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Population Health Management

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https://www.readbyqxmd.com/read/29035630/a-population-health-measurement-framework-evidence-based-metrics-for-assessing-community-level-population-health-in-the-global-budget-context
#1
Elham Hatef, Elyse C Lasser, Hadi H K Kharrazi, Chad Perman, Russ Montgomery, Jonathan P Weiner
Population health is one of the pillars of the Triple Aim to improve US health care. The authors developed a framework for population health measurement and a proposed set of measures for further exploration to guide the population health efforts in Maryland. The authors searched peer-reviewed, expert-authored literature and current public health measures. Using a semi-structured analysis, a framework was proposed, which consisted of a conceptual model of several domains and identified population health measures addressing them...
October 16, 2017: Population Health Management
https://www.readbyqxmd.com/read/29035629/review-of-the-death-gap-how-inequality-kills-by-d-a-ansell
#2
Asa S Rubin
No abstract text is available yet for this article.
October 16, 2017: Population Health Management
https://www.readbyqxmd.com/read/29022852/association-between-financial-incentives-for-regional-care-coordination-and-health-care-resource-utilization-among-older-patients-after-femoral-neck-fracture-surgery-a-retrospective-cohort-study-using-a-claims-database
#3
Takumi Nishi, Toshiki Maeda, Akira Babazono
The incidence rates of hip fracture have been increasing in Japan. Length of stay among hip fracture patients in Japan is much longer than other developed countries, and the Japanese government introduced financial incentives for regionally coordinated femoral neck fracture care to reduce health care resource utilization. The objective of this study was to evaluate whether the financial incentives reduce health care resource utilization among patients 75 years or older with femoral neck fracture in Japan. Claims data from the Fukuoka Prefecture Regional Association for Late-Stage Healthcare for Older People were analyzed for the period from April 2010 to March 2016...
October 12, 2017: Population Health Management
https://www.readbyqxmd.com/read/29022769/aiming-for-quality-improvement-aligning-population-health-and-higher-education
#4
Bettina M Beech, Keith C Norris, Marino A Bruce
No abstract text is available yet for this article.
October 12, 2017: Population Health Management
https://www.readbyqxmd.com/read/28994631/health-care-resource-utilization-for-outpatient-cardiovascular-disease-and-diabetes-care-delivery-among-advanced-practice-providers-and-physician-providers-in-primary-care
#5
Salim S Virani, Julia M Akeroyd, David J Ramsey, Anita Deswal, Khurram Nasir, Suja S Rajan, Christie M Ballantyne, Laura A Petersen
Although effectiveness of diabetes or cardiovascular disease (CVD) care delivery between physicians and advanced practice providers (APPs) has been shown to be comparable, health care resource utilization between these 2 provider types in primary care is unknown. This study compared health care resource utilization between patients with diabetes or CVD receiving care from APPs or physicians. Diabetes (nā€‰=ā€‰1,022,588) or CVD (nā€‰=ā€‰1,187,035) patients with a primary care visit between October 2013 and September 2014 in 130 Veterans Affairs facilities were identified...
October 10, 2017: Population Health Management
https://www.readbyqxmd.com/read/28976250/recommendations-from-the-first-national-academic-consortium-of-telehealth
#6
Judd E Hollander, Theresa M Davis, Charles Doarn, Jason C Goldwater, Stephen Klasko, Curtis Lowery, Dimitrios Papanagnou, Peter Rasmussen, Frank D Sites, Danica Stone, Brendan G Carr
In January 2015, the US Secretary of Health and Human Services announced targets for the transformation of Medicare reimbursement from a fee-for-service model to payments based on alternative payment models. People now use technology for virtually everything - from paying bills to purchasing almost anything; it is therefore natural to think that they will use technology to take ownership of their own health care. The remote provision of health care, where providers and patients are not in the same location, will allow patients to receive the right care, at the right time, at the right place, and in the manner they consider right for them...
October 4, 2017: Population Health Management
https://www.readbyqxmd.com/read/28968176/active-redesign-of-a-medicaid-care-management-strategy-for-greater-return-on-investment-predicting-impactability
#7
C Annette DuBard, Carlos T Jackson
Care management of high-cost/high-needs patients is an increasingly common strategy to reduce health care costs. A variety of targeting methodologies have emerged to identify patients with high historical or predicted health care utilization, but the more pertinent question for program planners is how to identify those who are most likely to benefit from care management intervention. This paper describes the evolution of complex care management targeting strategies in Community Care of North Carolina's (CCNC) work with the statewide non-dual Medicaid population, culminating in the development of an "Impactability Score" that uses administrative data to predict achievable savings...
October 2, 2017: Population Health Management
https://www.readbyqxmd.com/read/28953421/the-effects-of-state-medicaid-expansion-on-low-income-individuals-access-to-health-care-multilevel-modeling
#8
Sunha Choi, Sungkyu Lee, Jason Matejkowski
This study aimed to examine how states' Medicaid expansion affected insurance status and access to health care among low-income expansion state residents in 2015, the second year of the expansion. Data from the 2012 and 2015 Behavioral Risk Factor Surveillance System were linked to state-level data. A nationally representative sample of 544,307 adults (ages 26-64 years) from 50 states and Washington, DC were analyzed using multilevel modeling. The results indicate substantial increases in health care access between 2012 and 2015 among low-income adults in Medicaid expansion states...
