Thomas D Sequist

Summary

Affiliation: Massachusetts General Hospital
Country: USA

Publications

  1. doi request reprint Measuring chronic care delivery: patient experiences and clinical performance
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    Int J Qual Health Care 24:206-13. 2012
  2. pmc Electronic risk alerts to improve primary care management of chest pain: a randomized, controlled trial
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, 1620 Tremont Street, Boston, MA 02120, USA
    J Gen Intern Med 27:438-44. 2012
  3. ncbi request reprint Cardiac procedure use following acute myocardial infarction among American Indians
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
    Am Heart J 151:909-14. 2006
  4. ncbi request reprint Missed opportunities in the primary care management of early acute ischemic heart disease
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02120, USA
    Arch Intern Med 166:2237-43. 2006
  5. pmc Implementation and use of an electronic health record within the Indian Health Service
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
    J Am Med Inform Assoc 14:191-7. 2007
  6. ncbi request reprint Health careers for Native American students: challenges and opportunities for enrichment program design
    Thomas D Sequist
    Department of Health Care Policy, Harvard Medical School, Brigham and Women s Hospital, Boston, Massachusetts 02120, USA
    J Interprof Care 21:20-30. 2007
  7. pmc Primary-care clinician perceptions of racial disparities in diabetes care
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 23:678-84. 2008
  8. pmc Moving health information technology forward
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 23:355-7. 2008
  9. pmc Quality monitoring of physicians: linking patients' experiences of care to clinical quality and outcomes
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
    J Gen Intern Med 23:1784-90. 2008
  10. pmc Statewide evaluation of measuring physician delivery of self-management support in chronic disease care
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 24:939-45. 2009

