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Frequency and Costs of Hospital Transfers for Ambulatory Care-Sensitive ConditionsThis article outlines the frequency of transfers of patients with ambulatory care-sensitive conditions from nursing homes to emergency departments or hospitals, and provides reliable estimates of associated costs.
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Compliance and Persistence With Concomitant Statin and Oral Antihyperglycemic TherapyIn patients with type 2 diabetes, compliance and persistence were generally low for both statin and antihyperglycemic therapy, but they were significantly lower with statin therapy.
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Electronic Consults for Improving Specialty Care Access for VeteransThe combination of electronic consultations and active triage of specialty care consults effectively reduces wait times for outpatient clinics.
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Cognitive Impairment and Reduced Early Readmissions in Congestive Heart Failure?Proactive identification of cognitive impairment and compensatory destigmatized patient/familial psychoeducation regarding “forgetfulness” in hospitalized patients with congestive heart failure may reduce readmission rates substantially.
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Assessing the Accuracy of Drug Profiles in an Electronic Medical Record System of a Washington State HospitalA medication reconciliation program is associated with a high rate of perfectly accurate drug profiles and may assist in reducing adverse drug events.
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Electronic Health Records and the Frequency of Diagnostic Test OrdersUsing the most recently available national data, physicians with electronic health record (EHR) access ordered more tests than their non-EHR counterparts, thus contradicting a common rationale for EHR implementation.
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Beyond Satisfaction Scores: Exploring Emotionally Adverse Patient ExperiencesThis study explores the causes of emotionally adverse patient experiences in cancer care and presents a taxonomy for analyzing free-text patient data.
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Quality Monitoring and Management in Commercial Health PlansThis survey of 252 HMOs found that almost all measure their performance on multiple indicators of quality and most use these data in quality improvement activities.
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Leveling the Field: Addressing Health Disparities Through Diabetes Disease ManagementA subanalysis of a successful algorithm-driven primary care–based diabetes disease management program examines the relationships among patient characteristics, labor inputs, and improvement in A1C level.
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Forgotten Patients: ACO Attribution Omits Those With Low Service Use and the DyingThis article compares clinical and utilization profiles of Medicare patients who are attributed to provider groups with those of patients unattributed to any provider group in accountable care organization models.
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Reaching Beyond the Exam Room: How Technology-backed Lifestyle Intervention Is Improving Health Outcomes for Diabetes and Hypertension ManagementAuthors from the digital health provider Noom offer an update of a successful employer-based initiative.
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Care Coordination Engagement Patterns in Long-Term PatientsCare coordination engagement increases over time in long-term high-cost, high-need patients, with no identifiable data-driven times for when to initiate patient care de-escalation.
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How Do Providers Prioritize Prevention? A Qualitative StudyPrimary care providers utilize many strategies for prioritizing preventive care during time-constrained clinical encounters, in addition to being prompted by clinical reminders.
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Treatment Barriers Among Younger and Older Socioeconomically Disadvantaged SmokersA conceptual framework was used to examine the influence of healthcare provider and psychosocial barriers on treatment utilization among younger and older socioeconomically disadvantaged smokers.
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Number of Paid Sick Days Correlates to Use of Preventive ServicesAmerican workers between the ages of 49 and 57 with at least 10 paid sick days had a significant increase in receiving preventive services, such as a flu shot, checking cholesterol and blood pressure, and a fasting blood sugar test for diabetes.
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Cost-effectiveness of Brentuximab Vedotin With Chemotherapy in Treatment of CD30-Expressing PTCLAn economic model based on the ECHELON-2 trial demonstrated cost-effectiveness of brentuximab vedotin with chemotherapy in frontline treatment of CD30-expressing peripheral T-cell lymphoma (PTCL).
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AJMC®tv Interviews, October 2017AJMC®TV interviews let you catch up on what’s new and important about changes in healthcare, with insights from key decision makers-from the clinician, to the health plan leader, to the regulator. When every minute in your day matters, AJMC®TV interviews keep you informed. Access the video clips at ajmc.com/interviews.
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An Examination of the Relationship Between Care Management With Coaching for Activation and Patient OutcomesA health plan—sponsored care management program that included a coaching for activation intervention was associated with reduced emergency department visits and hospital admissions, and better clinical outcomes.
