The UW PATH collaborative used a pilot study of 8 primary care clinics at 7 statewide locations to determine the most effective strategies for disseminating a previously successful single-system patient engagement in quality improvement intervention.
Dr. Rachel Grob et al. explored the potential of systematically elicited narratives about experiences with outpatient care to enrich quality improvement and found that most narratives convey experiences that are potentially actionable by those committed.
The UW PATH collaborative describes the implementation, mixed-methods evaluation results, and lessons learned from instituting a Microsystems approach across 6 years with 58 primary care teams at a large academic health system.
Dr. Elizabeth D. Cox et al. conducted a qualitative study of patients and their parents and found the Patient-Reported Outcomes Measurement Information System® Family Relationships measure reflects the experiences of children with chronic illness.
The UW PATH collaborative describes the development and application of a utilization-based weighting system that accounts for patient complexity to help health systems understand patient panels and population characteristics
In a recent study, the PATH collaborative examined results for 220 ACOs from the Medicare Shared Savings Program and found that ACOs with higher baseline expenditures were significantly more likely to generate savings than lower cost ACOs.
Dr. Heather Johnson et al. evaluated the role of sociodemographics in hypertension control among young adults with primary care access and found that young men, non-English primary language speakers, & unmarried people had lower control rates.
In this study co-authored by Dr. Maureen Smith and Peter Nordby, investigators surveyed leaders in 15 care management programs and found high variability across programs and that most programs use cost & utilization measures to determine outcomes.
Dr. Christie Bartels et al. developed a staff protocol to improve primary care follow-up after high blood pressures were documented in specialty care, and the protocol decreased follow-up time and reduced visits with high blood pressure by 9%.
Dr. Christie Bartels et al. conducted a study of patients with rheumatoid arthritis and found that although there is heightened cardiovascular disease risk among patients with RA, most RA clinic visits lacked documented communication about blood pressure.
Edmond Ramly et al. conducted a cross-sectional time-study and work-system analysis to measure rooming workflows in rheumatology clinics and found significant variations across clinics, prompting clinic leaders to modify their policies.
Dr. Jennifer Weiss et al. examined whether PCPs' colorectal cancer screening practices correlate with several other preventive & chronic care metrics and found that PCP CRC screening rates strongly correlate with breast cancer screening rates.
In this study co-authored by Drs. Heather Johnson and Maureen Smith, investigators examined EHR and Medicare data to determine rates & predictors of achieving hypertension control among patients with diabetes after hospital discharge for a cardiac event.
This pilot study using EHR data found a sharp increase in the number of patients with severe mental illness seeking care after the integration of behavioral health into primary clinics in two federally qualified health centers.
Dr. Brian Patterson et al. found that using a fall risk screening instrument during ED visits can predict future ED visits for falls, but is most useful when combined with routinely collected data on other fall risk factors.
In this article, Dr. Ryan Coller et al. evaluated the predictors of ambulatory-care sensitive hospitalizations for children, as well as the influence of medical complexity and ambulatory care characteristics on hospitalization rates.
In an article co-authored by Edmond Ramly and Christie Bartels, investigators describe the cause and effects of stakeholder creep in a health information technology implementation project and present a stakeholder planning tool to plan for engagement.
Using HIP data, investigators evaluated the relationship between diabetes quality metrics and patients' combinations of chronic conditions and found that patients in less severe chronic condition classes were less likely to achieve diabetes metrics.
In this study, Dr. Andrew Quanbeck et al. describe the implementation of a mobile health system to treat addiction in primary care and discuss the effect of the mHealth system on patients and clinicians.
Using HIP's Chronic Conditions Warehouse data, investigators found that discharge to a SNF, cognitive impairment, and activities of daily living dependence were each strongly associated with shortened survival for sepsis survivors.
Dr. Heidi Brown et al. developed and validated a survey instrument to assess barriers to seeking care for accidental bowel leakage in women. The instrument had excellent criterion validity and test-retest reliability.
Dr. Maureen Smith et al. found that insurance coverage of CT colonography for colorectal cancer screening was associated with a greater likelihood of a patient being screened using CT colonography or colonoscopy.
A study by Dr. Brian Patterson et al. found that some fall-related ED visits that were missed when using the ICD-9 definition alone could be captured using an expanded definition that includes chief complaint.
In this review, Dr. Yao Liu summarizes current knowledge and perspectives on screening for diabetic retinopahty to better understand why diabetic eye screening rates remain low, and discusses future directions towards preventing blindness from diabetes.