We evaluated a program for improving influenza immunization performance in a health maintenance organization (HMO). The HMO implemented several interventions successively from 1984-87: a postcard reminder to members at high risk for complications of influenza, a computer-generated reminder to the physician at the time of any primary care visit by high-risk patients, performance feedback to chie...

PURPOSE Primary care clinicians have difficulty detecting suicidal patients. This report evaluates the effect of 2 primary care interventions on the detection and subsequent referral or treatment of patients with depression and recent suicidal ideation. METHODS Adult patients in 12 mixed-payer primary care practices and 9 not-for-profit staff model health maintenance organization (HMO) practi...

This brief updates Brief No. 2014-3 and explains changes in the Centers for Medicare & Medicaid Services (CMS) Accountable Care Organization (ACO) regulations issued in June 2015 pertaining to beneficiary assignment for Medicare Shared Savings Program ACOs. Overall, the regulatory changes are intended to (1) encourage ACOs to participate in two-sided risk contracts, (2) increase the likelihood ...

BACKGROUND As the emphasis in health reform shifts to value-based payments, especially through multi-payer initiatives supported by the U.S. Center for Medicare & Medicaid Innovation, and with the increasing availability of statewide all-payer claims databases, the need for an all-payer, "whole-population" approach to facilitate the reporting of utilization, cost, and quality measures has grown...

Background Comprehensive and coordinated management of chronic disease is a major challenge for healthcare systems. Clalit Health Services, a non-profit health fund, insures 4 million people in Israel, and provides comprehensive care through 1,300 primary and secondary clinics and 14 hospitals. The base of the health care is 1150 multi-professional primary care health centers. Clalit has a comp...

primary-like and weakly primary-like submodules are two new generalizations of primary ideals from rings to modules. in fact, the class of primary-like submodules of a module lie between primary submodules and weakly primary-like submodules properly.  in this note, we show that these three classes coincide when their elements are submodules of a multiplication module and satisfy the primeful pr...

RATIONALE, AIMS AND OBJECTIVES To explore stakeholder perspectives of the implementation of a new, national integrated nurse-led telephone advice and consultation service [National Health Service 24 (NHS 24)], comparing the views of stakeholders from different health care organizations. METHODS Semi-structured interviews with 26 stakeholders including partner organizations located in primary ...

BACKGROUND Care management processes (CMPs), tools to improve the efficiency and quality of primary care delivery, are particularly important for low-income patients facing substantial barriers to care. OBJECTIVE To measure the adoption of CMPs by medical groups, Independent Practice Associations, community clinics, and hospital-based clinics in California's Medicaid program and the factors a...

let r be a commutative ring and m be an r-module. we say that m is fully primary, if every proper submodule of m is primary. in this paper, we state some characterizations of fully primary modules. we also give some characterizations of rings over which every module is fully primary, and of those rings over which there exists a faithful fully primary module. furthermore, we will introduce some ...

In 2014, the Affordable Care Act will create an estimated 16 million newly insured people. Coupled with an estimated shortage of over 60,000 primary care physicians, the country's public health care system will be at a challenging crossroads, as there will be more patients waiting to see fewer doctors. Nurse practitioners (NPs) can help to ease this crisis. NPs are health care professionals wit...