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Population health

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8 papers 0 to 25 followers
By Jamie Jarmul Md / PhD student at UNC - Chapel Hill, PhD in Health Policy and Management
https://www.readbyqxmd.com/read/27886435/a-multicomponent-quality-improvement-intervention-to-improve-blood-pressure-and-reduce-racial-disparities-in-rural-primary-care-practices
#1
Crystal W Cené, Jacqueline R Halladay, Ziya Gizlice, Katrina E Donahue, Doyle M Cummings, Alan Hinderliter, Cassandra Miller, Larry F Johnson, Beverly Garcia, Jim Tillman, Edwin P Little, Marjorie R Rachide, Thomas C Keyserling, Alice Ammerman, Haibo Zhou, Jia-Rong Wu, Darren DeWalt
The Southeastern United States has the highest prevalence of hypertension and African Americans have disproportionately worse blood pressure control. The authors sought to evaluate the effect of a multicomponent practice-based quality improvement intervention on lowering mean systolic blood pressure (SBP) at 12 and 24 months compared with baseline among 525 patients, and to assess for a differential effect of the intervention by race (African Americans vs white). At 12 months, both African Americans (-5.0 mm Hg) and whites (-7...
November 25, 2016: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/27397857/a-conceptual-model-for-episodes-of-acute-unscheduled-care
#2
Jesse M Pines, Gaetano R Lotrecchiano, Mark S Zocchi, Danielle Lazar, Jacob B Leedekerken, Gregg S Margolis, Brendan G Carr
We engaged in a 1-year process to develop a conceptual model representing an episode of acute, unscheduled care. Acute, unscheduled care includes acute illnesses (eg, nausea and vomiting), injuries, or exacerbations of chronic conditions (eg, worsening dyspnea in congestive heart failure) and is delivered in emergency departments, urgent care centers, and physicians' offices, as well as through telemedicine. We began with a literature search to define an acute episode of care and to identify existing conceptual models used in health care...
October 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27552616/association-of-integrated-team-based-care-with-health-care-quality-utilization-and-cost
#3
COMPARATIVE STUDY
Brenda Reiss-Brennan, Kimberly D Brunisholz, Carter Dredge, Pascal Briot, Kyle Grazier, Adam Wilcox, Lucy Savitz, Brent James
IMPORTANCE: The value of integrated team delivery models is not firmly established. OBJECTIVE: To evaluate the association of receiving primary care in integrated team-based care (TBC) practices vs traditional practice management (TPM) practices (usual care) with patient outcomes, health care utilization, and costs. DESIGN: A retrospective, longitudinal, cohort study to assess the association of integrating physical and mental health over time in TBC practices with patient outcomes and costs...
August 23, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/23804841/enhancing-quality-of-primary-care-using-an-ambulatory-icu-to-achieve-a-patient-centered-medical-home
#4
Joy Lewis, Alex Hoyt, Rose M Kakoza
RESEARCH OBJECTIVE: The Patient-Centered Medical Home (PCMH) has been advocated as a model to address the lack of coordination and continuity in the health system. However, implementation in practice has been slow and incompletely described. STUDY DESIGN: Patients referred into the program received intensive nurse follow-up focused on medication adherence, care coordination, and education. Patients graduate from the program when treatment goals are met. POPULATION STUDIED: The first 100 patients enrolled into the PCMH focused program of a primary care clinic in an urban, academic medical center...
October 1, 2011: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/24195142/new-care-model-targets-high-utilizing-complex-patients-frees-up-emergency-providers-to-focus-on-acute-care-concerns
#5
(no author information available yet)
Hennepin County Medical Center in Minneapolis, MN, has developed a new model of care, designed to meet the needs of high-utilizing hospital and ED patients with complex medical, social, and behavioral needs.The Coordinated Care Center (CCC) provides easy access to patients with a history of high utilization, and delivers multidisciplinary care in a one-stop-shop format. In one year, the approach has slashed ED visits by 37%, freeing up emergency providers to focus on patients with acute needs. In-patient care stays are down by 25%...
November 2013: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27864481/meaningful-use-in-chronic-care-improved-diabetes-outcomes-using-a-primary-care-extension-center-model
#6
Samuel Cykert, Ann Lefebvre, Thomas Bacon, Warren Newton
BACKGROUND: The effect of practice facilitation that provides onsite quality improvement (QI) and electronic health record (EHR) coaching on chronic care outcomes is unclear. This study evaluates the effectiveness of such a program-similar to an agricultural extension center model-that provides these services. METHODS: Through the Health Information Technology for Economic and Clinical Health (HITECH) portion of the American Recovery and Reinvestment Act, the North Carolina Area Health Education Centers program became the Regional Extension Center for Health Information Technology (REC) for North Carolina...
November 2016: North Carolina Medical Journal
https://www.readbyqxmd.com/read/27398874/effectiveness-of-a-multicomponent-quality-improvement-strategy-to-improve-achievement-of-diabetes-care-goals-a-randomized-controlled-trial
#7
Mohammed K Ali, Kavita Singh, Dimple Kondal, Raji Devarajan, Shivani A Patel, Roopa Shivashankar, Vamadevan S Ajay, A G Unnikrishnan, V Usha Menon, Premlata K Varthakavi, Vijay Viswanathan, Mala Dharmalingam, Ganapati Bantwal, Rakesh Kumar Sahay, Muhammad Qamar Masood, Rajesh Khadgawat, Ankush Desai, Bipin Sethi, Dorairaj Prabhakaran, K M Venkat Narayan, Nikhil Tandon
BACKGROUND: Achievement of diabetes care goals is suboptimal globally. Diabetes-focused quality improvement (QI) is effective but remains untested in South Asia. OBJECTIVE: To compare the effect of a multicomponent QI strategy versus usual care on cardiometabolic profiles in patients with poorly controlled diabetes. DESIGN: Parallel, open-label, pragmatic randomized, controlled trial. (ClinicalTrials.gov: NCT01212328). SETTING: Diabetes clinics in India and Pakistan...
September 20, 2016: Annals of Internal Medicine
https://www.readbyqxmd.com/read/27386860/economic-interventions-to-improve-population-health-a-scoping-study-of-systematic-reviews
#8
Mishal S Khan, Bernie Y Guan, Jananie Audimulam, Francisco Cervero Liceras, Richard J Coker, Joanne Yoong
BACKGROUND: Recognizing the close relationship between poverty and health, national program managers, policy-makers and donors are increasingly including economic interventions as part of their core strategies to improve population health. However, there is often confusion among stakeholders about the definitions and operational differences between distinct types of economic interventions and financial instruments, which can lead to important differences in interpretation and expectations...
2016: BMC Public Health
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