Authors
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Association of Decision Support for Hospital Discharge Disposition With OutcomesThe use of clinical decision support for hospital discharge disposition was associated with a reduction in spending and readmissions without negatively affecting emergency department use.
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Managed Care and Cancer Outcomes for Medicare Beneficiaries With DisabilitiesThis study showed better outcomes for disabled Medicare patients with breast cancer but not those with lung cancer when they were enrolled in HMOs.
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Benefits and Risks of Live Attenuated Influenza Vaccine in Young ChildrenUse of live attenuated influenza vaccine in young children has a favorable benefit-risk profile.
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Evaluation of Care Management Intensity and Bariatric Surgical Weight LossThis study examines the effect of pre- and postoperative care management intensity on weight loss outcomes after bariatric surgery in 9 US centers.
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Patient Attribution: Why the Method MattersReliable identification of the physician–patient relationship is necessary for accurate evaluation. Standardization of evidence-based attribution methods is essential to improve the value of healthcare.
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Pilot of Urgent Care Center Evaluation for Acute Coronary SyndromeA formal protocol for urgent care center evaluation of potential acute coronary syndrome safely precluded emergency department visits among 84% of those eligible.
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Cost Differential of Immuno-Oncology Therapy Delivered at Community Versus Hospital ClinicsAdministration of immuno-oncology therapy for cancer diagnoses in the community clinic setting is associated with lower costs compared with administration in a hospital-based clinic setting.
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Impact of After-Hours Telemedicine on Hospitalizations in a Skilled Nursing FacilityA case study highlighting clinical and financial outcomes of an after-hours on-demand telemedicine intervention in a skilled nursing facility.
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Case Study: How Does an ACO Generate Savings Three Years in a Row?Increasing accountable care organization savings is dependent on maximizing quality scores and increasing the number of beneficiaries while maintaining a low per-capita spend through efficiencies of care.
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Medication Adherence for 90-Day Quantities of Medication Dispensed Through Retail and Mail Order PharmaciesPatients' adherence to maintenance medications at retail pharmacy is slightly higher than those at mail order, presenting opportunities for pharmacists to provide quality care.
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Opportunities to Improve the Value of Outpatient Surgical CareOutpatient surgeries in the United States account for roughly 7% of annual healthcare expenditures. To exploit substantial opportunities to improve the value of outpatient surgical care, the authors composed an evidence-based care delivery composite for national discussion and pilot testing.
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Impact of Telemedicine Use on Outpatient-Related CO2 Emissions: Estimate From a National CohortTelemedicine was associated with a monthly avoidance of greenhouse gas emissions equivalent to the emissions of 61,255 to 130,076 passenger vehicles.
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Face Time Versus Test Ordering: Is There a Trade-off?Real-time location systems can capture face time and trade-offs between face time and diagnostic testing so that clinicians' responses to time pressures can be measured.
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A Dementia Care Management Intervention: Which Components Improve Quality?Specifically trained care managers are essential for quality gains from a dementia care management program; even higher quality accrues with coordination across community and primary care.
