Scanning the Headlines: Care Management

                                         

Updated on February 21, 2013  

Click here for Care Management Archive Bibliography

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Links to full-text articles are provided where available.
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Clark, C.  Dartmouth readmissions report shows scant progress.  HealthLeaders Media.  Feb. 12, 2013.  http://www.healthleadersmedia.com/content/LED-289181/Dartmouth-Readmissions-Report-Shows-Scant-Progress

Garcia, A., Pomykala, A., and Siegel, S.  U.S. health care is moving upstream.  Health Progress;94(1):7-13, Jan.-Feb. 2013.

Evashwick, C.  Public health for private health care.  Health Progress;94(1):15-19, Jan.-Feb. 2013.

Pestronk, R.M., Elligers, J.J., and Laymon, B.  Collaborating for healthy communities.  Health Progress;94(1):21-25, Jan.-Feb. 2013.

Crawford, M.  Catholic health systems steer the new course.  Health Progress;94(1):27-30, Jan.-Feb. 2013.

Lysaught, M.T.  Reverse innovation from the least of our neighbors.  Health Progress;94(1):45-52, Jan.-Feb. 2013.

Population health means doing business differently.  Health Progress;94(1):72-75, Jan.-Feb. 2013.

Berry, J., and others.  Pediatric readmission prevalence and variability across hospitals. Journal of American Medical Association (JAMA).  309(4):372-380, Jan. 23/30, 2013.  http://jama.jamanetwork.com/article.aspx?articleid=1558279#qundefined

Brock, J., and others.  Association between quality improvement for care transitions in communitie and rehospitalizations among Medicare beneficiaries.  Journal of American Medical Association (JAMA).  309(4):381-391, Jan. 23/30, 2013.  http://jama.jamanetwork.com/article.aspx?articleid=1558278#qundefined

Butcher, L.  Admission plan eases patient transition and care coordination.  Healthcare Financial Managment.  Dec. 14, 2012.  http://www.hfma.org/Publications/Leadership-Publication/Archives/E-Bulletins/2012/December/Admission-Plan-Eases-Patient-Transition-and-Care-Coordination/

Albert, B.  Navigating care management.  HFM;66(12):62-66, Dec. 2012.

McCarthy, D.  University of California, San Francisco Medical Center:  Reducing Readmissions Through Heart Failure Care Management.  New York:  Commonwealth Fund, Nov. 14, 2012.  http://www.hschange.org/CONTENT/1323/1323.pdf

Clark, C.  A trigger for hospital readmissions ID'd by geriatric experts.  HealthLeaders Media.  Oct.15, 2012.  http://www.healthleadersmedia.com/content/QUA-285422/A-Trigger-for-Hospital-Readmissions-IDd-by-Geriatric-Experts

Rau, J. Medicare revises hospitals' readmissions penalties.  KHN Kaiser Health News.  Oct. 3, 2012.  http://www.kaiserhealthnews.org/Stories/2012/October/03/medicare-revises-hospitals-readmissions-penalties.aspx

Whitney, E.  Hospitals need networks to prevent readmissions.  KHN Kaiser Health News.  Oct. 3, 2012.  http://www.kaiserhealthnews.org/Stories/2012/October/03/hospital-networks-readmissions-colorado.aspx

Elliott, V.  Insurers latest to champion medical homes.  American Medical News. Oct. 1, 2012.  http://www.ama-assn.org/amednews/2012/10/01/bil21001.htm

Hesselink, G., and others.  Improving patient handovers from hospital to primary care : a systematic review.  Annals of Internal Medicine; 157 (6) 417-428, Sept. 18,2012.  http://annals.org/article.aspx?articleid=1359221

Rau, J.  Hospital readmission rates dropping slightly, new study finds.  Capsules Kaiser Health News.  Sept. 14,2012.  http://capsules.kaiserhealthnews.org/index.php/2012/09/hospital-readmission-rates-dropping-slightly-new-study-finds/

Improving care transitions.  Better coordination of patient transfers among care sites and the community could save money and improve the quality care.  Health Affairs. Sept. 13, 2012.  http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2012/rwjf401314

Alphabet soup of care delivery transformation.  Alliance for Health Reform.  Sept. 10, 2012.  http://www.allhealth.org/briefing_detail.asp?bi=259

Spector, W., and others.  Transitions Between Nursing Homes and Hospital in the Elderly Population, 2009.  Rockville, MD:  Agency for Healthcare Research and Quality.  Sept. 2012.  http://www.hcup-us.ahrq.gov/reports/statbriefs/sb141.pdf

Evidence Report/Technology Assessment Number 208 Medication Adherence Interventions: Comparative Effectiveness.  Rockville, MD:  Agency for Healthcare Research and Quality. Sept. 2012.  http://www.effectivehealthcare.ahrq.gov/ehc/products/296/1248/EvidenceReport208_CQGMedAdherence_FinalReport_20120905.pdf

