Employing practitioner expertise in optimizing community healthcare systems
Publication date: Available online 23 August 2018Source: HealthcareAuthor(s): Madeleine Ballard, Ryan Schwarz (Source: Healthcare)
Source: Healthcare - August 24, 2018 Category: Middle East Health Source Type: research
Discharge to medical home: A new care delivery model to treat non-urgent cases in a rural emergency department
Publication date: Available online 22 August 2018Source: HealthcareAuthor(s): Kathryn Zager, Yhenneko J. TaylorAbstractEmergency department visits for non-urgent reasons contribute to overcrowding and higher healthcare costs. Routing patients to lower cost care settings may improve outcomes. The Discharge to Medical Home model is a new care delivery model that routes low-acuity, ambulatory, emergency department (ED) patients to an adjacent primary care clinic, which provides the opportunity for patients to establish a medical home. During clinic hours, walk-in patients presenting to the ED are screened and, if appropriate,...
Source: Healthcare - August 23, 2018 Category: Middle East Health Source Type: research
Empowering people with their healthcare data: An Interview with Harlan Krumholz
Publication date: Available online 22 August 2018Source: HealthcareAuthor(s): Adam L. Beckman, Sanchay Gupta (Source: Healthcare)
Source: Healthcare - August 23, 2018 Category: Middle East Health Source Type: research
Implementation of smart phones to facilitate in-hospital telephone communication: Challenges, successes and lessons from a neonatal intensive care unit
Publication date: Available online 14 August 2018Source: HealthcareAuthor(s): Colleen A. Hughes Driscoll, Samuel Gurmu, Ahad Azeem, Dina El Metwally (Source: Healthcare)
Source: Healthcare - August 14, 2018 Category: Middle East Health Source Type: research
Strengthening primary care locally and globally: An interview with Asaf Bitton from Ariadne Labs
Publication date: Available online 25 July 2018Source: HealthcareAuthor(s): Sanchay Gupta, Adam L. Beckman (Source: Healthcare)
Source: Healthcare - July 25, 2018 Category: Middle East Health Source Type: research
Recruiting and retaining physician leaders
Publication date: Available online 20 October 2015Source: HealthcareAuthor(s): Nick Wolter, Stephen L. Tarnoff, Linda Leckman (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Crafting successful training programs for physician leaders
Publication date: Available online 20 October 2015Source: HealthcareAuthor(s): David Bronson, Edward Ellison (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Physician leadership initiatives at small or mid-size organizations
Publication date: Available online 20 October 2015Source: HealthcareAuthor(s): Joseph Bisordi, Marwan Abouljoud (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Physician leadership in organizations undergoing major transformation
Publication date: Available online 20 October 2015Source: HealthcareAuthor(s): Lee Sacks, Robert Margolis (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
How should we develop physician leaders?
Publication date: Available online 23 October 2015Source: HealthcareAuthor(s): Mark A. Kelley (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Scheduling primary care appointments online: Differences in availability based on health insurance
ConclusionsThere were a substantial number of available appointments at close distances. However, Medicaid patients had less access to appointments within proximity than self-pay or Medicare patients. (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Longer wait times affect future use of VHA primary care
ConclusionsPatients reporting longer usual wait times for immediate VHA care exhibited lower future reliance on VHA primary care.ImplicationsLonger wait times may reduce care continuity and impact cost shifting across two federal health programs. (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Using hospital use trends to improve transitional care
Conclusion and implicationsReduced post-visit hospital use is likely related to increased clinic resources, Affordable Care Act insurance expansions, and improved clinical and community social service expertise.Level of evidenceCohort study, Level 2 (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
The impact of tailored intervention services on charges and mortality for adult super-utilizers
ConclusionsThe use of tailored services, including a dedicated intensive outpatient clinic, for super-utilizers within a larger primary care practice transformation reduced mortality and provided significant savings, even while total hospitalizations increased. These savings were achieved through a reduction in the intensity of inpatient services. The unexpected finding of a reduction in ICU charges deserves further exploration.ImplicationsThese findings suggest that intensity of inpatient service, and not merely volume of services, should be considered a focus for future intervention design and evaluated as an outcome.Le...
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Achieving scale rapidly in public health: Applying business management principles to scale up an HIV prevention program in India
Publication date: Available online 21 September 2017Source: HealthcareAuthor(s): Sema K. Sgaier, Aparajita Ramakrishnan, Alkesh Wadhwani, Aparajita Bhalla, Hari Menon, James Baer, Ashok AlexanderAbstractNumerous public-health interventions have demonstrated effectiveness in pilots or on a small scale, but have proven challenging to scale up for population-level impact. Avahan, the Bill & Melinda Gates Foundation’s HIV prevention program in 6 states of India, confronted the challenge of rapidly scaling up services to reach 300,000 people most at risk of HIV. This meant working in diverse and complex environments with marg...
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
