Explore the latest in health care quality, including evaluations of quality measures and incentives, value-based purchasing, and more.
This cross-sectional study analyzes length of stay, costs, readmission rates, and adverse events associated with care provided for US pediatric patients by hospitalists vs general pediatricians.
This Special Communication describes the vision health challenges in the United States as well as the proposed improvements and action steps in the 2016 publication Making Eye Health a Population Health Imperative: Vision for Tomorrow.
This national cohort study assesses the quality of hospital outcomes by determining the correlation between mortality after surgical aortic valve replacement procedures and mortality at 30 days and 1 year after transcathether aortic valve replacement procedures.
This study quantifies variation in provision of low-value health care services among primary care physicians and estimates the proportion of variation attributable to physician characteristics that may be indicative of performance among Medicare beneficiaries.
This survey of Medicare claims data compares the medical and financial performance of hospitals that exited and hospitals that remained in the Comprehensive Care for Joint Replacement Program.
This randomized clinical trial evaluates the effectiveness of IMPaCT, a patient-centered program that uses trained community health workers to assist patients receiving treatment at 3 different facilities with the socioeconomic and behavioral aspects of their health.
This cross-sectional study examines 30-day risk-standardized mortality rates for coronary artery bypass grafting, acute myocardial infarction, and heart failure at top-ranked US News & World Report cardiology vs nonranked hospitals.
This Viewpoint calls out the limited evidence supporting current pay-for-improvement incentives in the US, and argues that performance improvement programs that emphasize nonfinancial rewards, resources for quality improvement, and team-based recognition would be more consistent with physician motivation and professionalism and would be worth evaluating as a means to reduce health care costs and waste and improve quality.
This Patient Page describes an ideal care coordination system for children with complex or chronic health needs.
This Viewpoint states 10 assumptions about what principles are best for pediatric care coordination.
This quality improvement study examines the rate of surgical adverse events in US Veterans Health Administration medical centers from 2010 to 2017 and compares it with rates from previous studies.
This study compares nationwide medical and surgical readmission rates in patients with and without serious mental illness.
This nationally representative survey study examines the motivators, barriers, and facilitators for traveling to the safest hospitals in the United States for patients needing complex cancer surgery.
This pre-post intervention comparison study evaluates a real-time patient-centered education bundle intervention aimed to reduce nonadministration of venous thromboembolism prophylaxis among hospitalized patients in surgical and medical units.
In this Viewpoint, Eric Topol and Lionel Tarrasenko, a biomedical engineer known for developing early-warning systems in critical care settings, contrast the precision monitoring of jet engines with existing monitoring systems in patients, and discuss how sensors, artificial intelligence, and other contemporary digital technologies used to monitor the maintenance needs of engines can be used to personalize treatment and improve outcomes for patients without generating false alarms.
This case series study examines the association of nasal airway obstruction and subsequent open septorhinoplasty with health outcomes in Australia.
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