2022
Oncology-hospitalist co-management: A model for efficient, high-quality care and education.
Morris J, Prsic E, Parker N, Weber U, Gombos E, Kottarathara M, Rothberg BE, Adelson K. Oncology-hospitalist co-management: A model for efficient, high-quality care and education. Journal Of Clinical Oncology 2022, 40: 1-1. DOI: 10.1200/jco.2022.40.28_suppl.001.Peer-Reviewed Original ResearchEarly discharge ratesReadmission ratesOncologist satisfactionIntervention teamHospitalist comanagementInpatient oncology serviceSmilow Cancer HospitalOutcome metricsHigher readmission ratesLength of stayMultidisciplinary steering groupHigh-quality careInternal medicine hospitalistsIllness scoresOncology teamCancer HospitalComparator groupOncology servicesPatient populationOutcome comparisonsCase volumeImprovement interventionsPDSA cyclesOncologistsPDSA 2
2021
Creating and Validating a Predictive Model for Suitability of Hospital at Home for Patients With Solid-Tumor Malignancies.
Chen K, Desai K, Sureshanand S, Adelson K, Schwartz JI, Gross CP, Chaudhry SI. Creating and Validating a Predictive Model for Suitability of Hospital at Home for Patients With Solid-Tumor Malignancies. JCO Oncology Practice 2021, 17: e556-e563. PMID: 33417488, PMCID: PMC8257922, DOI: 10.1200/op.20.00663.Peer-Reviewed Original ResearchConceptsSolid tumor malignanciesAdmission of patientsAdmission sourceMultivariable logistic regression modelActive cancer diagnosisEscalation of careEmergency department visitsModel c-statisticNasogastric tube placementLogistic regression modelsHospital deathUnplanned admissionsIntestinal obstructionNeurologic symptomsPatient demographicsDepartment visitsDerivation cohortHospital admissionPrimary outcomeSecondary malignanciesCancer HospitalTube placementValidation cohortC-statisticGI cancers
2019
Development of a time to treatment metric across an NCI designated academic health system.
Najarian M, Shaw P, Severino K, Hamrick J, Adelson K. Development of a time to treatment metric across an NCI designated academic health system. Journal Of Clinical Oncology 2019, 37: 307-307. DOI: 10.1200/jco.2019.37.27_suppl.307.Peer-Reviewed Original ResearchSmilow Cancer HospitalMedian treatmentHealth systemAdditional cancer treatmentNew patient visitsMultidisciplinary care coordinationQuality improvement interventionsAcademic health systemLarge health systemDe-identified databaseInterventional surgeryQualifying visitOverall survivalQualifying patientsDevelopment of interventionsPathology reviewCancer HospitalImportant quality metricCancer patientsPatient preferencesPatient satisfactionCare coordinationMedical recordsPatient visitsPatientsEffects of rising drug costs on efforts to control overall cost at a large academic cancer center.
Adelson K, Canavan M, Supalla S, Sedghi T, Chaudhry B, Sinanis N, Gross C. Effects of rising drug costs on efforts to control overall cost at a large academic cancer center. Journal Of Clinical Oncology 2019, 37: 2-2. DOI: 10.1200/jco.2019.37.27_suppl.2.Peer-Reviewed Original ResearchOncology Care ModelLarge academic cancer centerAcute care useAcademic cancer centerPost-acute careMean costCancer CenterCare useDrug costsEmergency department useCost of hospitalizationMean total costValue-based payment programsCost of pharmaceuticalsCancer HospitalCancer careDepartment useTotal episodesInpatient careMedicare claimsCare modelCareEpisodesUtilization categoriesPharmaceutical spendingImpact of an oncology urgent care clinic on emergency department rates.
