Increased use of care management processes and expanded health information technology functions by practice ownership and medicaid revenue

Medical Care Research and Review

Volumn 73, Issue 3, 2016, Pages 308-328

  Rodriguez, Hector P ^a   McClellan, Sean R ^b   Bibi, Salma ^a   Casalino, Lawrence P ^c   Ramsay, Patricia P ^a   Shortell, Stephen M ^a  

^a University of California Berkeley   (United States)

^b AMERICAN INSTITUTES FOR RESEARCH   (United States)

^c WEILL CORNELL MEDICAL COLLEGE   (United States)

Author keywords

care management; community health centers; health information technology; organizational change; practice ownership

Indexed keywords

ADOPTION; CONTROLLED STUDY; HEALTH CENTER; HUMAN; HUMAN EXPERIMENT; LINEAR REGRESSION ANALYSIS; MEDICAID; MEDICAL INFORMATION; MEDICAL PRACTICE; MODEL; PHYSICIAN; STATISTICAL MODEL; ECONOMICS; HEALTH INSURANCE; MANAGEMENT; MEDICAL INFORMATICS; ORGANIZATION AND MANAGEMENT; STATISTICS AND NUMERICAL DATA; UNITED STATES; UTILIZATION; VULNERABLE POPULATION;

HUMANS; MANAGED CARE PROGRAMS; MEDICAID; MEDICAL INFORMATICS; OWNERSHIP; PRACTICE MANAGEMENT; UNITED STATES; VULNERABLE POPULATIONS;

EID: 84964475925     PISSN: 10775587     EISSN: 15526801     Source Type: Journal    
DOI: 10.1177/1077558715613233     Document Type: Review

References (39)

