The Hot Spotters by Atul Gawande. Posted on May 24, by Jesus Click here to read the rest of the New Yorker article. This entry was posted in News. New Yorker. Jan The hot spotters: can we lower medical costs by giving the neediest patients better care? Gawande A. PMID: ; [Indexed . In the January 24, , New Yorker, physician-author Atul Gawande, M.D., featured Brenner in an article titled, “The Hot Spotters.”.

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A Critical Look at Healthcare Delivery Reform” unpacks the data behind healthcare delivery system interventions, highlighting well-intended reforms that have yet to achieve the impact many have assumed. The New YorkerJan 12, The study concluded that, relative to spotetrs, “these programs had favorable effects on none of the adherence measures and only a few of many quality of care indicators examined,” and did not favorably impact the costs of care.

Calibrating the ‘Hot-Spotting’ Hype | Medpage Today

The New YorkerSep 26, Click here to read the rest of the New Yorker article. The New York TimesOct 5, While it is too early to report data or to draw conclusions from that study, these results should provide insights about the program’s nea impact.


The New York TimesMay 17, SlateOct 22, The New YorkerApr 5, The New YorkerJul 26, Gawande also describes a visit he made to the Special Care Center, a clinic in Atlantic City, an experimental approach to primary care. Because most coordinators had caseloads of well under patients, they were able to contact their assigned patients frequently — often several times a month or more.

The New YorkerSep 21, While emergency room visits, hospitalizations, and overall costs among enrolled patients may have dropped substantially, there is no telling whether patients would have experienced these same improvements even without the program.

The hot spotters: can we lower medical costs by giving the neediest patients better care?

The New YorkerJan 28, The New YorkerMar 6, Very few of these programs have reached the level [of success] I would consider convincing,” he said.

SlateSep 3, SlateSpottera 14, The New YorkerOct 3, This entry was posted in News.

When Jeffrey Brenner, MD, took notice more than a decade ago of the spotty care afforded certain sotters, high-need patients in Camden, N. The New YorkerJan 17, The New YorkerNov 14, SlateJul 11, It turns out that we easily can be tricked by simple analyses of programs targeting high-risk populations because of a well-established — but counter-intuitive — statistical principle known as regression to the mean.

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The New YorkerDec 6, Even when a randomized mew is not feasible, however, the rigor of a complex care management program evaluation can be enhanced by the inclusion of a matched contemporaneous control population. Boeing funded a specialized intensive outpatient clinic for these employees with a dedicated physician and nurse care manager, who oversaw the yorkeg of to high-risk patients.

SlateMay 28, The New YorkerAug 6, SlateAug 28, The New YorkerDec 10, SlateApr 20, One that did was the Medicare Care Coordination demonstrationa program in which 15 healthcare organizations from around the country were given the opportunity to develop programs for improving care coordination among the most complex populations. He created a way to find the people whose use of medical care was highest, and go after them and provide better care. But upon closer inspection, careful analysis of the Camden program and others like it raises concerns that these apparent jaw-dropping improvements may be spotyers.

The New YorkerJan 23, The New York TimesMay 12, The New YorkerApr 30,