Zachary Predmore

Telemedicine Abortion? It's Not as Easy as It Sounds

The Supreme Court decision to overturn Roe v. Wade has providers and health advocates strategizing about how to provide more abortions where it is still legal. Expanding virtual medical visits is one popular idea. Policymakers and clinics could take steps to make telemedicine better understood, easier to use, and more equitable.

The Doctor Will Call Me Maybe: The Uncertain Future of Audio-Only Visits and Why We Need Them to Address Disparities

Audio-only health care visits have been instrumental in maintaining access to care during the pandemic. Despite this, coverage for audio-only visits is likely temporary. Devaluing and prematurely casting off a key telemedicine modality could mean the difference between a needed doctor visit and no visit at all.

Journal Article

EHR Implementation Guide – Identifying Frailty Using Existing Health Data: Challenges and Opportunities for Health Systems

The guide describes the range of ways that EHRs are being used to capture data on frailty and functional impairment and best practices for implementing algorithms using EHR data for population management and patient-centered care.

Journal Article

Identifying HIV PrEP Attributes to Increase PrEP Use Among Different Groups of Gay, Bisexual, and Other Men Who Have Sex with Men: A Latent Class Analysis of a Discrete Choice Experiment

Daily pre-exposure prophylaxis (PrEP) is highly effective at preventing HIV among gay, bisexual, and other men who have sex with men, although uptake remains suboptimal. This study examines preferences for PrEP use to increase its uptake.

Journal Article

Sexually Transmitted Infections Risk and Interstate Sexual Networks Among Men Who Have Sex With Men in New England

By investigating relationships between sexual mobility and sexual transmitted infection risk factors, we found that STI history, number of sexual partners, and substance use are associated with increased odds of interstate sexual encounters.

Journal Article

State Experiences Linking Medicaid Data With Birth Certificates and Other Data Sources

We completed a literature review, developed an inventory of linkage efforts, and facilitated discussions to understand the technical details, experiences creating and maintaining linkages, and barriers or facilitators to establishing linkages.

Journal Article

Treatment Goals for Rheumatoid Arthritis: Patient Engagement and Goal Collection

We worked with a steering committee and surveyed patients with rheumatoid arthritis to test a new method for engaging patients in healthcare valuation using patient goals.

Journal Article

Optimizing Uptake of Long-Acting Injectable Pre-exposure Prophylaxis for HIV Prevention for Men Who Have Sex with Men

We conducted a discrete choice experiment on preferences for HIV pre-exposure prophylaxis among gay, bisexual, and other men who have sex with men.

Journal Article

Use Of And Willingness To Use Video Telehealth Through The COVID-19 Pandemic

We examined use of and willingness to use video telehealth during the COVID-19 pandemic in a longitudinally followed cohort.

Journal Article

Paying for PrEP: A Qualitative Study of Cost Factors That Impact Pre-Exposure Prophylaxis Uptake in the US

We conducted semi-structured interviews with 25 men who have sex with men who presented for routine health care at a STD clinic about their experiences with accessing and paying for PrEP.

Journal Article

Part D Senior Savings Model: Model Reach and Scope

This report describes the reach and scope of Medicare's Part D Senior Savings model, which has lower, fixed cost sharing for a specified set of model drugs.

Journal Article

What Parents Have to Say: Content and Actionability of Narrative Comments from Child HCAHPS Survey

The purpose of this paper is to examine the content and actionability of written comments from parents and guardians on the Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) survey.

Journal Article

Linking Medicaid Claims, Birth Certificates, and Other Sources to Advance Maternal and Infant Health

Medicaid claims linked with birth certificates and other data can be used for maternal and infant health research. We reviewed literature and facilitated group discussions with representatives from nine states to better understand linkage efforts.

Journal Article

Use of Telehealth Across Pediatric Subspecialties Before and During the COVID-19 Pandemic

In this cohort study, 8 large pediatric medical groups in California collaborated to share aggregate data on telehealth use for 11 pediatric subspecialties from January 1, 2019, to December 31, 2021.

Report

Improving Care for Veterans with Traumatic Brain Injury Across the Lifespan

This report presents findings from a study designed to identify the long-term outcomes of traumatic brain injury for veterans, the future needs of this population, effective treatments, and the availability of community-based resources.

Research Brief

Strategies to Improve Long-Term Outcomes for Veterans with Traumatic Brain Injury

This brief describes findings from a study on the long-term outcomes of traumatic brain injury for veterans, the future needs of this population, effective treatments, and the availability of community-based resources.

Report

Experiences of Health Centers in Implementing Telehealth Visits for Underserved Patients During the COVID-19 Pandemic: Results from the Connected Care Accelerator Initiative

This mixed-methods study followed 45 health centers serving low-income populations for 18 months of the COVID-19 pandemic. Researchers investigated changes in telehealth utilization and health center staff experiences with implementation.

Journal Article

Value-Based Payment and Health Care System Preparedness and Resilience

This report explores issues related to VBP and health system preparedness and resiliency to inform discussions about policy options for jointly promoting value, efficiency, and preparedness in the health care system.

Journal Article

Electronic Health Data Quality and Population Health Management Algorithms

In this perspective piece, we explore the implications of poor quality electronic health data on the use of population health management algorithms for patients, clinicians, and policymakers.

Report

COVID-19 Testing in K–12 Schools: Insights from Early Adopters

This report describes approaches that early adopters of COVID-19 testing in U.S. K–12 schools were using as of December 2020, highlighting key facilitators that made testing feasible, acceptable, and effective.

Journal Article

Assessment of Patient Preferences for Telehealth in Post-COVID-19 Pandemic Health Care

Most adults in this survey study were willing to use video visits for nonemergency care but preferred in-person care, suggesting that patient preferences will help define telehealth's role in US health care after the COVID-19 pandemic.

