2022
The Effect of Primary Care Visits on Total Patient Care Cost: Evidence From the Veterans Health Administration
Gao J, Moran E, Grimm R, Toporek A, Ruser C. The Effect of Primary Care Visits on Total Patient Care Cost: Evidence From the Veterans Health Administration. Journal Of Primary Care & Community Health 2022, 13: 21501319221141792. PMID: 36564889, PMCID: PMC9793026, DOI: 10.1177/21501319221141792.Peer-Reviewed Original ResearchConceptsTotal patient care costsPatient care costsVeterans Health AdministrationPrimary care visitsPC visitsCare costsPrimary careCare visitsHealth AdministrationOverall health care costsHigh-risk patientsSeverity of illnessHealth care costsPatient care outcomesClinical outcomesPC providersRetrospective studyComplex patientsPerson visitsPreventive servicesPatient riskComprehensive careMAIN OUTCOMECare outcomesPatients
2020
Case-mix for assessing primary care value (CPCV)
Gao J, Moran E, Schwartz A, Ruser C. Case-mix for assessing primary care value (CPCV). Health Services Management Research 2020, 33: 200-206. PMID: 32552065, DOI: 10.1177/0951484820931063.Peer-Reviewed Original ResearchConceptsPrimary careU.S. Veterans Affairs healthcare systemVeterans Affairs Healthcare SystemPrescription drug classesPrimary care performanceHigh-cost patientsPatient classification systemPC visitsPatient comorbiditiesDrug classesRisk scoreProvider workloadRisk algorithmHealth systemCare performanceHealthcare systemCare valuePatientsStaffing levelsPayment ratesCareHigh needClassification systemComorbidities
2019
Sequelae of an Evidence-based Approach to Management for Access to Care in the Veterans Health Administration
Kaboli PJ, Miake-Lye IM, Ruser C, Yano EM, Orshansky G, Rubenstein L, Curtis I, Kirsh S, Hempel S. Sequelae of an Evidence-based Approach to Management for Access to Care in the Veterans Health Administration. Medical Care 2019, 57: s213-s220. PMID: 31517790, PMCID: PMC6750154, DOI: 10.1097/mlr.0000000000001177.Peer-Reviewed Original ResearchConceptsEvidence-based approachVeterans AffairsPrimary care managementVeterans Health AdministrationHigh-quality careHealth care systemResearch evidenceVA initiativesPrimary careCare managementEvidence reportHealth AdministrationPeer-reviewed manuscriptsQuality careCare systemPanel meetingHealth careCareProgram reportsPractice managersKey conferencesReportStakeholder panelPractice implicationsUnanswered questions
2017
A brief screening measure for binge eating in primary care
Dorflinger LM, Ruser CB, Masheb RM. A brief screening measure for binge eating in primary care. Eating Behaviors 2017, 26: 163-166. PMID: 28402901, DOI: 10.1016/j.eatbeh.2017.03.009.Peer-Reviewed Original ResearchConceptsPrimary carePredictive valueSingle-item screening measureMental health comorbiditiesScreening measureWeight management programWeight Patterns-RevisedPrevalence of BEDQuestionnaire of EatingFrequency of bingeNegative predictive valuePositive predictive valueHealth comorbiditiesAverage BMIMean ageBrief screening measureDepressive symptomsPsychiatric issuesSignificant associationBingeCareSingle-item measureQEWPAssessment toolDisorders
2015
Implementing the patient-centered medical home in residency education
Doolittle BR, Tobin D, Genao I, Ellman M, Ruser C, Brienza R. Implementing the patient-centered medical home in residency education. Education For Health 2015, 28: 74-78. PMID: 26261119, DOI: 10.4103/1357-6283.161916.Peer-Reviewed Original ResearchConceptsPatient-centered medical home (PCMH) modelPatient-centered medical homeEmergency room visitsMid-level providersHealth care personnelMedical home modelTeam-based approachThird-party payersRoom visitsPrimary careMedical homePhysician training programsCare personnelEfficient carePhysician groupsHome modelParty payersGraduate Medical EducationAccreditation CouncilCare
2014
Integrating Interdisciplinary Pain Management into Primary Care: Development and Implementation of a Novel Clinical Program
Dorflinger LM, Ruser C, Sellinger J, Edens EL, Kerns RD, Becker WC. Integrating Interdisciplinary Pain Management into Primary Care: Development and Implementation of a Novel Clinical Program. Pain Medicine 2014, 15: 2046-2054. PMID: 25234837, DOI: 10.1111/pme.12554.Peer-Reviewed Original ResearchConceptsPrimary careRapid Process Improvement WorkshopCare servicesCommunity-based outpatient clinicsInterdisciplinary pain programPain management resourcesSystems-level gapsInterdisciplinary pain managementVeterans Health AdministrationLarge healthcare systemSystems-based interventionsEvidence of safetyInterprofessional groupStudy-Act approachPain clinicPain managementPain programOutpatient clinicImproved outcomesInterdisciplinary clinicMedical CenterProvider satisfactionHealth AdministrationPDSA cyclesMisuse problems