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Language Matters: Talking About Low-Value Healthcare With PatientsEnsuring that patients get high-value care is critical, but value can have different meanings to patients and providers. It is important to know what matters to patients and to use language that reflects those values.
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Agreement Between Patient-reported Symptoms and Their Documentation in the Medical RecordEffective use of electronic medical record technology requires examination of the communication approaches of both care providers and patients.
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Measures of ED Utilization in a National Cohort of ChildrenThrough analysis of multistate Medicaid data, this study identifies differences in 2 commonly used measures of emergency department (ED) utilization, ED visit count and ED reliance.
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Evaluation of Interdisciplinary Geriatric Transitions of Care on Readmission RatesAn interdisciplinary transitions of care service composed of nurse navigators, pharmacists, and medical providers reduced 30-day hospital readmissions among patients who received all components of the intervention.
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Improving HCV Cure Rates in HIV-Coinfected Patients - A Real-World PerspectiveThe authors examine real-world hepatitis C virus cure rates with direct-acting antivirals among patients coinfected with HIV.
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Catheter Management After Benign Transurethral Prostate Surgery: RAND/UCLA Appropriateness CriteriaThis manuscript synthesizes findings from a multidisciplinary panel following the RAND/UCLA Appropriateness Method to guide standardization of urinary catheter use after transurethral prostate surgery.
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Collaborative Care Before Accountable Care: Achieving Low-Cost, High-Quality Care Through a Regional Collaborative in FloridaAs accountable care organizations proliferate across the nation, delivery systems still struggle to balance quality improvement, cost containment, and migration toward accountable care. This paper describes the phased approach where the University of Florida Health Science Center and Shands Teaching Hospital and Clinics, Inc, and Orlando Health have jointly developed a series of clinical and health services that are of the highest quality and are offered at the lowest cost. The result is a regional collaborative that will be the foundation for a regional accountable care organization, first leveraging clinical core competencies, then moving to a more integrated model.
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Session 1: DiscussantAlbert Tzeel says providers must consider how aspects of the changing healthcare landscape may affect their performance.
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Removing Need for Switching Studies Could Change Payer Perspectives of BiosimilarsThe US could start catching up to Europe on biosimilars if the FDA removed the need for switching studies to be granted interchangeability.
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Older Adult Consumers' Attitudes and Preferences on Electronic Patient-Physician MessagingA randomized controlled trial was conducted 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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Annual Diabetic Eye Examinations in a Managed Care Medicaid PopulationWe assessed challenges and barriers to annual diabetic eye examinations for a managed care Medicaid population and make recommendations to improve population-level screening.
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Standardization Improves Postoperative Patient Handoff Experience for Junior CliniciansStandardization of operating room to intensive care handoff with a “time-out for sign-out” process for health care providers was beneficial for junior clinicians.
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Impact of Dementia on Costs of Modifiable Comorbid ConditionsAlzheimer disease and other dementias (ADOD) have a substantial impact on the prevalence and costs of certain comorbid conditions compared with matched beneficiaries without ADOD.
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CMS Practice Assessment Tool Validity for Alternative Payment ModelsUsing data from 632 primary care practices, the authors show that the CMS Practice Assessment Tool has adequate predictive validity for participation in alternative payment models.
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Health Insurance Literacy: Disparities by Race, Ethnicity, and Language PreferenceRacial/ethnic minorities are disproportionately at risk for adverse health and financial consequences due to lower health insurance literacy compared with white enrollees.
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A Deep Learning Model for Pediatric Patient Risk StratificationArtificial intelligence based on medical claims data outperforms traditional models in stratifying patient risk.
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The Association of Health Literacy Domains With Hospitalizations and MortalityDespite previous research evidence, this study did not reveal an overall association of health literacy, numeracy, and graph literacy with all-cause hospitalizations or mortality.
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Systolic Blood Pressure Control After Participation in a Hypertension Intervention StudySystolic blood pressure control was not maintained in a large proportion of patients after the end of participation in a hypertension intervention study.
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A Natural Experiment in Mass Media Modulated Pharmacokinetics After a Change in Tablet FormulationSporadic, unsubstantiated side effects were reported in the mass media after a formulation change of levothyroxine tablets induced patients to monitor thyroid-stimulating hormone levels and to unnecessarily stop taking medication.