Journal Article

Potential Benefits to Patients and Payers From Increased Measurement of Antipsychotic Plasma Levels in the Management of Schizophrenia

Improvements in disease management enabled by antipsychotic plasma level information could improve outcomes for patients with complicated treatment courses and thus improve the value of schizophrenia care.

Journal Article

Evidence for Misspecification of a Nationally Used Quality Measure for Substance Use Treatment

Our results suggest that the omission of MAT in the current version of the HEDIS measure "Initiation and Engagement of Alcohol and Other Drug Dependence Treatment" results in meaningful measurement error.

Journal Article

Core Components for a Clinically Integrated mHealth App for Asthma Symptom Monitoring

Smartphone-based health apps - using patient reported outcomes - can help asthma patients monitor symptoms between doctor visits.

Commentary

Personalizing Antipsychotic Treatment of Schizophrenia: Monitoring Plasma Levels for Improved Treatment Decisions

Uncertainty in the pharmacological management of schizophrenia remains a challenge for prescribers, and this Perspective describes the rationale and opportunity for using a point-of-care diagnostic technology to improve health outcomes.

Journal Article

The Role of Antipsychotic Plasma Levels in the Treatment of Schizophrenia

Antipsychotic plasma levels may be used to guide the management of patients with schizophrenia who exhibit poor response or poor tolerance.

Journal Article

Expanding Suicide Crisis Services to Text and Chat: Responders' Perspectives of the Differences Between Communication Modalities

Internet chat and text messaging offer anonymity and increased access to suicide hotline callers, but they are not yet a replacement for telephone crisis support services.

Journal Article

Implementation and Sequencing of Practice Transformation in Urban Practices with Underserved Patients

The comprehensiveness of the patient centered medical home model requires coordination among many care components as well as time and effort for thorough and systematic changes in delivering care. 

Report

Identifying and Coordinating Care for Complex Patients: Findings from the Leading Edge of Analytics and Health Information Technology

Analytics and HIT are currently being used in innovative ways to coordinate care for complex patients, but evidence of their effectiveness is lacking and important foundational work is still needed.

Journal Article

Suicide Risk Among Women Veterans in Distress: Perspectives of Responders on the Veterans Crisis Line

Actions to help women veterans, and possibly curtail suicide among them, could include addressing military sexual trauma, adding questions about deliberate self-harm to suicide risk assessments, and reducing access to lethal suicide means.

Journal Article

Anesthesia Service Use During Outpatient Gastroenterology Procedures Continued to Increase from 2010 to 2013 and Potentially Discretionary Spending Remained High

Previous studies have identified an increasing number of gastroenterology (GI) procedures using anesthesia services to provide sedation, with a majority of these services delivered to low-risk patients. The aim of this study was to update these trends with the most recent years of data.

Journal Article

Upcoding and Anesthesia Risk in Outpatient Gastrointestinal Endoscopy Procedures

Claims data analysis suggests that physicians may be identifying more patients in the coding system as being at high risk of complications from some outpatient procedures in order to ensure payment for anesthesia services.

Report

National Patient-Centered Clinical Research Network (PCORnet) Phase I: Final Evaluation Report

PCORnet, the National Patient-Centered Clinical Research Network, seeks to conduct clinical trials and observational research quickly and at low cost. This report contains the results of a formative evaluation of PCORnet's implementation phase.

Report

Resources and Capabilities of the Department of Veterans Affairs to Provide Timely and Accessible Care to Veterans

The Department of Veterans Affairs health care system, with broad resources and capabilities, provides timely and high-quality care to most, but not all, patients. Meeting veterans' needs over the next five years will require additional capacity.

Journal Article

Medicare Coverage of Anesthesia Services During Screening Colonoscopies for Patients at Low Risk of Sedation-Related Complications

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Journal Article

Breast Implant-associated Anaplastic Large Cell Lymphoma: Updated Results from a Structured Expert Consultation Process

The authors conducted a second structured expert consultation process to rate statements related to the diagnosis, management, and surveillance of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).

Journal Article

Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Systematic Review

The purpose of this study was to identify and analyze recently published cases of breast implant-associated anaplastic large cell lymphoma (ALCL), with an emphasis on diagnosis, staging, treatment, and outcomes.

Research Brief

Rare, Nonaggressive Form of Lymphoma Linked to Breast Implants: An Update

Breast implant-associated anaplastic large cell lymphoma is a rare, nonaggressive cancer that can be treated by removal of the implant and surrounding capsule. Research is needed to identify risk factors; a patient registry would aid this process.

Journal Article

Improving Antipsychotic Adherence Among Patients with Schizophrenia: Savings for States

This column presents findings of an analysis conducted to quantify the potential net savings to state budgets from interventions to improve adherence to antipsychotic drugs among patients with schizophrenia.

Journal Article

Use of CAHPS Patient Experience Survey Data as Part of a Patient-Centered Medical Home Quality Improvement Initiative

Practice leaders at a large urban Federally Qualified Health Center in California. regularly engaged and used CAHPS scores, trends, and benchmarks alongside other data while making changes related to QI and patient centered medical homes

Report

Patient Safety in the Commonwealth of Massachusetts: Current Status and Opportunities for Improvement

In a RAND study about the landscape of patient safety in Massachusetts, researchers interviewed expert observers (patients, health care leaders, and others) about progress to date and future opportunities to produce safer patient care.

Commentary

The Cost Savings Potential of Biosimilar Drugs in the United States

The U.S. Food and Drug Administration is expected to release regulations outlining lower-cost approval requirements for so-called biosimilar drugs. This Perspective combines prior research and recent data to estimate cost savings in the U.S. market.