journal
MENU ▼
Read by QxMD icon Read
search

Healthcare

journal
https://www.readbyqxmd.com/read/29279297/working-smarter-not-harder-coupling-implementation-to-de-implementation
#1
Virginia Wang, Matthew L Maciejewski, Christian D Helfrich, Bryan J Weiner
In this paper, we discuss de-implementation as an implicit part of implementation and organizational change, and consider its underlying processes of unlearning to discontinue or deviate from ineffective practice and learning to applying newer, more effective practices. We describe a typology of de-implementation that represents four types of change: partial reduction, complete reversal, substitution with related replacement and substitution with unrelated replacement of existing practice. We also explicate how learning and unlearning needed for effective change vary in these four types of de-implementation...
December 23, 2017: Healthcare
https://www.readbyqxmd.com/read/29276102/impact-of-a-patient-engagement-tool-on-preventive-service-uptake
#2
Jennifer M Polinski, Linda M Harris, William H Shrank, Andrew Sussman, John Barron
BACKGROUND: We studied whether integrating the US Department of Health and Human Services' myHealthfinder tool, an interactive tool that recommends preventive services, into CVS Health's digital platforms could increase preventive service uptake at its retail clinic, MinuteClinic. METHODS: We used a quasi-experimental, pre-post, difference-in-differences design. In a web-based campaign, consumers in "exposed" states visiting CVS pharmacy and MinuteClinic websites could view and use the myHealthfinder tool...
December 21, 2017: Healthcare
https://www.readbyqxmd.com/read/29273303/the-impact-of-two-triggered-palliative-care-consultation-approaches-on-consult-implementation-in-oncology
#3
Lisa D DiMartino, Bryan J Weiner, Laura C Hanson, Morris Weinberger, Sarah A Birken, Katherine Reeder-Hayes, Justin G Trogdon
INTRODUCTION: Studies show palliative care delivered concurrently with cancer treatment improves outcomes, yet palliative care integration with inpatient oncology is underused. A promising approach to improve integration is a triggered palliative care consultation (TPCC). This study evaluated the impact of two TPCC approaches on consistency and quality of consult implementation, operationalized as uptake and timeliness, on solid tumor medical and gynecologic oncology services at an academic hospital...
December 19, 2017: Healthcare
https://www.readbyqxmd.com/read/29246539/using-lean-methodologies-to-streamline-processing-of-requests-for-durable-medical-equipment-and-supplies-for-children-with-complex-conditions
#4
Elise Fields, Smriti Neogi, Pamela J Schoettker, Jennifer Lail
BACKGROUND: An improvement team from the Complex Care Center at our large pediatric medical center participated in a 60-day initiative to use Lean methodologies to standardize their processes, eliminate waste and improve the timely and reliable provision of durable medical equipment and supplies. METHODS: The team used value stream mapping to identify processes needing improvement. Improvement activities addressed the initial processing of a request, provider signature on the form, returning the form to the sender, and uploading the completed documents to the electronic medical record...
December 12, 2017: Healthcare
https://www.readbyqxmd.com/read/29233529/innovating-patient-care-delivery-dsrip-s-interrupted-time-series-analysis-paradigm
#5
Amrita G Shenoy, Charles E Begley, Lee Revere, Stephen H Linder, Stephen P Daiger
INTRODUCTION: Adoption of Medicaid Section 1115 waiver is one of the many ways of innovating healthcare delivery system. The Delivery System Reform Incentive Payment (DSRIP) pool, one of the two funding pools of the waiver has four categories viz. infrastructure development, program innovation and redesign, quality improvement reporting and lastly, bringing about population health improvement. BACKGROUND: A metric of the fourth category, preventable hospitalization (PH) rate was analyzed in the context of eight conditions for two time periods, pre-reporting years (2010-2012) and post-reporting years (2013-2015) for two hospital cohorts, DSRIP participating and non-participating hospitals...
