In this study, Melissa Dattalo et al. used HIP’s Chronic Conditions Warehouse data to examine the extent of agreement of 4 commonly used definitions of multiple chronic conditions (MCC) and compare each definition’s ability to predict 30-day hospital readmissions. They found that MCC definitions should not be used interchangeably. The two definitions with the greatest… Read more »
HIP Category: Learning Health System
Across the divide: primary care departments working together to redesign care to achieve the Triple Aim
Primary care departments at academic health centers face many challenges in achieving the Triple Aim. This article by the UW PATH collaborative describes the collaboration they formed between the departments of internal medicine, general pediatrics and adolescent medicine, and family medicine to redesign primary care in pursuit of the Triple Aim. A primary care leadership… Read more »
Difference in receipt of preventive services by race/ethnicity in Medicare Advantage plans: tracking the impact of P4P
Daniel Jung et al. studied whether pay-for-performance (P4P) incentives have affected racial/ethnic disparities in Medicare Advantage plans. The authors studied data from the Medicare Health Outcomes Survey and found similar racial/ethnic differences in receipt of preventive healthcare before and after the introduction of P4P.
Does first-contact access to primary care differentially benefit those with certain personalities to receive preventive services?
Dr. Nancy Pandhi and team used Wisconsin Longitudinal Study data to examine utilization of preventive care services in patients with certain personality characteristics. They found that certain personality characteristics, such as lower conscientiousness, lower agreeableness, and lower openness to new experience predicted receiving fewer of one or more preventive care services. For those with less… Read more »
Strange bedfellows: A local insurer/physician practice partnership to fund innovation
In this article by the UW PATH collaborative, investigators describe a novel program that funds ambulatory care improvements through a partnership between an academic health system and an insurance firm. The program is designed as a competitive grant program and both organizations benefit from completed improvement projects. Factors contributing to success as well as lessons learned are… Read more »
Are waiting rooms passé: A pilot study of patient self-rooming
Timeliness of care after patients arrive at the primary care office has received little focus. In this article, the UW PATH collaborative describes an intervention at 2 community family medicine clinics that allowed patients to direct themselves into exam rooms. After the intervention, 95% of patients said they preferred rooming themselves and patient satisfaction remained… Read more »
Approaches and challenges to optimising primary care teams’ electronic health record usage
The UW PATH collaborative examined the approaches used and challenges perceived by analysts supporting the optimization of primary care teams’ EHR use at a large U.S. academic health system. Analysts and their supervisor were interviewed and data were analyzed for themes. Dedicated optimization analysts can add value to health systems through playing a mediating role… Read more »
Sally Kraft, MD, MPH Awarded AAMC Learning Health System Planning Award
Dr. Sally Kraft, Medical Director for Quality, Safety, and Innovation at UW Health, was awarded an AAMC Learning Health System Planning award for a project entitled, “Connecting the Dots: Building the Infrastructure Linking Patient Care to Professional Education to Scholarly Work and Back to the Patient Again.” This project will be conducted in conjunction with… Read more »
PAs and NPs perform effective roles on teams caring for Medicare patients with diabetes
Christine Everett et al. used Medicare claims and EHR data from a large physician group to compare outcomes for patients with diabetes with various levels of complexity. Outcomes were generally equivalent for care teams with PAs or NPs and those with physicians only. Findings suggest that patient characteristics as well as goals should be considered… Read more »
Predictors of colorectal cancer screening variation among primary care providers and clinics
Dr. Jennifer Weiss et al. used EMR data and a survey of primary care providers (PCPs) to evaluate patient, provider, and clinic factors that predict variation in colorectal cancer (CRC) screening among PCPs and clinics. They found that screening rates varied from 51-80% among clinics from 51-82% among PCPs, and identified significant predictors of completing… Read more »
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