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Health Care Workforce

Research Brief

Minding the Gaps: Measuring Quality Based on Episodes of Care

An episode-based framework of health care quality measurement could provide a more complete picture of care than current methods. Existing quality measures could be used, but new ones would need to be developed to fill gaps in the framework.

May 6, 2016
Commentary

What Makes Stakeholders Want to Become Involved in Research?

Involving stakeholders in comparative-effectiveness research is important. But competing demands for their time can make this a challenge. Why do stakeholders get involved in this research, or not?

May 2, 2016
Essay

Science and the Healing Arts

Americans spend billions of dollars out of pocket seeking relief from chronic conditions in alternative schools of health, such as acupuncture or chiropractic. What would it take to more fully integrate such practices into the mainstream?

Apr 29, 2016
Journal Article

What Drives Variation in Antibiotic Prescribing for Acute Respiratory Infections?

Clinicians are more likely to prescribe antibiotics inappropriately when they are feeling rushed, don't feel strongly that antibiotics are overused, and don't think patient demand for antibiotics is a problem in their practice.

Apr 27, 2016
Journal Article

Estimating Surgical Procedure Times Using Anesthesia Billing Data and Operating Room Records

Anesthesia and operating room (OR) times can be used to estimate surgical time, thereby improving the payment for surgical procedures in the Medicare fee schedule.

Mar 18, 2016
Journal Article

Medicare Prescription Plan Enrollees' Experiences Compared to Their Medicare Advantage Counterparts

Medicare enrollees with standalone prescription coverage reported less positive experience with their plans than their counterparts in Medicare Advantage plans.

Mar 14, 2016
Journal Article

Fostering a Commitment to Quality: Best Practices in Safety-Net Hospitals

To support efforts at the recently opened Martin Luther King, Jr. Community Hospital in Los Angeles to develop a culture of quality, a team of scholars identified best practices based on interviews with high-performing hospital systems.

Mar 14, 2016
Journal Article

An Examination of Hospital Nurse Staffing and Patient Experience with Care: Differences Between Cross-Sectional and Longitudinal Estimates

This study examines the association between hospital nurse staffing and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores.

Mar 2, 2016
Journal Article

Episode-based Approaches to Measuring Health Care Quality

Developing an episode-based framework of health care quality measurement would allow for more comprehensive assessments of care quality than currently available methods.

Feb 29, 2016
Journal Article

A Randomized, Controlled Trial of Team-Based Competition to Increase Learner Participation in Quality-Improvement Education

We investigated whether the incorporation of team-based game mechanics into an evidence-based online learning platform could increase resident participation in a QI curriculum.

Feb 29, 2016
Commentary

Relationships Between Physician Professional Satisfaction and Patient Safety

Health system leaders should view regular and detailed assessment of physician professional satisfaction as an invaluable early warning system for potential threats to quality and safety. But simply surveying doctors on their overall levels of job satisfaction isn't enough.

Feb 23, 2016
Research Brief

Advancing Complementary and Alternative Medicine Professions: Practitioners Face Many Policy Hurdles to Finding Their Place in Mainstream Medicine

The policy challenges associated with coverage, licensure, scope of practice, institutional privileges, and research may prevent complementary and alternative medicine professionals from practicing to the full extent of their capabilities.

Feb 8, 2016
Journal Article

Engaging Frontline Staff in Performance Improvement: The American Organization of Nurse Executives Implementation of Transforming Care at the Bedside Collaborative

Process improvement stresses the importance of engaging frontline staff in implementing new processes and methods. Yet questions remain on how to incorporate these activities into the workday of hospital staff or how to create and maintain its commitment.

Feb 3, 2016
Report

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

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

Dec 31, 2015
Research Brief

Policies to Support a Better Treatment for Heroin and Prescription Opioid Abuse

Increasing the number of physicians who can prescribe buprenorphine for opioid abuse and supporting their ability to treat more patients may be the fastest approach to enhancing capacity for treatment, particularly in less populated counties.

Dec 17, 2015
Report

Response to ProPublica's Rebuttal of Our Critique of the Surgeon Scorecard

This Perspective revisits an earlier critique of ProPublica's Surgeon Scorecard and explains in detail why ProPublica's subsequent rebuttal of our work fails to address our methodological concerns about the Surgeon Scorecard.

Dec 11, 2015
Journal Article

Implementing Evidence-Based Suicide Prevention Training in Communities: Implications for Quality Improvement

Suicide prevention trainings are implemented to equip the public's ability to intervene with those who are at-risk, but their implementation is not often monitored for quality.

Nov 30, 2015
Commentary

How Can Regulation Improve Quality of Care in the English Health Care System?

Inspections have become more prominent in England's approach to health service regulation as a way to identify problems before they occur. But the evidence of regulation contributing to better quality of care in different systems is scarce.

Nov 13, 2015
Journal Article

Innovative Approach to Patient-Centered Care Coordination in Primary Care Practices

Embedding non-licensed care coordinators in primary care practices significantly reduced emergency department visits.

Nov 13, 2015
Journal Article

Radiologists' Perceptions of Computerized Decision Support: A Focus Group Study from the Medicare Imaging Demonstration Project

The purpose of this study was to discern radiologists' perceptions regarding the implementation of a decision support system intervention as part of the Medicare Imaging Demonstration project.

Nov 6, 2015

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