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Analysis of healthcare interventions that change patient trajectories /

James H. Bigelow [and others].

Book Cover
Names: Bigelow, J. H.
Published: Santa Monica, CA : RAND, 2005.
Series: Rand publications series.
Topics: Health maintenance organization patients. | Medical Informatics Applications. | Cost-Benefit Analysis. | Technology Assessment, Biomedical. | MEDICAL - Administration. | MEDICAL - Practice Management & Reimbursement. | MEDICAL - Health Policy.
Genres: CD-ROMs. | Electronic books.
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245 00|aAnalysis of healthcare interventions that change patient trajectories /|cJames H. Bigelow [and others].
260 |aSanta Monica, CA :|bRAND,|c2005.
300 |a1 online resource (xxxvii, 171 pages) :|billustrations.
336 |atext|btxt|2rdacontent
337 |acomputer|bc|2rdamedia
338 |aonline resource|bcr|2rdacarrier
347 |adata file|2rda
490 1 |aRand Health ;|vMG-409-HLTH
500 |a"MG-408-HLTH."--P 4., cover.
504 |aIncludes bibliographical references (pages 157-171).
505 0 |aBuilding the trajectory database from MEPS -- Interpreting MEPS-based estimates -- Avoiding adverse drug events through computerized physician order entry -- Short-term effects of preventive services -- Management of chronic diseases -- Estimating long-term effects of healthy behavior on population health status and health care -- The patient's role in disease management and lifestyle changes -- Realizing the potential.
506 |3Use copy|fRestrictions unspecified|2star|5MiAaHDL
520 |aThis report is one of several that document a broad, two-year study by RAND Health to better understand the role and importance of Electronic Medical Record Systems (EMR-S) in improving health and reducing healthcare costs, and to help inform government actions that could maximize EMR-S benefits and increase its use. It provides the technical details and results of one component of that study that analyzes interventions in the healthcare system that use EMR-S to affect patient trajectories-i.e., the sequence of encounters a patient has with the healthcare system. The interventions are to improve patient safety, increase preventive services, expand chronic disease management, and foster healthier lifestyles. We identified four classes of trajectory-changing interventions and we selected some important interventions in each class: --Implement Computerized Physician Order Entry (CPOE) as a means to reduce adverse drug events (ADEs). --Increase the provision of the following preventive services: influenza and pneumococcal vaccinations and screening for breast, cervical, and colorectal cancer. --Enroll people with one of four chronic illnesses-asthma, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), or diabetes-in disease management programs. --Persuade people to adopt healthy lifestyles and estimate the health outcomes if everyone did so: controlled their weight, stopped smoking, ate a healthy diet, exercised, and controlled their blood pressure and cholesterol as necessary with medications. We estimated the effects of each intervention on healthcare utilization (e.g., hospital stays, office visits, prescription drug use), healthcare expenditures, and population health outcomes (workdays or schooldays missed, days spent sick in bed, mortality). These interventions generally affect trajectories 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). The report should be of interest to healthcare IT professionals, other healthcare executives and researchers, and officials in the government responsible for health policy.
533 |aElectronic reproduction.|b[S.l.] :|cHathiTrust Digital Library,|d2011.|5MiAaHDL
538 |aMaster and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.|uhttp://purl.oclc.org/DLF/benchrepro0212|5MiAaHDL
583 1 |adigitized|c2011|hHathiTrust Digital Library|lcommitted to preserve|2pda|5MiAaHDL
588 0 |aPrint version record.
650 0|aHealth maintenance organization patients.
650 2|aMedical Informatics Applications.
650 2|aCost-Benefit Analysis.
650 2|aTechnology Assessment, Biomedical.
650 7|aMEDICAL|xAdministration.|2bisacsh
650 7|aMEDICAL|xPractice Management & Reimbursement.|2bisacsh
650 7|aMEDICAL|xHealth Policy.|2bisacsh
650 7|aHealth maintenance organization patients.|2fast|0(OCoLC)fst00953092
655 0|aCD-ROMs.
655 4|aElectronic books.
700 1 |aBigelow, J. H.
710 2 |aRand Corporation.
776 08|iPrint version:|tAnalysis of healthcare interventions that change patient trajectories.|dSanta Monica, CA : RAND, 2005|w(DLC) 2005022219
830 0|aRand publications series.

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