SelectedWorks - Sarah L. Goff MD

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Selected Works of Sarah L. Goff MD

Department of Medicine

Sarah Goff is a board-certified pediatrician and internist, and is an Assistant Professor at the Tufts University School of Medicine. She is a graduate of the Robert Wood Johnson Clinical Scholars Program at Yale and was the 2011 recipient of the Tufts University School of Medicine KL-2 Mentored Career Development Award.
Her research interests include maternal-child health care quality and safety with a particular interest in public reporting of quality measures. Additional interests include qualitative methodology, palliative care research, impact of health care delivery systems on patient outcomes and how communication impacts health outcomes.

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About Sarah L. Goff MD

Sarah Goff is a board-certified pediatrician and internist, and is an Assistant Professor at the Tufts University School of Medicine. She is a graduate of the Robert Wood Johnson Clinical Scholars Program at Yale and was the 2011 recipient of the Tufts University School of Medicine KL-2 Mentored Career Development Award.
Her research interests include maternal-child health care quality and safety with a particular interest in public reporting of quality measures. Additional interests include qualitative methodology, palliative care research, impact of health care delivery systems on patient outcomes and how communication impacts health outcomes.

Present	Assistant Professor of Medicine, Tufts University School of Medicine
Institution Organization Position Type Position Title Time Period to Options Current Position Affiliate my profile with this Institution
Present	Department of Medicine, Baystate Health
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Medicine and Health Sciences

Department of Medicine
759 Chestnut Street
Springfield, MA 01199

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Comparing drug effectiveness at health plans: the ethics of cluster randomized trials (James E. Sabin, Kathleen M. Mazor, Vanessa Meterko, et al.) Meyers Health Care Institute Publications (2008)

"Cluster randomized trials," in which groups of patients are randomly assigned to different therapeutic interventions, provide a powerful way of evaluating drugs. CRTs have not been widely used, in good part because of concerns about ...

Evaluation of rapid telehealth implementation for prenatal and postpartum care visits during the COVID-19 pandemic in an academic clinic in Springfield, Massachusetts, United States of America (Neena Qasba, Colby Cayton, Shiva Niakan, et al.) All Scholarly Works (2021)

Background and aims: COVID-19 forced healthcare systems to implement telehealth programs, facilitated in Massachusetts by a policy requiring insurers to reimburse for telehealth visits. Prior studies suggest that telehealth is effective for obstetric care, but ...

Development and pilot testing of an adaptable protocol to address postpartum depression in pediatric practices serving lower-income and racial/ethnic minority families: contextual considerations (Sarah Goff and Michael Moran) All Scholarly Works (2020)

Background: Postpartum depression (PPD) affects approximately 25% of women in lower-income and racial/ethnic minority populations in the USA. Evidence-based interventions for PPD screening and treatment exist, but many women with PPD are not identified or ...

Advance care planning with patients on hemodialysis: an implementation study (Sarah Goff, Jamie Klingensmith, Michael Germain, et al.) All Scholarly Works (2019)

BACKGROUND: Patients with end-stage kidney disease (ESKD) on hemodialysis have limited life expectancy, yet their palliative care needs often go unmet. The aim of this study was to identify barriers and facilitators for implementation of ...

Organizational characteristics associated with high performance on quality measures in pediatric primary care: A positive deviance study (Sarah Goff, Aruna Priya, Michael Moran, et al.) All Scholarly Works (2019)

BACKGROUND: Pediatric health care quality in the United States varies, but the reasons for variation are not fully understood. Differences in pediatric practices' organizational characteristics, such as organizational structures, strategies employed to improve quality, and ...

Patient Perception of How Smoking Status Influences Cardiac Rehabilitation Attendance After an Acute Cardiac Hospitalization (Peter Lindenauer, Sarah Goff, Heidi Szalai, et al.) All Scholarly Works (2019)

PURPOSE: Patients hospitalized with a cardiac condition are less likely to attend cardiac rehabilitation (CR) if they are smokers despite the benefits of doing so. The present study sought to investigate how, if at all, ...

