2018
Impact of Cost Display on Ordering Patterns for Hospital Laboratory and Imaging Services
Silvestri MT, Xu X, Long T, Bongiovanni T, Bernstein SL, Chaudhry SI, Silvestri JI, Stolar M, Greene EJ, Dziura JD, Gross CP, Krumholz HM. Impact of Cost Display on Ordering Patterns for Hospital Laboratory and Imaging Services. Journal Of General Internal Medicine 2018, 33: 1268-1275. PMID: 29845468, PMCID: PMC6082197, DOI: 10.1007/s11606-018-4495-6.Peer-Reviewed Original ResearchConceptsDecreased oddsImaging ordersHealth care servicesBehalf of patientsKey ResultsDuringMain MeasuresOutcomesParticipantsAll patientsHospital encountersImaging testsObservation encountersCare servicesHealth servicesMedicare fee scheduleHealth systemImaging costsDecreased numberHospital laboratoriesLab ordersStudy periodHospital labPatients
2016
Why Aren’t More Primary Care Residents Going into Primary Care? A Qualitative Study
Long T, Chaiyachati K, Bosu O, Sircar S, Richards B, Garg M, McGarry K, Solomon S, Berman R, Curry L, Moriarty J, Huot S. Why Aren’t More Primary Care Residents Going into Primary Care? A Qualitative Study. Journal Of General Internal Medicine 2016, 31: 1452-1459. PMID: 27488970, PMCID: PMC5130953, DOI: 10.1007/s11606-016-3825-9.Peer-Reviewed Original ResearchConceptsPrimary careInternal medicine residentsAdult primary care providersPrimary care training programsPrimary care internal medicine residentsMedicine residentsPrimary care providersPrimary care rotationPrimary care residentsCare training programsPrimary care internal medicine residency programProgrammatic factorsInternal medicine residency programsProportion of residentsGeneral internal medicineThird-year residentsMedicine residency programsCare residentsCare providersInpatient responsibilitiesQualitative studyOutpatient experienceMedical needCare rotationInternal medicineRecent Trends in Primary Care Interest and Career Choices Among Medical Students at an Academic Medical Institution
Messinger CJ, Hafler J, Khan AM, Long T. Recent Trends in Primary Care Interest and Career Choices Among Medical Students at an Academic Medical Institution. Teaching And Learning In Medicine 2016, 29: 42-51. PMID: 27467094, DOI: 10.1080/10401334.2016.1206825.Peer-Reviewed Original ResearchExit Survey of Senior Residents: Cost Conscious but Uninformed
Long T, Silvestri MT, Dashevsky M, Halim A, Fogerty RL. Exit Survey of Senior Residents: Cost Conscious but Uninformed. Journal Of Graduate Medical Education 2016, 8: 248-51. PMID: 27168897, PMCID: PMC4857517, DOI: 10.4300/jgme-d-15-00168.1.Peer-Reviewed Original ResearchImpact of laboratory cost display on resident attitudes and knowledge about costs
Long T, Bongiovanni T, Dashevsky M, Halim A, Ross JS, Fogerty RL, Silvestri MT. Impact of laboratory cost display on resident attitudes and knowledge about costs. Postgraduate Medical Journal 2016, 92: 592-596. PMID: 27033861, DOI: 10.1136/postgradmedj-2015-133851.Peer-Reviewed Original ResearchConceptsLaboratory ordersAcademic medical centerCost awarenessMedicare reimbursement ratesProportion of residentsPreintervention periodPostintervention periodMedical CenterHealthcare costsImaging testsMost physiciansOrthopedic surgeryWeb-based surveyInternal medicineDiagnostic testsCost displayEmergency medicineReimbursement ratesPediatricsPhysiciansMedicineEntry screensCommon laboratoryResidentsSurgeryAddressing outpatient continuity for ambulatory training: A novel tool for longitudinal primary care sign out
Long T, Uradu A, Castillo R, Brienza R. Addressing outpatient continuity for ambulatory training: A novel tool for longitudinal primary care sign out. Education For Health 2016, 29: 51-55. PMID: 26996800, DOI: 10.4103/1357-6283.178923.Peer-Reviewed Original ResearchConceptsHigh-risk patientsPatient care issuesInternal medicine residentsOutpatient continuityHealth professional traineesInterprofessional training modelPrimary care educationPrimary carePatient followInterprofessional traineesAmbulatory settingCare issuesAmbulatory trainingPatientsCare educationMedicine residentsSignsProfessional traineesTrainees' attitudesTraineesClinicFollowCareNovel tool
2015
Attrition from surgical residency training: perspectives from those who left
Bongiovanni T, Yeo H, Sosa JA, Yoo PS, Long T, Rosenthal M, Berg D, Curry L, Nunez-Smith M. Attrition from surgical residency training: perspectives from those who left. The American Journal Of Surgery 2015, 210: 648-654. PMID: 26238074, DOI: 10.1016/j.amjsurg.2015.05.014.Peer-Reviewed Original ResearchDevelopment and Validation of an Algorithm to Identify Planned Readmissions From Claims Data
