Authors

Economic and Clinical Impact of Routine Weekend Catheterization Services

Weekend cardiac catheterization availability for inpatients reduced length of stay and maintained quality of care (no excess hazard for weekend cases), but costs were similar.

A Systematic Review of Diabetes Disease Management Programs

A Qualitative Review of Studies of Diabetes Preventive Care Among Minority Patients in the United States, 1993-2003

Toyota Production System Quality Improvement Initiative Improves Perioperative Antibiotic Therapy

Use of Toyota production system methods as part of a nosocomial MRSA prevention initiative on a surgical unit improved quality of care in other areas.

Real-World Economic Value of a 21-Gene Assay in Early-Stage Breast Cancer

Universal gene expression profiling of patients with stage II breast cancer resulted in outpatient savings of $11,000 (inclusive of testing costs) within 6 months of initiation of medical therapy.

Health IT-Assisted Population-Based Preventive Cancer Screening: A Cost Analysis

An automated cancer screening outreach tool implemented in a mature health information technology environment can achieve cost savings through reduced clinician time devoted to screening efforts.

The Impact of a Simulated Immunization Registry on Perceived Childhood Immunization Status

Early Clinical Experience With Networked System for Promoting Patient Self-Management

A networked system designed to promote patient self-management appears to be safe and effective in capturing, integrating, and presenting medication adherence and physiologic information.

Real-World Economic Value of a 21-Gene Assay in Early-Stage Breast Cancer

Universal gene expression profiling of patients with stage II breast cancer resulted in outpatient savings of $11,000 (inclusive of testing costs) within 6 months of initiation of medical therapy.

Should All Patients with Cardiovascular Disease Receive Statin Therapy?

Office-Based Surgery and Cost Avoidance in an Obstetrics and Gynecology Residency Program

Stimulating Comprehensive Medication Reviews Among Medicare Part D Beneficiaries

This article describes a study of an intervention to engage Medicare Part D beneficiaries in obtaining a comprehensive medication review.

Real-World Challenges of Treating Osteoporosis

Prospective or Retrospective ACO Attribution Matters for Seriously Ill Patients

This study compared beneficiary characteristics and Medicare per capita expenditures among seriously ill Medicare accountable care organization (ACO) populations defined using prospective and retrospective claims-based attribution methods.

A Review of Fibromyalgia

Assessing Outcomes in Child Psychiatry

Two standardized rating scales appeared to be valid and reliable for use at admission and possibly follow-up in a child psychiatry system of care.

Prescription Drugs: Elderly Enrollee Reports of Financial Access, Receipt of Free Samples, and Discussion of Generic Equivalents Related to Type of Coverage

Oral Anticoagulant Discontinuation in Patients With Nonvalvular Atrial Fibrillation

The risk of discontinuation of oral anticoagulant therapy (both warfarin and direct oral anticoagulant therapies [DOACs]) among nonvalvular atrial fibrillation patients was high. Although the hazard ratio for discontinuation favors DOACs, it is unlikely that the small difference in discontinuation relative to warfarin is clinically meaningful.

Approaches to Improving Healthcare Delivery by Multi-stakeholder Alliances

The Role of Nurse Practitioners in Primary Healthcare

The potential of nurse practitioners is not being fully realized in primary care medical practices. Consequently, cost and quality gains are not being achieved.

Clinical Characteristics and Treatment Patterns Among US Patients With HIV

It is important to take into account individual complexities such as comorbidities and pill burden when selecting antiretroviral therapy regimens for individuals living with HIV.

Do Patient or Provider Characteristics Impact Management of Diabetes?

Many more patient than provider characteristics are associated with optimal or poor glycemic control and treatment intensification when glycemic control is initially lost.

The Acceptability and Effectiveness of Patient-reported Assessments and Feedback in a Managed Behavioral Healthcare Setting

Health Care Utilization and Cost of Diagnostic Testing for Respiratory Infections

Syndromic reverse transcriptase–polymerase chain reaction tests for respiratory infections were associated with lower health care resource utilization and costs, implicating potential for improved value in patient care.

Early Changes in VA Medical Home Components and Utilization

Significant changes were found in patients' utilization of healthcare related to early implementation of medical home components in VA primary care clinics.

There Is Great Need to Better Understand Pediatric Myasthenia Gravis: Jonathan Strober, MD

Jonathan Strober, MD, discusses advancements in pediatric myasthenia gravis, emphasizing the need for better treatment standards and effective patient care strategies.

Measures of ED Utilization in a National Cohort of Children

Through analysis of multistate Medicaid data, this study identifies differences in 2 commonly used measures of emergency department (ED) utilization, ED visit count and ED reliance.

Using a Multidisciplinary Automated Discharge Summary Process To Improve Information Management Across the System