2020
A Model for Rapid Transition to Virtual Care, VA Connecticut Primary Care Response to COVID-19
Spelman JF, Brienza R, Walsh RF, Drost P, Schwartz AR, Kravetz JD, Pitkin P, Ruser C. A Model for Rapid Transition to Virtual Care, VA Connecticut Primary Care Response to COVID-19. Journal Of General Internal Medicine 2020, 35: 3073-3076. PMID: 32705471, PMCID: PMC7377306, DOI: 10.1007/s11606-020-06041-4.Peer-Reviewed Original ResearchConceptsUrgent care clinicVirtual careVA Connecticut Health Care SystemCare clinicsPerson visitsValuable health care resourcesPrimary care responseStandardized note templatesFuture pandemic responsesVirtual care modelsHealth care resourcesCOVID-19 pandemicHealth care deliveryHealth care systemVideo visitsTelephone encountersCare modelCare responseCare resourcesPatient exposureCare deliveryNote templateVirtual visitsMedical staffCare systemCase-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
2017
Group Visits for Overdose Education and Naloxone Distribution in Primary Care: A Pilot Quality Improvement Initiative
Spelman JF, Peglow S, Schwartz AR, Burgo-Black L, McNamara K, Becker WC. Group Visits for Overdose Education and Naloxone Distribution in Primary Care: A Pilot Quality Improvement Initiative. Pain Medicine 2017, 18: 2325-2330. PMID: 29045696, DOI: 10.1093/pm/pnx243.Peer-Reviewed Original ResearchConceptsHigh-risk patientsGroup visitsUsual carePrimary careNaloxone distributionOverdose educationLong-term opioid therapyMorphine equivalent daily dosePilot quality improvement initiativeQuality improvement pilot studyPrimary care clinicsChronic pain populationsPatient satisfaction scoresVeterans Health AdministrationQuality improvement interventionsQuality improvement initiativesPrescription of naloxoneOpioid therapyDaily doseCare clinicsChronic painPain populationNaloxone prescriptionsOpioid overdoseOverdose deaths
2015
Pilot of decision support to individualize colorectal cancer screening recommendations.
Schwartz AR, Levin FL, O'Neil JA, Braithwaite RS. Pilot of decision support to individualize colorectal cancer screening recommendations. The American Journal Of Managed Care 2015, 21: e439-46. PMID: 26295272.Peer-Reviewed Original ResearchConceptsPrimary care providersColorectal cancerCRC screeningIntervention phaseColorectal cancer screening recommendationsCancer screening recommendationsColorectal cancer screeningElectronic medical recordsPCP satisfactionScreening recommendationsCancer screeningLong-term benefitsMedical recordsCare providersPatientsReminder systemPilot studyHarm assessmentScreeningInterventionImmediate harmLife expectancy calculationsMorbidityCancerHarm