Explanipedia

Is it time for transplant centers to formalize standards like trauma centers? Open

Bryan Becker, Yolanda T. Becker, David A. Axelrod, J. Kevin Cmunt, Kenneth W. Kizer , et al. · 2025

Transplant centers hold the key to accelerating organ use and transplanting more patients more efficiently. However, not all transplant procedures are alike, as organ complexity and patient comorbidities can dramatically increase the risk …

Camaraderie Among US Veterans and Their Preferences for Health Care Systems and Practitioners Open

Kevin Vigilante, Sonja V. Batten, Qingkun Shang, Shiping Zhang, Wenshu Li , et al. · 2025

Importance Unlike convenience, cost, and quality, camaraderie with other similar patients has not been reported as a prominent patient consideration when choosing a health care system or practitioner. As the Veterans Affairs (VA) Health Sy…

Medicare to Veterans Affairs Cost Shifting—A Challenging Conundrum Open

Kenneth W. Kizer, Said A. Ibrahim · 2024

Acute hospitalizations and outcomes in Veterans Affairs Hospitals 2011 to 2017 Open

Jean Yoon, Ciaran S. Phibbs, Michael Ong, Megan E. Vanneman, Kenneth W. Kizer , et al. · 2024

Hospitals within the Veterans Affairs (VA) health care system exhibited growing use of observation care. It is unknown how this affected VA hospital performance since observation care is not included in acute inpatient measures. To examine…

Outcomes of Veterans Treated in Veterans Affairs Hospitals vs Non–Veterans Affairs Hospitals Open

Jean Yoon, Ciaran S. Phibbs, Michael Ong, Megan E. Vanneman, Adam Chow , et al. · 2023

Importance Many veterans enrolled in the Veterans Affairs (VA) health care system have access to non-VA care through insurance and VA-purchased community care. Prior comparisons of VA and non-VA hospital outcomes have been limited to subpo…

Differences in use of Veterans Health Administration and non‐Veterans Health Administration hospitals by rural and urban Veterans after access expansions Open

Matthew P. Dizon, Kenneth W. Kizer, Michael Ong, Ciaran S. Phibbs, Megan E. Vanneman , et al. · 2023

Purpose To examine changes in rural and urban Veterans’ utilization of acute inpatient care in Veterans Health Administration (VHA) and non‐VHA hospitals following access expansion from the Veterans Choice Act, which expanded eligibility f…

Health implications of the West Virginia v Environmental Protection Agency US Supreme Court decision Open

Kenneth W. Kizer, Frederica P. Perera, Kari C. Nadeau · 2022

On June 30, 2022, the US Supreme Court issued a 6–3 decision in the case of West Virginia v Environmental Protection Agency1 (EPA) that portends poorly for US public health in two ways. First, the decision limits EPA's ability to regulate …

Health Care Access Expansions and Use of Veterans Affairs and Other Hospitals by Veterans Open

Jean Yoon, Kenneth W. Kizer, Michael Ong, Yue Zhang, Megan E. Vanneman , et al. · 2022

This cohort study examines changes in the use of Veterans Affairs (VA) and non-VA hospitals by VA enrollees and mortality associated with these policies.

Climate change and global health: A call to more research and more action Open

Ioana Agache, Vanitha Sampath, Juan Aguilera, Cezmi A. Akdiş, Mübeccel Akdiş , et al. · 2022

There is increasing understanding, globally, that climate change and increased pollution will have a profound and mostly harmful effect on human health. This review brings together international experts to describe both the direct (such as…

Climate Change and Global Health: A Call to more Research and more Action Open

Ioana Agache, Juan Aguilera, Cezmi Akdis A, Mübeccel Akdiş, Michèle Barry , et al. · 2021

There is increasing understanding, globally, that climate change and increased pollution will have a profound and mostly harmful effect on human health. This review brings together international experts to describe both the direct (such as…

Urban–Rural Variations in Quality of Care Among Patients With Cancer in California Open

Arti Parikh‐Patel, Cyllene R. Morris, Kenneth W. Kizer, Ted Wun, Theresa H.M. Keegan · 2021

Rural residence was inversely associated with receipt of recommended surgery for gastric and colon cancer patients not treated at NCICCs, and for receiving recommended radiotherapy after breast conserving surgery regardless of treatment lo…

Australia’s Dangerous Snakes—Identification, Biology, and Envenoming Open

Kenneth W. Kizer · 2021

Australia is famous for its unique and often dangerous animal life, and especially its venomous snakes. Australia's Dangerous Snakes provides an in-depth look into the lives of this iconic group of animals. More than 100 terrestrial and 30…

The Great American Outdoors Act of 2020: a Tool for Improving Urban Health and Health Equity Open

Kenneth W. Kizer · 2021

Impact of Health Insurance on Stage at Cancer Diagnosis Among Adolescents and Young Adults Open

Theresa H.M. Keegan, Helen M. Parsons, Yi Chen, Frances B. Maguire, Cyllene R. Morris , et al. · 2019

Background Uninsured adolescents and young adults (AYAs) and those with publicly funded health insurance are more likely to be diagnosed with cancer at later stages. However, prior population-based studies have not distinguished between AY…

First-Line Systemic Treatments for Stage IV Non-Small Cell Lung Cancer in California: Patterns of Care and Outcomes in a Real-World Setting Open

Frances B. Maguire, Cyllene R. Morris, Arti Parikh‐Patel, Rosemary D. Cress, Theresa H.M. Keegan , et al. · 2019