Sedghi T, Canavan M, Gross C, Davidoff A, Gould Rothberg BE, Strait M, Sinanis N, Adelson K. Impact of an oncology urgent care clinic on emergency department rates. Journal Of Clinical Oncology 2019, 37: 6615-6615. DOI: 10.1200/jco.2019.37.15_suppl.6615.Peer-Reviewed Original ResearchUrgent care clinicED visit ratesSmilow Cancer HospitalVisit ratesProvider visitsED utilizationED visitsCare clinicsUnique patientsEmergency departmentAcute medical attentionUnscheduled emergency departmentRegular clinic visitsCommon cancer typesLower ED utilizationEmergency department ratesFull study sampleTwo-sample t-testClinic visitsSupportive careOncology providersED useSymptom managementCancer HospitalCancer Center
2018
Measuring the Impact of Academic Cancer Network Development on Clinical Integration, Quality of Care, and Patient Satisfaction.
Chiang AC, Lake J, Sinanis N, Brandt D, Kanowitz J, Kidwai W, Kortmansky J, LaSala J, Orell J, Sabbath K, Tara H, Engelking C, Shomsky L, Fradkin M, Adelson K, Uscinski K, Vest K, Lyons C, Lemay A, Lopman A, Fuchs CS, Lilenbaum R. Measuring the Impact of Academic Cancer Network Development on Clinical Integration, Quality of Care, and Patient Satisfaction. JCO Oncology Practice 2018, 14: e823-e833. PMID: 30537462, DOI: 10.1200/jop.18.00419.Peer-Reviewed Original ResearchConceptsQuality of carePatient satisfactionClinical trialsSmilow Cancer HospitalUS academic centersCommunity oncology practicesPress Ganey scoresCenter physiciansAntineoplastic treatmentCancer HospitalOffice visitsCancer practiceTumor stagingCare centerOncology practiceTumor boardClinical careAcademic centersCase presentationPractice sitesCareCore measuresTrialsCommunity practiceClinical integration
2017
Development of Imminent Mortality Predictor for Advanced Cancer (IMPAC), a Tool to Predict Short-Term Mortality in Hospitalized Patients With Advanced Cancer
Adelson K, Lee DKK, Velji S, Ma J, Lipka SK, Rimar J, Longley P, Vega T, Perez-Irizarry J, Pinker E, Lilenbaum R. Development of Imminent Mortality Predictor for Advanced Cancer (IMPAC), a Tool to Predict Short-Term Mortality in Hospitalized Patients With Advanced Cancer. JCO Oncology Practice 2017, 14: jop.2017.023200. PMID: 29206553, DOI: 10.1200/jop.2017.023200.Peer-Reviewed Original ResearchConceptsShort-term mortalityAdvanced cancerChance of deathLife carePrognostic toolNovel prognostic toolObjective prognostic toolSmilow Cancer HospitalDay of admissionElectronic health record dataMedian survival timeSubjective clinical assessmentHealth record dataPositive predictive valueMedian survivalHospitalized patientsMortality predictorsCancer HospitalPrognostication toolsClinical assessmentSurvival timePatientsPredictive valueCancerMortalityShould Cancer Centers start their own specialty pharmacy? Quality and economic data from the oral chemotherapy program at Smilow Cancer Hospital and Yale New Haven Health System.
