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BACKGROUND Evidence suggests that elevated systolic blood pressure (SBP) and pulse pressure (PP) in midlife is associated with increased risk for cognitive impairment later in life. There is mixed… (More)
High-cost, high-need patients account for disproportionate health-care costs. In the Medicare population, 5 % of fee-for-service beneficiaries account for 39 % of total Medicare spending. There are… (More)
BACKGROUND Potentially inappropriate medications (PIMs) are widely used in institutionalized older adults, yet the key determinants that drive their use are incompletely characterized. METHODS We… (More)
Affiliated with Johns Hopkins Bayview June 2009–June 2013 during the events in this manuscript.
BACKGROUND Emergency departments (ED) are sites of prevalent imaging overuse; however, determinants that drive imaging in this setting are not well-characterized. We systematically reviewed the… (More)
The Medicare Annual Wellness Visit is an annual preventive health benefit, which was created in 2011 as part of the Patient Protection and Affordable Care Act. The visit provides an opportunity for… (More)
Conflict of Interest Disclosures: Dr Karaca-Mandic serves as a consultant to Precision Health Economics and Tactile Medical. Dr Jena receives consulting fees from Pfizer, Hill Rom Services, Bristol… (More)
This systematic review examined factors associated with overuse of colorectal cancer (CRC) screening. The authors searched MEDLINE and EMBASE from January 1998 to March 2017. Studies were included if… (More)
OBJECTIVES Potentially inappropriate medication (PIM) use in older adults is a prevalent problem associated with poor health outcomes. Understanding drivers of PIM use is essential for targeting… (More)
Twenty-six residents participated [65%, Table 1]. Collectively, these residents cared for 1715 patients. For 37 patients (2%), a handoff was completed. Two hundred and sixty patients (15%) were… (More)