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OBJECTIVE To determine whether a questionnaire that assesses the presence of practice systems is associated with clinical performance rates for diabetes care. STUDY DESIGN Cross-sectional study of the relation between a survey-based measure of practice systems within 5 of the domains of the chronic care model (CCM) and high-quality care for diabetes(More)
BACKGROUND Since 2007, New York City's primary care information project has assisted over 3000 providers to adopt and use a prevention-oriented electronic health record (EHR). Participating practices were taught to re-adjust their workflows to use the EHR built-in population health monitoring tools, including automated quality measures, patient registries(More)
BACKGROUND Racial/ethnic disparities in diabetes care have been demonstrated in several settings, but few studies have evaluated whether racial/ethnic differences vary by gender. The objective of this study is to understand gender and racial effects on diabetes care for Medicare managed care beneficiaries. METHODS Using data from: (1) Healthcare(More)
PURPOSE We aimed to advance the internal and external validity of research by sharing our empirical experience and recommendations for systematically reporting contextual factors. METHODS Fourteen teams conducting research on primary care practice transformation retrospectively considered contextual factors important to interpreting their findings(More)
OBJECTIVE An extensive literature has demonstrated a relationship between hospital volume and outcomes for surgical care and other medical procedures. The authors examined whether an analogous association exists between the volume of mental health delivery and the quality of mental health care. METHOD The study used data for the 384 health maintenance(More)
BACKGROUND Few quality of care evaluations examine the relationship between clinical processes and patient outcomes. OBJECTIVE To determine the association between health plan performance on Healthcare Effectiveness Data and Information Set (HEDIS) clinical processes and intermediate outcome measures and Health Outcomes Survey (HOS) self-reported physical(More)
IMPORTANCE Most evaluations of pay-for-performance (P4P) incentives have focused on large-group practices. Thus, the effect of P4P in small practices, where many US residents receive care, is largely unknown. Furthermore, whether electronic health records (EHRs) with chronic disease management capabilities support small-practice response to P4P has not been(More)
Although one potential benefit of electronic information systems is the opportunity for secondary use of data, it is often challenging in practice to reuse data. We identify challenges to the secondary use of electronic data from a web-based project management system, and trace these challenges to their root causes. Data quality issues arose from:(More)
OBJECTIVE This study examined the rates and correlates of mental health care performance measures in the Health Employer Data and Information Set (HEDIS). METHOD For all 384 health maintenance organizations (HMOs) participating in the HEDIS program of the National Committee for Quality Assurance during 1999, analyses examined the rates of compliance with(More)
Quitting smoking substantially reduces smokers' risk for smoking-related morbidity and mortality and can increase life expectancy by up to a decade. Most smokers want to quit and make at least one medical provider visit annually. Health care providers can play an important role in helping smokers quit by documenting patients' tobacco use, advising smokers(More)