Putting Business into Practice: Psychologists explore larger group practices

1994 ◽  
Author(s):  
Kathleen McCarthey
Keyword(s):  
Group Practices

Most Group Practices Still Use Paper Records, Survey Shows

2005 ◽  
Vol 33 (4) ◽  
pp. 83
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
Group Practices

Group Practices Continue to Use Paper Records

2005 ◽  
Vol 35 (8) ◽  
pp. 76
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
Group Practices

FRI0524 THE ACR’S RHEUMATOLOGY INFORMATICS SYSTEM FOR EFFECTIVENESS (RISE) REGISTRY SUPPORTS SMALL RHEUMATOLOGY PRACTICES FOR FEDERAL QUALITY REPORTING PROGRAM

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 861-862
Author(s):  
Z. Izadi ◽  
T. Johansson ◽  
J. LI ◽  
G. Schmajuk ◽  
J. Yazdany
Keyword(s):  
Quality Measures ◽  
Quality Reporting ◽  
Practice Characteristics ◽  
Informatics System ◽  
Group Practices ◽  
Status Assessment ◽  
And Performance ◽  
Reporting Programs

Background:The Rheumatology Informatics System for Effectiveness (RISE) Registry was developed by the ACR to help rheumatologists improve quality of care and meet federal reporting requirements. In the current quality program administered by the U.S. Centers for Medicare and Medicaid services, rheumatologists are scored on quality measures, and performance is tied to financial incentives or penalties. Rheumatoid arthritis (RA)-specific quality measures can only be submitted through RISE to federal programs.Objectives:This study used data from the RISE registry to investigate rheumatologists’ federal reporting patterns on five RA-specific quality measures in 2018 and investigated the effect of practice characteristics on federal reporting of these measures.Methods:We analyzed data on all rheumatologists who continuously participated in RISE between Jan 2017 to Dec 2018 and who had patients eligible for at least one RA-specific measure. Five measures were examined: tuberculosis screening before biologic use, disease activity assessment, functional status assessment, assessment and classification of disease prognosis, and glucocorticoid management. We assessed whether or not rheumatologists reported specific quality measures via RISE. We investigated the effect of practice characteristics (practice structure; number of providers; geographic region) on the likelihood of reporting using adjusted analyses that controlled for measure performance (performance in 2018; change in performance from 2017; and performance relative to national average performance). Analyses accounted for clustering by practice.Results:Data from 799 providers from 207 practices managing 213,757 RA patients was examined. The most common practice structure was a single-specialty group practice (53%), followed by solo (28%) and multi-specialty group practice (12%). Most providers (73%) had patients eligible for all five RA quality measures. Federal reporting of quality measures through RISE varied significantly by provider, ranging from no reporting (60%) to reporting all eligible RA measures (12.2%). Reporting through RISE also varied significantly by quality measure and was highest for functional status assessment (36%) and lowest for assessment and classification of disease prognosis (20%). Small practices (1-4 providers) were more likely to report all eligible RA quality measures compared to larger practices (21%, 6%; p<0.001). In adjusted analyses, solo practices were more likely than single-specialty group practices to report RA measures (42%, 31%; p<0.027) while multispecialty group practices were less likely (18%, 31%; p<0.001). Additionally, higher performance in 2018 and performance ≥ the national average performance was associated with federal reporting of the measures through RISE (p≤0.004).Conclusion:Forty percent of U.S. rheumatologists participating in RISE used the registry for federal quality reporting. Physicians using RISE for reporting were disproportionately in small and solo practices, suggesting that the registry is fulfilling an important role in helping these practices participate in national quality reporting programs. Supporting small practices is especially important given the workforce shortages in rheumatology. We observed that practices reporting through RISE had higher measure performance than other participating practices, which suggests that the registry is facilitating quality improvement. Studies are ongoing to further investigate the impact of federal quality reporting programs and RISE participation on the quality of rheumatologic care in the United States.Disclaimer: This data was supported by the ACR’s RISE Registry. However, the views expressed represent those of the authors, not necessarily those of the ACR.Disclosure of Interests:Zara Izadi: None declared, Tracy Johansson: None declared, Jing Li: None declared, Gabriela Schmajuk Grant/research support from: Pfizer, Jinoos Yazdany Grant/research support from: Pfizer

Dental Record Keeping by General Dental Practitioners in Lahore

2021 ◽  
Vol 15 (8) ◽  
pp. 2070-2072
Author(s):  
Farhan Riaz ◽  
Saima Sabir ◽  
Umer Abdullah ◽  
Muhammad Shairaz Sadiq ◽  
Ejaz Husain Sahu ◽  
...  
Keyword(s):  
Data Collection ◽  
Study Data ◽  
Patient Records ◽  
Cross Sectional ◽  
Record Keeping ◽  
Group Practices ◽  
Health Authorities ◽  
Dental Practitioners ◽  
Dental Practices ◽  
Dental Photography

