2025
Trends in Preventable Hospitalization Rates for Children With or Without Observation Stay Data
Tian Y, Macy M, Hockenberry J, Holl J, Sabbatini A, Ackermann R, Kan K, Huang L, Raval M. Trends in Preventable Hospitalization Rates for Children With or Without Observation Stay Data. JAMA Network Open 2025, 8: e251533. PMID: 40126481, PMCID: PMC11933988, DOI: 10.1001/jamanetworkopen.2025.1533.Peer-Reviewed Original ResearchConceptsAmbulatory care sensitive conditionsPediatric ambulatory care sensitive conditionsPreventable hospitalization ratesAnnual percentage changeHospitalization ratesPercentage changeCross-sectional studyRetrospective cross-sectional studyHospital stay dataAmbulatory careInpatient dataMain OutcomesHealthcare costsSensitive conditionsInpatient-onlyObservation staysPediatric hospitalPatients aged 6Aged 6Quality indicatorsPatient statusHospitalDisease surveillanceCounty levelImpact of policies
2024
Ambulatory care utilization in the first 24 months’ postpartum by rurality and pregnancy‐related conditions: A prospective cohort study from Maine
Bebus S, Palmsten K, Lipkind H, Ackerman‐Banks C, Ahrens K. Ambulatory care utilization in the first 24 months’ postpartum by rurality and pregnancy‐related conditions: A prospective cohort study from Maine. The Journal Of Rural Health 2024, 41: e12912. PMID: 39722432, DOI: 10.1111/jrh.12912.Peer-Reviewed Original ResearchConceptsPregnancy-related conditionsRate of visitsCare usePostpartum personsAmbulatory careMonths postpartumAcute health care useRate ratiosRurality of residenceHealth care useAmbulatory care visitsAmbulatory care utilizationAmbulatory care useAmbulatory care accessRural areasHypertensive disorders of pregnancyProspective cohort studyMonthly rateCare visitsPrenatal depressionCare accessCare utilizationDisorders of pregnancyMonthly rate of visitsPoisson regressionHow Much More Time Neurologic Examination Adds to Outpatient Visits
Ney J, Wilson A, Raphaelson M, de Havenon A. How Much More Time Neurologic Examination Adds to Outpatient Visits. Neurology Clinical Practice 2024, 15: e200404. PMID: 39649023, PMCID: PMC11620545, DOI: 10.1212/cpj.0000000000200404.Peer-Reviewed Original ResearchSurvey design variablesPatient visitsNational Ambulatory Medical Care SurveyStrong doctor-patient relationshipCost of careDoctor-patient relationshipSubgroup analysisNeurological examinationMedical decision makingNeurologist visitCare SurveyAmbulatory careInsurance statusOutpatient visitsPatient accessAnnual visitsLonger visitsVisit informationGeographic regionsVisit timeNeurological diagnosisVisitsUse of electronic health records to characterize patients with uncontrolled hypertension in two large health system networks
Lu Y, Keeley E, Barrette E, Cooper-DeHoff R, Dhruva S, Gaffney J, Gamble G, Handke B, Huang C, Krumholz H, McDonough C, Schulz W, Shaw K, Smith M, Woodard J, Young P, Ervin K, Ross J. Use of electronic health records to characterize patients with uncontrolled hypertension in two large health system networks. BMC Cardiovascular Disorders 2024, 24: 497. PMID: 39289597, PMCID: PMC11409735, DOI: 10.1186/s12872-024-04161-x.Peer-Reviewed Original ResearchConceptsElectronic health recordsHealth recordsHealth systemUncontrolled hypertensionUse of electronic health recordsHypertension managementElectronic health record systemsOneFlorida Clinical Research ConsortiumElectronic health record dataYale New Haven Health SystemBP measurementsICD-10-CM codesHealth system networkPublic health priorityICD-10-CMIncidence rate of deathElevated BP measurementsElevated blood pressure measurementsHealthcare visitsAmbulatory careHealth priorityRetrospective cohort studyEHR dataOneFloridaBlood pressure measurements
2023
Effect of dapagliflozin on outpatient worsening heart failure in patients with mildly reduced or preserved ejection fraction: the DELIVER trial