Qasim, M., and Andrews, R.  Post surgical readmissions among patients living in the poorest communities 2009.  Healthcare Cost and Utilization Project. Sept. 2012.  http://www.hcup-us.ahrq.gov/reports/statbriefs/sb142.pdf

Publisher is Medicare Payment Advisory Commission [MedPAC].  http://www.medpac.gov/transcripts/1012_presentation_ppv.pdf

Elliott, V.  Revised CPT book includes new codes for care coordination.  amednews.com.  Aug. 16, 2012. http://www.ama-assn.org/amednews/2012/08/13/bisf0816.htm

McGinnis, T.  Advancing Accountable Care Organizations in Medicaid.  New York:  Commonwealth Fund, Aug. 15, 2012.  http://www.commonwealthfund.org/Blog/2012/Aug/Advancing-Accountable-Care-Organizations-in-Medicaid.aspx?omnicid=20

Rau, J.  Medicare to penalize 2,211 hospitals for excess redmissions.  Kaiser Health News.  Aug. 13, 2012.  http://www.kaiserhealthnews.org/Stories/2012/August/13/medicare-hospitals-readmissions-penalties.aspx

Advanced Illness Management Stategies.  Chicago:  American Hospital Association, Aug. 2012.  http://www.aha.org/about/org/aim-strategies.shtml

Oh, J.  AF4Q hospitals improve readmissions, language services and other quality measures.  Becker's Hospital Review.  July 31, 2012.  http://www.beckershospitalreview.com/quality/af4q-hospitals-improve-readmissions-language-services-and-other-quality-measures.html

Rodak, S.  51 hospitals with the lowest 30-day readmission rates from heart failure.  Beckers' Hospital Review.  July 26, 2012.  http://www.beckershospitalreview.com/quality/51-hospitals-with-the-lowest-30-day-readmission-rates-from-heart-failure.html

Spoerl, B.  9 recently formed commercial ACOs.  Becker's Hospital Review.  July 23, 2012.  http://www.beckershospitalreview.com/hospital-physician-relationships/9-recently-formed-commercial-acos.html

Rau, J.  Medicare IDs few hospitals as outliers in readmissions.  Kaiser Health News.  July 23, 2012.  http://capsules.kaiserhealthnews.org/index.php/2012/07/medicare-ids-few-hospitals-as-outliers-in-readmissions/

Rau, J.  Hsopitals' readmissions rates not budging.  Washington Post.  July 19, 2012.  http://www.kaiserhealthnews.org/Stories/2012/July/20/hospital-readmissions-rates-still-high.aspx

Breakthroughs.  HealthLeaders Media.  July 9, 2012.  http://www.healthleadersmedia.com/breakthroughs/281599/Strategic-Solutions-for-the-Readmissions-Challenge

Mullin, E.  UPMC medical home slashes readmissions, cuts utilization costs.  Dorland Health.  July 6, 2012.  http://www.dorlandhealth.com/case_management/best_practice/UPMC-Medical-Home-Slashes-Readmissions-Cuts-Utilization-Costs_2355.html

O'Malley, A., and others.  After-Hours and Its Coordination with Primary Care in the U.S.  New York:  Commonwealth Fund, July 2, 2012.  http://www.commonwealthfund.org/~/media/Files/Publications/In%20the%20Literature/2012/Jul/1610OMalleyafterhourscareJGIM062012ITLv2.pdf

Murugan, V., Drozd, E., and Dietz, K.  Analysis of Care Coordination Outcomes a Comparison of the Mercy Care Plan Population.  Washington, DC:  Avalere. July, 2012.  http://www.avalerehealth.net/research/docs/20120627_Avalere_Mercy_Care_White_Paper.pdf

Cantlupe, J.  How coordinated care can ground frequent fliers.  HealthLeaders Media. June 7, 2012.  http://www.healthleadersmedia.com/content/PHY-280989/How-Coordinated-Care-Can-Ground-Frequent-Fliers

Medicare and the health care delivery system: report to Congress [includes chapters on care coordination]. Medicare Payment Advisory Commission, June 2012. http://www.medpac.gov/documents/Jun12_EntireReport.pdf

Schall, M., and others.  How-to Guide:  Improving Transitions from the Hospital to the Clinical Office Practice to Reduce Avoidable Rehospitalizations.  Cambridge, MA:  Insitutute for Healthcare Improvement, June 2012.  http://www.ihi.org/knowledge/Pages/Tools/HowtoGuideImprovingTransitionsHospitaltoOfficePracticeReduceRehospitalizations.aspx

