A cost-utility analysis of a hub-and-spoke telestroke network showed that it was economically dominant over routine care.
Collaborative care plans combined with provider education resulted in significant reductions in referrals to specialists without an apparent increase in the rate of emergency department visits or hospital admissions.
A continuous quality improvement program, based on Lean concepts and including architectural, managerial, and organizational features, allows the emptying of emergency department corridors and the improvement of time interval measurements/quality indicators.
Recommendations from primary care Meaningful Use "exemplars" are that clinical quality measures likely to improve outcomes should be evidence-based, high priority, actionable, and minimize burden.
Price shopping for medications within a small geographic area can yield considerable cost savings for uninsured and insured consumers in high-deductible health plans.
Centrally assisted collaborative telecare is a cost-effective strategy relative to usual care for treating posttraumatic stress disorder and depression in the Military Health System.
An artificial intelligence–enabled video fall detection system using visual science reduced emergency department visits by 80% in 6 communities over 3 months.
Patients with type 2 diabetes in a German disease management program had a lower mortality rate after 3 years than those not in the program.
Diabetes itself affected working and wages more than control of blood sugar levels in a Mexican American population.
Admission rates during the coronavirus disease 2019 (COVID-19) pandemic were lower than in 2019 for acute medical conditions, suggesting that patients may be deferring necessary medical care.
From the Adult Diabetes and Clinical Research Sections, Joslin Diabetes Center, Harvard Medical School. Approved May 10, 2016; updated April 24, 2018. For the Figure and Tables, download the PDF at the end of the chapter.
“Frequent flyers” significantly contribute to emergency department (ED) crowding. This study developed a predictive model that can be used to identify high-risk patients and reduce ED revisits.
Why Oncologists Must Tailor Clinical Features to Their Needs
Simple office management techniques should be revisited and given focused attention by primary care physicians to limit emergency department visits for primary care“treatable conditions.
Accountable care is forcing providers to develop new capacities and strategies for managing cost and quality trends. Prospectively managing the health of populations requires shifting the focus of care delivery from episodic interventions to continuous population management. As a result, accountable care organizations (ACOs) are dedicating considerable focus to developing the infrastructure and tools needed to help patients manage their chronic conditions. This is a significant departure from traditional care-delivery models and will require provider organizations to develop new partnerships and embrace new methods.