-
3
-
-
84995935267
-
-
Portland (OR): ORPCA; [cited 2016 Oct 4]
-
Oregon Primary Care Association. SDOH: tools and resources [Internet]. Portland (OR): ORPCA; [cited 2016 Oct 4]. Available from: http://www.orpca.org/initiatives/socialdeterminants-of-health/251-sdohtools-resources
-
SDOH: tools and resources
-
-
-
4
-
-
84995935265
-
-
Los Angeles (CA): Health-Begins; 2015 [cited 2016 Oct 4]
-
Manchanda R, Gottlieb L. Upstream risks screening tool and guide [Internet]. Los Angeles (CA): Health-Begins; 2015 [cited 2016 Oct 4]. Available from: https://www.aamc.org/download/442878/data/chahandout1.pdf
-
Upstream risks screening tool and guide
-
-
Manchanda, R.1
Gottlieb, L.2
-
5
-
-
84995879573
-
-
Washington (DC): National Center for Medical-Legal Partnership; 2015 Mar [cited 2016 Oct 4]
-
Buchanan D, Benfer E. Medical-legal partnership toolkit: phase I: laying the groundwork [Internet]. Washington (DC): National Center for Medical-Legal Partnership; 2015 Mar [cited 2016 Oct 4]. Available from: http://medical-legalpartner ship.org/mlptoolkit/
-
Medical-legal partnership toolkit: phase I: laying the groundwork
-
-
Buchanan, D.1
Benfer, E.2
-
6
-
-
67049132400
-
Adding socioeconomic status to Framingham scoring to reduce disparities in coronary risk assessment
-
Fiscella K, Tancredi D, Franks P. Adding socioeconomic status to Framingham scoring to reduce disparities in coronary risk assessment. Am Heart J. 2009;157(6):988-94.
-
(2009)
Am Heart J
, vol.157
, Issue.6
, pp. 988-994
-
-
Fiscella, K.1
Tancredi, D.2
Franks, P.3
-
7
-
-
84996565755
-
Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial
-
[Epub ahead of print]
-
Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, et al. Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial. JAMA Pediatr. 2016. [Epub ahead of print].
-
(2016)
JAMA Pediatr
-
-
Gottlieb, L.M.1
Hessler, D.2
Long, D.3
Laves, E.4
Burns, A.R.5
Amaya, A.6
-
8
-
-
84922611404
-
Addressing social determinants of health at well child care visits: a cluster RCT
-
Garg A, Toy S, Tripodis Y, Silverstein M, Freeman E. Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics. 2015;135(2):e296-304.
-
(2015)
Pediatrics
, vol.135
, Issue.2
, pp. e296-e304
-
-
Garg, A.1
Toy, S.2
Tripodis, Y.3
Silverstein, M.4
Freeman, E.5
-
9
-
-
37149038507
-
Preferences for self-management support: findings from a survey of diabetes patients in safety-net health systems
-
Sarkar U, Piette JD, Gonzales R, Lessler D, Chew LD, Reilly B, et al. Preferences for self-management support: findings from a survey of diabetes patients in safety-net health systems. Patient Educ Couns. 2008; 70(1):102-10.
-
(2008)
Patient Educ Couns
, vol.70
, Issue.1
, pp. 102-110
-
-
Sarkar, U.1
Piette, J.D.2
Gonzales, R.3
Lessler, D.4
Chew, L.D.5
Reilly, B.6
-
10
-
-
84862523011
-
The challenge of attribution: responsibility for population health in the context of accountable care
-
Gourevitch MN, Cannell T, Boufford JI, Summers C. The challenge of attribution: responsibility for population health in the context of accountable care. Am J Public Health. 2012;102(Suppl 3):S322-4.
