October 2012

AJMC

Archives

Issue:

October 2012

Volume:

Number:

CLINICAL

Change to FIT Increased CRC Screening Rates: Evaluation of a US Screening Outreach Program

Elizabeth G. Liles, MD, MSCR; Nancy Perrin, PhD; Ana Gabriela Rosales, MS; Adrianne C. Feldstein, MD, MS; David H. Smith, RPh, MHA, PhD; David M. Mosen, PhD, MPH; and Jennifer L. Schneider, MPH

Fecal immunochemical testing resulted in higher colorectal cancer screening rates than did guaiac fecal occult blood tests, with less dependence on office visits.

MANAGERIAL

Toward Tailored Disease Management for Type 2 Diabetes

Arianne M. J. Elissen, MSc; Inge G. P. Duimel-Peeters, PhD; Cor Spreeuwenberg, PhD; Marieke Spreeuwenberg, PhD; and Hubertus J. M. Vrijhoef, PhD

The heterogeneous nature of care processes and patients should be taken into account in both the design and evaluation of disease management programs for diabetes.

Implementation of EHR-Based Strategies to Improve Outpatient CAD Care

Stephen D. Persell, MD, MPH; Janardan Khandekar, MD; Thomas Gavagan, MD; Nancy C. Dolan, MD; Sue Levi, RN, MBA; Darren Kaiser, MS; Elisha M. Friesema, BA, CCRP; Ji Young Lee, MS; and David W. Baker, MD, MPH

We examined the impact of electronic reminders followed by performance reports and financial incentives. Physicians responded more to reports and incentives than to reminders alone.

Pediatric Integrated Delivery System’s Experience With Pandemic Influenza A (H1N1)

Evan S. Fieldston, MD, MBA, MSHP; Richard J. Scarfone, MD; Lisa M. Biggs, MD; Joseph J. Zorc, MD, MSCE; and Susan E. Coffin, MD, MPH

Experience of a pediatric integrated delivery system with the surge from the 2009 H1N1 pandemic is described, emphasizing scale, scope, and flexibility at multiple locations.

POLICY

Medicare Part D Claims Rejections for Nursing Home Residents, 2006 to 2010

David G. Stevenson, PhD; Laura M. Keohane, MS; Susan L. Mitchell, MD, MPH; Barbara J. Zarowitz, PharmD, FCCP, BCPS, CGP, FASCP; and Haiden A. Huskamp, PhD

This study presents data on paid and rejected claims submitted by 1 large long-term care pharmacy over the initial 5 years of Medicare Part D.

Web Exclusives

Identification of and Intervention to Address Therapeutic Gaps in Care

Daniel R. Touchette, PharmD, MA; Sapna Rao, BPharm, MS; Purna K. Dhru, PharmD; Weihan Zhao, PhD; Young-Ku Choi, PhD; Inderpal Bhandari, PhD; and Glen D. Stettin, MD

A program identifying and resolving care gaps involving community pharmacists resulted in increased adherence and omission gaps closure and fewer adherence gap reopenings.

EMR-Based Medication Adherence Metric Markedly Enhances Identification of Nonadherent Patients

Shepherd Roee Singer, MD, MPH; Moshe Hoshen, PhD; Efrat Shadmi, PhD; Morton Leibowitz, MD; Natalie Flaks-Manov, MPH; Haim Bitterman, MD; and Ran D. Balicer, MD, PhD

Integration of written-prescription data into medication adherence measures doubled the number of patients identified as nonadherent and improved prediction of follow-up LDL cholesterol.

Financial Incentives and Physician Commitment to Guideline-Recommended Hypertension Management

Sylvia J. Hysong, PhD; Kate Simpson, MPH; Kenneth Pietz, PhD; Richard SoRelle, BS; Kristen Broussard Smitham, MBA, MA; and Laura A. Petersen, MD, MPH

Financial incentives may not be strong enough to influence physician goal commitment to guideline-recommended hypertension care when providers attribute performance to forces beyond their control.

Identifying Frail Older People Using Predictive Modeling

Shelley A. Sternberg, MD; Netta Bentur, PhD; Chad Abrams, MA; Tal Spalter, MA; Tomas Karpati, MD; John Lemberger, MA; and Anthony D. Heymann, MB BS

The frailty determination of the Adjusted Clinical Groups–diagnoses based predictive model identified frail elders with moderate success compared with a validated screening questionnaire.

Application of New Method for Evaluating Performance of Fracture Risk Tool