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https://www.readbyqxmd.com/read/28716376/improving-the-safety-of-health-information-technology-requires-shared-responsibility-it-is-time-we-all-step-up
#1
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
https://www.readbyqxmd.com/read/28711505/practice-based-research-networks-add-value-to-evidence-based-quality-improvement
#2
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
https://www.readbyqxmd.com/read/28711504/challenges-to-teaming-for-pain-in-primary-care
#3
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
https://www.readbyqxmd.com/read/28688999/assessing-the-implementation-of-a-bedside-service-handoff-on-an-academic-hospitalist-service
#4
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
https://www.readbyqxmd.com/read/28687464/antibiotic-stewardship-in-the-retail-clinic-setting-implementation-in-1100-clinics-nationwide
#5
Jennifer M Polinski, Sandra L Harmon, Kimberly J Henderson, Tobias Barker, Andrew Sussman, Nancy J Gagliano
In light of increasing antibiotic resistance and a slowed antibiotic development pipeline, stewardship is more urgent than ever. To date, most stewardship guidelines and best practice recommendations for implementation focus on local or regional health care organizations. CVS MinuteClinic has implemented a consistent, evidence-based stewardship approach in its >1100 clinics in 33 states. The approach is associated with higher quality antibiotic use than that in primary care practices and emergency departments...
July 4, 2017: Healthcare
https://www.readbyqxmd.com/read/28669857/aggregation-to-promote-health-in-an-era-of-data-and-value-based-payment
#6
Winston Liaw, Andrew W Bazemore, Robert L Phillips
No abstract text is available yet for this article.
June 29, 2017: Healthcare
https://www.readbyqxmd.com/read/28666692/complex-care-models-to-achieve-accountable-care-readiness-lessons-from-two-community-hospitals
#7
Gabriel G Malseptic, Lauren H Melby, Kathleen A Connolly
No abstract text is available yet for this article.
June 27, 2017: Healthcare
https://www.readbyqxmd.com/read/28655521/it-takes-a-village-exploring-the-impact-of-social-determinants-on-delivery-system-outcomes-for-heart-failure-patients
#8
Andrew J Knighton, Lucy A Savitz, Jose Benuzillo, James A VanDerslice
BACKGROUND: Local social determinants may act as effect modifiers for the impact of neighborhood material deprivation on patient-level healthcare outcomes. The objective of this study was to understand the mediating effect of local social determinants on neighborhood material deprivation and delivery outcomes in heart failure (HF) patients. MATERIAL AND METHODS: A retrospective cohort study was conducted using 4737 HF patients receiving inpatient care (n=6065 encounters) from an integrated healthcare delivery system from 2010 to 2014...
June 24, 2017: Healthcare
https://www.readbyqxmd.com/read/28651925/engaging-small-independent-practices-in-value-based-payment-building-aledade-s-medicare-acos
#9
Brian W Powers, Farzad Mostashari, Emily Maxson, Kimberly Lynch, Amol S Navathe
No abstract text is available yet for this article.
June 23, 2017: Healthcare
https://www.readbyqxmd.com/read/28673817/a-state-led-framework-for-value-based-purchasing-to-incent-integration
#10
Katherine Shea Barrett, Katherine L Record, Vivian Haime
Addressing healthcare costs requires incenting providers to address both physical and behavioral health conditions, as well as social determinants of health. The most complex, and expensive, patients are often those with comorbid mental illness and/or addiction, who are at higher risk for exposure to violence, food insecurity, unstable housing and other adversities that negatively affect health. Yet today's value-based payment models and associated quality measures do not incent providers to address patients' behavioral and social needs...
June 22, 2017: Healthcare
https://www.readbyqxmd.com/read/28673816/a-collective-national-approach-to-fostering-innovation-in-complex-care
#11
Rachel Davis, Stephen A Somers
The Complex Care Innovation Lab convenes 15 organizations from across the country that are innovators in health care delivery for low-income populations with complex needs. These organizations have identified several elements that are core to successful complex care programs, including: (1) incorporating patient-centered approaches to care; (2) utilizing a non-traditional workforce; (3) employing data-driven strategies; and (4) leveraging flexible payment models that assign accountability to providers and facilitate interventions to integrate health and social services...
June 22, 2017: Healthcare
https://www.readbyqxmd.com/read/28676155/characteristics-and-spending-patterns-of-high-cost-non-elderly-adults-in-massachusetts
#12
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%)...
