- Center on Health Equity & Access
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Authors
Latest:
Building Trust Can Improve American HealthcareThe promise of high-quality, affordable care aligning with the individual needs of patients remains elusive. Increasingly, the missing ingredient seems obvious: trust.
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Costs of Heart Failure-Related Hospitalizations in Patients Aged 18 to 64 YearsHospitalization costs associated with heart failure averaged $23,077 and were higher when heart failure was a secondary rather than the primary diagnosis.
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Implementing a Hybrid Approach to Select Patients for Care Management: Variations Across PracticesHybrid approaches allow for clinician input into case finding for care management, but training and monitoring is required to protect against unintentional biases.
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Improving Care Transitions: Complex High-Utilizing Patient Experiences Guide ReformThe authors audited a series of complex patients’ records longitudinally across their institution’s existing care management programs to improve the coordinated functioning of these programs.
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Screening Electronic Veterans' Health Records for Medication DiscontinuationMany patients stop taking medications for chronic conditions, thereby reducing the effectiveness of healthcare. An attempt to screen electronic VA healthcare records to identify patients as they discontinued a medication was not an efficient approach to this problem.
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Applying Organizational Behavior Theory to Primary CarePrimary care physician recruitment and retention must rely on not only increased financial remuneration, but also on a redesign of workflow and processes.
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Real-World Outcomes Among Patients With Early Rapidly Progressive Rheumatoid ArthritisThis study suggests that lower healthcare resource use and achieving low disease activity are associated with first-line abatacept compared with a first-line tumor necrosis factor-α inhibitor for patients with early rapidly progressive rheumatoid arthritis.
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Care Coordination in Primary Care: Mapping the TerritoryA survey completed by 100% of leaders of diverse care systems in Minnesota participating in an observational study showed little difference in approach to care coordination.
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Value-Based Payment in Implementing Evidence-Based Care: The Mental Health Integration Program in Washington StateValue-based payment improved fidelity to key elements of the Collaborative Care Model—an evidence-based mental health intervention—and improved patient depression outcomes in Washington state.
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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.
