Analysis of Healthcare Interventions that Change Patient Trajectories
Rand Corporation, Oct 27, 2005 - Medical - 208 pages
Examines interventions in the healthcare system that use Electronic Medical Record Systems (EMR-S) to affect patient trajectories--i.e., the sequence of encounters a patient has with the healthcare system--by improving health and thereby reducing healthcare utilization, or by reducing a costly form of utilization (e.g., inpatient stays) and increasing a more economical form (e.g., office visits to physicians, or prescription medications).
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Chapter One Introduction
Chapter Two Building the Trajectory Database from the MEPS
Chapter Three Interpretting MEPSBased Estimates
Chapter Four Avoiding Adverse Drug Events Through Computerized Physician Order Entry
Chapter Five ShortTerm Effects of Preventive Services
Chapter Six Management of Chronic Diseases
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40 percent 65 and older adjust age categories AHRQ ambulatory CPOE assumed asthma asthma management baseline breast cancer cancer screening CCC CCC Label CCC Label ICD9.3 centers cervical cancer Chapter CHF management colorectal cancer column congestive heart failure consumers COPD COPD management costs CPOE database Days Affected days spent sick deaths diabetes management disease management program Electronic Medical Record factors fraction HbA1c Health Information Technology healthcare healthcare expenditures healthcare system healthcare utilization heart failure hospital outpatient hospital stays hypertension ICD9.3 Label Influenza Vaccination Inpatient Nights Inpatient Stays interventions lifestyle change M/yr Medicare medication errors MEPS Diagnoses Included MEPS files million myocardial infarction NAMCS NHAMCS office visits outcomes outpatient department Panel participation physicians pneumococcal vaccination population preventive services projections providers rates reduce respondents savings Schooldays Lost sick in bed Survey Table unscreened USPSTF utilization and expenditures Utilization Measures visits to physicians women Workdays Lost