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https://www.readbyqxmd.com/read/29748087/trends-in-hospital-snf-relationships-in-the-care-of-medicare-beneficiaries
#1
Joshua M Liao, R Tamara Konetzka, Rachel M Werner
Improving the value of post-acute care at skilled nursing facilities (SNFs) has become a Medicare policy priority. Anecdotally, hospitals have responded by formally acquiring or pursuing tighter informal connections with SNFs. We evaluated the trend in connections between US acute care hospitals and Medicare-certified SNFs between 2000 and 2013 using vertical integration and two novel network-based measures (number of SNF partners, and discharge concentration). Among 4441 hospitals and 17,215 SNFs, hospitals with weaker connections with SNFs were more often non-profit, major teaching hospitals with a larger number of discharges and beds...
May 7, 2018: Healthcare
https://www.readbyqxmd.com/read/29706523/achieving-alignment-in-graduate-medical-education-to-train-the-next-generation-of-healthcare-professionals-to-improve-healthcare-delivery
#2
Christopher Moriates, Vineet M Arora
No abstract text is available yet for this article.
April 27, 2018: Healthcare
https://www.readbyqxmd.com/read/29705179/redesigning-primary-care-with-health-coaches-an-interview-with-iora-health-ceo-rushika-fernandopulle
#3
Adam L Beckman, Sanchay Gupta
No abstract text is available yet for this article.
April 25, 2018: Healthcare
https://www.readbyqxmd.com/read/29610050/upmc-s-blueprint-for-building-a-high-value-health-care-system
#4
Donna Keyser, Jane Kogan, Marion McGowan, Pamela Peele, Diane Holder, William Shrank
National-level demonstration projects and real-world studies continue to inform health care transformation efforts and catalyze implementation of value-based service delivery and payment models, though evidence generation and diffusion of learnings often occurs at a relatively slow pace. Rapid-cycle learning models, however, can help individual organizations to more quickly adapt health care innovations to meet the challenges and demands of a rapidly changing health care landscape. Integrated delivery and financing systems (IDFSs) offer a unique platform for rapid-cycle learning and innovation...
March 30, 2018: Healthcare
https://www.readbyqxmd.com/read/29602743/shared-care-planning-realizing-the-promise-of-team-based-person-centered-care
#5
Smitha Ganeshan, Galina Gheihman, Marissa Palmor, Stephanie Choi, Diana Wohler, Lisa S Rotenstein
No abstract text is available yet for this article.
March 28, 2018: Healthcare
https://www.readbyqxmd.com/read/29510960/new-mexico-cancer-center-and-the-come-home-model-pathways-improving-the-value-of-community-based-cancer-care
#6
Ravi B Parikh, Justin E Bekelman, Amanda Hodlofksi, Amol S Navathe
No abstract text is available yet for this article.
March 2018: Healthcare
https://www.readbyqxmd.com/read/29398469/proportion-of-patients-with-cancer-among-high-cost-medicare-beneficiaries-who-they-are-and-what-drives-their-spending
#7
Miranda B Lam, Laura G Burke, E John Orav, Ashish K Jha
BACKGROUND: A small proportion of patients account for the majority of health care spending. Of this group, little is known about what proportion have a cancer diagnosis and how their spending pattern compares to those without cancer. METHODS: Using national Medicare data of enrollees 65 or older, we identified patients in the top decile of spending in 2014 and designated them as high-cost. We used ICD-9 codes to identify patients with a cancer diagnosis and examined cancer prevalence among both high-cost and non-high-cost patients...
March 2018: Healthcare
https://www.readbyqxmd.com/read/29477610/how-patient-experience-informed-the-safemed-program-lessons-learned-during-a-health-care-innovation-award-to-improve-care-for-super-utilizers
#8
Jill D Nault Connors, Bonnie L Binkley, J Carolyn Graff, Satya Surbhi, James E Bailey
No abstract text is available yet for this article.
February 21, 2018: Healthcare
https://www.readbyqxmd.com/read/29456103/straddling-care-and-education-developing-interprofessional-collaboration-through-a-hotspotting-service-learning-project
#9
Anne C Jones, Trudy Li, Meg Zomorodi, Rob Broadhurst, Amy B Weil
No abstract text is available yet for this article.
February 15, 2018: Healthcare
https://www.readbyqxmd.com/read/29428192/expanding-access-to-primary-healthcare-for-women-through-a-microfinance-institution-a-case-study-from-rural-guatemala
#10
Marcela Colom, Kirsten Austad, Neftali Sacuj, Karen Larson, Peter Rohloff
The utilization of existing social networks is increasingly being recognized as a powerful strategy for delivering healthcare services to underserved populations in low- and middle-income countries. In Guatemala, multiple barriers prevent access to healthcare services for rural and indigenous populations, and strategies for delivering healthcare in more efficient ways are needed. The case study we describe here is a unique collaboration between a microfinance institution (Friendship Bridge) and a primary care organization (Wuqu' Kawoq | Maya Health Alliance) to scale up healthcare through an existing lending-borrowing social network...
February 7, 2018: Healthcare
https://www.readbyqxmd.com/read/29279297/working-smarter-not-harder-coupling-implementation-to-de-implementation
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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/28890260/the-health-care-innovation-bubble
#17
Sachin H Jain
No abstract text is available yet for this article.
December 2017: Healthcare
https://www.readbyqxmd.com/read/28676155/characteristics-and-spending-patterns-of-high-cost-non-elderly-adults-in-massachusetts
#18
Jose F Figueroa, Austin B Frakt, Zoe M Lyon, Xiner Zhou, Ashish K Jha
BACKGROUND: Given that health care costs in Massachusetts continue to grow despite great efforts to contain them, we seek to understand characteristics and spending patterns of the costliest non-elderly adults in Massachusetts based on type of insurance. METHODS: We used the Massachusetts All-Payer Claims Database (APCD) from 2012 and analyzed demographics, utilization patterns and spending patterns across payers (Medicaid, Medicaid managed care, and private insurers) for high cost patients (those in the top 10% of spending) and non-high cost patients (the remaining 90%)...
December 2017: Healthcare
https://www.readbyqxmd.com/read/28117243/patient-perceptions-of-integrated-care-and-their-relationship-to-utilization-of-emergency-inpatient-and-outpatient-services
#19
Ashley-Kay Fryer, Mark W Friedberg, Ryan W Thompson, Sara J Singer
BACKGROUND: Patients with multiple chronic conditions have garnered particular attention from policymakers and health service researchers because these patients utilize more services and contribute disproportionally to rising health care expenses. The growing prevalence of patients with multiple chronic conditions has increased the importance of achieving better health care integration for this patient population. Patients may be well positioned to assess integration of their care, but the relationship between patients' perceptions of care integration and use of health services has not been studied...
December 2017: Healthcare
https://www.readbyqxmd.com/read/28065558/the-availability-of-community-health-center-services-and-access-to-medical-care
#20
James B Kirby, Ravi Sharma
BACKGROUND: Community Health Centers (CHCs) funded by Section 330 of the Public Health Service Act are an essential part of the health care safety net in the US. The Patient Protection and Affordable Care Act expanded the program significantly, but the extent to which the availability of CHCs improve access to care in general is not clear. In this paper, we examine the associations between the availability of CHC services in communities and two key measures of ambulatory care access - having a usual source of care and having any office-based medical visits over a one year period...
December 2017: Healthcare
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