What Happens to High-Cost Patients? An Analysis of the Trajectories of Billed Charges Over Time.

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

authors： Park S,Hamadi H,Apatu E,Spaulding AC

更新日期：2020-06-01 00:00:00

abstract：:Population health is one of the pillars of the Triple Aim to improve US health care. The authors developed a framework for population health measurement and a proposed set of measures for further exploration to guide the population health efforts in Maryland. The authors searched peer-reviewed, expert-authored literat...

journal_title：Population health management

authors： Hatef E,Lasser EC,Kharrazi HHK,Perman C,Montgomery R,Weiner JP

更新日期：2018-08-01 00:00:00

abstract：:Derived from various health care policies and initiatives, the concept of population health has been newly adopted by health care and medicine. In particular, it has been suggested that the Patient Protection and Affordable Care Act provision that requires nonprofit hospitals to conduct a community health needs assess...

journal_title：Population health management

authors： Pennel CL,McLeroy KR,Burdine JN,Matarrita-Cascante D,Wang J

更新日期：2016-06-01 00:00:00

abstract：:Chronic obstructive pulmonary disease (COPD) affects approximately 7% of Americans. COPD impacts productivity and forces 1 in 5 employees ages 45-65 years old to retire prematurely. Our objective was to quantify the direct and indirect costs of COPD in an employed population in the United States. A retrospective analy...

journal_title：Population health management

authors： Nair K,Ghushchyan V,Van Den Bos J,Halford ML,Tan G,Frech-Tamas FH,Doyle J

更新日期：2012-10-01 00:00:00

abstract：:The evaluation of multiyear programs in medical management becomes increasingly difficult as the program continues. As programs continue to run over a number of years, calculation of results becomes problematic as the comparison "baseline" recedes into the past and program impact reaches a steady state. Purchasers of ...

journal_title：Population health management

authors： Fetterolf D

更新日期：2011-02-01 00:00:00

abstract：:This case study describes a multistage approach applied to evaluation of an employee wellness program at Northwell Health. The paper describes a framework that other large employers may adopt in their wellness program evaluations. Evaluators worked with Northwell to develop, tailor, and apply a structure-process-outco...

journal_title：Population health management

authors： Goetzel RZ,Berko J,McCleary K,Roemer EC,Stathakos K,Flynn PR,Moscola J,Nevola G

更新日期：2019-12-01 00:00:00

abstract：:The objective was to understand how Federally Qualified Health Centers (FQHCs) and local health departments (LHDs) address their shared mission of improving population health by determining the scope of primary care and public health activities each provides in their community. A brief mail survey was designed and fie...

journal_title：Population health management

authors： Wright B,Ugwi P,Nice AJ

更新日期：2015-04-01 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

authors： Mohandas A,Reifsnyder J,Jacobs M,Fox T

更新日期：2011-12-01 00:00:00

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 intrau...

journal_title：Population health management

authors： Hall ES,Wexelblatt SL,Greenberg JM

更新日期：2018-12-01 00:00:00

abstract：:Multiple chronic conditions (MCC) reduce quality of life and are associated with high per capita health care spending. One potential way to reduce Medicare spending for MCC is to identify counties whose populations have high levels of spending compared to level of disease burden. Using a nationally representative samp...

journal_title：Population health management

authors： Matthews KA,Gaglioti AH,Holt JB,McGuire LC,Greenlund KJ

更新日期：2020-04-01 00:00:00

abstract：:Health and disease management (HDM) programs have faced challenges in documenting savings related to their implementation. The objective of this eliminate study was to describe OptumHealth's (Optum) methods for estimating anticipated savings from HDM programs using Value Drivers. Optum's general methodology was review...

journal_title：Population health management

authors： Phillips VL,Becker ER,Howard DH

更新日期：2013-12-01 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

authors： Vergara FH,Davis JE,Budhathoki C,Sullivan NJ,Sheridan DJ

更新日期：2020-04-01 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

authors： Ciemins E,Joshi V,Horn D,Nadglowski J,Ramasamy A,Cuddeback J

更新日期：2020-11-11 00:00:00

abstract：:Federally Qualified Health Centers (FQHCs), like many health systems, are in transition toward alternative/advanced payment and reimbursement models. Gradually, fee-for-service reimbursements will be replaced by value-based payments with shared accountability for patients' health care outcomes. This article provides a...

journal_title：Population health management

authors： Okeke N,Schmidt C,Alborn S,Kumian E

更新日期：2020-02-24 00:00:00

abstract：:In this article, we estimate national health care resource use and medical costs in 2007 associated with prediabetes (PD), defined as either fasting plasma glucose between 100 and 125 or oral glucose tolerance test between 140 and 200. We use Poisson regression with medical claims for an adult population continuously ...