Research Grants

Detail Information

Publications41

  1. doi request reprint Measuring chronic care delivery: patient experiences and clinical performance
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    Int J Qual Health Care 24:206-13. 2012
    ..To assess the relationship between clinical care metrics and patient experiences of care among patients with chronic disease...
  2. pmc Electronic risk alerts to improve primary care management of chest pain: a randomized, controlled trial
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, 1620 Tremont Street, Boston, MA 02120, USA
    J Gen Intern Med 27:438-44. 2012
    ..The primary care evaluation of chest pain represents a significant diagnostic challenge...
  3. ncbi request reprint Cardiac procedure use following acute myocardial infarction among American Indians
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
    Am Heart J 151:909-14. 2006
    ..We compared rates of cardiac catheterization, percutaneous coronary intervention (PCI), and coronary artery bypass graft (CABG) surgery between AI and whites with AMI...
  4. ncbi request reprint Missed opportunities in the primary care management of early acute ischemic heart disease
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02120, USA
    Arch Intern Med 166:2237-43. 2006
    ..Decision aids developed in the emergency department and other settings may help identify missed opportunities to intervene in symptomatic outpatients before hospitalization for acute myocardial infarction...
  5. pmc Implementation and use of an electronic health record within the Indian Health Service
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
    J Am Med Inform Assoc 14:191-7. 2007
    ..There are limited data regarding implementing electronic health records (EHR) in underserved settings. We evaluated the implementation of an EHR within the Indian Health Service (IHS), a federally funded health system for Native Americans...
  6. ncbi request reprint Health careers for Native American students: challenges and opportunities for enrichment program design
    Thomas D Sequist
    Department of Health Care Policy, Harvard Medical School, Brigham and Women s Hospital, Boston, Massachusetts 02120, USA
    J Interprof Care 21:20-30. 2007
    ..These programs should always be accompanied by an appropriate evaluation structure that ensures continued improvement and facilitation of particular student needs...
  7. pmc Primary-care clinician perceptions of racial disparities in diabetes care
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 23:678-84. 2008
    ..Primary-care clinicians can play an important role in reducing racial disparities in diabetes care...
  8. pmc Moving health information technology forward
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 23:355-7. 2008
  9. pmc Quality monitoring of physicians: linking patients' experiences of care to clinical quality and outcomes
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
    J Gen Intern Med 23:1784-90. 2008
    ..Physicians are increasingly asked to improve the delivery of clinical services and patient experiences of care...
  10. pmc Statewide evaluation of measuring physician delivery of self-management support in chronic disease care
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 24:939-45. 2009
    ..Self-management support is an important component of improving chronic care delivery...
  11. doi request reprint Cultural competency training and performance reports to improve diabetes care for black patients: a cluster randomized, controlled trial
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
    Ann Intern Med 152:40-6. 2010
    ..Increasing clinician awareness of racial disparities and improving communication may enhance diabetes care among black patients...
  12. ncbi request reprint Effect of quality improvement on racial disparities in diabetes care
    Thomas D Sequist
    Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
    Arch Intern Med 166:675-81. 2006
    ..Racial disparities in care are well documented; information regarding solutions is limited. We evaluated whether generic quality improvement efforts were associated with changes in racial disparities in diabetes care...
  13. doi request reprint Reliability of medical group and physician performance measurement in the primary care setting
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston 02120, MA, USA
    Med Care 49:126-31. 2011
    ..Performance reporting is increasingly focused on physician practice sites and individual physicians...
  14. pmc Cost-effectiveness of patient mailings to promote colorectal cancer screening
    Thomas D Sequist
    Department of Health Care Policy, Harvard Medical School and Division of General Medicine and Primary Care, Brigham and Women s Hospital, 1620 Tremont Street, Boston, MA 02120, USA
    Med Care 48:553-7. 2010
    ..Programs to promote colorectal cancer screening are common, yet information regarding the cost-effectiveness of such efforts is limited...
  15. pmc Information technology as a tool to improve the quality of American Indian health care
    Thomas D Sequist
    Department of Health Care Policy, Harvard Medical School, Brigham and Women s Hospital, Boston, MA 02120, USA
    Am J Public Health 95:2173-9. 2005
    ..We then discuss how the IHS is using information systems to produce standardized performance measures and present future directions for improving American Indian health care quality...
  16. ncbi request reprint Physician performance and racial disparities in diabetes mellitus care
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120, USA
    Arch Intern Med 168:1145-51. 2008
    ..Little information is available regarding variations in diabetes mellitus (DM) outcomes by race at the level of individual physicians...
  17. pmc Trends in quality of care and barriers to improvement in the Indian Health Service
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 26:480-6. 2011
    ..Although Native Americans experience substantial disparities in health outcomes, little information is available regarding healthcare delivery for this population...
  18. pmc Electronic patient messages to promote colorectal cancer screening: a randomized controlled trial
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120, USA
    Arch Intern Med 171:636-41. 2011
    ..Electronic patient messages and personalized risk assessments delivered via an electronic personal health record could increase screening rates...
  19. pmc Patient and physician reminders to promote colorectal cancer screening: a randomized controlled trial
    Thomas D Sequist
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Arch Intern Med 169:364-71. 2009
    ..Screening reduces colorectal cancer mortality, but effective screening tests remain underused. Systematic reminders to patients and physicians could increase screening rates..
  20. pmc A randomized trial of electronic clinical reminders to improve quality of care for diabetes and coronary artery disease
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Harvard Medcal School, 1620 Tremont Street, Boston, MA 02120, USA
    J Am Med Inform Assoc 12:431-7. 2005
    ..The aim of this study was to evaluate the impact of an integrated patient-specific electronic clinical reminder system on diabetes and coronary artery disease (CAD) care and to assess physician attitudes toward this reminder system...
  21. ncbi request reprint Prediction of missed myocardial infarction among symptomatic outpatients without coronary heart disease
    Thomas D Sequist
    Department of Health Care Policy, Harvard Medical School, Boston, Mass, USA
    Am Heart J 149:74-81. 2005
    ..Multiple algorithms have been developed to detect the presence of coronary heart disease (CHD) or acute coronary ischemia...
  22. pmc Impact of computerized decision support on blood pressure management and control: a randomized controlled trial
