2012
Improving Organizational Climate for Quality and Quality of Care
Nembhard IM, Northrup V, Shaller D, Cleary PD. Improving Organizational Climate for Quality and Quality of Care. Medical Care 2012, 50: s74-s82. PMID: 23064280, PMCID: PMC5428889, DOI: 10.1097/mlr.0b013e31826b1087.Peer-Reviewed Original ResearchConceptsTimeliness of careDoctor-patient communicationClinical Systems ImprovementPatient-centered careQuality of careStaff helpfulnessRatings of doctorsComparison clinicsIntervention clinicsPre-post designQuality improvement collaborativesControl clinicsDoctors' ratingsQuality careClinicClinic employeesDoctor's officeCareEquivocal effectsImprovement collaborativesMonthsPoor qualityMixed effectsDoctorsStaff relationships
2010
Relationship Between Use of Electronic Health Record Features and Health Care Quality
Poon EG, Wright A, Simon SR, Jenter CA, Kaushal R, Volk LA, Cleary PD, Singer JA, Tumolo AZ, Bates DW. Relationship Between Use of Electronic Health Record Features and Health Care Quality. Medical Care 2010, 48: 203-209. PMID: 20125047, DOI: 10.1097/mlr.0b013e3181c16203.Peer-Reviewed Original ResearchConceptsElectronic health recordsUse of EHRsColon cancer screeningEHR featuresHealth care qualityCancer screeningWomen's healthSignificant associationCare qualityInformation Set (HEDIS) quality measuresElectronic health record featuresHealthcare Effectiveness DataPrimary care physiciansHEDIS quality measuresCancer prevention measuresPhysician practice characteristicsQuality of careGroup scoresCare physiciansHEDIS measuresCancer preventionPractice characteristicsResponse rateHigh-quality healthcareEffectiveness data
2009
Associations Between Organizational Characteristics and Quality Improvement Activities of Clinics Participating in a Quality Improvement Collaborative
Deo S, McInnes K, Corbett CJ, Landon BE, Shapiro MF, Wilson IB, Cleary PD. Associations Between Organizational Characteristics and Quality Improvement Activities of Clinics Participating in a Quality Improvement Collaborative. Medical Care 2009, 47: 1026-1030. PMID: 19704356, PMCID: PMC3748716, DOI: 10.1097/mlr.0b013e31819a5937.Peer-Reviewed Original ResearchConceptsQuality improvement collaborativesPercent of interventionsClinic characteristicsIntervention activitiesPrimary care clinicsCross-sectional studyRyan White CARE ActSurvey of cliniciansQuality Improvement CollaborativeQuality of careNumber of interventionsQuality improvement activitiesHIV careCare clinicsMultidisciplinary teamClinicMore interventionsHealth care organizationsImprovement activitiesCare ActInterventionImprovement collaborativesCare organizationsIntervention choicesMonthsQuality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care
Keenan PS, Elliott MN, Cleary PD, Zaslavsky AM, Landon BE. Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care. Medical Care 2009, 47: 882-888. PMID: 19543123, DOI: 10.1097/mlr.0b013e3181a39415.Peer-Reviewed Original ResearchConceptsPreventive services measuresCare experiencesPreventive servicesMedicaid ServicesPreventive services receiptRates of immunizationCAHPS scoresExperience measuresOffice wait timeQuality of careTraditional MedicareSick groupPhysician ratingsCare plansMedicare Managed CareHealthcare providersService MedicareCAHPS measuresHealth plansService receiptConsumer AssessmentSystem surveyHealthier beneficiariesManaged CareMedicareReported care quality in federal Ryan White HIV/AIDS Program supported networks of HIV/AIDS care
Hirschhorn LR, Landers S, Mcinnes DK, Malitz F, Ding L, Joyce R, Cleary PD. Reported care quality in federal Ryan White HIV/AIDS Program supported networks of HIV/AIDS care. AIDS Care 2009, 21: 799-807. PMID: 19484615, DOI: 10.1080/09540120802511992.Peer-Reviewed Original ResearchConceptsRyan White ProgramEligible metropolitan areasRyan White HIV/AIDS ProgramHIV/AIDS programsWhite ProgramCare providersCase managementHIV/AIDS careAIDS ProgramCare networkPrimary care providersCoordination of careNetworks of careMedical care providersQuality of careCoordination of servicesQuality improvement activitiesAIDS careCare sitesEarly pilot testingMedical providersCare qualitySupport servicesCareImprovement activities
2008
The quality of care received by HIV patients without a primary provider