Background Multiple systemic treatments have been developed for stage IV non-small cell lung cancer (NSCLC), but their use and effect on outcomes at the population level are unknown. This study describes the utilization of first-line syste…

A text-mining approach to obtain detailed treatment information from free-text fields in population-based cancer registries: A study of non-small cell lung cancer in California Open

Frances B. Maguire, Cyllene R. Morris, Arti Parikh‐Patel, Rosemary D. Cress, Theresa H.M. Keegan , et al. · 2019

SAS-based text mining of free-text data can accurately detect systemic treatments administered to patients and save considerable time compared to manual review, maximizing the utility of the extant information in population-based cancer re…

Advancing Tobacco Control Among Medicaid Beneficiaries: A Historical Perspective and Call to Action Open

Kenneth W. Kizer · 2018

Although the proportion of people in the U.S. who smoke tobacco has decreased substantially in recent decades, smoking remains the nation's leading cause of preventable disease and death.1HHSThe Health Consequences of Smoking—50 Years of P…

Disparities in quality of cancer care Open

Arti Parikh‐Patel, Cyllene R. Morris, Kenneth W. Kizer · 2017

Escalating costs and concerns about quality of cancer care have increased calls for quality measurement and performance accountability for providers and health plans. The purpose of the present cross-sectional study was to assess variabili…

Comorbidity index in central cancer registries: the value of hospital discharge data Open

Daphne Y. Lichtensztajn, Brenda Giddings, Cyllene R. Morris, Arti Parikh‐Patel, Kenneth W. Kizer · 2017

Despite some limitations, using hospital discharge data to construct a comorbidity index for cancer registries is a feasible and valid method to enhance registry data, which can provide important clinically relevant information for populat…

Implementing a Quality Improvement Collaborative to Improve Hypertension Control and Advance Million Hearts Among Low-Income Californians, 2014–2015 Open

Desiree R. Backman, Neal Kohatsu, Zhiwei Yu, R.E. Abbott, Kenneth W. Kizer · 2017

From January through December 2015, the California Department of Health Care Services, which administers Medi-Cal, the nation's largest Medicaid program, conducted a quality improvement collaborative (QIC) with 9 Medi-Cal managed care plan…

Kidney Cancer Incidence in California: End of the Trend? Open

Cyllene R. Morris, Primo N. Lara, Arti Parikh‐Patel, Kenneth W. Kizer · 2017

Background and Objective: Since the 1990s, multiple studies have reported on an increased incidence of renal cell carcinomas (RCC), which has been considered incidental to the high use of abdominal diagnostic imaging. This population-based…

Observations From California’s Delivery System Reform Incentive Payment Program Open

Ulfat Shaikh, Kenneth W. Kizer · 2017

California's Delivery System Reform Incentive Payment (DSRIP) Program provided $3.3 billion over 5 years to support 21 public hospitals improve the quality of health care delivery and population health. The Institute for Population Health …

Underutilization of gene expression profiling for early-stage breast cancer in California Open

Rosemary D. Cress, Yingjia S. Chen, Cyllene R. Morris, Helen K. Chew, Kenneth W. Kizer · 2016

Understanding the Costs of Patient-Centered Medical Homes Open

Kenneth W. Kizer · 2016

Agreement Between HEDIS Performance Assessments in the VA and Medicare Advantage Open

Amal N. Trivedi, Ira B. Wilson, Mary E. Charlton, Kenneth W. Kizer · 2016

Medicare Advantage (MA) plans and the Veterans Affairs (VA) health care system assess quality of care using standardized Healthcare Effectiveness Data and Information Set (HEDIS) performance measures. Little is known, however, about the re…

Health Promotion Interventions for Low-Income Californians Through Medi-Cal Managed Care Plans, 2012 Open

Desiree R. Backman, Neal Kohatsu, Brian Paciotti, Jennifer V. Byrne, Kenneth W. Kizer · 2015

Managed care plans have many opportunities to more effectively deliver health promotion interventions. Establishing measurable, evidence-based, consensus standards for such programs could facilitate improved delivery of these services.

Disparities in Stage at Diagnosis, Survival, and Quality of Cancer Care in California by Source of Health Insurance Open

Arti Parikh‐Patel, Cyllene R. Morris, Robert P Martinsen, Kenneth W. Kizer · 2015

Disparities in Stage at Diagnosis, Survival, and Quality of Cancer Care in California by Source of Health Insurance

Dual‐System Use and Intermediate Health Outcomes among Veterans Enrolled in Medicare Advantage Plans Open

Alicia L. Cooper, Lan Jiang, Jean Yoon, Mary E. Charlton, Ira B. Wilson , et al. · 2015

Objective The concurrent use of multiple health care systems may duplicate or fragment care. We assessed the characteristics of veterans who were dually enrolled in both the Veterans Affairs ( VA ) health care system and a Medicare Advanta…

Leveraging State Cancer Registries to Measure and Improve the Quality of Cancer Care: A Potential Strategy for California and Beyond Open

Robert A. Hiatt, Caroline G. Tai, Douglas W. Blayney, Dennis Deapen, Mike Hogarth , et al. · 2015

Despite recent increased attention to healthcare performance and the burden of disease from cancer, measures of quality of cancer care are not readily available. In 2013, the California HealthCare Foundation convened an expert workgroup to…

Safety Net Integration: A Shared Strategy for Becoming Providers of Choice Open

Julia Murphy, Michelle Ko, Kenneth W. Kizer, Andrew B. Bindman · 2015

With the expansion of coverage as a result of federal health care reform, safety net providers are confronting a challenge to care for the underserved while also competing as a provider of choice for the newly insured. Safety net instituti…

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