-
(2012)
Am J Public Health
, vol.102
, pp. S322-S324
-
-
Gourevitch, M.N.1
Cannell, T.2
Boufford, J.I.3
Summers, C.4
-
11
-
-
84995930485
-
-
Washington (DC): National Academies Press; Jul [cited 2016 Oct 4]
-
National Academy of Medicine. Accounting for social risk factors in Medicare payment: criteria, factors, and methods [Internet].Washington (DC): National Academies Press; 2016 Jul [cited 2016 Oct 4]. Available from: http://nationalacademies.org/hmd/reports/2016/accounting-for-social-risk-factors-inmedicare-payment-3.aspx
-
(2016)
Accounting for social risk factors in Medicare payment: criteria, factors, and methods
-
-
-
12
-
-
84940865834
-
-
Washington (DC): NQF; 2014 [cited 2016 Oct 4]
-
National Quality Forum. Risk adjustment for socioeconomic status or other sociodemographic factors [Internet]. Washington (DC): NQF; 2014 [cited 2016 Oct 4]. Available from: http://www.qualityforum.org/Publications/2014/08/Risk_Adjustment_for_Socioeconomic_Status_or_Other_Sociodemo graphic_Factors.aspx
-
Risk adjustment for socioeconomic status or other sociodemographic factors
-
-
-
13
-
-
56249113172
-
Understanding panel management: a comparative study of an emerging approach to population care
-
Neuwirth EE, Schmittdiel JA, Tallman K, Bellows J. Understanding panel management: a comparative study of an emerging approach to population care. Perm J. 2007; 11(3):12-20.
-
(2007)
Perm J
, vol.11
, Issue.3
, pp. 12-20
-
-
Neuwirth, E.E.1
Schmittdiel, J.A.2
Tallman, K.3
Bellows, J.4
-
14
-
-
84862511268
-
-
Oakland (CA): Prevention Institute; 2011 Feb [cited 2016 Oct 4]
-
Cantor J, Cohen L, Mikkelsen L, Pañares R, Srikantharajah J, Valdovinos E. Community-centered health homes: bridging the gap between health services and community prevention [Internet]. Oakland (CA): Prevention Institute; 2011 Feb [cited 2016 Oct 4]. Available from: http://www.preventioninstitute.org/component/jlibrary/article/id-298/127.html
-
Community-centered health homes: bridging the gap between health services and community prevention
-
-
Cantor, J.1
Cohen, L.2
Mikkelsen, L.3
Pañares, R.4
Srikantharajah, J.5
Valdovinos, E.6
-
15
-
-
84897784523
-
The 10 building blocks of high-performing primary care
-
Bodenheimer T, Ghorob A, Willard-Grace R, Grumbach K. The 10 building blocks of high-performing primary care. Ann Fam Med. 2014; 12(2):166-71.
-
(2014)
Ann Fam Med
, vol.12
, Issue.2
, pp. 166-171
-
-
Bodenheimer, T.1
Ghorob, A.2
Willard-Grace, R.3
Grumbach, K.4
-
16
-
-
84891795644
-
Exhaustion of food budgets at month's end and hospital admissions for hypoglycemia
-
Seligman HK, Bolger AF, Guzman D, López A, Bibbins-Domingo K. Exhaustion of food budgets at month's end and hospital admissions for hypoglycemia. Health Aff (Millwood). 2014;33(1):116-23.
-
(2014)
Health Aff (Millwood)
, vol.33
, Issue.1
, pp. 116-123
-
-
Seligman, H.K.1
Bolger, A.F.2
Guzman, D.3
López, A.4
Bibbins-Domingo, K.5
-
18
-
-
84868622949
-
Identifying and treating a substandard housing cluster using a medical-legal partnership
-
Beck AF, Klein MD, Schaffzin JK, Tallent V, Gillam M, Kahn RS. Identifying and treating a substandard housing cluster using a medical-legal partnership. Pediatrics. 2012;130(5):831-8.
