A5087854820- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Rheumatoid Arthritis Research and Therapies
- Total Knee Arthroplasty Outcomes
- Orthopaedic implants and arthroplasty
- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Geriatric Care and Nursing Homes
- Clinical practice guidelines implementation
- Hip and Femur Fractures
- Global Health Care Issues
- Musculoskeletal pain and rehabilitation
- Orthopedic Infections and Treatments
- Fatty Acid Research and Health
- Ophthalmology and Visual Impairment Studies
- Helicobacter pylori-related gastroenterology studies
- Inflammatory mediators and NSAID effects
- Bone health and osteoporosis research
- Frailty in Older Adults
- Systemic Lupus Erythematosus Research
- Employment and Welfare Studies
- Spondyloarthritis Studies and Treatments
- Chronic Disease Management Strategies
- Osteoarthritis Treatment and Mechanisms
- Smoking Behavior and Cessation
Hospital for Special Surgery
2016-2025
Cornell University
2019-2023
Mathematica Policy Research
2023
Temple College
2017-2022
Temple University
2017-2022
Weill Cornell Medicine
2022
Individual Differences
2020
Clinical Orthopaedics and Related Research
2018-2020
Imperial College London
2019-2020
Weatherford College
2020
Guidelines and recommendations developed and/or endorsed by the American College of Rheumatology (ACR) are intended to provide guidance for particular patterns practice not dictate care a patient. The ACR considers adherence these guidelines be voluntary, with ultimate determination regarding their application made physician in light each patient’s individual circumstances. promote beneficial or desirable outcomes but cannot guarantee any specific outcome. subject periodic revision as...
OBJECTIVES: To develop a simple method for identifying community‐dwelling vulnerable older people, defined as persons age 65 and at increased risk of death or functional decline. assess whether self‐reported diagnoses conditions add predictive ability to function‐based survey. DESIGN: Analysis longitudinal survey data. SETTING: A nationally representative community‐based PARTICIPANTS: Six thousand two hundred five Medicare beneficiaries older. MEASUREMENTS: Bivariate multivariate analyses...
Many people 65 years of age and older are at risk for functional decline death. However, the resource-intensive medical care provided to this group has received little evaluation. Previous studies have focused on general conditions aimed prolonging life, not geriatric issues important quality life. To measure vulnerable elders by evaluating process using Assessing Care Vulnerable Elders indicators (QIs). Observational cohort study. Managed organizations in northeastern southwestern United...
Abstract Background Patient-reported outcome measures (PROMs) are a gold standard for measuring therapeutic outcomes in research. Extending their use to inform clinical care decisions, determine the appropriateness of choices, and assess healthcare quality is attractive but will require our professional community establish valid estimates minimal substantial improvements. Questions/purposes The purposes this study were (1) validity clinically important difference (MCID) calculated using...
Identifying patients at risk of not achieving meaningful gains in long-term postsurgical patient-reported outcome measures (PROMs) is important for improving patient monitoring and facilitating presurgical decision support. Machine learning may help automatically select weigh many predictors to create models that maximize predictive power. However, these techniques are underused among studies total joint arthroplasty (TJA) patients, particularly those exploring changes PROMs....
Background: Patient global ratings of care are commonly used to assess health care. However, the extent which these assessments related technical quality received is not well understood. Objective: To investigate relationship between patient-reported and providers' communication Design: Observational cohort study. Setting: 2 managed organizations. Patients: Vulnerable older patients identified by brief interviews a random sample community-dwelling adults 65 years age or who in organizations...
Background: Although pharmacotherapy is critical to the medical care of older patients, medications can have considerable toxicity in this age group. To date, research has focused on inappropriate prescribing and policy efforts aimed at access, but no comprehensive measurement quality pharmacologic management using explicit criteria been performed. Objective: evaluate broad range processes for vulnerable patients. Design: Observational cohort study. Setting: 2 managed organizations enrolling...
Patients with rheumatoid arthritis are at risk for substantial morbidity because of their and premature mortality due to comorbid diseases. However, little is known about the quality health care that these patients receive.To assess receive arthritis, diseases, maintenance determine effect patterns specialty on quality.Historical cohort study 1355 adult enrolled in fee-for-service or discounted plans a nationwide US insurance company. were identified followed up through administrative data...
Although assessment of the quality medical care often relies on measures process care, linkage between performance these during usual clinical and subsequent patient outcomes is unclear.To examine link that patients received their survival.Observational cohort study.Two managed organizations.Community-dwelling high-risk 65 years age or older who were continuously enrolled in organizations from 1 July 1998 to 31 1999.Quality by (as measured a set indicators covering 22 conditions) survival...
Interview with Dr. Catherine MacLean on physician performance measures and their integration into care delivery. (13:02)Download As proliferate, an American College of Physicians committee rated the validity 87 that are relevant to ambulatory general internal medicine. The found 37% were valid, 35% not 28% uncertain validity.
Abstract Objective To systematically develop a quality indicator (QI) set for systemic lupus erythematosus (SLE). Methods We used validated process that combined available scientific evidence and expert consensus to QI SLE. extracted 20 candidate indicators from systematic literature review of clinical practice guidelines pertaining An advisory panel revised augmented these and, through 2 rounds voting, arrived at 25 QIs. These QIs advanced the next phase project, in which we employed...
It is essential to quantify an acceptable outcome after total joint arthroplasty (TJA) in order understand quality of care. The purpose this study was define patient symptom state (PASS) thresholds for the Knee injury and Osteoarthritis Outcome Score, Joint Replacement (KOOS JR) Hip disability (HOOS TJA.A receiver operating characteristic (ROC) curve analysis, leveraging 2-year satisfaction "moderate improvement" or better as anchor, used establish PASS among 5,216 patients who underwent...
Quality Indicators for Assessing Care of Vulnerable Elders16 October 2001ACOVE IndicatorsFREEAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-135-8_Part_2-200110161-00004 SectionsAboutVisual AbstractPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Continuity coordination careDementiaDepressionDiabetes mellitusEnd-of-life careFallsHearing lossHeart failureHospital careHypertensionIschemic heart...
Older patients with multiple chronic conditions may be at higher risk of receiving poorer overall quality care compared those single or no conditions. Possible reasons include competing guidelines for individual conditions, burden numerous recommendations, and difficulty implementing treatments conditions.We sought to determine whether coexisting combinations 8 common (hypertension, coronary artery disease, obstructive pulmonary osteoarthritis, diabetes mellitus, depression, osteoporosis,...
To determine whether a practice-based intervention can improve care for falls, urinary incontinence, and cognitive impairment.Controlled trial.Two community medical groups.Community-dwelling patients (357 at sites 287 control sites) aged 75 older identified as having difficulty with or impairment.Intervention practices received condition case-finding, but only multicomponent practice-change intervention.Percentage of quality indicators satisfied measured using 13-month record...
OBJECTIVE : To identify a set of geriatric conditions as optimal targets for quality improvement to be used in measurement system vulnerable older adults. DESIGN Discussion and two rounds ranking by panel clinical experts informed literature reviews. METHODS A list 78 common among people was reduced 35 on the basis their (1) prevalence, (2) impact health life, (3) effectiveness interventions improving mortality (4) disparity care across providers geographic areas, (5) feasibility obtaining...