Authors
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Tools to Improve Referrals From Primary Care to Specialty CareData from a national survey of Veterans Health Administration specialists indicate that referral templates may improve the appropriateness, clarity, and completeness of primary care–specialty care referrals.
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Off-Label Use of Antipsychotic Medications in MedicaidThe majority of patients prescribed antipsychotic medications in state Medicaid programs are taking these agents for off-label indications.
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Cardiac Risk Is Not Associated With Hypertension Treatment IntensificationThis study shows how cardiovascular prevention would be much more efficient if risk were used in treatment decisions, but that currently it plays no role.
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Encouraging Value-Based Insurance Designs in State Health Insurance ExchangesEncouraging Value-Based Insurance Designs in State Health Insurance Exchanges
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Preferred Roles in Treatment Decision Making Among Patients With Cancer: A Pooled Analysis of Studies Using the Control Preferences ScaleThis pooled analysis assesses preferred roles in treatment decision making, actual roles, and preferred versus actual discordance among 6 studies of patients with cancer.
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The Ingredients of Success in a Medicare Accountable Care OrganizationFor 2 successive years, the Hackensack Alliance Accountable Care Organization achieved cost savings and maintained quality by using physicians with patient-centered medical homes and nurse care coordinators focused on high-risk patients.
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Improving Adherence to Cardiovascular Disease Medications With Information TechnologyImproving adherence to long-term medication therapy remains a challenge. Health information technology interventions that leverage electronic medical records are promising, low-cost approaches for increasing adherence.
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Screening Electronic Veterans' Health Records for Medication DiscontinuationMany patients stop taking medications for chronic conditions, thereby reducing the effectiveness of healthcare. An attempt to screen electronic VA healthcare records to identify patients as they discontinued a medication was not an efficient approach to this problem.
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Prescription Opioid Registry Protocol in an Integrated Health SystemA flexible population-based prescription opioid registry was established for addressing a broad range of critical public health questions relating to prescription opioid use.
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Implementation of Pharmacist-Driven Comprehensive Medication Management as Part of an Interdisciplinary Team in Primary Care Physicians’ OfficesThis report describes the initial implementation of pharmacist-performed comprehensive medication management as part of an interdisciplinary care team at an accountable care organization’s primary care offices.
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Trends in Bisphosphonate Initiation Within an Integrated Healthcare Delivery SystemThe authors observed a marked shift toward treatment of higher-risk subsets of younger postmenopausal women (with prior fracture and/or with osteoporosis), and away from women at lower risk.
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Identifying Subgroups of Complex Patients With Cluster AnalysisCluster analysis can aid in identifying subgroups of patients with similar patterns of comorbid conditions for targeted care management.
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Understanding Vaccination Rates and Attitudes Among Patients With Rheumatoid ArthritisPatients with rheumatoid arthritis self-report a moderate rate of any previous pneumococcal vaccination (54%) and a very low rate of herpes zoster vaccination (8%).
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Impact of Clinical Pharmacy Services on Outcomes and Costs for Indigent Patients With DiabetesClinical pharmacy specialists impact patient care through improvements in clinical outcomes for diabetes, hypertension, and dyslipidemia via clinical interventions and promotion of medication adherence.
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Sustainable Lifelines: Supporting Integrated Behavioral Health Services for Children and Adolescents in the Accountable Care EraA reimbursement strategy for collaborative care models is presented to enhance access to integrated behavioral healthcare for children and adolescents from underserved areas.
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The Need for a Serious Illness Digital Ecosystem (SIDE) to Improve Outcomes for Patients Receiving Palliative and Hospice CarePalliative and hospice care services produce well-known benefits for patients living with serious illness and for their families. Benefits include improved quality of life and reduced symptom burden, spiritual and emotional distress, and caregiver distress.
