Predictors of Community Therapists’ Use of Therapy Techniques in a Large Public Mental Health System
Predictors of Community Therapists’ Use of Therapy Techniques in a Large Public Mental Health System
Rinad S. Beidas, Steven Marcus, Gregory A. Aarons, Kimberly E. Hoagwood, Sonja Schoenwald, Arthur C. Evans, Matthew O. Hurford, Trevor Hadley, Frances K. Barg, Lucia M. Walsh, Danielle R. Adams, David S. Mandell
In JAMA Pediatrics, Rinad Beidas and colleagues explore the effects of individual and organizational characteristics on therapists’ self-reported use of different therapy techniques - cognitive behavioral therapy (CBT), family therapy, and psychodynamic therapy techniques. The study focuses on the Philadelphia public mental health system, currently engaged in a large-scale effort to increase the use of CBT. The study results show that although both individual and organizational factors are important, the relative significance of the factors varies by treatment type. Key findings include...
The Use of Health Information Technology to Improve Care and Outcomes for Older Adults
Kathryn H. Bowles, Patricia Dykes, George Demiris
In a commentary in Research in Gerontological Nursing, Kathryn Bowles and colleagues look at how nurse scientists are using health information technology, such as electronic health records (EHR) and decision support, to improve care. They highlight positive research findings, including that integrated EHR systems reduced hospital-acquired pressure ulcers by 13 percent. Or how the use of a discharge decision support system helped to identify whether older adults were likely to need post-acute services, such as skilled home care or skilled nursing facility care. Use of the system,...
Scott Halpern, Ezekiel Emanuel and the End-of-Life Debate
Digital Marketing to Physicians: Policy Lags Behind Practice
In a Perspective in today’s New England Journal of Medicine, David Grande, LDI's Co-Director of Health Policy, and colleagues write about new digital forms of pharmaceutical and medical device marketing to physicians. The same technologies that can be used to support clinical practice—such as electronic health records, social media, and mobile applications—can also be used to conduct market research and to market directly to physicians. Grande and colleagues write:
Toward a Value Proposition for Preventive Care
LDI Senior Fellow Mark Pauly wants to have a conversation about the ACA’s mandatory coverage of preventive care.
Susan Domchek, New York Times, BRCA Gene Screening
Guidelines Change, and Some Guidelines Change More than Others
Lest we forget that guidelines are (and should be) living, breathing documents, LDI Senior Fellows Mark Neuman and Sandy Schwartz provide an excellent reminder in a new study in JAMA that reviews the “durability” of recommendations across serial versions of the same cardiology guidelines.
Ensemble of trees approaches to risk adjustment for evaluating a hospital’s performance
Yang Liu, Mikhail Traskin, Scott Lorch, Edward George, Dylan Small
In Health Care Management Science, Dylan Small, Scott Lorch and colleagues discuss different mechanisms of risk adjustment used in hospital performance evaluations. Accurate risk adjustment is critical to the reliable assessment and comparison of hospitals. Hospitals are commonly assessed using evaluations that measure their actual outcomes as compared to their risk-adjusted expected outcomes, which take into account factors like patient mix in order to compare hospitals on a level playing field. The authors propose ensemble of trees approaches as superior alternatives to the logistic...
The Exnovation Conundrum
How do we get people and organizations to change, especially when what they are currently doing adds little value, is very costly, is perhaps outmoded, and may, at worst, be dangerous? This is the question Benjamin Roman and David Asch raise in their new Annals of Internal Medicine piece on "Faded Promises".
What Big Data Can’t Tell Us, But Kolstad’s Paper Suggests
The good news is that LDI Senior Fellow Jonathan Kolstad has won the prestigious Arrow Award for the Best Paper in Health Economics for his study entitled, Information and Quality When Motivation is Intrinsic: Evidence from Surgeon Report Cards.