Health Services Administration Commons^™

Using United States Medicare Program Claims To Identify Reliable Measures Of Low Value Services Influenced By Primary Care Physician Decisions, Chris Fleming, Dmitriy Poznyak, Rhea E. Powell, Claire Erba, Eunhae Shin, Rui Wang, Claire Burkhart, Arkadipta Ghosh, Eugene C. Rich

Division of Internal Medicine Faculty Papers & Presentations

BACKGROUND: Low-value services (LVS) are those that “… provide little to no benefit to patients….”¹ Among an existing set of 31 LVS are invasive procedures not typically performed by primary care physicians (PCPs), and other LVS that may be commonly provided by specialists. To facilitate research on the role of primary care physicians in low-value care, we sought to identify the reliability of two subsets of LVS measures that are more directly subject to PCPs’ decisions. We refer to these as primary care adjacent (“PCA”) LVS measures.

METHODS: Retrospective observational cohort study to identify which of a 31-item LVS …

A New Paradigm In Hospital Medicine: Evaluating The Effects Of Geographical Cohorting On Health Care Delivery, Vasu Gupta, Bhupinder Singh, Kanishk Aggarwal, Ayushi Garg, Rhea Kanwar, Fnu Anamika, Inder Preet Kaur, Rohit Jain

HCA Healthcare Journal of Medicine

Background

Geographical cohorting in hospital settings represents a significant shift from traditional patient rounding practices and aims to enhance the efficiency of health care delivery. This model assigns hospitalists to a particular inpatient unit, where most of their patients are located. While this model has several benefits, including streamlining health care procedures, optimizing resource allocation, and fostering better provider communication, its implementation is not without its challenges.

Methods

Our methodology for researching geographical cohorting involved a comprehensive literature review of peer-reviewed studies, surveys, and retrospective analyses. We utilized academic databases, such as PubMed, JSTOR, and Google Scholar, to identify relevant …

An Evaluation Of The Decline In Primary Care Physician Visits, 2010 To 2021, Anuradha Jetty, Marie Ezran, Alison Huffstetler, Yalda Jabbarpour

Department of Family & Community Medicine Faculty Papers

INTRODUCTION: Primary care is the backbone of the United States healthcare system, yet it continues to be underfunded and inaccessible to many. Previous studies explored primary care visit patterns until 2016, leaving gaps in our understanding of how recent factors like state Medicaid expansions, the Coronavirus Disease 2019 (COVID-19) pandemic, and population growth have influenced these patterns. Hence, the objective of the current study was to analyze the trends in primary care visits provided by outpatient clinicians over time and by visit type and contextualize study findings within the changing healthcare landscape.

METHODS: The Medical Expenditure Panel Survey data (2010-2021) …

Examining The Cost And Quality Relationship In Medicare, Alexandria Fleming Delage

Theses and Dissertations

Purpose.

The purpose of this study is to evaluate the cost and quality of care dynamic among physicians billing under Medicare Fee for Service in 2018 to examine the relationship between quality and total cost of care at the physician level. Examining this relationship will advance scientific knowledge regarding the impact of increasing high value service use on healthcare costs and will provide insight in terms of expected cost outcomes of quality programs for healthcare policymakers (Salmond and Echevarria 2017; Williams, Brown, and Healy 2018).

Methods.

The study used publicly available data sets provided by the Center for Medicare and …

Experiences Of Communication Barriers Between Physicians And Immigrant Patients: A Systematic Review And Thematic Synthesis, Salim Ahmed, Sonya Lee, Nusrat Shommu, Nahid Rumana, Tanvir Turin

Patient Experience Journal

Frequent immigration of peoples from outside often challenges various systems of any country; healthcare sector is the most confronted one. One of the most prominent reasons for this confrontation is communication gap between physicians and immigrant patients. In this systematic narrative review, we studied existing literature on physician-immigrant patient communication. We systematically searched the repositories of literature and followed some criteria to select literature. We selected 32 literatures for information extraction. Three themes emerged from the synthesis: Physicians’ viewpoint about communication barrier with their immigrant patients, Immigrant patients’ viewpoint about the communication barrier with their physicians, and Interpreter as a …

