scholarly journals Treatment Patterns and Costs Among Children Aged 2 to 17 Years With ADHD in New York State Medicaid in 2013

2018 ◽  
Vol 25 (4) ◽  
pp. 463-472 ◽  
Author(s):  
Liqiong Guo ◽  
Melissa Danielson ◽  
Lindsay Cogan ◽  
Leah Hines ◽  
Brian Armour
Keyword(s):  
New York ◽  
Quality Of Care ◽  
New York State ◽  
Treatment Patterns ◽  
Psychological Services ◽  
Children With Adhd ◽  
York State ◽  
Treatment Category

Objective: To identify children with ADHD enrolled in New York State (NYS) Medicaid and characterize ADHD-associated costs by treatment category. Method: In 2013, 1.4 million children aged 2 to 17 years were enrolled in NYS Medicaid. Medicaid claims and encounters were used to identify children with ADHD, classify them by type of treatment received, and estimate associated costs. Results: The ADHD cohort comprised 5.4% of all Medicaid-enrolled children, with 35.0% receiving medication only, 16.2% receiving psychological services only, 42.2% receiving both, and 6.6% receiving neither. The total costs for the ADHD cohort (US$729.3 million) accounted for 18.1% of the total costs for children enrolled in NYS Medicaid. Conclusion: This study underscores the importance of achieving a better understanding of children with ADHD enrolled in NYS Medicaid. A framework to categorize children with ADHD based on their treatment categories may help to target interventions to improve the quality of care and reduce costs.

Improved Access and Quality of Care After Enrollment in the New York State Children's Health Insurance Program (SCHIP)

PEDIATRICS ◽  
2004 ◽  
Vol 113 (5) ◽  
pp. e395-e404 ◽  
Author(s):  
P. G. Szilagyi ◽  
A. W. Dick ◽  
J. D. Klein ◽  
L. P. Shone ◽  
J. Zwanziger ◽  
...  
Keyword(s):  
New York ◽  
Quality Of Care ◽  
Health Insurance ◽  
New York State ◽  
Children's Health ◽  
York State ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Access And Quality

scholarly journals State Funding for Health Information Technology and Selected Ambulatory Healthcare Quality Measures

2014 ◽  
Vol 05 (02) ◽  
pp. 594-602 ◽  
Author(s):  
M. Silver ◽  
R. Kaushal ◽  
L. M. Kern ◽  
Keyword(s):  
Primary Care ◽  
New York ◽  
Quality Of Care ◽  
Primary Care Physicians ◽  
New York State ◽  
Quality Measures ◽  
State Funding ◽  
Health It ◽  
York State

SummaryBackground: Previous studies on the effects of health information technology (health IT) on ambulatory quality have had mixed results. New York State has invested heavily in health IT throughout the State, creating a unique opportunity to assess effects on health care quality across multiple communities.Objective: To determine any association between primary care providers’ receipt of funding from New York State’s Healthcare Efficiency and Affordability Law for New Yorkers Program (HEAL NY) and ambulatory quality of careMethods: A statewide, longitudinal cohort study of primary care physicians in New York State was conducted. Data regarding which primary care physicians received funding through the HEAL NY program (Phase 5 or Phase 10) in 2008 or 2009 were obtained from the New York State Department of Health. Health care quality in 2010 was measured using claims data that had been aggregated across 7 commercial health plans across the state. Physicians were divided into 2 groups, based on receipt of HEAL funding (yes/no). Any association was measured between study group and each of 7 quality measures, all of which appear in the Stage 1 federal Meaningful Use program. Negative binomial regression was used, adjusting for provider gender and specialty.Results: The study included 3,988 primary care providers, of whom 863 (22%) had received HEAL NY funding. The HEAL-funded physicians provided higher quality of care on 5 of the 7 measures: breast cancer screening, eye exams in patients with diabetes, nephropathy screening in patients with diabetes, influenza vaccination and pneumococcal vaccination (p<0.0001 for all adjusted comparisons). The HEAL-funded group provided higher quality of care by an absolute 2 to 6 percentage points per measure for those 5 measures.Conclusion: Primary care physicians who received state funding for health IT provided higher quality of care than those who did not receive such funding.Citation: Kern LM, Silver M, Kaushal R; with the HITEC Investigators. State funding for health information technology and selected ambulatory healthcare quality measures. Appl Clin Inf 2014; 5: 594–602 http://dx.doi.org/10.4338/ACI-2013-12-RA-0108

scholarly journals Building patient participation in quality of care through the healthcare stories project: A demonstration program in New York State HIV clinics

2021 ◽  
Vol 8 (2) ◽  
pp. 84-93
Author(s):  
Abigail Baim-Lance ◽  
Freda Coren ◽  
Margaret Brown ◽  
Hazel Lever ◽  
Daniel Tietz ◽  
...  
Keyword(s):  
New York ◽  
Quality Of Care ◽  
Patient Participation ◽  
New York State ◽  
Demonstration Program ◽  
York State

scholarly journals Application of the Donabedian Quality-of-Care Model to New York State Direct Support Professional Core Competencies: How Structure, Process, and Outcomes Impacts Disability Services

