Hospital-specific Template Matching for Benchmarking Performance in a Diverse Multihospital System
Conclusions:
Hospital-specific template matching may be feasible for assessing hospital performance in the diverse VA health care system, but further refinements are needed to optimize the approach before operational use. Our findings are likely applicable to other large and diverse multihospital systems. (Source: Medical Care)
Source: Medical Care - November 18, 2021 Category: Health Management Tags: Applied Methods Source Type: research
Racial/Ethnic Differences in 30-Day Mortality for Heart Failure and Pneumonia in the Veterans Health Administration Using Claims-based, Clinical, and Social Risk-adjustment Variables
Conclusions:
Compared with White Veterans, Black Veterans had lower mortality, and Hispanic Veterans had higher mortality for HF and pneumonia. The inclusion of clinical variables into risk-adjustment models impacted the magnitude of racial/ethnic differences in mortality following hospitalization. Future studies examining racial/ethnic disparities should consider including clinical variables for risk adjustment. (Source: Medical Care)
Source: Medical Care - November 18, 2021 Category: Health Management Tags: Original Articles Source Type: research
Association of a Medicare Outpatient Payment Reform With Hospital-Primary Care Integration: Heterogeneity Across Markets and Physicians
Conclusions:
Effects of Medicare’s site-based payments on hospital-primary care integration were concentrated among a small subset of physicians. Reforms to Medicare payment policy could influence integration among this group. (Source: Medical Care)
Source: Medical Care - November 18, 2021 Category: Health Management Tags: Original Articles Source Type: research
Examining Patients’ Capacity to Use Patient Portals: Insights for Telehealth
Conclusions:
Our findings highlight differences in patients’ capacity to use patient portals, which provide an initial understanding of factors that may influence the use of telehealth and offer important guidance in efforts to support patients’ telehealth use. Offering patients training tailored to the use of telehealth tools may be particularly beneficial. (Source: Medical Care)
Source: Medical Care - November 18, 2021 Category: Health Management Tags: Brief Report Source Type: research
Trends in Differences Across Subgroups of Adults in Preventive Services Utilization
Conclusion:
While some differences have narrowed, large gaps in preventive service utilization across population subgroups remain. (Source: Medical Care)
Source: Medical Care - November 18, 2021 Category: Health Management Tags: Original Articles Source Type: research
A Risk Prediction Model for Long-term Prescription Opioid Use
Conclusions:
A model for the transition from opioid-naive status to long-term use had high discrimination and was well-calibrated. Given its high predictive performance, this model shows promise for future integration into PDMPs to aid clinicians in formulating opioid prescribing decisions at the point of care. (Source: Medical Care)
Source: Medical Care - November 18, 2021 Category: Health Management Tags: Original Articles Source Type: research
An Interrupted Time-series Evaluation of the Association Between State Laws Mandating Prescriber Use of Prescription Drug Monitoring Programs and Discontinuation of Chronic Opioid Therapy in US Veterans
Conclusion:
We did not find consistent evidence that state laws mandating provider PDMP use were associated with the discontinuation of chronic opioid therapy within the VA for the time period studied. (Source: Medical Care)
Source: Medical Care - November 18, 2021 Category: Health Management Tags: Original Articles Source Type: research
Increased Utilization of Spinal Manipulation by Chiropractors to Tackle the Opioid Epidemic
No abstract available (Source: Medical Care)
Source: Medical Care - November 18, 2021 Category: Health Management Tags: Special Commentary Source Type: research
Heterogeneity of Treatment Effects Among Patients With Type 2 Diabetes and Elevated Body Mass Index in a Study Comparing Group Medical Visits Focused on Weight Management and Medication Intensification
Conclusion:
This work represents a novel step toward targeting care approaches for patients to maximize benefit based on individual patient characteristics. (Source: Medical Care)
Source: Medical Care - October 21, 2021 Category: Health Management Tags: Original Articles Source Type: research
Cost-effectiveness of a Digital Health Intervention for Acute Myocardial Infarction Recovery
Conclusions:
Our results demonstrate that this DHI is cost-saving through the reduction of risk for all-cause readmission following AMI. DHIs that promote improved adherence with guideline-based health care can reduce hospital readmissions and associated costs. (Source: Medical Care)
Source: Medical Care - October 21, 2021 Category: Health Management Tags: Original Articles Source Type: research
Disparities in Audio-only Telemedicine Use Among Medicare Beneficiaries During the Coronavirus Disease 2019 Pandemic
Background:
Under emergency coronavirus disease 2019 pandemic regulations, Medicare granted temporary payment parity with in-person visits for audio-only (telephone) telemedicine visits. This policy was designed to expand telemedicine to patients without camera-equipped devices and broadband internet. However, audio-only telemedicine use has been substantial.
Objective:
The aim of this study was to explore whether the rate of audio-only telemedicine during the pandemic is related to patient access to technology or provider behavior.
Design:
Cross-sectional analysis of the Summer and Fall 2020 Medicare Cur...
Source: Medical Care - October 21, 2021 Category: Health Management Tags: Original Articles Source Type: research
The Impact of Language on Emergency Department Visits, Hospitalizations, and Length of Stay Among Home Care Recipients
Background:
Research considering the impact of language on health care utilization is limited. We conducted a population-based study to: (1) investigate the association between residents’ preferred language and hospital-based health care utilization; and (2) determine whether this association is modified by dementia, a condition which can exacerbate communication barriers.
Methods:
We used administrative databases to establish a retrospective cohort study of home care recipients (2015–2017) in Ontario, Canada, where the predominant language is English. Residents’ preferred language (obtained from in-person...
Source: Medical Care - October 21, 2021 Category: Health Management Tags: Original Articles Source Type: research
Comparing Continuous and Binary Group-based Trajectory Modeling Using Statin Medication Adherence Data
Conclusions:
Continuous and binary trajectory models are conceptually different measures of medication adherence. The choice between these approaches should be guided by study objectives and the role of medication adherence within the study—exposure, outcome, or confounder. (Source: Medical Care)
Source: Medical Care - October 21, 2021 Category: Health Management Tags: Original Articles Source Type: research
Racial Disparities in Avoidable Hospitalizations in Traditional Medicare and Medicare Advantage
Conclusion:
Our findings provide evidence of racial disparities in access to high-quality primary care, especially in MA. (Source: Medical Care)
Source: Medical Care - October 21, 2021 Category: Health Management Tags: Original Articles Source Type: research
Patient-reported Outcomes Among Vulnerable Populations in the Medicare Bundled Payments for Care Improvement Initiative
Conclusions:
As implemented by hospitals, BPCI Model 2 was not associated with adverse effects on patient-reported functional status among beneficiaries who may be vulnerable to reductions in care. Hospitals participating in heart failure, sepsis or pneumonia bundled payment episodes should focus on patient care experience while implementing changes in care delivery. (Source: Medical Care)
Source: Medical Care - October 21, 2021 Category: Health Management Tags: Original Articles Source Type: research
