Diabetes care quality is highly correlated with patient panel characteristics

Journal of the American Board of Family Medicine

Volumn 26, Issue 6, 2013, Pages 669-679

  Bailey, Steffani R ^a   O'Malley, Jean P ^b   Gold, Rachel ^c,d   Heintzman, John ^a   Likumahuwa, Sonja ^a   DeVoe, Jennifer E ^a,c  

^a OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^b OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^c OCHIN Inc   (United States)

^d CENTER FOR HEALTH RESEARCH   (United States)

Author keywords

Diabetes mellitus; Health care systems; Health insurance; Health policy

Indexed keywords

HEMOGLOBIN; HEMOGLOBIN A1C; LOW DENSITY LIPOPROTEIN CHOLESTEROL;

ADULT; ARTICLE; BLOOD ANALYSIS; DIABETES MELLITUS; DIABETIC NEPHROPATHY; DIABETIC PATIENT; ELECTRONIC MEDICAL RECORD; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH CENTER; HEALTH INSURANCE; HUMAN; INFLUENZA VACCINATION; INSULIN DEPENDENT DIABETES MELLITUS; INSURANCE; LIPID ANALYSIS; MAJOR CLINICAL STUDY; MEDICAL INFORMATION; MEDICALLY UNINSURED; MICROALBUMINURIA; NON INSULIN DEPENDENT DIABETES MELLITUS; PREVENTIVE HEALTH SERVICE; PRIMARY MEDICAL CARE; SCREENING TEST; SOCIAL STATUS;

DIABETES MELLITUS; HEALTH CARE SYSTEMS; HEALTH INSURANCE; HEALTH POLICY;

COMMUNITY HEALTH CENTERS; DIABETES MELLITUS; ELECTRONIC HEALTH RECORDS; FEMALE; HUMANS; MALE; MASS SCREENING; MIDDLE AGED; PREVENTIVE HEALTH SERVICES; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE; RETROSPECTIVE STUDIES; UNITED STATES;

EID: 84888346866     PISSN: 15572625     EISSN: 15587118     Source Type: Journal    
DOI: 10.3122/jabfm.2013.06.130018     Document Type: Article

References (44)

