Journal of Clinical Outcomes Management最新文献_第3页

Quality of Life and Population Health in Behavioral Health Care: A Retrospective, Cross-Sectional Study 行为健康护理中的生活质量与人群健康:一项回顾性横断面研究

Journal of Clinical Outcomes Management Pub Date : 2022-11-01 DOI: 10.12788/jcom.0114

W. M. Drymalski

{"title":"Quality of Life and Population Health in Behavioral Health Care: A Retrospective, Cross-Sectional Study","authors":"W. M. Drymalski","doi":"10.12788/jcom.0114","DOIUrl":"https://doi.org/10.12788/jcom.0114","url":null,"abstract":"Objectives: The goal of this study was to determine whether a single-item quality of life (QOL) measure could serve as a useful population health–level metric within the Quadruple Aim framework in a publicly funded behavioral health system. Design: This was a retrospective, cross-sectional study that examined the correlation between the single-item QOL measure and several other key measures of the social determinants of health and a composite measure of acute service utilization for all patients receiving mental health and substance use services in a community behavioral health system. Methods: Data were collected for 4488 patients who had at least 1 assessment between October 1, 2020, and September 30, 2021. Data on social determinants of health were obtained through patient self-report; acute service use data were obtained from electronic health records. Results: Statistical analyses revealed results in the expected direction for all relationships tested. Patients with higher QOL were more likely to report “Good” or better self-rated physical health, be employed, have a private residence, and report recent positive social interactions, and were less likely to have received acute services in the previous 90 days. Conclusion: A single-item QOL measure shows promise as a general, minimally burdensome whole-system metric that can function as a target for population health management efforts in a large behavioral health system. Future research should explore whether this QOL measure is sensitive to change over time and examine its temporal relationship with other key outcome metrics.","PeriodicalId":15393,"journal":{"name":"Journal of Clinical Outcomes Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48122875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers to System Quality Improvement in Health Care 卫生保健系统质量改进的障碍

Journal of Clinical Outcomes Management Pub Date : 2022-09-01 DOI: 10.12788/jcom.0110

E. Barkoudah

引用次数: 0

Abbreviated Delirium Screening Instruments: Plausible Tool to Improve Delirium Detection in Hospitalized Older Patients 简易谵妄筛查仪器:提高住院老年患者谵妄检测的可行工具

Journal of Clinical Outcomes Management Pub Date : 2022-09-01 DOI: 10.12788/jcom.0111

Doan

引用次数: 0

Improving Inpatient COVID-19 Vaccination Rates Among Adult Patients at a Tertiary Academic Medical Center 提高高等院校医疗中心成年患者新冠肺炎住院疫苗接种率

Journal of Clinical Outcomes Management Pub Date : 2022-09-01 DOI: 10.12788/jcom.0108

Guzmán

{"title":"Improving Inpatient COVID-19 Vaccination Rates Among Adult Patients at a Tertiary Academic Medical Center","authors":"Guzmán","doi":"10.12788/jcom.0108","DOIUrl":"https://doi.org/10.12788/jcom.0108","url":null,"abstract":"Objective: Inpatient vaccination initiatives are well described in the literature. During the COVID-19 pandemic, hospitals began administering COVID-19 vaccines to hospitalized patients. Although vaccination rates increased, there remained many unvaccinated patients despite community efforts. This quality improvement project aimed to increase the COVID-19 vaccination rates of hospitalized patients on the medicine service at the George Washington University Hospital (GWUH). Method(s): From November 2021 through February 2022, we conducted a Plan-Do-Study-Act (PDSA) cycle with 3 phases. Initial steps included gathering baseline data from the electronic health record and consulting stakeholders. The first 2 phases focused on educating housestaff on the availability, ordering process, and administration of the Pfizer vaccine. The third phase consisted of developing educational pamphlets for patients to be included in their admission packets. Result(s): The baseline mean COVID-19 vaccination rate (August to October 2021) of eligible patients on the medicine service was 10.7%. In the months after we implemented the PDSA cycle (November 2021 to February 2022), the mean vaccination rate increased to 15.4%. Conclusion(s): This quality improvement project implemented measures to increase administration of the Pfizer vaccine to eligible patients admitted to the medicine service at GWUH. The mean vaccination rate increased from 10.7% in the 3 months prior to implementation to 15.4% during the 4 months post implementation. Other measures to consider in the future include increasing the availability of other COVID-19 vaccines at our hospital and incorporating the vaccine into the admission order set to help facilitate vaccination early in the hospital course. Copyright © 2022 Turner White Communications Inc.. All rights reserved.","PeriodicalId":15393,"journal":{"name":"Journal of Clinical Outcomes Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48780697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Diabetes Population Health Innovations in the Age of COVID-19: Insights From the T1D Exchange Quality Improvement Collaborative 新冠肺炎时代糖尿病人群健康创新：来自T1D交换质量改进协作的见解

