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Effect of Management Strategies and Clinical Status on Costs of Care for Advanced HIVAntiretroviral drugs have replaced hospitalization and other services as the most costly component of HIV care, except in patients with especially advanced HIV.
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Acupuncture and Chiropractic Care: Utilization and Electronic Medical Record CaptureMost patients with chronic musculoskeletal pain use acupuncture or chiropractic care. A substantial percentage of this utilization, however, is not captured by the electronic medical record.
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The Promises and Pitfalls of TelemedicineTelemedicine technology promises to improve patient outcomes and increase physician efficiency. Adoption depends on physicians’ ability to safely care for patients while being reimbursed.
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Hospital Participation in ACOs Associated With Other Value-Based Program ImprovementAnalyzes whether hospital participation in accountable care organizations is associated with a hospital’s quality and cost improvement outcomes in other Medicare value-based payment programs.
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Organizational Influences on Healthcare System Adoption and Use of Advanced Health Information Technology CapabilitiesThis is the first national study to examine the relationship between healthcare system organizational characteristics and adoption of advanced health information technology capabilities.
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A Multiattribute Decision Model for Bipolar Disorder: Identification of Preferred Mood-Stabilizing MedicationsThis research develops a multiattribute decision model to aid in the selection of preferred mood-stabilizing agents for the treatment of bipolar disorder.
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Influence of Health Care Systems on Mortality in Adult Patients With CancerVertically integrated health care delivery systems may be well positioned to help reduce overall mortality and specifically mitigate racial/ethnic disparity gaps in cancer care outcomes.
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The Conundrum Of Antibacterial Use in Neutropenic Patients Undergoing Chemotherapy for Hematologic Malignancy or HSCTPatients with hematologic malignancy who are undergoing chemotherapy or a conditioning regimen for hematopoietic stem cell transplant (HSCT) are at high risk of infection because of the severity and duration of neutropenia. Fever with neutropenia is a common presentation that suggests an infection leading to empiric antibacterial therapy. To prevent infection and thus the neutropenic fever, antibacterial prophylaxis, especially with fluoroquinolones, emerged as a common practice based on results of 2 randomized controlled trials published in 2005 that showed reduced incidence of fever and bacteremia despite lack of a mortality benefit.
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Patient-Centered Medical Home Transformation With Payment Reform: Patient Experience OutcomesIn a pilot patient-centered medical home transformation including Lean quality improvement methodology with payment reform, patient experience was sustained or improved across key domains.
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Patient Complexity Characteristics in the Hospital SettingThis multicenter study identifies patient complexity in the hospital setting as frequent and helps to better understand what makes a patient complex.
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Infused Chemotherapy Use in the Elderly After Patent ExpirationAs calls for improving the quality and cost efficiency of oncology increase, future empirical work is needed to examine the responsiveness of oncologists' treatment decision making to incentives among patients of all ages and insurance types.
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Increasing Pharmaceutical Copayments: Impact on Asthma Medication Utilization and OutcomesEven small changes in average copayment for long-term controller asthma medications can result in significant reductions in medication use and increases in healthcare services.
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Ninety-Day Readmission Risks, Rates, and Costs After Common Vascular SurgeriesCommon vascular surgery procedures are associated with frequent and high-cost readmissions. Open wounds with infection, functional dependence, lengthy procedures, and transfusion are associated with 90-day readmission after vascular surgery.
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Effects of an Integrated Medication Therapy Management Program in a Pioneer ACOThis article reports that an integrated medication management program in a Pioneer Accountable Care Organization was associated with decreases in all-cause hospitalization and Medicare costs.
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Assessment and Potential Determinants of Compliance and Persistence to Antiosteoporosis Therapy in ItalyThis analysis of antiosteoporosis therapy shows that 75% of patients have inadequate drug coverage and that adherence is strongly associated with age and administration regimen.
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Applying Upstream Problem-Solving to Value-Based Payment Reform in Specialty Care: Blue Cross Blue Shield of North Carolina’s ApproachEffectively designing and implementing value-based payment reform for specialty care is challenging. The authors describe a commercial payer’s strategic approach to specialty value transformation.
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Use of Postacute Care After Discharge in Urban and Rural HospitalsRural patients receive less postacute care after hospital discharge than urban patients, especially after elective joint replacement-a condition selected for bundled payments.
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Comparison of Healthcare Utilization Among Patients Treated With Alcoholism MedicationsTreatment of alcohol dependence with medications offered advantages in reduced healthcare utilization and costs compared with usual treatment without medications.
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Acupuncture and Chiropractic Care: Utilization and Electronic Medical Record CaptureMost patients with chronic musculoskeletal pain use acupuncture or chiropractic care. A substantial percentage of this utilization, however, is not captured by the electronic medical record.
