- Center on Health Equity & Access
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Authors
Latest:
Primary Care Diabetes Bundle Management: 3-Year Outcomes for Microvascular and Macrovascular EventsUsing a system for primary care management of patients with diabetes may reduce the risk of myocardial infarction, stroke, and retinopathy over a 3-year period.
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The Value of Ambulatory Care Measures: A Review of Clinical and Financial Impact from an Employer/Payer PerspectiveThis review suggests that only a few primary care quality measures, which usually are not found in claims data, have significant clinical and financial impact.
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Hospital Responses to DSRIP Program Reforms in New JerseyThis study examines the New Jersey Delivery System Reform Incentive Payment (DSRIP) program using hospital web surveys and key informant interviews and finds progress toward data-driven population health management for low-income patients.
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Analysis of Venous Thromboprophylaxis Duration and Outcomes in Orthopedic PatientsExtended-duration thromboprophylaxis (>14 days) for total hip replacement/total knee replacement was associated with significantly lower risk for thromboembolic and bleeding events than short-duration thromboprophylaxis.
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Cost Per Response Analysis of Strategies for Chronic Immune ThrombocytopeniaThis decision tree model estimates the cost per response and incremental cost per additional responder for romiplostim, eltrombopag, and “watch and rescue” for immune thrombocytopenia.
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Can Primary Care Physicians Accurately Predict the Likelihood of Hospitalization in Their Patients?This study demonstrates that the predictive accuracy of primary care physicians’ assessment of future hospitalization risk is comparable to commonly used quantitative risk stratification instruments.
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Estimating the Staffing Infrastructure for a Patient-Centered Medical HomeThis study suggests that implementing a patient-centered medical home requires additional staff with specific expertise based on the needs of the practice and its population.
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The Vermedx® Diabetes Information System Reduces Healthcare UtilizationThis analysis of paid claims from a physician hospital organization demonstrates that the Vermedx Diabetes Information System improves healthcare costs for adults with diabetes.
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Technology-Driven Intervention to Improve Hypertension Outcomes in Community Health CentersHealth information technology that is implemented as part of a multifaceted quality improvement initiative can lead to improvements in hypertension care and outcomes.
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Why Palliative Care Is the Answer to the Serious Illness Question in Payment ReformWhether it is through enlisting primary providers, building a champion workforce, or hiring more specialist consultants, there is no question that palliative programming must be at the heart of our healthcare system’s quality transformation.
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Treatment Modification After Initiating Second-Line Medication for Type 2 DiabetesAmong adults with type 2 diabetes who started noninsulin second-line therapy, most modified treatment within 1 year. Discontinuation was by far the most common modification.
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Mental Health in ACOs: Missed Opportunities and Low-Hanging FruitThis paper describes the rationale and benefits of incorporating mental health into accountable care organizations using the Chronic Care Model.
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Factors Associated With Primary Care Physician Turnover in the VAThis longitudinal observational study found higher team satisfaction with workload to be significantly associated with lower primary care physician turnover.
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Medicare Advantage and Postdischarge Quality: Evidence From Hospital ReadmissionsRelative readmission rates, a measure of care coordination, did not change over time for beneficiaries enrolled in Medicare Advantage and traditional Medicare.
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Genetic Counselors Save Costs Across the Genetic Testing SpectrumGenetic counselors (GCs) increasingly serve a variety of roles across the healthcare spectrum, including test utilization management. Our data show that utilizing the expertise of GCs reduced test order errors, improved patient outcomes, and resulted in significant cost savings to the healthcare system.
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Trends in Viral Hepatitis Cost-Effectiveness StudiesRegardless of the cause of bias, more awareness and scrutiny are needed when utilizing cost-effectiveness studies for healthcare decision making.
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Healthcare Continuity From Hospital to Territory in Lombardy: TELEMACO ProjectThe TELEMACO project successfully used telemedicine to establish a healthcare continuity from hospital to territory in remote areas of the Lombardy region of Italy.
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Managed Care Quality and Disenrollment in New York SCHIPUsing data from the New York SCHIP program, this study showed that plan disenrollment was not significantly associated with managed care plan quality.