Journal of Clinical Outcomes Management Pub Date : 2022-09-01 DOI: 10.12788/jcom.0109

Mungmode

{"title":"Diabetes Population Health Innovations in the Age of COVID-19: Insights From the T1D Exchange Quality Improvement Collaborative","authors":"Mungmode","doi":"10.12788/jcom.0109","DOIUrl":"https://doi.org/10.12788/jcom.0109","url":null,"abstract":"There have been remarkable innovations in diabetes management since the start of the COVID-19 pandemic, but these groundbreaking innovations are drawing limited focus as the field focuses on the adverse impact of the pandemic on patients with diabetes. This article reviews select population health innovations in diabetes management that have become available over the past 2 years of the COVID-19 pandemic from the perspective of the T1D Exchange Quality Improvement Collaborative, a learning health network that focuses on improving care and outcomes for individuals with type 1 diabetes (T1D). Such innovations include expanded telemedicine access, collection of real-world data, machine learning and artificial intelligence, and new diabetes medications and devices. In addition, multiple innovative studies have been undertaken to explore contributors to health inequities in diabetes, and advocacy efforts for specific populations have been successful. Looking to the future, work is required to explore additional health equity successes that do not further exacerbate inequities and to look for additional innovative ways to engage people with T1D in their health care through conversations on social determinants of health and societal structures. Copyright © 2022 Turner White Communications Inc.. All rights reserved.","PeriodicalId":15393,"journal":{"name":"Journal of Clinical Outcomes Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48783244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Deprescribing in Older Adults in Community and Nursing Home Settings 社区和疗养院环境中老年人的描述

Journal of Clinical Outcomes Management Pub Date : 2022-09-01 DOI: 10.12788/jcom.0112

Hung

引用次数: 1

Comorbidity Coding and Its Impact on Hospital Complexity 共病编码及其对医院复杂性的影响

Journal of Clinical Outcomes Management Pub Date : 2022-07-01 DOI: 10.12788/jcom.0101

Kerguelen

引用次数: 0

Trastuzumab Deruxtecan in HER2-Positive Breast Cancer 曲妥珠单抗治疗HER2阳性乳腺癌症

Journal of Clinical Outcomes Management Pub Date : 2022-07-01 DOI: 10.12788/jcom.0104

Isaac

引用次数: 2

The Mission of Continuous Improvement in Health Care: A New Era for Clinical Outcomes Management 持续改进医疗保健的使命：临床结果管理的新时代

Journal of Clinical Outcomes Management Pub Date : 2022-07-01 DOI: 10.12788/jcom.0106

Barkoudah

引用次数: 0

Improving Epistaxis Knowledge and Management Among Nursing Staff 提高护理人员鼻出血知识和管理水平

Journal of Clinical Outcomes Management Pub Date : 2022-07-01 DOI: 10.12788/jcom.0100

Nelson

引用次数: 0