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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.
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Closing the Personalized Medicine Information Gap: HER2 Test Documentation PracticeDespite universal access to HER2 testing in Ontario, variability in reporting by region and disease severity presents challenges for program evaluation and quality improvement initiatives.
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Financial Burden of Healthcare Utilization in Consumer-Directed Health PlansEnrollment in a consumer-directed health plan increases the financial burden associated with healthcare utilization, especially for those with lower incomes and with chronic conditions.
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Producing Comparable Cost and Quality Results From All-Payer Claims DatabasesThis paper describes a replicable process for standardizing disparate databases and methods to calculate cost and quality measures within and across states.
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Equalize Payment Across Site of ServiceFor many US community cancer centers, keeping the doors open has often meant making the difficult decision to consolidate with hospitals and large hospital systems. Site neutrality is a critical step in the journey toward better healthcare for all Americans and a healthy future for Medicare.
