Research Topics
| Thomas D SequistSummaryAffiliation: Massachusetts General Hospital Country: USA Publications
Research Grants
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Detail Information
Publications
Measuring chronic care delivery: patient experiences and clinical performanceThomas 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...
Electronic risk alerts to improve primary care management of chest pain: a randomized, controlled trialThomas 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...
Missed opportunities in the primary care management of early acute ischemic heart diseaseThomas 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...- Implementation and use of an electronic health record within the Indian Health ServiceThomas 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... - Health careers for Native American students: challenges and opportunities for enrichment program designThomas 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... - Primary-care clinician perceptions of racial disparities in diabetes careThomas 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... - Moving health information technology forwardThomas D Sequist
Division of General Medicine, Brigham and Women's Hospital, Boston, MA, USA
J Gen Intern Med 23:355-7. 2008 - Statewide evaluation of measuring physician delivery of self-management support in chronic disease careThomas 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... - Physician performance and racial disparities in diabetes mellitus careThomas 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... - Cultural competency training and performance reports to improve diabetes care for black patients: a cluster randomized, controlled trialThomas 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... - Cardiac procedure use following acute myocardial infarction among American IndiansThomas 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... - Effect of quality improvement on racial disparities in diabetes careThomas 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... - Electronic patient messages to promote colorectal cancer screening: a randomized controlled trialThomas 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... - Trends in quality of care and barriers to improvement in the Indian Health ServiceThomas 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... - Information technology as a tool to improve the quality of American Indian health careThomas 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... - Cost-effectiveness of patient mailings to promote colorectal cancer screeningThomas 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... - Reliability of medical group and physician performance measurement in the primary care settingThomas 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... - Quality monitoring of physicians: linking patients' experiences of care to clinical quality and outcomesThomas 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... - A randomized trial of electronic clinical reminders to improve quality of care for diabetes and coronary artery diseaseThomas 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..CONCLUSION: An integrated electronic reminder system resulted in variable improvement in care for diabetes and CAD. These improvements were often limited and quality gaps persist... - Patient and physician reminders to promote colorectal cancer screening: a randomized controlled trialThomas 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.. - Prediction of missed myocardial infarction among symptomatic outpatients without coronary heart diseaseThomas D Sequist
Department of Health Care Policy, Harvard Medical School, Boston, Mass, USA
Am Heart J 149:74-81. 2005..2, 95% CI 1.4-36.8 for Goldman risk predictor). CONCLUSIONS: Among ambulatory patients with possible cardiac ischemia and no prior CHD, multiple algorithms may be useful for improvement of risk stratification... - Impact of computerized decision support on blood pressure management and control: a randomized controlled trialLeRoi 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... - Challenges in the management of positive fecal occult blood testsSandhya 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... - A randomized trial of electronic clinical reminders to improve medication laboratory monitoringMichael 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... - Trends in primary care clinician perceptions of a new electronic health recordRobert 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... - Impact of hospital volume on racial disparities in cardiovascular procedure mortalityAmal 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..Additional research is needed to determine why black patients have increased mortality after cardiovascular procedures and how these mortality rates can be reduced... - Physician reminders to promote surveillance colonoscopy for colorectal adenomas: a randomized controlled trialJohn 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... - Clinician personality and the evaluation of higher-risk patient symptomsAdrienne 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... - "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary careEric 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... - Use of an electronic medical record to profile the continuity clinic experiences of primary care residentsThomas D Sequist
Division of General Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
Acad Med 80:390-4. 2005..Such information may help target curricular adjustments to ensure an appropriate diversity and depth of clinical training... - Indian health service innovations have helped reduce health disparities affecting american Indian and alaska native peopleThomas 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... - Primary care management of chronic kidney diseaseAdrienne 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... - Addressing racial and ethnic disparities in health care: using federal data to support local programs to eliminate disparitiesThomas 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... - Access to renal transplantation among American Indians and HispanicsThomas D Sequist
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Am J Kidney Dis 44:344-52. 2004..Policies to address these disparities should address specific barriers within the transplant evaluation process... - Pharmacist recommendations to improve the quality of diabetes care: a randomized controlled trialJennifer 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... - Paving the way--providing opportunities for Native American studentsThomas 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 - A framework for engaging physicians in quality and safetyJonathan 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... - Access to renal transplantation for minority patients with ESRD in CanadaKaren 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 Grants
- Sequist:Can Risk Score Alerts Improve Office Care for Chest Pain?THOMAS SEQUIST; Fiscal Year: 2007..abstract_text> ..