild Blueberry Commission of Maine and the Wild Blueberry Advisory Committee by researchers at the University of Maine, Orono. Projects in this report include: 1. Factors Affecting the Microbial and Pesticide Residues Levels on Lowbush Blueberries 2. Effect of Blueberry Products on Oxidation in Ground Beef Patties 3. Infestation Detection using Near-Infrared Spectroscopy 4. Whole Wild Blueberries and Arterial Functional Properties 5. Irrigation Water use in Wild Blueberry Production 7. Control Tactics for Blueberry Pest Insects 8. IPM Strategies 9. Biology and Ecology of Blueberry Pest Insects, 2003 10. Wild Blueberry Pollination Research 11. Stem Blight/Dieback and Leaf Spot Diseases in Wild Blueberry Fields 12. Effect of Foliar N spray on Leaf N Concentration, Growth and Yield of Wild Blueberries 13. Effect of Foliar Spray (4-13-15) on Leaf Nutrient Concentration, Growth and Yield of Wild Blueberries 14. Effect of Foliar Copper Application on Growth and Yield of Wild Blueberries 15. Effect of Foliar Copper and/or Iron Application on Growth and Yield of Wild Blueberries 16. Effect of Soil pH on Nutrient Uptake. 17. Effect of Gibberellic Acid (GA3) and CPPU on Fruit Set and Yield of Wild Blueberry after low temperature flower stress 18. Effect of Fertilizer Timing (prune year vs. crop year) on Wild Blueberry Growth and Productivity. 19. Assessment of Hexazinone Alternatives for Weed Control in Wild Blueberries and Weed Control and Field Cover Program Base 20. Evaluation of Fall Applications of Sulfonylurea Herbicides for Bunchberry Control in Wild Blueberries 21. Assessment of clean-cut adapter on hand clippers for weed control in wild blueberries 22. Evaluation and Demonstration of Techniques for Filling in Bare Spots in Wild Blueberry Fields 23. Blueberry Extension Education Program in 2003 24. 2003 Pesticide Groundwater Survey 25. Cultural Weed Management using Sulfur to lower the p

1995 CSREES Reports

The 1995 edition of the CSREES Reports was prepared for the Maine Wild Blueberry Commission and the University of Maine Wild Blueberry Advisory Committee by researchers at the University of Maine, Orono. Projects in this report include: 1. Factors Affecting the Quality of IQF Blueberries 2. Preventing the Bleeding of Blueberry Fruit in Bakery Products 3. Removing Water from Blueberries Before Freezing 4. Determination of Pesticide Residue Levels in Freshly Harvested and Processed Lowbush Blueberries 5. Industrial Ingredients from Cull Blueberries 6. Application of Heat as a Method of Controlling Secondary Pest Insects on Lowbush Blueberries 7. The Phenology and Biology of Bumble Bees, Bombus, spp., that Pollinate Lowbush blueberry, Vaccinium spp., in Maine 8. Pollination Ecology of Lowbush Blueberry in Maine 9. Effects of Irrigation on Lowbush Blueberry Yield 10. Effect of Brief Warming Treatments on Late Winter Low-Temperature Tolerance of Native Lowbush Blueberry 11. Correlation of Late-winter/Early-spring Cold Hardiness with Date of Flowering 12. Evaluation of Cold Tolerance of Opening Flowers of Lowbush Blueberry 13. Influence of Flower Delaying Sprays on Seasonal Variation of Low Temperature Tolerance in Lowbush Blueberry 14. Effect of Various Levels of Disbudding on Yield of Lowbush Blueberry 15. Effect of Boron and the Polyamine Putrescine on Lowbush Blueberry Fruit Set and Yield 16. Effect of Boron and the Polyamine Putrescine on Extending the Receptivity of Lowbush Blueberry Blossoms 17. Effect of Soil pH on Nutrient Uptake 18. Correcting Boron Deficiency - missing 19. Phosphorus Uptake 20. Evaluation of Hexazinone Formulation on Soil Movement and Weed Control 21. Effect of Time of Fall Pruning on Growth and Productivity of Blueberries 22. Hexazinone Ground Water Survey 23. Effect of hexazinone formulation on movement through the soil profile 24. Evaluation of Tribenuron Methyl for Bunchberry Control 25. Evaluation of Tribenuron Methyl Commercial Applications for Bunchberry Control 26. Effectiveness of Resin-Exchange Columns to Determine Efficacy in Removing Hexazinone from Well Water 27. Effect of Clopyralid for Vetch Control 28. Evaluation of Tribenuron Methyl/Velpar® Tank Mix for Bunchberry Control 29. Blueberry Extension Education Progra