Article
Economics
Timothy J. van Dover, David D. Kim
Summary: This study aimed to analyze cost-effectiveness evidence associated with the quality measures used by the Centers for Medicare and Medicaid Services, finding that while there was consistent cost-effectiveness evidence for measures where it was available, the majority of measures were based on subjective ratings or outcome measures, presenting a challenge in identifying supporting economic evidence. Refining and aligning quality measures with cost-effectiveness evidence can help further improve healthcare efficiency by demonstrating that they are good indicators of both quality and cost-effectiveness of care.
Article
Orthopedics
Thomas B. Cwalina, Tarun K. Jella, Alexander J. Acuna, Linsen T. Samuel, Atul F. Kamath
Summary: Orthopaedic surgeons performed well in the MIPS program, with 87% earning bonuses, but had a lower mean score compared to other specialties, resulting in more penalties and fewer bonuses. Factors associated with increased odds of penalties included small group size and higher Hierarchical Condition Category scores, while reporting through an alternative payment model was associated with increased odds of earning a perfect score.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2022)
Article
Medicine, General & Internal
Laurent G. Glance, David R. Nerenz, Karen E. Joynt Maddox, Bruce L. Hall, Andrew W. Dick
Summary: This study examined the association between test-retest reliability and the reproducibility of hospital rankings. The results indicated that more reliable measures did not lead to lower rates of reclassifying hospitals using test-retest reliability testing.
Letter
Oncology
Angelin Tresa Mathew, Bhav Jain, Edward Christopher Dee, Jordan Johnson, Fumiko Chino
Summary: This cross-sectional study assesses the disclosure of commercial payer-negotiated rates in compliance with the latest regulations.
Editorial Material
Medicine, General & Internal
Richard M. Hoffman, Daniel S. Reuland, Robert J. Volk
Summary: The updated lung cancer screening recommendation broadens the eligibility criteria for screening, and the article suggests that CMS should reimburse visits delivered by nonphysician staff and/or telehealth to make shared decision-making a reality.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Article
Immunology
Amy L. Pakyz, Christine M. Orndahl, Alicia Johns, David W. Harless, Daniel J. Morgan, Gonzalo Bearman, Samuel F. Hohmann, Michael P. Stevens
Summary: The study evaluated the impact of the implementation of the Centers for Medicare and Medicaid Services (CMS) core measure sepsis (SEP-1) bundle in 2015 on broad-spectrum antibiotic use and Clostridioides difficile infection (CDI) occurrence rates. The results showed an increase in broad-spectrum antibiotic use and a decrease in CDI rates post-SEP-1 implementation.
CLINICAL INFECTIOUS DISEASES
(2021)
Article
Pediatrics
Sarah A. Sobotka, David E. Hall, Cary Thurm, James Gay, Jay G. Berry
Summary: This study assessed the characteristics, providers, and payments of pediatric home health care (HHC) recipients. The results showed that children using HHC are a diverse population who receive care from a variety of providers.
Article
Health Care Sciences & Services
Steven B. Spivack, Li Qin, Jeph Herrin, Demetri B. Goutos, Michelle Schreiber, Lee A. Fleisher, Arjun B. Venkatesh, Susannah Bernheim
Summary: The Centers for Medicare and Medicaid Services has been reporting hospital star ratings since 2016, but stakeholders have criticized the methodology for not considering social risk factors. Our study found that hospitals with a higher proportion of dually eligible patients tended to have lower star ratings. However, there was a significant overlap in performance among hospitals when stratified by the proportion of dually eligible patients. The decision to adjust public reporting tools like star ratings for social risk factors is a policy decision, and opinions on the appropriateness vary among organizations and stakeholders.
Article
Geriatrics & Gerontology
Bian Liu, Christine S. Ritchie, Claire K. Ankuda, Grace Perez-Benzo, Zainab Toteh Osakwe, Jennifer M. Reckrey, Maggie R. Salinger, Bruce Leff, Katherine A. Ornstein
Summary: The study examines the trends in home-based medical care utilization in different care settings from 2012 to 2019. The findings show an increase in overall home-based medical visits in the United States during this period, primarily driven by growth in domiciliary settings. Future research should focus on addressing access inequities and drivers of home-based medical care growth at regional and local levels.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Computer Science, Information Systems
Michelle Schreiber, Deborah Krauss, Bridget Blake, Edna Boone, Rose Almonte
Summary: This article discusses CMS's eCQM Strategy Project and stakeholder feedback on burdens and recommendations, as well as CMS's efforts to address them through implementation strategies. Six themes emerged from stakeholder feedback, with over 100 recommendations being addressed by CMS to improve the eCQM development, implementation, and reporting experience.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2021)
Editorial Material
Endocrinology & Metabolism
Rodolfo J. Galindo, Christopher G. Parkin, Grazia Aleppo, Anders L. Carlson, Davida F. Kruger, Carol J. Levy, Guillermo E. Umpierrez, Janet B. McGill
Summary: The article discusses the limitations and inconsistencies of CMS eligibility criteria for CGM in relation to current scientific evidence, and proposes workable solutions to improve the safety and care of all individuals with diabetes.
