Paul L Hebert
- Patient-centered medical home initiative produced modest economic results for Veterans Health Administration, 2010-12Paul L Hebert
Paul L Hebert is an investigator in the Veterans Affairs VA Health Services Research and Development Center for Veteran Centered, Value Driven Health, VA Puget Sound Health Care System, and a research associate professor in the Department of Health Services, School of Public Health, University of Washington, both in Seattle
Health Aff (Millwood) 33:980-7. 2014..Although PACT has not generated a positive return, it is still maturing, and trends in costs and use are favorable. Adopting patient-centered care does not appear to have been a major financial risk for the VHA...
- The contribution of geography to black/white differences in the use of low neonatal mortality hospitals in New York CityPaul L Hebert
VA HSR and D, VA Puget Sound Health Care System, Seattle, WA 98101, USA
Med Care 49:200-6. 2011..Racial differences in the use of high-quality hospital care contribute to racial disparities in mortality for very low birth weight (VLBW) neonates...
- Methods for using data abstracted from medical charts to impute longitudinal missing data in a clinical trialPaul L Hebert
Department of Veterans Affairs, Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, Seattle, WA, USA
Value Health 14:1085-91. 2011..To describe a method for imputing missing follow-up blood pressure data in a clinical hypertension trial using blood pressures abstracted from medical charts...
- Association between local area unemployment rates and use of Veterans Affairs outpatient health servicesEdwin S Wong
Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System Department of Health Services, University of Washington Office of Analytics and Business Intelligence, Veterans Health Administration, Seattle, WA
Med Care 52:137-43. 2014..Prior research indicates that federal spending on Medicare, Medicaid, and other government health programs accelerated during the Great Recession...
- Patient-centered medical home implementation and primary care provider turnoverPhilip W Sylling
Northwest HSR and D Center for Innovation, VA Puget Sound Healthcare System Department of Health Services, School of Public Health, University of Washington General Internal Medicine Service, VA Puget Sound Healthcare System Department of Medicine, School of Medicine, University of Washington VHA Office of Analytics and Business Intelligence, VA Puget Sound Healthcare System, Seattle, WA
Med Care 52:1017-22. 2014..This study examined the association between a system-wide PCMH implementation and PCP turnover...
- Trends in the Timing and Clinical Context of Maintenance Dialysis InitiationANN M O'HARE
Department of Veterans Affairs Health Services Research and Development Center of Excellence, Department of Veterans Affairs Puget Sound Healthcare System, Seattle, Washington Departments of Medicine and Group Health Research Institute, Seattle, Washington
J Am Soc Nephrol 26:1975-81. 2015..13 to 1.81) and 1.46 (95% CI, 1.09 to 1.97), respectively. In conclusion, trends in eGFR at dialysis initiation at VA medical centers do not seem to reflect changes in the clinical context in which dialysis is initiated...
- Implementation of the patient-centered medical home in the Veterans Health Administration: associations with patient satisfaction, quality of care, staff burnout, and hospital and emergency department useKarin M Nelson
Seattle Center of Innovation for Veteran Centered and Value Driven Care, VA Puget Sound Health Care System, Seattle, Washington2General Internal Medicine Service, VA Puget Sound Health Care System, Seattle, Washington 3Department of Medicine, University o
JAMA Intern Med 174:1350-8. 2014..To track progress and evaluate outcomes at all VHA primary care clinics, we developed and validated a method to assess PCMH implementation...
- Weekend Discharges and Length of Stay Among Veterans Admitted for Chronic Obstructive Pulmonary DiseaseSeppo T Rinne
VA Connecticut Health Care System, West Haven Department of Medicine, Division of Pulmonary and Critical Care, Yale University, New Haven, CT Department of Veterans Affairs, VA Puget Sound Health Care System Departments of Health Services Medicine, Division of Pulmonary and Critical Care, University of Washington, Seattle, WA Department of Medicine, Baystate Medical Center, Springfield, MA
Med Care 53:753-7. 2015..Discharge rates are substantially lower on weekends, though the impact on hospital length of stay (LOS) is not fully understood...
- Reliance on Veterans Affairs outpatient care by Medicare-eligible veteransChuan Fen Liu
Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, University of Chicago, Chicago, IL 98101, USA
Med Care 49:911-7. 2011..To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years...
- Intravenous access during out-of-hospital emergency care of noninjured patients: a population-based outcome studyChristopher W Seymour
Division of Pulmonary and Critical Care Medicine, University of Washington, Harborview Medical Center, Seattle, WA, USA
Ann Emerg Med 59:296-303. 2012..We evaluate the association between out-of-hospital, intravenous access and mortality among noninjured, non-cardiac arrest patients...
- Cost-effectiveness of nurse-led disease management for heart failure in an ethnically diverse urban communityPaul L Hebert
Health Services Research and Development, Veterans Affairs Puget Sound Health CareSystem, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
Ann Intern Med 149:540-8. 2008..Randomized, controlled trials have shown that nurse-led disease management for patients with heart failure can reduce hospitalizations. Less is known about the cost-effectiveness of these interventions...