September 27, 2017: Population Health Management
https://www.readbyqxmd.com/read/28953419/impact-of-the-affordable-care-act-on-use-of-covered-contraceptives-in-women-ages-20-25
#9
Linda Riddell, Raymond Taylor, Olivia Alford
Although many impacts of the Affordable Care Act (ACA) have been well studied, less attention has been paid to whether use of contraceptives (especially those covered by health insurance) changed in young adults. The ACA did several things that might influence contraceptive use: allowed children to stay on a parent's health insurance until age 26, required insurers to impose no co-payment for contraceptives beginning in 2012, and increased funding for family planning services. The authors examined data from the National Survey of Family Growth for 3 time periods: 2006-2010 (pre ACA), 2011-2013, and 2013-2015 (post ACA)...
September 27, 2017: Population Health Management
https://www.readbyqxmd.com/read/28949834/use-of-international-classification-of-diseases-ninth-revision-codes-for-obesity-trends-in-the-united-states-from-an-electronic-health-record-derived-database
#10
Michelle Mocarski, Ye Tian, B Gabriel Smolarz, John McAna, Albert Crawford
Obesity is a potentially modifiable risk factor for many diseases, and a better understanding of its impact on health care utilization, costs, and medical outcomes is needed. The ability to accurately evaluate obesity outcomes depends on a correct identification of the population with obesity. The primary objective of this study was to determine the prevalence and accuracy of International Classification of Diseases, Ninth Revision (ICD-9) coding for overweight and obesity within a US primary care electronic health record (EHR) database compared against actual body mass index (BMI) values from recorded clinical patient data; characteristics of patients with obesity who did or did not receive ICD-9 codes for overweight/obesity also were evaluated...
September 26, 2017: Population Health Management
https://www.readbyqxmd.com/read/28945512/improvement-in-quality-metrics-by-the-upmc-enhanced-care-program-a-novel-super-utilizer-program
#11
Jodie Bryk, Gary S Fischer, Anita Lyons, Swati Shroff, Thuy Bui, Deborah Simak, Wishwa Kapoor
The aim was to evaluate pre-post quality of care measures among super-utilizer patients enrolled in the Enhanced Care Program (ECP), a primary care intensive care program. A pre-post analysis of metrics of quality of care for diabetes, hypertension, cancer screenings, and connection to mental health care for participants in the ECP was conducted for patients enrolled in ECP for 6 or more months. Patients enrolled in ECP showed statistically significant improvements in hemoglobin A1c, retinal exams, blood pressure measurements, and screenings for colon cancer, and trends toward improvement in diabetic foot exams and screenings for cervical and breast cancer...
September 25, 2017: Population Health Management
https://www.readbyqxmd.com/read/28945511/the-population-health-template-a-road-map-for-successful-health-improvement-initiatives
#12
Michael Kobernick, Denise Hammel, Stacey Duncan-Jackson, Juan Leon, Drew Harris
No abstract text is available yet for this article.
September 25, 2017: Population Health Management
https://www.readbyqxmd.com/read/28885893/does-patient-centered-medical-home-recognition-relate-to-accountable-care-organization-participation
#13
Yi-Ling Lin, Yuan Du, Cristina Gomez, Judith Ortiz
As of April 2015, less than 10% of Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) included Rural Health Clinics (RHCs). In order to understand why RHCs are not participating in this ACO model in greater numbers, this study examined the influence of several factors on ACO participation. Data for this study were collected via a survey distributed during the summers of 2012, 2013, and 2014 to all RHCs in 9 states. This study had a cross-sectional design using survey research. The unit of analysis was the RHC; the total sample size was 178...
September 8, 2017: Population Health Management
https://www.readbyqxmd.com/read/28885892/bridging-the-gap-in-implementation-science-evaluating-a-capacity-building-program-in-data-management-analysis-utilization-and-dissemination-in-low-and-middle-income-countries
#14
Peter Memiah, Tristi Ah Mu, Jeremy Penner, Kevin Owour, Carol Ngunu-Gituathi, Kourtney Prevot, Vernon Mochache, Paul Wekesa, John Oyore, Sam Muhula, Patience Komba
Building capacity in implementation science within health programs is dependent on training in theory and practice of epidemiology, statistics, and research in addition to high self-efficacy toward application of training. This article describes a training program providing technical assistance to more than 300 health facilities in Kenya and Tanzania, its evaluation results, and its ability to improve participants' knowledge, competencies, and self-efficacy on data management, analysis, and dissemination among health care professionals...
September 8, 2017: Population Health Management
https://www.readbyqxmd.com/read/28829924/the-10-conditions-that-increased-vermont-s-readiness-to-implement-statewide-health-system-transformation
#15
David Grembowski, Miriam Marcus-Smith
Following an arduous, 6-year policy-making process, Vermont is the first state implementing a unified, statewide all-payer integrated delivery system with value-based payment, along with aligned medical and social service reforms, for almost all residents and providers in a state. Commercial, Medicare, and Medicaid value-based payment for most Vermonters will be administered through a new statewide accountable care organization in 2018-2022. The purpose of this article is to describe the 10 conditions that increased Vermont's readiness to implement statewide system transformation...
August 22, 2017: Population Health Management
https://www.readbyqxmd.com/read/28829919/the-electronic-health-record-foundation-for-pharmaceutical-management
#16
Richard G Stefanacci, Scott Guerin, Tim Van Aken
No abstract text is available yet for this article.
August 22, 2017: Population Health Management
https://www.readbyqxmd.com/read/28805510/review-of-market-vs-medicine-america-s-epic-fight-for-better-affordable-healthcare-by-d-w-johnson
#17
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
#18
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
#19
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
#20
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
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