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Population Health Management

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https://www.readbyqxmd.com/read/28805510/review-of-market-vs-medicine-america-s-epic-fight-for-better-affordable-healthcare-by-d-w-johnson
#1
David Singer
No abstract text is available yet for this article.
August 14, 2017: Population Health Management
https://www.readbyqxmd.com/read/28805507/the-medical-home-model-and-pediatric-asthma-symptom-severity-evidence-from-a-national-health-survey
#2
Sirikan Rojanasarot, Angeline M Carlson
The objective was to investigate the association between receiving care under the medical home model and parental assessment of the severity of asthma symptoms. It was hypothesized that parents of children who received care under the medical home model reported less severe asthma symptoms compared with their counterparts, whose care did not meet the medical home criteria. Secondary analyses were conducted using cross-sectional data from the 2011-2012 National Survey of Children's Health. Children with asthma aged 0-17 years were included and classified as receiving care from the medical home if their care contained 5 components: a personal doctor, a usual source of sick care, family-centered care, no problems getting referrals, and effective care coordination...
August 14, 2017: Population Health Management
https://www.readbyqxmd.com/read/28805499/review-of-superforecasting-the-art-and-science-of-prediction-by-p-e-tetlock-and-d-gardner
#3
John J Stoeckle
No abstract text is available yet for this article.
August 14, 2017: Population Health Management
https://www.readbyqxmd.com/read/28795910/achieving-a-patient-centered-value-based-system-of-diabetes-care-in-the-united-states-report-on-a-national-stakeholder-summit
#4
David B Nash, Alexis Skoufalos, Dennis Harris
Chronic instability in the health care environment has raised concerns among providers and patients, especially those who treat and cope with chronic conditions. Changes to existing health care laws are unlikely to alter what have become the primary goals of the US health care system: cost-effectiveness and patient-centricity. To that end, it is vital that patient and physician voices be incorporated in policy decisions and, importantly, that access to care and patient-reported outcomes are considered when calculating "value...
August 10, 2017: Population Health Management
https://www.readbyqxmd.com/read/28749727/practice-innovation-health-care-utilization-and-costs-in-a-network-of-federally-qualified-health-centers-and-hospitals-for-medicaid-enrollees
#5
Tricia J Johnson, Art Jones, Cheryl Lulias, Anthony Perry
State Medicaid programs need cost-effective strategies to provide high-quality care that is accessible to individuals with low incomes and limited resources. Integrated delivery systems have been formed to provide care across the continuum, but creating a shared vision for improving community health can be challenging. Medical Home Network was created as a network of primary care providers and hospital systems providing care to Medicaid enrollees, guided by the principles of egalitarian governance, practice-level care coordination, real-time electronic alerts, and pay-for-performance incentives...
July 27, 2017: Population Health Management
https://www.readbyqxmd.com/read/28704132/health-insurance-literacy-as-a-determinant-of-population-health
#6
Omolola Adepoju, Andrew Mask, Alexander McLeod
No abstract text is available yet for this article.
July 13, 2017: Population Health Management
https://www.readbyqxmd.com/read/28696858/enhancing-the-science-of-discovery-in-public-health-systems-and-services-research-through-participatory-research-methods
#7
William C Livingood, Lori A Bilello, Ulyee Choe, Katryne Lukens-Bull
The objective was to combine cost analysis and participatory research to identify actionable cost-saving opportunities in public health services for sexually transmitted infections (STI). This study used a mixed-methods approach of analyzing Florida public health data, combined with participatory research approaches to data collection including quantitative web-based surveys, qualitative in-depth interviews, and group discussions. Florida surveillance and administrative data on STIs and county health department (CHD) costs of services for 2012 were analyzed in addition to primary data collected from all Florida CHDs during 2014 and 2015...
July 11, 2017: Population Health Management
https://www.readbyqxmd.com/read/28683221/polypharmacy-and-multimorbidity-among-medicaid-enrollees-a-multistate-analysis
#8
Xue Feng, Xi Tan, Brittany Riley, Tianyu Zheng, Thomas Bias, Usha Sambamoorthi
The purpose of this study is to explore the associations between polypharmacy and multimorbidity using conventional and novel measures of polypharmacy. In this cross-sectional study, data on fee-for-service (FFS) Medicaid enrollees with at least 1 chronic condition and aged 18-64 years (N = 38,329) were derived from the 2010 Medicaid Analytic eXtract (MAX) files of Maryland and West Virginia. Polypharmacy, by the authors' novel definition, was determined as simultaneous use of ≥5 drugs for a consecutive period of 60 days...
