Authors
Latest:
Inappropriate Antibiotic Prescribing in Managed Care Subjects With InfluenzaRetrospective analysis of the US Impact National Benchmark Database indicated that 80% of antibiotics prescribed in subjects with influenza were inappropriate.
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Self-monitoring of Blood Glucose Levels in Patients With Type 2 Diabetes Mellitus Not Taking Insulin: A Meta-analysisA meta-analysis of 9 RCTs found little benefit in self-monitoring of blood glucose levels on A1C outcomes in patients with diabetes mellitus not taking insulin.
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CKD Quality Improvement Intervention With PCMH Integration: Health Plan ResultsA scalable chronic kidney disease (CKD) quality improvement intervention demonstrated feasibility, decreased hospitalization, and reduced costs. These preliminary results support innovation in CKD by commercial health plans.
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Does Telephone Scheduling Assistance Increase Mammography Screening Adherence?The authors describe a quality improvement intervention that focuses on directly scheduling mammogram appointments for women who lack adherence despite written outreach letters.
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Physician-Specific Variation in Medication Adherence Among Diabetes PatientsPhysician-specific, aggregate patient medication adherence data vary significantly and provide an expanded focus for interventions to improve patient adherence to treatment.
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Implications of Evolving Delivery System Reforms for Prostate Cancer CareHealthcare integration was associated with small declines in treatment, but no change in overtreatment of prostate cancer. Integrated care delivery alone may be insufficient to curtail overtreatment.
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Documentation of the 5 As for Smoking Cessation by PCPs Across Distinct Health SystemsEvaluation of the 5 As of smoking cessation using patient electronic medical records across 6 distinct healthcare systems, stratified by comorbidity, gender, age, race ethnicity.
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Payer Source Influence on Effectiveness of Lifestyle Medicine ProgramsThe health benefits for participants of the Complete Health Improvement Program ("CHIP"), a lifestyle medicine program, are present regardless of the program tuition payment source.
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Impact of a Medical Home Model on Costs and Utilization Among Comorbid HIV-Positive Medicaid PatientsAmong HIV-positive Medicaid patients with comorbid medical and psychiatric disorders, there was increased outpatient service utilization, yet relative cost savings, for patients who were treated in patient-centered medical homes.
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Variations in the Service Quality of Medical PracticesService quality (appointment lags and wait times) of primary care physician practices varies tremendously across the country and is associated with the organization of practices.
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The Option Value of Innovative Treatments for Non–Small Cell Lung Cancer and Renal Cell CarcinomaOption value is the benefit a therapy provides patients by enabling them to survive to the next innovation.
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New Thinking on Clinical Utility: Hard Lessons for Molecular DiagnosticsThe authors describe 5 basic requirements for planning, implementing, and proving clinical utility for diagnostic tests, drawing on recent reimbursement decisions.
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Physician Satisfaction With Health Plans: Results From a National SurveySeveral physician and payer characteristics are associated with physician satisfaction with health plans. There is opportunity to improve physician satisfaction with payers, specifically in pharmacy.
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Relationship Between Quality Improvement Processes and Clinical PerformanceThis study examines the clinical effects of care management and quality improvement interventions implemented by physician groups on pay-for-performance success.
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Effectiveness of Care Coordination and Health Counseling in Advancing IllnessThis prospective trial suggests that specialized care coordination and health counseling for patients coping with advanced stages of 4 life-limiting illnesses can be beneficial.
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Hospital Readmission Rates in Medicare Advantage PlansHospital readmission rates in Medicare Advantage plans are considerably lower than those in Medicare's traditional fee-for-service program, after accounting for differences in risk.
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Prioritized Post-Discharge Telephonic Outreach Reduces Hospital Readmissions for Select High-Risk PatientsA randomized control study that analyzes the impact of a postdischarge prioritization case management strategy on readmissions for select high-risk patients that are commercially insured.
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Successful Implementation of APSO Notes Across a Major Health SystemIn this study, the authors demonstrate widespread adoption and satisfaction with the novel APSO (Assessment, Plan, Subjective, Objective) format for progress notes at a large, integrated health delivery network.
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Coverage With Evidence Development: Where Are We Now?Review of CMS’ coverage with evidence development program exposes a need to improve program transparency and clarify requirements and timetables for reporting to improve access to novel therapies.