Ding L, Landon B, Wilson I, Hirschhorn L, Marsden P, Cleary P. The quality of care received by HIV patients without a primary provider. AIDS Care 2008, 20: 35-42. PMID: 18278613, DOI: 10.1080/09540120701439295.Peer-Reviewed Original ResearchConceptsPrimary HIV care providerHIV care providersCare providersQuality of careHIV patientsNurse practitionersUnmet needPhysician assistantsPrimary providersActive antiretroviral therapyServices Utilization StudyTerms of patientCare quality measuresNon-significant trendHIV expertiseHIV providersAntiretroviral therapyHIV CostPatient characteristicsHIV infectionIllness severityPatientsDrug usersUtilization studiesMedical care
2007
Correlations among measures of quality in HIV care in the United States: cross sectional study
Wilson IB, Landon BE, Marsden PV, Hirschhorn LR, McInnes K, Ding L, Cleary PD. Correlations among measures of quality in HIV care in the United States: cross sectional study. The BMJ 2007, 335: 1085. PMID: 17967826, PMCID: PMC2094195, DOI: 10.1136/bmj.39364.520278.55.Peer-Reviewed Original ResearchQuality of Health Care for Children: Role of Health and Chronic Illness in Inpatient Care Experiences
Mack JW, Co JP, Goldmann DA, Weeks JC, Cleary PD. Quality of Health Care for Children: Role of Health and Chronic Illness in Inpatient Care Experiences. JAMA Pediatrics 2007, 161: 828-834. PMID: 17768281, DOI: 10.1001/archpedi.161.9.828.Peer-Reviewed Original ResearchConceptsChronic conditionsParents of childrenInpatient careHealth statusPoor healthHealth careQuality of careInpatient care experiencePercent of parentsCare-related problemsHealth care interactionsCare ratingsChronic illnessMultivariable modelRole of healthInpatient SurveyCare problemsCare experiencesLow qualityCare interactionsWorse healthGood healthCareSuch childrenChildrenVoluntary Physician Switching by Human Immunodeficiency Virus-Infected Individuals
Rodriguez HP, Wilson IB, Landon BE, Marsden PV, Cleary PD. Voluntary Physician Switching by Human Immunodeficiency Virus-Infected Individuals. Medical Care 2007, 45: 189-198. PMID: 17304075, DOI: 10.1097/01.mlr.0000250252.14148.7e.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntiretroviral Therapy, Highly ActiveContinuity of Patient CareDecision MakingFemaleHealth Services AccessibilityHIV InfectionsHumansLongitudinal StudiesMaleMedicinePatient ParticipationPatient SatisfactionPhysician-Patient RelationsPhysiciansQuality of Health CareRegression AnalysisSocioeconomic FactorsSpecializationTrustConceptsHuman immunodeficiency virusImmunodeficiency virusVoluntary physiciansServices Utilization StudyMultilevel logistic regression modelsQuality of careCARE Act fundingLogistic regression modelsUsual cliniciansHIV CostChronic illnessCare sitesPatientsUtilization studiesPatient volumePatient trustPhysiciansStudy periodMultivariate modelCareCliniciansLongitudinal studyTechnical qualityRegression modelsRepresentative sample
2006
Associations Between Adherence to Guidelines for Antipsychotic Dose and Health Status, Side Effects, and Patient Care Experiences
Dickey B, Normand SL, Eisen S, Hermann R, Cleary P, Cortés D, Ware N. Associations Between Adherence to Guidelines for Antipsychotic Dose and Health Status, Side Effects, and Patient Care Experiences. Medical Care 2006, 44: 827-834. PMID: 16932134, DOI: 10.1097/01.mlr.0000215806.11805.6c.Peer-Reviewed Original ResearchConceptsHealth statusSide effectsHigh dosesEvidence-based practice guidelinesLarge prospective observational studySelf-reported health statusBaseline symptom profileHospital admission evaluationMassachusetts Medicaid beneficiariesProspective observational studyEvidence-based guidelinesTreatment of schizophreniaSubsample of patientsAntipsychotic medication doseHighest dose levelPerceptions of careQuality of carePatient care experiencesHealth benefit claimsAcute episodeAntipsychotic dosesGuideline adherenceMedication dosePoor outcomeSF-12Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics
