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Acupuncture and Chiropractic Care: Utilization and Electronic Medical Record CaptureMost patients with chronic musculoskeletal pain use acupuncture or chiropractic care. A substantial percentage of this utilization, however, is not captured by the electronic medical record.
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Measuring Quality in the Early Years of Health Insurance ExchangesThis article recommends quality measures for exchange health plans and strategies to increase the availability of quality results for public reporting.
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Primary Care Nurse Practitioner Management of Adolescent Behavioral HealthPersonnel costs ($90,514) of a primary care–embedded adolescent behavioral health nurse practitioner over 2 years were 63% of the potential revenue generated ($144,449).
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Use of Web-Based Shared Medical Records Among Patients With HIVUse of online shared records was higher among HIV patients who had indicators of recent increases in healthcare needs and lower among several vulnerable populations.
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Dental Care Coverage TransitionsThis study examines dental insurance transition dynamics in the context of changing employment and retirement status.
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Post-treatment Surveillance in a Large Cohort of Patients With Colon CancerAdherence to colon cancer post-treatment surveillance was low, although proportions of patients complying with office visits and colonoscopy were reasonably high.
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Using the 4 Pillars to Increase Vaccination Among High-Risk Adults: Who Benefits?Pneumococcal; tetanus, diphtheria, and pertussis; and influenza vaccination increased among high-risk adults in a 2-year study.
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Measures of ED Utilization in a National Cohort of ChildrenThrough analysis of multistate Medicaid data, this study identifies differences in 2 commonly used measures of emergency department (ED) utilization, ED visit count and ED reliance.
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Documentation of the 5 As for Smoking Cessation by PCPs Across Distinct Health SystemsEvaluation of the 5 As of smoking cessation using patient electronic medical records across 6 distinct healthcare systems, stratified by comorbidity, gender, age, race ethnicity.
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Patient and Supporter Factors Affecting Engagement With Diabetes TelehealthFamily support with medication management and recent urgent self-management concerns are 2 novel factors, among others, that predict completion of diabetes telehealth calls.
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Clinical and Economic Outcomes of a Collaborative Cardiology Care ProgramPatients with chronic cardiac conditions benefited from a health care program that strengthened collaboration between general practitioners and cardiology specialists in Baden-Wuerttemberg, Germany.
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Contemporary Use of Dual Antiplatelet Therapy for Preventing Cardiovascular EventsUse of dual antiplatelet therapy was modest for patients with existing cardiovascular disease for whom subgroup analysis from a landmark clinical trial suggested benefit in preventing cardiovascular events, and low for patients with multiple risk factors without established cardiovascular disease, for whom increased cardiovascular events were suggested.
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Payer Management of Oncology Gets SeriousHealth Plans Continue to Seek Methods to Curtail Cancer Costs
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Economic Evaluation of an Internet-Based Weight Management ProgramAn Internet-based weight management program provides a cost-effective alternative for weight management.
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CMS Practice Assessment Tool Validity for Alternative Payment ModelsUsing data from 632 primary care practices, the authors show that the CMS Practice Assessment Tool has adequate predictive validity for participation in alternative payment models.
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When Quality Fails Patients: Finding the Best in Diabetes CareAuthors from the Mayo Clinic discuss situational goals in diabetes care, because quality targets enforced too strictly may harm patients who are working hard to manage their disease.
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Everolimus in Elderly Hormone-Receptor-Positive Advanced Breast Cancer PatientsLETTER TO THE EDITOR.
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Drivers of Excess Costs of Opioid Abuse Among a Commercially Insured PopulationThe healthcare burden of opioid abuse is substantial; abusers often have complex healthcare needs and may require care beyond that which is required to treat abuse.
