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Bundled Payments Lead to Quality Improvements in Hospitals’ Skilled Nursing Facility Referral NetworksThe Bundled Payments for Care Improvement program was associated with improved quality of skilled nursing facilities in hospital referral networks for patients undergoing surgery for joint replacement.
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Contemporary Use of Dual Antiplatelet Therapy for Preventing Cardiovascular EventsUse of dual antiplatelet therapy was modest for patients with existing cardiovascular disease for whom subgroup analysis from a landmark clinical trial suggested benefit in preventing cardiovascular events, and low for patients with multiple risk factors without established cardiovascular disease, for whom increased cardiovascular events were suggested.
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Home Care Program for Patients at High Risk of HospitalizationRandomized controlled trial of a home care program for managed care patients resulted in lower probability of hospital admission and greater patient satisfaction with care.
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Population Health in Primary Care: Cost, Quality, and Experience ImpactAn evaluation of the use of predictive modeling for primary care resource allocation demonstrated reduced spending and improved quality and patient experience for publicly insured adults.
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Physician Assessment of Appropriate Healthcare Level Among Nonurgent PatientsPhysicians at an emergency department and in primary care evaluated the appropriateness of complaints among nonurgent patients. Low regular previous healthcare use correlated with inappropriateness.
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Inefficiencies in Osteoarthritis and Chronic Low Back Pain ManagementThis study identified inefficiencies in drug and medical service utilization related to pain management among Medicare members with osteoarthritis and chronic low back pain.
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Effects of Electronic Decision Support on High-Tech Diagnostic Imaging Orders and PatientsElectronic decision support for high-tech diagnostic imaging was associated with reduced volume and increased appropriateness, but had little impact on findings or patients.
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Reaching Beyond the Exam Room: How Technology-backed Lifestyle Intervention Is Improving Health Outcomes for Diabetes and Hypertension ManagementAuthors from the digital health provider Noom offer an update of a successful employer-based initiative.
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Screening for Health Literacy, Social Determinants, and Discrimination in Health PlansThis study provides insight on the experiences of patients of a national health plan with 2 structural determinants of health—health care discrimination and health literacy—and how those interact with social determinants of health and patient demographics.
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Language Barriers and LDL-C/SBP Control Among Latinos With DiabetesAmong Latino patients with diabetes, ethnicity and language barriers were not associated with lipid and blood pressure control despite their associations with glycemic control in prior research. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.
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Long-term Glycemic Control After 6 Months of Basal Insulin TherapyThe authors evaluate long-term glycemic control in a 5-year follow-up period after patients with newly diagnosed type 2 diabetes mellitus with severe hyperglycemia were treated with 6 months of basal insulin therapy in a randomized controlled trial.
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Structural Capabilities in Small and Medium-Sized Patient-Centered Medical HomesThirty medical home pilot primary care practices had high structural capabilities at baseline and performance improved substantially after 24 months in practices starting with lower capabilities.
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Long-Term Statin Use and the Risk of Parkinson's DiseaseThis historical cohort study demonstrates that long-term statin use is associated with a significant decrease in the incidence of Parkinson's disease.
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Compliance, Persistence, and Switching Patterns for ACE Inhibitors and ARBsThis drug-utilization study in a prescription database of more than 50,000 patients analyzed compliance, persistence, and switching behavior for ACE inhibitors and ARBs.
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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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Validation of a Claims-Based Algorithm to Characterize Episodes of CareThe Michigan Value Collaborative has created a claims-based algorithm that categorizes claims into episode components. This manuscript describes the validation of this algorithm.
