Association between imposition of a maintenance of certification requirement and ambulatory care-sensitive hospitalizations and health care costs

JAMA - Journal of the American Medical Association

Volumn 312, Issue 22, 2014, Pages 2348-2357

  Gray, Bradley M ^a   Vandergrift, Jonathan L ^a   Johnston, Mary M ^b   Reschovsky, James D ^c   Lynn, Lorna A ^a   Holmboe, Eric S ^d   McCullough, Jeffrey S ^e   Lipner, Rebecca S ^a  

^a AMERICAN BOARD OF INTERNAL MEDICINE   (United States)

^b JAMES MADISON UNIVERSITY   (United States)

^c MATHEMATICA POLICY RESEARCH   (United States)

^d ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION   (United States)

^e UNIVERSITY OF MINNESOTA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; AMBULATORY CARE SENSITIVE HOSPITALIZATION; ARTICLE; CERTIFICATION; COHORT ANALYSIS; CONTROLLED STUDY; FEMALE; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE QUALITY; HOSPITALIZATION; HUMAN; INTERNIST; MAJOR CLINICAL STUDY; MALE; MEDICARE; OUTPATIENT CARE; AMBULATORY CARE; COMPARATIVE STUDY; INTERNAL MEDICINE; OUTCOME ASSESSMENT; STANDARDS; STATISTICS AND NUMERICAL DATA; TIME; UNITED STATES;

AGED; AMBULATORY CARE; CERTIFICATION; COHORT STUDIES; HEALTH CARE COSTS; HOSPITALIZATION; HUMANS; INTERNAL MEDICINE; MEDICARE; OUTCOME ASSESSMENT (HEALTH CARE); QUALITY INDICATORS, HEALTH CARE; SPECIALTY BOARDS; TIME FACTORS; UNITED STATES;

EID: 84916888969     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2014.12716     Document Type: Article

References (34)

