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Variation in US Outpatient Antibiotic Prescribing Quality Measures According to Health Plan and GeographyAntibiotic prescribing has become viewed as a patient safety and quality-of-care issue. The authors analyzed quality measures related to appropriate antibiotic prescribing and testing.
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Routine Pre-cesarean Staphylococcus aureus Screening and Decolonization: A Cost-Effectiveness AnalysisRoutinely screening pregnant women for Staphylococcus aureus colonization and decolonizing carriers before cesarean delivery are unlikely to be cost-effective under current epidemiologic circumstances.
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The Cost of Learning: Participating in APMs Despite Projected Financial LossesThis article explores Northwestern Medicine’s decision to participate in a Medicare alternative payment model (APM) despite projected losses.
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Trends in Opioid and Nonsteroidal Anti-Inflammatory Use and Adverse EventsOpioid use incidence and prevalence rates decreased with implementation of an opioid safety initiative, whereas nonsteroidal anti-inflammatory drug rates remained constant. Rates of adverse events were higher among opioid users.
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Service Setting Impact on Costs for Bevacizumab-Treated Oncology PatientsFor patients with lung or colorectal cancer, bevacizumab treatment patterns and healthcare costs varied by the setting of treatment initiation (physician office vs hospital outpatient).
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Randomized Trial of an Electronic Asthma Monitoring System Among New York City ChildrenChildren who used an electronic monitoring system had as many emergency department visits and hospitalizations for asthma as children who used a paper diary.
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Comparative Efficacy of Ezetimibe/Simvastatin, Rosuvastatin, and Atorvastatin in Uncontrolled Hyperlipidemia PatientsEfficacy of switching statin therapy from generic simvastatin was examined in a VA population. Ezetimibe/simvastatin was more potent than atorvastatin or rosuvastatin in lowering LDL.
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Reduced Medical Spending Associated With Integrated Pharmacy BenefitsMembers covered by an integrated pharmacy benefit (as opposed to a pharmacy carve-out) experienced slower growth in medical spending.
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Factors Associated With Lung Cancer Risk Factor DocumentationThis cross-sectional observational study found several factors associated with whether a patient had sufficient lung cancer risk factor documentation in the electronic health record.
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Hepatitis B Virus Infection Testing and Prevalence Among Asian and Pacific IslandersWe examined the effect of country of origin on HBV testing and chronic HBV infection prevalence among APIs using data from Kaiser Permanente Hawaii.
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Medication Adherence and Medicare Expenditure Among Beneficiaries With Heart FailureModest increases in adherence to medication regimens among Medicare patients with heart failure were associated with lower Medicare spending in 3 major drug classes.
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Trends in Mortality Following Hip Fracture in Older WomenWithin an integrated healthcare setting, temporal trends demonstrate reductions in mortality risk after hip fracture in older women, with mortality risk lower for Asians and Hispanics.
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Race/Ethnicity, Personal Health Record Access, and Quality of CareQuality benefits were equal across racial/ethnic groups with equal personal health record (PHR) use, but nonwhite status and a preference for Spanish language predicted lower PHR registration.
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Effects of Multidisciplinary Team Care on Utilization of Emergency Care for Patients With Lung CancerImpact of multidisciplinary team care on reducing utilization of emergency department visits for patients with lung cancer.
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Health Equity Is a “Core” of Quality Improvement: Shawn Griffin, MDImproving health equity is part of the core of quality improvement and requires data collection and community engagement strategies for underserved populations, said Shawn Griffin, MD, president and CEO of URAC.
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Association Between Different Types of Social Support and Medication AdherenceMedication adherence is most closely associated with emotional and practical support.
