Steven D. Culler

Learn More
BACKGROUND Schizophrenia is often a persistent and costly illness that requires continued treatment with antipsychotics. Differences among antipsychotics on efficacy, safety, tolerability, adherence, and cost have cost-effectiveness implications for treating schizophrenia. This study compares the cost-effectiveness of oral olanzapine, oral risperidone (at(More)
BACKGROUND Practice facilitation (PF) is an implementation strategy now commonly used in primary care settings for improvement initiatives. PF occurs when a trained external facilitator engages and supports the practice in its change efforts. The purpose of this group-randomized trial is to assess PF as an intervention to improve the delivery of chronic(More)
BACKGROUND Most patients with type 2 diabetes have suboptimal control of their glucose, blood pressure (BP), and lipids - three risk factors for diabetes complications. Although the chronic care model (CCM) provides a roadmap for improving these outcomes, developing theoretically sound implementation strategies that will work across diverse primary care(More)
BACKGROUND There are limited data on factors associated with 30-day readmissions and the frequency of avoidable readmissions among patients with stroke and other cerebrovascular disease. METHODS University HealthSystem Consortium (UHC) database records were used to identify patients discharged with a diagnosis of stroke or other cerebrovascular disease at(More)
This study examines the associations between the availability of IT applications in a hospital and that hospital's risk adjusted incidence rate per 1,000 hospitalizations for Agency for Healthcare Research and Quality's (AHRQ) 15 Patient Safety Indicators (PSIs). The study population consists of a convenience sample of 66 community hospitals in Georgia that(More)
BACKGROUND In recent clinical trials, glycoprotein IIb/IIIa blockers have demonstrated effectiveness in preventing adverse events after angioplasty in high-risk patients. However, uncertainty exists regarding the cost-effective selection of patients to receive antiplatelet therapy. METHODS AND RESULTS All 4962 patients at Emory University Hospitals who(More)
To describe facilitators and barriers to the implementation of an inpatient pharmacy system at two pediatric hospitals. Interviews, pre- and post-implementation, were conducted with pharmacy and clinical managers. Key findings from the pre-implementation survey were included in the post-implementation survey to further assess facilitators and barriers to(More)
Purpose: This research sought to estimate the cost and workflow impact of rapid implementation of an electronic health record (EHR) in primary care practices, reducing the uncertainty that health care providers currently face when considering EHR adoption. Scope: The potentially high cost of EHR implementation, including uncertainty regarding its impact on(More)
  • 1