Understanding Physicians’ And Non-Physician Practitioners’ Recommending Practices, Knowledge, Attitudes, Beliefs And Expectations Regarding Music As A Cost-Effective Complementary And Alternative Medicine Approach, Paul F. Franco

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: With the rise in healthcare costs, partly due to an aging demographic (of whom these care-receivers and their informal family member/friend caregivers are experiencing high stress and anxiety levels resulting in an increase in nursing home placement), a need exists for a cost-effective alternative to the traditional medical approach. Specifically, Music Therapy, a form of Complementary and Alternative Medicine (CAM) has been shown to decrease the severity of the problem by alleviating symptoms of an illness and improving overall well-being. The purpose of this study was to create a valid tool entitled “The Global …

Patient And Provider Characteristics And Practice Patterns Of Primary Care Physicians Of Weight-Related Counseling, Kolby T. Redd

Theses and Dissertations

Background: The United States Preventive Services Task Force (USPSTF) recommends three types of health education counseling for use in primary care practices for adult, obese patients. While these recommendations are well known, a low percentage of physicians provide this counseling to their patients on a consistent basis. There are inconsistencies in past studies in regards to what aspects of the health encounter influence the likelihood of receiving health education counseling during a primary care visit. The objective of this study was to (1) investigate the patterns of these three types of counseling occurring within primary care practices and to …

Physician-Led Patient Experience Improvement Efforts: The Connect Program, An Emerging Innovation, Harris P. Baden Md, Jennifer E. Scott Mha

Patient Experience Journal

In 2009, the leadership of the Children’s University Medical Group (CUMG) embarked on an effort to answer the question, “What would it take to promote and foster a culture of service amongst the medical staff?” The challenge was to engage the physician group in leading patient and family experience improvements within Seattle Children’s. In this article, an innovative, physician-designed and led approach to improving the patient experience is described. The effort focuses on encouraging local, grass roots strategies rooted in readily available and validated best practices. In support of that effort, novel tools that were developed and deployed …

Health Care Expenditures In Maine 1978 : A Funds Flow Analysis, Bruce Armstrong

Maine Collection

Health Care Expenditures in Maine 1978 : A Funds Flow Analysis

by Bruce Armstrong, Research Consultant

Maine Department of Human Services, Bureau of Health Planning and Development, Division of Data and Research, Augusta, Maine (August 1981).

Contents: Preface / Highlights / List of Tables and Figures / Introduction / Definitions / Health Expenditures / Sources of Funds / Type of Expenditure / Comparison of Maine and U.S. Per Capita Expenditures

Trends In Health Care Expenditures, Maine 1974-1978, Bruce Armstrong

Maine Collection

Trends in Health Care Expenditures, Maine 1974-1978

by Bruce Armstrong, Research Consultant

Maine Department of Human Services, Bureau of Health Planning and Development, Division of Data and Research, Augusta, Maine (August 1981).

Contents: Preface / Highlights / List of Tables and Figures / Yearly Tables / Trend Illustrations and Tabular Descriptions

Ms021: The Climate Of Texas In Relations To The Distribution Of Diseases And The Effects Of Climate And Weather Changes In Causing Diseases And Deaths, Issac Monroe Cline

John P. McGovern, MD Collection

Book, "The Climate of Texas in Relations to the Distribution of Diseases and the Effects of Climate and Weather Changes in Causing Diseases and Deaths", by Dr. Isaac Cline, published by Strickland Printing Company. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Yellow Fever Quarantine Proclamation, James S. Hogg

John P. McGovern, MD Collection

Quarantine Proclamation issued by the Governor of Texas, J.S. Hogg, declaring a quarantine against the City of Brunswick, Georgia, due to yellow fever epidemic. Signed and sealed by J.S. Hogg. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Correspondence, Henry Eustice Mccullough

