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 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 Transforming the Primary Care Training Clinic: New York State’s Hospital Medical Home Demonstration Pilot

2015 ◽  
Vol 7 (2) ◽  
pp. 247-252 ◽  
Author(s):  
Marietta Angelotti ◽  
Kathryn Bliss ◽  
Dana Schiffman ◽  
Erin Weaver ◽  
Laura Graham ◽  
...  
Keyword(s):  
Primary Care ◽  
New York ◽  
Quality Of Care ◽  
Medical Home ◽  
New York State ◽  
Residency Programs ◽  
Hospital Medical ◽  
Primary Care Training ◽  
Care Training

Abstract Background Training in patient-centered medical home (PCMH) settings may prepare new physicians to measure quality of care, manage the health of populations, work in teams, and include cost information in decision making. Transforming resident clinics to PCMHs requires funding for additional staff, electronic health records, training, and other resources not typically available to residency programs. Objective Describe how a 1115 Medicaid waiver was used to transform the majority of primary care training sites in New York State to the PCMH model and improve the quality of care provided. Methods The 2013–2014 Hospital Medical Home Program provided awards to 60 hospitals and 118 affiliated residency programs (training more than 5000 residents) to transform outpatient sites into PCMHs and provide high-quality, coordinated care. Site visits, coaching calls, resident surveys, data reporting, and feedback were used to promote and monitor change in resident continuity and quality of care. Descriptive analyses measured improvements in these areas. Results A total of 156 participating outpatient sites (100%) received PCMH recognition. All sites enhanced resident education using PCMH principles through patient empanelment, development of quality dashboards, and transforming resident scheduling and training. Clinical quality outcomes showed improvement across the demonstration, including better performance on colorectal and breast cancer screening rates (rate increases of 13%, P ≤ .001, and 11%, P = .011, respectively). Conclusions A 1115 Medicaid waiver is a viable mechanism for states to transform residency clinics to reflect new primary care models. The PCMH transformation of 156 sites led to improvements in resident continuity and clinical outcomes.

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 2019 Endocrine Society Measures Set for Older Adults With Type 2 Diabetes Who Are at Risk for Hypoglycemia

2019 ◽  
Vol 105 (4) ◽  
pp. 969-990
Author(s):  
James L Rosenzweig ◽  
Paul R Conlin ◽  
Jasmine D Gonzalvo ◽  
Stephanie B Kutler ◽  
Nisa M Maruthur ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Primary Care ◽  
Quality Of Care ◽  
Primary Care Physicians ◽  
Negative Impact ◽  
Quality Measures ◽  
Endocrine Society

Abstract Context Hypoglycemia in the outpatient setting has a significant financial impact on the health care system and negative impact on a person’s quality of life. Primary care physicians must address a multitude of issues in a visit with a person with type 2 diabetes mellitus (T2DM), often leaving little time to ask about hypoglycemia. Objective To develop quality measures that focus on outpatient hypoglycemia episodes for patients 65 and older with T2DM, which facilitate a clinician’s ability to identify opportunities to improve the quality of care and reduce hypoglycemic episodes. Participants and Process A technical expert panel established by the Endocrine Society in March 2019, which includes endocrinologists, primary care physicians, a diabetes care and education specialist/pharmacist, and a patient, developed 3 outpatient hypoglycemia quality measures. The measure set is intended to improve quality of care for patients with T2DM who are at greatest risk for hypoglycemia. The measures were available for public comment in July 2019. A fourth measure on shared decision-making was removed from the final measure set based on public feedback. Conclusion A lack of outpatient hypoglycemia measures focusing on older adults with T2DM is a barrier to improving care of people with diabetes and reducing hypoglycemic episodes. This paper provides measure specifications for 3 measures that may be used to focus quality improvement efforts on patients at greatest risk for hypoglycemia.

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

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