Edward H Wagner

Biographic Data

ID2456737
NAMEEdward H Wagner
GIVEN NAMESEdward H
FAMILY NAMEWagner
SIGNATUREWAGNER E H
AFFILIATIONSGroup Health Cooperative
ORCID0000-0001-5856-6021
VERIFIEDYes
TOTAL WORKS48
TOTAL CITATIONS108
AUTHOR COUNT48
EDITOR COUNT0
FIRST PUBLICATION YEAR1978
LATEST PUBLICATION YEAR2014
H-INDEX8

  • Unlocking the Black Box

    Open AccessKatie Coleman, Kathryn E Phillips et al.ARTICLEMedical Care2014References: 10

    BACKGROUND: Despite widespread interest in supporting primary care transformation, few evidence-based strategies for technical assistance exist. The Safety Net Medical Home Initiative (SNMHI) sought to develop a replicable and sustainable model for Patient-centered Medical Home practice transformation. OBJECTIVES: This paper describes the multimodal technical assistance approach used by the SNMHI and the participating practices' assessment of its…

  • How 3 Rural Safety Net Clinics Integrate Care for Patients

    Sarah Derrett, Kathryn E Gunter et al.ARTICLEMedical Care2014References: 12

    BACKGROUND: Integrated care focuses on care coordination and patient centeredness. Integrated care supports continuity of care over time, with care that is coordinated within and between settings and is responsive to patients' needs. Currently, little is known about care integration for rural patients. OBJECTIVE: To examine challenges to care integration in rural safety net clinics and strategies to address these challenges. RESEARCH DESIGN: Qual…

  • Practice Transformation in the Safety Net Medical Home Initiative

    Edward H Wagner, Reshma Gupta et al.ARTICLEMedical Care2014References: 6

    BACKGROUND: Transformation of primary care to patient-centered medical homes (PCMH) is challenging. Progress in transformation varied widely among practices involved in the Safety Net Medical Home Initiative. OBJECTIVE: To study 3 successful practices to identify common characteristics and approaches. RESEARCH DESIGN: We selected 3 diverse practices based on their improvement on the PCMH-A, a self-assessment instrument measuring progress toward b…

  • Performance of Claims-based Algorithms for Identifying Heart Failure and Cardiomyopathy Among Patients Diagnosed With Breast Cancer

    Larry A Allen, Marianne Ulcickas Yood et al.ARTICLEMedical Care2014References: 3

    BACKGROUND: Cardiotoxicity is a known complication of certain breast cancer therapies, but rates come from clinical trials with design features that limit external validity. The ability to accurately identify cardiotoxicity from administrative data would enhance safety information. OBJECTIVE: To characterize the performance of clinical coding algorithms for identification of cardiac dysfunction in a cancer population. RESEARCH DESIGN: We sampled …

  • Improving Care Coordination in Primary Care

    Edward H Wagner, Nirmala Sandhu et al.ARTICLEMedical Care2014References: 9

    BACKGROUND: Although coordinating care is a defining characteristic of primary care, evidence suggests that both patients and providers perceive failures in communication and care when care is received from multiple sources. OBJECTIVES: To examine the utility of a newly developed Care Coordination Model in improving care coordination among participating practices in the Safety Net Medical Home Initiative (SNMHI). RESEARCH DESIGN: In this paper, w…

  • The Safety Net Medical Home Initiative

    Open AccessJonathan R Sugarman, Kathryn E Phillips et al.ARTICLEMedical Care2014References: 12

    BACKGROUND: Despite findings that medical homes may reduce or eliminate health care disparities among underserved and minority populations, most previous medical home pilot and demonstration projects have focused on health care delivery systems serving commercially insured patients and Medicare beneficiaries. OBJECTIVES: To develop a replicable approach to support medical home transformation among diverse practices serving vulnerable and underser…

  • Development of a Facilitation Curriculum to Support Primary Care Transformation

    Karin E Johnson, Karin Johnson et al.ARTICLEMedical Care2014References: 31

    BACKGROUND: In an effort to improve patient care, retain high-quality primary care providers, and control costs, primary care practices across the United States are transforming to patient-centered medical homes. This is no small task. Practice facilitation, also called "coaching," is increasingly being used to support system change; however, there is limited guidance for these programs. OBJECTIVE: To develop an evidence-based curriculum to help …

