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Population Health Management

Earl P Steinberg
No abstract text is available yet for this article.
September 11, 2018: Population Health Management
Laura F Garabedian, Dennis Ross-Degnan, James F Wharam
Public and private insurers increasingly use quality payment programs as a tool to improve quality of care in primary care settings. However, little is known about primary care providers' perspectives on whether and how quality payment programs improve diabetes quality of care. In this qualitative study, the authors conducted semi-structured interviews and focus groups with 23 providers from March to June 2015. Transcripts were analyzed to identify key themes using the immersion-crystallization method. Almost all of the providers believed that insurers play a meaningful role in improving quality of care for diabetes patients...
September 11, 2018: Population Health Management
Thom Taylor, Daria Salyakina
Children may visit the emergency department (ED) regularly in part because they and their caregivers may be experiencing barriers to appropriate and timely pediatric care. However, assessing the wide range of potential barriers to access to care that children and their caregivers may experience is often a challenge. The objective of this study was to assess the barriers to pediatric health care reported by caregivers and to examine the association between those reported barriers to care with the frequency of children's ED visits in the past 12 months...
August 30, 2018: Population Health Management
Elizabeth A Rohan, Gary Chovnick, John Rose, Julie S Townsend, Monique Young, Angela R Moore
Development and implementation of policy, systems, and environmental (PSE) change is a commonly used public health approach to reduce disease burden. The Centers for Disease Control and Prevention's National Comprehensive Cancer Control Program conducted a demonstration with 13 programs to determine whether and to what extent dedicated resources would enhance the adoption of PSE strategies. This paper describes results of the qualitative portion of a longitudinal, mixed-methods evaluation of this demonstration...
August 30, 2018: Population Health Management
Sandra da Silva Mattos, Felipe Alves Mourato, Juliana Sousa Soares de Araújo, Lúcia Roberta Didier Nunes Moser, Thamine de Paula Hatem, Fernanda Cruz de Lira Albuquerque, Nicoly Negreiros de Siqueira Mariano, Renata Grigório Silva Gomes
No abstract text is available yet for this article.
August 29, 2018: Population Health Management
George Carpenter, Henry T Harbin, Robin L Smith, John Hornberger, David B Nash
Each year, ineffective medical management of patients with mental illness compromises the health and well-being of individuals, and also impacts communities and our society. A variety of interrelated factors have impeded the health system's ability to treat patients with behavior health conditions adequately. A key contributing factor is a lack of objective markers to help predict patient response to specific drugs that has led to patterns of "trial and error" prescribing. For many years, clinicians have sought objective data (eg, a laboratory or imaging test) to assist them in selecting appropriate treatments for individual patients...
August 29, 2018: Population Health Management
Lisa M Kern, Joanna K Seirup, Mangala Rajan, Rachel Jawahar, Yesenia Miranda, Susan S Stuard
Health care fragmentation occurs when patients see multiple ambulatory providers, but no single provider accounts for a substantial proportion of visits. Most previous studies have measured fragmentation in Medicare, which may not be generalizable. The study objective was to compare the extent of fragmented ambulatory care across commercially insured, Medicare, and Medicaid populations. The authors conducted a cross-sectional study of adults (N = 256,047) in the Hudson Valley region of New York, who were continuously insured (through 5 commercial payers, Medicare, or Medicaid), were attributed to a primary care physician, and had ≥4 ambulatory visits in the study year...
August 16, 2018: Population Health Management
Takako Fujita, Akira Babazono, Yumi Harano, Peng Jiang
Tobacco-free policy in Japan lags behind those of most developed countries. Evidence is required to promote strong implementation of existing policies. This study aimed to assess whether exposure to secondhand smoke (SHS) influences the incidence of streptococcal infection in young children, to further support the need for effective tobacco-free policies in Japan. This study used medical administrative claim and health check data from the Japan Health Insurance Association Fukuoka branch. Participants were beneficiaries' dependents younger than age 4 years...
August 16, 2018: Population Health Management
Mark Redding, John Hoornbeek, Bernard P Zeigler, Michael Kelly, Sarah Redding, Lynn Falletta, Karen Minyard, Edward Chiyaka, David Bruckman
No abstract text is available yet for this article.