July 6, 2017: Population Health Management
https://www.readbyqxmd.com/read/28683220/review-of-ex-acute-a-former-hospital-ceo-tells-all-on-what-s-wrong-with-american-healthcare-by-j-luke
#9
James Samuelson
No abstract text is available yet for this article.
July 6, 2017: Population Health Management
https://www.readbyqxmd.com/read/28683219/does-the-supplemental-nutrition-assistance-program-affect-hospital-utilization-among-older-adults-the-case-of-maryland
#10
Laura J Samuel, Sarah L Szanton, Rachel Cahill, Jennifer L Wolff, Pinchuan Ong, Ginger Zielinskie, Charles Betley
This study sought to examine whether Supplemental Nutrition Assistance Program (SNAP) participation and benefit levels are associated with reduced subsequent hospital and emergency department utilization in low-income older adults. Study participants were 68,956 Maryland residents aged ≥65 years who were dually enrolled in Medicare and Medicaid (2009-2012). Annual inpatient hospital days and costs and emergency department visits were modeled as a function of either 1-year lagged SNAP participation or lagged SNAP benefit amounts, controlling for sociodemographic characteristics, autoregressive effects, year, health status, and Medicaid participation...
July 6, 2017: Population Health Management
https://www.readbyqxmd.com/read/28677991/purpose-in-life-and-positive-health-outcomes-among-older-adults
#11
Shirley Musich, Shaohung S Wang, Sandra Kraemer, Kevin Hawkins, Ellen Wicker
Purpose in life (PIL) is conceptualized as having goals, a sense of direction, and a feeling that there is meaning to present and past life. PIL has been associated with positive health outcomes among older adults, including fewer chronic conditions, less disability, and reduced mortality. The purpose of this study was to estimate the prevalence of PIL among AARP Medicare Supplement insureds, identify associated characteristics, and measure impact on selected health outcomes. In 2016, surveys were sent to a random stratified sample; PIL was measured using a 7-item scale with 5 responses...
July 5, 2017: Population Health Management
https://www.readbyqxmd.com/read/28677990/elements-of-the-veterans-health-administration-patient-centered-medical-home-are-associated-with-greater-adherence-to-oral-hypoglycemic-agents-in-patients-with-diabetes
#12
Nicholas Meo, Edwin Wong, Haili Sun, Idamay Curtis, Adam Batten, Stephan D Fihn, Karin Nelson
In 2010, Veterans Health Administration (VHA) primary care clinics adopted a patient-centered medical home (PCMH) model. This study sought to examine the association between the organizational features related to adoption of PCMH and the level of adherence to oral hypoglycemic agents (OHAs) among patients with diabetes. This retrospective cohort study involved 757 VA clinics that provide primary care to 440,971 patients with diabetes who were taking OHAs in fiscal year 2012. One-year refill-based medication possession ratios (MPRs) were calculated at the patient level...
July 5, 2017: Population Health Management
https://www.readbyqxmd.com/read/28677987/norway-grants-support-capacity-building-for-tackling-health-inequalities-in-central-and-eastern-europe
#13
Mindaugas Stankunas, Ramune Kalediene, Snieguole Kaseliene, Akvile Milinskaite, Skirmante Sauliune, Tomas Vaiciunas, Kastytis Smigelskas, Neringa Tarvydiene, Raimonda Janoniene, Gintare Petronyte, Vincentas Luima, Sandra Meksriunaite
No abstract text is available yet for this article.
July 5, 2017: Population Health Management
https://www.readbyqxmd.com/read/28677984/review-of-readmission-prevention-solutions-across-the-provider-continuum-by-j-d-luke
#14
Sanchi Malhotra
No abstract text is available yet for this article.
July 5, 2017: Population Health Management
https://www.readbyqxmd.com/read/28636526/does-health-coaching-grow-capacity-in-cancer-survivors-a-systematic-review
#15
Suzette Barakat, Kasey Boehmer, Marwan Abdelrahim, Sangwoo Ahn, Abdulrahman A Al-Khateeb, Neri Álvarez Villalobos, Larry Prokop, Patricia J Erwin, Kirsten Fleming, Valentina Serrano, Gabriela Spencer-Bonilla, Mohammad Hassan Murad
Interventions that grow patient capacity to do the work of health care and life are needed to support the health of cancer survivors. Health coaching may grow capacity. This systematic review of health coaching interventions explored coaching's ability to grow capacity of cancer survivors. The authors included randomized trials or quasi-experimental studies comparing coaching to alternative interventions, and adhered to PRISMA reporting guidelines. Data were analyzed using the Theory of Patient Capacity (BREWS: Capacity is affected by factors that influence ability to reframe Biography ["B"], mobilize or recruit Resources ["R"], interact with the Environment of care ["E"], accomplish Work ["W"]), and function Socially ["S"])...
