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Title Analysis of healthcare interventions that change patient trajectories / James H. Bigelow [and others]
Published Santa Monica, CA : RAND, 2005


Description 1 online resource (xxxvii, 171 pages) : illustrations
Series Rand Health ; MG-409-HLTH
Rand publications series
Contents Building the trajectory database from MEPS -- Interpreting MEPS-based estimates -- Avoiding adverse drug events through computerized physician order entry -- Short-term effects of preventive services -- Management of chronic diseases -- Estimating long-term effects of healthy behavior on population health status and health care -- The patient's role in disease management and lifestyle changes -- Realizing the potential
Summary This report is one of several that document a broad, two-year study by RAND Health to better understand the role and importance of Electronic Medical Record Systems (EMR-S) in improving health and reducing healthcare costs, and to help inform government actions that could maximize EMR-S benefits and increase its use. It provides the technical details and results of one component of that study that analyzes interventions in the healthcare system that use EMR-S to affect patient trajectories-i.e., the sequence of encounters a patient has with the healthcare system. The interventions are to improve patient safety, increase preventive services, expand chronic disease management, and foster healthier lifestyles. We identified four classes of trajectory-changing interventions and we selected some important interventions in each class: --Implement Computerized Physician Order Entry (CPOE) as a means to reduce adverse drug events (ADEs). --Increase the provision of the following preventive services: influenza and pneumococcal vaccinations and screening for breast, cervical, and colorectal cancer. --Enroll people with one of four chronic illnesses-asthma, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), or diabetes-in disease management programs. --Persuade people to adopt healthy lifestyles and estimate the health outcomes if everyone did so: controlled their weight, stopped smoking, ate a healthy diet, exercised, and controlled their blood pressure and cholesterol as necessary with medications. We estimated the effects of each intervention on healthcare utilization (e.g., hospital stays, office visits, prescription drug use), healthcare expenditures, and population health outcomes (workdays or schooldays missed, days spent sick in bed, mortality). These interventions generally affect trajectories by improving health and thereby reducing healthcare utilization, or by reducing a costly form of utilization (e.g., inpatient stays) and increasing a more economical form (e.g., office visits to physicians, or prescription medications). The report should be of interest to healthcare IT professionals, other healthcare executives and researchers, and officials in the government responsible for health policy
Notes "MG-408-HLTH."--P 4., cover
Bibliography Includes bibliographical references (pages 157-171)
Notes Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002. MiAaHDL
Print version record
digitized 2011 HathiTrust Digital Library committed to preserve pda MiAaHDL
In Books at JSTOR: Open Access JSTOR
Subject Health maintenance organization patients.
Cost effectiveness.
Medicine -- Data processing.
Medical informatics.
Cost-Benefit Analysis
Medical Informatics Applications
Technology Assessment, Biomedical
Medical Informatics
cost benefit analysis.
MEDICAL -- Administration.
MEDICAL -- Practice Management & Reimbursement.
MEDICAL -- Health Policy.
Medicine -- Data processing
Medical informatics
Cost effectiveness
Health maintenance organization patients
Genre/Form CD-ROMs
Form Electronic book
Author Bigelow, J. H.
Rand Corporation.
LC no. 2005022219
ISBN 9780833040978