Hirschhorn LR, McInnes K, Landon BE, Wilson IB, Ding L, Marsden PV, Malitz F, Cleary PD. Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics. Women's Health Issues 2006, 16: 104-112. PMID: 16765286, DOI: 10.1016/j.whi.2006.02.004.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAIDS-Related Opportunistic InfectionsAmbulatory CareAntiretroviral Therapy, Highly ActiveCohort StudiesConfidence IntervalsFemaleHealth Services AccessibilityHealth Services ResearchHumansMaleMedical RecordsMiddle AgedOdds RatioQuality Assurance, Health CareWomen's HealthConceptsRyan White CARE ActPCP prophylaxisHIV careCare ActActive antiretroviral therapy (HAART) useHepatitis C virus statusHIV primary care clinicPneumocystis jiroveci pneumonia prophylaxisC virus statusAntiretroviral therapy useHIV viral suppressionPrimary care clinicsQuality improvement studyDisease prevention effortsQuality of carePneumonia prophylaxisViral suppressionHIV infectionTherapy useCare clinicsClinic characteristicsRecord reviewPap smearVirus statusOutcome measures
2005
Quality of HIV care provided by nurse practitioners, physician assistants, and physicians.
Wilson IB, Landon BE, Hirschhorn LR, McInnes K, Ding L, Marsden PV, Cleary PD. Quality of HIV care provided by nurse practitioners, physician assistants, and physicians. Annals Of Internal Medicine 2005, 143: 729-36. PMID: 16287794, DOI: 10.7326/0003-4819-143-10-200511150-00010.Peer-Reviewed Original ResearchConceptsInfectious disease specialistsNurse practitionersHIV expertsQuality of carePhysician assistantsHIV careDisease specialistsHIV care sitesProtein derivative testingMedical record reviewPrimary care providersHigh-quality careCross-sectional analysisHIV expertisePatient characteristicsRecord reviewCare measuresPapanicolaou smearsComplex clinical processesMedical recordsAdjusted ratesCare sitesCare providersHIVCarePhysician Specialization and the Quality of Care for Human Immunodeficiency Virus Infection
Landon BE, Wilson IB, McInnes K, Landrum MB, Hirschhorn LR, Marsden PV, Cleary PD. Physician Specialization and the Quality of Care for Human Immunodeficiency Virus Infection. JAMA Internal Medicine 2005, 165: 1133-1139. PMID: 15911726, DOI: 10.1001/archinte.165.10.1133.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntiretroviral Therapy, Highly ActiveClinical CompetenceEducation, ContinuingFamily PracticeFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMalePrimary Health CareQuality Assurance, Health CareReferral and ConsultationRegression AnalysisRetrospective StudiesUnited StatesConceptsHuman immunodeficiency virus (HIV) infectionActive antiretroviral therapyImmunodeficiency virus infectionInfectious disease physiciansAppropriate patientsQuality of careAntiretroviral therapyHIV careDisease physiciansCare measuresVirus infectionComplex chronic medical conditionsGeneral medicine physiciansObservational cohort studyInfectious disease specialistsMedical record reviewChronic medical conditionsComplex chronic illnessExpert generalistsTypes of physiciansHierarchical logistic regression modelsLow-quality careHigh-quality careLogistic regression modelsHIV physiciansPredictors and Consequences of Negative Physician Attitudes Toward HIV-Infected Injection Drug Users
Ding L, Landon BE, Wilson IB, Wong MD, Shapiro MF, Cleary PD. Predictors and Consequences of Negative Physician Attitudes Toward HIV-Infected Injection Drug Users. JAMA Internal Medicine 2005, 165: 618-623. PMID: 15795336, DOI: 10.1001/archinte.165.6.618.Peer-Reviewed Original ResearchConceptsInjection drug usersActive antiretroviral therapyDrug usersAntiretroviral therapyPhysicians' attitudesUnmet needMore injection drug usersHuman immunodeficiency virusQuality of careCross-sectional surveyRate of exposureCare physiciansImmunodeficiency virusOptimal careCare measuresHIV knowledgePractice characteristicsHIVPatient exposureKnowledge scorePhysiciansPhysician trainingCareExperience-based exercisesNegative attitudes
2004
Plan, Geographical, and Temporal Variation of Consumer Assessments of Ambulatory Health Care
Zaslavsky AM, Zaborski LB, Cleary PD. Plan, Geographical, and Temporal Variation of Consumer Assessments of Ambulatory Health Care. Health Services Research 2004, 39: 1467-1486. PMID: 15333118, PMCID: PMC1361079, DOI: 10.1111/j.1475-6773.2004.00299.x.Peer-Reviewed Original ResearchConceptsHealth plansConsumer AssessmentCare plansHealth Plans Study (CAHPS) surveyGlobal ratingRatings of careHealth plan qualityAspects of careQuality of careAmbulatory health careQuality improvement measuresPrescription drug benefitPrescription accessStudy periodDrug benefitCareHealth carePlan qualityMedicareBenefit designMeaningful changeRepresentative sampleDoctorsYearsEffects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV study.
