Abstract:
:The objective was to use population-based electronic health records for surveillance of intrauterine exposures to substances of abuse, including opioids, and to monitor changes in exposure rates over time. This retrospective, descriptive analysis utilized geocoded neonatal physician billing records representing intrauterine exposures to substances of abuse detected through universal maternal drug testing. Census tract-level exposure rates were identified among the newborn population of Hamilton County, Ohio between 2014 and 2016. Among 27,896 newborns, the authors detected an intrauterine opioid exposure rate of 37.9 per 1000 infants, with 10.5 per 1000 experiencing severe opioid withdrawal (neonatal abstinence syndrome). Individual data were mapped to 222 US census tracts. Tract-level opioid exposure rates ranged from 0.0 to 607.1 (median: 32.9) per 1000 live births. Secondary use of electronic health record data has potential to aid in intrauterine opioid exposure and other public health surveillance efforts without disrupting clinical workflows or placing an additional burden on limited resources. Surveillance of intrauterine opioid exposures may inform stakeholders and enable targeting of interventions and prevention strategies toward the highest risk populations.
journal_name
Popul Health Managjournal_title
Population health managementauthors
Hall ES,Wexelblatt SL,Greenberg JMdoi
10.1089/pop.2017.0184subject
Has Abstractpub_date
2018-12-01 00:00:00pages
486-492issue
6eissn
1942-7891issn
1942-7905journal_volume
21pub_type
杂志文章abstract::In January 2015, the US Secretary of Health and Human Services announced targets for the transformation of Medicare reimbursement from a fee-for-service model to payments based on alternative payment models. People now use technology for virtually everything - from paying bills to purchasing almost anything; it is the...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2017.0080
更新日期:2018-08-01 00:00:00
abstract::Care management is seen as a promising approach to address the complex care needs of patients with multimorbidity. Predictive modeling based on insurance claims data is an emerging concept to identify patients likely to benefit from care management interventions. We aimed to identify and explore patterns of multimorbi...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2011.0026
更新日期:2012-04-01 00:00:00
abstract::The change in prevalence and total Veterans Affairs (VA) spending were estimated for 16 chronic condition categories between 2000 and 2008. The drivers of changes in spending also were examined. Chronic conditions were identified through diagnoses in encounter records, and treatment costs per patient were estimated us...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2010.0079
更新日期:2011-12-01 00:00:00
abstract::Mobile Integrated Healthcare (MIH) is a patient-centered, innovative delivery model offering on-demand, needs-based care and preventive services, delivered in the patient's home or mobile environment. An interprofessional MIH clinical team delivered a care coordination program for a Medicare Advantage Preferred Provid...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2017.0130
更新日期:2018-10-01 00:00:00
abstract::Physical activity provides numerous health benefits, including reducing risk factors that contribute to the leading causes of morbidity and mortality. Many employers offer incentives to employees to motivate engagement in wellness program activities. Two incentive designs to reward employees for achieving step goals w...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2015.0030
更新日期:2016-04-01 00:00:00
abstract::Given the increasing prevalence of obesity and lifestyle-related chronic diseases in the United States and abroad, senior wellness initiatives have emerged as a means to stem the troubling trends that threaten the well-being and the economy of many nations. Seniors are an important demographic for such programs becaus...
journal_title:Population health management
pub_type: 杂志文章,评审
doi:10.1089/pop.2010.0072
更新日期:2011-02-01 00:00:00
abstract::Obesity is a chronic disease that poses serious health and societal burdens. Although guidelines exist for obesity management in primary care, evaluating the success of obesity treatment programs is hampered by lack of established, robust quality measures. This study aimed to develop, and test for feasibility, measure...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2020.0109
更新日期:2020-11-11 00:00:00
abstract::A growing literature documents the substantial burden that a small proportion of high-cost, medically complex patients impose on health care systems. However, it is not clear whether high-cost patients remain costly over time. This study looks at the monthly distribution of billed charges for a cohort of high-cost, me...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2016.0149
更新日期:2017-10-01 00:00:00
abstract::This study tested the effectiveness of a 6-month university-based community outreach weight management program for overweight/obese adults that utilized standard guidelines from the National Heart, Lung, and Blood Institute (NHLBI). This article also provides practical observations for clinicians desirous to employ a ...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2010.0034
更新日期:2011-08-01 00:00:00
abstract::Sleep deprivation and disturbances can result in lowered productivity and increased errors/accidents. Little is known about population characteristics associated with the use of sleep medications. The objective of this study was to investigate the association of sociodemographic factors with the use of sleep medicatio...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2013.0124
更新日期:2014-12-01 00:00:00
abstract::How depression affects the medication cost burden for elderly cancer survivors has not been well studied. This study aims to investigate whether depression is associated with higher rates of cost-related medication nonadherence, and cost-reduction strategies among the elderly cancer survivors. Self-reports from survey...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2019.0035
更新日期:2020-04-01 00:00:00
abstract::Chronic instability in the health care environment has raised concerns among providers and patients, especially those who treat and cope with chronic conditions. Changes to existing health care laws are unlikely to alter what have become the primary goals of the US health care system: cost-effectiveness and patient-ce...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2017.0131
更新日期:2018-02-01 00:00:00
abstract::Hospitals are expected to fulfill a role in the communities they serve by improving the health of the population in the community as mandated in the Affordable Care Act. One way hospitals achieve this is to create partnerships with diverse organizations, such as local public health departments, state/federal agencies,...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2019.0074
更新日期:2020-06-01 00:00:00
abstract::Area Deprivation Index (ADI) is a marker of neighborhood deprivation. This study investigates utilization of coronary bare-metal stent (BMS) and drug-eluting stent (DES) in Medicare patients across hospitals with varying ADI. Data were abstracted using Diagnosis-Related Group (DRG) codes 249 (BMS without major complic...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2016.0086
更新日期:2017-08-01 00:00:00
abstract::The main objective of this study is to assess the cost benefit associated with comprehensive eye exams as a tool for the early detection of diabetes, hypertension, and high cholesterol. A retrospective, claims-based analysis was performed using U.S.-based employees and spouses from a large, national database. Individu...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2009.0050
更新日期:2010-08-01 00:00:00
abstract::Despite widespread interest in addressing social determinants of health (SDH) as a means to improve health and to reduce health care spending, little information is available about how to develop, sustain, and scale nonmedical interventions in diverse payer environments, including Medicaid Managed Care. This study aim...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2016.0092
更新日期:2017-08-01 00:00:00
abstract::This study is an analysis of a workplace diabetes management program offered to employees of a Fortune 100 financial services corporation located in the United States. The 12-month worksite-based educational program was for employees who were at risk for diabetes, had prediabetes, or were diagnosed with diabetes. This...
