Authors

Beyond Satisfaction Scores: Exploring Emotionally Adverse Patient Experiences

This study explores the causes of emotionally adverse patient experiences in cancer care and presents a taxonomy for analyzing free-text patient data.

Low-Value Care for Acute Sinusitis Encounters: Who's Choosing Wisely?

Acute sinusitis is a common acute illness and offers an opportunity to eliminate low-value care. The authors describe current practices, comparing primary care, urgent care, and the emergency department.

The Breathmobile Improves the Asthma Medication Ratio and Decreases Emergency Department Utilization

An examination of the asthma medication ratio (≥0.50) as an informative metric in program evaluation and for healthcare organizations to measure quality of care provided to patients with asthma.

Linked Pharmacist-Provider New Patient Visits in Primary Care

This manuscript describes a new interdisciplinary model for scheduling new patients with a clinical pharmacist and a primary care provider to increase productivity.

Improving Risk Stratification Among Veterans Diagnosed With Prostate Cancer: Impact of the 17-Gene Genomic Prostate Score Assay

The Evolution of Prostacyclins in Pulmonary Arterial Hypertension: From Classical Treatment to Modern Management

Factors Affecting Patient Compliance With Antihyperlipidemic Medications in an HMO Population

Referring Patients for Telephone Counseling to Promote Colorectal Cancer Screening

In this pilot study, primary care providers refer patients to a telephone counselor who provides education about colorectal cancer screening and performs motivational interviewing as needed to promote screening.

Validity of the HEDIS Criteria to Identify Children With Persistent Asthma and Sustained High Utilization

Patient Outcomes Associated With Tailored Hospital Programs for Intellectual Disabilities

Patients with intellectual disabilities who were cared for in hospitals without programs tailored to intellectual disabilities had 6% higher costs, and those with extreme admission severity had 42% higher costs.

Evaluation of Agreements Between Managed Care Organizations and Providers of Community-Based Mental Illness and Addiction Disorder Treatments

Positive Predictive Values of ICD-9 Codes to Identify Patients With Stroke or TIA

This study determined that ICD-9 codes 433.X1, 434.XX, and V12.54 had positive predictive values >90%, and may be used to focus care on stroke patients.

Tips for Caring for Patients Who Have Been Treated for Childhood Cancer

Suggestions on how to approach a childhood cancer survivor in your practice, several useful resources, and information on what referrals and tests may be indicated.

Abdominal Aortic Aneurysm

Validation of a Claims-Based Algorithm to Characterize Episodes of Care

The Michigan Value Collaborative has created a claims-based algorithm that categorizes claims into episode components. This manuscript describes the validation of this algorithm.

Primary Care Physicians' Experiences With Case Finding for Practice-Based Care Management

Criteria used by primary care physicians to select patients for practice-based care management programs were explored in a qualitative study.

Periodic Health Examinations and Missed Opportunities Among Patients Likely Needing Mental Health Care

Among patients likely needing mental health care, two-thirds had no discussion or perfunctory discussion of mental health during periodic health exams.

Cost of Illness of Chronic Angina

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.

National Trends in the Provision of Smoking Cessation Aids Within the Veterans Health Administration

Cost-Effectiveness of Intensive Tobacco Dependence Intervention Based on Self-Determination Theory

An intensive tobacco dependence intervention based on selfdetermination theory that targeted all smokers was cost-effective and facilitated patient autonomy, perceived competence, and long-term tobacco abstinence.

The Economic Rationale for Adherence in the Treatment of Type 2 Diabetes Mellitus

Shifting Cardiovascular Care to Nurses Results in Structured Chronic Care

This study sought to explore if shifting care to nurses in cardiovascular risk management in primary care is a key to more structured chronic care.

Economic Considerations for the Treatment of Opioid and Alcohol Dependence: A Managed Care Perspective

Pediatric Integrated Delivery System's Experience With Pandemic Influenza A (H1N1)

Experience of a pediatric integrated delivery system with the surge from the 2009 H1N1 pandemic is described, emphasizing scale, scope, and flexibility at multiple locations.

Intensive Care Management of a Complex Medicaid Population: A Randomized Evaluation

The authors present findings of a randomized evaluation of Medicaid patients at an academic medical center, which found that intensive care management was associated with reduced total medical expense.

Strategies for Identifying and Channeling Patients for Depression Care Management

This article examines screening strategies for possible depression in the context of a care management program for chronically ill Medicare recipients.

Medical Utilization Surrounding Initial Opioid-Related Diagnoses by Coding Method

Medical utilization profiles of commercially insured members with opioid-related disorders differ depending on the code used to document the initial diagnosis in administrative claims.

Treatment Modification After Initiating Second-Line Medication for Type 2 Diabetes

Among adults with type 2 diabetes who started noninsulin second-line therapy, most modified treatment within 1 year. Discontinuation was by far the most common modification.

The Need to Level the Playing Field Between Accountable Care Organizations and Medicare Advantage

For several reasons, including meeting the HHS Secretary’s Medicare quality and value payment goals, the ACO program needs to reformed to equate with Medicare Advantage.