Authors
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Impact of Payment Reform on Chemotherapy at the End of LifePayment reform may be used to better align appropriate financial incentives with better quality of care.
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“Lean” Improvement in the Quality of Patient Care in the Hospital Admissions ProcessThe objective of this work is to improve the quality of patient care in the admission office service of the University Hospital Virgen del Rocío (HUVR) by standardizing and systematizing its procedures using Lean methodology. The results have allowed HUVR to achieve continuous improvement in the process, eliminating the elements that do not add value.
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Patient Outcomes Associated With Tailored Hospital Programs for Intellectual DisabilitiesPatients 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.
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False Activation of the Cardiac Catheterization Laboratory for Primary PCIBetween 2005 and 2011, rates of cardiac catheterization laboratory false activation doubled while mean door-to-balloon times for primary PCI declined.
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Population Targeting and Durability of Multimorbidity Collaborative Care ManagementBenefits of a patient-centered multimorbidity care management program occurred early, and were evident only among patients with depression and unfavorable medical control of diabetes and heart disease.
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Making Sense of Advanced Payment ModelsThe American Society of Clinical Oncology has developed the Patient-Centered Oncology Payment (PCOP) model with the hope that PCOP will be accepted by CMS as an advanced alternative payment model, and become available to medical oncologists as an alternative to the Merit-based Incentive Payment System.
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Utilization of HER2 Genetic Testing in a Multi-Institutional Observational StudyEvaluation of real-world implementation of HER2 testing showed that uptake was high (>90%) and trastuzumab treatment was targeted to patients with positive HER2 status.
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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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ED-Based Care Coordination Reduces Costs for Frequent ED UsersResults of our pilot randomized controlled intervention involving emergency department (ED)-based care coordination and community health workers demonstrated a trend toward fewer ED visits, fewer hospitalizations, and lower costs among intervention patients.
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Drug Plan Design Incentives Among Medicare Prescription Drug PlansMedicare-Advantage Prescription drug plans (MA-PDs) and standalone PDPs appear to respond to different incentives for plan design.
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Sharing Care in the ACO EraThe authors propose a framework considering patient complexity and certainty of diagnosis to triage encounters to the most appropriate provider in an accountable care organization.
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E-Consult Implementation: Lessons Learned Using Consolidated Framework for Implementation ResearchThis paper identified 4 factors associated with implementation success of e-consults in 8 VA medical centers, with implications for implementing similar health IT initiatives elsewhere.
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Comprehensive Health Management Pharmacist-Delivered Model: Impact on Healthcare Utilization and CostsPharmacist-provided comprehensive medication management led to a significant difference in emergency department visits and a cost savings of $2.10 to $2.60 for every $1.00 spent relative to a comparator group.
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Impact of Hypertension on Healthcare Costs Among ChildrenThis study demonstrates a major influence of prehypertension and hypertension on healthcare costs in a large cohort of children, independent of body mass index.
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The Value of Survival Gains in Myelodysplastic SyndromesThis study measured the value of survival gains attributable to the introduction of 3 novel therapies for myelodysplastic syndromes.
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Preventive Care for Chronically Ill Children in Medicaid Managed CareThe existence of chronic conditions did not adversely impact the ability of children in Medicaid managed care to access and utilize recommended preventive care services.
