Interoperability: What Is It, How Can We Make It Work for Clinicians, and How Should We Measure It in the Future?
(Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: David W. Bates, Lipika Samal Tags: Debate ‐Commentary Source Type: research

Patient Acceptance of Sexual Orientation and Gender Identity Questions on Intake Forms in Outpatient Clinics: A Pragmatic Randomized Multisite Trial
ConclusionsCollection of SOGI data as a part of the routine clinical patient intake process is not distressing to 97 percent of patients who are heterosexual, cisgender, and older than 50 years. (Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: Jordan E. Rullo, Jilian L. Foxen, Joan M. Griffin, Jennifer R. Geske, Cesar A. Gonzalez, Stephanie S. Faubion, Michelle Ryn Tags: Research Article Source Type: research

Content of Care in 15,000 Sick Child Consultations in Nine Lower ‐Income Countries
ConclusionsConsultations for children in nine lower‐income countries are brief and limited. A greater number of clinical actions was associated with caregiver knowledge and satisfaction. (Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: Margaret E. Kruk, Anna D. Gage, Godfrey M. Mbaruku, Hannah H. Leslie Tags: Research Brief Source Type: research

Understanding Trends in Medicare Spending, 2007 –2014
ConclusionsDeclines in spending levels for Medicare beneficiaries with chronic conditions suggest that changing patterns of care use may be moderating spending growth. (Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: Laura M. Keohane, Robert J. Gambrel, Salama S. Freed, David Stevenson, Melinda B. Buntin Tags: Research Article Source Type: research

Technology, Incentives, or Both? Factors Related to Level of Hospital Health Information Exchange
ConclusionThe overall level of HIE is low, with hospitals sending an SCR electronically for less than half of patient transitions. Specific hospital characteristics related to both technology capabilities and incentives were associated with higher levels of HIE. (Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: Sunny C. Lin, Jordan Everson, Julia Adler ‐Milstein Tags: Research Article Source Type: research

Impact of In ‐Hospital Death on Spending for Bereaved Spouses
ConclusionsBereaved spouses of decedents who died in the hospital had significantly greater Medicare spending and health care utilization themselves after their spouses’ death. (Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: Katherine A. Ornstein, Melissa M. Garrido, Albert L. Siu, Evan Bollens ‐Lund, Kenneth M. Langa, Amy S. Kelley Tags: Research Article Source Type: research

Health ‐Related Quality of Life among Chronic Opioid Users, Nonchronic Opioid Users, and Nonopioid Users with Chronic Noncancer Pain
ConclusionsClinicians should evaluate opioid use in participants with CNCP as opioid use is not correlated with better HRQoL. (Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: Corey J. Hayes, Xiaocong Li, Chenghui Li, Anuj Shah, Niranjan Kathe, Naleen Raj Bhandari, Nalin Payakachat Tags: Research Article Source Type: research

New Evidence on Employment Effects of Informal Care Provision in Europe
ConclusionsResults apply to individuals whose consideration in long‐term care policy is highly relevant, that is, children whose willingness to provide informal care to their parents is altered by available alternatives of family caregivers. (Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: Ingo W. K. Kolodziej, Arndt R. Reichert,, Hendrik Schmitz Tags: Research Article Source Type: research

Market Competition and Health Outcomes in Hemodialysis
ConclusionsMarket competition in dialysis may lead to improved health outcomes. (Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: Kevin F. Erickson, Yuanchao Zheng, Vivian Ho, Wolfgang C. Winkelmayer, Jay Bhattacharya, Glenn M. Chertow Tags: Research Article Source Type: research

Simulating Variation in Families ’ Spending across Marketplace Plans
ConclusionsOur simulations show substantial variations in net premium and out‐of‐pocket payments across marketplace plans, even within a plan tier. (Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: Yuting Zhang, Seo Hyon Baik, Samuel H. Zuvekas Tags: Research Article Source Type: research

Quantifying Magnitude of Group ‐Level Differences in Patient Experiences with Health Care
ConclusionsWe suggest routine estimation of magnitude in patient experience research. More work is needed documenting magnitude of differences between providers to make patient experience data more interpretable and usable. (Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: Denise D. Quigley, Marc N. Elliott, Claude Messan Setodji, Ron D. Hays Tags: Research Brief Source Type: research

Medicare Payment Penalties and Safety Net Hospital Profitability: Minimal Impact on These Vulnerable Hospitals
ConclusionsSafety net hospitals appear to rely on nonpatient care revenues to offset higher penalties for the years studied. While reassuring, these funding streams are volatile and may not be able to compensate for cumulative losses over time. (Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: Gloria J. Bazzoli, Michael P. Thompson, Teresa M. Waters Tags: Research Brief Source Type: research

Medicare Accountable Care Organizations of Diverse Structures Achieve Comparable Quality and Cost Performance
ConclusionsACOs of diverse structures perform comparably on core MSSP quality and spending measures. CMS should maintain its flexibility and continue to support participation of diverse ACOs. Future research to identify modifiable organizational factors that account for performance variation within ACO types may provide insight as to how best to improve ACO performance based on organizational structure and ownership. (Source: Health Services Research)
Source: Health Services Research - February 1, 2018 Category: Health Management Authors: Leeann N. Comfort, Stephen M. Shortell, Hector P. Rodriguez, Carrie H. Colla Tags: Research Article Source Type: research

Medicare Accountable Care Organizations of Diverse Structures Achieve Comparable Quality and Cost Performance
Health Services Research, EarlyView. (Source: Health Services Research)
Source: Health Services Research - January 31, 2018 Category: Health Management Authors: Leeann N. Comfort M.P.P. , Stephen M. Shortell Ph.D., M.P.H., M.B.A. , Hector P. Rodriguez Ph.D., M.P.H. , Carrie H. Colla Ph.D. Source Type: research