A5041908012- Healthcare cost, quality, practices
- Colorectal Cancer Screening and Detection
- Medical Malpractice and Liability Issues
- Pancreatic and Hepatic Oncology Research
- Healthcare Policy and Management
- Anesthesia and Sedative Agents
- Esophageal and GI Pathology
- Health Systems, Economic Evaluations, Quality of Life
- Telemedicine and Telehealth Implementation
- COVID-19 and healthcare impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Liver Disease and Transplantation
- Gastric Cancer Management and Outcomes
- Healthcare Systems and Technology
- Esophageal Cancer Research and Treatment
- Geriatric Care and Nursing Homes
- Metabolism, Diabetes, and Cancer
- Colorectal Cancer Surgical Treatments
- Cancer Risks and Factors
- Patient-Provider Communication in Healthcare
- Gallbladder and Bile Duct Disorders
- Gastrointestinal disorders and treatments
- Primary Care and Health Outcomes
- Inflammatory Bowel Disease
- Trauma, Hemostasis, Coagulopathy, Resuscitation
University of Michigan
2014-2024
VA Center for Clinical Management Research
2016-2024
VA Ann Arbor Healthcare System
2016-2024
Institute for Healthcare Improvement
2016-2024
Oakland University
2024
American Physical Therapy Association
2024
Ross University School of Medicine
2024
University of Colorado Anschutz Medical Campus
2022-2023
University of Colorado Denver
2022-2023
Michigan Medicine
2012-2023
Alcoholic cirrhosis (AC) is a major cause of liver-related morbidity and mortality in the United States. Rising rates alcohol use disorders States will likely result more alcoholic liver disease. Our aim was to determine prevalence, health care use, costs AC among privately insured persons We collected data from aged 18-64 with (identified by codes International Classification Diseases, Ninth Tenth Revisions) enrolled Truven MarketScan Commercial Claims Encounters database (2009-2015)....
Neoadjuvant therapy is increasingly utilized for pancreatic cancer patients to decrease tumor burden in anticipation of later surgical resection. However, infectious complications such as life threatening cholangitis may occur those with biliary obstruction. We hypothesized that placement metal rather than plastic stents results lower rates stent-related complications, leading improved clinical outcomes.Retrospective cohort treated by the University Michigan Multidisciplinary Pancreatic...
Introduction Printed patient educational materials (PEM) are often written above the recommended sixth- to eighth-grade reading levels, resulting in decreased client understanding and subsequent poor health literacy. Researchers have demonstrated that it is possible improve readability enhance clients’ The purpose of this study was evaluate physical therapy (PT) PEM with without modifications for improvement. Methods A convenience sample 38 PT at least 10 sentences obtained from a large...
Americans undergo ∼7 million esophagogastroduodenoscopies (EGDs) annually, and one-third of Medicare beneficiaries a repeat EGD within 3 years. As many as 43% these EGDs are inappropriate. We aimed to determine the rate inappropriate Veterans Health Administration (VHA), identify factors associated with EGD.We conducted retrospective analyses undergoing an index at 159 VHA facilities between 1 January 2003 30 June 2007. excluded without regular use for health care or 5 years follow-up....
The COVID-19 pandemic disrupted health-care provision in the United States and prompted increases telehealth-delivery of care. This study measured alcohol use disorder (AUD) treatment trends across visit modalities before during COVID-19.
INTRODUCTION: The coronavirus disease 2019 pandemic resulted in widespread expansion of telehealth. However, there are concerns that telehealth-delivered outpatient care may limit opportunities for managing complications and preventing hospitalizations patients with inflammatory bowel (IBD). We aimed to assess the association between IBD delivered through televisit (video or phone) IBD-related hospitalizations. METHODS: conducted a case-control study who had an index hospitalization April...
In 2001, the University of Michigan Health System (UMHS) implemented a novel medical error disclosure program. This study analyzes effect this program on gastroenterology (GI)-related claims and costs.This was review in UMHS Risk Management Database (1990-2010), naming gastroenterologist. Claims were classified according to pre-determined categories. data, including incident date, date resolution, total liability dollars, reviewed. Mean incurred per claim pre- post-implementation eras...
Background Low-value use of screening colonoscopy is wasteful and potentially harmful to patients. Decreasing low-value prevents procedural complications, saves patient time reduces discomfort, can improve access by reducing demand. The objective this study was develop validate an electronic measure overuse using International Classification Diseases, Tenth Edition codes then apply estimate facility-level target quality improvement initiatives reduce in a large integrated healthcare system....
Patient safety event (PSE) reporting is a critical element for healthcare organizations that are striving continuous quality improvement. Although resident physicians routinely provide the majority of direct patient care, level their participation in PSE historically has been low. In addition, as part Accreditation Council Graduate Medical Education's Next System, Clinical Learning Environment Review site visit assesses residents' engagement at each accredited academic institution. The...
Amidst ongoing large-scale transformation in the broader healthcare marketplace, Veterans Health Administration (VA) is undergoing its own metamorphosis. VA largest integrated system United States, serving 9 million at 1,200 medical centers and clinics (1). While has long contracted with community providers, Maintaining Internal Systems Strengthening Integrated Outside Networks (MISSION) Act of 2018 establishes a new permanent discretionary care program (the “Veterans Community Care...
The use of telehealth treatment alcohol disorder (AUD) has increased since the start COVID-19 pandemic. However, it is unclear which patients are using and how visits associated with duration. This study examined characteristics among Veterans Health Administration receiving AUD treatment.
Providers and patients have expressed concern that care provided through telehealth results in poorer outcomes than traditional in-person care. On the contrary, we hypothesized with cirrhosis engaging video/phone-based outpatient gastroenterology/hepatology tele-visits do not differ mortality from those receiving clinic visits.