Chatur S, Vaduganathan M, Claggett B, Desai A, Docherty K, Jhund P, De Boer R, Hernandez A, Inzucchi S, Kosiborod M, Lam C, Martinez F, Shah S, Mcmurray J, Solomon S. Effect of dapagliflozin on outpatient worsening heart failure in patients with mildly reduced or preserved ejection fraction: the DELIVER trial. European Heart Journal 2023, 44: ehad655.751. DOI: 10.1093/eurheartj/ehad655.751.Peer-Reviewed Original ResearchUrgent HF visitsHeart failureHF eventsHF hospitalizationHF visitsEjection fractionFirst presentationSubsequent mortalityComposite endpointSubsequent deathEffect of dapagliflozinTreatment effectsBackground HospitalizationCV causesCV deathDose uptitrationPrimary endpointPrognostic importanceClinical trialsFirst manifestationLandmark analysisAmbulatory careHospitalizationClinical relevancePatientsIdentifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care: Virtual Consensus Conference Proceedings
Levy D, Moy A, Apathy N, Adler-Milstein J, Rotenstein L, Nath B, Rosenbloom S, Kannampallil T, Mishuris R, Alexanian A, Sieja A, Hribar M, Patel J, Sinsky C, Melnick E. Identifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care: Virtual Consensus Conference Proceedings. Applied Clinical Informatics 2023, 14: 944-950. PMID: 37802122, PMCID: PMC10686750, DOI: 10.1055/a-2187-3243.Peer-Reviewed Original ResearchOutpatient Worsening Among Patients With Mildly Reduced and Preserved Ejection Fraction Heart Failure in the DELIVER Trial
Chatur S, Vaduganathan M, Claggett B, Cunningham J, Docherty K, Desai A, Jhund P, de Boer R, Hernandez A, Inzucchi S, Kosiborod M, Lam C, Martinez F, Shah S, Petersson M, Langkilde A, McMurray J, Solomon S. Outpatient Worsening Among Patients With Mildly Reduced and Preserved Ejection Fraction Heart Failure in the DELIVER Trial. Circulation 2023, 148: 1735-1745. PMID: 37632455, PMCID: PMC10664793, DOI: 10.1161/circulationaha.123.066506.Peer-Reviewed Original ResearchConceptsUrgent HF visitsComposite end pointHeart failureHF hospitalizationHF visitsHF eventsFirst presentationCardiovascular deathEnd pointEjection fractionSubsequent mortalitySubsequent deathEjection fraction heart failurePrimary end pointCardiovascular causesClinical decompensationPrespecified analysisAmbulatory carePatientsClinical relevanceSentinel eventsHospitalizationDapagliflozinDeathVisits
2022
Development and pilot testing of EHR-nudges to reduce overuse in older primary care patients
Rowe T, Brown T, Lee J, Linder J, Meeker D, Doctor J, Goldstein N, Fox C, Persell S. Development and pilot testing of EHR-nudges to reduce overuse in older primary care patients. Archives Of Gerontology And Geriatrics 2022, 104: 104794. PMID: 36115068, PMCID: PMC9682472, DOI: 10.1016/j.archger.2022.104794.Peer-Reviewed Original ResearchConceptsProstate-specific antigenUA/UCCDS alertsOlder adultsCommon conditionUnnecessary testingOlder primary care patientsClinical decision support alertsNon-specific reasonsOral hypoglycemic medicationsOvertreatment of diabetesPrimary care patientsPrimary care physiciansLarge health systemDecision support alertsHypoglycemic medicationsOveruse measuresCare patientsCare physiciansSignificant morbidityUrine cultureProstate cancerAmbulatory careClinical actionsAdult men
2021
Association of Physician Characteristics With Early Adoption of Virtual Health Care
Zachrison K, Yan Z, Samuels-Kalow M, Licurse A, Zuccotti G, Schwamm L. Association of Physician Characteristics With Early Adoption of Virtual Health Care. JAMA Network Open 2021, 4: e2141625. PMID: 34967876, PMCID: PMC8719243, DOI: 10.1001/jamanetworkopen.2021.41625.Peer-Reviewed Original ResearchConceptsVirtual health careCross-sectional studyHealth care systemPatient characteristicsHealth carePhysician characteristicsLarge regional health care systemRetrospective cross-sectional studyBehavioral healthCare systemSurgical specialtiesHealth system databasePhysician-level variationRegional health care systemAmbulatory visitsPrimary careHealth physiciansPatient's abilityAmbulatory careMAIN OUTCOMEGreater oddsAmbulatory practiceBivariate comparisonsPhysiciansHospital affiliationEffect of the STAMP (Sharing and Talking About My Preferences) Intervention on Completing Multiple Advance Care Planning Activities in Ambulatory Care : A Cluster Randomized Controlled Trial.
