Browsing by Author "Soumerai, Stephen"

Now showing items 41-60 of 70

    • Impact of Medicare's Payment Policy on Mediastinitis Following Coronary Artery Bypass Graft Surgery in US Hospitals 

      Calderwood, Michael Simmons; Kleinman, Kenneth Paul; Soumerai, Stephen Bertram; Jin, Robert; Gay, Charlene; Piatt, Richard; Kassler, William; Goldmann, Donald Alan; Jha, Ashish Kumar; Lee, Grace M. (Cambridge University Press (CUP), 2014)
      The Centers for Medicare and Medicaid Services (CMS) implemented a policy in October 2008 to eliminate additional Medicare payment for mediastinitis following coronary artery bypass graft (CABG) surgery. To evaluate the ...

    • Impact of Medicare’s Hospital-Acquired Condition Policy on Infections in Safety Net and Non–Safety Net Hospitals 

      Vaz, Louise Elaine; Kleinman, Kenneth Paul; Kawai, Alison Tse; Jin, Robert; Kassler, William J.; Grant, Patricia S.; Rett, Melisa; Goldmann, Donald Alan; Calderwood, Michael Simmons; Soumerai, Stephen Bertram; Lee, Grace M. (Cambridge University Press (CUP), 2015)
      Policymakers may wish to align healthcare payment and quality of care while minimizing unintended consequences, particularly for safety net hospitals. To determine whether the 2008 Centers for Medicare and Medicaid Services ...

    • The Impact of Prescribing Safety Alerts for Elderly Persons in an Electronic Medical Record 

      Smith, David H.; Perrin, Nancy; Feldstein, Adrianne; Yang, Xiuhai; Kuang, Daniel; Simon, Steven R.; Sittig, Dean F.; Platt, Richard; Soumerai, Stephen Bertram (American Medical Association (AMA), 2006)
      Background Considerable effort and attention have focused on medication safety in elderly persons; one approach that has been understudied in the outpatient environment is the use of computerized provider order entry with ...

    • Improved Therapeutic Monitoring With Several Interventions 

      Feldstein, Adrianne C.; Smith, David H.; Perrin, Nancy; Yang, Xiuhai; Rix, Mary; Raebel, Marsha A.; Magid, David J.; Simon, Steven R.; Soumerai, Stephen Bertram (American Medical Association (AMA), 2006)
      Background Medication errors are frequently related to failure to appropriately select medications or adjust for laboratory parameters. Differences between guideline recommendations and actual frequency of therapeutic ...

    • Improving Drug-Therapy Decisions through Educational Outreach 

      Avorn, Jerry Lewis; Soumerai, Stephen Bertram (New England Journal of Medicine (NEJM/MMS), 1983)
      Improving precision and economy in the prescribing of drugs is a goal whose importance has increased with the proliferation of new and potent agents and with growing economic pressures to contain healthcare costs. We ...

    • Inadequate Prescription-Drug Coverage for Medicare Enrollees — A Call to Action 

      Soumerai, Stephen Bertram; Ross-Degnan, Dennis (New England Journal of Medicine (NEJM/MMS), 1999)
      The demise of both the Medicare Catastrophic Coverage Act of 19881 and the 1993 Clinton plan for health care reform2,3 resulted in missed opportunities to correct a glaring defect in the American health care system — ...

    • Influence of Clinical Knowledge, Organizational Context, and Practice Style on Transfusion Decision Making 

      Salem-Schatz, Susanne R.; Avorn, Jerry Lewis; Soumerai, Stephen Bertram (American Medical Association (AMA), 1990)
      Evidence shows that blood products, like other health care resources, are often used inappropriately, but the reasons for this have not been well studied. We conducted a face-to-face survey of 122 general surgeons, orthopedic ...

    • Interventions designed to improve the quality and efficiency of medication use in managed care: A critical review of the literature – 2001–2007 

      Lu, Christine Y.; Ross-Degnan, Dennis; Soumerai, Stephen Bertram; Pearson, Sallie-Anne (BioMed Central, 2008)
      Background: Managed care organizations use a variety of strategies to reduce the cost and improve the quality of medication use. The effectiveness of such policies is not well understood. The objective of this research was ...

    • Mammography Rates 3 Years After the 2009 US Preventive Services Task Force Guidelines Changes 

      Wharam, James Franklin; Landon, Bruce Evan; Zhang, Fang; Xu, Xin; Soumerai, Stephen Bertram; Ross-Degnan, Dennis (American Society of Clinical Oncology (ASCO), 2015)
      Purpose In November 2009, the US Preventive Services Task Force (USPSTF) changed its mammography recommendations from every 1 to 2 years among women age ≥ 40 years to personalized screening decisions for women age 40 to ...

    • Measuring Access to Effective Care Among Elderly Medicare Enrollees in Managed and Fee-for-Service Care: A Retrospective Cohort Study 

      Barton, Mary B; Dayhoff, Debra A; Soumerai, Stephen Bertram; Rosenbach, Margo L; Fletcher, Robert H. (BioMed Central, 2001)
      Background: Our aim was to compare access to effective care among elderly Medicare patients in a Staff Model and Group Model HMO and in Fee-for-Service (FFS) care. Methods: We used a retrospective cohort study design, using ...