Physician-identified barriers to and facilitators of shared decision-making in the Emergency Department: an exploratory analysis (Elizabeth Schoenfeld, Sarah Goff, Tala Elia, et al.) All Scholarly Works (2019)

OBJECTIVES: Shared decision-making (SDM) is receiving increasing attention in emergency medicine because of its potential to increase patient engagement and decrease unnecessary healthcare utilisation. This study sought to explore physician-identified barriers to and facilitators of ...

Characteristics of High Performing Primary Care Pediatric Practices: A Qualitative Study (Sarah Goff, Aruna Priya, Penny Pekow, et al.) All Scholarly Works (2019)

OBJECTIVE: Performance on pediatric quality measures varies across primary care practices. Healthcare quality is associated with organizational factors, but their effect is understudied in pediatric care. This study aimed to develop hypotheses regarding the relationship ...

Reporting of Patient Experience Data on Health Systems' Websites and Commercial Physician-Rating Websites: Mixed-Methods Analysis (Tara Lagu, Aruna Priya, Sarah Goff, et al.) All Scholarly Works (2019)

BACKGROUND: Some hospitals' and health systems' websites report physician-level ratings and comments drawn from the Consumer Assessment of Healthcare Providers and Systems surveys. OBJECTIVE: The aim was to examine the prevalence and content of health ...

Reporting of Patient Experience Data on Health Systems' Websites and Commercial Physician-Rating Websites: Mixed-Methods Analysis (Tara Lagu, Aruna Priya, Sarah Goff, et al.) All Scholarly Works (2019)

BACKGROUND: Some hospitals' and health systems' websites report physician-level ratings and comments drawn from the Consumer Assessment of Healthcare Providers and Systems surveys. OBJECTIVE: The aim was to examine the prevalence and content of health ...

Patient Perception of How Smoking Status Influences Cardiac Rehabilitation Attendance After an Acute Cardiac Hospitalization (Peter Lindenauer, Sarah Goff, Heidi Szalai, et al.) All Medicine (2018)

PURPOSE: Patients hospitalized with a cardiac condition are less likely to attend cardiac rehabilitation (CR) if they are smokers despite the benefits of doing so. The present study sought to investigate how, if at all, ...

Effect of Smoking Status on Exercise Perception and Intentions for Cardiac Rehabilitation Enrollment Among Patients Hospitalized With an Acute Cardiac Condition (Sarah Goff, Peter Lindenauer and Quinn Pack) All Scholarly Works (2018)

PURPOSE: Cardiac rehabilitation (CR) attendance has been associated with higher smoking cessation (SC) rates. However, for unclear reasons, smokers are consistently less likely to enroll in CR than nonsmokers, and it is uncertain what might ...

Improving Rates of Outpatient Influenza Vaccination Through EHR Portal Messages and Interactive Automated Calls: A Randomized Controlled Trial (Sarah Goff) All Scholarly Works (2018)

BACKGROUND: Patient reminders for influenza vaccination, delivered via electronic health record (EHR) patient portal messages and interactive voice response (IVR) calls, offer an innovative approach to improving patient care. OBJECTIVE: To test the effectiveness of ...

A Qualitative Analysis of Patients' Perceptions of Shared Decision Making in the Emergency Department: "Let Me Know I Have a Choice" (Elizabeth Schoenfeld, Sarah Goff, Gwendolyn Downs, et al.) All Scholarly Works (2018)

BACKGROUND AND OBJECTIVES: Despite increasing attention to the use of shared decision making (SDM) in the emergency department (ED), little is known about ED patients' perspectives regarding this practice. We sought to explore the use ...

A Qualitative Analysis of Attending Physicians' Use of Shared Decision-Making: Implications for Resident Education (Elizabeth Schoenfeld, Sarah Goff, Tala Elia, et al.) All Scholarly Works (2018)

Background : Physicians need to rapidly and effectively facilitate patient-centered, shared decision-making (SDM) conversations, but little is known about how residents or attending physicians acquire this skill. Objective : We explored emergency medicine (EM) attending ...

