Early impacts of the Pennsylvania Rural Health Model on potentially avoidable utilization.

The Pennsylvania Rural Health Model (PARHM) is a novel alternative payment model for rural hospitals that aims to test whether hospital-based global budgets, coupled with delivery transformation plans, improve the quality of health care and health outcomes in rural communities. Eighteen hospitals joined PARHM in 3 cohorts between 2019 and 2021. This study assessed PARHM's impact on changes in potentially avoidable utilization (PAU)-a measure of admission rates policymakers explicitly targeted for improvement in PARHM.

Changes in Medication Utilization and Adherence Associated with Homeless Adults' Entry into Permanent Supportive Housing.

Background: Permanent supportive housing (PSH) programs, which have grown over the last decade, have been associated with changes in health care utilization and spending. However, little is known about the impact of such programs on use of prescription drugs critical for managing chronic diseases prevalent among those with unstable housing.

Objective: To evaluate the effects of PSH on medication utilization and adherence among Medicaid enrollees in Pennsylvania.

Economic Analysis of Mandated Protocolized Sepsis Care in New York Hospitals.

Objectives: Initial evidence suggests that state-level regulatory mandates for sepsis quality improvement are associated with decreased sepsis mortality. However, sepsis mandates require financial investments on the part of hospitals and may lead to increased spending. We evaluated the effects of the 2013 New York State sepsis regulations on the costs of care for patients hospitalized with sepsis.

Predictors of viewing progress notes among users of VA's electronic health portal who receive mental health care.

Objective: Consistent with the movement, the Veterans Health Administration (VHA) offers patients online access to their clinical notes through the feature in its electronic patient health portal, My HealthVet. We identified demographic, diagnostic, and knowledge-related predictors of viewing clinical notes among veterans receiving VHA mental health care who recently used My HealthVet.

Materials And Methods: Three hundred and thirty-eight patients receiving mental health care from 1 VHA medical center who had logged into My HealthVet in the prior 6 months completed self-report questionnaires assessing their viewing of clinical notes.