John P. McGovern, MD Collection

Letter written by Henry McCulloch on TX Institute for Deaf and Dumb letterhead to Governor Frank R. Lubbock requesting help getting General W.P. Harrison to run for treasurer. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Notice To Clean/Sanitize Property Issued By The Office Of The Health Physician In Galveston, Tx, George W. Peete

John P. McGovern, MD Collection

Notice from Office of the Health Physician in Galveston, TX, issued to W.G.? To clean Lot No. 5 and empty privy on or before May 21, 1875, or be held liable to fines and penalties imposed by city ordinance, signed by G.W. Peete. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Hospital Ledger, St. Mary's Infirmary

John P. McGovern, MD Collection

Hospital ledger listing patients admitted and treated during the month of January 1871 at the rate of 75 cents per day, signed by Dr. C.H. Wilkinson. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Receipt For Medicine Purchased, E F. Schmidt

John P. McGovern, MD Collection

Receipt for drugs, medications bought and paid for by Mr. Oehring from E.F. Schmidt, druggist and apothecary. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Correspondence, William R. Smith

John P. McGovern, MD Collection

Correspondence written by Dr. William R. Smith to Judy? offering sympathy and condolences for the death(s)? Of family members also writes of his own illness from yellow fever in Galveston and talks about the medical care he has provided to victims, namely soldiers, of the yellow fever epidemic, Dickson Bayou, TX. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Probate Claim, Thomas C. Cook

John P. McGovern, MD Collection

Claim filed against Estate of M.W. (illegible) for medical services rendered by Dr. Cook. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Probate Claim, Thomas J. Heard (1814-1899)

John P. McGovern, MD Collection

robate claim filed against Estate of Matthew W. Marin for medical treatment renderd to decedent by Dr. Heard, See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Receipt For Medicine Purchased, H. C.L. Aschoff

John P. McGovern, MD Collection

Receipt to Judge Dean for medications purchased from H.C.L. Aschoff, Druggist. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Probate Claim, Edward Randall

John P. McGovern, MD Collection

Additional claims filed against Estate of Pilant for medical services rendered, paid in full with interest by admininstrator of estate. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Itemized Bill And Probate Claim For Medical Services, Medications Rendered, Edward Randall

John P. McGovern, MD Collection

Itemized bill/claim filed against Estate of J.W. Pilant for medical services provided. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Probate Claim, J. H. Hannay

John P. McGovern, MD Collection

Claim filed by Dr. Hannay against the Estate of John Everett for medical services rendered to decedent, received payment in full from Judge John Dean, administrator of estate. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Probate Claim, C. P. Rankin

John P. McGovern, MD Collection

See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Probate Claim, Herman C. Jaeger

John P. McGovern, MD Collection

Claim filed against Estate of B. Kramer for medical attendance provided to decedent during last illness (yellow fever), See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Probate Claim, Thomas B. Vardeman

John P. McGovern, MD Collection

Claim filed against Charles Givens for medical services, medications rendered, certified by A. Blackburn, Justice of the peace. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Probate Claim, A. J. Gilder

John P. McGovern, MD Collection

Claim filed against the Estate of Charles Givins for medical services and prescriptions provided to decedent by Dr. Gilder, approved by C. Buster, Chief Justice. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Probate Claim, W. W. Harrison

John P. McGovern, MD Collection

Claim filed against unknown estate for medical services provided prior to decedent's death, paid in full by William Wright, administrator pro tem. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Probate Claim, J. C. Jordan

John P. McGovern, MD Collection

Claim filed by Dr. Jordan against the Esate of McMillan for medical services rendered to one enslaved person, et al. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.

Ms021: Probate Claim, Joseph R. Brown

John P. McGovern, MD Collection

Probate claim filed by Dr. Brown and judgment ordered against the Estate of George S. Adsil for medical services rendered. See more at John P. McGovern, MD Collection of Texas Historical Medical Documents and its finding aid.