Authors
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Thromboembolism Prophylaxis in Medical Inpatients: Effect on Outcomes and CostsVTE prophylaxis is underutilized in medical patients in US hospitals, but the occurrence of VTE has a major clinical and economic impact.
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How Health Plans Promote Health IT to Improve Behavioral Health CareCommercial health plans promote the use of health IT to support behavioral health care access and delivery.
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The Effect of Implementing a Care Coordination Program on Team Dynamics and the Patient ExperienceA primary care redesign program embedding care coordinators into practices slightly improves the patient experience and does not disrupt team dynamics.
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TSI Assay Utilization: Impact on Costs of Graves' Hyperthyroidism DiagnosisAn evidence-based managed care budget impact model shows that incorporating TSI testing into existing Graves%u2019 disease hyperthyroidism diagnostic algorithms reduces costs and shortens time to diagnosis.
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Increasing Integration of Behavioral Health Care in ACOsMany accountable care organizations are beginning to adopt various programs or strategies into their framework to increase patient access to behavioral health care, but several challenges remain.
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The Association Between Insurance Type and Cost-Related Delay in Care: A SurveyIn a survey of patients and visitors to a large academic medical center, middle-income respondents with private insurance reported more cost-related delays in care than those with public insurance.
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When Quality Fails Patients: Finding the Best in Diabetes CareAuthors from the Mayo Clinic discuss situational goals in diabetes care, because quality targets enforced too strictly may harm patients who are working hard to manage their disease.
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Physician and Patient Tools to Improve Chronic Kidney Disease CareDecision support tools, disease registries, and patient engagement materials can improve population-based chronic kidney disease care.
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Mortality Following Hip Fracture in Chinese, Japanese, and Filipina WomenOne-year mortality following hip fracture in Asian American women is comparable among Chinese, Japanese, and Filipina women, comprising nearly three-fourths of the Asian population examined.
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Are Value-Based Incentives Driving Behavior Change to Improve Value?Value-based payment is promoting care delivery transformation among California physician organizations, although the initial focus has been on controlling hospital costs and redesigning primary care.
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High Cost Sharing and Specialty Drug Initiation Under Medicare Part D: A Case Study in Patients With Newly Diagnosed Chronic Myeloid LeukemiaA Medicare claims analysis of patients newly diagnosed with chronic myeloid leukemia revealed that high cost sharing was associated with reduced and/or delayed tyrosine kinase inhibitor initiation under Part D.
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Relationship Between Patient Satisfaction With Inpatient Care and Hospital Readmission Within 30 DaysHigher overall patient satisfaction with inpatient care and discharge planning is associated with lower 30-day readmission rates after adjusting for clinical quality.
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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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Beyond Regulatory Requirements: Designing ACO Websites to Enhance Stakeholder EngagementThe authors describe best practices for Web design in the accountable care organization space in order to enhance engagement with patients and providers.
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Understanding the Social Risk Factor Adjustment’s Effect on Star RatingsThis article examines how CMS’ adjustment for social risk factors affects the Medicare Advantage Star Ratings and the type of contracts affected by the adjustment.
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Computed Tomography Scan Use Variation: Patient, Hospital, and Geographic FactorsWe observed small-area variation in computed tomography scan use for inpatients in New York State, even after controlling for relevant patient and hospital characteristics.
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Using Electronic Prescribing Transaction Data to Estimate Electronic Health Record AdoptionTransactional data from the Surescripts electronic prescribing network may be used to track electronic health record adoption efficiently and with regional granularity.
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Inappropriate Antibiotic Prescribing in Managed Care Subjects With InfluenzaRetrospective analysis of the US Impact National Benchmark Database indicated that 80% of antibiotics prescribed in subjects with influenza were inappropriate.
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Development and Pilot Testing of Guidelines to Monitor High-Risk Medications in the Ambulatory SettingPilot testing of guidelines for the laboratory monitoring of high-risk medications shows that monitoring is highly variable and that there is room for improvement.
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Creating Clarity: Distinguishing Between Community and Population HealthThis paper aims to bring clarity to the conceptual confusion between community and population health, which currently impacts progress in both research and clinical practice.
