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Latest:
Positive Predictive Values of ICD-9 Codes to Identify Patients With Stroke or TIAThis study determined that ICD-9 codes 433.X1, 434.XX, and V12.54 had positive predictive values >90%, and may be used to focus care on stroke patients.
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Opportunity Costs of Ambulatory Medical Care in the United StatesAn analysis of the opportunity cost associated with ambulatory medical care in the United States demonstrates substantial time costs for individuals and society.
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Adjunctive Aripiprazole for Depression: Predictive Value of Early AssessmentIn treatment of depression with adjunctive aripiprazole, early improvement (week 2) was a significant predictor of remission, and lack of improvement was associated with nonremission.
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EHRs in Primary Care Practices: Benefits, Challenges, and Successful StrategiesSmall primary care practices reap some organizational and quality of care improvements from electronic health records; however, challenges persist in achieving meaningful use standards.
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What Do Pharmaceuticals Really Cost in the Long Run?This study found that brand price at launch and generic entry overstates long-run average pharmaceutical costs, with and without accounting for medical cost offsets.
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Multiple Chronic Conditions in Type 2 Diabetes Mellitus: Prevalence and ConsequencesThis study's findings showed that diabetes care remained suboptimal among many patients with multiple chronic conditions and that patient outcomes varied by multimorbidity profile.
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Collection of Data on Race/Ethnicity and Language Proficiency of ProvidersHealth plans collect and use data on network providers' proficiency in languages other than English more commonly than race and ethnicity data on providers.
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Treatment Decisions for Complex Patients: Differences Between Primary Care Physicians and Midlevel ProvidersMidlevel providers were significantly less likely than physicians to change blood pressure (BP) treatment for complex diabetic patients presenting with elevated BP at a single visit.
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Optimizing Outcomes for Patients With CKD and T2DMSteps that need to be taken to address unmet needs and optimize outcomes for patients who have chronic kidney disease and type 2 diabetes.
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Predicting High-Need Cases Among New Medicaid EnrolleesSelf-reported health measures embedded in a Medicaid application can comprise a predictive model identifying new and returning enrollees at risk of high healthcare utilization.
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Cost-effectiveness of Diabetes Treatment Sequences to Inform Step Therapy PoliciesThis study assesses the cost-effectiveness of adding a sodium-glucose cotransporter 2 inhibitor versus switching to a glucagon-like peptide-1 receptor agonist in patients with diabetes on metformin and a dipeptidyl peptidase-4 inhibitor.
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Decreasing Primary Care Use and Blood Pressure Monitoring During COVID-19Among a group of primary care accountable care organizations, patients with hypertension were 50% less likely to have a blood pressure recorded in April compared with February.
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Gender Differences in Healthcare Utilization of Patients With DiabetesGender differences were found in healthcare utilization in patients with type 2 diabetes mellitus in Germany, despite a high rate of enrollment in a disease management program.
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Identifying Patients With Osteoporosis or at Risk for Osteoporotic FracturesIdentifying patients with osteoporosis or low bone mineral density and high risk for osteoporotic fractures is possible in administrative data using osteoporosis diagnoses and fracture risk profile.
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Risk Adjustment in Home Health Care CAHPSThe authors disagree with previous research concluding that the Home Health Care Consumer Assessment of Healthcare Providers and Services (CAHPS) publicly reported data are insufficiently adjusted for patient comorbidities.
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Effects of Electronic Decision Support on High-Tech Diagnostic Imaging Orders and PatientsElectronic decision support for high-tech diagnostic imaging was associated with reduced volume and increased appropriateness, but had little impact on findings or patients.
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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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Standardization Improves Postoperative Patient Handoff Experience for Junior CliniciansStandardization of operating room to intensive care handoff with a “time-out for sign-out” process for health care providers was beneficial for junior clinicians.
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The Development of Diabetes Complications in GP-Centered HealthcareThis study compared general practitioner–centered healthcare (Hausarztzentrierte Versorgung [HZV]) with non-HZV healthcare in Germany regarding the development of diabetes complications. HZV is associated with reduced risk of diabetes complications.
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Patients' Views of a Behavioral Intervention Including Financial IncentivesPatients who enrolled in a trial to lower low-density lipoprotein cholesterol spoke positively of the multifaceted intervention: pillbox monitoring and financial incentives were socially acceptable.
