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Population Health Management

Sanne J Magnan, David A Kindig
No abstract text is available yet for this article.
May 18, 2018: Population Health Management
R Scott Braithwaite
No abstract text is available yet for this article.
May 14, 2018: Population Health Management
Lori T Armistead, Stefanie P Ferreri
No abstract text is available yet for this article.
May 14, 2018: Population Health Management
Susie Bergeron, Hilary Flint, Zeynep Hansen
Concussion, or mild traumatic brain injury, especially among young children, teenagers, and young adults, is a significant problem in Ada County, Idaho, and the United States. Although much has been learned about concussion, considerable controversy and gaps in knowledge still exist in many areas of research, leading to variation in concussion assessment, treatment, and management protocols. Health systems can positively impact concussion outcomes through community education and outreach, and provision of timely, coordinated, evidence-based clinical care...
May 14, 2018: Population Health Management
Jie Chen, Priscilla Novak, Howard Goldman
The objective was to estimate the association between health care expenditures and implementation of preventive mental health programs by local health departments (LHDs). Multilevel nationally representative data sets were linked to test the hypothesis that LHDs' provision of preventive mental health programs was associated with cost savings. A generalized linear model with log link and gamma distribution and state-fixed effects was used to estimate the association between LHDs' mental illness prevention services and total health care expenditures per person per year for adults aged 18 years and older...
April 23, 2018: Population Health Management
Zachary Pruitt, Nnadozie Emechebe, Troy Quast, Pamme Taylor, Kristopher Bryant
Recent health system innovations provide encouraging evidence that greater coordination of medical and social services can improve health outcomes and reduce health care expenditures. This study evaluated the savings associated with a managed care organization's call center-based social service referral program that aimed to assist participants address their social needs, such as homelessness, transportation barriers, and food insecurity. The program evaluation linked social service referral data with health care claims to analyze expenditures in 2 annual periods, before and after the first social service referral...
April 17, 2018: Population Health Management
Emily Leubner
No abstract text is available yet for this article.
April 17, 2018: Population Health Management
Valerie A Yeager, Mary Kristina Wharton, Alisha Monnette, Eboni G Price-Haywood, Elizabeth Nauman, Rebekah S M Angove, Lizheng Shi
Diabetes and its comorbidities are leading causes of morbidity and mortality in the United States and disproportionately in Louisiana. Chronic care management (CCM) efforts, such as care coordination models, are important initiatives in mitigating the impact of diabetes, such as poorer health outcomes and increased costs. This study examined one such effort, the Centers for Medicare & Medicaid Services' non-face-to-face CCM reimbursement program, for patients with diabetes and at least 1 other chronic condition in Louisiana...
April 16, 2018: Population Health Management
Pravin S Kamble, Jenna Collins, Raymond A Harvey, Todd Prewitt, Ed Kimball, Tony Deluzio, Elsie Allen, Jonathan R Bouchard
The objective was to identify individuals with undiagnosed prediabetes from administrative data using adaptive techniques. The data source was a national Medicare Advantage Prescription Drug (MAPD) plan administrative data set. A retrospective, cross-sectional study developed and evaluated data adaptive logistic regression, decision tree, neural network, and ensemble predictive models for metabolic syndrome and prediabetes using 3 mutually exclusive cohorts (N = 279,903). The misclassification rate (MCR), average squared error (ASE), c-statistics, sensitivity (SN), and false positive (FP) rates were compared to select the final predictive models...
April 12, 2018: Population Health Management
Peter Roberts, Cynthia Deculus, Lawrence Garber, Antti Iivanainen, Torben Stentoft, Krischa Winright
No abstract text is available yet for this article.
April 5, 2018: Population Health Management
Laura D Sander, Michael Albert, Nkem Okeke, Steven Kravet, Katherine Rediger, Sarah Johnson Conway, Maura J McGuire
Five percent of Medicaid patients account for 50% of total costs. Preventable costs are often incurred by patients with complex medical, behavioral, and social needs who disproportionately utilize acute care services. Evidence for design, implementation, and evaluation of complex care programs in the urban Medicaid population is lacking. The article provides a description of a complex care program (CCP), challenges, and early outcomes based on a pre-post evaluation. The CCP was located within an existing urban medical home...
April 5, 2018: Population Health Management
Ana Palacio, David Seo, Heidy Medina, Vivek Singh, Maritza Suarez, Leonardo Tamariz
Social determinants of health (SDH) impact health outcomes. Medical centers have begun to collect SDH data, urged by government and scientific entities. Provider perspectives on collecting SDH are unknown. The aim is to understand differences in views and preferences according to provider characteristics. A cross-sectional survey of University of Miami clinical faculty was conducted in late 2016. The survey contained 11 questions: 8 demographic and departmental responsibilities questions and 3 Likert scale questions to capture collection and use of SDH perspectives...