  • Counterpoint

    Edward H WagnerARTICLEMedical Care2011References: 16

    MacColl Institute for Healthcare Innovation, Group Health Research Institute, Seattle, WA The author declares no conflict of interest. Reprints: Edward H. Wagner, MD, MPH, MacColl Institute for Healthcare Innovation, Group Health Research Institute, 1730 Minor Avenue, Suite 1290, Seattle, WA 98101. E-mail: [email protected]

  • Evidence On The Chronic Care Model In The New Millennium

    Katie Coleman, Brian T Austin et al.ARTICLEHealth Affairs2009

    Developed more than a decade ago, the Chronic Care Model (CCM) is a widely adopted approach to improving ambulatory care that has guided clinical quality initiatives in the United States and around the world. We examine the evidence of the CCM's effectiveness by reviewing articles published since 2000 that used one of five key CCM papers as a reference. Accumulated evidence appears to support the CCM as an integrated framework to guide practice r…

  • Quality of integrated chronic care measured by patient survey

    Open AccessHubertus J M Vrijhoef, Rieneke Berbee et al.ARTICLEHealth Expectations2009

    Objective To identify the most appropriate generic instrument to measure experience and/or satisfaction of people receiving integrated chronic care. Background Health care is becoming more user‐centred and, as a result, the experience of users of care and evaluation of their experience and/or satisfaction is taken more seriously. It is unclear to what extent existing instruments are appropriate in measuring the experience and/or satisfaction of p…

  • Physician support for diabetes patients and clinical outcomes

    Open AccessJochen Gensichen, MICHAEL VON KORFF et al.ARTICLEBMC Public Health2009

    This observational study suggests that, in community practice settings, physician differences in practical support may influence glycemic control outcomes among patients with diabetes

  • Fragmentation of chronic care

    Open AccessHubertus J M Vrijhoef, Edward H WagnerARTICLEInternational Journal of…2009

    DOAJ is a unique and extensive index of diverse open access journals from around the world, driven by a growing community, committed to ensuring quality content is freely available online for everyone

  • Accuracy and Complexities of Using Automated Clinical Data for Capturing Chemotherapy Administrations

    Erin J Aiello Bowles, Leah Tuzzio et al.ARTICLEMedical Care2009References: 7

    BACKGROUND: Chemotherapy data are important to almost any study on cancer prognosis and outcomes. However, chemotherapy data obtained from tumor registries may be incomplete, and abstracting chemotherapy directly from medical records can be expensive and time consuming. METHODS: We evaluated the accuracy of using automated clinical data to capture chemotherapy administrations in a cohort of 757 ovarian cancer patients enrolled in 7 health plans i…

  • Are Continuity of Care and Teamwork Incompatible

    Edward H Wagner, Robert J ReidARTICLEMedical Care2007References: 9

    From the Center for Health Studies, Group Health Cooperative, Seattle, Washington. Reprints: Edward H. Wagner, Center for Health Studies, Group Health Cooperative, 1730 Minor Avenue, Ste 1600, Seattle, WA 98101. E-mail: [email protected]

  • Development and Validation of the Patient Assessment of Chronic Illness Care (Pacic)

    Open AccessRussell E Glasgow, Edward H Wagner et al.ARTICLEMedical Care2005References: 16

    RATIONALE: There is a need for a brief, validated patient self-report instrument to assess the extent to which patients with chronic illness receive care that aligns with the Chronic Care Model-measuring care that is patient-centered, proactive, planned and includes collaborative goal setting; problem-solving and follow-up support. SAMPLE: A total of 283 adults reporting one or more chronic illness from a large integrated health care delivery sys…

  • Effective Teamwork and Quality of Care

    Edward H WagnerARTICLEMedical Care2004References: 10

    From the MacColl Institute for Healthcare Innovation, Center for Health Studies, Group Health Cooperative, Seattle, Washington. This manuscript was supported under grant no. 0347984 to Group Health Cooperative from The Robert Wood Johnson Foundation. Reprints: Edward H. Wagner, MD, MPH, Center for Health Studies, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101-1448. E-mail: [email protected]

