David W Baker

..The optimal strategy for promoting self-care for heart failure (HF) is unclear...

..This study examined whether providing pre-visit paper quality reminders could further improve performance, especially for physicians whose performance had not improved much during the first year...

..Self-care training can reduce hospitalization for heart failure (HF), and more intensive intervention may benefit more vulnerable patients, including those with low literacy...

..Electronic health record (EHR) systems have the potential to revolutionize quality improvement (QI) methods by enhancing quality measurement and integrating multiple proven QI strategies...

..If this trial shows that the "Teach to Goal" approach is superior, it would support the value of incorporating these design principles into educational interventions for other diseases...

..Although South Asians are at higher risk for coronary heart disease (CHD) than most other U.S. racial/ethnic groups, very little research has addressed this disparity...

..CONCLUSION: Participation in a QI collaborative for HF was associated with better communication, education, and knowledge, and lower health care use. Collaboratives may be a useful method for disseminating quality improvement strategies...

..Health care organizations should consider the routine use of adjusted methods to measure disparities in order to better inform disparity reduction initiatives...

..Deficits in information transfer between inpatient and outpatient physicians are common and potentially dangerous...

..Uninsured adults in late middle age are more likely to have a health decline than individuals with private insurance...

..We assessed the feasibility of collecting race/ethnicity data from patients using their own preferred racial/ethnic terms...

..This study compares a single session self-management HF training program against a multiple session training intervention and examines whether their effects differ by literacy level...

..Simple hypertension outcome measures may not indicate which patients receive poor care. This could be problematic as incentives increase...

..Experts recommend that health care providers (HCPs) collect patients' race/ethnicity and language, but we know little about public attitudes towards this...

..Little is known about whether disparities occur within or between hospitals for national Hospital Quality Alliance (HQA) measures...

..We sought to determine whether low health literacy levels independently predict overall and cause-specific mortality...

..We examined the effect of a MDEP targeted to patients with low literacy on knowledge and assessed the association between literacy and knowledge improvement...

..However, minorities were less comfortable providing race/ethnicity information and were more worried than non-Hispanic whites about the potential misuse of this information...

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..High performance was only achieved for 1 of 4 measures and recording of exceptions rather than increases in medication prescribing accounted for most of the observed improvements...

..Inadequate health literacy is prevalent among seniors and is associated with poor health outcomes. At hospital discharge, medications are frequently changed and patients are informed of these changes via their discharge instructions...

..As the reasons for these findings are unclear, we sought to identify patient reported barriers to enrollment in a patient portal...

..Health education interventions must incorporate strategies that can improve retention of health information and actively engage patients in long-term learning...

..We compared EHR-based assessment with manual chart review to determine the accuracy of automated cardiac risk estimation and determination of candidates for antiplatelet or lipid-lowering interventions...

..Low health literacy and low cognitive abilities both predict mortality, but no study has jointly examined these relationships...

..We conclude that the nature of the relationship between literacy and health may vary depending upon the outcome under examination...

..Patients with an expired order for screening colonoscopy might be persuaded to follow through with screening by such an intervention...

..The objective of this study was to examine changes in junior medical student-patient encounters after initiation of residency work hours and implementation of a large hospitalist practice at our academic medical center...

..Patient-reported physical limitations are widely used to assess health status or the impact of disease. However, patients' mental health may influence their reports of their physical limitations...

..This study analyzed whether socioeconomic status in older middle age continues to be associated with 10-year survival after data are controlled for baseline health status...

..Although individuals' health insurance coverage changes frequently, previous analyses have not accounted for changes in insurance coverage over time...

..SROH may not be comparable across cultural groups. We assessed if differences in SROH between non-Hispanic whites (NHW), Latinos, and Asians were explained primarily by differences in socioeconomic status (SES) or language and nativity...

..However, physician misconceptions or gaming potentially limit programs...

..Racial and ethnic minority groups have lower levels of leisure-time physical activity (LTPA) than whites, but it is unclear how much of this is explained by differences in socioeconomic status and health...

..To determine the effect of standardized outreach on the receipt of preventive services for patients whose physicians record that the patient refused the service...

..To examine the effect of the relationship between literacy and other individual-level factors on having an advance directive (AD)...

..Evaluate the evidence regarding the relative effectiveness of multimedia and print as modes of dissemination for patient education materials; examine whether development of these materials addressed health literacy...

..We sought to examine the degree to which these process of care improvements explained the observed difference in hospital mortality between the group that received prompting and an unprompted control group...

..We sought to investigate patients' ability to recall spoken medical instructions in the context of a hypothetical clinical encounter, and whether limited health literacy would adversely affect performance on the task...

