A5061192721- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Health Policy Implementation Science
- Chronic Disease Management Strategies
- Smoking Behavior and Cessation
- Health Systems, Economic Evaluations, Quality of Life
- Patient Satisfaction in Healthcare
- Clinical practice guidelines implementation
- Diabetes Management and Education
- Health Promotion and Cardiovascular Prevention
- Mental Health Treatment and Access
- Interprofessional Education and Collaboration
- Patient-Provider Communication in Healthcare
- Healthcare cost, quality, practices
- Behavioral Health and Interventions
- Cardiac Health and Mental Health
- Obesity and Health Practices
- Blood Pressure and Hypertension Studies
- Radiation Dose and Imaging
- Emergency and Acute Care Studies
- School Health and Nursing Education
- Obesity, Physical Activity, Diet
- Global Cancer Incidence and Screening
- Child and Adolescent Health
- Healthcare Systems and Technology
HealthPartners
2016-2025
Bluebird Bio (France)
2023-2024
Minnesota Department of Health
2003-2024
University of St. Thomas - Minnesota
2020-2023
VA Center for Clinical Management Research
2018-2022
Health Services Research & Development
2022
VA Ann Arbor Healthcare System
2022
United States Department of Veterans Affairs
2022
University of Washington
2014-2022
Oregon Health & Science University
2018-2022
IMPORTANCE Increased use of computed tomography (CT) in pediatrics raises concerns about cancer risk from exposure to ionizing radiation.OBJECTIVES To quantify trends the CT and associated radiation risk.DESIGN Retrospective observational study.SETTING Seven US health care systems.PARTICIPANTS The was evaluated for children younger than 15 years age 1996 2010, including 4 857 736 child-years observation.Radiation doses were calculated 744 scans performed between 2001 2011.MAIN OUTCOMES AND...
Use of diagnostic imaging has increased significantly within fee-for-service models care. Little is known about patterns among members integrated health care systems.To estimate trends in utilization and associated radiation exposure systems.Retrospective analysis electronic records 6 large systems from different regions the United States. Review medical allowed direct estimation selected tests. Between 1 million 2 member-patients were included each year 1996 to 2010.Advanced rates...
<b>PURPOSE</b> Depression is associated with lowered work functioning, including absences, impaired productivity, and decreased job retention. Few studies have examined depression symptoms across a continuum of severity in relationship to the magnitude impairment large heterogeneous patient population, however. We assessed between symptom productivity loss among patients initiating treatment for depression. <b>METHODS</b> Data were obtained from participating DIAMOND (Depression Improvement...
There is broad debate over whether preventive health services save money or represent a good investment. This paper analyzes the estimated cost of adopting package twenty proven services—including tobacco cessation screening, alcohol abuse and daily aspirin use—against savings that could be generated. We find greater use clinical in United States avert loss more than two million life-years annually. What's more, increasing these from current levels to 90 percent 2006 would result total $3.7...
Background: Retail clinics are an increasingly popular source for medical care. Concerns have been raised about the effect of these on cost, quality, and delivery preventive Objective: To compare care received at retail 3 acute conditions with that other settings. Design: Claims data from 2005 2006 health plan were aggregated into episodes (units included initial follow-up visits, pharmaceuticals, ancillary tests). After 2100 (700 each) identified in which otitis media, pharyngitis, urinary...
OBJECTIVE—The purpose of this study was to assess the impact baseline A1c, cardiovascular disease, and depression on subsequent health care costs among adults with diabetes. RESEARCH DESIGN AND METHODS—A prospective analysis performed data from a patient survey medical record review merged 3 years claims. Costs were estimated using detailed resource use Medicare payment methodologies. Generalized linear models used analyze related clinical predictors after adjusting for demographic...
EXECUTIVE SUMMARY Faced with a rapidly changing healthcare environment, primary care practices often have to change how they practice medicine. Yet is difficult, and the process by which improvement can be understood facilitated has not been well elucidated. Therefore, we developed model of using data from quality intervention that was successful in creating sustainable improvement. A multidisciplinary team evaluated Study To Enhance Prevention Understanding Practice (STEP-UP), randomized...
The objective of this study was to demonstrate a method accurately identify patients with specific conditions from claims data for care improvement or performance measurement. In an iterative process trial case definitions followed by review repeated random samples 10 20 cases diabetes, heart disease, newly treated depression, final identification algorithm created files health plan members. A sample used calculate the positive predictive value (PPV). Each condition had unacceptably low PPVs...
<b>PURPOSE</b> Many clinical preventive care services are recommended for adolescents. Little is known about whether most adolescents have a sufficient number of visits over time to receive those services. We wanted measure how frequently who insured either through private insurance or government programs vs nonpreventive visits. <b>METHODS</b> conducted retrospective descriptive analysis based on claims data from large health plan in Minnesota with 700,000 members. All study patients were...
Background: Suicide is a public health concern, but little known about the patterns of care visits made before suicide attempt, and whether those differ by race/ethnicity. Objectives: To examine racial/ethnic variation in types when occur, mental or substance use diagnoses were documented. Research Design: Retrospective, longitudinal study, 2009–2011. Participants: 22,387 individuals who attempted enrolled plan across 10 systems Mental Health Network. Measures: Cumulative percentage...
Despite the availability of psychosocial evidence-based practices (EBPs), treatment and outcomes for persons with mental disorders remain suboptimal. Replicating Effective Programs (REP), an effective implementation strategy, still resulted in less than half sites using EBP. The primary aim this cluster randomized trial is to determine, among not initially responding REP, effect adaptive strategies that begin External Facilitator (EF) or plus Internal (IF) on improved EBP use patient 12...
<h3>PURPOSE</h3> The Patient Protection and Affordable Care Act's provisions for first-dollar coverage of evidence-based preventive services have reduced an important barrier to receipt care. Safety-net providers, however, still serve a substantial uninsured population, clinician patient time remain limited in all primary care settings. As consequence, decision makers continue set priorities help focus their efforts. This report updates estimates relative health impact cost-effectiveness...