Article
Health Care Sciences & Services
Susan E. Stockdale, Marian L. Katz, Alicia A. Bergman, Donna M. Zulman, Angela Denietolis, Evelyn T. Chang
Summary: The study explores the potential value of strengthening PCMH teams to address complex patient needs and identifies the necessary supports and capabilities for better managing these patients. Detailed interviews and analysis of PCMH teams reveal they are already performing most IPC tasks, but may require additional training and resources.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Health Care Sciences & Services
Marcy G. Antonio, Selena Davis, Mindy Smith, Paul Burgener, Morgan Price, Danielle C. Lavallee, Sarah Fletcher, Francis Lau
Summary: Through this study, we have conceptualized five team-based patient-centered measurement methods. These methods can provide greater clarity of care-team roles and responsibilities, guide the incorporation of patient-centered measurement into ongoing provider-patient interactions, evaluate a team's readiness toward digital tool adoption, and engage teams in patient-centered quality improvement. These methods also promote patient-provider interactions, validate patient perspectives of their care, and evaluate the quality of patient-centered care.
Article
Primary Health Care
Jonathan G. Shaw, Marcy Winget, Cati Brown-Johnson, Timothy Seay-Morrison, Donn W. Garvert, Marcie Levine, Nadia Safaeinili, Megan R. Mahoney
Summary: The study assessed the impact of the Primary Care 2.0 model on team development and burnout, finding that team collaboration is a key factor in preventing burnout but is not sufficient on its own. The results emphasize the importance of ongoing institutional commitment and efforts in transitioning to team-based care.
ANNALS OF FAMILY MEDICINE
(2021)
Article
Geriatrics & Gerontology
Caitlin S. Chan, Darlene Davis, Dayna Cooper, Thomas Edes, Ciaran S. Phibbs, Orna Intrator, Bruce Kinosian
Summary: The study evaluated whether the Department of Veterans Affairs home-based primary care has adopted the flexible structure of the PACE regulation to align with the needs of veterans. The results showed a strong association between HBPC team patterns and patient frailty, indicating tailored care to match veteran needs.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Medicine, General & Internal
Alexis Amano, Cati G. Brown-Johnson, Marcy Winget, Amrita Sinha, Shreya Shah, Christine A. Sinsky, Christopher Sharp, Tait Shanafelt, Kelley Skeff
Summary: This qualitative study reveals that electronic health records (EHRs) serve as the dominant communication modality among healthcare teams, facilitating straightforward and task-related communication but limiting rich and social communication. The use of EHRs negatively impacts team function and team well-being. The findings highlight the need for interventions to cultivate interpersonal interactions and improve team function to complement the efficiency benefits of health information technology.
Review
Multidisciplinary Sciences
Andrea Schaller, Teresa Klas, Madeleine Gernert, Kathrin Steinbeisser
Summary: Working in the nursing sector is accompanied by great physical and mental health burdens. It is necessary to develop target-oriented, sustainable profession-specific support and health promotion measures for nurses. Research on setting-specific differences of nurses' health problems and violence experiences is insufficient currently.
Article
Health Care Sciences & Services
Susan Enguidanos, Sindy Lomeli, Alexis Coulourides Kogan, Anna Rahman, Nicole Lewis
Summary: This study investigates the perspectives of home-based palliative care agencies on barriers encountered in identifying, referring, and enrolling patients eligible for home-based palliative care. The study reveals that lack of payment structures, agency structure limitations, patient and family-level barriers, and physician-level barriers are the main challenges faced by home-based palliative care agencies. Efforts are needed to overcome these barriers and ensure patient access to home-based palliative care.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Article
Medicine, General & Internal
Zhigang Xie, Sandhya Yadav, Samantha A. Larson, Arch G. Mainous, Young-Rock Hong
Summary: This study found no meaningful difference in quality of care, patient experience, health care utilization, or health care expenditures between respondents cared for by PCMH and non-PCMH.
Article
Geriatrics & Gerontology
Grace Sum, Soon Hoe Ho, Zoe Zon Be Lim, Junxing Chay, Mimaika Luluina Ginting, Mary Ann Tsao, Chek Hooi Wong
Summary: The study investigated the impact of implementing the PCMH model in primary care on quality of life and patient activation. Results show evidence of improved needs satisfaction and patient activation with the PCMH intervention.
Article
Primary Health Care
James W. Mold, F. Daniel Duffy
Summary: The development of patient-centered medical homes in the United States aimed to improve patients' experiences of care. However, the disease-oriented medical model has created barriers for patients, leading to increased complexity and limited collaborative decision making. Person-centered care, focusing on the aspirations of individuals seeking assistance, offers alternative approaches to address health problems and enhance overall well-being.
