Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Methods of Documentation V: CBE

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...

Methods of Documentation VI: Case Management Model

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...

Health Information Technology and Healthcare Information System

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:

Comparing the Survival Analysis of Two or More Groups

Comparing the Survival Analysis of Two or More Groups

Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and Cox...

Introduction to Documentation and Reporting

Introduction to Documentation and Reporting

Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive and precise...

Methods of Documentation III: PIE

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Billing and payment of commercial and Medicaid health plan adult vaccination claims in Michigan since the Affordable Care Act.

Vaccine·2019

Same author

Western organizational change capacity theory and its application to public health organizations in China: A multiple case analysis.

The International journal of health planning and management·2018

Same author

H. Boyd Woodruff (1917-2017).

Science (New York, N.Y.)·2017

Same author

Response to the Letter to the Editor.

Spine·2016

Same author

The Impact of Commercial Health Plan Prior Authorization Programs on the Utilization of Services for Low Back Pain.

Spine·2015

Same author

Emergency department use associated with primary care office management.

The American journal of managed care·2013

Search research articles

Related Experiment Videos

Effect of cost efficiency reporting on utilization by physician specialists: a difference-in-difference study.

Robert M Goodman¹

¹Medical Director, Blue Care Network of Michigan, Southfield, MI 48076, USA. rgoodman@bcbsm.com

Health Services Management Research

|April 5, 2013

Summary

Health plan reports on physician cost efficiency, shared with specialists and referring doctors, reduced service utilization without financial incentives. This suggests transparency can influence specialist behavior and lower healthcare costs.

Related Experiment Videos

Area of Science:

Health Services Research
Healthcare Management
Health Economics

Background:

Physician cost efficiency is a key factor in healthcare spending.
Understanding how to influence specialist behavior is crucial for cost containment.
Health plans seek effective strategies to manage utilization and costs.

Purpose of the Study:

To evaluate the impact of non-incentivized specialist cost efficiency reports on physician behavior.
To determine if transparency in cost data influences specialist utilization patterns.
To assess the association between peer comparison reports and changes in specialist service use.

Main Methods:

A difference-in-difference study design was employed.
Data from 2002-2006 from Blue Care Network of Michigan commercial membership in Southeastern Michigan.
Specialist cost efficiency reports were shared with specialists and primary care referral sources, excluding health plan members.

Main Results:

Significant reductions in utilization were observed in interventional cardiology (-32.3%), orthopedics (-13.3%), and otolaryngology (-15.9%).
Ophthalmology also showed a notable decrease (-11.9%), while gastroenterology and urology had minimal changes.
These changes occurred without direct financial rewards or penalties from the health plan.

Conclusions:

Transparent reporting of specialist cost efficiency can influence provider behavior.
This approach may lead to reduced service utilization without direct financial incentives.
Potential mechanisms include peer pressure and self-motivated adjustments by specialists.