Authors
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Putting the Pieces Together: EHR Communication and Diabetes Patient OutcomesMore frequent electronic health record (EHR) message forwarding in primary care teams is associated with worse outcomes and higher medical costs for patients with diabetes.
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Payer's Role in Care: Gatekeeper or Change Agent?The panel discussion for Session 3, "The Role of Health Plans and Payers in Patient Care," discussed the role of payers in revolutionizing the system to make it patient-centric.
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A Systematic Review of Measurement Properties of Instruments Assessing PresenteeismA systematic review of presenteeism instruments found that most have been validated to some extent, but evidence for criterion validity is virtually absent.
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Impact of Predictive Model-Directed End-of-Life Counseling for Medicare BeneficiariesA telephonic counseling program, directed by a predictive model, reduced end-of-life costs by 4.5% within 2 Medicare Health Support pilot programs.
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Do Patient or Provider Characteristics Impact Management of Diabetes?Many more patient than provider characteristics are associated with optimal or poor glycemic control and treatment intensification when glycemic control is initially lost.
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Adherence, Persistence, and Switching Patterns of Dabigatran EtexilateWe present a descriptive analysis utilizing pharmacy claims from a managed care population to quantify adherence, persistence, and switching patterns for patients initiating dabigatran.
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Effect of Insurance Status on the Stage of Breast and Colorectal Cancers in a Safety-Net HospitalIn a safety-net hospital, patients with Medicaid have rates of advanced-stage cancer similar to those patients with other types of insurance; however, patients with no insurance have significantly higher rates of advanced disease.
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Testing of a Tethered Personal Health Record Framework for Early End-of-Life DiscussionsPilot testing demonstrates the use of a novel, personal health record—based framework used in primary care settings may improve presence and quality of advance care planning documentation in the electronic health record.
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Identifying Patients With Osteoporosis or at Risk for Osteoporotic FracturesIdentifying patients with osteoporosis or low bone mineral density and high risk for osteoporotic fractures is possible in administrative data using osteoporosis diagnoses and fracture risk profile.
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Impact of a National Specialty E-Consultation Implementation Project on AccessE-consult implementation grew from 12 to 122 VHA sites with multiple specialties. The adjusted e-consult rate of 1.93/100 consults saved significant patient travel miles and costs.
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Expert Panel: Access to Multiple Treatment Options Is Needed to Continue the Fight Against HIVA multidisciplinary panel of HIV experts gathered in October 2016 to discuss the current state of HIV care and develop critical recommendations for Pharmacy and Therapeutics (P&T) committee members to consider when developing policies affecting their member populations who are living with HIV. This paper presents the panel’s discussion, consensus opinion, and conclusions.
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Comprehensive Medication Management Services: Benefits for Seniors With DiabetesAuthors from the University of Minnesota College of Pharmacy highlight the role that pharmacists can play in care optimization for seniors with chronic conditions.
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PI3K Inhibitors Face Challenges in Hematologic MalignanciesThe PI3K cell-signaling network has been an important therapeutic target in oncology research for nearly 40 years ago, but the use of PI3K inhibitors in hematologic malignancies has come under scrutiny amid concerns about efficacy and safety.
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Enhanced Care Coordination Improves HIV Viral Load Suppression RatesEnhanced care coordination in New York City that leveraged surveillance data with a health plan’s Medicaid managed care roster improved its HIV viral load suppression rate.
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Impact of Workplace Health Services on Adherence to Chronic MedicationsPatients who used workplace primary care and pharmacy services had higher adherence rates to medications for their chronic conditions than community-treated patients.
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Connecting Statewide Health Information Technology Strategy to Payment ReformWhen aggregated data regarding health outcomes are shared, a clearer picture emerges of provider performance baselines and improvements with which payment models can be developed.
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Patient-Centered Medical Home Features and Expenditures by Medicare BeneficiariesAnalysis of the impact of individual features of the patient-centered medical home care model on future healthcare expenditures among Medicare beneficiaries.
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Assessment and Potential Determinants of Compliance and Persistence to Antiosteoporosis Therapy in ItalyThis analysis of antiosteoporosis therapy shows that 75% of patients have inadequate drug coverage and that adherence is strongly associated with age and administration regimen.