-
(2012)
Pediatrics
, vol.130
, Issue.5
, pp. 831-838
-
-
Beck, A.F.1
Klein, M.D.2
Schaffzin, J.K.3
Tallent, V.4
Gillam, M.5
Kahn, R.S.6
-
19
-
-
84978820318
-
-
Rockville (MD): Agency for Healthcare Research and Quality; 2013 Jun [cited 2016 Oct 4]
-
Knox L, Brach C. The practice facilitation handbook: training modules for new facilitators and their trainers [Internet]. Rockville (MD): Agency for Healthcare Research and Quality; 2013 Jun [cited 2016 Oct 4]. p. 131-44. Available from: http://www.ahrq.gov/sites/default/files/publications/files/practice facilitationhandbook.pdf
-
The practice facilitation handbook: training modules for new facilitators and their trainers
, pp. 131-144
-
-
Knox, L.1
Brach, C.2
-
20
-
-
84969941990
-
-
Washington (DC): Veterans Health Administration Feb 5 [cited 2016 Oct 4]. (VHA Handbook No. 1101.10)
-
Department of Veterans Affairs. Patient Aligned Care Team (PACT) handbook [Internet]. Washington (DC): Veterans Health Administration; 2014 Feb 5 [cited 2016 Oct 4]. (VHA Handbook No. 1101.10). Available from: http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2977
-
(2014)
Patient Aligned Care Team (PACT) handbook
-
-
-
21
-
-
84995878905
-
-
Baltimore (MD): CMS; [cited 2016 Oct 4]
-
Centers for Medicare and Medicaid Services. What are the value-based programs? [Internet]. Baltimore (MD): CMS; [cited 2016 Oct 4]. Available from: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Value-Based-Programs.html
-
What are the value-based programs?
-
-
-
22
-
-
84995926882
-
-
Washington (DC): Department of Health and Human Services; 2016 Jan 12 [cited 2016 Oct 4]
-
Alternative Payment Model Framework and Progress Tracking (APM FPT) Work Group. Alternative payment model (APM) framework [Internet]. Washington (DC): Department of Health and Human Services; 2016 Jan 12 [cited 2016 Oct 4]. Available from: https://hcp-lan.org/workproducts/apm-whitepaper.pdf
-
Alternative payment model (APM) framework
-
-
-
23
-
-
84920025558
-
Quality measures and sociodemographic risk factors: to adjust or not to adjust
-
Fiscella K, Burstin HR, Nerenz DR. Quality measures and sociodemographic risk factors: to adjust or not to adjust. JAMA. 2014;312(24): 2615-6.
-
(2014)
JAMA
, vol.312
, Issue.24
, pp. 2615-2616
-
-
Fiscella, K.1
Burstin, H.R.2
Nerenz, D.R.3
-
24
-
-
84862578415
-
Do physician organizations located in lower socioeconomic status areas score lower on pay-for-performance measures?
-
Chien AT,Wroblewski K, Damberg C, Williams TR, Yanagihara D, Yakunina Y, et al. Do physician organizations located in lower socioeconomic status areas score lower on pay-for-performance measures? J Gen Intern Med. 2012;27(5): 548-54.
-
(2012)
J Gen Intern Med
, vol.27
, Issue.5
, pp. 548-554
-
-
Chien, A.T.1
Wroblewski, K.2
Damberg, C.3
Williams, T.R.4
Yanagihara, D.5
Yakunina, Y.6
-
25
-
-
84995900335
-
-
An Ounce of Evidence [blog on the Internet] Sep 29 [cited 2016 Oct 4]
-
Jha A. Changing my mind on SES risk adjustment. An Ounce of Evidence [blog on the Internet]. 2014 Sep 29 [cited 2016 Oct 4]. Available from: https://blogs.sph.harvard.edu/ashish-jha/2014/09/29/changing-my-mind-on-ses-riskadjustment/
-
(2014)
Changing my mind on SES risk adjustment
-
-
Jha, A.1
-
26
-
-
84899841634
-
-
New York (NY): Commonwealth Fund; 2012 Dec [cited 2016 Oct 4]
-
Berenson J, Shih A. Higher readmissions at safety-net hospitals and potential policy solutions [Internet]. New York (NY): Commonwealth Fund; 2012 Dec [cited 2016 Oct 4]. Available from: http://www.commonwealthfund.org/~/media/Files/Publications/Issue Brief/2012/Dec/1647_Berenson_higher_readmissions_at_safety_net_hosps_ib.pdf
-
Higher readmissions at safety-net hospitals and potential policy solutions
-
-
Berenson, J.1
Shih, A.2
-
27
-
-
78049334037
-
An automated model to identify heart failure patients at risk for 30-day readmission or death using electronic medical record data
-
Amarasingham R, Moore BJ, Tabak YP, Drazner MH, Clark CA, Zhang S, et al. An automated model to identify heart failure patients at risk for 30-day readmission or death using electronic medical record data. Med Care. 2010;48(11):981-8.
