2024
Impact of large scale, multicomponent intervention to reduce proton pump inhibitor overuse in integrated healthcare system: difference-in-difference study
Kurlander J, Laine L, Kim H, Roberts C, Saffar D, Myers A, Holleman R, Gao Y, Shank M, Nelson R, Forman J, Helfrich C, Krein S, Saini S, Yang Y. Impact of large scale, multicomponent intervention to reduce proton pump inhibitor overuse in integrated healthcare system: difference-in-difference study. The BMJ 2024, 385: e076484. PMID: 38604668, PMCID: PMC11007585, DOI: 10.1136/bmj-2023-076484.Peer-Reviewed Original ResearchMeSH KeywordsAgedDelivery of Health Care, IntegratedGastrointestinal DiseasesGastrointestinal HemorrhageHistamine H2 AntagonistsHumansProton Pump InhibitorsConceptsPrimary care visitsProton pump inhibitors prescriptionUpper gastrointestinal diagnosesMulticomponent interventionCare visitsHealthcare systemHospital admissionUS Veterans Affairs Healthcare SystemVeterans Affairs Healthcare SystemAbsolute reductionGastrointestinal diagnosesIntegrated healthcare systemProton pump inhibitor overuseReducing proton-pump inhibitorDifference-in-differences studyProton pump inhibitorsPercentage of patientsProton pump inhibitor useAcid peptic diseaseElectronic prescribingPrimary careHealthcare utilizationIntervention sitesPPI prescriptionsOlder adults
2023
Integrated Care Models: HIV and Substance Use
Hill K, Kuo I, Shenoi S, Desruisseaux M, Springer S. Integrated Care Models: HIV and Substance Use. Current HIV/AIDS Reports 2023, 20: 286-295. PMID: 37698755, PMCID: PMC11034717, DOI: 10.1007/s11904-023-00667-9.Peer-Reviewed Original ResearchMeSH KeywordsDelivery of Health Care, IntegratedHealth ServicesHIV InfectionsHumansOpioid-Related DisordersConceptsSubstance use disordersUse disordersSubstance useIntegrated careRecent HIV outbreaksHIV viral suppressionMultidisciplinary care teamHIV virologic suppressionOpioid use disorderRisk of HIVHarm reduction programsSubstance use treatmentEvidence-based strategiesVirologic suppressionViral suppressionHIV outbreakCare teamProvider trainingHIVOnward transmissionHealth outcomesCare servicesClinic leadershipCare integrationMedical literatureA Novel Approach to Delivering Evidence-based, High-quality Care in Psychiatry Through an Electronic Integrated Care Pathway (eICP) Pilot
Li L, Kruger M, Kim N, Ong S, Riley S, Cameron K, Koslosky K, Rhodes D. A Novel Approach to Delivering Evidence-based, High-quality Care in Psychiatry Through an Electronic Integrated Care Pathway (eICP) Pilot. Psychiatric Quarterly 2023, 94: 103-111. PMID: 36840898, PMCID: PMC9959944, DOI: 10.1007/s11126-023-10016-z.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersDelivery of Health Care, IntegratedElectronic Health RecordsHumansPsychiatryQuality of Health CareConceptsElectronic health recordsUser-friendly experienceEvidence-based decision support toolUsage trackingDecision support toolSupport toolHealth recordsIntegrated care pathwayNovel approachService areaTeam structureImplementationEarly adoptionAdoptionTechnology columnHealth service areasAcademic medical centerQuality of careHigh-quality careTrackingAdoption resultsCare pathwayFuture directionsMedical CenterTechnology
2022
Characteristics and productivity of the chiropractic workforce of the Veterans Health Administration
Corcoran KL, Peterson DR, Zhao X, Moran EA, Lisi AJ. Characteristics and productivity of the chiropractic workforce of the Veterans Health Administration. Chiropractic & Manual Therapies 2022, 30: 18. PMID: 35410303, PMCID: PMC8996387, DOI: 10.1186/s12998-022-00429-1.Peer-Reviewed Original ResearchMeSH KeywordsChiropracticCross-Sectional StudiesDelivery of Health Care, IntegratedFemaleHumansMaleVeterans HealthWorkforceConceptsVeterans Health AdministrationTotal work relative value unitsHealth AdministrationChiropractic workforceWork relative value unitsUnited States Veterans Health AdministrationFull-time equivalentsCharacteristics of chiropractorsVHA administrative dataHealthcare systemMultivariable regression modelsClinical full-time equivalentChiropractic careClinical productivityVHA facilitiesVHA's experienceCare deliveryOlder ageChiropractorsRelative value unitsFiscal year 2016Administrative dataAdministrationReimagining Evidence Generation for Heart Failure and the Role of Integrated Health Care Systems