    • Medicare Part D's Exclusion of Benzodiazepines and Fracture Risk in Nursing Homes 

      Briesacher, Becky A.; Soumerai, Stephen Bertram; Field, Terry S.; Fouayzi, Hassan; Gurwitz, Jerry H. (American Medical Association (AMA), 2010)
      Background Medicare Part D excludes benzodiazepine medications from coverage, and some state Medicaid programs also limit coverage. We assessed whether such policies decrease the risk of fractures in elderly individuals ...

    • A Multisite Randomized Trial of the Effects of Physician Education and Organizational Change in Chronic-Asthma Care 

      Lozano, Paula; Finkelstein, Jonathan Arie; Carey, Vincent James; Wagner, Edward W.; Inui, Thomas S.; Fuhlbrigge, Anne Louise; Soumerai, Stephen Bertram; Sullivan, Sean D.; Weiss, Scott Tillman; Weiss, Kevin (American Medical Association (AMA), 2004)
      Background Traditional primary care practice change approaches have not led to full implementation of national asthma guidelines. Objective To evaluate the effectiveness of 2 asthma care improvement strategies in ...

    • Ongoing Attention to Injurious Inpatient Falls and Pressure Ulcers 

      Lee, Grace M.; Soumerai, Stephen Bertram (American Medical Association (AMA), 2015)
      To the Editor We read with interest the article by Waters et al1 because we believe it is vital to evaluate whether the actual effect of payment policies matches their intended effect. The authors contribute unique information ...

    • Outcomes of Reference Pricing for Angiotensin-Converting–Enzyme Inhibitors 

      Schneeweiss, Sebastian; Walker, Alexander M.; Glynn, Robert James; Maclure, Malcolm; Dormuth, Colin; Soumerai, Stephen Bertram (New England Journal of Medicine (NEJM/MMS), 2002)
      Background In January 1997, reference pricing for angiotensin-converting–enzyme (ACE) inhibitors for patients 65 years of age or older was introduced in British Columbia, Canada. For medications within a specific class, ...

    • Payment Restrictions for Prescription Drugs under Medicaid 

      Soumerai, Stephen Bertram; Avorn, Jerry Lewis; Ross-Degnan, Dennis; Gortmaker, Steven L. (New England Journal of Medicine (NEJM/MMS), 1987)
      In an attempt to contain costs, 27 Medicaid programs have implemented patient-level payment limits for medications, but the effects of these restrictions on quality of care, costs, and health status remain largely unknown. ...

    • Physician Alerts to Increase Antidepressant Adherence 

      Bambauer, Kara Zivin; Adams, Alyce S.; Zhang, Fang; Minkoff, Neil; Grande, Andrea; Weisblatt, Rick; Soumerai, Stephen Bertram; Ross-Degnan, Dennis (American Medical Association (AMA), 2006)
      Background Many managed care organizations use feedback based on electronically maintained claims data to alert physicians to potential treatment problems, including patient medication nonadherence. However, the efficacy ...

    • Principles of Educational Outreach ('Academic Detailing') to Improve Clinical Decision Making 

      Soumerai, Stephen Bertram; Avorn, Jerry Lewis (American Medical Association (AMA), 1990)
      With the efficacy and costs of medications rising rapidly, it is increasingly important to ensure that drugs be prescribed as rationally as possible. Yet, physicians' choices of drugs frequently fall short of the ideal of ...

    • Prior Authorization for Antidepressants in Medicaid 

      Adams, Alyce S.; Zhang, Fang; LeCates, Robert F.; Graves, Amy; Ross-Degnan, Dennis; Gilden, Daniel; McLaughlin, Thomas J.; Lu, Christine; Trinacty, Connie; Soumerai, Stephen Bertram (American Medical Association (AMA), 2009)
      Background Prior authorization is a popular, but understudied, strategy for reducing medication costs. We evaluated the impact of a controversial prior authorization policy in Michigan Medicaid on antidepressant use and ...

    • Psychoactive Medication Use in Intermediate-Care Facility Residents 

      Beers, Mark; Avorn, Jerry Lewis; Soumerai, Stephen Bertram; Everitt, Daniel E.; Sherman, David S.; Salem, Susanne (American Medical Association (AMA), 1988)
      Despite the large number of elderly patients in nursing homes and the intensity of medication use there, few current data are available on patterns of medication use in this setting. We studied all medication use among 850 ...

    • Quasi-Experimental Health Policy Research: Evaluation of Universal Health Insurance and Methods for Comparative Effectiveness Research 

      Garabedian, Laura Faden (2013-10-08)
      This dissertation consists of two empirical papers and one methods paper. The first two papers use quasi-experimental methods to evaluate the impact of universal health insurance reform in Massachusetts (MA) and Thailand ...