1. Adler-Milstein J., DesRoches C. M., Furukawa M. F., Worzala C., Charles D., Kralovec P.,. Jha A. K., (2014). More than half of US hospitals have at least a basic EHR, but Stage 2 criteria remain challenging for most. Health Affairs, 33, 1664-1671. doi: 10.1377/hlthaff.2014.0453
2. Berwick D. M., (2003). Disseminating innovations in health care. Journal of the American Medical Association, 289, 1969-1975. doi: 10.1001/jama.289.15.1969
3. Blumenthal D., (2011a). Implementation of the federal health information technology initiative. New England Journal of Medicine, 365, 2426-2431. doi: 10.1056/NEJMsr1112158
4. Blumenthal D., (2011b). Wiring the health system-Origins and provisions of a new federal program. New England Journal of Medicine, 365, 2323-2329. doi: 10.1056/NEJMsr1110507
5. Casalino L., Gillies R. R., Shortell S. M., Schmittdiel J. A., Bodenheimer T., Robinson J. C.,. Wang M. C., (2003). External incentives, information technology, and organized processes to improve health care quality for patients with chronic diseases. Journal of the American Medical Association, 289, 434-441.
6. Casalino L. P., Wu F. M., Ryan A. M., Copeland K., Rittenhouse D. R., Ramsay P. P., Shortell S. M., (2013). Independent practice associations and physician-hospital organizations can improve care management for smaller practices. Health Affairs, 32, 1376-1382. doi: 10.1377/hlthaff.2013.0205
7. Clarke R. M., Tseng C. H., Brook R. H., Brown A. F., (2012). Tool used to assess how well community health centers function as medical homes. be flawed. Health Affairs, 31, 627-635. doi: 10.1377/hlthaff.2011.0908
8. Clemans-Cope L., Kenney G. M., Buettgens M., Carroll C., Blavin F., (2012). The affordable care act's coverage expansions will reduce differences in uninsurance rates by race and ethnicity. Health Affairs, 31, 920-930. doi: 10.1377/hlthaff.2011.1086
9. Cunningham P. J., (2015). Many Medicaid beneficiaries receive care consistent with attributes of patient-centered medical homes. Health Affairs, 34, 1105-1112. doi: 10.1377/hlthaff.2015.0141
10. Friedberg M. W., Safran D. G., Coltin K. L., Dresser M., Schneider E. C., (2009). Readiness for the patient-centered medical home: Structural capabilities of Massachusetts primary care practices. Journal of General Internal Medicine, 24, 162-169. doi: 10.1007/s11606-008-0856-x
11. Furukawa M. F., King J., Patel V., Hsiao C. J., Adler-Milstein J., Jha A. K., (2014). Despite substantial progress in EHR adoption, health information exchange and patient engagement remain low in office settings. Health Affairs, 33, 1672-1679. doi: 10.1377/hlthaff.2014.0445
12. Heisey-Grove D., Danehy L. N., Consolazio M., Lynch K., Mostashari F., (2014). A national study of challenges to electronic health record adoption and meaningful use. Medical Care, 52, 144-148. doi: 10.1097/MLR.0000000000000038
13. Hsiao C. J., Jha A. K., King J., Patel V., Furukawa M. F., Mostashari F., (2013). Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. Health Affairs, 32, 1470-1477. doi: 10.1377/hlthaff.2013.0323
14. Jones E. B., Furukawa M. F., (2014). Adoption and use of electronic health records among federally qualified health centers grew substantially during 2010-12. Health Affairs, 33, 1254-1261. doi: 10.1377/hlthaff.2013.1274
15. Kern L. M., Edwards A., Kaushal R., (2014). The meaningful use of electronic health records and health care quality. American Journal of Medical Quality. Advance online publication. doi: 10.1177/1062860614546547
16. Lewis V. A., Colla C. H., Schoenherr K. E., Shortell S. M., Fisher E. S., (2014). Innovation in the safety net: Integrating community health centers through accountable care. Journal of General Internal Medicine, 29, 1484-1490. doi: 10.1007/s11606-014-2911-0
17. Lo Sasso A. T., Byck G. R,. (2010). Funding growth drives community health center services. Health Affairs, 29, 289-296. doi: 10.1377/hlthaff.2008.0265
18. Lynch K., Kendall M., Shanks K., Haque A., Jones E., Wanis M. G.,. Mostashari F., (2014). The Health IT Regional Extension Center Program: Evolution and lessons for health care transformation. Health Services Research, 49, 421-437.
19. McClellan S. R., Casalino L. P., Shortell S. M., Rittenhouse D. R., (2013). When does adoption of health information technology by physician practices lead to use by physicians within the practice? Journal of the American Medical Informatics Association, 20 (e1), e26-e32. doi: 10.1136/amiajnl-2012-001271
20. Muller H. G., Stadtmuller U., (2005). Generalized functional linear models. Annals of Statistics, 33, 774-805. doi: 10.1214/009053604000001156
21. Nadeem E., Olin S. S., Hill L. C., Hoagwood K. E., Horwitz S. M., (2013). Understanding the components of quality improvement collaboratives: A systematic literature review. Milbank Quarterly, 91, 354-394. doi: 10.1111/milq.12016
22. Nembhard I. M., (2012). All teach, all learn, all improve? The role of interorganizational learning in quality improvement collaboratives. Health Care Management Review, 37, 154-164. doi: 10.1097/HMR.0b013e31822af831
23. Nocon R. S., Sharma R., Birnberg J. M., Ngo-Metzger Q., Lee S. M., Chin M. H., (2012). Association between patient-centered medical home rating and operating cost at federally funded health centers. Journal of the American Medical Association, 308, 60-66. doi: 10.1001/jama.2012.7048
24. Quinn M. T., Gunter K. E., Nocon R. S., Lewis S. E., Vable A. M., Tang H.,. Chin M. H., (2013). Undergoing transformation to the patient centered medical home in safety net health centers: Perspectives from the front lines. Ethnicity & Disease, 23, 356-362.
25. Rittenhouse D. R., Casalino L. P., Gillies R. R., Shortell S. M., Lau B., (2008). Measuring the medical home infrastructure in large medical groups. Health Affairs, 27, 1246-1258.
26. Rittenhouse D. R., Casalino L. P., Shortell S. M., McClellan S. R., Gillies R. R., Alexander J. A., Drum M. L., (2011). Small and medium-size physician practices use few patient-centered medical home processes. Health Affairs, 30, 1575-1584.
27. Rittenhouse D. R., Shortell S. M., Gillies R. R., Casalino L. P., Robinson J. C., McCurdy R. K., Siddique J., (2010). Improving chronic illness care: Findings from a national study of care management processes in large physician practices. Medical Care Research and Review, 67, 301-320. doi: 10.1177/1077558709353324
28. Robinson J. C., Casalino L. P., (1996). Vertical integration and organizational networks in health care. Health Affairs, 15, 7-22.
29. Robinson J. C., Shortell S. M., Rittenhouse D. R., Fernandes-Taylor S., Gillies R. R., Casalino L. P., (2009). Quality-based payment for medical groups and individual physicians. Inquiry, 46, 172-181.
30. Rodriguez H. P., Ivey S. L., Raffetto B. J., Vaughn J., Knox M., Hanley H. R.,. Shortell S. M., (2014). As good as it gets? Managing risks of cardiovascular disease in California's top-performing physician organizations. Joint Commission Journal on Quality and Patient Safety, 40, 148-158.
31. Rundall T. G., Shortell S. M., Wang M. C., Casalino L., Bodenheimer T., Gillies R. R.,. Robinson J. C., (2002). As good as it gets? Chronic care management in nine leading US physician organisations. British Medical Journal, 325, 958-961.
32. Scanlon D. P., Beich J., Alexander J. A., Christianson J. B., Hasnain-Wynia R., McHugh M. C., Mittler J. N., (2012). The aligning forces for quality initiative: Background and evolution from 2005 to 2012. American Journal of Managed Care, 18 (6 Suppl.), s115-s125.
33. Schoen C., Doty M. M., Robertson R. H., Collins S. R., (2011). Affordable Care Act reforms could reduce the number of underinsured us adults by 70 percent. Health Affairs, 30, 1762-1771. doi: 10.1377/hlthaff.2011.0335
34. Shi L. Y., Lebrun L. A., Tsai J., (2010). Assessing the impact of the Health Center Growth initiative on health center patients. Public Health Reports, 125, 258-266.
35. Shortell S. M., Gillies R., Siddique J., Casalino L. P., Rittenhouse D., Robinson J. C., McCurdy R. K., (2009). Improving chronic illness care: A longitudinal cohort analysis of large physician organizations. Medical Care, 47, 932-939. doi: 10.1097/MLR.0b013e31819a621a
36. Sommers A. S., Paradise J., Miller C., (2011). Physician willingness and resources to serve more Medicaid patients: Perspectives from primary care physicians. Medicare & Medicaid Research Review, 1 (2). doi: 10.5600/mmrr.001.02.a01
37. Varkey A. B., Manwell L. B., Williams E. S., Ibrahim S. A., Brown R. L., Bobula J. A.,. Linzer M., (2009). Separate and unequal: Clinics where minority and nonminority patients receive primary care. Archives of Internal Medicine, 169, 243-250.
38. White H., (1980). A heteroskedasticity-consistent covariance-matrix estimator and a direct test for heteroskedasticity. Econometrica, 48, 817-838. doi: 10.2307/1912934
39. Wiley J. A., Rittenhouse D. R., Shortell S. M., Casalino L. P., Ramsay P. P., Bibi S.,. Alexander J. A., (2015). Managing chronic illness: Physician practices increased the use of care management and medical home processes. Health Affairs, 34, 78-86. doi: 10.1377/hlthaff.2014.0404