Implementation of a multidisciplinary, team-based model to treat chronic hepatitis C in the primary care setting: Lessons learned
Publication date: Available online 18 October 2017Source: HealthcareAuthor(s): Randi Sokol, Jessica Early, Amanda Barner, Sarah Gottfried, Richard Gumpert, Lorky Libaridian, Virginia Morrison, Alexandra Santamaria, Linda ShiptonAbstractHepatitis C virus (HCV) is the most common blood-borne virus in the U.S., and its incidence continues to rise. With approval of direct-acting antiviral medications, treatment for Chronic Hepatitis C (CHC) has become highly efficacious with a minimal side effect profile. Primary care physicians are well-positioned to address this increased demand, yet most do not feel comfortable treating CHC...
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
What are the key elements for implementing intensive primary care? A multisite Veterans Health Administration case study
Publication date: Available online 6 November 2017Source: HealthcareAuthor(s): Evelyn T. Chang, Pushpa V. Raja, Susan E. Stockdale, Marian L. Katz, Donna M. Zulman, Jessica A. Eng, Kathy H. Hedrick, Jeffrey L. Jackson, Neha Pathak, Brook Watts, Carrie Patton, Gordon Schectman, Steven M. AschAbstractMany integrated health systems and accountable care organizations have turned to intensive primary care programs to improve quality of care and reduce costs for high-need high-cost patients. How best to implement such programs remains an active area of discussion. In 2014, the Veterans Health Administration (VHA) implemented fiv...
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Innovating patient care delivery: DSRIP's interrupted time series analysis paradigm
Conclusion and implicationsSeveral macro- and micro-level factors may have likely contributed DSRIP hospitals outperforming DSRIP non-participating hospitals. Healthcare organization/provider collaboration, support from healthcare professionals, DSRIP's design, state reimbursement and coordination in care delivery methods may have led to likely success of DSRIP.Level of evidenceIV, a retrospective cohort study based on longitudinal data. (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Using Lean methodologies to streamline processing of requests for durable medical equipment and supplies for children with complex conditions
ConclusionsCollaborative leadership and multidisciplinary training in Lean methods allowed the CCC staff to incorporate common sense, standardize practices, and adapt their work environment to improve the timely and reliable provision of equipment and supplies that are essential for their patients.ImplicationsThe application of Lean methodologies to processing requests for DME and supplies could also result in a natural spread to other paperwork and requests, thus avoiding delays and potential risk for clinical instability or deterioration. (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
The impact of two triggered palliative care consultation approaches on consult implementation in oncology
ConclusionAcross two inpatient oncology services, TPCC supported by multiple strategies had the greatest impact on uptake. How strategies affect sustained use of palliative care consults remains to be investigated. (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Impact of a patient engagement tool on preventive service uptake
ConclusionsOur findings highlight the potential role of personalized patient education tools and public-private partnerships to communicate about preventive care. Getting patients to act on these recommendations was more difficult. (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Expanding access to primary healthcare for women through a microfinance institution: A case study from rural Guatemala
Publication date: Available online 7 February 2018Source: HealthcareAuthor(s): Marcela Colom, Kirsten Austad, Neftali Sacuj, Karen Larson, Peter RohloffAbstractThe utilization of existing social networks is increasingly being recognized as a powerful strategy for delivering healthcare services to underserved populations in low- and middle-income countries. In Guatemala, multiple barriers prevent access to healthcare services for rural and indigenous populations, and strategies for delivering healthcare in more efficient ways are needed. The case study we describe here is a unique collaboration between a microfinance instit...
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
How patient experience informed the SafeMed Program: Lessons learned during a Health Care Innovation Award to improve care for super-utilizers
Publication date: Available online 21 February 2018Source: HealthcareAuthor(s): Jill D. Nault Connors, Bonnie L. Binkley, J. Carolyn Graff, Satya Surbhi, James E. BaileyAbstract•Program theory of change must account for the lived experiences of medically and socially complex patients in order to affect dysfunctional patterns of acute care utilization.•Mental and emotional health, access to self-management resources, and patient-provider communication are key issues of importance to super-utilizing patients.•Transformation of didactic, patient education sessions to interactive, self-management support group sessions a...
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Patterns and predictors of physician adoption of new cardiovascular drugs
ConclusionsPhysicians vary in their prescribing of recently-introduced cardiovascular drugs. Though most physicians did not rapidly adopt any new cardiovascular drugs, drug novelty and cardiology training were associated with greater adoption. (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Impact of a hospital bounceback policy to reduce readmissions
ConclusionsA stronger bounceback policy resulted in a small decrease in 30-day readmission rates without increasing LOS.ImplicationsBounceback policies may be an effective and low-cost tool to reduce readmissions by leveraging non-financial incentives to change physicians’ behavior. (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Proportion of patients with cancer among high-cost Medicare beneficiaries: Who they are and what drives their spending
ConclusionsThere is a high prevalence of cancer diagnoses among high-cost Medicare patients.ImplicationsPrograms that target high-cost patients may need to customize interventions based on whether the patient has a cancer diagnosis. (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Co-located specialty care within primary care practice settings: A systematic review and meta-analysis
ConclusionsCo-located specialty care in primary care settings may support the aims of high value care delivery. However, additional studies are needed to further evaluate the value of co-location of specific specialties and stronger data on impact to health outcomes and cost. (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
From silos to an innovative health care delivery and patient engagement model for children in Medicaid
Publication date: March 2018Source: Healthcare, Volume 6, Issue 1Author(s): Jennifer May, Nicole Kazee, Sheila Castillo, Neil Bahroos, Scott Kennedy, Amparo Castillo, William Frese, Monika Marko-Holguin, T.J. Crawford, Benjamin W. Van Voorhees (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Complex care models to achieve accountable care readiness: Lessons from two community hospitals
Publication date: March 2018Source: Healthcare, Volume 6, Issue 1Author(s): Gabriel G. Malseptic, Lauren H. Melby, Kathleen A. ConnollyAbstractMassachusetts' community hospitals face the challenge of achieving accountable care readiness with fewer financial and operational resources and a higher share of publicly-insured patients than their academic medical center counterparts. They are thus doubly constrained to make the investments necessary to perform in a value-based payment environment. Hallmark Health System and Lowell General Hospital are among 25 community hospital awardees engaged with the Massachusetts Health Pol...
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Engaging small independent practices in value-based payment: Building Aledade's medicare ACOs
Publication date: March 2018Source: Healthcare, Volume 6, Issue 1Author(s): Brian W. Powers, Farzad Mostashari, Emily Maxson, Kimberly Lynch, Amol S. Navathe (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
