ArticleMedical care2011
Effect of patient selection method on provider group performance estimates.
Article in Medical care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Identifying patterns and predictors of lifestyle modification in electronic health record documentation using statistical and machine learning methods.Preventive medicine · 2020Article
- Circannual growth in Wisconsin children and adolescents: Identifying optimal periods of obesity prevention.Pediatric obesity · 2020Article
- Sociodemographics and hypertension control among young adults with incident hypertension: a multidisciplinary group practice observational study.Journal of hypertension · 2018Observational
- Frequency and Predictors of Communication About High Blood Pressure in Rheumatoid Arthritis Visits.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2018Article
- Hypertension control after an initial cardiac event among Medicare patients with diabetes mellitus: A multidisciplinary group practice observational study.Journal of clinical hypertension (Greenwich, Conn.) · 2018Observational
- Can Claims Data Algorithms Identify the Physician of Record?Medical care · 2018Article
- The importance of frequent return visits and hypertension control among US young adults: a multidisciplinary group practice observational study.Journal of clinical hypertension (Greenwich, Conn.) · 2017Observational
- Racial and Ethnic Differences in Initiation and Discontinuation of Antidementia Drugs by Medicare Beneficiaries.Journal of the American Geriatrics Society · 2016Article
- Achieving Weight Loss and Hypertension Control Among Obese Adults: A US Multidisciplinary Group Practice Observational Study.American journal of hypertension · 2016Observational
- VA and Medicare Utilization Among Dually Enrolled Veterans with Type 2 Diabetes: A Latent Class Analysis.Journal of general internal medicine · 2016Article
- MyHEART: A Non Randomized Feasibility Study of a Young Adult Hypertension Intervention.Journal of hypertension and management · 2016Article
- Association of anxiety and depression with hypertension control: a US multidisciplinary group practice observational study.Journal of hypertension · 2015Observational
- Differential Diagnosis and Treatment Rates Between Systolic and Diastolic Hypertension in Young Adults: A Multidisciplinary Observational Study.Journal of clinical hypertension (Greenwich, Conn.) · 2015Observational
- Diagnosis and treatment of incident hypertension among patients with diabetes: a U.S. multi-disciplinary group practice observational study.Journal of general internal medicine · 2015Observational
- Documented lifestyle education among young adults with incident hypertension.Journal of general internal medicine · 2015Article
- Impact of rheumatoid arthritis on receiving a diagnosis of hypertension among patients with regular primary care.Arthritis care & research · 2014Article
- Antihypertensive medication initiation among young adults with regular primary care use.Journal of general internal medicine · 2014Article
- The roles of primary care PAs and NPs caring for older adults with diabetes.JAAPA : official journal of the American Academy of Physician Assistants · 2014Article
- Undiagnosed hypertension among young adults with regular primary care use.Journal of hypertension · 2014Article
- Medication oversupply in patients with diabetes.Research in social & administrative pharmacy : RSAPArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundPerformance measurement at the provider group level is increasingly advocated, but different methods for selecting patients when calculating provider group performance have received little evaluation.
objectiveWe compared 2 currently used methods according to characteristics of the patients selected and impact on performance estimates. RESEARCH DESIGN, SUBJECTS, AND MEASURES: We analyzed Medicare claims data for fee-for-service beneficiaries with diabetes ever seen at an academic multispeciality physician group in 2003 to 2004. We examined sample size, sociodemographics, clinical characteristics, and receipt of recommended diabetes monitoring in 2004 for the groups of patients selected using 2 methods implemented in large-scale performance initiatives: the Plurality Provider Algorithm and the Diabetes Care Home method. We examined differences among discordantly assigned patients to determine evidence for differential selection regarding these measures.
resultsFewer patients were selected under the Diabetes Care Home method (n=3558) than the Plurality Provider Algorithm (n=4859). Compared with the Plurality Provider Algorithm, the Diabetes Care Home method preferentially selected patients who were female, not entitled because of disability, older, more likely to have hypertension, and less likely to have kidney disease and peripheral vascular disease, and had lower levels of predicted utilization. Diabetes performance was higher under Diabetes Care Home method, with 67% versus 58% receiving >1 A1c tests, 70% versus 65% receiving ≥1 low-density lipoprotein (LDL) test, and 38% versus 37% receiving an eye examination.
conclusionsThe method used to select patients when calculating provider group performance may affect patient case mix and estimated performance levels, and warrants careful consideration when comparing performance estimates.
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