Fried TR, Paiva AL, Redding CA, Iannone L, O'Leary JR, Zenoni M, Risi MM, Mejnartowicz S, Rossi JS. Effect of the STAMP (Sharing and Talking About My Preferences) Intervention on Completing Multiple Advance Care Planning Activities in Ambulatory Care : A Cluster Randomized Controlled Trial. Annals Of Internal Medicine 2021, 174: 1519-1527. PMID: 34461035, PMCID: PMC8711627, DOI: 10.7326/m21-1007.Peer-Reviewed Original ResearchConceptsAdvance care planning activitiesCare planning activitiesAmbulatory care settingsAdvance care planningCare planningCare settingsNon-English speaking participantsSpecialty care practicesUsual care sitesPrespecified subgroup analysisPatient sociodemographic informationNational InstituteParticipant-level analysesQuantity of lifeHealth care agentSecondary outcomesUsual carePrimary outcomeControlled TrialsMean ageSubgroup analysisBlinded interviewersAmbulatory careCare sitesPrint intervention
2020
The association of race and COVID-19 mortality
Golestaneh L, Neugarten J, Fisher M, Billett H, Gil M, Johns T, Yunes M, Mokrzycki M, Coco M, Norris K, Perez H, Scott S, Kim R, Bellin E. The association of race and COVID-19 mortality. EClinicalMedicine 2020, 25: 100455. PMID: 32838233, PMCID: PMC7361093, DOI: 10.1016/j.eclinm.2020.100455.Peer-Reviewed Original ResearchOdds of deathCOVID time periodCOVID-19 mortalityRelative riskMontefiore Health SystemAssociation of raceRelative risk of hospitalizationHispanic patient populationRisk of hospitalizationBlack mortalitySociodemographic disparitiesAmbulatory careHealth systemPre-COVIDMortality riskCohort studyUnited StatesCOVID experienceWhite populationBlack patientsBlack populationPre-COVID time periodCOVID testingCOVID periodTime periodsStaff perceptions of risk factors for violence and aggression in ambulatory care
Folgo AR, Iennaco JD. Staff perceptions of risk factors for violence and aggression in ambulatory care. WORK A Journal Of Prevention Assessment & Rehabilitation 2020, 65: 435-445. PMID: 32007986, DOI: 10.3233/wor-203096.Peer-Reviewed Original ResearchConceptsRisk factorsAmbulatory carePotential risk factorsAmbulatory care settingsStaff perceptionsAmbulatory care environmentCommunity clinicsVisitor violenceCare settingsEnvironment of careHospital settingSubstance abuseClinic environmentCare environmentCarePatientsSafety interventionsPossible contributorsCharacteristics of staffSurvey toolStaffSettingCrisis trainingFactorsClinic
2018
Factors Affecting Resident Satisfaction in Continuity Clinic—a Systematic Review
Stepczynski J, Holt SR, Ellman MS, Tobin D, Doolittle BR. Factors Affecting Resident Satisfaction in Continuity Clinic—a Systematic Review. Journal Of General Internal Medicine 2018, 33: 1386-1393. PMID: 29736753, PMCID: PMC6082200, DOI: 10.1007/s11606-018-4469-8.Peer-Reviewed Original ResearchConceptsContinuity clinicAmbulatory trainingMethodsA systematic literature reviewCochrane Central RegisterControlled clinical trialsResultsThree hundred fiftyContinuity of careEnglish-language articlesQuality of lifeCentral RegisterClinical trialsHundred fiftyAmbulatory careExclusion criteriaPurposeIn recent yearsSystematic reviewLanguage articlesFinal reviewResident satisfactionSearch termsClinicRelevant databasesSystematic literature reviewCareTrainee satisfaction
2017
