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March 2010
Cost-Effectiveness of Pneumococcal Polysaccharide Vaccine Among Healthcare Workers During an Influenza Pandemic
March 09, 2010
Article
FOCUS ON VACCINES
Pneumococcal polysaccharide vaccination of healthcare workers during an influenza pandemic is cost-effective from a societal perspective but not from a hospital perspective without external subsidy.
Adoption and Use of Stand-Alone Electronic Prescribing in a Health Plan-Sponsored Initiative
March 09, 2010
Article
MANAGERIAL
In a health plan–sponsored e-prescribing initiative, participating PCPs' mean e-prescribing rate was 1 prescription per 4 pharmacy claims, but some PCPs achieved high use.
An Intervention for VA Patients With Congestive Heart Failure
March 09, 2010
Article
CLINICAL
An intervention of variable intensity for congestive heart failure showed some improvements but no survival effect, suggesting a tradeoff between intervention cost and intensity and survival benefit.
Mail-Order Versus Local Pharmacies on Adherence: Study Methods Make for Unfair Comparison
March 09, 2010
Article
LETTERS TO THE EDITORS
Risk Adjustment for Medicare Beneficiaries With Alzheimer's Disease and Related Dementias
March 09, 2010
Article
POLICY
Incorporating functional status in diagnosis-based risk adjustment measures may modestly improve overall expenditure prediction for beneficiaries with substantial disabilities, but not prescription cost prediction.
Ratio of Controller to Total Asthma Medications: Determinants of the Measure
March 09, 2010
Article
CLINICAL
The ratio of controller to total asthma medications can be calculated using 1 or 2 quarters of data; high versus low ratios differentiate patient characteristics.
Health Plan Use of Immunization Information Systems for Quality Measurement
March 09, 2010
Article
FOCUS ON VACCINES
Health plans may benefit from using a state immunization information system as the primary data source for HEDIS and physician incentive and quality programs.
Improving Influenza Immunization in Pregnant Women and Healthcare Workers
March 09, 2010
Article
FOCUS ON VACCINES
Influenza vaccination rates in pregnant women and healthcare workers were increased with standing orders, vaccine advocates, and educational activities on influenza immunization.
Economics of Influenza Vaccine Administration Timing for Children
March 01, 2010
Article
WEB EXCLUSIVE
Vaccinating children earlier (ie, September or October) can provide net economic benefit to society and to third-party payers. Vaccination of children remained cost-effective through December.
Inpatient Rehabilitation Utilization for Acute Stroke Under a Universal Health Insurance System
March 01, 2010
Article
WEB EXCLUSIVE
Based on claims data from a universal health insurance system, inpatient stroke rehabilitation use was 34.0% and mainly related to stroke type and stroke severity.
Medical Care Costs Among Patients With Established Cardiovascular Disease
March 01, 2010
Article
WEB EXCLUSIVE
The economic burden of providing care to patients with cardiovascular disease, driven by secondary hospitalizations, may be substantially greater than current American Heart Association estimates.