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Utilization of preoperative endoscopic ultrasound for pancreatic adenocarcinoma Cancer, HIP Data, Surgery
This study used HIP's SEER-Medicare data to examine patterns of preoperative endoscopic ultrasound use and the effect on treatment.
Strategies to reduce hospitalizations of children with medical complexity through complex care Children and Young Adults, Chronic Conditions, Quality and Safety
In this article, Dr. Ryan Coller et al. describe the process used by a complex care medical home program to develop intervention strategies aiming to reduce hospitalizations within their population.
PCP adoption of CT colonography for colorectal cancer screening Cancer, HIP Data
In a study by Dr. Jennifer Weiss et al. to examine factors influencing PCP adoption of CT colonography for colorectal cancer screening, the authors found that substantial variation in the use of CTC for screening existed among PCPs and clinics.
Apples and oranges: 4 definitions of multiple chronic conditions and their relationship to 30-day rehospitalization Chronic Conditions, HIP Data, Learning Health System, Transitions in Care
In this study, authors used HIP's Chronic Conditions Warehouse data to determine the extent of agreement of 4 different definitions of multiple chronic conditions and how well they predict 30-day hospital readmissions.
Diabetic foot ulcer severity predicts mortality in veterans with diabetes Chronic Conditions, Quality and Safety
Dr. Meghan Brennan et al. recently conducted a study of veterans with type 2 diabetes who developed incident diabetic foot ulcers, and found that compared to early-stage ulcers, gangrene was associated with an increased risk of mortality.
Variation in the types of providers participating in breast cancer follow-up care Cancer, Older Adults, Surgery
In this article, researchers used HIP's SEER-Medicare data to describe the types of providers participating in early follow-up care of older breast cancer survivors and what patient characteristics were associated with care from different provider types.
The association between geographic density of infectious disease physicians and limb preservation in patients with diabetic foot ulcers Chronic Conditions, HIP Data, Quality and Safety
A study by Dr. Meghan Brennan found that access to infectious disease physicians may play an important role in preventing major amputation from diabetic foot ulcers.
Endovascular vs. open revascularization for peripheral arterial disease Chronic Conditions, HIP Data, Surgery
Using HIP's Chronic Conditions Warehouse data, investigators found that in the long-term, an endovascular approach was superior to an open revascularization in treating peripheral arterial disease.
"They're younger… it's harder." Primary providers' perspectives on hypertension management in young adults Children and Young Adults, Chronic Conditions, Stakeholder Engagement
Dr. Heather Johnson and team conducted a multi-center qualitative study to explore PCP perspectives on barriers to controlling hypertension among young adults with regular primary care.
Building the learning health system: describing an organizational infrastructure to support continuous learning Learning Health System, PATH
This article by the UW PATH collaborative describes implementation changes and resulting system-level performance improvements in a learning health system.
PCP perceptions of colorectal cancer screening barriers Cancer, Quality and Safety, Stakeholder Engagement
Dr. Jennifer Weiss et al. conducted a survey of PCPs and examined their colorectal cancer screening rates, and found that high-performing PCPs can more effectively identify CRC screening barriers.
Discharge handoff communication and pediatric readmissions Children and Young Adults, Quality and Safety, Transitions in Care
In this article, Dr. Ryan Coller et al. characterize common handoff practices between hospitals & PCPs after pediatric hospitalizations and test the hypothesis that common handoff practices are associated with fewer unplanned readmissions.
MyHEART: A non-randomized feasibility study of a young adult hypertension intervention Children and Young Adults, Chronic Conditions, Dissemination and Implementation, Stakeholder Engagement
Dr. Heather Johnson et al. discuss the feasibililty and acceptability of the MyHEART program, a telephone-based health coach self-management intervention for young adults with high blood pressure.
The role of intraoperative assessment in the surgical management of ductal carcinoma in situ Cancer, HIP Data, Surgery
Using HIP's SEER-Medicare data, investigators found that intraoperative frozen section or touch preparation during partial mastectomy did not result in a reduction in subsequent breast operations in women with DCIS.
Difference in receipt of preventive services by race/ethnicity in Medicare Advantage plans: tracking the impact of P4P HIP Data, Learning Health System, Older Adults, Quality and Safety
In this study, the authors found similar racial/ethnic differences in the receipt of preventive health care before and after the introduction of the CMS Quality Bonus Payment Demonstration, a pay-for-performance program.
