2014
Continuity in a VA Patient-Centered Medical Home Reduces Emergency Department Visits
Chaiyachati KH, Gordon K, Long T, Levin W, Khan A, Meyer E, Justice A, Brienza R. Continuity in a VA Patient-Centered Medical Home Reduces Emergency Department Visits. PLOS ONE 2014, 9: e96356. PMID: 24867300, PMCID: PMC4035271, DOI: 10.1371/journal.pone.0096356.Peer-Reviewed Original ResearchConceptsPrimary care providersPrimary care clinicsContinuity of carePatient Aligned Care TeamsED visitsEmergency departmentPCMH modelClinic visitsED utilizationCare clinicsCare servicesVeterans Affairs primary care clinicsMultivariable logistic regression analysisVA primary care clinicsTotal clinic visitsObservational cohort studyPrimary care visitsLogistic regression analysisLower ED utilizationOutcomes of interestCare visitsCohort studyVA patientsCare teamMedical home
2011
A Budget Impact Analysis of Rapid Human Immunodeficiency Virus Screening in Veterans Administration Emergency Departments
Gidwani R, Goetz MB, Kominski G, Asch S, Mattocks K, Samet JH, Justice A, Gandhi N, Needleman J. A Budget Impact Analysis of Rapid Human Immunodeficiency Virus Screening in Veterans Administration Emergency Departments. Journal Of Emergency Medicine 2011, 42: 719-726. PMID: 21277144, PMCID: PMC3204328, DOI: 10.1016/j.jemermed.2010.11.038.Peer-Reviewed Original ResearchMeSH KeywordsAIDS SerodiagnosisEmergency Service, HospitalHealth Care CostsHIV InfectionsHospitals, VeteransHumansMass ScreeningConceptsHuman immunodeficiency virus screeningUsual careEmergency departmentVirus screeningVeteran's Administration emergency departmentsRapid testing programmeTreatment-naïve HIVUsual care armProportion of patientsHIV testing programsRapid testingDistribution of CD4Budget impact analysisDisease severity categoriesDecision analysis modelLow disease prevalenceCare armChart reviewPositive patientsRapid HIVHIV prevalenceLate-stage symptomsDiagnostic testing approachPatientsTest acceptance
2008
Measuring Quality of Care in Syncope: Case Definition Affects Reported Electrocardiogram Use but Does Not Bias Reporting
Schuur JD, Justice A. Measuring Quality of Care in Syncope: Case Definition Affects Reported Electrocardiogram Use but Does Not Bias Reporting. Academic Emergency Medicine 2008, 16: 40-49. PMID: 19145713, PMCID: PMC3157750, DOI: 10.1111/j.1553-2712.2008.00303.x.Peer-Reviewed Original ResearchConceptsICD-9 codesCase definitionECG useEmergency departmentHospital characteristicsICD-9 diagnosis codesModerate agreementICD-9 diagnosisMultivariate logistic regressionNational quality measuresQuality of careED portionPatient ageED patientsFemale patientsDischarge diagnosisDiagnosis codesSyncope patientsECG rateElectrocardiogram useOnly moderate agreementPatientsSyncopeECG utilizationLogistic regression