Jung S, Rosini JM, Nomura JT, Caplan RJ, Raser-Schramm J J Stroke Cerebrovasc Dis 2019 Dec;28(12):104329 PMID: 31607439 Abstract BACKGROUND AND PURPOSE: The timely administration of thrombolytic therapy for acute ischemic stroke has been associated with good functional outcomes. Current guidelines recommend alteplase administration within 60 minutes in 75% of eligible patients and within 45
Category: Medicine
Impact of care coordination based on insurance and zip code
Goldstein JN, Shinwari M, Kolm P, Elliott DJ, Weintraub WS, Hicks LS Am J Manag Care 2019 06;25(6):e173-e178 PMID: 31211549 Abstract OBJECTIVES: To examine whether a care transitions program, Bridges, differentially reduced rehospitalizations among patients who underwent percutaneous coronary intervention (PCI) based on insurance status and zip code poverty level. STUDY DESIGN: Retrospective observational cohort.
Continue reading Impact of care coordination based on insurance and zip code
“Implications of cost-sharing for observation care among Medicare beneficiaries: a pilot survey”
Goldstein JN, Schwartz JS, McGraw P, Hicks LS BMC Health Serv Res 2019 Mar;19(1):149 PMID: 30845953 Abstract BACKGROUND: Medicare beneficiaries hospitalized under observation status have significant cost-sharing responsibilities under Medicare Part B. Prior work has demonstrated an association between increased cost-sharing and health care rationing among low-income Medicare beneficiaries. The objective of this study was
The Unmet Need for Postacute Rehabilitation Among Medicare Observation Patients: A Single-Center Study
Goldstein JN, Schwartz JS, McGraw P, Banks TL, Hicks LS J Hosp Med 2017 03;12(3):168-172 PMID: 28272593 Abstract BACKGROUND: Medicare beneficiaries admitted under observation status must pay for postacute inpatient rehabilitation (PAIR) services, out of pocket, at potentially prohibitive costs. OBJECTIVE: To determine if there is an unmet need for PAIR among Medicare observation patients
Observation Status, Poverty, and High Financial Liability Among Medicare Beneficiaries
Goldstein JN, Zhang Z, Schwartz JS, Hicks LS Am. J. Med. 2018 Jan;131(1):101.e9-101.e15 PMID: 28774801 Abstract BACKGROUND: Medicare beneficiaries hospitalized under observation status are subject to cost-sharing with no spending limit under Medicare Part B. Because low-income status is associated with increased hospital use, there is concern that such beneficiaries may be at increased risk
Is the Care Transitions Measure Associated with Readmission Risk? Analysis from a Single Academic Center
Goldstein JN, Hicks LS, Kolm P, Weintraub WS, Elliott DJ J Gen Intern Med 2016 07;31(7):732-8 PMID: 26868279 Abstract BACKGROUND: It is widely hypothesized that improvement in transitions of care will reduce unplanned hospital readmissions. However, the association between the Care Transitions Measure, the national quality metric for transitions of care and readmission risk, has
Race, Pain, and Beliefs Associated with Interest in Complementary and Alternative Medicine among Inner City Veterans
Goldstein JN, Ibrahim SA, Frankel ES, Mao JJ Pain Med 2015 Aug;16(8):1467-74 PMID: 26287564 Abstract OBJECTIVE: To investigate the prevalence and determinants of complementary and alternative medicine (CAM) interest level among a racially diverse cohort of inner city veterans who receive primary care at the VA Medical Center. DESIGN: Cross-sectional survey study SETTING: Philadelphia VA
Carrots and Sticks: Achieving High Healthcare Personnel Influenza Vaccination Rates without a Mandate
Drees M, Wroten K, Smedley M, Mase T, Schwartz JS Infect Control Hosp Epidemiol 2015 Jun;36(6):717-24 PMID: 25721404 Abstract OBJECTIVE Achieving high healthcare personnel (HCP) influenza vaccination rates has typically required mandating vaccination, which is often challenging to implement. Our objective was to achieve >90% employee influenza vaccination without a mandate. DESIGN Prospective quality improvement
Christiana Care presenters at Society of General Internal Medicine regional, national meetings
Christiana Care experts presented at the Society of General Internal Medicine regional meeting, New York, N.Y., in March and the national meeting in San Diego, Calif., in April: Edward Ewen, M.D., Sara Schenk, M.D., John Donnelly, M.D., presented “Embracing the Huddle in a Resident Teaching Clinic.” Vishal Patel, M.D., William Weintraub, M.D., Edmondo Robinson, M.D.,
Cost-effectiveness of a standard intervention versus a navigated intervention on colorectal cancer screening use in primary care
Lairson DR, Dicarlo M, Deshmuk AA, Fagan HB, Sifri R, Katurakes N, Cocroft J, Sendecki J, Swan H, Vernon SW, Myers RE Cancer 2014 Apr;120(7):1042-9 PMID: 24435411 Abstract BACKGROUND: Colorectal cancer (CRC) screening is cost-effective but underused. The objective of this study was to determine the cost-effectiveness of a mailed standard intervention (SI) and tailored