Read by QxMD icon Read


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
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
Sachin H Jain
No abstract text is available yet for this article.
September 7, 2017: Healthcare
Josh Durfee, Tracy Johnson, Holly Batal, Jeremy Long, Deborah Rinehart, Rachel Everhart, Carlos Irwin Oronce, Ivor Douglas, Kimberly Moore, Adam Atherly
BACKGROUND: Interventions designed to improve care and reduce costs for patients with the highest rates of hospital utilization (super-utilizers) continue to proliferate, despite conflicting evidence of cost savings. METHODS: We evaluated a practice transformation intervention that implemented team-based care and risk-stratification to match specific primary care resources based on need. This included an intensive outpatient clinic for super-utilizers. We used multivariate regression and a difference-in-differences approach to compare changes in mortality, utilization, and charges between the intervention group and a historical control...
August 25, 2017: Healthcare
Caterina Hill, Khin-Kyemon Aung, Toyin Ajayi, Mika Cheng, Lauren Easton, Karen Derby, Jerome Genser, Bradley Keith, Peggy Johnson
No abstract text is available yet for this article.
August 8, 2017: Healthcare
Joe Feinglass, Celeste A Mallama, Angela Rogers, Caroline Teter, Courtney Hurt, Christine Schaeffer
BACKGROUND: This study evaluates the Northwestern Medicine Group Transitional Care clinic (NMG-TC), which transitions patients from an urban hospital to primary care at partner community clinics. We evaluate change over the 55 month study period in emergency department, observation or inpatient use within 90 days of an initial NMG-TC visit. METHODS: Electronic health records were used to determine patient demographic, insurance and clinical characteristics, including inflation-adjusted total hospital charges in the 90 days prior and the 90 days after an initial NMG-TC visit...
August 8, 2017: Healthcare
Kedar S Mate, Amy Berman, Mara Laderman, Andrea Kabcenell, Terry Fulmer
Safe and effective care of older adults is a crucial issue given the rapid growth of the aging demographic, many of whom have complex health and social needs. At the same time, the health care delivery environment is rapidly changing, offering a new set of opportunities to improve care of older adults. We describe the background, evidence-based changes, and testing, scale-up, and spread strategy that are part of the design of the Creating Age-Friendly Health Systems initiative. The goal is to reach 20% of U...
July 31, 2017: Healthcare
Edwin S Wong, Chuan-Fen Liu, Susan E Hernandez, Matthew R Augustine, Karin Nelson, Stephan D Fihn, Paul L Hebert
BACKGROUND: Improving access to the Veterans Health Administration (VHA) is a high priority, particularly given statutory mandates of the Veterans Access, Choice and Accountability Act. This study examined whether patient-reported wait times for VHA appointments were associated with future reliance on VHA primary care services. METHODS: This observational study examined 13,595 VHA patients dually enrolled in fee-for-service Medicare. Data sources included VHA administrative data, Medicare claims and the Survey of Healthcare Experiences of Patients (SHEP)...
July 29, 2017: Healthcare
Gregory W Kurtzman, Megha A Keshav, Nikita P Satish, Mitesh S Patel
BACKGROUND: Digital platforms that allow patients to go online or use smartphone applications to view and schedule physician appointments have not been well evaluated. METHODS: We conducted systematic searches for primary care physician appointments in 20 cities using ZocDoc, an online appointment scheduling platform. Availability was determined for three insurance types (self-pay, Medicare, and Medicaid) in states with and without Medicaid expansion. We collected data on physician characteristics, number of appointments available, and distance to clinics...
July 27, 2017: Healthcare
Jennifer May, Nicole Kazee, Sheila Castillo, Neil Bahroos, Scott Kennedy, Amparo Castillo, William Frese, Monika Marko-Holguin, T J Crawford, Benjamin W Van Voorhees
No abstract text is available yet for this article.
July 21, 2017: Healthcare
Dean F Sittig, Elisabeth Belmont, Hardeep Singh
In 2011, an Institute of Medicine report on health information technology (IT) and patient safety highlighted that building health-IT for safer use is a shared responsibility between key stakeholders including: "vendors, care providers, healthcare organizations, health-IT departments, and public and private agencies". Use of electronic health records (EHRs) involves all these stakeholders, but they often have conflicting priorities and requirements. Since 2011, the concept of shared responsibility has gained little traction and EHR developers and users continue to attribute the substantial, long list of problems to each other...
July 14, 2017: Healthcare
Karen M Goldstein, Dawne Vogt, Alison Hamilton, Susan M Frayne, Jennifer Gierisch, Jill Blakeney, Anne Sadler, Bevanne M Bean-Mayberry, Diane Carney, Brooke DiLeone, Annie B Fox, Ruth Klap, Ellen Yee, Yasmin Romodan, Holly Strehlow, Julia Yosef, Elizabeth M Yano
No abstract text is available yet for this article.
July 12, 2017: Healthcare
Karleen F Giannitrapani, Sangeeta C Ahluwalia, R Thomas Day, Maura Pisciotta, Steven Dobscha, Karl Lorenz
No abstract text is available yet for this article.
July 12, 2017: Healthcare
Charlie M Wray, Vineet M Arora, Donald Hedeker, David O Meltzer
BACKGROUND: Inpatient service handoffs are a vulnerable transition during a patients' hospitalization. We hypothesized that performing the service handoff at the patients' bedside may be one mechanism to more efficiently transfer patient information between physicians, while further integrating the patient into their hospital care. METHODS: We performed a 6-month prospective study of performing a bedside handoff (BHO) at the service transition on a non-teaching hospitalist service...
July 5, 2017: Healthcare
Gabriel G Malseptic, Lauren H Melby, Kathleen A Connolly
Massachusetts' community hospitals face the challenge of achieving accountable care readiness with fewer financial and operational resources and a higher share of publicly-insured patients than their academic medical center counterparts. They are thus doubly constrained to make the investments necessary to perform in a value-based payment environment. Hallmark Health System and Lowell General Hospital are among 25 community hospital awardees engaged with the Massachusetts Health Policy Commission's Community Hospital Acceleration, Revitalization, and Transformation (CHART) investment program to implement clinical transformation programs to reduce unnecessary hospital utilization; enhance care for individuals with social, behavioral, and medical complexity; and improve post-acute community-based care, as means to advance accountable care readiness...
June 28, 2017: Healthcare
Khin-Kyemon Aung
No abstract text is available yet for this article.
September 2017: Healthcare
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
Joshua M Liao, Amanda Holdofski, Gary L Whittington, Michael Zucker, Sergio Viroslav, David L Fox, Amol S Navathe
No abstract text is available yet for this article.
September 2017: Healthcare
Leah Marcotte, Amanda Hodlofski, Amelia Bond, Pankaj Patel, Lee Sacks, Amol S Navathe
No abstract text is available yet for this article.
September 2017: Healthcare
Daniel R Arnold
Payment reform has been at the forefront of the movement toward higher-value care in the U.S. health care system. A common belief is that volume-based incentives embedded in fee-for-service need to be replaced with value-based payments. While this belief is well-intended, value-based payment also contains perverse incentives. In particular, behavioral economists have identified several features of individual decision making that reverse some of the typical recommendations for inducing desirable behavior through financial incentives...
September 2017: Healthcare
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"