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Effect of Medication Dosing Frequency on Adherence in Chronic DiseasesMedication adherence is important in chronic disease management. This systematic review demonstrates that dosing frequency has important effects on medication adherence.
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Methodological Effects on the Measurement of Repeat HospitalizationsThe rates of potentially preventable readmissions vary across measurement methodologies which explains inconsistencies in previous studies. Results suggest measurement of readmissions incentivizes inefficient behavior.
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Ambulatory Care Visits for Pap Tests, Abnormal Pap Test Results, and Cervical Cancer Procedures in the United StatesThe pre-HPV vaccination burden of ambulatory care visits and procedures related to cervical cancer screening is assessed, with projected effects of HPV vaccination and testing.
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Building Health IT Capacity to Improve HIV Infection Health OutcomesMassachusetts is integrating HIV surveillance and leveraging electronic health record clinical data into their electronic disease case management system to enhance monitoring the HIV continuum of care.
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Choosing Wisely Clinical Decision Support Adherence and Associated Inpatient OutcomesThis analysis examines the associations between adherence to Choosing Wisely recommendations embedded into clinical decision support alerts and 4 measures of resource use and quality.
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Can Electronic Health Records Help Improve Patients' Understanding of Medications?Patients' problems in understanding of new and existing medications were evaluated to design a primary care electronic health record quality improvement study.
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Self-monitoring of Blood Glucose Levels in Patients With Type 2 Diabetes Mellitus Not Taking Insulin: A Meta-analysisA meta-analysis of 9 RCTs found little benefit in self-monitoring of blood glucose levels on A1C outcomes in patients with diabetes mellitus not taking insulin.
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Quality Metrics for Oncology in a Value-Based Reimbursement WorldCMS has developed the Oncology Care Model (OCM) to provide physician practices that furnish chemotherapy treatment the option of payment arrangements that include financial and performance accountability for episodes of care for cancer patients. This article presents an overview of the model and guidelines that can help meet the quality and performance measures for OCM participation.
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A 10-Step Program to Successfully Reduce Low-Value CareThe frequency of low-value care can be reduced by a respectful, data-driven process anchored in nonjudgmental communication and explicit core values.
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Community Navigators Reduce Hospital Utilization in Super-UtilizersSuper-utilizers place a significant clinical and financial burden on the healthcare system. The authors investigated the effectiveness of community navigators in reducing hospital utilization and costs.
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Adaptation of an Asthma Management Program to a Small ClinicThe authors adapted a successful large-scale, specialist-run asthma management program to an existing multi-specialty clinic utilizing existing resources and achieving similar outcomes.
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Can Primary Care Physicians Accurately Predict the Likelihood of Hospitalization in Their Patients?This study demonstrates that the predictive accuracy of primary care physicians’ assessment of future hospitalization risk is comparable to commonly used quantitative risk stratification instruments.
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Delivering Vaccines: A Case Study of the Distribution System of Vaccines for ChildrenDuring implementation of the Vaccine Management Business Improvement Project, providers experienced longer delivery delays and a higher probability of a Vaccines for Children stockout.
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A Literature Review of Heart Failure Transitional Care InterventionsTransitional care interventions are considered evidence-based, designed to ensure coordination and continuity of care when patients are transferred to different levels of care, and to prevent hospital readmissions of heart failure patients.
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Examining Differential Performance of 3 Medical Home Recognition ProgramsWe examine utilization, quality, and expenditures among Medicare beneficiaries receiving care at federally qualified health centers and compare outcomes among those attributed to 1 of 3 recognition programs versus none.
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Impact of Hypertension on Healthcare Costs Among ChildrenThis study demonstrates a major influence of prehypertension and hypertension on healthcare costs in a large cohort of children, independent of body mass index.
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Case Study of Linking Dental and Medical Healthcare RecordsAn n - 1 deterministic linkage strategy was used successfully to merge dental and medical data from a healthcare plan and a dental insurance carrier.
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Primary Care Capacity as Insurance Coverage Expands: Examining the Role of Health Information TechnologyPrimary care physicians using more health information technology were less likely to accept new patients.
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Telephone Follow-Up on Medicare Patient Surveys Remains CriticalIncluding a telephone component in Medicare Consumer Assessment of Healthcare Providers and Systems survey administration continues to be valuable because telephone responses comprise a substantial portion of responses for several underserved groups.
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Medicare Part D Policy Update and Implications for 2010Although the fundamental structure of Medicare Part D remained the same in 2010, the beneficiary provisions continued to improve.