Modifying the Primary Care Exception Rule to Require Competency-Based Assessment
Tobin DG, Doolittle BR, Ellman MS, Ruser CB, Brienza RS, Genao I. Modifying the Primary Care Exception Rule to Require Competency-Based Assessment. Academic Medicine 2017, 92: 331-334. PMID: 27355783, DOI: 10.1097/acm.0000000000001293.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsPrimary care practicesResident competenceClinical competenceGraduate Medical EducationResidents' clinical competenceMonths of trainingAmbulatory careCare practicesMedicaid ServicesExamination roomCarePhysiciansBilling requirementsTraining programMilestones frameworkBilling rulesResidents' readinessResidentsTeaching residents
2014
pSCANNER: patient-centered Scalable National Network for Effectiveness Research
Ohno-Machado L, Agha Z, Bell D, Dahm L, Day M, Doctor J, Gabriel D, Kahlon M, Kim K, Hogarth M, Matheny M, Meeker D, Nebeker J, team T, Resnic F, Khodyakov D, Armstead L, Nagler T, Morley S, Anderson N, Cooper D, Phillips D, Heber D, Li Z, Ong M, Patel A, Zachariah M, Burns J, Daniels L, Doan S, Farcas C, Germann-Kurtz R, Jiang X, Kim H, Paul P, Taras H, Tremoulet A, Wang S, Zhu W, Berman D, Rizk-Jackson A, D’Arcy M, Kesselman C, Knight T, Pearlman L, Heidenreich P, Rifkin D, Stepnowsky C, Zamora T, DuVall S, Frey L, Scehnet J, Sauer B, Facelli J, Gouripeddi R, Denton J, FitzHenry F, Fly J, Messina V, Minter F, Nookala L, Sullivan H, Speroff T, Westerman D. pSCANNER: patient-centered Scalable National Network for Effectiveness Research. Journal Of The American Medical Informatics Association 2014, 21: 621-626. PMID: 24780722, PMCID: PMC4078293, DOI: 10.1136/amiajnl-2014-002751.Peer-Reviewed Original ResearchConceptsInitial use caseCommon data modelPatient Centered Outcomes Research InstituteHealth information exchange dataComputing infrastructuresFederated networkUse casesDistributed systemData modelComputation modelExchange dataPatient-powered research networksCommunity-based outpatient clinicsNetworkCongestive heart failureOutcomes Research InstituteEffectiveness researchAsynchronous modeHealth services researchersKawasaki diseaseHeart failureOutpatient clinicVA InformaticsAmbulatory careNational network
2013
Hospital-based, acute care after ambulatory surgery center discharge
Fox JP, Vashi AA, Ross JS, Gross CP. Hospital-based, acute care after ambulatory surgery center discharge. Surgery 2013, 155: 743-753. PMID: 24787100, PMCID: PMC4114736, DOI: 10.1016/j.surg.2013.12.008.Peer-Reviewed Original ResearchMeSH KeywordsAdmitting Department, HospitalAdolescentAdultAgedAged, 80 and overAmbulatory Care FacilitiesAmbulatory Surgical ProceduresCaliforniaEmergency Service, HospitalFemaleFloridaHumansMaleMiddle AgedNebraskaOutcome Assessment, Health CarePatient DischargePatient ReadmissionPatient TransferTime FactorsYoung AdultConceptsAmbulatory surgery centersAcute care ratesHospital transfer ratesTime of dischargeHospital transferSurgery centersAcute careAdult patientsCare ratesAcute care needsRate of needAmbulatory care centersPrimary outcomeCare centerOperative procedureAmbulatory careHealthcare costsCare needsPatientsCenter dischargeUtilization ProjectFirst weekMeasures of qualityCareCenter levelRisk factors for ED use among homeless veterans
