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Accountable Care: We Have Made Progress but Need to Keep Moving the Agenda ForwardWe are in the midst of exchange implementation-the centerpiece of the affordable care act-and it seems a good time to take stock of where we are and need to go. The ACA has validated and spurred on existing efforts. We are making progress on many fronts but fundamental changes are still needed to deliver on the promise of better value.
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Does Telephone Scheduling Assistance Increase Mammography Screening Adherence?The authors describe a quality improvement intervention that focuses on directly scheduling mammogram appointments for women who lack adherence despite written outreach letters.
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Telemonitoring With Case Management for Seniors With Heart FailureAn Internet-based telehealth intervention for elderly heart failure patients found no discernible incremental impact on morbidity or mortality compared with case management alone.
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Medication Adherence and Readmission After Myocardial Infarction in the Medicare PopulationBetter outpatient medication adherence reduces the likelihood of readmission after a recent myocardial infarction.
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Guideline Concordance of New Statin Prescriptions: Who Got a Statin?New statin prescriptions at the Veterans Health Administration were reviewed using a cross-sectional study design. Statins were frequently prescribed outside of guideline recommendations.
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Compliance and Persistence With Concomitant Statin and Oral Antihyperglycemic TherapyIn patients with type 2 diabetes, compliance and persistence were generally low for both statin and antihyperglycemic therapy, but they were significantly lower with statin therapy.
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Magnitude and Economic Effect of Overuse of Antisecretory Therapy in the Ambulatory Care SettingProton pump inhibitors are often overused without documented valid indications. Their inappropriate use is associated with substantial cost expenditure and the potential for adverse events.
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Tools to Improve Referrals From Primary Care to Specialty CareData from a national survey of Veterans Health Administration specialists indicate that referral templates may improve the appropriateness, clarity, and completeness of primary care–specialty care referrals.
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Economic Benefits of BIS-Aided Assessment of Post-BC Lymphedema in the United StatesUse of bioimpedance spectroscopy to aid in post“breast cancer assessments for lymphedema can be cost saving for healthcare organizations in the United States.
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Evaluation of Human Immunodeficiency Virus and Hepatitis C Telemedicine ClinicsIn an integrated health system, human immunodeficiency virus and hepatitis C telemedicine clinics are associated with improved access, high patient satisfaction, and reduction in health visit“related time.
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Analysis of Venous Thromboprophylaxis Duration and Outcomes in Orthopedic PatientsExtended-duration thromboprophylaxis (>14 days) for total hip replacement/total knee replacement was associated with significantly lower risk for thromboembolic and bleeding events than short-duration thromboprophylaxis.