June 21, 2017: Healthcare
https://www.readbyqxmd.com/read/28602803/patient-preference-in-primary-care-provider-type
#13
Brandi Leach, Margaret Gradison, Perri Morgan, Christine Everett, Michael J Dill, Justine Strand de Oliveira
BACKGROUND: Given the growing roles of nurse practitioners (NPs) and physician assistants (PAs), patients are increasingly able to choose their primary care provider type. Studies examining patient preferences among provider types are limited and ours is the first to examine reasons for patients' provider type preferences. METHODS: Using data from the 2014 Association of American Medical Colleges' (AAMC) Consumer Survey of Health Care Access, we used qualitative analysis to identify themes in open text responses of reasons for respondents' provider type preference (N = 4220)...
June 9, 2017: Healthcare
https://www.readbyqxmd.com/read/28526590/scribes-re-writing-the-story-on-patient-and-provider-experience
#14
Kyle Morawski, Jennifer Childs-Roshak, Alan Weitberg
No abstract text is available yet for this article.
May 16, 2017: Healthcare
https://www.readbyqxmd.com/read/28342917/science-of-health-care-delivery-as-a-first-step-to-advance-undergraduate-medical-education-a-multi-institutional-collaboration
#15
Stephanie R Starr, Darcy A Reed, Alison Essary, William Hueston, C Daniel Johnson, Natalie Landman, John Meurer, Bonnie Miller, Greg Ogrinc, Elizabeth M Petty, John Raymond, William Riley, Sherine Gabriel, Cheryl Maurana
Physicians must possess knowledge and skills to address the gaps facing the US health care system. Educators advocate for reform in undergraduate medical education (UME) to align competencies with the Triple Aim. In 2014, five medical schools and one state university began collaborating on these curricular gaps. The authors report a framework for the Science of Health Care Delivery (SHCD) using six domains and highlight curricular examples from each school. They describe three challenges and strategies for success in implementing SHCD curricula...
March 22, 2017: Healthcare
https://www.readbyqxmd.com/read/28668203/principles-for-provider-incentives-in-cms-s-alternative-payment-models
#16
Julian Malinak, Matthew J Press, Rahul Rajkumar, Patrick H Conway
No abstract text is available yet for this article.
March 2017: Healthcare
https://www.readbyqxmd.com/read/28668202/home-infusion-safe-clinically-effective-patient-preferred-and-cost-saving
#17
REVIEW
Jennifer M Polinski, Mary K Kowal, Michael Gagnon, Troyen A Brennan, William H Shrank
BACKGROUND: As the U.S. healthcare payment system shifts from volume to value, identifying care approaches that improve outcomes while lowering costs are essential. We sought to understand the utility of home infusion versus medical-setting infusion as a mechanism to affect the three-part aim: better care, better health outcomes, and lower costs. STUDY DESIGN: Systematic review. METHODS: We searched MEDLINE, EMBASE, and Science Citation Index for articles related to the safety, clinical effectiveness, quality of life and satisfaction, and/or costs of home infusion as compared with infusion in an outpatient medical facility or hospital...
March 2017: Healthcare
https://www.readbyqxmd.com/read/28668201/using-behavioral-economics-in-provider-payment-to-motivate-improved-quality-outcomes-cost-the-alternative-quality-contract
#18
Dhruv Khullar, Dana G Safran
No abstract text is available yet for this article.
March 2017: Healthcare
https://www.readbyqxmd.com/read/28668200/adopting-scan-echo-the-providers-experiences
#19
George G Sayre, Leah M Haverhals, Sherry Ball, Lauren Stevenson, Catherine Battaglia, David C Aron, Susan Kirsh, Christian D Helfrich, David Au
A qualitative descriptive analysis of providers' (primary care providers and specialists) experiences adopting SCAN-ECHO identifies perceived challenges, benefits, effects on patient care, and engagement factors.
March 2017: Healthcare
https://www.readbyqxmd.com/read/28668199/chronic-respiratory-failure-utilization-of-a-pediatric-specialty-integrated-care-program
#20
Robert J Graham, Michael L McManus, Angie Mae Rodday, Ruth Ann Weidner, Susan K Parsons
OBJECTIVE: Describe utilization and satisfaction in a specialty integrated care program for children with severe, chronic respiratory insufficiency (CRI). SUBJECTS: Enrollees of the Critical Care, Anesthesia, Perioperative Extension (CAPE) and Home Ventilation Program. METHODS: Children with CRI received home visits, care coordination, and "on-demand" 24/7 access to physicians. Program activity and outcomes were recorded for 3 years using an adapted Care Coordination Measurement Tool© version...
March 2017: Healthcare
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