Landon BE, Wilson IB, McInnes K, Landrum MB, Hirschhorn L, Marsden PV, Gustafson D, Cleary PD. Effects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV study. Annals Of Internal Medicine 2004, 140: 887-96. PMID: 15172903, DOI: 10.7326/0003-4819-140-11-200406010-00010.Peer-Reviewed Original ResearchConceptsQuality of careQuality Improvement ProgramRyan White Comprehensive AIDS Resources Emergency (CARE) ActCollaborative quality improvement programProportion of patientsAppropriate screening testsOutcomes of careAntiretroviral therapyControl patientsQuality improvement strategiesHIV infectionIntervention clinicsStudy clinicRandomized trialsViral loadClinic typePostintervention studyCare measuresMedical recordsIntervention groupControl clinicsPatientsControl groupScreening testSociodemographic characteristics
2003
A hospitalization from hell: a patient's perspective on quality.
Cleary PD. A hospitalization from hell: a patient's perspective on quality. Annals Of Internal Medicine 2003, 138: 33-9. PMID: 12513042, DOI: 10.7326/0003-4819-138-1-200301070-00009.Peer-Reviewed Original Research
2002
Evolving dissatisfaction among primary care physicians.
Landon BE, Aseltine R, Shaul JA, Miller Y, Auerbach BA, Cleary PD. Evolving dissatisfaction among primary care physicians. The American Journal Of Managed Care 2002, 8: 890-901. PMID: 12395957.Peer-Reviewed Original ResearchConceptsPrimary care physiciansCare physiciansCurrent practice situationCare plansLarge health planQuality of careCross-sectional surveyOverall satisfactionChoice of hospitalImportant predictorCare dissatisfactionAdequacy of reimbursementOverall dissatisfactionMultivariable modelPhysician ratingsPhysician satisfactionHealth plansPhysiciansPhysician practicesCarePractice situationsWay physiciansPredictorsHospitalSatisfaction
2001
Health Plan Characteristics And Consumers’ Assessments Of Quality
Landon B, Zaslavsky A, Beaulieu N, Shaul J, Cleary P. Health Plan Characteristics And Consumers’ Assessments Of Quality. Health Affairs 2001, 20: 274-286. PMID: 11260954, DOI: 10.1377/hlthaff.20.2.274.Peer-Reviewed Original ResearchPhysician Incentives and Disclosure of Payment Methods to Patients
Kao A, Zaslavsky A, Green D, Koplan J, Cleary P. Physician Incentives and Disclosure of Payment Methods to Patients. Journal Of General Internal Medicine 2001, 16: 181-188. PMID: 11318914, PMCID: PMC1495191, DOI: 10.1111/j.1525-1497.2001.04139.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAttitude to HealthChi-Square DistributionCost ControlCross-Sectional StudiesFemaleHumansLogistic ModelsMaleManaged Care ProgramsMiddle AgedMultivariate AnalysisPatient SatisfactionPhysician Incentive PlansPhysician-Patient RelationsQuality of Health CareSurveys and QuestionnairesTruth DisclosureUnited StatesConceptsQuality of careCross-sectional surveyMost patientsAdult patientsNational health insurerWhite patientsService patientsPatient evaluationPatient awarenessUse of servicesPatient educationPatient understandingPatientsService physiciansTelephone interviewsPhysiciansService insuranceCareIndemnity plansSalaried physiciansPhysician incentivesPhysician payment methodsHealth insurersDifferent financial incentivesFinancial incentives