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Latest:
A Systematic Review of Measurement Properties of Instruments Assessing PresenteeismA systematic review of presenteeism instruments found that most have been validated to some extent, but evidence for criterion validity is virtually absent.
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Depression Care Following Psychiatric Hospitalization in the Veterans Health AdministrationDifferent patient characteristics predict adequate antidepressant treatment after hospitalization, received by 58.7% of patients, versus adequate psychotherapy, received by 12.9% of patients.
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Oral Antidiabetic Medication Adherence and Glycemic Control in Managed CareIn this retrospective study of patients with diabetes, adherent patients were more likely to achieve glycemic control than nonadherent patients.
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Impact of Weekly Feedback on Test Ordering PatternsProviding a weekly feedback report significantly influences the test ordering behavior of internal medicine residents and reduces laboratory overutilization.
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Costs and Spillover Effects of Private Insurers' Coverage of Hepatitis C TreatmentExpanding private-payer coverage of hepatitis C treatment may yield significant long-term cost savings for private payers, reduced costs to Medicare, and increased social value.
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Ambulatory Care–Sensitive Emergency Visits Among Patients With Medical Home AccessPatients often self-refer to the emergency department (ED) for management of an ambulatory care–sensitive condition, and the ED may be the most appropriate care location.
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Toyota Production System Quality Improvement Initiative Improves Perioperative Antibiotic TherapyUse of Toyota production system methods as part of a nosocomial MRSA prevention initiative on a surgical unit improved quality of care in other areas.
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Impact of Primary and Specialty Care Integration via Asynchronous CommunicationGeisinger’s Ask-a-Doc program, which enables direct asynchronous communication between primary and specialty care, was associated with lower healthcare utilization and cost, implying more efficient care.
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Economic Implications of Weight Change in Patients With Type 2 Diabetes MellitusModest weight loss (>3%) among metformin-treated patients with type 2 diabetes mellitus was associated with decreased costs, lower resource utilization, and lower rates of treatment discontinuation.
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Methodological Effects on the Measurement of Repeat HospitalizationsThe rates of potentially preventable readmissions vary across measurement methodologies which explains inconsistencies in previous studies. Results suggest measurement of readmissions incentivizes inefficient behavior.
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Relationship Between Quality Improvement Processes and Clinical PerformanceThis study examines the clinical effects of care management and quality improvement interventions implemented by physician groups on pay-for-performance success.
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Impact of Formulary Restrictions on Medication Use and CostsPlacing formulary restrictions on brand name drugs shifts use toward generics, lowers the cost per prescription fill, and has minimal impact on overall adherence for antidiabetes, antihyperlipidemia, and antihypertension medications among low-income subsidy recipients in Medicare Part D plans.
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Health Information Technology for Ambulatory Care in Health SystemsHealth systems are important in driving electronic health record adoption in ambulatory clinics, although the uptake of key functionalities varies across systems.
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Electronic Health Records: Potential to Transform Medical EducationWith the transition to "meaningful use" of electronic health records, medical educators should consider ways to meaningfully improve how physicians are trained for practice.
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Quality of Care at Retail Clinics for 3 Common ConditionsQuality of care for 3 conditions, based on widely accepted objective measures, was superior in MinuteClinics compared with ambulatory care facilities or emergency departments.
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Spending Variation Among ACOs in the Medicare Shared Savings ProgramAnalysis of spending differences among accountable care organizations (ACOs) may help identify cost savings opportunities. We examined the magnitude and sources of spending variation among ACOs over 4 years.
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Case Study: How Does an ACO Generate Savings Three Years in a Row?Increasing accountable care organization savings is dependent on maximizing quality scores and increasing the number of beneficiaries while maintaining a low per-capita spend through efficiencies of care.
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Ambulatory Care–Sensitive Emergency Visits Among Patients With Medical Home AccessPatients often self-refer to the emergency department (ED) for management of an ambulatory care–sensitive condition, and the ED may be the most appropriate care location.
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Impact of an Online Prescription Management Account on Medication AdherenceOnline prescription management accounts may help promote medication adherence, as utilizing patients had a higher proportion of days covered than nonusers.
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Diabetes Care Improvement in Pharmacist- Versus Nurse-Supported Patient-Centered Medical HomesIn this longitudinal comparative effectiveness study of different chronic disease self-management support approaches within 1 system, both pharmacist- and nurse-led patient-centered medical home approaches improved diabetes care.
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Clinical and Economic Burden of Uncontrolled Severe Noneosinophilic AsthmaAmong patients with severe asthma with low eosinophils untreated with biologics, there is a high burden of disease among those who have suboptimal disease control.
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Building Partnerships Between a College of Pharmacy and ACOs: Development of the ACORN SEEDTo promote future partnerships among colleges of pharmacy and accountable care organizations, this article describes several initial challenges to partnership formation, including those related to agenda setting and resource utilization.
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Surface Proteins in DLBCL Offer Therapeutic TargetsIncreasing knowledge of mutations and signaling proteins in diffuse large B-cell lymphoma (DLBCL) offer prognostic and therapeutic advantages, according to a review of recent findings.
