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Medicare's New Mandatory Bundled-Payment Program - Are We Ready for TEAM?

N Engl J Med

November 2024

From the Department of Medicine, Brigham and Women's Hospital, and Harvard Medical School - both in Boston (S.A.S.); the Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI (A.M.R.); and the Cardiovascular Division, Department of Medicine, School of Medicine, and the Center for Advancing Health Services, Policy and Economics Research, Washington University, St. Louis (K.E.J.M.).

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COVID-19's Effect on Practice Quality Improvement and Transformation Activities: Practice Survey Results.

Qual Manag Health Care

October 2024

Author Affiliations: Health Unit, Mathematica, Inc., Princeton, NJ (Ms Felt-Lisk, Drs Chandler and Merrill); and Centers for Clinical Standards and Quality, Centers for Medicare & Medicaid Services, Baltimore, MD (Ms Johnson, Drs Everhart and Flemming).

Background And Objectives: The Transforming Clinical Practices Initiative (TCPI) was a 4-year, large-scale, collaborative, peer-based learning initiative for physician practices of all specialties with broad goals to improve the quality of patient care, spend health care dollars more wisely, and assist practices in being ready to succeed under value-based payment (VBP). We investigated whether the COVID-19 pandemic had erased or diminished practice transformation progress made during the TCPI program period, through a follow-up survey of participating practices fielded in October 2021.

Methods: In October 2021 to April 2022, we surveyed a probability sample of 2207 primary care and specialty practices that participated in the TCPI, receiving 610 responses.

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Predictors of Patient Engagement With an Interprofessional Lifestyle Medicine Program.

Am J Lifestyle Med

December 2023

Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University in St. Louis School of Medicine, St Louis, MO, USA (AC, MD, AM, CL, DH).

Background: Changes in lifestyle habits can reduce morbidity and mortality, but not everyone who can benefit from lifestyle intervention is ready to do so.

Purpose: To describe characteristics of patients who did and did not engage with a lifestyle medicine program, and to identify predictors of engagement.

Methods: This was a single-center, retrospective cohort study of 276 adult patients who presented for consultation to a goal-directed, individualized, interprofessional lifestyle medicine program.

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The Readiness for Hospital Discharge Scale (RHDS) was created to determine the patient's readiness for discharge to home from the hospital. The purpose of this study is to determine the scale's internal consistency and predictive validity in a skilled nursing facility (SNF) setting. Participants ( = 30) over the age of 65 were conveniently selected from 10 different SNFs in the Midwest to complete the RHDS prior to discharge.

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Introduction: Obstructive sleep apnea (OSA) is a treatable cause of daytime sleepiness and associated medical problems that can negatively impact soldier readiness and performance. This study examined adherence to positive airway pressure (PAP) by soldiers who were newly diagnosed with OSA and prescribed PAP therapy and participated in a Knowledge, Skills, and Attitudes (KSA) behavioral intervention class.

Materials And Methods: The KSA was a one-time, interactive 90-minute class attended by up to 10 patients per class.

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