..Physician-directed approaches have not eliminated the underuse of effective preventive therapies...

..The incidence of weight gain is highest during young adulthood. Our study aims to describe weight gain patterns among young adults and to evaluate physician recognition of and counseling for rapid weight gain...

..Little is known about patient enrollment in, and use of, patient portals after explicit invitation from providers...

..Despite the documented benefits of colorectal cancer screening, patient participation rates remain low. Physician recommendation has been identified as a significant predictor of screening completion...

..We aimed to determine who would be falsely classified as low risk using this approach...

..Our study goal was to assess the effects of a brief patient video on breast cancer knowledge and attitudes among Latina women at a community health center...

..Electronic health records (EHRs) may be used to assess quality of care...

..Caregivers often assist with medication reminding and activities of daily living. No prior studies have examined the health literacy levels among paid non-familial caregivers...

..To assess what screening practices agencies use in hiring caregivers and how caregiver competency is measured before assigning responsibilities in caring for older adults...

..Vitamin D deficiency may play a role in coronary artery disease, some cancers, autoimmune disease, and glucose tolerance. Vitamin D deficiency may be prevalent even among affluent US adults...

..This will enable administration of Health LiTT on the same touchscreen used for other patient-reported outcomes, as well as real-time scoring and reporting of health literacy scores...

..Studies demonstrating the value of hospitalists to medical student education have been performed in traditional resident covered ward service settings (RCWS)...

..Checklists may reduce errors of omission for critically ill patients...

..In this study, the association between health literacy and the prevalence of health risk behaviors was examined among older adults...

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..We assessed knowledge, attitudes, and behavior regarding CRC screening to inform the development of messages that promote screening among Hispanic/Latino patients...

..We evaluated the association between health literacy, self-reported physical and mental health functioning, and health-related activity limitations among new Medicare managed care enrollees...

..Patients with limited literacy were more likely to report feelings of shame as a result of disclosure (p < 0.05). Health care providers must recognize the potential shame patients might experience as a result of literacy screening...

..Although many hospitalists work with clinical coordinators, few studies have evaluated their impact...

..Many individuals at higher risk for cardiovascular disease (CVD) do not receive recommended treatments. Prior interventions using personalized risk information to promote prevention did not test clinic-wide effectiveness...

..This study describes key lessons that emerged from a community and culture-centered approach to developing a multimedia, coronary heart disease (CHD) patient education program (PEP) for medically underserved South Asian immigrants...

..Physicians often do not recognize when their patients are overweight and infrequently counsel them about weight loss...

..Experts recommend that health care providers (HCPs) collect patients' race/ethnicity, but HCPs worry that this may alienate patients...

..Adverse events resulting from medication error are a serious concern. Patients' literacy and their ability to understand medication information are increasingly seen as a safety issue...

..Implications and recommendations for message development are discussed...

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..We assessed racial/ethnic disparities using the Hospital Quality Alliance Inpatient Quality of Care Indicators...

..Modifications to the National Cholesterol Education Program (NCEP) guidelines lowered optional low-density lipoprotein cholesterol (LDL-C) treatment goals...

..Despite high cardiovascular risk among adults with diabetes mellitus, aspirin use has been low...

..To evaluate the types and frequency of activities that hospitalists perform during routine work, we conducted a time-motion study of hospitalist physicians at our institution...

..This tool should be useful for measuring quality of care for large patient populations and determining the effectiveness of quality improvement activities...

..This study was designed to determine risk factors and potential harm associated with medication errors at hospital admission...

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..Deficits in information transfer between inpatient and outpatient physicians are common and potentially dangerous...

..We examined the relation between body mass index, exercise, overall health, and physical functioning...

..Because most estimates of the uninsured are cross-sectional, the true number of individuals whose health is at risk from being uninsured is unclear...

..Dyspnea is a common symptom among patients with heart failure. Currently, there is no standardized, rapid, precise method to assess dyspnea...

..To our knowledge, how well they reflect actual quality of care has not been studied. We sought to evaluate the validity of performance measures for coronary artery disease (CAD) using an ambulatory EHR...

..Public health messages should target diverse populations. The current levels of physical activity attained by this population do not appear to protect against weight gain...

..It is unclear whether publicly reporting hospitals' risk-adjusted mortality affects market share and mortality at outlier hospitals...

..This study determined the prevalence of LVSD with the use of a limited screening echocardiogram among patients with risk factors for HF but no prior HF...

..To determine whether inadequate functional health literacy adversely affects use of physician outpatient services...