August 13, 2018: Population Health Management
Richard Ofori-Asenso, Ken Lee Chin, Andrea J Curtis, Ella Zomer, Sophia Zoungas, Danny Liew
Population aging along with the rising burden of chronic medical conditions (CMCs) is challenging the sustainability of health care systems globally. The authors sought to characterize contemporary patterns of multimorbidity among older adults (aged ≥65 years) in high-income countries (HICs). Medline, EMBASE, CINAHL, PsycINFO, and Web of Science were searched in January 2018 for English-language articles that reported the prevalence of multimorbidity (defined as co-occurrence of ≥2 CMCs in an individual without defining an index disease) among older adults in HICs, or the proportions with ≥3 or ≥5 CMCs...
August 10, 2018: Population Health Management
Garth Fuller, Jonas Green, Cynthia Litt Deculus, Jeanne Black, Scott Weingarten, Gerardo Ramirez, Brennan Spiegel
Increasingly, insurers control costs by selectively contracting with high-performing, low-cost providers through "narrow networks." Health care systems are faced with selecting specialists for inclusion in these shared-risk contracts. One approach is to use peer ratings, but it remains uncertain whether physicians can identify which of their peers are quantitatively high-quality, highly efficient care providers. If the results of administrator and physician peer ratings were a reliable stand-in for empirical scores, then they might substitute for the resource- and time-intensive task of quantitative performance ratings...
August 2, 2018: Population Health Management
Kristina L Greenwood, Joyce C LaMori, Besa Smith, Dilesh Doshi, Cecile Davis
Improving the ability to predict which patients are at increased risk for readmission can lead to more effective interventions and greater compliance with CMS Hospital Readmissions Reduction Program (HRRP) requirements. This study evaluated the performance of a risk model that used data from a health system's electronic medical record (EMR) to predict all-cause readmission among adult inpatients with acute medical conditions, with a specific focus on the impact of including behavioral health screening data...
July 31, 2018: Population Health Management
Linbo Gao, Xiao Xiao, Guanglu Che, Lin Zhang
No abstract text is available yet for this article.
July 31, 2018: Population Health Management
Richard L Fuller, Norbert I Goldfield, John S Hughes, Elizabeth C McCullough
Measurement of the quality of US health care increasingly emphasizes clinical outcomes over clinical processes. Nursing Home Compare Star Ratings are provided by Medicare to help select better nursing home care. The authors determined the rates and types of 2 important clinical outcomes-potentially preventable hospital admissions and potentially preventable emergency department (ED) visits-for a subset of 439,011 long-term nursing homes residents residing in 12,883 nursing homes throughout the United States over a 2-year period (2010-2011) and compared them with the Star Rating system...
July 30, 2018: Population Health Management
Rohit Bhalla
No abstract text is available yet for this article.
July 26, 2018: Population Health Management
Rosemary M Caron
No abstract text is available yet for this article.
July 26, 2018: Population Health Management
Kevin J Bennett, Janice C Probst, Jarrod C Bullard, Elizabeth Crouch
The purpose was to examine factors associated with transfers and readmissions among Medicare patients initially presenting at rural facilities. Data from the 2013 Medicare Claims file were used to identify fee-for-service patients with a hospital admission (n = 298,783) or an emergency department visit immediately followed by a hospital admission (117,416), for a total of 416,199. Transfers were defined as hospitalization at a different facility within 1 day of a discharge from a prior inpatient or emergency department encounter...
July 26, 2018: Population Health Management
Michelle Kavin, Richard G Stefanacci
No abstract text is available yet for this article.
July 23, 2018: Population Health Management
John J Stoeckle, Amy Cunningham, Dalea Al-Hawarri, Alexis Silverio, George Valko
Reporting primary care quality measures is an essential component of value-based care delivery and is part of the strategy to bend the health care cost curve. As primary care physicians are increasingly pressed for time, incorporating ancillary staff screening into pre-visit workflows can increase screening rates, but can pose a challenge in large practice settings. The objective was to improve screening rates for depression and falls risk at a large, urban primary care practice. Jefferson Family Medicine Associates is a practice in downtown Philadelphia that serves 35,000 patients and provides approximately 80,000 visits annually...
July 17, 2018: Population Health Management
Laura Ten Eyck, Stephanie MacLeod, Kevin Hawkins, Robyn Guimont, Stephen Hartley
Heart failure (HF) is currently among the most prevalent and costly chronic diseases among older adults, who are at increased risk because of other chronic conditions and the aging process. HF has a significant impact on the health care system, patient outcomes, and the unsustainable rising costs of care. The primary objectives were to: (1) determine cost savings differences in medical expenditures between engaged and non-engaged members referred to a HF management program; (2) examine differences in length of stay and time to first post-engagement acute inpatient admission; and (3) examine the impact of using a remote weight monitoring scale on medical expenditures and inpatient admissions...
July 3, 2018: Population Health Management
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