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165 results on '"Cowen, Mark E."'

21. Organizational structure for addressing the attributes of the ideal healthcare delivery system

Author

Cowen, Mark E., Halasyamani, Lakshmi K., McMurtrie, Daniel, Hoffman, Denise, Polley, Theodore, and Alexander, Jeffrey A.

Subjects
Health care industry, National Academy of Medicine -- Reports, Health care industry -- Services, Organizational structure -- Evaluation, Health services administration -- Methods
Abstract

EXECUTIVE SUMMARY The Institute of Medicine's (IOM) report Crossing the Quality Chasm described the aims, characteristics, and components of the ideal healthcare system but did not provide the templates of [...]

Published
2008

24. A comparison of two hospitalist models with traditional care in a community teaching hospital

Author

Halasyamani, Lakshmi K., Valenstein, Paul N., Friedlander, Michael P., and Cowen, Mark E.

Subjects
Hospitals -- United States, Hospitals -- Management, Hospital utilization -- Length of stay, Hospital utilization -- Management, Company business management, Health, Health care industry
Abstract

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.amjmed.2005.01.027 Byline: Lakshmi K. Halasyamani, Paul N. Valenstein, Michael P. Friedlander, Mark E. Cowen Abstract: Many studies have documented significant length of stay reduction and cost savings when hospitalist care is compared with traditional care. However, less is known about the concurrent performance of more than one hospitalist model in a single site. Author Affiliation: Saint Joseph Mercy Hospital, Departments of Internal Medicine, Pathology, and the Quality Institute, Ann Arbor, Michigan.

Published
2005

36. Two Times What?: Quantity and Quality of Life in Tube Feeding Decisions

Author

Cowen, Mark E, Simpson, Sherry L, and Vettese, Theresa E

Subjects
Aged, 80 and over, Gastrostomy, Male, Editorials, Original Articles, Survival Analysis, Cohort Studies, Enteral Nutrition, Life Expectancy, Treatment Outcome, Fluoroscopy, Internal Medicine, Humans, Female, Deglutition Disorders, Aged, Proportional Hazards Models, Retrospective Studies
Abstract

To better understand the life expectancy of patients who have an abnormal videofluoroscopic swallowing study.Retrospective cohort study. The common starting point was the time of the severely abnormal swallowing study. Hospital charts were reviewed for clinical variables of potential prognostic significance by reviewers blinded to the outcome of interest, survival time.A university-affiliated, community teaching hospital.One hundred forty-nine hospitalized patients who were deemed nonoral feeders based on their swallowing study. Patients excluded were those with head, neck, or esophageal cancer, or those undergoing a thoracotomy procedure.Clinical and demographic variables and time until death or censoring were measured. Overall 1-year mortality was 62%. Multivariable Cox proportional hazards analyses identified four variables that independently predicted death: advanced age, reduced serum albumin concentration, disorientation to person, and higher Charlson comorbidity score. Eighty patients (54%) subsequently underwent placement of a percutaneous endoscopic gastrostomy (PEG) tube after their swallowing study.Mortality is high in patients with severely abnormal swallowing studies. Common clinical variables can be used to identify groups of patients with particularly poor prognoses. This information may help guide discussions regarding possible PEG placement.

Published
1997

39. Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) as a model for regional registries in the United States.

Author

Hughes, Richard E., Hallstrom, Brian R., Cowen, Mark E., Igrisan, Rochelle M., Singal, Bonita M., and Share, David A.

Subjects
ARTHROPLASTY, TOTAL hip replacement, HIP surgery, ARTIFICIAL hip joints, ORTHOPEDISTS, VENOUS thrombosis
Abstract

Background: The United States has been a difficult environment in which to develop arthroplasty registries, largely because of the absence of a national health system. The purpose of this paper is to describe the development of a statewide registry-based quality improvement collaborative in Michigan. Methods: The Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) was started in 2011 to improve the quality of care for total hip and knee replacement patients in Michigan. It is funded by Blue Cross and Blue Shield of Michigan/Blue Care Network as part of their Collaborative Quality Initiative (CQI) program. The CQI concept depends on capturing high-quality data (clinical status, process, and outcome), rigorously developing risk-adjustment models, and presenting risk-adjusted data to collaborative members at four face-to-face meetings a year. Results: MARCQI has grown to include 44 hospitals and 377 orthopedic surgeons. The registry contains 54,848 cases (18,421 hips and 36,427 knees). Four collaborative-wide quality improvement activities have been initiated: 1) transfusion reduction, 2) deep vein thrombosis and pulmonary emboli prevention, 3) infection prevention, and 4) readmission prevention. Conclusion: The CQI model developed by Blue Cross and Blue Shield of Michigan/Blue Care Network can be adapted to hip and knee arthroplasty, which demonstrates that private payers can play a role in the development and promotion of arthroplasty registries in the United States. [ABSTRACT FROM AUTHOR]

Published
2015
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