scholarly journals Provider Adherence to Pre-exposure Prophylaxis Monitoring Guidelines in a Large Primary Care Network

2018 ◽  
Vol 5 (6) ◽  
Author(s):  
Matthew A Spinelli ◽  
Hyman M Scott ◽  
Eric Vittinghoff ◽  
Albert Y Liu ◽  
Alicia Morehead-Gee ◽  
...  
Keyword(s):  
Primary Care ◽  
Laboratory Monitoring ◽  
Care Network ◽  
Sexually Transmitted ◽  
Hiv Resistance ◽  
Panel Management ◽  
Provider Adherence ◽  
Exposure Prophylaxis ◽  
Test Ordering ◽  
Large Primary

Abstract Insufficient pre-exposure prophylaxis (PrEP) laboratory monitoring could increase HIV resistance and sexually transmitted infections. We examined test-ordering in a primary care network. Providers did not order HIV testing before almost one-quarter of PrEP initiations; panel management was associated with higher testing. Effective monitoring is needed to maximize PrEP’s preventive impact.

Implementation of a Radiology Utilization Dashboard Yields Significant Cost Savings in a Large Primary Care Network

2021 ◽  
Author(s):  
Adrian Clark-Randall ◽  
David J. Halpern ◽  
Janice Taylor ◽  
Christopher J. Roth ◽  
Rajan T. Gupta ◽  
...  
Keyword(s):  
Primary Care ◽  
Cost Savings ◽  
Significant Cost ◽  
Care Network ◽  
Large Primary

scholarly journals Primary Care Providers’ Knowledge, Attitudes, and Beliefs About HIV Pre-Exposure Prophylaxis (PrEP): Informing Network-Based Interventions

2021 ◽  
Vol 33 (4) ◽  
pp. 325-344
Author(s):  
Erik D. Storholm ◽  
Allison J. Ober ◽  
Matthew L. Mizel ◽  
Luke Matthews ◽  
Matthew Sargent ◽  
...  
Keyword(s):  
Primary Care ◽  
Claims Data ◽  
Primary Care Providers ◽  
Attitudes And Beliefs ◽  
Care Providers ◽  
Provider Education ◽  
Prescribing Practices ◽  
Sexually Transmitted ◽  
Primary Care Settings ◽  
Exposure Prophylaxis

Increasing access to pre-exposure prophylaxis (PrEP) in primary care settings for patients who may be at risk for HIV could help to increase PrEP uptake, which has remained low among certain key risk populations. The current study conducted interviews with primary care providers identified from national claims data as having either high or low likelihood of serving PrEP-eligible patients based on their prescribing practices for other sexually transmitted infections. The study yielded important information about primary care providers’ knowledge, attitudes, and beliefs about PrEP, as well as the barriers and facilitators to prescribing PrEP. Key recommendations for a provider-focused intervention to increase PrEP prescribing among primary care providers, including increasing patient education to increase demand from providers, enhancing provider education, leveraging technology, and instituting standardized sexual health checks, are provided with the goal of informing network-based interventions.

The longitudinal impact of patient navigation on equity in colorectal cancer screening in a large primary care network

Cancer ◽  
2014 ◽  
Vol 120 (13) ◽  
pp. 2025-2031 ◽  
Author(s):  
Sanja Percac-Lima ◽  
Lenny López ◽  
Jeffrey M. Ashburner ◽  
Alexander R. Green ◽  
Steven J. Atlas
Keyword(s):  
Colorectal Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Patient Navigation ◽  
Longitudinal Impact ◽  
Care Network ◽  
Large Primary

scholarly journals Implementation of the Asthma Control Test in a Large Primary Care Network

2017 ◽  
Vol 2 (5) ◽  
pp. e038
Author(s):  
Shilpa Sangvai ◽  
Stephen J. Hersey ◽  
Dane A. Snyder ◽  
Elizabeth D. Allen ◽  
Cindy Hafer ◽  
...  
Keyword(s):  
Primary Care ◽  
Asthma Control ◽  
Control Test ◽  
Asthma Control Test ◽  
Care Network ◽  
Large Primary

Head-Circumference Distribution in a Large Primary Care Network Differs From CDC and WHO Curves

PEDIATRICS ◽  
2010 ◽  
Vol 126 (4) ◽  
pp. e836-e842 ◽  
Author(s):  
C. Daymont ◽  
W.-T. Hwang ◽  
C. Feudtner ◽  
D. Rubin
Keyword(s):  
Primary Care ◽  
Head Circumference ◽  
Care Network ◽  
Large Primary

scholarly journals COVID-19 and Primary Measles Vaccination Rates in a Large Primary Care Network

PEDIATRICS ◽  
2020 ◽  
Vol 147 (1) ◽  
pp. e2020035576
Author(s):  
Sara M. Bode ◽  
Charitha Gowda ◽  
Melissa Mangini ◽  
Alex R. Kemper
Keyword(s):  
Primary Care ◽  
Care Network ◽  
Vaccination Rates ◽  
Measles Vaccination ◽  
Large Primary

Improving adolescent access and services in a large primary care network: report of a 10 year project

2017 ◽  
Vol 31 (2) ◽  
Author(s):  
Elizabeth M. Alderman ◽  
Kim L. Freeman ◽  
Katherine S. Lobach
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Adolescent Health ◽  
Medical Center ◽  
Adolescent Medicine ◽  
Full Time ◽  
Health Care Environment ◽  
Care Network ◽  
Record Keeping ◽  
Large Primary

Abstract This report describes a decade long initiative to bring a unified approach and improved quality to the process and content of adolescent health care in a large and complex urban primary care network within an academic health system. The moving force was a voluntary multidisciplinary group who comprised the Montefiore Adolescent Primary Care Initiative, known as MAPCI, led by a physician subspecialist in Adolescent Medicine. A series of needs assessments formed the basis for a multipronged effort to create policies and procedures, educational activities and materials, changes in record-keeping and billing practices, and modification of staff attitudes and behavior that would enhance access and ensure confidentiality of services for the adolescent age group. The commitment of medical center leadership contributed to overall progress which was accelerated in the second half of the decade by the addition of a full-time staff member, with the title Adolescent Program Manager. Progress in various arenas was assessed with a series of planned studies, whose positive results provided encouragement for continuing efforts. The example of this initiative and its accomplishments should provide useful and replicable methods that could be adapted for improvement of adolescent health services in some of the other large primary care networks that are an ever-expanding presence in the current health care environment.

Adopting otitis media practice guidelines increases adherence within a large primary care network

2021 ◽  
Author(s):  
Mikaela Bradley ◽  
Ali Bacharouch ◽  
Tamera Hart‐Johnson ◽  
Heather L Burrows ◽  
R Alexander Blackwood
Keyword(s):  
Primary Care ◽  
Otitis Media ◽  
Practice Guidelines ◽  
Care Network ◽  
Large Primary
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