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.

Do Teams Improve the Quality of Ambulatory Care?
Using data from the National Ambulatory Medical Care Survey, we examined team composition in office-based practices and compared their relative quality of care. We found that, compared with physician-only teams, patients seen by physician and nurse practitioner/nurse midwife teams and those seen by physician and nurse teams were more likely to receive statins for hyperlipidemia and blood pressure screening, respectively. We also found that patients seen by physician and physician assistant teams were less likely to receive recommended care for all 4 quality indicators, and patients seen by any interprofessional team were l...
Source: The Journal of Ambulatory Care Management - February 18, 2021 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 - February 18, 2021 Category: Emergency Medicine Tags: From the Editor Source Type: research

The Impact of COVID-19 on the Life Quality of Ambulatory Patients With Chronic Skin Conditions
This article addresses the issue of the psychological distress of ambulatory dermatologic patients on the ground of cancelation of nonurgent dermatology visits during the SARS-CoV-2 pandemic, as well as the risk of underestimating the emotional suffering of patients with chronic skin diseases, which traditionally would not qualify as urgent cases. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - November 26, 2020 Category: Emergency Medicine Tags: Letter to the Editor Source Type: research

Adapting Interdisciplinary Transitional Ambulatory Practice to Meet the Challenges of COVID-19
COVID-19 restructured the health care delivery process, catapulting telemedicine to the mainstream. The Johns Hopkins After Care Clinic (JHACC) continued transprofessional health care delivery in the telemedicine space by shifting to remote, asynchronous collaboration and a triage system. In 1 month after starting telemedicine, the JHACC had 907 encounters for 376 unique patients. Most patients reported satisfaction with their visits. Telemedicine lengthened visit completion times. Providers encountered many failed call attempts and limited access to videoconferencing. Barriers to sustainable interprofessional telemedicine...
Source: The Journal of Ambulatory Care Management - November 26, 2020 Category: Emergency Medicine Tags: Letter to the Editor Source Type: research

Yakima, COVID-19 in the Community
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - November 26, 2020 Category: Emergency Medicine Tags: Letter to the Editor Source Type: research

COVID-19 and Vaccine Hesitancy: A Challenge the United States Must Overcome
A significant portion of the U.S. population may experience vaccine hesitancy of a new COVID-19 vaccine, which poses dangers to both the individual and their community, since exposure to a contagious disease places the person at risk, and individuals are far more likely to spread the disease to others if they do not get vaccinated. Many individuals are doubtful, and without the healthcare community, speaking with one voice has led to distrust. Experience from the influenza vaccines have shown vaccine acceptance has not been optimal, and this new vaccine, even though it is not approved, is already showing layperson skeptici...
Source: The Journal of Ambulatory Care Management - November 26, 2020 Category: Emergency Medicine Tags: Letter to the Editor Source Type: research

Lessons for Health Care Executives and Other Leaders During COVID-19: Five Major Opportunities for Improvement
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - November 26, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

“Having a Normal Life”: A Qualitative Study on Client Goal-Setting Within a Health Care and Social Needs Navigation Program
This study provides a qualitative analysis of client-established goals within the Interprofessional Care Access Network (I-CAN), a community-based health care and social needs navigation program. One hundred eleven client goal lists were analyzed using conventional content analysis. Twenty-two codes were developed and grouped into 4 main categories including Physical/Mental Health, Social/Social Services, Health Care System, and Daily Living. The results of this study offer insight into client goals within health care and social needs navigation programs and provide suggestions for future research. (Source: The Journal of ...
Source: The Journal of Ambulatory Care Management - November 26, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Using the Six Sigma Methodology to Reduce Missed Appointments at a Pediatric Inner-City Clinic
Pediatric missed appointments impact patient outcomes and the financial well-being of clinics. Our purpose was to implement the Six Sigma methodology at a pediatric clinic to (1) identify significant predictor factors of missed appointments and develop a prediction model and (2) implement interventions to reduce the missed appointment rate. Binary logistic regression identified historical no-show rate, high-risk visit types, lack of insurance, the number of provider visits, and appointment lead time as significant predictor factors. Interventions led to a significant drop in the missed appointment rate and the no-show rate...
Source: The Journal of Ambulatory Care Management - November 26, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Psychometric Properties of the Assessment of Perceived Access to Care (APAC) Instrument
Valid measures of perceived access are needed to measure whether health care systems are providing adequate access. This research reports on the psychometric properties of the Assessment of Perceived Access to Care (APAC), which was administered to 1004 Community Health Center patients screening positive for psychiatric disorders. Known-group validity was good, with 6 of the 8 hypothesized associations between social determinants of access and perceived access being significant (P (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - November 26, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Understanding How Providers and Staff Make Decisions About Where to Refer Their Patients: A Qualitative Study
Value-based payment incentivizes primary care providers (PCPs) to refer patients to specialists inside their own organization. “Outmigration” of patients to specialists in other organizations is common, yet why it occurs is not clear. We conducted qualitative interviews of PCPs, nurses, and administrative staff at primary care practices in a physician organization (PO) to determine reasons for outmigration. While participants reported that they preferred making within-PO referrals, they identified 18 barriers to within-PO referrals, which often led to patients receiving care elsewhere. Many of these barriers are potent...
Source: The Journal of Ambulatory Care Management - November 26, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Communicating a Complicated Medicaid Waiver Program to Enrollees in Iowa: How Federally Qualified Health Centers Support Medicaid Members
Iowa expanded Medicaid eligibility with a waiver including a personal responsibility component. Early program evaluation revealed low compliance and awareness among members. There is little research on leveraging existing contact points in the health care system to effectively communicate with Medicaid enrollees. We interviewed outreach and enrollment staff at Federally Qualified Health Centers (FQHCs) to explore their work. We show that FQHCs use several strategies to enroll individuals in appropriate programs and support them in understanding and navigating their health insurance coverage. With increasingly complex Medic...
Source: The Journal of Ambulatory Care Management - November 26, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

A Targeted “Top 100” High-Risk Care Management Program Improves Adherence to Best Practices
Care management programs for high-risk patients have yielded inconsistent results in reducing health care expenditures. We reviewed the most successful programs and identified 5 best practice areas: (1) in-person patient meetings; (2) direct care manager/physician interaction; (3) provide transitional care services; (4) educate patients; and (5) provide medication review. We measured adherence to the best practices at baseline and at 6 and 9 months into the program for the highest-risk patients. The program increased adherence from baseline to each best practice area. Program enrollment increased at the 6-month follow-up b...
Source: The Journal of Ambulatory Care Management - November 26, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

The Vital Role of a Federally Qualified Community Health Center in New Orleans, Louisiana, During the COVID-19 Pandemic
Federally qualified health centers (FQHCs) are on the front lines of the COVID-19 pandemic. Their mission of providing essential medical care to underserved populations is now even more vital. CrescentCare, an FQHC in New Orleans, evaluated and tested 3366 patients between March 16 and July 2, with an overall rate of 12% SARS-CoV-2 positivity. The clinic's experience demonstrates how to effectively and rapidly integrate COVID-19 programing, while preserving essential health services. Strategies include developing a walk-in COVID-19 testing site, ensuring appropriate clinical evaluation, providing accurate public health inf...
Source: The Journal of Ambulatory Care Management - November 26, 2020 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 - November 26, 2020 Category: Emergency Medicine Tags: From the Editor Source Type: research