ANNALS OF FAMILY MEDICINE
(2022)
Article
Health Care Sciences & Services
Caroline S. Carlin, Kevin Peterson, Leif I. Solberg
Summary: The study found that the first cohort of practices achieving PCMH certification did not show significant changes in optimal care, while the second cohort achieved significant improvements in quality of care around the time of certification. This suggests that pre-certification performance levels may impact the extent of changes needed post-certification.
HEALTH SERVICES RESEARCH
(2021)
Article
Oncology
Jessica Wihl, Linn Rosell, Tobias Carlsson, Sara Kinhult, Gert Lindell, Mef Nilbert
Summary: By observing case discussions in various MDT meetings, it was found that physical status information of patients was frequently provided during the decision-making process, while nonmedical factors and treatment preferences of patients were rarely mentioned. To support robust MDT decision-making, there is a need to define data elements and develop reporting standards.
Article
Education & Educational Research
Rebecca Gendelman, Heidi Preis, Latha Chandran, Robyn J. Blair, Maribeth Chitkara, Susmita Pati
Summary: By implementing a multi-pronged approach that utilized existing educational infrastructure, the academic medical center successfully trained faculty, residents, and medical students to meet PCMH standards. This led to cultural changes, improved care, and annual PCMH recognition with minimal effort.
BMC MEDICAL EDUCATION
(2021)
Article
Urology & Nephrology
Osama El Shamy, Graham Abra, Christopher Chan
Summary: The article discusses the complexity and multifactorial nature of writing a home hemodialysis prescription, emphasizing the importance of considering patient values, preferences, and lifestyle. It also introduces different home HD modalities and machines, along with their attributes and limitations, to guide providers in delivering a patient-centered home HD approach.
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2023)
Article
Clinical Neurology
Timothy Morgenthaler, Emily A. Linginfelter, Peter C. Gay, Sandra E. Anderson, Daniel Herold, Virginia Brown, Joseph M. Nienow
Summary: As more patients rely on mechanical or electronic technologies for treatment, medical device recalls can have significant impacts on patients, causing anxiety, extra costs, and interruptions of care. Having an established and well-organized medical device recall plan in place allows for a rapid and effective response, reducing the burden on healthcare providers and alleviating patient anxiety through clear communication.
JOURNAL OF CLINICAL SLEEP MEDICINE
(2022)
Article
Geriatrics & Gerontology
Sarah Fishleder, Miruna Petrescu-Prahova, Jeffrey R. Harris, Brian Leroux, Kimberly Bennett, Christian D. Helfrich, Marlana Kohn, Peggy Hannon
JOURNAL OF GERIATRIC PHYSICAL THERAPY
(2019)
Article
Medicine, Research & Experimental
Marina S. McCreight, Anne Lambert-Kerzner, Colin I. O'Donnell, Gary K. Grunwald, Paul Hebert, Michael Gillette, Hani Jneid, Amitabh Parashar, Paul M. Grossman, Christian Helfrich, Kreton Mavromatis, Girotra Saket, P. Michael Ho
CONTEMPORARY CLINICAL TRIALS
(2019)
Article
Health Care Sciences & Services
Krysttel Stryczek, Colby Lea, Chris Gillespie, George Sayre, Scott Wanner, Seppo T. Rinne, Renda Soylemez Wiener, Laura Feemster, Edmunds Udris, David H. Au, Christian D. Helfrich
JOURNAL OF GENERAL INTERNAL MEDICINE
(2020)
Article
Health Care Sciences & Services
Alvaro Sanchez, Jose Ignacio Pijoan, Susana Pablo, Marta Mediavilla, Rita Sainz de Rozas, Itxasne Lekue, Susana Gonzalez-Larragan, Gaspar Lantaron, Jon Argote, Arturo Garcia-Alvarez, Pedro Maria Latorre, Christian D. Helfrich, Gonzalo Grandes
IMPLEMENTATION SCIENCE
(2020)
Article
Public, Environmental & Occupational Health
Melanie C. Goebel, Barbara W. Trautner, Yiqun Wang, John N. Van, Laura M. Dillon, Payal K. Patel, Dimitri M. Drekonja, Christopher J. Graber, Bhavarth S. Shukla, Paola Lichtenberger, Christian D. Helfrich, Anne Sales, Larissa Grigoryan
AMERICAN JOURNAL OF INFECTION CONTROL
(2020)
Review
Cardiac & Cardiovascular Systems
Joyonna Carrie Gamble-George, Christopher T. Longenecker, Allison R. Webel, David H. Au, Arleen F. Brown, Hayden Bosworth, Kristina Crothers, William E. Cunningham, Kevin A. Fiscella, Alison B. Hamilton, Christian D. Helfrich, Joseph A. Ladapo, Amneris Luque, Jonathan N. Tobin, Gail E. Wyatt
PROGRESS IN CARDIOVASCULAR DISEASES
(2020)
Article
Multidisciplinary Sciences
Toral J. Parikh, Krysttel C. Stryczek, Chris Gillespie, George G. Sayre, Laura Feemster, Edmunds Udris, Barbara Majerczyk, Seppo T. Rinne, Renda Soylemez Wiener, David H. Au, Christian D. Helfrich
Article
Health Care Sciences & Services
Ryan Sterling, Seppo T. Rinne, Ashok Reddy, Megan Moldestad, Peter Kaboli, Christian D. Helfrich, Nora B. Henrikson, Karin M. Nelson, Catherine Kaminetzky, Edwin S. Wong
Summary: The study identified key workplace climate predictors of burnout among primary care physicians in the healthcare system, highlighting the importance of workload and organization satisfaction in addressing physician burnout.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Public, Environmental & Occupational Health
Nagham J. Ailabouni, Emily Reeve, Christian D. Helfrich, Sarah N. Hilmer, Bradley H. Wagenaar
Summary: Implementation science can address limitations in translating deprescribing recommendations into practice and policy, and three main avenues are proposed to achieve this.
