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The Oncology Medical Home - Beyond Clinical PathwaysClinical pathways have been emphasized as a means to deliver efficient, quality care and to ensure better outcomes at lower costs. The Oncology Medical Home takes this to the next, more comprehensive, step of quantifying and improving quality and value in cancer care while lowering overall costs.
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Patients Who Self-Monitor Blood Glucose and Their Unused Testing ResultsThis article identifies patient-, provider-, and system-level factors associated with the problem of self-monitoring blood glucose without use of the results.
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Assessment of Structured Data Elements for Social Risk FactorsAn expert panel identified and assessed electronic health record and health information exchange structured data elements to support future development of social risk factor computable phenotyping.
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Case Study: Encouraging Patients to Schedule Annual PhysicalsPalm Beach Accountable Care Organization’s outreach to “dropped patients” demonstrates potential for strengthening physician–patient relationships and lowering the cost of care.
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Long-Term Outcomes of Analogue Insulin Compared With NPH for Patients With Type 2 Diabetes MellitusThere were no significant differences in the risk of ambulatory care—sensitive condition hospitalization or mortality between patients who initiated analogue insulin compared with the neutral protamine Hagedorn.
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"No-Shows": Who Fails to Follow Up With Initial Behavioral Health Treatment?Patients who obtained authorization but did not get initial mental health treatment needed treatment as much as or more than patients who presented for care.
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Cost Implications of Human and Automated Follow-up in Ambulatory CareThis study examined the costs of nurse-initiated or automated follow-up processes for patients seen in ambulatory care settings
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Contemporary Use of Dual Antiplatelet Therapy for Preventing Cardiovascular EventsUse of dual antiplatelet therapy was modest for patients with existing cardiovascular disease for whom subgroup analysis from a landmark clinical trial suggested benefit in preventing cardiovascular events, and low for patients with multiple risk factors without established cardiovascular disease, for whom increased cardiovascular events were suggested.
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Closing the Personalized Medicine Information Gap: HER2 Test Documentation PracticeDespite universal access to HER2 testing in Ontario, variability in reporting by region and disease severity presents challenges for program evaluation and quality improvement initiatives.
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Making Sense of Advanced Payment ModelsThe American Society of Clinical Oncology has developed the Patient-Centered Oncology Payment (PCOP) model with the hope that PCOP will be accepted by CMS as an advanced alternative payment model, and become available to medical oncologists as an alternative to the Merit-based Incentive Payment System.
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Managing Specialty Care in an Era of Heightened Accountability: Emphasizing Quality and Accelerating SavingsThe authors report on a conceptual "specialty ACO" design in cardiology in which cardiology-specific historic spending targets are created to capture cardiovascular disease—related reimbursement and a quality measurement system is introduced.
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Care Coordination to Increase Referrals to Smoking Cessation Telephone Counseling: A Demonstration ProjectAn intervention to increase tobacco treatment rates through care coordination for telephone counseling was effective in raising referral rates and in achieving excellent long-term abstinence.
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Removing a Constraint on Hospital Utilization: A Natural Experiment in MarylandIn 2001, Maryland began to reimburse hospitals for excess volume at full case rates. The authors investigated the impact on hospital utilization and finances.
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Modes of Delivery for Interventions to Improve Cardiovascular Medication AdherenceIn this review of randomized controlled trials designed to improve adherence to cardiovascular medications, electronic interventions and in-person, pharmacy-based interventions showed the highest success rates.
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Enhanced Risk Prediction Model for Emergency Department Use and Hospitalizations in Patients in a Primary Care Medical HomeAn enhanced risk model incorporating medication use, prior healthcare utilization, and mental health with comorbid health conditions predicts healthcare utilization better than health conditions alone.
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Maternal Mental Health and Infant Mortality for Healthy-Weight InfantsTo address infant mortality, focusing only on babies who were born prematurely or with a low birth weight will be missing an attention-worthy segment of the population.
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Functional Status and Readmissions in Unilateral Hip FracturesFunctional status is an important predictor of an acute care readmission in patients who have had a unilateral hip fracture.
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Scheduled and Unscheduled Hospital Readmissions Among Patients With DiabetesThis population-based study examines socioeconomic and clinical factors associated with scheduled and unscheduled readmissions after discharge among older patients with diabetes.