Ahmad T, Desai NR. Reimagining Evidence Generation for Heart Failure and the Role of Integrated Health Care Systems. Circulation Cardiovascular Quality And Outcomes 2022, 15: e008292. PMID: 35272506, DOI: 10.1161/circoutcomes.121.008292.Peer-Reviewed Original ResearchAngiotensin Receptor AntagonistsDelivery of Health Care, IntegratedDrug CombinationsHeart FailureHumansNeprilysinStroke VolumeInternational perspective on integrated care models in child and adult mental health
Shaligram D, Skokauskas N, Aragones E, Azeem M, Bala A, Bernstein B, Cama S, Canessa L, Silva F, Engelhard C, Garrido G, Guerrero A, Hunt J, Jadhav M, Martin S, Miliauskas C, Nalugya J, Nazeer A, Ong S, Robertson P, Sassi R, Seker A, Consortium C, Watkins M, Leventhal B. International perspective on integrated care models in child and adult mental health. International Review Of Psychiatry 2022, 34: 101-117. PMID: 35699101, DOI: 10.1080/09540261.2022.2059346.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChildDelivery of Health Care, IntegratedFamilyHumansInternationalityMental HealthMental Health ServicesConceptsCare modelCollaborative careAdolescent mental health servicesCollaborative care modelIntegrated care modelStepped care modelMental health servicesAdult mental healthLow-resource settingsMeasurement of outcomesPrimary careCoordinated careHealth servicesCare perspectiveOngoing quality improvementComplex healthcare systemMental healthCareHealthcare systemHealthcare policyWorkforce capacityNon-pharmacological Treatment for Chronic Pain in US Veterans Treated Within the Veterans Health Administration: Implications for Expansion in US Healthcare Systems
Mannes Z, Stohl M, Fink D, Olfson M, Keyes K, Martins S, Gradus J, Saxon A, Maynard C, Livne O, Gutkind S, Hasin D. Non-pharmacological Treatment for Chronic Pain in US Veterans Treated Within the Veterans Health Administration: Implications for Expansion in US Healthcare Systems. Journal Of General Internal Medicine 2022, 37: 3937-3946. PMID: 35048300, PMCID: PMC8769678, DOI: 10.1007/s11606-021-07370-8.Peer-Reviewed Original ResearchMeSH KeywordsChronic PainCross-Sectional StudiesDelivery of Health Care, IntegratedHumansUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsNon-pharmacological treatment modalitiesVeterans Health AdministrationVeterans Health Administration patientsVeterans Health Administration's HealthcareUS healthcare systemNon-VHA veteransHealthcare systemChronic painHealth AdministrationUS veteransVeterans Health Administration policyNational Health Interview SurveyVeterans Health Administration treatmentHealth Interview SurveyIntegrated healthcare systemMedical care settingsPhysical health indicatorsAssociated with greater likelihoodSymptoms of depressionNon-pharmacological treatmentChiropractic careResultsChronic painChronic pain treatmentCare settingsInterview Survey
2021
Impact of Hematology Electronic Consultations on Utilization of Referrals and Patient Outcomes in an Integrated Health Care System
Dosani T, Xiang J, Wang K, Deng Y, Connell NT, Connery D, Levin F, Roy A, Wadia RJ, Wong EY, Rose MG. Impact of Hematology Electronic Consultations on Utilization of Referrals and Patient Outcomes in an Integrated Health Care System. JCO Oncology Practice 2021, 18: e564-e573. PMID: 34914541, DOI: 10.1200/op.21.00420.Peer-Reviewed Original ResearchMeSH KeywordsDelivery of Health Care, IntegratedElectronicsHematologyHumansRemote ConsultationRetrospective StudiesConceptsE-consultsHealth care systemPatient outcomesElectronic consultationFTF visitsCare systemIntegrated health care systemRetrospective cohort studyType of consultHematology consultUnique cliniciansPeriprocedural managementCohort studyLaboratory abnormalitiesHematology serviceHematologic malignanciesConsultsConsult volumePatientsMalignancyCliniciansHematologyElectronic modalitiesVisitsOutcomesChanges in Virtual and In-Person Health Care Utilization in a Large Health System During the COVID-19 Pandemic