March 29, 2018: Population Health Management
Laurel A Copeland, John E Zeber, Lorie V Thibodeaux, Raphael T McIntyre, Eileen M Stock, Angela K Hochhalter
Health literacy may represent a target for intervention to improve hospital transitions. This study analyzed the association of health literacy with postdischarge utilization among Medicaid patients treated in an integrated health care system. Discharged inpatients covered by Medicaid (N = 112) participated in this observational study set in a single 600-bed hospital in a private, nonprofit, integrated health care system in the southwestern United States. Participants completed surveys within 15 days of discharge, self-reporting demographics, self-care behaviors, and 2 measures of health literacy (REALM-SF [Short Form of the Rapid Estimate of Adult Literacy in Medicine] and Chew [health literacy screen from Chew et al])...
March 29, 2018: Population Health Management
Tzeyu L Michaud, Mohammad Siahpush, Robert J Schwab, Leslie A Eiland, Mary DeVany, Geri Hansen, Tammy S Slachetka, Eugene Boilesen, Hyo Jung Tak, Fernando A Wilson, Hongmei Wang, José A Pagán, Dejun Su
The objective of this study was to evaluate changes in clinical outcomes for patients with type 2 diabetes (T2D) after a 3-month remote patient monitoring (RPM) program, and examine the relationship between hemoglobin A1c (HbA1c) outcomes and participant characteristics. The study sample included 955 patients with T2D who were admitted to an urban Midwestern medical center for any reason from 2014 to 2017, and used RPM for 3 months after discharge. Clinical outcomes included HbA1c, weight, body mass index (BMI), and patient activation scores...
March 27, 2018: Population Health Management
Danielle L Broussard, Karen E Mason, Amanda R Carruth, Thomas W Carton
This study examined the representativeness of the County Health Rankings and Roadmaps (CHR) measure of potentially preventable hospitalizations, which is derived from Medicare inpatient claims data, as an indicator of potentially preventable hospitalizations for adults aged ≥18 years. Potentially preventable hospitalizations were evaluated using rates of ambulatory care sensitive conditions (ACSCs). CHR rates of hospitalization for ACSCs based on Medicare data for 2010, Agency for Healthcare Research and Quality Prevention Quality Indicator #90 Overall Composite (PQI #90 Composite) rates of ACSCs based on hospital inpatient data for adults aged ≥18 years for 2011, and 2011 total mortality rates for adults aged ≥18 years for 212 counties in 3 US states were evaluated...
March 13, 2018: Population Health Management
Robert J Romanelli, Qiwen Huang, Joyce LaMori, Dilesh Doshi, Sukyung Chung
Adherence to cardiometabolic disease (CMD) medications is typically suboptimal. This study sought to evaluate the relationship between patients' medication-related experiences of care and adherence to CMD therapy. This study was conducted using electronic health records and administrative data from an ambulatory care setting. It included adult managed care beneficiaries with a prescription for CMD medications (antihyperlipidemic, antihypertensive, or antihyperglycemic agents) between 2010 and 2014, written ±14 days of an office encounter linked to a completed patient experience survey...
March 12, 2018: Population Health Management
Shamly Austin, Zo Ramamonjiarivelo, DeLawnia Comer-HaGans, Maria Pisu
Even though pneumococcal vaccination recommendations have been in existence since 1983, vaccination rates are low in the United States. This study analyzed 5-year trends in pneumococcal polysaccharide vaccination uptake across racial/ethnic groups of individuals aged ≥65 years and high-risk individuals aged 19-64 years. Further, it examined factors that may explain the association between race/ethnicity and vaccination uptake. The 2011-2015 annual Behavioral Risk Factor Surveillance System (BRFSS) data were used to determine trends...
March 12, 2018: Population Health Management
Zhongqin Wan, Chaoyun Li, Faqing Long, Yuhui Zhang, Bufei Wang, Yingman Wu, Mingming Dai, Desheng Wang, Bin Chen, Yangyang Duan, Qingjie Su
No abstract text is available yet for this article.
March 12, 2018: Population Health Management
Eric S Hall, Scott L Wexelblatt, James M Greenberg
The objective was to use population-based electronic health records for surveillance of intrauterine exposures to substances of abuse, including opioids, and to monitor changes in exposure rates over time. This retrospective, descriptive analysis utilized geocoded neonatal physician billing records representing intrauterine exposures to substances of abuse detected through universal maternal drug testing. Census tract-level exposure rates were identified among the newborn population of Hamilton County, Ohio between 2014 and 2016...
February 27, 2018: Population Health Management
Bree Zeyzus-Johns, Richard G Stefanacci
No abstract text is available yet for this article.
February 26, 2018: Population Health Management
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