Rutherford, P., and others.  How-to Guide:  Improving Transitions from the Hospital to Community Settings to Reduce Avoidable Rehospitalizations.  Cambridge, MA:  Insitutute for Healthcare Improvement, June 2012.  http://www.ihi.org/knowledge/Pages/Tools/HowtoGuideImprovingTransitionstoReduceAvoidableRehospitalizations.aspx

Herndon, L., and others.  How-to Guide:  Improving Transitions from the Hospital to Skilled Nursing Facilities to Reduce Avoidable Rehospitalizations.  Cambridge, MA:  Insitutute for Healthcare Improvement, June 2012.  http://www.ihi.org/knowledge/Pages/Tools/HowtoGuideImprovingTransitionHospitalSNFstoReduceRehospitalizations.aspx

Evdokimoff, S., and others.  How-to-Guide:  Improving Transitions from the Hospital to Home Health Care to Reduce Avoidable Rehospitalizations.  Cambridge, MA:  Insitutute for Healthcare Improvement, June 2012.  http://www.ihi.org/knowledge/Pages/Tools/HowtoGuideImprovingTransitionsfromHospitaltoHomeHealthCareReduceAvoidableHospitalizations.aspx

Johnson, T., and others.  Hospital care may not affect the risk of readmission.  Quality Management in Health Care.  21(2):68-73, Apr./June 2012.  http://journals.lww.com/qmhcjournal/Abstract/2012/04000/Hospital_Care_May_Not_Affect_the_Risk_of.2.aspx

Commins, J.  Minnesota 'health care homes' model shows promise.  HealthLeaders Media.  May 30, 2012.  http://www.healthleadersmedia.com/content/COM-280711/Minnesota-Health-Care-Homes-Model-Shows-Promise

Medical Homes 101.  Washington, DC:  Grant Makers Health.  May 21, 2012.  http://www.gih.org/files/FileDownloads/Issue_Focus_MedicalHomes_5-21-12.pdf

Berenson, J., and others.  Achieving Better Quality of Care for Low-Income Populations:  The Roles of Health Insurance and the Medical Home in Reducig Health Inequities.  New York:  The Commonwealth Fund, May 16, 2012.  http://www.commonwealthfund.org/Publications/Issue-Briefs/2012/May/Achieving-Better-Quality-of-Care-for-Low-Income-Populations.aspx

Taylor, M.  Hospital engagement networks:  10 big goals in 2 short years.  H&HN.  May 5, 2012.  http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/Article/data/05MAY2012/0512HHN_FEA_qualitymatters&domain=HHNMAG

Chapter 6: Care Coordination. IN: National Healthcare Quality Report, 2011. Agency for Healthcare Research and Quality, Apr. 2012. http://www.ahrq.gov/qual/nhqr11/chap6.htm

Birk, S.  Reducing hospital readmissions.  Healthcare Executive;27(2):17-20, 22, 24, Mar.-Apr. 2012.

Clark, C.  30-day readmissions rule under two-pronged attack.  HealthLeaders Media.  Mar. 29, 2012.  http://www.healthleadersmedia.com/content/FIN-278312/30Day-Readmissions-Rules-Under-TwoPronged-Attack

Clark, C.  10 things we don't know about looming readmission penalties.  HealthLeaders Media.  Mar. 29, 2012.  http://www.healthleadersmedia.com/content/QUA-278331/10-Things-We-Dont-Know-About-Looming-Readmission-Penalties

Lumpkin, J., and others.  Expanding "hot spotting" to new communities; a policy briefing on what RWJF is learning about coordinating health care for high-utilizers.  Robert Wood Johnson Foundation, Mar. 29, 2012.  http://www.rwjf.org/qualityequality/product.jsp?id=74139&cid=XEM_A5870

Joynt, K., and Jha, A. Thirty-day readmissions ---- truth and consequences.  New England Journal of Medicine.  Mar. 28, 2012.  http://www.nejm.org/doi/full/10.1056/NEJMp1201598?query=featured_home

Berenson, R., Paulus, R., and Kalman, N.  Medicare's readmssions-reduction program ---- a positive alternative.  Mar. 28, 2012.  http://www.nejm.org/doi/full/10.1056/NEJMp1201268?query=featured_home

Yeh, R., and others. Sources of Hospital Variation in Short-Term Readmission Rates After Percutaneous Coronary Intervention. Circulation: Cardiovascular Interventions. 5:227-236, online pre-print release, Mar. 20, 2012. http://circinterventions.ahajournals.org/content/5/2/227.abstract.

