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Improving Quality of Care in Oncology Through Healthcare Payment ReformOverview of alternative payment models and how leading national organizations are involved with linking quality improvement initiatives and payment reform.
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Large Self-insured Employers Lack Power to Effectively Negotiate Hospital PricesThis study examines the ability of self-insured employers to negotiate hospital prices and the relationship between hospital prices and employer market power in the United States.
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Recommendations for the Role of Clinical Pathways in an Era of Personalized MedicineWe offer recommendations for the development and design of clinical pathways in an effort to establish a set of normative criteria that creates trust and transparency.
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Clinical Outcomes and Healthcare Use Associated With Optimal ESRD StartsOptimal end-stage renal disease (ESRD) starts were associated with lower 12-month morbidity, mortality, and inpatient and outpatient utilization in an integrated healthcare delivery system.
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Anticonvulsant Use After Formulary Status Change for Brand-Name Second-Generation AnticonvulsantsThe utilization pattern of anticonvulsants after a change in preferred-formulary coverage resulted in health plan savings of $0.16 per member per month.
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Cognitive Impairment and Reduced Early Readmissions in Congestive Heart Failure?Proactive identification of cognitive impairment and compensatory destigmatized patient/familial psychoeducation regarding “forgetfulness” in hospitalized patients with congestive heart failure may reduce readmission rates substantially.
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Does Opioid Therapy Affect Quality of Care for Diabetes Mellitus?Within the Veterans Affairs system, diabetes performance measures were similar in patients who received chronic opioid therapy and in those who did not.
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Clinical and Economic Outcomes Associated With Potentially Inappropriate Prescribing in the ElderlyClinical and economic outcomes associated with the use of specific potentially inappropriate medications in the elderly were evaluated.
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Predictive Model for Emergency Hospital Admission and 6-Month ReadmissionPredictive models for hospital admissions and readmissions in persons aged >65 years have been developed through a combination of comorbidity and previous healthcare use.
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Payer's Role in Care: Gatekeeper or Change Agent?The panel discussion for Session 3, "The Role of Health Plans and Payers in Patient Care," discussed the role of payers in revolutionizing the system to make it patient-centric.
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Increasing Access to Specialty Care: Patient Discharges From a Gastroenterology ClinicThe authors used a modified Delphi process involving primary care providers and gastroenterologists to identify safe patient discharges from gastroenterology clinics to primary care.
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The Incidence and Costs of Hypoglycemia in Type 2 DiabetesThe overall incidence of hypoglycemia was considerable in this large working-age population and was associated with $52 million (2008 dollars) in direct medical costs.
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Initial Results of a Lung Cancer Screening Demonstration Project: A Local Program EvaluationResults, lessons, and challenges of a local lung cancer screening program within a national demonstration project.
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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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Creating Peer Groups for Assessing and Comparing Nursing Home PerformanceA methodologically sound, empirically based approach to creating peer groupings can and should be adapted to fit the setting of nursing homes.
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The Association of Mental Health Program Characteristics and Patient SatisfactionAcross many measures of Veterans Health Administration mental health care program characteristics, treatment continuity is most strongly and positively associated with patient satisfaction. Â
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Magnitude and Economic Effect of Overuse of Antisecretory Therapy in the Ambulatory Care SettingProton pump inhibitors are often overused without documented valid indications. Their inappropriate use is associated with substantial cost expenditure and the potential for adverse events.
