Authors
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Patient Experience During a Large Primary Care Practice Transformation InitiativeFour years of practice transformation toward comprehensive primary care had little effect on patient experience.
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The Development of Diabetes Complications in GP-Centered HealthcareThis study compared general practitioner–centered healthcare (Hausarztzentrierte Versorgung [HZV]) with non-HZV healthcare in Germany regarding the development of diabetes complications. HZV is associated with reduced risk of diabetes complications.
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Impact of a Managed Controlled-Opioid Prescription Monitoring Program on Care CoordinationManaged care organizations have the opportunity to identify potential opioid misuse and implement care coordination interventions, which can enhance safety and streamline patient pain management.
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Impact of Atypical Antipsychotic Use Among Adolescents With Attention-Deficit/Hyperactivity DisorderA retrospective study of the treatment patterns and economic outcomes associated with off-label atypical antipsychotic use in the treatment of adolescents with attention-deficit/hyperactivity disorder.
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HITECH Spurs EHR Vendor Competition and Innovation, Resulting in Increased AdoptionThis is the first empirical evidence to demonstrate increased competition and innovation in the EHR industry as a result of the HITECH program.
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Tobacco Control in Accountable Care: Working Toward Optimal PerformanceAccountable care organizations are well positioned to leverage a significant impact on tobacco control. A review of the changing landscape of tobacco use can help optimize performance.
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Can Managed Care Plans Reliably Infer the Quality of Cardiac Surgeons' Outcomes?Florida managed care plans observe insufficient outcomes by contracted cardiac surgeons to reliably distinguish quality. Pooling data across insurers or using society data may help.
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Visit Duration for Outpatient Physician Office Visits Among Patients With CancerHigher use of performance-based payment mechanisms and capitated arrangements is associated with a decrease in the amount of time physicians spend with patients with cancer.
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Medicare Advantage–Pharmacy Partnership Improves Influenza and Pneumococcal Vaccination RatesPatients whose pharmacy receives notification of their immunization gap have twice the odds of receiving immunizations compared with those whose pharmacy does not receive the notification.
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Predicting Nursing Home Placement Among Home- and Community-Based Services Program ParticipantsThe authors developed a model to identify participants in a home- and community-based services program who are at highest risk for long-term nursing home placement.
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Improving Quality Measure Maintenance: Navigating the Complexities of Evolving EvidenceAn exploration of potential negative effects from delays in measure maintenance when changes in clinical evidence affect measure use found that delays may affect patient care and outcomes.
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Predictors of Physician Use of Inpatient Electronic Health RecordsHospital and physician-hospital alignment, but not loyalty, are predictors of integrated electronic health record adoption by admitting physicians in an integrated system.
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Evaluation of the Quality Blue Primary Care Program on Health OutcomesImplementation of the Quality Blue Primary Care program in Louisiana was associated with a shift in primary care delivery and reductions in overall cost.
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Change in Claims-Based Diabetes Medications Is a Diabetes Improvement IndicatorWithout clinical information, a decrease in use of medications can serve as a proxy for clinical improvement.
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Postdischarge Telephone Calls by Hospitalists as a Transitional Care StrategyTreating hospitalists effectively identify and efficiently address early postdischarge problems through a single, brief telephone encounter.
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Physician Financial Incentives and Care for the Underserved in the United StatesFinancial incentives alter the quality and quantity of care that physicians provide. Understanding physicians' recent experience with incentives may help shape current payment reform efforts.
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Predialysis Nephrology Care Among Older Veterans Using Department of Veterans Affairs or Medicare-Covered ServicesMany older veterans do not receive appropriate nephrology care before beginning dialysis. Dual use of Veterans Affairs and Medicare-covered services was associated with better patterns of care.
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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.
