Learn More
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 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)
OBJECTIVES To examine the association between primary care provider turnover in managed care organizations and measures of member satisfaction and preventive care. STUDY DESIGN Retrospective cohort study of a national sample of 615 managed care organizations that reported HEDIS data to the National Committee for Quality Assurance from 1999 through 2001.(More)
We assessed patient experiences before and one year after electronic health record (EHR) implementation among primary care practices in New York City. These practices represented an ethnically diverse population in lower-income, urban communities. Surveys, available in English, Spanish, and Chinese languages, were administered at 10 sites. Generally,(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)
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)
OBJECTIVES To assess clinician attitudes and experiences in Health eHearts, a quality recognition and financial incentive program using health information technology. STUDY DESIGN Survey of physicians. METHODS A survey was administered to 140 lead clinicians at each participating practice. Survey domains included clinicians' experiences and attitudes(More)
The 2009 American Recovery and Reinvestment Act spurred adoption of electronic health records (EHRs) in the United States, through such measures as financial incentives to providers through Medicare and Medicaid and regional extension centers, which provide ongoing technical assistance to practices. Yet the relationship between EHR adoption and quality of(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)
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)