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Impact of After-Hours Telemedicine on Hospitalizations in a Skilled Nursing FacilityA case study highlighting clinical and financial outcomes of an after-hours on-demand telemedicine intervention in a skilled nursing facility.
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Case Study: How Does an ACO Generate Savings Three Years in a Row?Increasing accountable care organization savings is dependent on maximizing quality scores and increasing the number of beneficiaries while maintaining a low per-capita spend through efficiencies of care.
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Medication Adherence for 90-Day Quantities of Medication Dispensed Through Retail and Mail Order PharmaciesPatients' adherence to maintenance medications at retail pharmacy is slightly higher than those at mail order, presenting opportunities for pharmacists to provide quality care.
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Opportunities to Improve the Value of Outpatient Surgical CareOutpatient surgeries in the United States account for roughly 7% of annual healthcare expenditures. To exploit substantial opportunities to improve the value of outpatient surgical care, the authors composed an evidence-based care delivery composite for national discussion and pilot testing.
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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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Face Time Versus Test Ordering: Is There a Trade-off?Real-time location systems can capture face time and trade-offs between face time and diagnostic testing so that clinicians' responses to time pressures can be measured.
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A Dementia Care Management Intervention: Which Components Improve Quality?Specifically trained care managers are essential for quality gains from a dementia care management program; even higher quality accrues with coordination across community and primary care.
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Relationship Between Short-Acting β-Adrenergic Agonist Use and Healthcare CostsOveruse of rescue medication among asthma patients is associated with increased exacerbations and higher total and asthma-related healthcare costs.
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E-Consult Implementation: Lessons Learned Using Consolidated Framework for Implementation ResearchThis paper identified 4 factors associated with implementation success of e-consults in 8 VA medical centers, with implications for implementing similar health IT initiatives elsewhere.
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Health Insurance and Racial Disparities in Pulmonary Hypertension OutcomesIn a multicenter cohort of patients with newly diagnosed pulmonary hypertension, increased risk for mortality among African Americans was no longer observed after adjusting for insurance status.
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Understanding the Financial Return to Investments in the Social Determinants of HealthThe policy community should consider these concrete suggestions to address the challenges presented by social determinants of health.
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Computerized Alert Reduced D-Dimer Testing in the ElderlyA targeted computerized alert at the time of physician order entry reduced the use of D-dimer testing among patients 65 years and older.
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Development of a Medicare Plan Dashboard to Promote Health EquityHealth plans use data to decide on quality improvement initiatives. Having a dashboard that characterizes how equitably plans are serving their enrollees would promote health equity.
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Subacute Lack of Asthma Control as a Predictor of Subsequent Acute Asthma Exacerbation in a Managed Care PopulationSubacute lack of asthma control (SALAC) predicts subsequent asthma exacerbation and may improve health plan members’ asthma control and healthcare utilization associated with asthma exacerbation.
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Managing Inappropriate Requests of Laboratory Tests: From Detection to MonitoringThis study shows automatic, practical, simple, and effective strategies designed in the laboratory, in consensus with requesting clinicians, to improve laboratory test appropriateness.
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Early Experiences With the Acute Community Care Program in Eastern MassachusettsThe Acute Community Care Program uses paramedics to provide in-home urgent care after regular business hours, aiming to prevent unnecessary emergency department visits. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.
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Comprehensive Health Management Pharmacist-Delivered Model: Impact on Healthcare Utilization and CostsPharmacist-provided comprehensive medication management led to a significant difference in emergency department visits and a cost savings of $2.10 to $2.60 for every $1.00 spent relative to a comparator group.
