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Effective Care Management by Next Generation Accountable Care OrganizationsA complex care management program implemented at 5 Next Generation accountable care organizations reduced all-cause inpatient admissions and total medical expenditures for participating beneficiaries.
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Patient Safety Intervention to Reduce Unnecessary Red Blood Cell UtilizationThis study evaluated the impact of a patient safety intervention and national guideline to reduce unnecessary red blood cell transfusions in a large, urban academic medical center.
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LIVESTRONG Fertility Training: Addressing the Needs of AYA Cancer SurvivorsA discussion on the challenges of implementing standards for addressing fertility risks associated with cancer and its treatment and describes an interactive training for healthcare providers to help them overcome challenges to implementation.
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Predicting Hospitalizations From Electronic Health Record DataThe authors aimed to develop a rigorous technique for predicting hospitalizations using data that are already available to most health systems.
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Oncology Practice Transformation Helps Deliver Patient-Centered Cancer Care in a Community Oncology PracticeOne possible way to reduce overall cost, improve patient experience, and improve outcomes in cancer care is to shift the focus of healthcare delivery away from volume and toward value. Patient-centered cancer care holds the promise of addressing these issues.
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Baseline and Postfusion Opioid Burden for Patients With Low Back PainPatients with low back pain have a high opioid burden, which increases following spinal fusion surgery; 27% of fusion patients filled opioid prescriptions at least 12 months post surgery.
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Cost-Effectiveness of Pneumococcal and Influenza Vaccination Standing Order ProgramsImproving influenza and pneumococcal vaccination rates through outpatient standing order programs, which allow vaccination without physician orders, is economically favorable in older Americans.
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Opt-In Consent Policies: Potential Barriers to Hospital Health Information ExchangeOpt-in patient consent requirements for health information exchange correlate with more reported regulatory barriers, especially among less technologically advanced hospitals.
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Annual Diabetic Eye Examinations in a Managed Care Medicaid PopulationWe assessed challenges and barriers to annual diabetic eye examinations for a managed care Medicaid population and make recommendations to improve population-level screening.
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Assessment and Potential Determinants of Compliance and Persistence to Antiosteoporosis Therapy in ItalyThis analysis of antiosteoporosis therapy shows that 75% of patients have inadequate drug coverage and that adherence is strongly associated with age and administration regimen.
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Switching from Multiple Daily Injections to CSII Pump Therapy: Insulin Expenditures in Type 2 DiabetesThe effect of switching from multiple daily insulin injections to an insulin pump on insulin and other diabetic drug expenditures in type 2 diabetes.
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Antiquated Tests Within the Clinical Pathology LaboratoryPhysicians and laboratorians must work to reduce use of antiquated clinical laboratory tests.
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An Intervention for VA Patients With Congestive Heart FailureAn intervention of variable intensity for congestive heart failure showed some improvements but no survival effect, suggesting a tradeoff between intervention cost and intensity and survival benefit.
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5-ASA to Sulfasalazine Drug Switch Program in Patients With Ulcerative ColitisA 5-aminosalicylic acid (5-ASA) drug switch program switching from 5-ASA to sulfasalazine was instituted for insured patients with ulcerative colitis. Unanticipated barriers limited the number of patients who switched, but significant cost savings were still obtained.
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Development of a Multidisciplinary, Multicampus Subspecialty Practice in Endocrine CancersThe development of subspecialty tumor groups for uncommon malignancies represents an effective approach to building experience, increasing patient volumes and referrals, and fostering development of increased therapeutic options and clinical trials for patients afflicted with otherwise historically neglected cancers.