journal_title:Population health management
pub_type: 杂志文章,多中心研究
doi:10.1089/pop.2014.0141
更新日期:2015-12-01 00:00:00
abstract::Chronic obstructive pulmonary disease (COPD) is a common chronic illness that affects an estimated 210 million people worldwide, including 12 million people in the United States. National and international guidelines for treatment of COPD recommend use of certain medications, especially bronchodilators and corticoster...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2008.0048
更新日期:2010-02-01 00:00:00
abstract::The objective was to evaluate the effect of separate interventions on antimicrobial prescribing for uncomplicated upper respiratory tract infections. The authors conducted a quasi-experimental pre-post study with concurrent control groups for each intervention. Academic detailing led to a significant reduction in unne...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2012.0025
更新日期:2013-02-01 00:00:00
abstract::Stroke is the third leading cause of death in the United States and the leading cause of disability. Stroke patients' outcomes are strongly determined by how long they remain untreated ("time is brain"). The Joint Commission's adoption of stroke performance improvement measures combined with the Centers for Medicare a...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2010.0068
更新日期:2011-12-01 00:00:00
abstract::The objective was to develop and validate a multilateral index to determine patient ability to pay for medication in low- and middle-income countries. Primary data were collected in 2009 from 117 cancer patients in China, India, Thailand, and Malaysia. The initial tool included income, expenditures, and assets-based i...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2012.0049
更新日期:2013-04-01 00:00:00
abstract::This study evaluates whether improvements in health behaviors related to a worksite wellness program persist through 2 years. The program was designed to build behavioral capability and self-efficacy by yielding immediately applicable skills and tools and segmenting the behavior change process into weekly, manageable ...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2011.0083
更新日期:2012-10-01 00:00:00
abstract::The Johns Hopkins Community Health Partnerships (JCHiP) was developed in 2010 within the Johns Hopkins Health Systems. As part of JCHiP, the Patient Access Line call center was created. The average telephone reach rate at The Johns Hopkins Hospital in 2014 was only 53%. In a population of adult neurosurgical patients,...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2019.0038
更新日期:2020-04-01 00:00:00
abstract::US health systems have begun to address housing instability within a larger effort to address social determinants of health. To explore existing themes within efforts by health systems to reduce housing instability and improve health, the authors conducted a scoping review supplemented with key informant interviews. T...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2020.0154
更新日期:2020-08-17 00:00:00
abstract::Diabetes self-management education is an essential component of diabetes clinical management, and community-based programs are an effective intervention for improving glycemic control among adults living with diabetes. The National Standards for Diabetes Self-Management Education and Support are designed to define qua...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2013.0044
更新日期:2014-02-01 00:00:00
abstract::The Robert Wood Johnson Foundation's Culture of Health Action Framework aims to "make health a shared value" and improve population health equity through widespread culture change. The authors draw upon their expertise as anthropologists to identify 3 challenges that they believe must be addressed in order to effectiv...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2019.0179
更新日期:2020-12-01 00:00:00
abstract::The objective was to estimate clinical metric and medication persistency impacts of a care management program. The data sources were Medicaid administrative claims for a sample population of 32,334 noninstitutionalized Medicaid-only aged, blind, or disabled patients with diagnosed conditions of asthma, coronary artery...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2014.0003
更新日期:2015-02-01 00:00:00
abstract::The patient-centered medical home (PCMH) model is considered a promising approach to improving population health, but how elements of these advanced practice models relate to population health capability is unknown. To measure associations between family physicians' performance of population management with PCMH compo...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2014.0023
更新日期:2015-04-01 00:00:00
abstract::The primary objective was to determine the prevalence and characteristics of older adults concurrently using opioids and other central nervous system (CNS)-active medications, and the specialties of providers who ordered the medications. A secondary objective was to document medication-related adverse effects associat...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2019.0128
更新日期:2020-08-01 00:00:00
abstract::The concept of frailty has been evolving dramatically for the past 30 years. Through its evolution, a variety of single and multidimensional models have been used to describe frailty. This article reviews the current literature related to the defining dimensions of frailty and identifies the gaps in the literature req...
journal_title:Population health management
pub_type: 杂志文章,评审
doi:10.1089/pop.2010.0066
更新日期:2011-12-01 00:00:00