Publications by authors named "P D Kralovec"
Article Synopsis
- Hospitals need to develop specific capabilities to excel in bundled payment models, especially considering the differences between Medicare and commercial payment systems.
- A national survey of hospitals with bundled payment experience was conducted to analyze their organizational capacities in areas such as physician feedback, care management, and health IT.
- The findings showed that while both hospital groups shared strengths in measuring quality and cost, multipayer hospitals had a notable advantage in coordinating care post-discharge.
Article Synopsis
- - The study focuses on the importance of building organizational capacity in hospitals engaged in payment models like bundled payments and accountable care organizations, specifically highlighting co-participant hospitals that have experience with both models.
- - A national survey of 424 American Hospital Association member hospitals was conducted, revealing that both co-participant and bundled payment hospitals have strong capabilities in performance feedback and using health IT for risk assessment, with a notable 38% response rate.
- - While care management capacities were similar across both groups, bundled payment hospitals demonstrated better utilization of postacute care providers, suggesting that hospitals with experience in multiple payment models might adopt different strategies compared to those with experience in just one model.
Background: The objective of our study was to assess the analytical performance of a multiplex assay (Oncuria™) to quantify protein biomarkers towards a bladder cancer associated diagnostic signature in voided urine.
Method: ology: Using Luminex xMAP technology, a custom immunoassay was developed to measure the concentrations of 10 urinary analytes (angiogenin, ANG; apolipoprotein E, APOE; alpha-1 antitrypsin, A1AT; carbonic anhydrase 9, CA9; interleukin 8, IL8; matrix metallopeptidase 9, MMP9; matrix metallopeptidase 10, MMP10; plasminogen activator inhibitor 1, PAI1; syndecan 1, SDC1; vascular endothelial growth factor, VEGF). Selectivity, sensitivity, specificity, precision, linearity, dynamic range, and detection threshold were assessed using recombinant proteins and human urine samples.
Background: The health care system in the United States is costly with high variance in quality. There is growing interest in transformational performance improvement initiatives, such as the Lean management system, to eliminate waste and inefficiency and improve quality of care for patients.
Methods: A national survey of all 4,500 short-term acute general medical/surgical and pediatric hospitals in the United States was fielded between May and September 2017 by the Survey Data Center of the American Hospital Association.
Objective: While most hospitals have adopted electronic health records (EHRs), we know little about whether hospitals use EHRs in advanced ways that are critical to improving outcomes, and whether hospitals with fewer resources - small, rural, safety-net - are keeping up.
Materials And Methods: Using 2008-2015 American Hospital Association Information Technology Supplement survey data, we measured "basic" and "comprehensive" EHR adoption among hospitals to provide the latest national numbers. We then used new supplement questions to assess advanced use of EHRs and EHR data for performance measurement and patient engagement functions.