RESEARCH IN SOCIAL & ADMINISTRATIVE PHARMACY
(2022)
Article
Medicine, Research & Experimental
Kristine Beaver, Diana Naranjo, Jacob Doll, Charles Maynard, Leslie Taylor, Mary Plomondon, Stephen Waldo, Christian D. Helfrich, Sunil Rao
Summary: The study aims to test a team-based coaching intervention to increase the use of TRA, using a stepped-wedge cluster-randomized trial in Department of Veterans Affairs cardiac catheterization laboratories. Findings from this trial can inform future research to facilitate change in the cardiac catheterization laboratory.
CONTEMPORARY CLINICAL TRIALS
(2021)
Article
Medicine, General & Internal
Linnaea Schuttner, Bjarni Haraldsson, Charles Maynard, Christian D. Helfrich, Ashok Reddy, Toral Parikh, Karin M. Nelson, Edwin Wong
Summary: This study found that low-value breast, cervical, and colorectal cancer screenings were rare in the Veterans Health Administration, but more than one-third of patients screened for prostate cancer were tested outside of clinical practice guidelines. Guideline-discordant care has quality implications and is not consistently explained by associated multilevel factors.
Review
Health Care Sciences & Services
Laura J. Damschroder, Andrew J. Knighton, Emily Griese, Sarah M. Greene, Paula Lozano, Amy M. Kilbourne, Diana S. M. Buist, Karen Crotty, A. Rani Elwy, Lee A. Fleisher, Ralph Gonzales, Amy G. Huebschmann, Heather M. Limper, NithyaPriya S. Ramalingam, Katherine Wilemon, P. Michael Ho, Christian D. Helfrichfcr
Summary: Embedding research within health systems can accelerate implementation of evidence-based innovations. A workgroup developed 12 recommendations to optimize impact of embedded researchers within health systems, targeted at researchers, funders, and health systems. Consensus for an ideal foundation to support optimal embedded research is one that maximizes learning, aligns goals across all stakeholders, and implements EBIs consistently and timely.
HEALTHCARE-THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION
(2021)
Review
Cardiac & Cardiovascular Systems
David E. Winchester, Justin Merritt, Nida Waheed, Hannah Norton, Veena Manja, Nishant R. Shah, Christian D. Helfrich
Summary: The study assessed the effect of implementing American College of Cardiology appropriate use criteria (AUC) in clinical practice and found that most efforts resulted in reductions in inappropriate/rarely appropriate care. Various strategies were used, with education being the most common intervention, but few studies explored why these strategies were effective.
EUROPEAN HEART JOURNAL-QUALITY OF CARE AND CLINICAL OUTCOMES
(2021)
Article
Health Care Sciences & Services
Joseph A. Simonetti, Walter L. Clinton, Leslie Taylor, Alaina Mori, Stephan D. Fihn, Christian D. Helfrich, Karin Nelson
HEALTHCARE-THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION
(2020)
Article
Public, Environmental & Occupational Health
Meagan C. Brown, Jeffrey R. Harris, Kristen Hammerback, Marlana J. Kohn, Amanda T. Parrish, Gary K. Chan, India J. Ornelas, Christian D. Helfrich, Peggy A. Hannon
AMERICAN JOURNAL OF HEALTH PROMOTION
(2020)