David A. Ganz

Overview

Publications

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  Journal Article

  Effect of Age on Opioid Prescribing, Overdose, and Mortality in Massachusetts, 2011 to 2015

  Older age was the strongest predictor of undergoing potentially inappropriate prescribing (PIP) among individuals who were prescribed opioids. PIP was also associated with risk of adverse outcomes in both older and younger adults.

  2018

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  Journal Article

  Randomized Controlled Trial of a Coordinated Care Intervention to Improve Risk Factor Control After Stroke or Transient Ischemic Attack in the Safety Net: Secondary Stroke Prevention by Uniting Community and Chronic Care Model Teams Early to End Disparities (SUCCEED)

  A multi-disciplinary intervention using a Chronic Care Model framework to prevent a secondary stroke among underserved populations will be tested in a randomized controlled trial.

  Dec 12, 2017

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  Journal Article

  Partnering to Improve Care: The Case of the Veterans' Health Administration's Quality Enhancement Research Initiative

  Understanding the respective experiences and perspectives of researchers and operations partners (i.e., policymakers, managers, clinical leaders) can help improve research partnership success.

  May 30, 2017

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  Journal Article

  Does Medicare Advantage Enrollment Affect Home Healthcare Use?

  Medicare Advantage beneficiaries use less home health than do their Fee-for-Service counterparts, but there is marked regional variation in use by both groups.

  Jan 25, 2017

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  Journal Article

  Cost-effectiveness of Combined Oral Bisphosphonate Therapy and Falls Prevention Exercise for Fracture Prevention in the USA

  For white women aged 75-80, 1 year of exercise and 5 years of bisphosphonate therapy are effective at preventing osteoporitic fractures.

  Oct 27, 2016

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  Report

  Evaluation of an Intervention to Prevent Falls

  Researchers linked data from a randomized controlled trial to Medicare claims to determine whether a fall-prevention intervention reduced health care costs or the frequency of emergency department visits for fall-related injuries.

  Oct 26, 2016

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  Journal Article

  Differences in Nursing Home Quality Between Medicare Advantage and Traditional Medicare Patients

  Researchers found little difference in the quality of nursing home care provided to Medicare enrollees in managed care and those enrolled in traditional fee-for-service nursing homes.

  Oct 18, 2016

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  Journal Article

  Implementing Exercise Programs to Prevent Falls: Systematic Descriptive Review

  Identifying key characteristics of successful fall prevention exercise programs can help clinicians and health system leaders link patients to appropriate community-based programs.

  Aug 29, 2016

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  Journal Article

  Development of an Algorithm to Identify Fall-Related Injuries and Costs in Medicare Data

  We developed a comprehensive four-step algorithm for identifying episodes of care for fall-related injuries and associated costs, using fee-for-service Medicare and Medicare Advantage health plan claims data for 2,011 patients from 5 medical groups between 2005 and 2009.

  Feb 3, 2016

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  Journal Article

  Possible Legal Barriers for PCP Access to Mental Health Treatment Records

  Over one-third of states appear to have more stringent medical privacy laws than HIPAA (federal), which could hinder primary care and mental health providers' efforts to share information and integrate care.

  2016

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  Journal Article

  Dementia Care Management in an Underserved Community: The Comparative Effectiveness of Two Different Approaches

  Compares the effectiveness and costs of telephone-only approach to in-person plus telephone for delivering an evidence-based, coordinated care management program for dementia.

  Feb 19, 2015

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  Journal Article

  Challenges in Assessing the Process-Outcome Link in Practice

  Expanded use of clinical process-of-care measures to assess the quality of health care in the context of public reporting and pay-for-performance applications led to a desire to demonstrate its value in terms of improved patient outcomes.

  Jan 19, 2015

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  Journal Article

  Guidance for Research-Practice Partnerships (R-PPs) and Collaborative Research

  The purpose of this paper is to provide evidence based guidance to researchers and practice personnel about forming and carrying out effective research partnerships.

  2014

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  Journal Article

  Inpatient Fall Prevention Programs as a Patient Safety Strategy: A Systematic Review

  The purpose of this updated review is to reassess the benefits and harms of fall prevention programs in acute care settings and to identify factors associated with successful implementation of these programs.

  Mar 1, 2013

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  Journal Article

  Redesign of an Electronic Clinical Reminder to Prevent Falls in Older Adults

  The authors redesigned an electronic clinical reminder to improve identification and management of Veterans at high risk for falls, and piloted the reminder in 3 Veterans Health Administration community-based outpatient clinics.