June 21, 2017: Population Health Management
https://www.readbyqxmd.com/read/28609248/using-statewide-data-on-health-care-quality-to-assess-the-effect-of-a-patient-centered-medical-home-initiative-on-quality-of-care
#16
Nathan D Shippee, Michael Finch, Douglas Wholey
Patient-centered medical homes comprise a large portion of modern health care redesign. However, most efforts have reflected rigid, limited models of transformation. In addition, evaluations of their impact on quality of care have relied on data designed for other purposes. Minnesota's Health Care Home (HCH) initiative is a statewide medical home model relying on state-run, adaptive certification and supportive data infrastructure. This longitudinal study leverages a unique statewide system of clinic-reported, patient-level quality data (2010-2013) to assess the effect of being in a HCH clinic on health care quality...
June 13, 2017: Population Health Management
https://www.readbyqxmd.com/read/28609229/results-and-implications-of-routine-hiv-testing-in-the-inpatient-setting-a-descriptive-analysis
#17
Jamie L Mignano, Lucy Miner, Kristin Siedl, Travis Brown, Christina Cafeo, Lisa Rowen, Robert R Redfield, Mangla Gulati
Policy changes and scientific advances have guided new methods of diagnosing and managing HIV that reduce mortality, morbidity, and transmission. In a high HIV prevalence urban setting, a hospital initiative was implemented to routinely perform HIV testing and provide linkage to care for those with positive results and for individuals with a prior diagnosis of HIV. Maryland's unique all-payer model presents an opportunity to implement population health initiatives in health systems. The rationale, methodology, results and lessons learned from this approach will be discussed...
June 13, 2017: Population Health Management
https://www.readbyqxmd.com/read/28609228/evaluation-of-the-impact-of-an-innovative-immunization-practice-model-designed-to-improve-population-health-results-of-the-project-impact-immunizations-pilot
#18
Benjamin M Bluml, Kelly A Brock, Scott Hamstra, Lisa Tonrey
The goal of the initiative was to evaluate the impact of an innovative practice model on identification of unmet vaccination needs and vaccination rates. This was accomplished through a prospective, multisite, observational study in 8 community pharmacy practices with adults receiving an influenza vaccine with a documented vaccination forecast review from October 22, 2015 through March 22, 2016. When patients presented for influenza vaccinations, pharmacists utilized immunization information systems (IIS) data at the point of care to identify unmet vaccination needs, educate patients, and improve vaccination rates...
June 13, 2017: Population Health Management
https://www.readbyqxmd.com/read/28609191/understanding-frequent-emergency-department-use-among-primary-care-patients
#19
Morgan Hardy, Alex Cho, Alissa Stavig, Marigny Bratcher, Janice Dillard, Lawrence Greenblatt, Kevin Schulman
Patients with high emergency department (ED) utilization are an important focus in population health management. This retrospective cohort study analyzed patterns of frequent ED use for 4087 patients enrolled at an academically-affiliated primary care clinic. For all ED visits (n = 4776), the chief complaints, admission rates, number of complaints per patient, and median time between return visits were assessed. Chart reviews were conducted for the 10 highest utilizers from each of the 3 leading complaints to help explain repeated ED use for the same complaints...
June 13, 2017: Population Health Management
https://www.readbyqxmd.com/read/28609187/integrating-social-services-and-home-based-primary-care-for-high-risk-patients
#20
Joe Feinglass, Greg Norman, Robyn L Golden, Naoko Muramatsu, Michael Gelder, Thomas Cornwell
There is a consensus that our current hospital-intensive approach to care is deeply flawed. This review article describes the research evidence for developing a better system of care for high-cost, high-risk patients. It reviews the evidence that home-centered care and integration of health care with social services are the cornerstones of a more humane and efficient system. The article describes the strengths and weaknesses of research evaluating the effects of social services in addressing social determinants of health, and how social support is critical to successful acute care transition programs...
June 13, 2017: Population Health Management
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