Horwitz LI, Grady JN, Cohen DB, Lin Z, Volpe M, Ngo CK, Masica AL, Long T, Wang J, Keenan M, Montague J, Suter LG, Ross JS, Drye EE, Krumholz HM, Bernheim SM. Development and Validation of an Algorithm to Identify Planned Readmissions From Claims Data. Journal Of Hospital Medicine 2015, 10: 670-677. PMID: 26149225, PMCID: PMC5459369, DOI: 10.1002/jhm.2416.Peer-Reviewed Original ResearchConceptsSame-hospital readmissionsNegative predictive valuePositive predictive valuePredictive valueReadmission measuresHospital-wide readmission measureGold standard chart reviewAdministrative claims-based algorithmDiagnostic cardiac catheterizationClaims-based algorithmLarge teaching centersAcute care hospitalsSmall community hospitalUnplanned readmissionChart reviewCardiac catheterizationScheduled careSpecificity 96.5Community hospitalReadmissionClaims dataCardiac devicesHealth systemTeaching centerPublic reportingBringing Specialties Together: The Power of Intra-Professional Teams
Bongiovanni T, Long T, Khan AM, Siegel MD. Bringing Specialties Together: The Power of Intra-Professional Teams. Journal Of Graduate Medical Education 2015, 7: 19-20. PMID: 26217416, PMCID: PMC4507920, DOI: 10.4300/jgme-d-14-00509.1.Peer-Reviewed Original ResearchAchieving better value: primary care must lead on population health
Long T, Khan AM, Chana N. Achieving better value: primary care must lead on population health. Postgraduate Medical Journal 2015, 91: 59-60. PMID: 25650432, DOI: 10.1136/postgradmedj-2015-133264.Peer-Reviewed Original ResearchYoung Physicians' Leadership Curriculum: A Novel Approach to Creating Future Physician Leaders and Health Policy Advocates.
Long T, Katz MC, Hass D. Young Physicians' Leadership Curriculum: A Novel Approach to Creating Future Physician Leaders and Health Policy Advocates. Connecticut Medicine 2015, 79: 41-3. PMID: 26244195.Peer-Reviewed Original Research
2014
Continuity in a VA Patient-Centered Medical Home Reduces Emergency Department Visits
Chaiyachati KH, Gordon K, Long T, Levin W, Khan A, Meyer E, Justice A, Brienza R. Continuity in a VA Patient-Centered Medical Home Reduces Emergency Department Visits. PLOS ONE 2014, 9: e96356. PMID: 24867300, PMCID: PMC4035271, DOI: 10.1371/journal.pone.0096356.Peer-Reviewed Original ResearchConceptsPrimary care providersPrimary care clinicsContinuity of carePatient Aligned Care TeamsED visitsEmergency departmentPCMH modelClinic visitsED utilizationCare clinicsCare servicesVeterans Affairs primary care clinicsMultivariable logistic regression analysisVA primary care clinicsTotal clinic visitsObservational cohort studyPrimary care visitsLogistic regression analysisLower ED utilizationOutcomes of interestCare visitsCohort studyVA patientsCare teamMedical homeDoctors and healthcare reform: a duty to understand?
Long T, Ross JS. Doctors and healthcare reform: a duty to understand? Postgraduate Medical Journal 2014, 90: 303-304. PMID: 24835534, DOI: 10.1136/postgradmedj-2014-132689.Commentaries, Editorials and LettersResident and fellow assessment of health policy attitudes and advocacy priorities.
Long T, Khan AM, Henien S, Hass D, Katz MC. Resident and fellow assessment of health policy attitudes and advocacy priorities. Connecticut Medicine 2014, 78: 283-7. PMID: 24974562.Peer-Reviewed Original ResearchConceptsYale-New Haven HospitalHealth policy prioritiesHouse staff physiciansHealth policy attitudesHealth policyStaff physiciansPostgraduate yearSurgical specialtiesHouse staffMalpractice reformCross-sectional surveyConnecticut Health CenterSignificant positive associationAffordable Care ActHealth centersMedicaid expansionHealth care transformationAdvocacy prioritiesResponse scoresCare ActCare transformationFellow assessmentPositive associationSignificant proportionPhysiciansMoving from silos to teamwork: integration of interprofessional trainees into a medical home model
Long T, Dann S, Wolff ML, Brienza RS. Moving from silos to teamwork: integration of interprofessional trainees into a medical home model. Journal Of Interprofessional Care 2014, 28: 473-474. PMID: 24593328, DOI: 10.3109/13561820.2014.891575.Peer-Reviewed Original ResearchConceptsTeam-based careVeterans AffairsPatient Aligned Care TeamsEffective team-based careFuture providersMedical home modelOne-year postPrimary care workforcePrimary care educationVA centersCare teamInterprofessional traineesHealth outcomesInterprofessional teamwork trainingClinic efficiencyFaculty providersHealth professionalsInterprofessional careClinical fellowshipHome modelCare educationVA systemCare workforceInterprofessional collaborationInterprofessional training
2012
“Surely, We Can Do Better”
Khan AM, Long T, Brienza R. “Surely, We Can Do Better”. Academic Medicine 2012, 87: 1645-1646. PMID: 23187908, DOI: 10.1097/acm.0b013e3182717e22.Peer-Reviewed Original Research