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Cost-Benefit of Appointment-Based Medication Synchronization in Community PharmaciesThis study conducted a cost-benefit analysis of appointment-based medication synchronization for improving adherence in patients on chronic medications for hypertension, hyperlipidemia, and diabetes.
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Behavioral Health Disorders and Adherence to Measures of Diabetes Care QualityPersons with substance use disorders were less likely and persons with schizophrenia/paranoia were more likely to be adherent to measures of diabetes care quality.
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CAAP Rule and Prescription Drug PricesThis article describes a recently finalized CMS rule addressing the permissibility of co-pay accumulator adjustment programs (CAAPs) when no generic is available.
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Provider and Patient Insights Into the Cancer Care JourneyA survey was conducted to determine opportunities to aid primary care providers and patients in the difficult journey of an oncology patient.
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Quality Improvement and Leadership Capacity Development Through Lean Methodology“Lean” methodology creates quality improvement and leadership capacity, which is currently missing in ambulatory care settings. Failure to create this capacity will minimize transformation efforts.
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Primary Care Physician Resource Use Changes Associated With Feedback ReportsImplementing systemwide dissemination of feedback reports to primary care physicians in an integrated delivery system may be associated with changes in medical resource use.
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Improving BP Control Through Electronic Communications: An Economic EvaluationHome blood pressure (BP) monitoring and use of secure webbased tools to manage care collaboratively with pharmacists is a cost-effective way to improve BP control.
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Medicaid Prior Authorization Policies and Imprisonment Among Patients With SchizophreniaThis study examined the impact of prior authorization formularies on the likelihood that patients with schizophrenia will be arrested and incarcerated.
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Race/Ethnicity, Personal Health Record Access, and Quality of CareQuality benefits were equal across racial/ethnic groups with equal personal health record (PHR) use, but nonwhite status and a preference for Spanish language predicted lower PHR registration.
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Collaborative Care Before Accountable Care: Achieving Low-Cost, High-Quality Care Through a Regional Collaborative in FloridaAs accountable care organizations proliferate across the nation, delivery systems still struggle to balance quality improvement, cost containment, and migration toward accountable care. This paper describes the phased approach where the University of Florida Health Science Center and Shands Teaching Hospital and Clinics, Inc, and Orlando Health have jointly developed a series of clinical and health services that are of the highest quality and are offered at the lowest cost. The result is a regional collaborative that will be the foundation for a regional accountable care organization, first leveraging clinical core competencies, then moving to a more integrated model.
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Scalable Hospital at Home With Virtual Physician Visits: Pilot StudyResults suggest that this scalable model of Hospital at Home is safe, feasible, highly satisfactory, and may be associated with substantial reductions in hospital readmissions.
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Unintended Consequences of a Quality Measure for Acute BronchitisA quality measure reduced antibiotic use for patients with acute bronchitis but led to use of an alternative diagnosis, offsetting most of the observed improvement.
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Electronic Health Record Adoption and Quality Improvement in US HospitalsA national study of electronic health record (EHR) adoption and hospital quality finds that existing measures may be inappropriate for assessing the effect of EHR adoption on quality.
