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https://www.readbyqxmd.com/read/29126852/a-three-step-health-services-research-approach-to-improve-prescribing
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
Sachin H Jain
No abstract text is available yet for this article.
September 7, 2017: Healthcare
https://www.readbyqxmd.com/read/28847571/the-impact-of-tailored-intervention-services-on-charges-and-mortality-for-adult-super-utilizers
#12
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
https://www.readbyqxmd.com/read/28822503/interview-with-martin-roland
#13
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
#14
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
https://www.readbyqxmd.com/read/28822501/baptist-health-system-succeeding-in-bundled-payments-through-behavioral-principles
#15
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
https://www.readbyqxmd.com/read/28822500/into-practice-how-advocate-health-system-uses-behavioral-economics-to-motivate-physicians-in-its-incentive-program
#16
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
https://www.readbyqxmd.com/read/28822499/countervailing-incentives-in-value-based-payment
#17
REVIEW
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
https://www.readbyqxmd.com/read/28687464/antibiotic-stewardship-in-the-retail-clinic-setting-implementation-in-1100-clinics-nationwide
#18
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...
September 2017: Healthcare
https://www.readbyqxmd.com/read/28669857/aggregation-to-promote-health-in-an-era-of-data-and-value-based-payment
#19
Winston Liaw, Andrew W Bazemore, Robert L Phillips
No abstract text is available yet for this article.
September 2017: Healthcare
https://www.readbyqxmd.com/read/28526590/scribes-re-writing-the-story-on-patient-and-provider-experience
#20
Kyle Morawski, Jennifer Childs-Roshak, Alan Weitberg
No abstract text is available yet for this article.
September 2017: Healthcare
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