A5023057565- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Emergency and Acute Care Studies
- Health Policy Implementation Science
- Health Systems, Economic Evaluations, Quality of Life
- Hospital Admissions and Outcomes
- Geriatric Care and Nursing Homes
- Public Health Policies and Education
- Clinical practice guidelines implementation
- Workplace Health and Well-being
- Interprofessional Education and Collaboration
- Trauma and Emergency Care Studies
- Global Health Care Issues
- Healthcare Quality and Management
- Healthcare Systems and Reforms
- Pharmaceutical Practices and Patient Outcomes
- Musculoskeletal pain and rehabilitation
- Opioid Use Disorder Treatment
- Mental Health Treatment and Access
- Global Public Health Policies and Epidemiology
- Chronic Disease Management Strategies
- Sleep and Work-Related Fatigue
- COVID-19 Pandemic Impacts
- Community Health and Development
Northwestern University
2016-2025
Edward Hines, Jr. VA Hospital
2024-2025
Health Services Research & Development
2025
Creative Commons
2023
ING Direct
2023
Robert Wood Johnson Foundation
2021-2023
University of Chicago
2023
Agency for Healthcare Research and Quality
2011-2021
Tiande (China)
2021
Cleveland Clinic Lerner College of Medicine
2021
In fiscal year (FY) 2015, the Centers for Medicare & Medicaid Services (CMS) instituted Hospital-Acquired Condition (HAC) Reduction Program, which reduces payments to lowest-performing hospitals. However, it is uncertain whether this program accurately measures quality and fairly penalizes hospitals.To examine characteristics of hospitals penalized by HAC Program evaluate association a summary score hospital related with penalization in program.Data participating FY2015 were obtained from...
Although a growing body of evidence demonstrates that availability and quality essential public health services vary widely across communities, relatively little is known about the factors give rise to these variations. We examined association institutional, financial, community characteristics local delivery systems performance services.Performance measures were collected from in 7 states combined with secondary data sources. Multivariate, linear, nonlinear regression models used estimate...
ACADEMIC EMERGENCY MEDICINE 2012; 19:106–109 © 2011 by the Society for Academic Emergency Medicine Abstract Objectives: Patient acuity triage systems can play an important role in supporting patient safety and emergency department (ED) operations. In 2003, boards of American College Physicians (ACEP) Nurses Association (ENA) approved a joint statement calling hospitals to adopt reliable, valid, five‐level scale such as Severity Index (ESI). Still, there appears be considerable variation use...
Background: A capable workforce is central to the delivery of high-quality care. Research from other industries suggests that methodical use evidence-based management practices (also known as high-performance work [HPWPs]), such systematic personnel selection and incentive compensation, serves attract retain well-qualified health care staff HPWPs may represent an important underutilized strategy for improving quality patient safety. Purpose: The aims this study were improve our understanding...
Persons living with dementia (PLWD) experience frequent and costly emergency department (ED) visits, poor outcomes attributed to suboptimal care postdischarge transitions. Yet, patient-centered data on ED experiences needs are lacking. The objective of this study was examine the facilitators barriers successful transitions after discharge, according PLWD their caregivers.
The safety-net providers that serve the nation's thirty-nine million uninsured residents are vulnerable organizations even in good economic times, yet efforts to monitor their capacity have been limited at best. This study of five cities found was strained for specialty services and access pharmaceuticals difficult, while primary care more often adequate those who presented themselves care. Also, free clinics grew during 1990s, many other focused on improving efficiency collecting fees from patients.
In Brief Governmental spending in public health varies widely across communities, raising questions about how these differences may affect the availability of essential services and infrastructure. This study used data from local systems that participated National Public Health Performance Standards Program pilot tests between 1999 2001 to examine association performance services. Results indicated significantly with both federal levels, even after controlling for other system community...
A challenge to investigating quality of care at safety-net hospitals is the absence a standard method for identifying these hospitals. The authors identified three different, commonly used approaches classifying as providers. Analyzing national data on hospital demographics and care, they found little overlap among sets Under two definitions, providers clearly underperformed compared with non-safety-net providers; under third definition, results were mixed. How one defines can affect health...
Our annual analysis of health benefits contains findings from interviews 2,046 public and private employers surveyed during January-May 2010. Average premiums in 2010 were $5,049 for single coverage $13,770 family coverage--up 5 percent 3 2009, respectively. Workers paid more toward 2010, workers are consumer-directed plans with high deductibles than 2009. Thirty firms reported that they reduced the scope or increased cost sharing because recession. Surprisingly, percentage offering to 69...
The past decade has seen increasing opportunities and efforts to integrate quality improvement into health care. Practice facilitation is a proven strategy support redesign in primary care practices that focuses on building organizational capacity for continuous improvement. leadership, staff, practice facilitators all play important roles supporting However, little known about their perspectives the context, enablers, barriers, strategies impact initiatives.
Heart disease is the leading cause of mortality in United States and contributes more than $320 billion annually health care costs lost productivity. Manufacturing employment associated with higher rates hypertension smoking. Many large manufacturers provide services to employees their family members through worksite centers (WHCs). Several quality improvement interventions for tobacco cessation have shown be effective community-based primary sites. The Healthy Hearts (HHM) study aims...
Background Veterans are more likely to experience chronic pain than civilians, with significant negative impacts on long-term health outcomes. Evidence for the effectiveness of prescription opioids management is limited, and use associated an increased risk sleep-disordered breathing, cardiovascular complications, bowel dysfunction, as well opioid misuse overdose. Affairs (VA) Department Defense guidelines prioritizing low-risk, evidence-based interdisciplinary strategies while optimizing...
<sec> <title>BACKGROUND</title> Veterans are more likely to experience chronic pain than civilians, with significant negative impacts on long-term health outcomes. Evidence for the effectiveness of prescription opioids management is limited, and use associated an increased risk sleep-disordered breathing, cardiovascular complications, bowel dysfunction, as well opioid misuse overdose. Affairs (VA) Department Defense guidelines prioritizing low-risk, evidence-based interdisciplinary...