3 results match your criteria: "U.S. Department of Veterans Affairs Center for Innovation to Implementation[Affiliation]"

Background: Revenue-generating health care activities, generally accepted as a measure of productivity, do not account for the full range of health care activities that enhance patient care.

Purpose: We analyzed the quantity, duration, and type of "service value activities" performed by nurse practitioners (NPs), physician assistants (PAs), and clinical nurse specialists (CNSs), which are nonbillable service activities that contribute to billable service provision, quality of care, and value of care.

Methods: Data were obtained from ambulatory specialties at one health care institution over a 13-month period.

View Article and Find Full Text PDF

Impact of Primary Care Intensive Management on High-Risk Veterans' Costs and Utilization: A Randomized Quality Improvement Trial.

Ann Intern Med

June 2018

U.S. Department of Veterans Affairs Center for Innovation to Implementation, Menlo Park, California, and Stanford University School of Medicine, Stanford, California (D.M.Z., S.M.A.).

Background: Primary care models that offer comprehensive, accessible care to all patients may provide insufficient resources to meet the needs of patients with complex conditions who have the greatest risk for hospitalization.

Objective: To assess whether augmenting usual primary care with team-based intensive management lowers utilization and costs for high-risk patients.

Design: Randomized quality improvement trial.

View Article and Find Full Text PDF