Zachrison K, Yan Z, Schwamm L. Changes in Virtual and In-Person Health Care Utilization in a Large Health System During the COVID-19 Pandemic. JAMA Network Open 2021, 4: e2129973. PMID: 34705016, PMCID: PMC8552053, DOI: 10.1001/jamanetworkopen.2021.29973.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAmbulatory CareCOVID-19Cross-Sectional StudiesDelivery of Health Care, IntegratedFemaleHumansMaleMiddle AgedOffice VisitsPandemicsPatient Acceptance of Health CareSARS-CoV-2TelemedicineExpedited and Comprehensive Management of Low-Risk TIA Patients in the Emergency Department is Safe and Less Costly
Garg A, Maran I, Amin H, Vlieks K, Neuschatz K, Coppola A, Poskus K, Johnson J, Davis M, Minja F, Schindler J, Sansing LH, Malhotra A, Jasne AS, Sharma R. Expedited and Comprehensive Management of Low-Risk TIA Patients in the Emergency Department is Safe and Less Costly. Journal Of Stroke And Cerebrovascular Diseases 2021, 30: 106016. PMID: 34325273, DOI: 10.1016/j.jstrokecerebrovasdis.2021.106016.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overClinical ProtocolsCost SavingsCost-Benefit AnalysisDecision Support TechniquesDelivery of Health Care, IntegratedEmergency Service, HospitalFeasibility StudiesFemaleHospital CostsHumansIschemic Attack, TransientLength of StayMaleMiddle AgedOutcome and Process Assessment, Health CarePredictive Value of TestsRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeTriageConceptsLow-risk TIA patientsTransient ischemic attackTIA patientsEmergency roomAcademic comprehensive stroke centerSingle-center cohort studyPre-pathway groupComprehensive stroke centerClinical practice recommendationsLength of stayOutcomes of interestImpending strokeIschemic attackOutpatient echocardiogramRapid outpatientTIA admissionsEchocardiogram findingsEchocardiographic findingsStroke clinicCohort studyStroke centersNeurovascular eventsEmergency departmentFinal diagnosisHospital costsDesign and methods of a multi-site randomized controlled trial of an integrated care model of long-acting injectable buprenorphine with infectious disease treatment among persons hospitalized with infections and opioid use disorder
Seval N, Frank CA, Litwin AH, Roth P, Schade MA, Pavlicova M, Levin FR, Brady KT, Nunes EV, Springer SA. Design and methods of a multi-site randomized controlled trial of an integrated care model of long-acting injectable buprenorphine with infectious disease treatment among persons hospitalized with infections and opioid use disorder. Contemporary Clinical Trials 2021, 105: 106394. PMID: 33838307, PMCID: PMC8172465, DOI: 10.1016/j.cct.2021.106394.Peer-Reviewed Original ResearchMeSH KeywordsAdultBuprenorphineDelivery of Health Care, IntegratedHumansNeoplasm Recurrence, LocalOpiate Substitution TreatmentOpioid-Related DisordersConceptsOpioid use disorderInfectious disease treatmentUse disordersCo-occurring opioid use disorderTreatment of OUDLife-threatening infectious diseaseSubstantial healthcare utilizationProportion of patientsInfectious disease specialistsInjection drug usePrimary outcome measureIntegrated care modelDisease treatmentMulti-site trialInjectable buprenorphineOpioid useSecondary outcomesHealthcare utilizationInfection morbidityDisease specialistsMedication treatmentSerious infectionsMonthly formulationDrug overdoseID specialistsRegional Changes in Patterns of Stroke Presentation During the COVID-19 Pandemic
Etherton M, Zachrison K, Yan Z, Sveikata L, Bretzner M, Estrada J, Viswanathan A, Singhal A, Schwamm L. Regional Changes in Patterns of Stroke Presentation During the COVID-19 Pandemic. Stroke 2021, 52: 1398-1406. PMID: 33588592, PMCID: PMC8992369, DOI: 10.1161/strokeaha.120.031300.Peer-Reviewed Original ResearchAgedAged, 80 and overCOVID-19Delivery of Health Care, IntegratedFemaleHumansMaleMiddle AgedNew EnglandPandemicsRetrospective StudiesStrokeTelemedicineThe relationship of smoking and unhealthy alcohol use to the HIV care continuum among people with HIV in an integrated health care system
