James M Naessens

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..Adverse event reporting should incorporate comorbidity and admission severity. Reimbursement incentives to improve patient safety should consider adjustment for admission health status...

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..Determine the degree of congruence between several measures of adverse events...

..This article presents organizational theory framework and criteria to classify organizations as single versus multiple reporting entities...

..Many attempts to identify hospital complications rely on secondary diagnoses from billing data. To be meaningful, diagnosis codes must distinguish between diagnoses after admission and those existing before admission...

..To determine the inter-rater reliability of the Institute for Healthcare Improvement's Global Trigger Tool (GTT) in a practice setting, and explore the value of individual triggers...

..Explore effects of comorbidity and prior health care utilization on choice of employee health plans with different levels of cost sharing...

..The assessment was based on a medical records indicator that differentiated hospital-acquired conditions from preexisting comorbidities...

..However, control of intermediate outcome measures remains substandard. Recently, significant emphasis has been placed on the value of electronic medical records and informatics systems to improve the delivery of health care...

..To improve identification of risk factors for pressure ulcer development and enhance targeted interventions and prevention strategies...

..Although research has demonstrated a correlation between follow-up arrangements and reduced hospital readmission in specific patient populations, the effect of hospital follow-up in general medicine patients has not been assessed...

..This study tested the ability of an electronic prompt to promote an asthma assessment during primary care visits...

..To provide the simultaneous 7-year estimates of incremental costs of smoking and obesity among employees and dependents in a large health care system...

..This study sought to assess differences in hospitalizations and emergency department (ED) visits among older adults using telemonitoring vs usual care...

..The AHRQ-PSI are a set of computer algorithms to identify potential adverse in-patient events using secondary ICD-9-CM diagnosis and procedure codes from hospital discharge abstracts...

..Disease registries, audit and feedback, and clinical reminders have been reported to improve care processes...

..Screening mammography is recommended for early detection of breast cancer but screening rates remain suboptimal...

..We estimated sensitivity, specificity, PPV, and negative predictive value (NPV) of claims-based approaches using the Rochester Epidemiology Project (REP) venous thromboembolism (VTE) cohort as a "gold standard."..

..Web-based protocolized care proved efficient, and exhibits outcomes similar to those derived from telephone-based treatment...

..Beneficiaries decreased visits to specialists but did not make greater use of primary care services. These results suggest that implementing relatively low levels of cost sharing can lead to a long-term decrease in utilization...

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..The number and costs of arthoplasty surgeries continue to increase, requiring institutions to reexamine their existing practices for financial sustainability...

..Using telemedicine for older adults with multiple comorbid conditions is a potential area for growth in health care. Given this older, ailing population, providers should discuss end-of-life care with patients...

..Hospitalists are assuming an increasing role in the care of surgical patients, but the impact of this model of care on postoperative outcomes is unknown...

..To evaluate the causes of medication list inaccuracy, implement intervention to enhance overall accuracy of medication lists and measure the sustainability of the intervention...

..Less aggressive control of the CHD risk factors in women can contribute to this excess mortality. Because hypertension has a high prevalence in subjects with diabetes, we compared the control of this risk factor between men and women...

..To determine whether text mining can accurately detect specific follow-up appointment criteria in free-text hospital discharge records...

..Self-report is the most commonly used method for collecting information regarding asthma medication possession and adherence in clinical practice...

..To compare cases identified through the Complications Screening Program (CSP) as complications with cases using the same ICD-9 secondary diagnosis codes, where the identifying diagnosis is also indicated as not present at admission...

..001). Other health care institutions may benefit from the implementation of quality-related training programs that teach employees to use process improvement tools and methods...

..To examine the effect of census caps and unit-based admissions on resident workload, conference attendance, duty hour compliance, and patient safety...

..01). A guideline-based nurse telephone treatment protocol may decrease inappropriate use of antibiotics for URI and can result in a greater use of first-line antibiotics for patients with sinus infection with similar clinical outcomes...

..However, escalating costs are of concern. This study assessed the incremental medical costs of major in-hospital procedural complications incurred by patients undergoing PCI...

..To determine the longitudinal effect on healthcare costs of multiple chronic conditions among adults aged 18 to 64 years...

..The quality and safety of patient care can be significantly improved by practice redesign. This practice redesign was satisfying for all, especially the patients, physicians and support team in our practice...

..To describe the performances of selected intensive care units (ICUs) in a single institution using the Acute Physiology and Chronic Health Evaluation (APACHE) III benchmark and to propose interventions that may improve performance...

..Claims data should be used cautiously, if at all, for pay for performance or to trigger reminders for preventive services completion...

..Patients cited insufficient communication about the day and time of the impending discharge as a cause of dissatisfaction...

..Our objective was to assess the cost implications of changing the intensive care unit staffing model from on-demand presence to mandatory 24-hr in-house critical care specialist presence...

..Among disadvantaged women, obesity alone does not determine who recalls weight loss advice. Language barriers and lack of a home scale merit further study to address obesity...

..The present study suggests that patient education costs are substantial, and more attention needs to be given to the costs of continuing education intended to improve patient education...

..To compare the prevalence of chronic illness and characteristics of children who underwent mechanical ventilation in a cohort of patients at large children's hospitals between 1991 and 2001...

..The secondary objective was to quantify the associations of hospital characteristics with the VBP score components: clinical process of care (CPC) score and patient satisfaction score...

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..The results suggest that recall alone is not sufficient to determine the date and type of previous colorectal cancer screening, especially if the screening was performed more than a year earlier...

..CONCLUSION: The PSI is a reliable and preliminarily valid instrument for measuring provider satisfaction with diabetes care. Use in research and quality improvement activities awaits further validation...

..This project focused on improving accuracy of DNR ordering processes for an academic, tertiary care hospital...

..This article reports a new model for care of inpatients with cardiovascular diseases...

..To date, however, little work has been done to determine how to optimize the implementation of a chronic disease registry in practice...

..To test whether well-child care visit anticipatory guidance can safely reduce emergency department (ED) visits...

..A single-item measure of overall self-rated health (SRH) commonly is used in population surveys, but has not been used in small pilot projects. The purpose of this study was to assess the validity of SRH in small samples...

..This study was designed to identify predictors of BP control in patients with both diabetes and hypertension who are seen in primary care clinics...

..We wanted to identify risk factors for persistently high use of primary care...

..TKA procedures are increasing rapidly, with substantial cost implications. Determining cost drivers in TKA is essential for care improvement and informing future payment models...

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..Significant differences in practice patterns were found across hospitals with respect to discharge disposition after TJA. Further study is necessary to determine the appropriate criteria for discharge to an ECF after TJA...