Objective: of this study is to analyze the behavior/attitude of general dental practitioners towards record keeping and quality assessment of patient records found in different dental practices of Lahore. Study design: Cross sectional, Descriptive, Questionnaire based study (Copy of questionnaire attached). Place and Duration of Study: Data collection for this study was conducted in different private dental practices of Lahore from Oct-2017 to Dec-2017. Methods; A random sample of 60 dental practices were selected by means of stratified sampling from different towns of Lahore. Dentists were interviewed and patient records were checked for data collection which is analyzed using SPSS version 23. Results: Interview of 43 dentists and analysis of patient records from their practices revealed that 16 (37.2%) practices have no record at all and even none of the remaining 27 (62.8%) practices. Who claim to have patient records, has any properly completed record. Shows that dentists have got very casual behavior towards record keeping as most of them were not having any records and the remaining ones who claimed to have patient records, were maintaining them in a very poor form. Conclusion: Female dentists, postgraduates and dentists working in group practices and affluent areas were found to have relatively more tendency towards record keeping. Recommendation; Dentist training institutes and health implementing authorities are the main areas which need to be stressed upon for improvement of record keeping. Keywords: (MESH) Record keeping, Dental photography, Dentist, Post-graduate, Health authorities, Affluent areas.

scholarly journals How much personal care in four group practices?

BMJ ◽  
1990 ◽  
Vol 301 (6759) ◽  
pp. 1028-1030 ◽  
Author(s):  
G K Freeman ◽  
S C Richards
Keyword(s):  
Personal Care ◽  
Group Practices

scholarly journals Impressions of group practices. Teamwork--Barnstaple and Winchester.

BMJ ◽  
1965 ◽  
Vol 2 (5472) ◽  
pp. 1234-1237
Keyword(s):  
Group Practices

Primary Care Pediatrics and Child Psychopathology: A Review of Diagnostic, Treatment, and Referral Practices

PEDIATRICS ◽  
1986 ◽  
Vol 78 (6) ◽  
pp. 1044-1051 ◽  
Author(s):  
Elizabeth J. Costello
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Disorder ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Primary Care Providers ◽  
Health Problems ◽  
Group Practices ◽  
Primary Care Pediatricians

The quality of mental health care for children depends not only on specialist mental health services, but also on how effectively primary care providers identify, treat, and refer children with emotional and behavioral problems. Recent research has shown that primary care practitioners are the sole providers of mental health care to the majority of people with a mental disorder. For example, Regier et al1 calculated that in 1975 54.1% of persons with a mental disorder were treated only in a primary care or outpatient medical setting, with another 6% receiving care from both specialist mental health and primary care medical facilities. An additional 21.5% were not in treatment or received treatment from nonmedical agencies. If the data were extrapolated for all age groups, these rates would imply that only one child in five with a mental disorder is receiving specialist treatment, three are in the care of a pediatrician, and one is receiving no treatment. This would lead to the conclusion that pediatricians are, according to Regier et al,1 the de facto mental health service for most children in need of such care. It would lend support to the drive to increase pediatricians' awareness of, and training for, the mental health component of their work.2 In this paper, we review the published evidence as it applies to children. SCOPE This review includes the published studies of mental health problems diagnosed by primary care pediatricians, family practitioners, or pediatric nurse practitioners working in outpatient settings in the United States. These include private pediatric practices, group practices, health maintenance organizations (HMOs), and other types of prepaid group practices. The questions addressed are: (1) What proportion of the children seen by primary care pediatricians and their colleagues are diagnosed by them as having a mental disorder? (2) What proportion of children are referred for specialist evaluation and treatment? (3) What risk factors are associated with a higher probability of receiving a diagnosis of psychopathology? (4) How accurate are primary care pediatricians' diagnoses of mental health problems?

Physician Characteristics Associated with Early Adoption of Electronic Medical Records in Smaller Group Practices

2011 ◽  
pp. 182-191 ◽  
Author(s):  
Liam O’Neill ◽  
Jeffery Talbert ◽  
William Klepack
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Primary Care Physicians ◽  
Regression Analyses ◽  
Practice Characteristics ◽  
Group Practices ◽  
Early Adoption ◽  
Physician Characteristics ◽  
Emr Adoption ◽  
Partial Implementation

To examine physician characteristics and practice patterns associated with the adoption of electronic medical records (EMRs) in smaller group practices. Primary care physicians in Kentucky were surveyed regarding their use of EMRs. Respondents were asked if their practice had fully implemented, partially implemented, or not implemented EMRs. Of the 482 physicians surveyed, the rate of EMR adoption was 28%, with 14% full implementation and 14% partial implementation. Younger physicians were significantly more likely to use EMRs (p = 0.00). For those in their thirties, 45% had fully or partially implemented EMRs compared with 15% of physicians aged 60 and above. In logistic regression analyses that controlled for practice characteristics, age, male gender, and rural location predicted EMR adoption. Younger physicians in smaller group practices are more likely to adopt EMRs than older physicians. EMRs were also associated with an increased use of chronic disease management.

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