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OBJECTIVE Patient access to their electronic health care record (EHR) and Web-based communication between patients and providers can potentially improve the quality of health care, but little is known about patients' attitudes toward this combined electronic access. The objective of our study was to evaluate patients' values and perceptions regarding(More)
BACKGROUND The primary care medical home has been promoted to integrate and improve patient care while reducing healthcare spending, but with little formal study of the model or evidence of its efficacy. ProvenHealth Navigator (PHN), an intensive multidimensional medical home model that addresses care delivery and financing, was introduced into 11 different(More)
The leadership efforts in this complex process emphasize the importance of communication, education and buy-in to implement advanced access in a group practice network. These key components, along with timely feedback, staff support and necessary resources, are especially significant when the end point and the benefits are not immediately apparent to those(More)
OBJECTIVES Authors hypothesized that building safe hospital systems to improve value-based surgical outcomes is predicated on workflow redesign for dynamic risk stratification, coupled with "real-time" mitigation of risk. We developed a comanagement model for hospitalized surgical cohort, and determined whether this iterative process redesign for surgery(More)
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