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The Underuse of Carotid Interventions in Veterans With Symptomatic Carotid StenosisFor patients with symptomatic severe (>70%) carotid stenosis carotid endarterectomy is highly effective at reducing the risk of subsequent stroke; however few eligible Veterans appear to be receiving this procedure.
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Enhancing Dementia Care Through Digital HealthThere is ample opportunity to integrate digital health technologies into dementia care to promote independent living and prevent unnecessary healthcare utilization.
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The Impact of Electronic Health Record Use on Physician ProductivityAlthough increasing electronic health record use and delegating the related work improve physician productivity, these 2 strategies interact differently based on practice size.
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Patient-Centered Outcome Assessment May Lead to Different Conclusions and Different Treatment DecisionsMost illnesses today are measured in terms of their effects on daily activities, but who do not always consider the outcomes based on the patient's perspectives. Many clinical studies instead apply standardized measures that identify quality of life as an important outcome. Advancing research methodologies, including new approaches to clinical research, should inform this discussion by centering medical decision making on the preferences of the most important stakeholder-the patient.
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Survival and Cost-Effectiveness of Hospice Care for Metastatic Melanoma PatientsHospice care is associated with improved median survival time for the patients diagnosed with metastatic melanoma, accompanied by decreased end-of-life costs.
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Oral Nutritional SupplementationThe use of oral nutritional supplementation may offer impressive benefits in healthcare resource use and associated costs. Application of evidence-based practice guidelines is recommended.
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Boosting Workplace Wellness Programs With Financial IncentivesFinancial incentives created under the Affordable Care Act can help promote employer wellness programs and support preventive services utilization.
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Food as Medicine: Impact on Diabetes ManagementThis article addresses what employers need to know about food as medicine and offers practical steps to reduce barriers for their employee populations.
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Targeted Therapies: One Practice's StoryA community oncologist's perspective on the advantages and challenges with precision medicine.
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Attributes Common to Programs That Successfully Treat High-Need, High-Cost IndividualsMany programs attempting to effectively treat high-need, high-cost individuals have not been able to lower spending, improve outcomes, or increase satisfaction. This paper suggests 8 attributes that many successful programs share.
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Collecting Mortality Data to Drive Real-Time Improvement in Suicide PreventionThe Perfect Depression Care initiative serves as an example of how suicide prevention programs can collect real-time mortality data internally to drive rapid quality improvement.
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Making Measurement MeaningfulA discussion on meaningful measurement and driving greater value in healthcare, and the role of the National Quality Forum.
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The Effect of a PPO Pay-for-Performance Program on Patients With DiabetesA pay-for-performance program in a preferred provider organization setting may significantly increase the receipt of quality care and decrease hospitalization rates among patients with diabetes.
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Medicare Annual Wellness Visit Association With Healthcare Quality and CostsIn the context of 2 primary care physician–led accountable care organizations, Medicare Annual Wellness Visits were associated with lower healthcare costs and improved clinical care quality for beneficiaries.
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Improving Provider Directory Accuracy: Can Machine-Readable Directories Help?The authors examined the accuracy of provider directories and found widespread errors. Machine-readable directories are not more accurate than conventional directories, despite their advantages. A survey of promising initiatives to improve directory accuracy was also completed.
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Does Medication Adherence Lead to Lower Healthcare Expenses for Patients With Diabetes?Adherence to medication can improve healthcare outcomes but is associated with higher total healthcare expenses, especially during the years immediately following the onset of diabetes.
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Primary Care Physician Resource Use Changes Associated With Feedback ReportsImplementing systemwide dissemination of feedback reports to primary care physicians in an integrated delivery system may be associated with changes in medical resource use.
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Enhancing Patient and Family Engagement Through Meaningful Use Stage 3: Opportunities and Barriers to ImplementationTwo leading US health systems attempted to implement 4 draft objectives for Meaningful Use Stage 3 within their health IT infrastructure to provide feedback on needed enhancements to the policy.