Factors That Matter to Low-Income and Racial/Ethnic Minority Mothers When Choosing a Pediatric Practice: a Mixed Methods Analysis (Sarah Goff, Haley Guhn-Knight, Tara Lagu, et al.) All Scholarly Works (2017)

BACKGROUND: Pediatric practices' scores on healthcare quality measures are increasingly available to the public. However, patients from low-income and racial/ethnic minority populations rarely use these data. We sought to understand potential barriers to using quality ...

Successful Use of Noninvasive Ventilation in Chronic Obstructive Pulmonary Disease. How Do High-Performing Hospitals Do It? (Sarah Goff, Mihaela Stefan, Penny Pekow, et al.) All Scholarly Works (2017)

RATIONALE: Noninvasive ventilation (NIV) is a cornerstone of treatment for patients with severe exacerbations of chronic obstructive pulmonary disease (COPD), where it has been shown to reduce the need for intubation, hospital length of stay, ...

The association between insurance type and cost-related delay in care: a survey (Sora Al Rowas, Jennifer Friderici, Sarah Goff, et al.) All Scholarly Works (2017)

OBJECTIVES: Massachusetts has insurance rates similar to those projected under the Affordable Care Act, but many of the state's patients are insured through private insurance plans with high out-of-pocket costs. We aimed to explore the ...

Effects of an enhanced primary care program on diabetes outcomes (Sarah Goff, Alex Knee, Haley Guhn-Knight, et al.) All Scholarly Works (2017)

OBJECTIVES: To evaluate the effectiveness of Buena Salud, a multidisciplinary enhanced primary care program for Medicaid Managed Care patients at a community health center serving a low-income Hispanic community. STUDY DESIGN: Controlled before-and-after observational study. ...

Website Characteristics and Physician Reviews on Commercial Physician-Rating Websites (Tara Lagu, Aruna Priya, Sarah Goff, et al.) All Scholarly Works (2017)

Successful Strategies for Practice-Based Recruitment of Racial and Ethnic Minority Pregnant Women in a Randomized Controlled Trial: the IDEAS for a Healthy Baby Study (Sarah Goff, Penny Pekow, Katharine White, et al.) All Scholarly Works (2016)

BACKGROUND: Racial/ethnic minority patients are often underrepresented in clinical trials. Efforts to address barriers to participation may improve representation, thus enhancing our understanding of how research findings apply to more diverse populations. METHODS: The IDEAS ...

The Physician-as-Stakeholder: An Exploratory Qualitative Analysis of Physicians' Motivations for Using Shared Decision Making in the Emergency Department (Elizabeth Schoenfeld, Sarah Goff, Tala Elia, et al.) All Scholarly Works (2016)

BACKGROUND: Shared decision making (SDM) is increasingly recognized as an important facet of patient-centered care. Despite growing interest in SDM in the emergency department (ED), little is known about emergency physicians' (EPs') motivations for using ...

Can social media be used as a hospital quality improvement tool? (Tara Lagu, Sarah Goff, Benjamin Craft, et al.) All Scholarly Works (2016)

Many hospitals wish to improve their patients' experience of care. To learn whether social media could be used as a tool to engage patients and to identify opportunities for hospital quality improvement (QI), we solicited ...

How cardiologists present the benefits of percutaneous coronary interventions to patients with stable angina: a qualitative analysis (Sarah Goff and Reva Kleppel) All Scholarly Works (2014)

IMPORTANCE: Patients with stable coronary artery disease (CAD) attribute greater benefit to percutaneous coronary interventions (PCI) than indicated in clinical trials. Little is known about how cardiologists' presentation of the benefits and risks may influence ...

Percutaneous coronary interventions for stable angina: Why patients think it will save their lives (Sarah Goff and Michael Rothberg) All Scholarly Works (2013)