Adelson K, Stutsky M, Fradkin M, Harrison M, Abdelghany O, Morrow B, Smith M, Havriliak R, Kregling S, Lyons C, Chiang A, Cohen H. Should Cancer Centers start their own specialty pharmacy? Quality and economic data from the oral chemotherapy program at Smilow Cancer Hospital and Yale New Haven Health System. Journal Of Clinical Oncology 2017, 35: 108-108. DOI: 10.1200/jco.2017.35.8_suppl.108.Peer-Reviewed Original ResearchMedication assistance programsOral chemotherapy programChemotherapy programSpecialty pharmacyYale New Haven Health SystemHealth systemClinical oncology pharmacistSmilow Cancer HospitalPatient assistance programsMultidisciplinary task forceSpecialty pharmacistsCollaborative Improvement ModelHealth-system pharmacyOral chemotherapyCancer HospitalCancer CenterOncologic therapyPrescription errorsOncology pharmacistsTreatment protocolHigh riskPatient callsSpecialty servicesOncologic processesDay 1
2016
Preparing for Value-Based Payment: A Stepwise Approach for Cancer Centers
Adelson KB, Velji S, Patel K, Chaudhry B, Lyons C, Lilenbaum R. Preparing for Value-Based Payment: A Stepwise Approach for Cancer Centers. JCO Oncology Practice 2016, 12: e924-e932. PMID: 27858564, DOI: 10.1200/jop.2016.014605.Peer-Reviewed Original ResearchConceptsSmilow Cancer HospitalEmergency departmentCancer HospitalCancer CenterValue-based paymentMost cancer centersYale-New HavenMedicare Limited Data SetIntensive care unitPatterns of careSite of careUrgent care servicesDay of deathBetter value careStepwise approachED utilizationHospital admissionCare unitUrgent careCare managementCare servicesPatient careHealth system leadershipValue careFutile treatmentUnderstanding total cost of cancer care to determine strategic interventions to improve value.
Adelson K, Velji S, Patel K, Chaudhry B, Grizzle S, Lyons C, Lilenbaum R. Understanding total cost of cancer care to determine strategic interventions to improve value. Journal Of Clinical Oncology 2016, 34: 4-4. DOI: 10.1200/jco.2016.34.7_suppl.4.Peer-Reviewed Original ResearchSmilow Cancer HospitalAcademic cancer centerCost of careED visitsED utilizationHospital admissionCancer CenterHospital admissions/readmissionsLarge academic cancer centerAdmissions/readmissionsMedicare Limited DatasetAcademic medical centerElements of careSite of serviceValue-based payment modelsEarly referralAggressive treatmentICU useCancer HospitalPalliative careCancer careUrgent careFirst episodeMedicare patientsMedical Center
2014
Emergency department (ED) utilization and hospital admission rates among oncology patients at a large academic center and the need for improved urgent care access.
Adelson K, Dest V, Velji S, Lisitano R, Lilenbaum R. Emergency department (ED) utilization and hospital admission rates among oncology patients at a large academic center and the need for improved urgent care access. Journal Of Clinical Oncology 2014, 32: 19-19. DOI: 10.1200/jco.2014.32.30_suppl.19.Peer-Reviewed Original ResearchOncology patientsHospital admissionSmilow Cancer HospitalYale-New HavenPalliative care consultationHospital admission ratesEmergency department utilizationLarge academic centerEpic electronic medical recordAmbulatory oncology practicesElectronic medical recordsAverage daily costEducation of physiciansCancer expendituresMean hospitalizationAbdominal painED referralsAdvanced cancerCancer HospitalHospital EDUrgent presentationCare consultationsMost hospitalizationsDisease groupAdmission ratesCharacterization of aggressive interventions within 30 days of death in lung cancer patients at Smilow Cancer Hospital (SCH).
Zhang B, Adelson K, Velji S, Rimar J, Longley P, Keane B, Chiang A, Lilenbaum R. Characterization of aggressive interventions within 30 days of death in lung cancer patients at Smilow Cancer Hospital (SCH). Journal Of Clinical Oncology 2014, 32: 20-20. DOI: 10.1200/jco.2014.32.30_suppl.20.Peer-Reviewed Original ResearchSmilow Cancer HospitalLung cancer patientsAggressive interventionRothman IndexDay of deathCancer patientsAdvanced cancerClinical conditionsAdvanced lung cancer patientsAdvanced lung cancerPalliative care consultationRetrospective chart reviewPatient's clinical conditionICU stayIOM guidelinesAggressive careChart reviewCancer HospitalCare consultationsCancer populationLung cancerFiscal year 2012Study populationEMR toolStage III