December 7, 2017: Healthcare
https://www.readbyqxmd.com/read/29217389/competencies-for-engaging-high-needs-patients-in-primary-care
#6
Michael J Yedidia
BACKGROUND: Patients who heavily utilize hospitals and emergency departments frequently have complex needs requiring services spanning medical, behavioral, and social service sectors. This study identifies essential competencies for caring for high-needs patients and highlights their importance to primary care delivery. METHODS: Transcripts of in-depth interviews with 30 clinical and administrative staff at 23 complex care programs across the United States were analyzed using standard qualitative techniques...
December 4, 2017: Healthcare
https://www.readbyqxmd.com/read/29195750/partnership-healthplan-of-california-addressing-opioid-overuse-with-behavioral-design-principles
#7
Joshua M Liao, Amanda Hodlofski, Robert Moore, Amol S Navathe
No abstract text is available yet for this article.
November 28, 2017: Healthcare
https://www.readbyqxmd.com/read/29126852/a-three-step-health-services-research-approach-to-improve-prescribing
#8
REVIEW
Adam J Rose, Megan B McCullough, Guneet K Jasuja
Medications are often prescribed suboptimally; some effective medications are underused, some ineffective medications are overused, and some medications that should be received by a few are instead given to many. The underlying causes of suboptimal prescribing likely differ for each medication, and therefore must be understood anew, although previous studies can help generate hypotheses. This perspective sets forth a 3-step research agenda, which has worked well for us in several recently completed and ongoing projects...
November 7, 2017: Healthcare
https://www.readbyqxmd.com/read/29103856/impact-of-a-hospital-bounceback-policy-to-reduce-readmissions
#9
Nathan H Moore, Emily D Fondahn, Jack D Baty, Melvin S Blanchard
No abstract text is available yet for this article.
November 3, 2017: Healthcare
https://www.readbyqxmd.com/read/29102480/what-are-the-key-elements-for-implementing-intensive-primary-care-a-multisite-veterans-health-administration-case-study
#10
Evelyn T Chang, Pushpa V Raja, Susan E Stockdale, Marian L Katz, Donna M Zulman, Jessica A Eng, Kathy H Hedrick, Jeffrey L Jackson, Neha Pathak, Brook Watts, Carrie Patton, Gordon Schectman, Steven M Asch
Many integrated health systems and accountable care organizations have turned to intensive primary care programs to improve quality of care and reduce costs for high-need high-cost patients. How best to implement such programs remains an active area of discussion. In 2014, the Veterans Health Administration (VHA) implemented five distinct intensive primary care programs as part of a demonstration project that targeted Veterans at the highest risk for hospitalization. We found that programs evolved over time, eventually converging on the implementation of the following elements: 1) an interdisciplinary care team, 2) chronic disease management, 3) comprehensive patient assessment and evaluation, 4) care and case management, 5) transitional care support, 6) preventive home visits, 7) pharmaceutical services, 8) chronic disease self-management, 9) caregiver support services, 10) health coaching, and 11) advanced care planning...
October 25, 2017: Healthcare
https://www.readbyqxmd.com/read/29066168/patterns-and-predictors-of-physician-adoption-of-new-cardiovascular-drugs
#11
Timothy S Anderson, Wei-Hsuan Lo-Ciganic, Walid F Gellad, Rouxin Zhang, Haiden A Huskamp, Niteesh K Choudhry, Chung-Chou H Chang, Seth Richards-Shubik, Hasan Guclu, Bobby Jones, Julie M Donohue
BACKGROUND: Little is known about physicians' approaches to adopting new cardiovascular drugs and how adoption varies between drugs of differing novelty. METHODS: Using data on dispensed prescriptions from IMS Health's Xponentâ„¢ database, we created a cohort of all primary care physicians (PCPs) and cardiologists in Pennsylvania who regularly prescribed anticoagulants, antihypertensives and statins from 2007 to 2011. We examined prescribing of three new cardiovascular drugs of differing novelty: dabigatran, aliskiren and pitavastatin...