Across the divide: primary care departments working together to redesign care to achieve the Triple Aim Learning Health System, PATH, Quality and Safety
This article by the UW PATH collaborative describes a collaboration between internal medicine, general pediatrics and adolescent medicine, and family medicine to redesign primary care in the pursuit of the Triple Aim.
Medical complexity among children with special health care needs Children and Young Adults, Chronic Conditions, Quality and Safety
Dr. Ryan Coller et al. sought to identify subgroups of US children with special health care needs and characterized key outcomes such as ED visit and hospitalization rates, medical home attributes, quality of life issues, and cost by subgroup.
Trajectories and prognosis of patients who have prolonged mechanical ventilation after high-risk surgery HIP Data, Quality and Safety, Surgery
This study, which used HIP's Chronic Conditions Warehouse data, found that older patients who received prolonged mechanical ventilation following surgery had a higher 1-year mortality and were less likely to be discharged home.
Does first-contact access to primary care differentially benefit those with certain personalities to receive preventive services? Chronic Conditions, HIP Data, Learning Health System
In a cross-sectional study using Wisconsin Longitudinal Study data, investigators found that certain personality characteristics predicted patients receiving fewer preventive care services.
Examining systemic steroid use in older inflammatory bowel disease patients using hurdle models Chronic Conditions, HIP Data, Quality and Safety
Using HIP's Chronic Conditions Warehouse data, authors examined the use of systemic steroids in patients with IBD and found that younger patients and those who lived in rural areas were more likely to receive them.
The medical home and hospital readmissions Children and Young Adults, Chronic Conditions, Quality and Safety
In this article, Dr. Ryan Coller et al. examined whether patients with medical homes were less likely to have early post-discharge hospital or emergency department encounters and found that lacking a usual source for care was associated with readmissions.
Association of anxiety and depression with hypertension control Chronic Conditions, HIP Data, Mental Health
This multidisciplinary group practice observational study by Dr. Heather Johnson's team found that greater healthcare utilization among patients with anxiety and/or depression may contribute to faster hypertension control.
Strange bedfellows: A local insurer/physician practice partnership to fund innovation Learning Health System, PATH
This article by UW PATH discusses a novel partnership between an academic health system and an insurance firm that funds ambulatory care quality improvement projects that jointly benefit both the healthcare organization and the payer.
Visit patterns for severe mental illness with implementation of integrated care Chronic Conditions, Dissemination and Implementation, HIP Data, Mental Health
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.
Establishing chronic condition concordance and discordance with diabetes Chronic Conditions, HIP Data, Public Reporting
This study used HIP data to examine goals of 62 ambulatory-relevant condition categories. Using the Delphi method, investigators found that 12 conditions were concordant with diabetes care and 50 were discordant.
The impact of a patient's concordant and discordant chronic conditions on diabetes care quality measures Chronic Conditions, HIP Data, Public Reporting
This study used EHR data and found that among patients with diabetes, those with more conditions that were concordant with diabetes care were more likely to achieve diabetes care goals.
Are waiting rooms passé: A pilot study of patient self-rooming Learning Health System, PATH, Stakeholder Engagement
In a study by UW PATH, an intervention in family medicine clinics that allowed patients to room themselves was preferred by 95% of patients and resulted in staff time and cost savings.
The effects of expanding public insurance to rural low-income childless adults Health Equity, Older Adults
In this study, Marguerite Burns et al. measured the change in health care use by rural, low-income childless adults after enrollment into a new public insurance program and found that it led to substantial increases in outpatient visits.
Approaches and challenges to optimising primary care teams' electronic health record usage Health IT, Learning Health System, PATH
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 health system.
Effects of Medicare Part D on guideline-concordant pharmacotherapy for bipolar 1 disorder among dually enrolled beneficiaries Chronic Conditions, Health Equity, Mental Health, Quality and Safety
Marguerite Burns et al. examined the effect of switching from Medicaid to Medicare Part D private drug plans on the receipt of pharmacotherapy for biopolar I disorder and found that the use of guideline-concordant pharmacotherapy increased.

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