Authors
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Optimal Management of Diabetes Among Overweight and Obese AdultsThis study explores potential weight-related disparities in the quality of care for adults with diabetes in a large health plan according to recommended quality indicators.
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Patients' Views on Price Shopping and Price TransparencyThe authors interviewed patients with access to a price transparency website. Despite a positive opinion of price shopping in theory, respondents reported barriers to doing so in reality.
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Effects of Physician Payment Reform on Provision of Home DialysisThe Medicare program’s transition in 2004 to tiered fee-for-service physician reimbursement for dialysis care had the unintended consequence of reducing use of home dialysis.
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Response to “e-Consult Implementation Success: Lessons From 5 County-Based Delivery Systems”Partnering teams for delivery of continuity of care between primary care and community behavioral health systems can learn from e-consult implementation.
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Racial/Ethnic and Age Disparities in Chemotherapy Selection for Colorectal CancerAmong Medicare enrollees with metastatic colorectal cancer, the use of newer chemotherapy agents was lower for African American patients and for older patients.
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Understanding Factors Associated With Readmission Disparities Among Delta Region, Delta State, and Other HospitalsRevisions of the Hospital Readmissions Reduction Program should consider including community characteristics in risk adjustment models and adding mechanisms that recognize improvement given the uniqueness of the Mississippi Delta region.
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Impact of a National Specialty E-Consultation Implementation Project on AccessE-consult implementation grew from 12 to 122 VHA sites with multiple specialties. The adjusted e-consult rate of 1.93/100 consults saved significant patient travel miles and costs.
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Feasibility of Expanded Emergency Department Screening for Behavioral Health ProblemsThis feasibility study of expanded emergency department screening identified a high prevalence of behavioral health conditions. Screening was successfully integrated into emergency visit idle times.
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Early Changes in VA Medical Home Components and UtilizationSignificant changes were found in patients' utilization of healthcare related to early implementation of medical home components in VA primary care clinics.
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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.
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Disease-Modifying Antirheumatic Drug Initiation Among Patients Newly Diagnosed With Rheumatoid ArthritisOnly slightly more than half of patients with newly diagnosed rheumatoid arthritis initiated therapy within 1 year.
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Cognitive Impairment and Reduced Early Readmissions in Congestive Heart Failure?Proactive identification of cognitive impairment and compensatory destigmatized patient/familial psychoeducation regarding “forgetfulness” in hospitalized patients with congestive heart failure may reduce readmission rates substantially.
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How Will Provider-Focused Payment Reform Impact Geographic Variation in Medicare Spending?Unlike ACOs or P4P, implementation of bundled payment for inpatient and post acute care in Medicare would modestly reduce geographic variation in spending.
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National Estimates of Price Variation by Site of CareBetween 2009 and 2013, for individuals with employer-sponsored insurance, prices for services performed at hospital outpatient departments were higher than in physician offices, and the magnitude of price differential increased over time.
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Toward Tailored Disease Management for Type 2 DiabetesThe heterogeneous nature of care processes and patients should be taken into account in both the design and evaluation of disease management programs for diabetes.
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Effects of a Community-Based Care Management Model for Super-UtilizersA community-based care management program for high-risk patients reduced hospital readmissions and also likely reduced admissions and Medicare parts A and B spending.
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Changing Physician Behavior: What Works?The authors evaluate methods for implementing clinical research and guidelines, in order to change physician practice patterns, in surgical and general practice.
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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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Modeling the Impacts of Restrictive Formularies on Patients With HIVConstraining access to HIV regimens can have significant implications for patients. This study examined the economic and health impacts of restrictive HIV formulary designs.