Satre DD, Levine-Hall T, Sterling SA, Young-Wolff KC, Lam JO, Alexeeff S, Hojilla JC, Williams A, Justice AC, Sterne J, Cavassini M, Bryant KJ, Williams EC, Horberg MA, Volberding P, Weisner C, Silverberg MJ. The relationship of smoking and unhealthy alcohol use to the HIV care continuum among people with HIV in an integrated health care system. Drug And Alcohol Dependence 2021, 219: 108481. PMID: 33429295, PMCID: PMC7869693, DOI: 10.1016/j.drugalcdep.2020.108481.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol DrinkingContinuity of Patient CareDelivery of Health Care, IntegratedFemaleHIV InfectionsHumansMaleMiddle AgedPrimary Health CareSmokingTobacco SmokingConceptsUnhealthy alcohol useHIV care continuum outcomesIntegrated health care systemCare continuum outcomesAlcohol useHealth care systemContinuum outcomesCare continuumOdds ratioHigher oddsKaiser Permanente Northern CaliforniaCare systemHIV RNA controlPrimary care screeningHIV care continuumRelationship of smokingAdjusted odds ratioSeparate logistic regression modelsLogistic regression modelsRace/ethnicityHIV careHIV RNASmoking statusMean ageCare screeningTreatment at Integrated Centers Might Bridge the Academic-Community Survival Gap in Patients With Metastatic Non-Small Cell Carcinoma of the Lung
Ramalingam S, Dinan M, Crawford J. Treatment at Integrated Centers Might Bridge the Academic-Community Survival Gap in Patients With Metastatic Non-Small Cell Carcinoma of the Lung. Clinical Lung Cancer 2021, 22: e646-e653. PMID: 33582071, DOI: 10.1016/j.cllc.2020.12.013.Peer-Reviewed Original ResearchConceptsNon-small cell lung cancerMetastatic non-small cell lung cancerCommunity-based centersAcademic centersMetastatic non-small cell carcinomaNon-small cell carcinomaStudy periodPrimary end pointNational Cancer DatabaseCell lung cancerSquamous cell carcinomaCancer-related deathMost cancer-related deathsTreatment-related improvementOverall survivalSurvival gapSurvival disparitiesImproved survivalCell carcinomaLung cancerCancer DatabaseRetrospective analysisNew therapiesPatientsEnd point
2020
Health System‐Based Unhealthy Alcohol Use Screening and Treatment Comparing Demographically Matched Participants With and Without HIV
Silverberg MJ, Levine‐Hall T, Hood N, Anderson AN, Alexeeff SE, Lam JO, Slome SB, Flamm JA, Hare C, Ross T, Justice A, Sterne JAC, Williams A, Bryant KJ, Weisner CM, Horberg MA, Sterling SA, Satre DD. Health System‐Based Unhealthy Alcohol Use Screening and Treatment Comparing Demographically Matched Participants With and Without HIV. Alcohol Clinical And Experimental Research 2020, 44: 2545-2554. PMID: 33067802, PMCID: PMC7725961, DOI: 10.1111/acer.14481.Peer-Reviewed Original ResearchMeSH KeywordsAlcoholismCase-Control StudiesDelivery of Health Care, IntegratedFemaleHIV InfectionsHumansMaleMass ScreeningMiddle AgedPoisson DistributionPrimary Health CareProportional Hazards ModelsConceptsUnhealthy alcohol useAlcohol use screeningHIV statusBrief interventionRace/ethnicityAlcohol useSpecialty visitsHazard ratioPrevalence ratiosLarge integrated healthcare systemCharlson Comorbidity IndexSpecialty care visitsProportional hazards modelIntegrated healthcare systemOutcomes of timeSubstance use disordersAddiction specialty careNeighborhood deprivation indexElectronic health recordsComorbidity indexAdult PLWHCare visitsCohort studyOutpatient visitsSignificant morbidityStrategic plan for integrated care of patients with kidney failure
Harris DCH, Davies SJ, Finkelstein FO, Jha V, Bello AK, Brown M, Caskey FJ, Donner JA, Liew A, Muller E, Naicker S, O’Connell P, Filho RP, Vachharajani T, Groups S, Abu Alfa A, Ashuntantang G, Brown E, Cullis B, Dreyer G, Eke F, Garcia G, Goh B, Hemmelgarn B, Hou F, Iyengar A, Johnson D, Levin N, Luyckx V, Martin D, McCulloch M, Mengistu Y, Moosa M, Morton R, Niang A, Obrador G, Okpechi I, Ossareh S, Shah K, Sola L, Swanepoel C, Tchokhonelidze I, Tonelli M, Trask M, Kazancioglu R, Twahir A, Walker R, Were A, Yang C, Yeates K, Zakharova E, Zuniga C. Strategic plan for integrated care of patients with kidney failure. Kidney International 2020, 98: s117-s134. PMID: 33126957, DOI: 10.1016/j.kint.2020.07.023.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsDigital triage: Novel strategies for population health management in response to the COVID-19 pandemic
