Authors
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The Economic Impact of an Urban Asthma Management ProgramAn asthma disease management program reduced medical services utilization for urban children and had a potentially positive return on investment for Medicaid managed care plans.
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Inside Out: Reversing the Focus on Emergency Departments to Enhance EfficiencyWe describe how shifting focus from those visiting the ED to those admitted to the hospital from the ED offers more potential for improving healthcare efficiency.
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HITECH Lays the Foundation for More Ambitious Outcomes-Based ReimbursementA sophisticated nationwide health information technology infrastructure, driven by HITECH's meaningful use requirements, is required to support changing healthcare reimbursement models.
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Testing Novel Patient Financial Incentives to Increase Breast Cancer ScreeningThis study tested 3 financial incentives encouraging breast cancer screening (mammograms) among women deemed overdue. None were effective overall; "person-centered" incentives worked in the most recently screened subgroup.
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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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Telemedicine for Cancer Care: Implementation Across a Multicenter Community Oncology PracticeTexas Oncology physicians discuss utilization of telemedicine, evaluating trends, barriers, and opportunities in care delivery during the coronavirus disease 2019 pandemic.
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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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Mental Health and Diabetes Control Among Vulnerable Primary Care PatientsOnly 19% of patients in this sample had good diabetes control based on their tested glycated hemoglobin levels. Patients diagnosed with mental health conditions in this study were more likely to have good diabetes control.
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The Effect of Implementing a Care Coordination Program on Team Dynamics and the Patient ExperienceA primary care redesign program embedding care coordinators into practices slightly improves the patient experience and does not disrupt team dynamics.
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Treatment Modification After Initiating Second-Line Medication for Type 2 DiabetesAmong adults with type 2 diabetes who started noninsulin second-line therapy, most modified treatment within 1 year. Discontinuation was by far the most common modification.
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Will Meaningful Use Electronic Medical Records Reduce Hospital Costs?Adopting the 5 core medication management elements of meaningful use electronic medical records reduces adverse drug events and saves costs.
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Cost-effectiveness of Diabetes Treatment Sequences to Inform Step Therapy PoliciesThis study assesses the cost-effectiveness of adding a sodium-glucose cotransporter 2 inhibitor versus switching to a glucagon-like peptide-1 receptor agonist in patients with diabetes on metformin and a dipeptidyl peptidase-4 inhibitor.
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Increased Likelihood of Psychiatric Readmission With Medicaid Expansion vs Legacy CoverageIndividuals who became eligible for Medicaid through Medicaid expansion have an increased likelihood of psychiatric readmission compared with their legacy-enrolled counterparts.
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Adherence, Persistence, and Switching Patterns of Dabigatran EtexilateWe present a descriptive analysis utilizing pharmacy claims from a managed care population to quantify adherence, persistence, and switching patterns for patients initiating dabigatran.
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Standardization Improves Postoperative Patient Handoff Experience for Junior CliniciansStandardization of operating room to intensive care handoff with a “time-out for sign-out” process for health care providers was beneficial for junior clinicians.
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Imagining a World Without Low-Value Services: Progress, Barriers, and the Path ForwardClinician-, patient-, and research-focused initiatives are needed to reduce the delivery of low-value care services that contribute to financial, clinical, and psychological harm for patients.
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FASStR: A Framework for Ensuring High-Quality Operational Metrics in Health CareThrough literature review and collaborative design, we propose the Focus, Activity, Statistic, Scale type, and Reference (FASStR) framework to provide a systematic approach to health care operation metric definition and use.
