Professional Organizations’ Role in Supporting Physicians to Improve Value in Health Care

Marcotte, Leah M.; Moriates, Christopher; Milstein, Arnold

doi:10.1001/jama.2014.6762

Cited by 13 publications

(8 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Physician professional organizations, on behalf of their members, have the resources to engage in analysis of these data and advocate for value and quality. 6 Therefore, the American Academy of Neurology (AAN) engaged Optum, Inc. (Philadelphia, PA), a health care consulting firm, for a guided exploratory analysis of their proprietary administrative claims dataset to assess the value of neurologist care.…”

mentioning

confidence: 99%

Neurologist ambulatory care, health care utilization, and costs in a large commercial dataset

et al. 2016

View full text Add to dashboard Cite

Objective: To determine the value of neurologist ambulatory care in chronic neurologic diseases in a large administrative claims dataset detailing costs, adverse events, and health care utilization. Methods:The Optum proprietary claims dataset (2010)(2011)(2012) was examined to describe direct health care costs, as well as specific outcome metrics for a large population of persons with chronic neurologic illnesses. In phase I of the study, we detail neurologist involvement and differences in annualized allowed third-party payments within episode treatment groups (ETGs) for 10 neurologic illnesses. For phase II, we examined health care utilization for ETGs of epilepsy, Parkinson disease (PD), stroke, and multiple sclerosis (MS) with and without neurologist involvement. Reported outcomes were unadjusted differences and odds ratios between treatment groups.Results: For phase I, a total of 1,913,605 ETGs for 10 neurologic conditions were identified, 30.1% meeting criteria for neurologist involvement. All conditions had higher direct costs when neurologists were involved with care, ranging from a 25% increase for Alzheimer dementia to 100% more for MS care. In phase II, fractures, infections, emergent care, and inpatient admission were less with neurologist ambulatory care, while neurologist care was associated with greater utilization of disease-specific treatments (immunotherapies in MS anticoagulation in atrial fibrillation-associated stroke, deep brain stimulation and dopaminergic therapies in PD). Conclusion:Neurologist involvement with care is associated with greater unadjusted allowed payments, but fewer adverse events and less acute care utilization. The effect of neurologist care on health care costs and utilization outcomes in persons with chronic neurologic illness is not well-characterized. Aggregation of health care information in large administrative claims datasets presents an opportunity to assess the effect of specialist physicians on downstream usage of health resources related to the diseases they treat. Payers, from the US Government to third-party private insurers and employers, are looking to this kind of big data analysis to inform coverage, decisions, regulatory actions, and policymaking decisions. 1-5Exploration of large datasets requires access to specialized expertise, programmers, and computing unavailable to clinicians in daily practice. Physician professional organizations, on behalf of their members, have the resources to engage in analysis of these data and advocate for value and quality.6 Therefore, the American Academy of Neurology (AAN) engaged Optum, Inc. (Philadelphia, PA), a health care consulting firm, for a guided exploratory analysis of their proprietary administrative claims dataset to assess the value of neurologist care.

show abstract

mentioning

confidence: 99%

Neurologist ambulatory care, health care utilization, and costs in a large commercial dataset

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Recent data indicate that up to 49% of people with diabetes still did not meet the targets for glycemic control, blood pressure, and/or LDL cholesterol level (5). Professional organizations such as the ADA can play a key role in supporting more effective clinical care (6). One promising development within the Standards beginning in 2012 has been the inclusion of a Strategies for Improving Care section.…”

mentioning

confidence: 99%

Trends in the Evidence Level for the American Diabetes Association's “Standards of Medical Care in Diabetes” From 2005 to 2014

Grant

Kirkman

2014

Diabetes Care

View full text Add to dashboard Cite

“…Several NP organizations contribute to the development of clinical guidelines or recommendations in the promotion of excellence in care and outcomes. The role of professional organizations in promoting evidence‐based practice and excellence is described by Mallory (), Lukes and Moore (), and Marcotte, Moriates, and Milstein (), and illustrated by the AAENP exemplar (see Box ).…”

Section: Reasons For Nps To Be Involved In a Pnomentioning

confidence: 99%

“…While the mainstay of becoming a member of a professional organization includes educational and networking opportunities, reporting current industry standards, policy, and regulation, many professional organizations provide other resources for members. These resources often include access to publications, tools/toolkits, conferences and CE opportunities, and peer expertise (Marcotte et al, ; Michael et al, ).…”

Section: Resources Of Professional Organizationsmentioning

confidence: 99%

Professional organization membership

Goolsby

DuBois

2017

Journal of the American Association of Nurse Practitioners

View full text Add to dashboard Cite

With a paucity of literature on professional organization membership by nurse practitioners (NPs), the authors base the discussion of the personal benefits associated with membership on literature focusing on clinicians other than NPs and their personal experiences as members of multiple organizations. Membership is described as related to NP socialization, engagement, networking, mentorship, advocacy, policy, leadership development, research dissemination, professional development, and volunteerism. In addition to encouraging active participation in one or more professional organizations, the need for research into factors influencing the degree to which NPs participate in organizations and the associated benefits is identified.

show abstract

Professional Organizations’ Role in Supporting Physicians to Improve Value in Health Care

Cited by 13 publications

References 3 publications

Neurologist ambulatory care, health care utilization, and costs in a large commercial dataset

Neurologist ambulatory care, health care utilization, and costs in a large commercial dataset

Trends in the Evidence Level for the American Diabetes Association's “Standards of Medical Care in Diabetes” From 2005 to 2014

Professional organization membership

Contact Info

Product

Resources

About