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106 results
  • Sensitivity of Medicare Data to Identify Oncologists. [Journal Article]
    J Natl Cancer Inst Monogr. 2020 May 01; 2020(55):60-65.Warren JL, Barrett MJ, … Enewold L
  • CONCLUSIONS: Using combined files from CMS identified most ROs and MOs found in the AMA, but not most SOs. Determining whether to use the AMA data or CMS files for a particular research project will depend on the specific research question and the type of oncologist included in the study.
  • Assessment of the Accuracy and Reliability of Vascular Surgery Quality Metrics. [Journal Article]
    Ann Vasc Surg. 2020 Mar 20 [Online ahead of print]Fang ZB, Chao C, … Aiello FA
  • CONCLUSIONS: Health care quality metrics play an important role for all stakeholders but obtaining accurate and reliable data to implement improvements is challenging. In this single institution experience, inpatient cases that were not under the direction or care of a vascular surgeon resulted in significantly negative impacts on LOS, cost, complication rate, and mortality to the vascular surgery service line, as defined by a national clinical database. Therefore, clinicians must understand the data abstracting and reporting process before implementing effective strategic plans.
  • Using Medicare data to measure vertical integration of hospitals and physicians. [Journal Article]
    Health Serv Outcomes Res Methodol. 2020 Mar; 20(1):1-12.Ho V, Tapaneeyakul S, … Short M
  • Researchers, healthcare providers, and policy makers have become increasingly interested in the cost and quality effects of vertical integration (VI) between hospitals and physicians. However, tracking VI is often financially costly. Because the Medicare Data on Provider Practice and Specialty (MD-PPAS) annual dataset may be more cost-effective for researchers to access than private data sources,…
  • Combining Drive Time and Urologist Density to Understand Access to Urologic Care. [Journal Article]
    Urology. 2020 May; 139:78-83.Leiser CL, Anderson RE, … O'Neil B
  • CONCLUSIONS: Drive time to urologists combined with urologist density is a novel approach to investigating urologic care access and a tool for health disparities research. While almost all of the US population lives within 1-hour drive time to a urologist there remains important differences in the population severed by high compared to low provider density.
  • Pain Medicine Board Certification Status Among Physicians Performing Interventional Pain Procedures in the State of Florida Between 2010 and 2016. [Journal Article]
    Pain Physician. 2020 01; 23(1):E7-E18.Epstein RH, Dexter F, Pearson ACS
  • CONCLUSIONS: Approximately one-third of interventional pain procedures were performed by physicians without at least 1 of the 3 pain medicine board certifications. In addition, the practitioners performed very similar distributions of procedures (i.e., those without pain medicine board certification, overall, have not restricted their practice). These results suggest the need for additional accredited pain medicine fellowship training positions for newly graduated residents. The results also show that, for the recommendations of the Department of Health and Human Services to be satisfied, physicians without board certification performing intervention procedures would need to obtain ABPM or ABIPP certification, or ABMS certification after completion of a full-time Accreditation Council of Graduate Medical Education pain medicine fellowship.
  • Gender variation in Medicare utilization and payments in gynecologic oncology. [Journal Article]
    Gynecol Oncol. 2019 09; 154(3):602-607.Lim SL, Puechl AM, … Havrilesky LJ
  • CONCLUSIONS: Male gynecologic oncologists perform more Medicare services than their female counterparts. There is a comparable number of services performed between genders among both the most senior and the most junior providers, with a gender gap in services and reimbursements among mid-career providers.
  • Observational Study of the Distribution and Diversity of Interventional Pain Procedures Among Hospitals in the State of Iowa. [Journal Article]
    Pain Physician. 2019 05; 22(3):E157-E170.Pearson ACS, Dexter F
  • CONCLUSIONS: Although busier pain programs, based on procedures per week, generally performed more types of procedures, the variability was so large that the number of procedures a pain program performs per week cannot validly be used to infer the diversity of the hospital's pain medicine practice. Hospitals with pain medicine programs that lack diversity in the types of procedures performed may provide limited options for patients and be susceptible to changes in payment for individual procedures. Relatively few proceduralists performed the vast majority of the procedures.
  • Determining Best Practices for Management of Bacteriuria in Spinal Cord Injury: Protocol for a Mixed-Methods Study. [Journal Article]
    JMIR Res Protoc. 2019 Feb 14; 8(2):e12272.Skelton F, Martin LA, … Trautner BW
  • CONCLUSIONS: The negative consequences of antibiotic overuse and antibiotic resistance are well-documented and have national and even global implications. This study will develop an intervention aimed to educate stakeholders on evidence-based management of ASB and UTI and guide antibiotic stewardship in this high-risk population. The next step will be to refine the intervention and test its feasibility and effectiveness at multiple sites as well as reform policy for management of this common but burdensome condition.
  • Adolescent Trials Network for HIV-AIDS Scale It Up Program: Protocol for a Rational and Overview. [Journal Article]
    JMIR Res Protoc. 2019 Feb 01; 8(2):e11204.Naar S, Parsons JT, Stanton BF
  • CONCLUSIONS: To date, the youth HIV research portfolio has not adequately advanced the important care area of self-management. SIU protocols and initiatives address this broad issue by focusing on evaluating the effectiveness and implementation of self-management interventions. SIU is highly innovative for 5 primary reasons: (1) our research framework expands the application of "self-management"; (2) the 4 primary protocols utilize innovative hybrid designs; (3) our Analytic Core will conduct cost-effectiveness analyses of each intervention; (4) across all 4 primary protocols, our Implementation Science Core will apply implementation scales designed to assess inner and outer context factors; and (5) we shall advance understanding of the dynamics between provider and patient through analysis of recorded interactions.
  • Medicare in Oral and Maxillofacial Surgery Part 2: Academic Surgeons and Cancer Surgeons Are Reimbursed Less. [Journal Article]
    J Oral Maxillofac Surg. 2019 Apr; 77(4):698-702.Ji YD, Peacock ZS, Hupp JR
  • CONCLUSIONS: Roughly 10% of OMSs participate in and bill for Medicare. Factors associated with a lower reimbursement proportion include being in academia, treating head and neck cancer, billing more unique CPT codes, seeing sicker patients, and having larger total submitted charges. As third-party private insurers often follow fee schedules and rates set by the Centers for Medicare & Medicaid Services, this observed effect also should be evaluated in claims data of other insurers.
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