Authors
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A Clinical Pathway to Well-Being: Putting Patient Priorities at the Center of CareUsing patient priorities and converting them into treatment goals result in better primary care outcomes for Medicare patients.
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Physicians in ACOs Report Greater Documentation BurdenAn analysis of nationally representative survey data from 2019 and 2021 shows that office-based physicians participating in accountable care organizations (ACOs) reported greater documentation burden across several measures.
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Contributor: Increasing Awareness About Peripheral Artery Disease Can Save Limbs and LivesA commentary from a cardiologist who practices in the Mississippi Delta, where a comparatively high share of the population is at risk for diabetes and peripheral artery disease.
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Medicare Advantage Plan Representatives’ Perspectives on Pay for SuccessThis study examined how Medicare Advantage plan representatives perceive the alternative financing model Pay for Success and its potential to address members’ social risk factors.
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Association of Decision Support for Hospital Discharge Disposition With OutcomesThe use of clinical decision support for hospital discharge disposition was associated with a reduction in spending and readmissions without negatively affecting emergency department use.
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Antiquated Tests Within the Clinical Pathology LaboratoryPhysicians and laboratorians must work to reduce use of antiquated clinical laboratory tests.
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Electronic Health Risk Assessment Adoption in an Integrated Healthcare SystemSignificant additional outreach and engagement strategies and incentives are likely required to increase adoption and ongoing use of health risk assessment tools among target populations.
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Diabetes: An Opportunity to Have a Lasting Impact on Health Through Lifestyle ModificationThree cardiologists, including the 2015-2016 president of the American College of Cardiology, review the evidence in support of lifestyle modification for diabetes management or remission.
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A Hospital Discharge Navigation Program: The Positive Impact of Facilitating the Discharge Navigation ProcessThis study demonstrates that the implementation of a discharge navigation program led to earlier writing of discharge orders and patient release from the hospital.
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Health Information Technology and the Medical School CurriculumThere are opportunities for and obstacles to adding core biomedical informatics competencies to medical school curricula.
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Health Plan—Provider Accountable Care Partnerships: How Have They Evolved?Although health plan accountable care models have evolved provider readiness, data, analytics, and the use of performance measurement are important components of plan-provider partnerships.
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Decision Aids for Benign Prostatic Hyperplasia and Prostate CancerImplementing patient decision aids was associated with lower rates of elective surgery for benign prostatic hyperplasia and of active treatment for localized prostate cancer.
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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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Economic and Clinical Impact of Routine Weekend Catheterization ServicesWeekend cardiac catheterization availability for inpatients reduced length of stay and maintained quality of care (no excess hazard for weekend cases), but costs were similar.
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VA Geriatric Scholars Program’s Impact on Prescribing Potentially Inappropriate MedicationsPrimary care teams reduced their prescribing of potentially inappropriate medications to older veterans after participation in the Veterans Affairs (VA) Geriatric Scholars Program.
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Initial Results of a Lung Cancer Screening Demonstration Project: A Local Program EvaluationResults, lessons, and challenges of a local lung cancer screening program within a national demonstration project.
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A Novel Pharmaceutical-ACO Collaboration: the Merck/Heritage Provider Network Open Innovation ChallengeAccountable care is forcing providers to develop new capacities and strategies for managing cost and quality trends. Prospectively managing the health of populations requires shifting the focus of care delivery from episodic interventions to continuous population management. As a result, accountable care organizations (ACOs) are dedicating considerable focus to developing the infrastructure and tools needed to help patients manage their chronic conditions. This is a significant departure from traditional care-delivery models and will require provider organizations to develop new partnerships and embrace new methods.
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Outpatient Referral Rates in Family MedicineReferral patterns by family physicians affect numerous aspects of medical care. This study compares the outpatient referral rates of residents, residency faculty, and clinical faculty.
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What Performance Measures Do Consumers Find Useful When Selecting Marketplace Health Plans?Marketplace consumers desire more health plan measures on how well plans support long-term patient—physician relationships. Consumers are skeptical of measures about rewarding providers for high quality.
