The Journal of Ambulatory Care Management This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Impacts of the Affordable Care Act on Community Health Centers: Characteristics of New Patients and Early Changes in Delivery of Care
The aim of this study was to assess the impact of the Affordable Care Act (ACA) on community health centers (CHCs). Using electronic health records from the Community Health Applied Research Network, we assessed new patient characteristics, office visit volume, and payer distribution among CHC patients before and after ACA implementation, 2011-2014 (n = 442 455). New patients post-ACA were younger, more likely to be female and have chronic health conditions, and utilized more primary care (P (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 28, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

Closing the Referral Loop: Improving Ambulatory Referral Management, Electronic Health Record Connectivity, and Care Coordination Processes
More than 105 million referrals of Medicare beneficiaries to specialists occur annually. Different settings and electronic health records have made care coordination complex. PCPI (formerly American Medical Association-convened Physicians Consortium for Performance Improvement) and The Wright Center for Graduate Medical Education sponsored the Closing the Referral Loop pilot project. Twelve dyads of primary care and specialist physicians sought to improve ambulatory referrals by mapping the referral process, and using care compacts, metrics, and electronic health records. Referrals closed on time increased from 40% to 70%....
Source: The Journal of Ambulatory Care Management - August 28, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

From the Editor
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 28, 2018 Category: Emergency Medicine Tags: From the Editor Source Type: research

A Multipronged Initiative to Improve Productivity and Patient Access in a Federally Qualified Health Center Network
This article describes DPITM implementation, strategies, and associated outcomes, including a 20% decrease in no-show rate, a 33% drop in time to the third next available appointment (TNAA), a 37% decrease in cycle time, and a 13% increase in patient satisfaction. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 31, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

Cost-effectiveness of an Evidence-Based Childhood Asthma Intervention in Real-World Primary Care Settings
We present an incremental cost-effectiveness analysis of an evidence-based childhood asthma intervention (Community Healthcare for Asthma Management and Prevention of Symptoms [CHAMPS]) to usual management of childhood asthma in community health centers. Data used in the analysis include household surveys, Medicaid insurance claims, and community health center expenditure reports. We combined our incremental cost-effectiveness analysis with a difference-in-differences multivariate regression framework. We found that CHAMPS reduced symptom days by 29.75 days per child-year and was cost-effective (incremental cost-effectiven...
Source: The Journal of Ambulatory Care Management - May 31, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

What Is It Like to Experience Improved Care Coordination Through a Community Outreach Program? A Qualitative, Descriptive Study
Community-based programs deploying community health workers (CHWs) who collaborate with other entities are beginning to emerge as the US health system evolves. Although these programs have used various evaluation criteria to determine program success, little research has been completed to examine the experiences of program participants as they receive these services. The purpose of this qualitative descriptive study was to describe what it was like to experience the benefit of improved care coordination through a community-based program featuring CHWs, in collaboration with community-based interprofessional providers. Know...
Source: The Journal of Ambulatory Care Management - May 31, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

How Are Patients Accessing Primary Care Within the Patient-Centered Medical Home? Results From the Veterans Health Administration
We examined the association of patient, clinical, and local economic characteristics with the self-reported use of 5 routine and nonroutine ways to access primary care within the Veterans Health Administration. We identified sets of characteristics, including gender- and age-specific, racial and ethnic, and socioeconomic differences of how veterans report seeking primary care. As the PCMH model develops, it will be important to further understand the differential demand for these services to optimize patient-centered access. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 31, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

Improving Adherence to Mediterranean-Style Diet With a Community Culinary Coaching Program: Methodology Development and Process Evaluation
The Community Culinary Coaching Program is a community-based participatory program aimed at improving communal settlement residents' nutrition. The residents, central kitchens, preschools, and communal dining rooms were identified as areas for intervention. Evaluation included goals accomplishment assessed by food purchases by the central kitchens, and residents' feedback through focus groups. Purchasing included more vegetables (mean (standard error) percent change), (+7% (4); P = .32), fish (+115% (11); P (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 31, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

“Practice What You Teach” Public Health Nurses Promoting Healthy Lifestyles (PHeeL-PHiNe): Program Evaluation
Healthy lifestyle programs are essential for meeting the challenge of noncommunicable diseases. The Public Health Nurses Promoting Healthy Lifestyles (PHeeL-PHiNe) program engaged nurses from family health clinics in Jerusalem District and included physical activity, healthy nutrition, and motivational skills. Questionnaires were completed at baseline, postintervention, and at 18 months. Results showed a marked effect on health practices. The proportion of nurses consuming a balanced diet and the use of food labels significantly increased and were maintained over time. Short-term improvements in physical activity were also...
Source: The Journal of Ambulatory Care Management - May 31, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

Integration of a Patient-Centered Medical Home Into Ambulatory Health Care Services Centers in Abu Dhabi
In conclusion this study shed light on a firm path to operationalizing PCMH to enhance the quality and access to care. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 31, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

From the Editor
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 31, 2018 Category: Emergency Medicine Tags: From the Editor Source Type: research

Establishing Teams: How Does It Change Practice Configuration, Size, and Composition?
Little is known about how practices reorganize when transitioning from traditional practice organization to team-based care. We compared practice-level (1) configuration as well as practice- and team-level (2) size and (3) composition, before and after establishing teams. We employed a pre-/poststudy using personnel lists of 1571 to 1711 staff (eg, job licenses, titles, and team assignment) and practice manager surveys. All personnel (physician and nonphysician) worked within 18 Massachusetts academic primary care practices participating in a 2-year learning collaborative aimed at establishing team-based care. We found tha...
Source: The Journal of Ambulatory Care Management - February 24, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

Differences in Certification and the Effect on Team Climate Among Community Health Workers in Texas
The purpose of this study was to compare team climate among Texas community health workers (CHWs)/promotoras who were certified by the 2 different methods: (a) completing a state-approved training program, and (b) providing evidence of work experience (grandfathering). Analysis of survey results found no significant differences in Team Climate Inventory scores between CHWs who were certified either through state-approved training or through work experience. This research provides some preliminary evidence in support of experience-based certification, but there continues to be a need for more research evaluating CHW certifi...
Source: The Journal of Ambulatory Care Management - February 24, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

Coordination Across Ambulatory Care: A Comparison of Referrals and Health Information Exchange Across Convenient and Traditional Settings
In this study, we examine the adoption of 2 coordination activities—referrals and the electronic exchange of health information—at urgent care centers and other ambulatory providers across the United States. We find that setting is significantly associated with both health information exchange and referrals. Several organization-level variables and environment-level variables are also related to the propensity to coordinate care. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - February 24, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

Same-Day Cancellation in Ambulatory Surgery: A Retrospective Review at a Large Academic Tertiary Referral Center
Although ambulatory surgery offers patients convenience and reduced costs, same-day cancellation of ambulatory surgery negatively affects patient experiences and operational efficiency. We conducted a retrospective analysis to determine the frequency and reasons for same-day cancellations in an outpatient surgery center at a large academic tertiary referral center. Of 41 389 ambulatory surgical procedures performed, same-day cancellations occurred at a rate of 0.5% and were usually unforeseeable in nature. Focusing on foreseeable cancellations offers opportunities for enhanced patient satisfaction, improved quality of care...
Source: The Journal of Ambulatory Care Management - February 24, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research