DIABETES TECHNOLOGY & THERAPEUTICS
(2021)
Article
Cardiac & Cardiovascular Systems
Edward D. Percy, Morgan T. Harloff, Sameer Hirji, Siobhan McGurk, Farhang Yazdchi, Paige Newell, Alexandra Malarczyk, Ashraf Sabe, Uri Landes, John Webb, Michael J. Reardon, Vinod H. Thourani, Gilbert H. L. Tang, Vinayak Bapat, Deepak Bhatt, Patrick O'Gara, Thomas Gleason, Pinak Shah, Tsuyoshi Kaneko
Summary: Repeat transcatheter aortic valve replacement (TAVR) showed acceptable 30-day mortality in a high-risk population, with short-term outcomes superior to surgical explantation, but similar 1-year outcomes.
JACC-CARDIOVASCULAR INTERVENTIONS
(2021)
Editorial Material
Primary Health Care
Eli Y. Adashi, Philip A. Gruppuso
Summary: The CMS released an important brief on the impact of COVID-19 on its beneficiaries, providing racial and ethnic health disparity data on a national scale. This brief exposes distressing inequalities and expands previous reports limited to states, cities, or health systems.
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2021)
Article
Clinical Neurology
Julia G. Burgdorf, Tracy M. Mroz, Jennifer M. Reckrey, Yolanda Barron, Miriam Ryvicker
Summary: Home health (HH) is an important source of care for early-stage/undiagnosed Alzheimer's Disease and Related Dementias (ADRD) patients. This study aims to investigate the prevalence and predictors of incident ADRD diagnosis following HH. The results show that 10% of HH patients without diagnosed ADRD received an incident diagnosis within 1 year. Furthermore, HH patients with impaired overall cognition and community-referred patients were more likely to receive an incident ADRD diagnosis.
ALZHEIMERS & DEMENTIA
(2023)
Article
Health Care Sciences & Services
H. Stephen Kaye, Joseph Caldwell
Summary: Using health plan data, excess mortality rates for Medicaid home and community-based services recipients during March-December 2020 were calculated. The study found that younger recipients had a 7.4 times higher excess mortality rate than other community-dwelling Medicaid beneficiaries and a 26.6 times higher rate than the general population. The excess mortality rates for older recipients and nursing home residents were comparable to their expected mortality rates.
Article
Geriatrics & Gerontology
Anna Oh, Theresa A. Allison, Katherine Mahoney, Nicole Thompson, Christine S. Ritchie, Rebecca L. Sudore, Krista L. Harrison
Summary: This study aims to understand the facilitators and barriers to hospice staff engagement in advance care planning conversations. Through interviews and analysis, it was found that hospice staff have varying levels of capability, opportunity, motivation, and behavior. Recommendations were made to improve ACP discussions, including training, introducing ACP earlier, and increasing workforce diversity.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Geriatrics & Gerontology
Theresa A. Allison, Jennie M. Gubner, Anna Oh, Krista L. Harrison, Kevin Pham, Deborah E. Barnes, Julene K. Johnson, Kenneth E. Covinsky, Alexander K. Smith
Summary: This study found that for people living with dementia at home, underlying sources of meaning and identity remain stable despite changes in meaningful activity engagement. There are three pathways for how caregivers handle meaningful activities based on the progression of dementia, and many factors associated with adaptation or discontinuation are modifiable and can be targeted for intervention.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Clinical Neurology
Georges Naasan, Nicole D. Boyd, Krista L. Harrison, Sarah B. Garrett, Talita D'Aguiar Rosa, Brenda Perez-Cerpa, Shamiel McFarlane, Bruce L. Miller, Christine S. Ritchie
Summary: A review of charts revealed low frequency of documentation of advance care planning in people with dementia, highlighting the need for early introduction of ACP to ensure patients have a voice in their care.
NEUROLOGY-CLINICAL PRACTICE
(2022)
Article
Geriatrics & Gerontology
Nicole D. Boyd, Georges Naasan, Krista L. Harrison, Sarah B. Garrett, Talita D'Aguiar Rosa, Brenda Perez-Cerpa, Shamiel McFarlane, Bruce L. Miller, Christine S. Ritchie
Summary: People living with dementia (PLWD) are lost to follow-up from specialized memory care at high rates, with common reasons including switching care, difficulty accessing care, patient-family decisions, and functional challenges. Strategies to improve care may involve attention to care coordination, patient-provider communication, and alternative care models such as telehealth.
