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Population Health Management

Christine S Shusted, Julie A Barta, Michael Lake, Rickie Brawer, Brooke Ruane, Teresa E Giamboy, Baskaran Sundaram, Nathaniel R Evans, Ronald E Myers, Gregory C Kane
Patient navigation has been proposed to combat cancer disparities in vulnerable populations. Vulnerable populations often have poorer cancer outcomes and lower levels of screening, adherence, and treatment. Navigation has been studied in various cancers, but few studies have assessed navigation in lung cancer. Additionally, there is a lack of consistency in metrics to assess the quality of navigation programs. The authors conducted a systematic review of published cancer screening studies to identify quality metrics used in navigation programs, as well as to recommend standardized metrics to define excellence in lung cancer navigation...
November 8, 2018: Population Health Management
Randa Sifri, Brooke Salzman, Amy Cunningham, Alexis Silverio, Madalene Zale, Christine Talerico
Cancer screening decisions for older adults should be individualized. However, conducting such complex shared decisions may be challenging for primary care providers (PCPs). Additionally, there is little information about how PCPs make these decisions. This study consisted of a provider survey and chart review to assess current PCP approaches to breast and colorectal cancer (CRC) screening for patients ages ≥75 years. PCP survey questions: panel age, comfort with discussion of screening harms and benefits, screening decision-making process, and discussion style...
November 7, 2018: Population Health Management
Anissa C Dallmann, Asa Wilks, Soeren Mattke
The Medicare Readmissions Reduction Program penalizes hospitals with higher than expected readmission rates after discharge for congestive heart failure (CHF). This exploratory study analyzed whether categorizing readmissions by event severity might have implications for the program. The authors used the 5% MedPAR (Medicare Provider and Analysis Review) data for 2008 to 2014 and ranked 1820 hospitals based on all readmissions, readmissions for CHF, short-stay CHF readmissions, and readmissions for severe CHF with evidence of cardiogenic shock...
November 7, 2018: Population Health Management
Kimberly Jinnett, Theodore Kyle, Thomas Parry, Boris Stevenin, Abhilasha Ramasamy
Lack of both awareness and application of evidence-based principles for obesity care for people with obesity (PwO) limit employers' role in supporting effective obesity management among employees with obesity (EwO). The aim of the ACTION (Awareness, Care, and Treatment In Obesity maNagement) study was to explore the current state of employer wellness programs related to obesity management, evaluate the impact of obesity in the workplace, assess attitudes regarding the role of employers in managing obesity, and identify challenges in implementing workplace wellness programs as perceived by employer representatives (ERs) and EwO...
October 31, 2018: Population Health Management
Mindaugas Stankunas, Mark Avery, Richard Olley, Gaery Barbery
No abstract text is available yet for this article.
October 23, 2018: Population Health Management
Julie S Townsend, Marilyn Sitaker, John M Rose, Elizabeth A Rohan, Annette Gardner, Angela R Moore
Policy, systems, and environmental (PSE) approaches are commonly used to improve population health. Cancer-related examples include providing data and education to stakeholders about policies that support healthy living, or health systems changes such as universal reminders about recommended cancer screening. The National Comprehensive Cancer Control Program (NCCCP) funds health departments to form cancer coalitions that develop and implement cancer plans. NCCCP initiated a demonstration program in 13 of 65 funded grantees to determine whether skilled, dedicated staffing and using a strategic process to examine data, form a workgroup, and develop an agenda would enhance their capacity to implement PSE approaches, recruit new partners, and provide data and education to stakeholders...
October 17, 2018: Population Health Management
Trever B Burgon, James Cox-Chapman, Catherine Czarnecki, Robert Kropp, Richard Guerriere, David Paculdo, John W Peabody
This project was undertaken to reduce unneeded variation among practicing primary care clinicians participating in an accountable care organization (ACO) and to raise quality and reduce costs. This real-world, quasi-controlled experiment compared ACO target improvements between 3 participating geographic regions and members within the ProHealth ACO against nonparticipating regions and members. The authors used a novel care standardization initiative to engage participating providers. This was a 2-year longitudinal study with 6 rounds of serially measured provider care decisions and customized individual and group improvement feedback...
October 17, 2018: Population Health Management
Yulia Treister-Goltzman, Tamar Freud, Yan Press, Roni Peleg
Widespread use of cannabis as a drug and passage of legislation on its use should lead to an increase in the number of scientific publications on cannabis. The aim of this study was to compare trends in scientific publication for papers on medical cannabis, papers on cannabis in general, and all papers between the years 2000 and 2017. A search of PubMed and Web of Science was conducted. The overall number of scientific publications in PubMed increased 2.5-fold. In contrast, the number of publications on cannabis increased 4...
October 6, 2018: Population Health Management
Irene Dankwa-Mullan, Marc Rivo, Marisol Sepulveda, Yoonyoung Park, Jane Snowdon, Kyu Rhee
An estimated 425 million people globally have diabetes, accounting for 12% of the world's health expenditures, and yet 1 in 2 persons remain undiagnosed and untreated. Applications of artificial intelligence (AI) and cognitive computing offer promise in diabetes care. The purpose of this article is to better understand what AI advances may be relevant today to persons with diabetes (PWDs), their clinicians, family, and caregivers. The authors conducted a predefined, online PubMed search of publicly available sources of information from 2009 onward using the search terms "diabetes" and "artificial intelligence...
October 2, 2018: Population Health Management
Rebecca Miller, Dmitry Tumin, Don Hayes, Joshua C Uffman, Vidya T Raman, Joseph D Tobias
Socioeconomic disparities in access to care coordination have been noted among children with special health care needs (CSHCN). Following recent policy developments and technological innovation, care coordination has become more widespread, possibly leading to reduced disparity in care coordination access. This study investigates whether child and household characteristics remain associated with unmet need for care coordination among CSHCN. CSHCN (aged <18 years) requiring ≥2 types of health services in the past year were identified in the 2016 National Survey of Children's Health (NSCH)...
September 29, 2018: 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
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