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Johanna LoPorto
Keyword(s):  
New York ◽  
Quality Of Care ◽  
Core Competencies ◽  
New York State ◽  
Group Homes ◽  
York State ◽  
Residential Group ◽  
The Core ◽  
Direct Support

Direct support professionals (DSPs) are responsible for the daily supervision and care of people diagnosed with intellectual and developmental disabilities (IDDs) living in community residential group homes. In New York State, these DSPs are trained within the Office for People With Developmental Disabilities DSPs core competencies; a set of ethical, technical, and cognitive training geared to the individual care of each person as per their specific needs. This qualitative case study was to understand how DSPs perceived the implementation of the core competencies after being trained and under the direction of their supervisors. Using the Donabedian’s quality-of-care conceptual framework, this study explored what DSPs perceived to be necessary in strengthening the effectiveness of the New York State DSP competencies within organizational policies (structure) with the DSPs knowledge, skills, and, attitudes (processes) to the quality-of-life (outcomes). Data were collected through face-to-face interviews with 12 DSPs and supervisors. Data were inductively coded then subject to Braun and Clarke’s thematic analysis procedure. Findings revealed that DSPs and supervisors implemented the core competencies inconsistently because of organizational perceptions and experiences. Implications for social change in this study includes recommendations to the National Alliance of DSPs to add a practicum component to the core competencies training that may benefit people living in community residential group homes diagnosed with IDDs through hands-on-approach training that would allow full implementation of the DSP core competencies in various everyday, real-life situations

scholarly journals Case Study: Age Of Assets And Quality Of Care In Three New York State Hospitals

2006 ◽  
Vol 2 (1) ◽  
pp. 75-80
Author(s):  
Hoseoup Lee ◽  
Kimberly Jarrell ◽  
James Morey ◽  
Gary Scherzer
Keyword(s):  
New York ◽  
Quality Of Care ◽  
New York State ◽  
York State ◽  
State Hospitals

Improving quality of care for pediatric cardiac surgery in New York State

2003 ◽  
Vol 18 (1) ◽  
pp. 13-25 ◽  
Author(s):  
Donna R. Doran ◽  
Casey S. Roark ◽  
Edward L. Hannan
Keyword(s):  
New York ◽  
Cardiac Surgery ◽  
Quality Of Care ◽  
New York State ◽  
Pediatric Cardiac Surgery ◽  
York State

Mastitis-Causing Streptococci Are Important Contributors to Bacterial Counts in Raw Bulk Tank Milk

2004 ◽  
Vol 67 (12) ◽  
pp. 2644-2650 ◽  
Author(s):  
R. N. ZADOKS ◽  
R. N. GONZÁLEZ ◽  
K. J. BOOR ◽  
Y. H. SCHUKKEN
Keyword(s):  
New York ◽  
New York State ◽  
Raw Milk ◽  
Microbial Quality ◽  
Bulk Tank Milk ◽  
Gram Negative ◽  
Bacterial Counts ◽  
York State ◽  
Bulk Tank

The objective of this study was to probe the contribution of streptococci to the microbial quality of raw milk. Over a 5-month period, bulk tank milk samples from 48 New York State dairy farms were analyzed qualitatively for bacterial ecology and quantitatively for total bacterial, streptococcal, staphylococcal, and gram-negative bacterial counts. Linear regression analysis was used to determine the contribution of differential counts to total bacterial counts. Streptococci, staphylococci, and gram-negative bacteria accounted for 69, 3, and 3% of total bacterial count variability, respectively. Randomly selected Streptococcus isolates from each bulk tank milk sample were identified to species by means of the API 20 STREP identification system. The most commonly identified streptococcal species were Streptococcus uberis, Aerococcus viridans, and Streptococcus agalactiae, which were detected in 81, 50, and 31% of 48 bulk tank samples, respectively. For five herds, S. uberis isolates from bulk tank milk and individual cows were characterized by PvuII ribotyping. A farm-specific dominant ribotype was found in each bulk tank sample, and that ribotype was isolated from at least one cow within each herd of origin. Bacteriological and strain typing data indicate that control of streptococci, specifically mastitis-causing species, is important for improvement of the microbial quality of raw milk in New York State.

scholarly journals Do Strikes Kill? Evidence from New York State

2012 ◽  
Vol 4 (1) ◽  
pp. 127-157 ◽  
Author(s):  
Jonathan Gruber ◽  
Samuel A Kleiner
Keyword(s):  
New York ◽  
New York State ◽  
York State ◽  
Patient Demographics ◽  
Us Economy ◽  
Quality Of Patient Care ◽  
The Us ◽  
The Impact ◽  
Do So

Hospitals now represent one of the largest union sectors of the US economy, and there is particular concern about the impact of strikes on patient welfare. We analyze the effects of nurses' strikes in hospitals on patient outcomes in New York State. Controlling for hospital specific heterogeneity, the results show that nurses' strikes increase in-hospital mortality by 18.3 percent and 30-day readmission by 5.7 percent for patients admitted during a strike, with little change in patient demographics, disease severity or treatment intensity. The results suggest that hospitals functioning during nurses' strikes do so at a lower quality of patient care. (JEL H75, I11, I12, J52)

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