-
(2010)
Med Care
, vol.48
, Issue.11
, pp. 981-988
-
-
Amarasingham, R.1
Moore, B.J.2
Tabak, Y.P.3
Drazner, M.H.4
Clark, C.A.5
Zhang, S.6
-
28
-
-
84995900328
-
-
Baltimore (MD): Centers for Medicare and Medicaid Services; 2015 Oct 28 [cited 2016 Oct 4]
-
Rice C. Proposed changes to the CMS-HCC risk adjustment model for payment year 2017 [Internet]. Baltimore (MD): Centers for Medicare and Medicaid Services; 2015 Oct 28 [cited 2016 Oct 4]. Available from: https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpec RateStats/Downloads/RiskAdj2017 ProposedChanges.pdf
-
Proposed changes to the CMS-HCC risk adjustment model for payment year 2017
-
-
Rice, C.1
-
29
-
-
84995875313
-
-
Bethesda (MD): National Library of Medicine; 2012 Feb 29 [last updated 2016 Sep 28; cited 2016 Oct 4]
-
National Library of Medicine. SNOMED CT to ICD-10-CM map [Internet]. Bethesda (MD): National Library of Medicine; 2012 Feb 29 [last updated 2016 Sep 28; cited 2016 Oct 4]. Available from: https://www.nlm.nih.gov/research/umls/mapping_projects/snomedct_to_icd10cm.html
-
SNOMED CT to ICD-10-CM map
-
-
-
30
-
-
85009801128
-
-
Menlo Park (CA): Henry J. Kaiser Family Foundation; 2015 Nov 4 [cited 2016 Oct 4]
-
Heiman HJ, Artiga S. Beyond health care: the role of social determinants in promoting health and health equity [Internet]. Menlo Park (CA): Henry J. Kaiser Family Foundation; 2015 Nov 4 [cited 2016 Oct 4]. Available from: http://kff.org/disparities-policy/issue-brief/beyond-health-care-the-role-ofsocial-determinants-in-promotinghealth-and-health-equity/
-
Beyond health care: the role of social determinants in promoting health and health equity
-
-
Heiman, H.J.1
Artiga, S.2
-
31
-
-
84954059176
-
Accountable health communities-addressing social needs through Medicare and Medicaid
-
Alley DE, Asomugha CN, Conway PH, Sanghavi DM. Accountable health communities-addressing social needs through Medicare and Medicaid. N Engl J Med. 2016; 374(1):8-11.
-
(2016)
N Engl J Med
, vol.374
, Issue.1
, pp. 8-11
-
-
Alley, D.E.1
Asomugha, C.N.2
Conway, P.H.3
Sanghavi, D.M.4
-
33
-
-
84910097918
-
-
Rockville (MD): Agency for Healthcare Research and Quality Mar 3 [cited 2016 Oct 4]
-
Barrett M, Steiner C. HCUP external cause of injury code (e code) evaluation report [Internet]. Rockville (MD): Agency for Healthcare Research and Quality; 2015 Mar 3 [cited 2016 Oct 4]. (Report No. 2015-03). Available from: https://www.hcup-us.ahrq.gov/reports/methods/2015-03.pdf
-
(2015)
HCUP external cause of injury code (e code) evaluation report
-
-
Barrett, M.1
Steiner, C.2
|