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Outpatient Parenteral Antimicrobial Therapy at Large Veterans Administration Medical CenterOutpatient parenteral antimicrobial therapy was successfully delivered in our facility despite significant comorbidity and geographic limitations.
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Effects of Documentation-Based Decision Support on Chronic Disease ManagementA trial of electronic note–based decision support showed small effects on management of patients with heart disease and diabetes, mostly because it was infrequently used.
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Hepatitis C Care Cascade Among Persons Born 1945-1965: 3 Medical CentersIn this analysis of patients with newly diagnosed hepatitis C, linkage to care was largely successful in the 1945-1965 birth cohort, but treatment initiation remained low. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.
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Impact of Weekly Feedback on Test Ordering PatternsProviding a weekly feedback report significantly influences the test ordering behavior of internal medicine residents and reduces laboratory overutilization.
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A Kidney Diagnostic’s Impact on Physician Decision-making in Diabetic Kidney DiseaseThe KidneyIntelX test would affect primary care physician (PCP) decision-making, and PCPs would use the results of KidneyIntelX more than albuminuria and estimated glomerular filtration rate when making decisions about diabetic kidney disease management.
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Testimonials Do Not Convert Patients From Brand to Generic MedicationWe conducted a randomized controlled trial to assess whether adding a peer testimonial to a mailing increases conversion rates from brand name prescription medications to lower-cost equivalents.
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The Impact of Hospitalists on Length of Stay and Costs: Systematic Review and Meta-AnalysisIn this systematic review and meta-analysis, we found that hospitalists reduce hospital length of stay without increasing costs.
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Provider Organization Performance Assessment Utilizing Diabetes Physician Recognition ProgramRetrospective chart review to assess the impact of the Diabetes Physician Recognition Program showed that most patients achieved control levels recommended by national treatment guidelines.
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The Best of Reform: Postacute Care BundlingBundled payments are a step in the right direction when it comes to moving away from a fee-for-service payment structure. They have been proved to cut costs, and providers are responding by producing significantly better outcomes. naviHealth, a postacute care benefit manager, will test one bundled payment model using 11 hospitals in 5 states.
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Development of a Medicare Plan Dashboard to Promote Health EquityHealth plans use data to decide on quality improvement initiatives. Having a dashboard that characterizes how equitably plans are serving their enrollees would promote health equity.
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Generic Initiation and Antidepressant Therapy Adherence Under Medicare Part DThis study shows that generic initiation improves adherence to antidepressant therapy among Medicare patients and mitigates the negative effects of the Part D coverage gap.
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Stimulating Comprehensive Medication Reviews Among Medicare Part D BeneficiariesThis article describes a study of an intervention to engage Medicare Part D beneficiaries in obtaining a comprehensive medication review.
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Enhancing Patient and Family Engagement Through Meaningful Use Stage 3: Opportunities and Barriers to ImplementationTwo leading US health systems attempted to implement 4 draft objectives for Meaningful Use Stage 3 within their health IT infrastructure to provide feedback on needed enhancements to the policy.
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Medicaid-Insured and Uninsured Were More Likely to Have Diabetes Emergency/Urgent AdmissionsMedicaid-insured type 2 diabetes mellitus patients, just like the uninsured, are more likely to be hospitalized through emergency/urgent admissions.
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Treating Medicaid Patients With Hepatitis C: Clinical and Economic ImpactHepatitis C virus treatment is often restricted in Medicaid patients. This analysis evaluates the clinical and cost impacts of treating all Medicaid patients versus the current status quo.
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Inpatient Opioid Receipt and Care Experiences for Vaginal DeliveryThe objective of this study was to examine the relationship between inpatient opioid receipt and care experiences of women hospitalized for vaginal delivery.
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Trust in Provider Care Teams and Health Information Technology–Mediated CommunicationRapidly advancing health information technologies are changing the nature of team-based care; there is a critical need to examine how trust functions in contemporary team-based care.
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Claims-Based Risk Model for First Severe COPD ExacerbationA health insurance claims-based risk assessment tool to predict patients’ first severe chronic obstructive pulmonary disease exacerbation has been developed and validated.
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Influence of Patient Preferences on the Cost-Effectiveness of Screening for Lynch SyndromeThis cost-utility analysis reports on the effect of quality of life on the value of screening all new patients with colorectal cancer for Lynch Syndrome.
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Personalized Preventive Care Reduces Healthcare Expenditures Among Medicare Advantage BeneficiariesThis study investigated the impact of an enhanced preventive care delivery system on healthcare expenditure and utilization trends among Medicare Advantage beneficiaries.
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VA Geriatric Scholars Program’s Impact on Prescribing Potentially Inappropriate MedicationsPrimary care teams reduced their prescribing of potentially inappropriate medications to older veterans after participation in the Veterans Affairs (VA) Geriatric Scholars Program.