Tsai J, Rosenheck RA. Risk factors for ED use among homeless veterans. The American Journal Of Emergency Medicine 2013, 31: 855-858. PMID: 23566404, DOI: 10.1016/j.ajem.2013.02.046.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareCase-Control StudiesCross-Sectional StudiesDrug UtilizationEmergency Service, HospitalFemaleHumansIll-Housed PersonsLogistic ModelsMaleMiddle AgedMultivariate AnalysisPsychotropic DrugsRisk FactorsUnited StatesUnited States Department of Veterans AffairsVeterans HealthConceptsFrequent ED usersVA patientsED useED usersNon-ED usersAmbulatory careMedical conditionsED servicesHomeless veteransNational VA administrative dataVeterans Affairs Healthcare SystemMore service visitsPsychotropic medication prescriptionsVA administrative dataEmergency department servicesUnmet psychosocial needsCase-control designSignificant morbidityMedication prescriptionsPsychotropic medicationsClinical correlatesRisk factorsPsychosocial needsMultivariate analysisPatients
2012
Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care
McInnes DK, Brown JA, Hays RD, Gallagher P, Ralston JD, Hugh M, Kanter M, Serrato CA, Cosenza C, Halamka J, Ding L, Cleary PD. Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care. Medical Care 2012, 50: s11-s19. PMID: 23064271, PMCID: PMC3525454, DOI: 10.1097/mlr.0b013e3182610a50.Peer-Reviewed Original ResearchConceptsHealth information technologyPatient experienceProvider websitesInformation technologyItem-scale correlationsDoctors' useE-mailAcademic medical centerIndependent predictorsAmbulatory careMedical CenterHealth plansIntegrated delivery systemsCognitive testingConsumer AssessmentCronbach's αComputerHealth careCarePatientsWebsitesPhysiciansCAHPSFocus groupsOverall ratingAssociation between physician quality improvement incentives and ambulatory quality measures.
Bishop TF, Federman AD, Ross JS. Association between physician quality improvement incentives and ambulatory quality measures. The American Journal Of Managed Care 2012, 18: e126-34. PMID: 22554038, PMCID: PMC3537503.Peer-Reviewed Original ResearchConceptsHigh-quality ambulatory carePreventive care visitsWeight reduction counselingAmbulatory careReduction counselingCare visitsNational Ambulatory Medical Care SurveySignificant associationAmbulatory Medical Care SurveyAmbulatory medical careBody mass indexCross-sectional studyPublic reportingAmbulatory quality measuresPhysician compensationOverweight patientsObese patientsPreventive visitsMultivariable analysisMass indexCare SurveyPatient satisfactionQuality improvement incentivesMedical carePatients
2009
Development of a New Patient-Based Measure of Pediatric Ambulatory Care
Gallagher P, Ding L, Ham HP, Schor EL, Hays RD, Cleary PD. Development of a New Patient-Based Measure of Pediatric Ambulatory Care. 2009, 124: 1348-1354. PMID: 19822587, PMCID: PMC5443558, DOI: 10.1542/peds.2009-0495.Peer-Reviewed Original ResearchConceptsPediatric ambulatory carePreventive careAmbulatory carePediatric careCAHPS surveyAmbulatory pediatric careHospital care experiencesHealth care policyPediatric instrumentsPediatric expertsNew patientsGood internal consistencyDevelopmental monitoringHealthcare providersCare experiencesConsumer AssessmentCareHealth careCare policyCliniciansInternal consistencyFocus groupsValid assessmentCognitive interviewsGroup
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