    LeRoi S Hicks
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
    J Gen Intern Med 23:429-41. 2008
    ..We conducted a cluster randomized controlled trial to examine the effectiveness of computerized decision support (CDS) designed to improve hypertension care and outcomes in a racially diverse sample of primary care patients...
  23. pmc A randomized trial of electronic clinical reminders to improve medication laboratory monitoring
    Michael E Matheny
    Division of General Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
    J Am Med Inform Assoc 15:424-9. 2008
    ..We evaluated the impact of electronic reminders delivered to primary care physicians on rates of appropriate routine medication laboratory monitoring...
  24. pmc Challenges in the management of positive fecal occult blood tests
    Sandhya K Rao
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 24:356-60. 2009
    ..Many patients with a positive fecal occult blood test (FOBT) do not undergo follow-up evaluations...
  25. pmc Trends in primary care clinician perceptions of a new electronic health record
    Robert El-Kareh
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
    J Gen Intern Med 24:464-8. 2009
    ..Clinician perceptions of a newly implemented electronic health record play an important role in its success or failure...
  26. ncbi request reprint Impact of hospital volume on racial disparities in cardiovascular procedure mortality
    Amal N Trivedi
    Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts, USA
    J Am Coll Cardiol 47:417-24. 2006
    ..We assessed use of low-volume hospitals by race and ethnicity for major cardiovascular procedures and determined whether hospital volume is an important factor explaining racial and ethnic differences in post-procedure mortality...
  27. pmc Physician reminders to promote surveillance colonoscopy for colorectal adenomas: a randomized controlled trial
    John Z Ayanian
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 23:762-7. 2008
    ..Most colorectal cancers develop from adenomatous polyps. National guidelines recommend surveillance colonoscopy within 5 years after such polyps are removed...
  28. doi request reprint Clinician personality and the evaluation of higher-risk patient symptoms
    Adrienne S Allen
    Brigham and Women s Hospital, Boston, Massachusetts, USA
    J Patient Saf 7:122-6. 2011
    ..Acute myocardial infarction, breast cancer, and colorectal cancer are among the most commonly misdiagnosed conditions in primary care, and there is little information regarding physician decision making in this area...
  29. ncbi request reprint "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary care
    Eric G Poon
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Mass 02120, USA
    Arch Intern Med 164:2223-8. 2004
    ..Therefore, we sought to identify problems in current test result management systems and possible ways to improve these systems...
  30. ncbi request reprint Use of an electronic medical record to profile the continuity clinic experiences of primary care residents
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
    Acad Med 80:390-4. 2005
    ..To assess the variation in outpatient educational experiences among residents in a primary care internal medicine residency program...
  31. doi request reprint Indian health service innovations have helped reduce health disparities affecting american Indian and alaska native people
    Thomas D Sequist
    Harvard Medical School and Brigham and Women s Hospital, Boston, Massachusetts, USA
    Health Aff (Millwood) 30:1965-73. 2011
    ..However, disparities persist between American Indian and Alaska Native people and the overall US population. Continued innovation and increased funding are required to further improve health and achieve equity...
  32. ncbi request reprint Access to renal transplantation among American Indians and Hispanics
    Thomas D Sequist
    Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
    Am J Kidney Dis 44:344-52. 2004
    ..African Americans have decreased access to renal transplantation compared with whites. Whether similar barriers exist for American Indians or Hispanics is not well defined...
  33. pmc Primary care management of chronic kidney disease
    Adrienne S Allen
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 26:386-92. 2011
    ..Chronic kidney disease (CKD) causes substantial morbidity and mortality; however, there are limited data to comprehensively assess quality of care in this area...
  34. pmc Addressing racial and ethnic disparities in health care: using federal data to support local programs to eliminate disparities
    Thomas D Sequist
    Brigham and Women s Hospital, Division of General Medicine, 1620 Tremont Street, Boston, MA 02120, USA
    Health Serv Res 41:1451-68. 2006
    ..We describe recent developments that are likely to influence how these data can be used in the future and discuss how local programs could make use of these data...
  35. ncbi request reprint Pharmacist recommendations to improve the quality of diabetes care: a randomized controlled trial
    Jennifer L Kirwin
    Northeastern University, 206 Mugar Bldg, 360 Huntington Ave, Boston, MA 02115, USA
    J Manag Care Pharm 16:104-13. 2010
    ..It is unknown if the combination of pharmacist chart review and clinician reminders could improve diabetes care without requiring face-to-face visits...
  36. doi request reprint Survival differences among American Indians/Alaska Natives with head and neck squamous cell carcinoma
    Sunshine M Dwojak
    Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts 02114, USA
    Head Neck 35:1114-8. 2013
    ..American Indians/Alaska Natives experience poor overall survival. Data are limited on American Indians/Alaska Natives with head and neck squamous cell carcinoma (HNSCC)...
  37. ncbi request reprint Paving the way--providing opportunities for Native American students
    Thomas D Sequist
    Harvard Medical School Four Directions Summer Research Program and Department of Health Care Policy, Harvard Medical School, Brigham and Women s Hospital, Boston, USA
    N Engl J Med 353:1884-6. 2005
  38. pmc Assessing research interest and capacity in community health centers
    Karen Hacker
    Institute for Community Health, Cambridge Health Alliance, Cambridge, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA
    Clin Transl Sci 6:391-7. 2013
    ..Community health centers (CHCs) have great potential to participate in the development of evidence-based primary care but face obstacles to engagement in clinical translational research...
  39. ncbi request reprint The impact of cost displays on primary care physician laboratory test ordering
    Daniel M Horn
    Division of General Medicine, Massachusetts General Hospital, Boston, MA, USA
    J Gen Intern Med 29:708-14. 2014
    ..Physicians are under increased pressure to help control rising health care costs, though they lack information regarding cost implications of patient care decisions...
  40. doi request reprint A framework for engaging physicians in quality and safety
    Jonathan M Taitz
    Brigham and Women s Hospital, Division of General Medicine, Boston, MA 02102, USA
    BMJ Qual Saf 21:722-8. 2012
    ..However, many physicians are still unable to contribute to patient safety initiatives that lead to safer, high-quality care for their patients...
  41. ncbi request reprint Access to renal transplantation for minority patients with ESRD in Canada
    Karen E Yeates
    Division of Nephrology, Queen s University, Kingston, Ontario, Canada
    Am J Kidney Dis 44:1083-9. 2004
    ..It is unknown whether similar differences exist in Canada...

Research Grants2

  1. Sequist:Can Risk Score Alerts Improve Office Care for Chest Pain?
    THOMAS SEQUIST; Fiscal Year: 2007
    ..abstract_text> ..