Medicare

Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients

Description

This research will integrate cross-sector care alerts and interoperable personalized care planning into the existing Coordinating Transitions Intervention (CTI) tool and evaluate the impact of the revised tool on patient burden, care team collaboration, and utilization value for high-need, high-cost patients.

Grant Number
R01 HS028000
Principal Investigator(s)

Use of Push and Pull Health Information Exchange Technologies by Ambulatory Care Practices and the Impact on Potentially Avoidable Health Care Utilization - Final Report

Principal Investigator

The associations between query-based and directed health information exchange with potentially avoidable use of health care services.

Principal Investigator

Disparities in patient-reported interest in web-based patient portals: survey at an urban academic safety-net hospital.

Principal Investigator

Effect of hospital readmission reduction on patients at low, medium, and high risk of readmission in the Medicare population.

Principal Investigator

First opioid prescription and subsequent high-risk opioid use: a national study of privately insured and Medicare Advantage adults.

Principal Investigator