  Mar 1, 2013

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  Journal Article

  Hospital Fall Prevention: A Systematic Review of Implementation, Components, Adherence, and Effectiveness

  Better reporting of outcomes, implementation, adherence, intervention components, and comparison group information is necessary to establish evidence on how hospitals can successfully prevent falls.

  2013

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  Journal Article

  Nurse Care Manager Contribution to Quality of Care in a Dual-Eligible Special Needs Plan

  Care provided by physicians was substantially supplemented by nurse care managers, as measured by Assessing Care of Vulnerable Elders quality indicators.

  Jul 1, 2012

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  Draft

  Review of the Evidence on Falls Prevention in Hospitals: Task 4 Final Report

  Reviews and documents the existing evidence base for interventions to prevent falls in hospitals, provides an overview of the performance of existing tools with known measurement properties, and compiles available online resources.

  Mar 2, 2012

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  Journal Article

  Quality of Care Provided in a Special Needs Plan Using a Nurse Care Manager Model

  Vulnerable older adults enrolled in plans that use nurse care managers receive, on average, 69% of recommended care for geriatric conditions, compared with 53% for elders in plans without nurse care managers.

  Oct 1, 2011

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  Journal Article

  Does Better Quality of Care for Falls and Urinary Incontinence Result in Better Participant-Reported Outcomes?

  Better quality of care for falls and urinary incontinence was associated with measurable improvement in participant-reported outcomes in less than 1 year.

  Aug 1, 2011

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  Draft

  Review of the Current Literature on Outcome Measures Applicable to the Medicare Population for Use in a Quality Improvement Program: Project Deliverable 2a, 2b

  Reviews measures that have been used to assess quality improvement programs in Medicare or equivalent populations.

  Feb 11, 2011

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  Journal Article

  Caring for the Uninsured with Prostate Cancer: A Comparison of Four Policy Alternatives in California

  The objective of the current study was to compare the cost-effectiveness of four policy alternatives in treating this population.

  2010

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  Journal Article

  Practice Redesign to Improve Care for Falls and Urinary Incontinence: Primary Care Intervention for Older Patients

  Redesign of primary care practices, based on quality indicators from the Assessing Care of Vulnerable Elders project, improved care for older patients with falls and urinary incontinence.

  2010

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  Research Brief

  Improving the Quality of Health Care for Older Adults

  This research brief summarizes the results of Assessing Care of Vulnerable Elderly (ACOVE)-2, which measured the quality of care delivered to a group of older adults, and describes a recent revision of the quality measures, known as ACOVE-3.

  Feb 6, 2008

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  Journal Article

  It Takes a Village to Prevent Falls: Reconceptualizing Fall Prevention and Management for Older Adults

  Community settings in which fall prevention programs occur often differ from the research settings in which efficacy was first demonstrated. This paper rethinks routine fall prevention program implementation in both medical and community settings.

  2008

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  Journal Article

  Key Elements of High-Quality Primary Care for Vulnerable Elders

  Identifies ways a primary care practice can reorganize to improve the complex care of vulnerable elders, including processes of care (communication, developing a personal care plan, and care coordination), delivery models, and workflow restructuring.

  2008

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  Journal Article

  The Effect of a Quality Improvement Initiative on the Quality of Other Aspects of Health Care: The Law of Unintended Consequences?

  Policymakers and clinicians are concerned that initiatives to improve the quality of care for some conditions may have unintended negative consequences for quality in other conditions.

  2007

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  Journal Article

  Multimorbidity Is Associated with Better Quality of Care Among Vulnerable Elders

  Among older persons at increased risk of death or functional decline, multimorbidity results in better, rather than worse, quality of care.

  2007

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  Journal Article

  Quality Indicators for Falls and Mobility Problems in Vulnerable Elders

  Falls and mobility problems are common and serious problems facing older adults. Accidents are the fifth leading cause of death in older adults.

  2007

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  Journal Article

  Will My Patient Fall?

  Patients who have fallen or who have a gait or balance problem are at higher risk of future falls.

  2007

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  Journal Article

  Quality of Osteoarthritis Care for Community-Dwelling Older Adults

  Quality of osteoarthritis care provided to community-dwelling elderly patients and to characterize arthritis-related function in these patients.

  2006