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Authors
Latest:
Increasing Consumerism in Healthcare Through Intelligent Information TechnologyCreating a healthcare consumer is more likely than ever before thanks to innovations in information technology, but the benefits are not yet fully realized.
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Enhancing Healthcare Delivery Research at the National Cancer InstituteThe National Cancer Institute's Division of Cancer Control and Population Sciences created the Healthcare Delivery Research Program in January 2015, recognizing the need for empirical evidence to address cancer care challenges.
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Measuring Overuse With Electronic Health Records DataElectronic health records data can accurately quantify overuse of clinical services and the risk factors that may trigger low-value testing and screening.
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Development and Implementation of an Academic Cancer Therapy Stewardship ProgramA cancer therapy stewardship program can be used to improve clinical quality and patient care by emphasizing the importance of value and evidence in oncology.
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Medicaid Managed Care Penetration and Drug Utilization for Patients With Serious Mental IllnessThis study examines the relationship between Medicaid managed care penetration within a state and spending on pharmaceuticals for patients with serious mental illnesses.
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Managing Specialty Care in an Era of Heightened Accountability: Emphasizing Quality and Accelerating SavingsThe authors report on a conceptual "specialty ACO" design in cardiology in which cardiology-specific historic spending targets are created to capture cardiovascular disease—related reimbursement and a quality measurement system is introduced.
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To Err is Avoidable: The Automation of Knowledge and the Clinical Decision Support RevolutionNearly 20 years after the publication of the essay “To Err is Human,” we may just be approaching the paradigm shift that the authors anticipated the article would bring about.
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Frequency and Costs of Hospital Transfers for Ambulatory Care-Sensitive ConditionsThis article outlines the frequency of transfers of patients with ambulatory care-sensitive conditions from nursing homes to emergency departments or hospitals, and provides reliable estimates of associated costs.
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Compliance and Persistence With Concomitant Statin and Oral Antihyperglycemic TherapyIn patients with type 2 diabetes, compliance and persistence were generally low for both statin and antihyperglycemic therapy, but they were significantly lower with statin therapy.
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Electronic Consults for Improving Specialty Care Access for VeteransThe combination of electronic consultations and active triage of specialty care consults effectively reduces wait times for outpatient clinics.
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Cognitive Impairment and Reduced Early Readmissions in Congestive Heart Failure?Proactive identification of cognitive impairment and compensatory destigmatized patient/familial psychoeducation regarding “forgetfulness” in hospitalized patients with congestive heart failure may reduce readmission rates substantially.
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Assessing the Accuracy of Drug Profiles in an Electronic Medical Record System of a Washington State HospitalA medication reconciliation program is associated with a high rate of perfectly accurate drug profiles and may assist in reducing adverse drug events.
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Electronic Health Records and the Frequency of Diagnostic Test OrdersUsing the most recently available national data, physicians with electronic health record (EHR) access ordered more tests than their non-EHR counterparts, thus contradicting a common rationale for EHR implementation.
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Beyond Satisfaction Scores: Exploring Emotionally Adverse Patient ExperiencesThis study explores the causes of emotionally adverse patient experiences in cancer care and presents a taxonomy for analyzing free-text patient data.
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Quality Monitoring and Management in Commercial Health PlansThis survey of 252 HMOs found that almost all measure their performance on multiple indicators of quality and most use these data in quality improvement activities.
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Leveling the Field: Addressing Health Disparities Through Diabetes Disease ManagementA subanalysis of a successful algorithm-driven primary care–based diabetes disease management program examines the relationships among patient characteristics, labor inputs, and improvement in A1C level.
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Forgotten Patients: ACO Attribution Omits Those With Low Service Use and the DyingThis article compares clinical and utilization profiles of Medicare patients who are attributed to provider groups with those of patients unattributed to any provider group in accountable care organization models.
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Reaching Beyond the Exam Room: How Technology-backed Lifestyle Intervention Is Improving Health Outcomes for Diabetes and Hypertension ManagementAuthors from the digital health provider Noom offer an update of a successful employer-based initiative.
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High-Cost, High-Need Patients: The Impact of Reported Penicillin AllergyA reported penicillin allergy was common and was associated with suboptimal antibiotic choices and increased healthcare utilization in high-cost, high-need patients.
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How Do Providers Prioritize Prevention? A Qualitative StudyPrimary care providers utilize many strategies for prioritizing preventive care during time-constrained clinical encounters, in addition to being prompted by clinical reminders.
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Treatment Barriers Among Younger and Older Socioeconomically Disadvantaged SmokersA conceptual framework was used to examine the influence of healthcare provider and psychosocial barriers on treatment utilization among younger and older socioeconomically disadvantaged smokers.
