Authors
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Reasons for Emergency Department Use: Do Frequent Users Differ?Frequent emergency department (ED) users gave similar reasons for using the ED rather than a clinic compared to other patients, including concerns around convenience, access, and quality.
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Trends in Opioid and Nonsteroidal Anti-Inflammatory Use and Adverse EventsOpioid use incidence and prevalence rates decreased with implementation of an opioid safety initiative, whereas nonsteroidal anti-inflammatory drug rates remained constant. Rates of adverse events were higher among opioid users.
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Can a Virtual Coach Activate Patients? A Proof of Concept StudyThis study demonstrates patient acceptance of a virtual health coach while waiting for the physician to enter the primary care exam room.
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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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Costs of Venous Thromboembolism Associated With Hospitalization for Medical IllnessVenous thromboembolism during or after recent hospitalization for medical illness contributes a substantial economic burden to society across all hospital and ambulatory care delivered.
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Medical Homes and Cost and Utilization Among High-Risk PatientsA longitudinal case-control design was used to evaluate the effects of the patient-centered medical home model on medical costs and utilization among high-risk patients.
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Impact of a Scalable Care Transitions Program for Readmission AvoidanceThe 30-day readmission risk was reduced 25% by a collaborative program model employing discharge planning and telephonic follow-up for high-risk patients with CMS penalty diagnoses.
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Medical Homes Require More Than an EMR and Aligned IncentivesPrimary care teams implementing medical homes experience professional role confusion and interpersonal conflict, and require effective administrative leadership to ensure success during this transition.
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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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Changing Electronic Formats Is Associated With Changes in Number of Laboratory Tests OrderedA slight decrease in the convenience of ordering a laboratory test led to a dramatic decrease in test utilization.
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Low-Value Services in Value-Based Insurance DesignBuilding negative incentives into value-based insurance design programs to discourage use of low-value care will involve a number of challenges.
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Risk Adjustment for Medicare Beneficiaries With Alzheimer's Disease and Related DementiasIncorporating functional status in diagnosis-based risk adjustment measures may modestly improve overall expenditure prediction for beneficiaries with substantial disabilities, but not prescription cost prediction.
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Depression Self-Management Assistance Using Automated Telephonic Assessments and Social SupportAutomated patient support calls with feedback to informal caregivers and clinicians represent a viable strategy for increasing access to depression monitoring and self-management assistance.
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Primary Care Physician Practice Styles and Quality, Cost, and ProductivityPrimary care physicians who address multiple problems during acute care visits achieve better clinical scores, comparable patient experience, and lower annual cost.
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Evaluation of a Hospital-in-Home Program Implemented Among VeteransThe Hospital-in-Home program implemented at the Veterans Affairs Pacific Islands Health Care System in Honolulu, Hawaii, is associated with reduced costs with no compromise in quality.
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Hospital Cancer Pain Management by Electronic Health Record–Based Automatic ScreeningA cancer pain control program for inpatients based on electronic health record–based automatic screening provided effective pain relief and achieved high satisfaction among patients and physicians.
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Drivers of Excess Costs of Opioid Abuse Among a Commercially Insured PopulationThe healthcare burden of opioid abuse is substantial; abusers often have complex healthcare needs and may require care beyond that which is required to treat abuse.
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The Skills of the Ambulatory Intensivist: A ReviewThe ambulatory intensivist model makes achieving the Triple Aim a reality through improved physician interpersonal, analytic, intuitive, and advanced clinical skills, including the use of telemedicine.
