Straddling care and education: Developing interprofessional collaboration through a hotspotting service learning project
Publication date: Available online 15 February 2018 Source:Healthcare Author(s): Anne C. Jones, Trudy Li, Meg Zomorodi, Rob Broadhurst, Amy B. Weil (Source: Healthcare)
Source: Healthcare - March 14, 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 2018 Source:Healthcare Author(s): Jill D. Nault Connors, Bonnie L. Binkley, J. Carolyn Graff, Satya Surbhi, James E. Bailey • 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 s...
Source: Healthcare - March 14, 2018 Category: Middle East Health Source Type: research
New Mexico Cancer Center and the COME HOME Model: Pathways improving the value of community-based cancer care
Publication date: Available online 3 March 2018 Source:Healthcare Author(s): Ravi B. Parikh, Justin E. Bekelman, Amanda Hodlofksi, Amol S. Navathe (Source: Healthcare)
Source: Healthcare - March 14, 2018 Category: Middle East Health Source Type: research
Working smarter not harder: Coupling implementation to de-implementation
We describe a typology of de-implementation that represents four types of change: partial reduction, complete reversal, substitution with related replacement and substitution with unrelated replacement of existing practice. We also explicate how learning and unlearning needed for effective change vary in these four types of de-implementation. Last, we propose coupling de-implementation and implementation efforts, which serve conceptual and logistical goals of organizational change. (Source: Healthcare)
Source: Healthcare - December 24, 2017 Category: Middle East Health Source Type: research
Impact of a patient engagement tool on preventive service uptake
Conclusions Our 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 - December 22, 2017 Category: Middle East Health Source Type: research
The impact of two triggered palliative care consultation approaches on consult implementation in oncology
Conclusion Across 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 - December 19, 2017 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
Conclusions Collaborative 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. Implications The 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 - December 13, 2017 Category: Middle East Health Source Type: research
Partnership HealthPlan of California: Addressing opioid overuse with behavioral design principles
Publication date: Available online 28 November 2017 Source:Healthcare Author(s): Joshua M. Liao, Amanda Hodlofski, Robert Moore, Amol S. Navathe (Source: Healthcare)
Source: Healthcare - December 8, 2017 Category: Middle East Health Source Type: research
Competencies for engaging high-needs patients in primary care
Conclusions Absence of deliberate attention to equipping providers with specific competencies for caring for high-needs patients may contribute to lack of patient engagement and sub-optimal outcomes, ultimately undermining the success of programs serving these populations. (Source: Healthcare)
Source: Healthcare - December 8, 2017 Category: Middle East Health Source Type: research
Innovating patient care delivery: DSRIP's interrupted time series analysis paradigm
Conclusion and implications Several 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 evidence IV, a retrospective cohort study based on longitudinal data. (Source: Healthcare)
Source: Healthcare - December 8, 2017 Category: Middle East Health Source Type: research
A three-step health services research approach to improve prescribing
Publication date: Available online 7 November 2017 Source:Healthcare Author(s): Adam J. Rose, Megan B. McCullough, Guneet K. Jasuja Medications are often prescribed suboptimally; some effective medications are underused, some ineffective medications are overused, and some medications that should be received by a few are instead given to many. The underlying causes of suboptimal prescribing likely differ for each medication, and therefore must be understood anew, although previous studies can help generate hypotheses. This perspective sets forth a 3-step research agenda, which has worked well for us in several recently...
Source: Healthcare - November 7, 2017 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 2017 Source:Healthcare Author(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. Asch Many 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) implem...
Source: Healthcare - November 6, 2017 Category: Middle East Health Source Type: research
Impact of a hospital bounceback policy to reduce readmissions
Publication date: Available online 3 November 2017 Source:Healthcare Author(s): Nathan H. Moore, Emily D. Fondahn, Jack D. Baty, Melvin S. Blanchard (Source: Healthcare)
Source: Healthcare - November 4, 2017 Category: Middle East Health Source Type: research
Patterns and predictors of physician adoption of new cardiovascular drugs
Conclusions Physicians 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 - October 21, 2017 Category: Middle East Health Source Type: research
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 2017 Source:Healthcare Author(s): Randi Sokol, Jessica Early, Amanda Barner, Sarah Gottfried, Richard Gumpert, Lorky Libaridian, Virginia Morrison, Alexandra Santamaria, Linda Shipton Hepatitis 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 treatin...
Source: Healthcare - October 18, 2017 Category: Middle East Health Source Type: research