1. VanLare JM, Conway PH Value-based purchasing-national programs to move from volume to value. N Engl J Med 2012; 367:292-5.
2. Chassin MR, Galvin RW The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. JAMA 1998; 280:1000-5.
3. McGlynn EA, Asch SM, Adams J, et al The quality of health care delivered to adults in the United States. N Engl J Med 2003; 348:2635-45. (Pubitemid 36741592)
4. Porter ME. What is value in health care? N Engl J Med 2010; 363:2477-81.
5. Galvin RS, McGlynn EA Using performance measurement to drive improvement: a road map for change. Med Care 2003; 41(1 Suppl):I48-60.
6. Epstein AM, Lee TH, Hamel MB Paying physicians for high-quality care. N Engl J Med 2004; 350:406-10. (Pubitemid 38101637)
7. Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: Institute of Medicine; 2001.
8. Petersen LA, Woodard LD, Urech T, Daw C., Sookanan S. Does pay-for-performance improve the quality of health care? Ann Intern Med 2006; 145: 265-72. (Pubitemid 46768610)
9. Lindenauer PK, Remus D, Roman S., et al Public reporting and pay for performance in hospital quality improvement. N Engl J Med 2007; 356:486-96. (Pubitemid 46193076)
10. Franks P, Fiscella K. Effect of patient socioeconomic status on physician profiles for prevention, disease management, and diagnostic testing costs. Med Care 2002; 40:717-24.
11. Chien AT, Eastman D, Li Z., Rosenthal MB Impact of a pay for performance program to improve diabetes care in the safety net. Prev Med 2012; 55(Suppl):S80-5.
12. Reschovsky JD, O'Malley AS. Do primary care physicians treating minority patients report problems delivering high-quality care? Health Aff (Millwood) 2008; 27:w222-31. (Pubitemid 351770282)
13. Shani M, Nakar S, Lustman A., Baievsky T, Rosenberg R, Vinker S. Patient characteristics correlated with quality indicator outcomes in diabetes care. Br J Gen Pract 2010; 60:655-9.
14. Salanitro AH, Safford MM, Houston T.K., et al Patient complexity and diabetes quality of care in rural settings. J Natl Med Assoc 2011; 103:234-40.
15. Safford MM, Brimacombe M, Zhang Q., et al Patient complexity in quality comparisons for gly-cemic control: an observational study. Implement Sci 2009; 4:2.
16. Greenfield S, Kaplan SH, Kahn R, Ninomiya J., Griffith JL Profiling care provided by different groups of physicians: effects of patient case-mix (bias) and physician-level clustering on quality assessment results. Ann Intern Med 2002; 136:111-21. (Pubitemid 34073935)
17. Carrier ER, Schneider E, Pham H.H., Bach PB Association between quality of care and the sociode-mographic composition of physicians' patient panels: a repeat cross-sectional analysis. J Gen Intern Med 2011; 26:987-94.
18. Alberti H, Boudriga N, Nabli M. "Damm sokkor": factors associated with the quality of care of patients with diabetes: a study in primary care in Tunisia. Diabetes Care 2007; 30:2013-8. (Pubitemid 47219411)
19. Zhang Q, Safford M, Ottenweller J., et al Performance status of health care facilities changes with risk adjustment of HbA1c. Diabetes Care 2000; 23: 919-27. (Pubitemid 30480018)
20. Hong CS, Atlas SJ, Chang Y, et al Relationship between patient panel characteristics and primary care physician clinical performance rankings. JAMA 2010; 304:1107-13.
21. Zhang JX, Huang ES, Drum M.L., et al Insurance status and quality of diabetes care in community health centers. Am J Public Health 2009; 99:742-7.
22. Kulesher RR. Health reform's impact on federally qualified community health centers: the unintended consequence of increased Medicaid enrollment on the primary care medical home. Health Care Manag 2013; 32:99-106.
23. Cook NL, Hicks LS, O'Malley AJ, Keegan T, Guadagnoli E, Landon BE. Access to specialty care and medical services in community health centers. Health Aff (Millwood) 2007; 26:1459-68.
24. Hicks LS, O'Malley AJ, Lieu TA, et al The quality of chronic disease care in U.S. community health centers. Health Aff (Millwood) 2006; 25:1712-23. (Pubitemid 44871740)
25. Goldman LE, Chu PW, Tran H, Romano M.J., Stafford RS Federally qualified health centers and private practice performance on ambulatory care measures. Am J Prev Med 2012; 43:142-9.
26. Shi L, Lebrun LA, Hung L-M, Zhu J, Tsai J. US primary care delivery after the Health Center Growth Initiative: comparison of health centers, hospital outpatient departments, and physicians' offices. J Ambul Care Manage 2012; 35:60-74.
27. Ulmer C, Lewis-Idema D, Von Worley A, et al Assessing primary care content: four conditions common in community health center practice. J Ambul Care Manage 2000; 23:23-38. (Pubitemid 30013593)
28. Long SK, Stockley K. The impacts of state health reform initiatives on adults in New York and Massachusetts. Health Serv Res 2011; 46(1 Part 2):365-87.
29. Devoe JE, Gold R, Spofford M., et al Developing a network of community health centers with a common electronic health record: description of the Safety Net West Practice-based Research Network (SNW-PBRN). J Am Board Fam Med 2011; 24:597-604.
30. American Diabetes Association. Standards of medical care in diabetes-2012. Diabetes Care. 2012; 35(SUPPL. 1):S11-63.
31. Kenealy T, Elley CR, Collins J.F., Moyes SA, Metcalf PA, Drury PL Increased prevalence of albuminuria among non-European peoples with type 2 diabetes. Nephrol Dial Transplant 2012; 27:1840-6.
32. Gross JL, de Azevedo MJ, Silveiro SP, Canani LH, Caramori ML, Zelmanovitz T. Diabetic nephropa-thy: diagnosis, prevention, and treatment. Diabetes Care 2001; 28:164-76.
33. Gold R, DeVoe J, Shah A., Chauvie S. Insurance continuity and receipt of diabetes preventive care in a network of federally qualified health centers. Med Care 2009; 47:431-9.
34. Gold R, DeVoe JE, McIntire P.J., Puro JE, Chauvie SL, Shah AR Receipt of diabetes preventive care among safety net patients associated with differing levels of insurance coverage. J Am Board Fam Med 2012; 25:42-9.
35. Voorhees K, Fernald DH, Emsermann C, et al Underinsurance in primary care: a report from the State Networks of Colorado Ambulatory Practices and Partners (SNOCAP). J Am Board Fam Med 2008; 21:309-16. (Pubitemid 352031496)
36. Ng JH, Kaftarian SJ, Tilson W.M., et al Self-reported delays in receipt of health care among women with diabetes and cardiovascular conditions. Womens Health Issues 2010; 20:316-22.
37. Meyers DS, Mishori R, McCann J., Delgado J, O'Malley AS, Fryer E. Primary care physicians' perceptions of the effect of insurance status on clinical decision making. Ann Fam Med 2006; 4:399-402. (Pubitemid 44544144)
38. Marx R, Drennan MJ, Johnson E.C., Solnit SA, Hirozawa AM, Katz MH Creating a medical home in the San Francisco department of public health: establishing patient panels. J Public Health Manag Pract 2009; 15:337-44.
39. Schoen C, DesRoches C. Uninsured and unstably insured: the importance of continuous insurance coverage. Health Serv Res 2000; 35(1 Pt 2):187-206. (Pubitemid 30211200)
40. Gulley SP, Rasch EK, Chan L. Ongoing coverage for ongoing care: access, utilization, and out-of-pocket spending among uninsured working-aged adults with chronic health care needs. Am J Public Health 2011; 101:368-75.
41. Friedberg MW, Safran DG, Coltin K, Dresser M., Schneider EC Paying for performance in primary care: potential impact on practices and disparities. Health Aff (Millwood) 2010; 29:926-32.
42. Casalino LP, Elster A, Eisenberg A., Lewis E, Montgomery J, Ramos D. Will pay-for-performance and quality reporting affect health care disparities? [Erratum in Health Aff (Millwood) 2007; 26:1794.]
43. Health Aff (Millwood) 2007; 26:w405-14.
44. Devoe JE, Gold R, McIntire P., Puro J, Chauvie S, Gallia CA Electronic health records vs Medicaid claims: completeness of diabetes preventive care data in community health centers. Ann Fam Med 2011; 9:351-8.