  • Promoting Health and Preventing Disability in Older Adults

    Elizabeth A Phelan, Allen Cheadle et al.ARTICLEFamily & Community Health2003

    This article describes a partnership between an academic center and community-based organizations for the purpose of improving the health of older adults. Three sequential randomized trials of interventions that have been conducted by this partnership, along with an effectiveness study of one of the interventions, are presented as evidence of the partnership's success. Characteristics of an effective partnership are highlighted; these include: (1…

  • Improving Primary Care for Patients With Chronic Illness

    Thomas Bodenheimer, Edward H Wagner et al.ARTICLEJAMA2002

    This article reviews research evidence showing to what extent the chronic care model can improve the management of chronic conditions (using diabetes as an example) and reduce health care costs. Thirty-two of 39 studies found that interventions based on chronic care model components improved at least 1 process or outcome measure for diabetic patients. Regarding whether chronic care model interventions can reduce costs, 18 of 27 studies concerned …

  • Improving Chronic Illness Care

    Edward H Wagner, Brian T Austin et al.ARTICLEHealth Affairs2001

    The growing number of persons suffering from major chronic illnesses face many obstacles in coping with their condition, not least of which is medical care that often does not meet their needs for effective clinical management, psychological support, and information. The primary reason for this may be the mismatch between their needs and care delivery systems largely designed for acute illness. Evidence of effective system changes that improve ch…

  • Collaborative Management of Chronic Illness

    Open AccessMICHAEL VON KORFF, Jessie Gruman et al.ARTICLEAnnals of Internal Medicine1997

    In chronic illness, day-to-day care responsibilities fall most heavily on patients and their families. Effective collaborative relationships with health care providers can help patients and families better handle self-care tasks. Collaborative management is care that strengthens and supports self-care in chronic illness while assuring that effective medical, preventive, and health maintenance interventions take place. In this paper, the following…

  • A dietary intervention in primary care practice

    Shirley A A Beresford, S A Beresford et al.ARTICLEAmerican Journal of Public Health1997Cited by: 8References: 28

    OBJECTIVES: This study evaluated the effectiveness of a low-intensity dietary intervention in primary care practice in lowering dietary fat intake and raising dietary fiber intake. METHODS: A randomized controlled trial of 28 physician practices in six primary care clinics enrolled, by telephone, adult patients who had appointments for nonurgent nonacute visits. Of 3490 eligible patients contacted, 2111 completed baseline interview; 86.1% also co…

  • Organizing Care for Patients with Chronic Illness

    Edward H Wagner, Brian T Austin et al.ARTICLEMilbank Quarterly1996

    Usual medical care often fails to meet the needs of chronically ill patients, even in managed, integrated delivery systems. The medical literature suggests strategies to improve outcomes in these patients. Effective interventions tend to fall into one of five areas: the use of evidence-based, planned care; reorganization of practice systems and provider roles; improved patient self-management support; increased access to expertise; and greater av…

  • The Effect of a Shared Decisionmaking Program on Rates of Surgery for Benign Prostatic Hyperplasia Pilot Results

    Edward H Wagner, Paul H Barrett et al.ARTICLEMedical Care1995

    Wagner, Edward H. MD, MPH; Barrett, Paul MD, MSPH; Barry, Michael J. MD; Barlow, William PhD; Fowler, Floyd J. Jr. PhD Author Information

  • Preventing disability and falls in older adults

    Edward H Wagner, Andrea Z Lacroix et al.ARTICLEAmerican Journal of Public Health1994Cited by: 13References: 28

    OBJECTIVES. Because preventing disability and falls in older adults is a national priority, a randomized controlled trial was conducted to test a multicomponent intervention program. METHODS. From a random sample of health maintenance organization (HMO) enrollees 65 years and older, 1559 ambulatory seniors were randomized to one of three groups: a nurse assessment visit and follow-up interventions targeting risk factors for disability and falls (…

  • Activating communities for health promotion

    Thomas M Wickizer, MICHAEL VON KORFF et al.ARTICLEAmerican Journal of Public Health1993Cited by: 13References: 10

    OBJECTIVES. To date, evaluations of community-based prevention programs have focused on assessing outcomes, not the process of organizing communities for health promotion. An approach was developed to analyze community organization efforts aimed at advancing community health objectives. These organizational processes are referred to as community activation. METHODS. Information was gathered from 762 informants through a key informant survey condu…