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Is Higher Patient Satisfaction Associated With Better Stroke Outcomes?Global patient satisfaction was positively associated with quality of stroke care and higher discharge information satisfaction may be linked to worse outcomes. Additionally, improvements in satisfactions were linked to higher costs.
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Diabetes: An Opportunity to Have a Lasting Impact on Health Through Lifestyle ModificationThree cardiologists, including the 2015-2016 president of the American College of Cardiology, review the evidence in support of lifestyle modification for diabetes management or remission.
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Recommendations for the Role of Clinical Pathways in an Era of Personalized MedicineWe offer recommendations for the development and design of clinical pathways in an effort to establish a set of normative criteria that creates trust and transparency.
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Cost-Effectiveness of Combinatorial Pharmacogenomic Testing for Treatment-Resistant Major Depressive Disorder PatientsUsing a state-transition probability analysis, this study assessed the long-term outcomes and economic implications of combinatorial pharmacogenomic testing for managing patients with major depressive disorder who were nonresponsive to treatments.
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Exploring Indications for the Use of Direct Oral Anticoagulants and the Associated Risks of Major BleedingThis supplement to The American Journal of Managed Care® describes the burden of thrombosis in terms of strokes and venous thromboembolism and highlights indications for the use of direct oral anticoagulants (DOACs) for the treatment of these conditions. The burden of DOAC-associated bleeding and unmet needs regarding reversal agents are also discussed.
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Impact of After-Hours Telemedicine on Hospitalizations in a Skilled Nursing FacilityA case study highlighting clinical and financial outcomes of an after-hours on-demand telemedicine intervention in a skilled nursing facility.
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Improvement of Outpatient Quality Metrics in a Limited-Resource SettingThis study presents an example of a population health initiative in a limited-resource primary care setting that led to significant improvements in preventive care quality metrics in the context of major insurance payers.
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Process of Care Compliance Is Associated With Fewer Diabetes ComplicationsAdherence to process of care measures was associated with reduced risk of 2 diabetes complications or any of 4 complications in a national industrial cohort.
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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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Approaches for Overcoming Barriers to Cross-Sector Data SharingThe authors identified challenges to cross-sector data sharing and the approaches used to overcome these challenges in the Mid-Ohio Farmacy, a partnership to address food insecurity.
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New Start Versus Continuing Users on Aripiprazole: Implications for PolicyNew starts on aripiprazole were less adherent than continuing users. Prescriptions for 90-day supplies should be reserved for patients who have established effectiveness and tolerance.
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Importance of Reasons for Stocking Adult VaccinesEconomic factors associated with the purchase and maintenance of vaccine inventory and inadequate reimbursement for vaccination services were the most important to pharmacy and doctors’ office decision makers when considering whether to stock adult vaccines.
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Deprescribing in the Context of Multiple Providers: Understanding Patient PreferencesDeprescribing could reduce the risk of harm from inappropriate medications. Understanding patient attitudes regarding which clinicians can make deprescribing recommendations can facilitate effective design and implementation of interventions.
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Pricing of Monoclonal Antibody Therapies: Higher If Used for Cancer?The annual price of monoclonal antibody therapies used in oncology and hematology is about $100,000 higher than those used in other disease states.
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Beyond Regulatory Requirements: Designing ACO Websites to Enhance Stakeholder EngagementThe authors describe best practices for Web design in the accountable care organization space in order to enhance engagement with patients and providers.
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Regional Market Factors and Patient Experience in Primary CarePatient-provider communication quality metrics at safety net hospitals are indirectly affected by changes in regional market factors that influence patients’ demand for care.
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Medical Homes and Cost and Utilization Among High-Risk PatientsA longitudinal case-control design was used to evaluate the effects of the patient-centered medical home model on medical costs and utilization among high-risk patients.
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Medicare Prescription Drug Plans as Perceived by Public Health ProvidersEven experienced providers say prescribing has become too complex and time consuming with Medicare Part D plans, which differ in formularies and prior authorization processes.
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Predictive Factors of Discharge Navigation Lag TimeExamination of factors associated with discharge lag time and how this metric plays an important role in managing hospital throughput.
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Impact of Clinical Training on Recruiting Graduating Health ProfessionalsA business case is made for medical centers to offer high-quality clinical training experiences to recruit graduating health professionals.