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
(2022)
Article
Neurosciences
Adi Shafir, Christine S. Ritchie, Sarah B. Garrett, Alissa Bernstein Sideman, Georges Naasan, Jennifer Merrilees, Eric Widera, Lynn Flint, Krista L. Harrison
Summary: This qualitative study aimed to understand the experiences of people living with dementia (PWD) and caregivers who received anticipatory guidance about dementia from a specialty dementia clinic. The results showed that participants felt they received incomplete or hesitant guidance on disease prognosis and course from their clinicians, and sought additional information from the internet, books, and support groups. They appreciated guidance on behavioral, safety, and communication issues from clinicians, but relied more on non-clinical sources for timely and advanced guidance, particularly regarding legal and financial planning.
JOURNAL OF ALZHEIMERS DISEASE
(2022)
Article
Health Care Sciences & Services
Claire K. Ankuda, Ashwin Kotwal, Jennifer Reckrey, Krista L. Harrison, Katherine A. Ornstein
Summary: This study examined the impact of COVID-19 on social contact and mood symptoms among previously homebound older adults. The results showed that older adults had limited social contact and experienced negative mood symptoms during the pandemic.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Elizabeth T. Trandel, Jane Lowers, Megan E. Bannon, Laura T. Moreines, Elisabeth P. Dellon, Patrick White, Sarah H. Cross, Tammie E. Quest, Keith Lagnese, Tamar Krishnamurti, Robert M. Arnold, Krista L. Harrison, Rachel E. Patzer, Li Wang, Ali John Zarrabi, Dio Kavalieratos
Summary: This study suggests that patients receiving expensive and/or complex treatments for palliation may have difficulty accessing hospice.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Kate G. Radcliffe, Madina Halim, Christine S. Ritchie, Marlon Maus, Krista L. Harrison
Summary: Care partners of people with dementia often rely on the support of healthcare providers to make decisions about care setting, but these providers are often ill-prepared to offer adequate counseling. This qualitative study identified the need for early, specific guidance from healthcare providers on transitions between home and long-term care. Current care partners expressed overwhelming uncertainty, while former care partners desired guidance on institutional placement or support for staying in the home. The findings highlight the importance of healthcare providers in assisting care partners throughout the dementia journey.
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
(2023)
Article
Health Care Sciences & Services
Lauren J. Hunt, Siqi Gan, Alexander K. Smith, Melissa D. Aldridge, W. John Boscardin, Krista L. Harrison, Jennifer E. James, Alexandra K. Lee, Kristine Yaffe
Summary: This study investigated the association between hospice quality and racial disparities in disenrollment among racial and ethnic minoritized people with dementia. The results showed that patients, both White and minority, were more likely to disenroll from hospice in low-quality facilities, especially in unrated ones. Additionally, minority patients were more likely to disenroll compared to White patients in both low- and high-quality hospices. Therefore, efforts to improve racial equity in hospice care should focus on increasing access to high-quality hospices and improving care for racial minority patients in all facilities.
JOURNAL OF PALLIATIVE MEDICINE
(2023)
Book Review
Communication
Krista L. Harrison
Article
Geriatrics & Gerontology
Kristie Y. Y. Hsu, Irena Cenzer, Krista L. L. Harrison, Christine S. S. Ritchie, Linda Waite, Ashwin Kotwal
Summary: This study investigated the prevalence of loneliness and depressive symptoms among older adults married to persons with cognitive impairment or dementia, and found that marital quality played a significant role in mediating these outcomes.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Editorial Material
Medicine, General & Internal
Krista L. Harrison, Nicole Boyd, Christine S. Ritchie
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Article
Medicine, General & Internal
Elan L. Guterman, Rachel E. Kiekhofer, Andrew J. Wood, I. Elaine Allen, James G. Kahn, Sarah Dulaney, Jennifer J. Merrilees, Kirby Lee, Winston Chiong, Stephen J. Bonasera, Tamara L. Braley, Lauren J. Hunt, Krista L. Harrison, Bruce L. Miller, Katherine L. Possin
Summary: Collaborative dementia care programs can reduce healthcare costs and provide a cost-effective model for dementia care.
JAMA INTERNAL MEDICINE
(2023)
Meeting Abstract
Health Care Sciences & Services
Kristie Hsu, Irena Cenzer, Krista Harrison, Christine Ritchie, Linda Waite
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Meeting Abstract
Health Care Sciences & Services
Melissa Aldridge, Jaison Moreno, Karen McKendrick, Lihua Li, Krista Harrison, Lauren Hunt, R. Sean Morrison
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