journal_title：Population health management

authors： Zhang Y,Dall TM,Chen Y,Baldwin A,Yang W,Mann S,Moore V,Le Nestour E,Quick WW

更新日期：2009-06-01 00:00:00

abstract：:In 2010, Veterans Health Administration (VHA) primary care clinics adopted a patient-centered medical home (PCMH) model. This study sought to examine the association between the organizational features related to adoption of PCMH and the level of adherence to oral hypoglycemic agents (OHAs) among patients with diabete...

journal_title：Population health management

authors： Meo N,Wong E,Sun H,Curtis I,Batten A,Fihn SD,Nelson K

更新日期：2018-04-01 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

authors： Nash DB,Skoufalos A,Harris D

更新日期：2018-02-01 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

authors： Coberley C,Rula EY,Pope JE

更新日期：2011-02-01 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

authors： Vinnard C,Linkin DR,Localio AR,Leonard CE,Teal VL,Fishman NO,Hennessy S

更新日期：2013-02-01 00:00:00

abstract：:Vaginitis is one of the main causes of primary care and gynecological visits in the United States. The most common infectious causes are bacterial vaginosis (BV), vulvovaginal candidiasis (VVC), and trichomoniasis. A physician survey was conducted to measure awareness of vaginitis clinical guidelines and availability ...

journal_title：Population health management

authors： Nyirjesy P,Banker WM,Bonus TM

更新日期：2020-10-01 00:00:00

abstract：:Whereas some studies show statistically significant linear associations between consumption at full-service restaurants and consumer incomes, studies of fast-food restaurants fail to find statistically significant linear associations. In this study, nationally representative data were drawn from the 1994-1996 Continui...

journal_title：Population health management

authors： Kim D,Leigh JP

更新日期：2011-12-01 00:00:00

abstract：:The objective of this study was to estimate the association between changes in health care expenditures relative to changes in health risk status for employers of all sizes. Repeat health risk assessments (HRAs) were obtained from 50,005 employees and spouses with 2 years of health plan enrollment, and from 37,559 emp...

journal_title：Population health management

authors： Musich S,White J,Hartley SK,Bhattarai GR,Hawkins K,Ozminkowski RJ

更新日期：2014-10-01 00:00:00

abstract：:The impact of a hypertension awareness and educational program, BP DownShift, was evaluated among school bus drivers in a southern US state. At baseline (August 2007), blood pressure (BP) measurements, self-reported demographics, and hypertension awareness and management practices were collected from drivers who conse...

journal_title：Population health management

authors： Doyle J,Severance-Fonte T,Morandi-Matricaria E,Wogen J,Frech-Tamas F

更新日期：2010-04-01 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

authors： Schaneman J,Kagey A,Soltesz S,Stone J

更新日期：2010-08-01 00:00:00

abstract：:Having access to adequate and appropriate food is a major population health issue. This study investigated food insecurity in patients with high rates of inpatient hospitalization ("super-utilizers"). Forty adults with ≥3 hospital inpatient admissions within a 12-month period were interviewed in an urban hospital in P...

journal_title：Population health management

authors： Phipps EJ,Singletary SB,Cooblall CA,Hares HD,Braitman LE

更新日期：2016-12-01 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

authors： White N,Manning ML,Brawer R,Plumb J

更新日期：2014-02-01 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

authors： Shulkin DJ,Jewell KE,Alexandrov AW,Bernard DB,Brophy GM,Hess DC,Kohlbrenner J,Martin-Schild S,Mayer SA,Peacock WF,Qureshi AI,Sung GY,Lyles A

更新日期：2011-12-01 00:00:00

abstract：:The United States has 86 million adults with prediabetes. Individuals with prediabetes can prevent or delay the development of type 2 diabetes through lifestyle modifications such as participation in the National Diabetes Prevention Program (DPP), thereby mitigating the medical and economic burdens associated with dia...

journal_title：Population health management

authors： Khan T,Tsipas S,Wozniak G

更新日期：2017-10-01 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

authors： Roeper B,Mocko J,O'Connor LM,Zhou J,Castillo D,Beck EH

更新日期：2018-10-01 00:00:00

abstract：:Chronic opioid treatment is a highly effective method to treat chronic pain; however, the prevalence of abuse of opioids can make treating patients with these agents difficult for clinicians. The objective of this study was to describe rates of inappropriate utilization, abuse, and diversion in a population of patient...

journal_title：Population health management

authors： Couto JE,Romney MC,Leider HL,Sharma S,Goldfarb NI

更新日期：2009-08-01 00:00:00