1. Miller SH. American Board of Medical Specialties and repositioning for excellence in lifelong learning: Maintenance of Certification. J Contin Educ Health Prof. 2005;25(3):151-156.
2. LevinsonW, King TE Jr, Goldman L, Goroll AH, Kessler B. Clinical decisions: American Board of Internal Medicine Maintenance of Certification program. N Engl J Med. 2010;362(10):948-952.
3. Norcini JJ, Lipner RS, Kimball HR. Certifying examination performance and patient outcomes following acutemyocardial infarction. Med Educ. 2002;36(9):853-859.
4. Pham HH, Schrag D, Hargraves JL, Bach PB. Delivery of preventive services to older adults by primary care physicians. JAMA. 2005;294(4):473-481.
5. Holmboe ES, Wang Y, Meehan TP, et al. Association between Maintenance of Certification examination scores and quality of care for Medicare beneficiaries. Arch Intern Med. 2008;168(13):1396-1403.
6. Sirovich BE, Lipner RS, Johnston M, Holmboe ES. The association between residency training and internists' ability to practice conservatively [published online September 1, 2014]. JAMA Intern Med. 2014;174(10):1640-1648.
7. Austin PC. Optimal caliper widths for propensity-score matching when estimating differences in means and differences in proportions in observational studies. Pharm Stat. 2011;10(2):150-161.
8. Austin PC. An introduction to propensity score methods for reducing the effects of confounding in observational studies. Multivariate Behav Res. 2011;46(3):399-424.
9. Agency for Healthcare Research and Quality. Quality indicator user guide: prevention quality indicators (PQI) composite measures. http://www.qualityindicators.ahrq.gov/Downloads/Modules/PQI/V44/Composite-User-Technical-Specification -PQI-V4.4.pdf. Accessed August 12, 2014.
10. McWilliams JM, Landon BE, Chernew ME. Changes in health care spending and quality for Medicare beneficiaries associated with a commercial ACO contract. JAMA. 2013;310(8):829-836.
11. US Bureau of Labor Statistics. Consumer price index, all urban consumers. http://www.bls.gov/cpi/#tables. Accessed July 1, 2013.
12. Alemayehu B,Warner KE. The lifetime distribution of health care costs. Health Serv Res. 2004;39(3):627-642.
13. Meerding WJ, Bonneux L, Polder JJ, Koopmanschap MA, van der Maas PJ. Demographic and epidemiological determinants of healthcare costs in Netherlands: cost of illness study. BMJ. 1998;317(7151):111-115.
14. Pope G, Kautter J, Ingber M, Freeman S, Sekar R, Newhart C. Evaluation of the CMS-HCC risk adjustment model: final report. https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/downloads/Evaluation-Risk-Adj-Model-2011.pdf. Accessed May 12, 2014.
15. StataCorp. Stata Statistical Software: Release 13. http://www.stata.com/manuals13/me.pdf. Accessed October 16, 2014.
16. FriedbergMW, Schneider EC, Rosenthal MB, Volpp KG,Werner RM. Association between participation in a multipayer medical home intervention and changes in quality, utilization, and costs of care. JAMA. 2014;311(8):815-825.
17. Colla CH,Wennberg DE, Meara E, et al. Spending differences associated with the Medicare Physician Group Practice Demonstration. JAMA. 2012;308(10):1015-1023.
18. Song Z, Safran DG, Landon BE, et al. Health care spending and quality in year 1 of the alternative quality contract. N Engl J Med. 2011;365(10):909-918.
19. Kritek PA, Drazen JM. Clinical decisions: American Board of Internal Medicine Maintenance of Certification program-polling results. N Engl JMed. 2010;362(15):e54.
20. Goldman L, Goroll A, Kessler B. Do not enroll in the current MOC program. N Engl J Med. 2010;362:950-952. doi:10.1056/NEJMclde0911205.
21. Iglehart JK, Baron RB. Ensuring physicians' competence-is Maintenance of Certification the answer? N Engl J Med. 2012;367(26):2543-2549.
22. Hawkins RE, Lipner RS, Ham HP,Wagner R, Holmboe ES. American Board of Medical Specialties Maintenance of Certification: theory and evidence regarding the current framework. J Contin Educ Health Prof. 2013;33(S1)(suppl 1):S7-S19.
23. Pham HH, Landon BE, Reschovsky JD, Wu B, Schrag D. Rapidity and modality of imaging for acute low back pain in elderly patients. Arch Intern Med. 2009;169(10):972-981.
24. Starfield B, Powe NR,Weiner JR, et al. Costs vs quality in different types of primary care settings. JAMA. 1994;272(24):1903-1908.
25. Norcini J, Anderson B, Bollela V, et al. Criteria for good assessment: consensus statement and recommendations from the Ottawa 2010 Conference. Med Teach. 2011;33(3):206-214.
26. Petterson SM, Liaw WR, Phillips RL Jr, Rabin DL,Meyers DS, Bazemore AW. Projecting US primary care physician workforce needs: 2010-2025. Ann FamMed. 2012;10(6):503-509.
27. The Kaiser Family Foundation's State Health Facts. Data source: CMS state/county penetration file: total number of Medicare beneficiaries 2012. http://kff.org/medicare/state-indicator/total-medicare-beneficiaries/. Accessed August 12, 2014.
28. Medicare Payment Advisory Commission. A data book: health care spending and the Medicare program. http://www.medpac.gov/-documents-/data-book. Accessed August 12, 2014.
29. American Board of Internal Medicine. Where does the money go? http://www.abim.org/pdf /revenue-expenses.pdf. Accessed August 14, 2014.
30. Davies S, McDonald KM, Schmidt E, Schultz E, Geppert J, Romano PS. Expanding the uses of AHRQ's prevention quality indicators: validity from the clinician perspective. Med Care. 2011;49(8):679-685.
31. Landon BE, O'Malley AJ, McKellar MR, Hadley J, Reschovsky JD. Higher practice intensity is associated with higher quality of care but more avoidable admissions for Medicare beneficiaries. J Gen Intern Med. 2014;29(8):1188-1194.
32. Zhan C, MillerMR,Wong H, Meyer GS. The effects of HMO penetration on preventable hospitalizations. Health Serv Res. 2004;39(2):345-361.
33. Roos LL, Walld R, Uhanova J, Bond R. Physician visits, hospitalizations, and socioeconomic status: ambulatory care-sensitive conditions in a Canadian setting. Health Serv Res. 2005;40(4):1167-1185.
34. American Board of Internal Medicine. What changed in 2014? http://www.abim.org/maintenance-of-certification/faq-2014-program-changes/what-changed-in-2014.aspx. Accessed August 12, 2014.