October 21, 2017: Healthcare
https://www.readbyqxmd.com/read/29055770/implementation-of-a-multidisciplinary-team-based-model-to-treat-chronic-hepatitis-c-in-the-primary-care-setting-lessons-learned
#12
Randi Sokol, Jessica Early, Amanda Barner, Sarah Gottfried, Richard Gumpert, Lorky Libaridian, Virginia Morrison, Alexandra Santamaria, Linda Shipton
Hepatitis C virus (HCV) is the most common blood-borne virus in the U.S., and its incidence continues to rise. With approval of direct-acting antiviral medications, treatment for Chronic Hepatitis C (CHC) has become highly efficacious with a minimal side effect profile. Primary care physicians are well-positioned to address this increased demand, yet most do not feel comfortable treating CHC. In this case report, we describe implementation of a multidisciplinary team-based approach for treating CHC at multiple primary care sites across a large safety net health system...
October 18, 2017: Healthcare
https://www.readbyqxmd.com/read/28958850/catalyzing-healthcare-transformation-with-digital-health-performance-indicators-and-lessons-learned-from-a-digital-health-innovation-group
#13
Jocelyn Tseng, Sonia Samagh, Donna Fraser, Adam B Landman
Despite considerable investment in digital health (DH) companies and a growing DH ecosystem, there are multiple challenges to testing and implementing innovative solutions. Health systems have recognized the potential of DH and have formed DH innovation centers. However, limited information is available on DH innovation center processes, best practices, or outcomes. This case report describes a DH innovation center process that can be replicated across health systems and defines and benchmarks process indicators to assess DH innovation center performance...
September 25, 2017: Healthcare
https://www.readbyqxmd.com/read/28958470/co-located-specialty-care-within-primary-care-practice-settings-a-systematic-review-and-meta-analysis
#14
REVIEW
Muhamad Y Elrashidi, Khaled Mohammed, Pavithra R Bora, Qusay Haydour, Wigdan Farah, Ramona DeJesus, Mohammad Hassan Murad, Jon O Ebbert
BACKGROUND: Co-location of specialists in primary care has been suggested as an approach to reduce care fragmentation, inefficiency, and cost. We conducted a systematic review and meta-analysis evaluating the impact of co-located specialty care models in primary care settings. METHODS: Ovid Medline In-Process & Other Non-Indexed Citations, Ovid MEDLINE, Ovid EMBASE, Ovid Cochrane Central Register of Controlled Trials, Ovid Cochrane Database of Systematic Reviews, and Scopus was conducted through February 2015...
September 23, 2017: Healthcare
https://www.readbyqxmd.com/read/28943225/achieving-scale-rapidly-in-public-health-applying-business-management-principles-to-scale-up-an-hiv-prevention-program-in-india
#15
Sema K Sgaier, Aparajita Ramakrishnan, Alkesh Wadhwani, Aparajita Bhalla, Hari Menon, James Baer, Ashok Alexander
No abstract text is available yet for this article.
September 21, 2017: Healthcare
https://www.readbyqxmd.com/read/28919513/accompanying-indigenous-maya-patients-with-complex-medical-needs-a-patient-navigation-system-in-rural-guatemala
#16
Anita Chary, David Flood, Kirsten Austad, Marcela Colom, Jessica Hawkins, Katia Cnop, Boris Martinez, Waleska Lopez, Peter Rohloff
No abstract text is available yet for this article.
September 14, 2017: Healthcare
https://www.readbyqxmd.com/read/28890261/participation-and-payments-in-the-pqrs-maintenance-of-certification-program-implications-for-future-merit-based-payment-programs
#17
McKinley Glover, Richard Duszak, Ezequiel Silva, Sandhya K Rao, James S Babb, Andrew B Rosenkrantz
No abstract text is available yet for this article.
September 7, 2017: Healthcare
https://www.readbyqxmd.com/read/28890260/the-health-care-innovation-bubble
#18
Sachin H Jain
No abstract text is available yet for this article.
September 7, 2017: Healthcare
https://www.readbyqxmd.com/read/28822503/interview-with-martin-roland
#19
Khin-Kyemon Aung
No abstract text is available yet for this article.
September 2017: Healthcare
https://www.readbyqxmd.com/read/28822502/aligning-incentives-for-value-the-internal-performance-framework-at-partners-healthcare
#20
Brian W Powers, Amol S Navathe, Sreekanth K Chaguturu, Timothy G Ferris, David F Torchiana
No abstract text is available yet for this article.
September 2017: Healthcare
journal
journal
48708
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"