Lai L, Wittbold K, Dadabhoy F, Sato R, Landman A, Schwamm L, He S, Patel R, Wei N, Zuccotti G, Lennes I, Medina D, Sequist T, Bomba G, Keschner Y, Zhang H. Digital triage: Novel strategies for population health management in response to the COVID-19 pandemic. Healthcare 2020, 8: 100493. PMID: 33129176, PMCID: PMC7586929, DOI: 10.1016/j.hjdsi.2020.100493.Peer-Reviewed Original ResearchMeSH KeywordsArtificial IntelligenceClinical Decision-MakingCOVID-19Delivery of Health Care, IntegratedHotlinesHumansMassachusettsPandemicsPopulation Health ManagementTriageConceptsPre-hospital triagePotential viral transmissionHealthcare system capacityPopulation health managementCOVID-19 pandemicEmergency departmentCOVID-19 casesAppropriate careU.S. healthcare systemClinical staffViral transmissionPatient demandPartners HealthCareHealthcare systemCOVID-19PatientsCareNovel strategyHealth managementArtificial intelligenceHospitalizationPandemicUnique challengesClinicCliniciansRapidly scaling video visits during COVID-19: The ethos of virtual care at Yale Medicine
Hoffman PE, London YR, Weerakoon TS, DeLucia NL. Rapidly scaling video visits during COVID-19: The ethos of virtual care at Yale Medicine. Healthcare 2020, 8: 100482. PMID: 33129179, PMCID: PMC7528872, DOI: 10.1016/j.hjdsi.2020.100482.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersChange ManagementCOVID-19Delivery of Health Care, IntegratedElectronic Health RecordsHumansInsurance, Health, ReimbursementPandemicsSurveys and QuestionnairesTelemedicineConceptsEnd-user knowledgePatient portalsCentralized communicationOperational workflowPersonalized supportVideo visitsIntraorganizational relationshipsEvaluation processOperational consistencyPortalDifferent stakeholdersOverall patient experiencePatient-provider relationshipRapid scalingNon-clinical staffTechnical literacyActive collaborationVirtual careWorkflowElectronic health record trainingEHRPatient experienceVisitsPerson servicesDifferent levelsCOVID-19 infections and outcomes in a live registry of heart failure patients across an integrated health care system
Caraballo C, McCullough M, Fuery MA, Chouairi F, Keating C, Ravindra NG, Miller PE, Malinis M, Kashyap N, Hsiao A, Wilson FP, Curtis JP, Grant M, Velazquez EJ, Desai NR, Ahmad T. COVID-19 infections and outcomes in a live registry of heart failure patients across an integrated health care system. PLOS ONE 2020, 15: e0238829. PMID: 32997657, PMCID: PMC7526909, DOI: 10.1371/journal.pone.0238829.Peer-Reviewed Original ResearchConceptsHeart failure patientsIntegrated health care systemHeart Failure RegistryHealth care systemFailure patientsCOVID-19 infectionCare systemCOVID-19SARS-CoV-2 infectionReal-time registryRenin-angiotensin blockersRetrospective chart reviewCoronary artery diseaseRisk of deathCOVID-19 testingAngiotensin blockersMultiple comorbiditiesRespiratory failureChart reviewSymptomatic patientsArtery diseaseHeart failureComorbid conditionsPatient mortalityClinical managementWhat Drives Greater Assimilation of Telestroke in Emergency Departments?
Uscher-Pines L, Sousa J, Zachrison K, Guzik A, Schwamm L, Mehrotra A. What Drives Greater Assimilation of Telestroke in Emergency Departments? Journal Of Stroke And Cerebrovascular Diseases 2020, 29: 105310. PMID: 32992169, PMCID: PMC7686253, DOI: 10.1016/j.jstrokecerebrovasdis.2020.105310.Peer-Reviewed Original ResearchAttitude of Health PersonnelClinical ProtocolsDelivery of Health Care, IntegratedEmergency Service, HospitalHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicLeadershipPractice Patterns, Physicians'Quality ImprovementQuality Indicators, Health CareReferral and ConsultationStrokeTelemedicineWorkflow
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