- Center on Health Equity & Access
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A Hospital Discharge Navigation Program: The Positive Impact of Facilitating the Discharge Navigation ProcessThis study demonstrates that the implementation of a discharge navigation program led to earlier writing of discharge orders and patient release from the hospital.
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Health Information Technology and the Medical School CurriculumThere are opportunities for and obstacles to adding core biomedical informatics competencies to medical school curricula.
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Health Plan—Provider Accountable Care Partnerships: How Have They Evolved?Although health plan accountable care models have evolved provider readiness, data, analytics, and the use of performance measurement are important components of plan-provider partnerships.
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Decision Aids for Benign Prostatic Hyperplasia and Prostate CancerImplementing patient decision aids was associated with lower rates of elective surgery for benign prostatic hyperplasia and of active treatment for localized prostate cancer.
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Tools to Improve Referrals From Primary Care to Specialty CareData from a national survey of Veterans Health Administration specialists indicate that referral templates may improve the appropriateness, clarity, and completeness of primary care–specialty care referrals.
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Economic and Clinical Impact of Routine Weekend Catheterization ServicesWeekend cardiac catheterization availability for inpatients reduced length of stay and maintained quality of care (no excess hazard for weekend cases), but costs were similar.
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VA Geriatric Scholars Program’s Impact on Prescribing Potentially Inappropriate MedicationsPrimary care teams reduced their prescribing of potentially inappropriate medications to older veterans after participation in the Veterans Affairs (VA) Geriatric Scholars Program.
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Initial Results of a Lung Cancer Screening Demonstration Project: A Local Program EvaluationResults, lessons, and challenges of a local lung cancer screening program within a national demonstration project.
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A Novel Pharmaceutical-ACO Collaboration: the Merck/Heritage Provider Network Open Innovation ChallengeAccountable care is forcing providers to develop new capacities and strategies for managing cost and quality trends. Prospectively managing the health of populations requires shifting the focus of care delivery from episodic interventions to continuous population management. As a result, accountable care organizations (ACOs) are dedicating considerable focus to developing the infrastructure and tools needed to help patients manage their chronic conditions. This is a significant departure from traditional care-delivery models and will require provider organizations to develop new partnerships and embrace new methods.
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Outpatient Referral Rates in Family MedicineReferral patterns by family physicians affect numerous aspects of medical care. This study compares the outpatient referral rates of residents, residency faculty, and clinical faculty.
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What Performance Measures Do Consumers Find Useful When Selecting Marketplace Health Plans?Marketplace consumers desire more health plan measures on how well plans support long-term patient—physician relationships. Consumers are skeptical of measures about rewarding providers for high quality.
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Primary Care and Communication in Shared Cancer Care: A Qualitative StudyThis qualitative study assesses patient, PCP, and oncologist views on primary care roles in shared cancer care, as well as patterns of communication between physicians.
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Racial/Ethnic and Age Disparities in Chemotherapy Selection for Colorectal CancerAmong Medicare enrollees with metastatic colorectal cancer, the use of newer chemotherapy agents was lower for African American patients and for older patients.
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Does Paid Versus Unpaid Supplementary Caregiving Matter in Preventable Readmissions?Home health beneficiaries with diabetes using paid supplementary caregivers had 68% higher hazards of readmission due to urinary tract infection than those with unpaid supplementary caregivers.
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Opioid Safety Initiative Associated With Decreased Emergency Department Opioid PrescribingA scalable health system–wide emergency physician education and feedback initiative was associated with decreased opioid prescribing, in excess of background temporal decline.