Rosenthal, M., and others.  Recommended Core Measures for Evaluating the Patient-Centered Medical Home:  Cost, Utilization, and Clinical Quality.  New York:  Commonwealth Fund, May 16, 2012.  http://www.commonwealthfund.org/Publications/Data-Briefs/2012/May/Measures-Medical-Home.aspx?omnicid=20

Clark, C.  Readmission more likely for non-surgical.  HealthLeaders Media.  Mar. 9, 2012.  http://www.healthleadersmedia.com/content/QUA-277534/Readmission-More-Likely-for-Nonsurgical-Patients##

Patient Centered Medical Homes: a New Era in Primary Care.  Washington, DC:  National Business Coalition on Health.  March, 2012.  http://nbch.org/nbch/files/ccLibraryFiles/Filename/000000002173/Final_PCMH.pdf

Hines, P., and Maglio, B.  Reducing hospital readmissions.  H&HN.  Feb. 2, 2012.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=8620007299

30-day Readmissions following Hospitalizations for Chronic vs. Acute Conditions, 2008. Agency for Healthcare Research and Quality, HCUP Statistical Brief #127, Feb. 2012. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb127.pdf.

Early Evidence on the Patient-Centered Medical Home.  Rockville, MD:  Agency for Healthcare and Quality, Feb. 2012.  http://pcmh.ahrq.gov/portal/server.pt/gateway/PTARGS_0_11787_957210_0_0_18/EarlyEvidence on the PCMH 2 28 12.pdf

Podulka, J., and others. 30-day readmissions following hospitalizations for chronic vs. acute conditions, 2008.  Rockville, MD:  Agency for Healthcare Research and Quality, Feb. 2012.  http://www.hcup-us.ahrq.gov/reports/statbriefs/sb127.pdf

Lourde, K.  Physicians moving in.  Provider.  38(2):22-23, 25-26, 28, 30, 32-33, Feb. 2012.  http://www.providermagazine.com/archives/archives-2012/Pages/0212/Physicians-Moving-In.aspx?PF=1 

Coordination strategy for post acute care and long term care performance measurement.  National Quality Forum.  Feb. 2012.  http://www.qualityforum.org/Setting_Priorities/Partnership/PAC-LTC_Final_Report.aspx

Lindeman, S., and Lyke, J.P.  Smooth transitions reduce hospital visits.  Provider.  38(2):35-36, 38, Feb. 2012.  http://www.providermagazine.com/archives/archives-2012/Pages/0212/Smooth-Transitions-Reduce-Hospital-Visits.aspx?PF=1

Tocknell, M.  CBO report on Medicare demos draws mixed response.  HealthLeaders Media.  Jan. 23, 2012.  http://www.healthleadersmedia.com/content/LED-275660/CBO-Report-on-Medicare-Demos-Draws-Mixed-Response##

Nelson, L.  Lessons From Medicare's Demonstration Projects on Disease Management, Care Coordination, and Value-Based Payment.  Washington:  Congressional Budget Office, Jan. 18, 2012.  http://www.cbo.gov/doc.cfm?index=12663

Coordinating Care for Adults With Complex Care Needs in the Patient-Centered Medical Home:  Challenges and Solutions.  Rockville, MD:  Agency for Healthcare Research and Quality, Jan. 2012.  http://pcmh.ahrq.gov/portal/server.pt/gateway/PTARGS_0_12547_956303_0_0_18/1712_Coordinating Care for Adults with Complex Care Needs.pdf

American Hospital Association.  Bringing Behavioral Health into the Care Continuum: Opportunities to Improve Quality, Costs and Outcomes.  Trendwatch, Jan. 2012.  http://www.aha.org/research/reports/tw/12jan-tw-behavhealth.pdf

Achieving Team-Based Health Care Delivery.  Chicago:  American Hospital Association, 2012.  http://www.ahaphysicianforum.org/files/pdf/team-delivery-report.pdf

Nielsen, M., and others.  Benefits of Implementing the Primary Care Patient Centered Medical Home.  Washington, DC:  Patient Centered Primary Care Collaborative. 2012.  http://www.pcpcc.net/files/benefits_of_implementing_the_primary_care_pcmh_0.pdf

Griffin, R., Harden, F., and Nolan, C.  Using Care Bundles to Improve Health Care Quality.  Cambridge, MA:  Institute for Healthcare Improvement, 2012.  http://www.ihi.org/knowledge/Pages/IHIWhitePapers/UsingCareBundles.aspx

Dhalla, I., and others.  Toward safer transitions:  How can we reduce post-discharge adverse events?  Healthcare Quarterly.  15(Special issue):63-67, 2012.  http://www.longwoods.com/content/22839

Living Well with Chronic Illness:  A Call for Public Health Action.  Washington:  The National Academies Press, 2012.  http://www.nap.edu/catalog.php?record_id=13272&utm_medium=etmail&utm_source=The%20National%20Academies%20Press&utm_campaign=NAP+mail+new+5.08.12+B&utm_content=Web&utm_term