Marsha A Raebel
Biographic Data
| ID | 5533942 |
|---|---|
| NAME | Marsha A Raebel |
| GIVEN NAMES | Marsha A |
| FAMILY NAME | Raebel |
| SIGNATURE | RAEBEL M A |
| AFFILIATIONS | Kaiser Permanente |
| ORCID | 0000-0002-8485-7161 |
| VERIFIED | Yes |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 13 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2006 |
| LATEST PUBLICATION YEAR | 2020 |
| H-INDEX | 0 |
Planning for Implementation Success Using RE-AIM and CFIR Frameworks
Background: RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) and CFIR (Consolidated Framework for Implementation Research) define theory-based domains associated with the adoption, implementation and maintenance of evidence-based interventions. Used together, the two frameworks identify metrics for evaluating implementation success, i.e., high reach and effectiveness resulting in sustained practice change (RE-AIM), and modifia…
Adults With Asthma Experience No Increase in Asthma-related Exacerbations When Digital Communication Technology Tools Are Employed to Offset Provider Workload
BACKGROUND: Challenges to health care efficiency are increasingly addressed with the help of digital communication technology tools (DCTs). OBJECTIVE: The objective of this study was to test whether DCT, compared with Usual Care, can reduce health care clinician burden without increasing asthma-related exacerbations among patients with asthma in a large integrated health care system. RESEARCH DESIGN: The (Breathewell) program was a pragmatic, ran…
Identifying Common Predictors of Multiple Adverse Outcomes Among Elderly Adults With Type-2 Diabetes
OBJECTIVE: As part of a multidisciplinary team managing patients with type-2 diabetes, pharmacists need a consistent approach of identifying and prioritizing patients at highest risk of adverse outcomes. Our objective was to identify which predictors of adverse outcomes among type-2 diabetes patients were significant and common across 7 outcomes and whether these predictors improved the performance of risk prediction models. Identifying such pred…
Near Real-time Surveillance for Consequences of Health Policies Using Sequential Analysis
BACKGROUND: New health policies may have intended and unintended consequences. Active surveillance of population-level data may provide initial signals of policy effects for further rigorous evaluation soon after policy implementation. OBJECTIVE: This study evaluated the utility of sequential analysis for prospectively assessing signals of health policy impacts. As a policy example, we studied the consequences of the widely publicized Food and Dr…
Health Care System-level Factors Associated With Performance on Medicare STAR Adherence Metrics in a Large, Integrated Delivery System
BACKGROUND: The Centers for Medicare and Medicaid Services provide significant incentives to health plans that score well on Medicare STAR metrics for cardiovascular disease risk factor medication adherence. Information on modifiable health system-level predictors of adherence can help clinicians and health plans develop strategies for improving Medicare STAR scores, and potentially improve cardiovascular disease outcomes. OBJECTIVE: To examine t…
The Prevalence and Trends of Antiviral Medication Use During Pregnancy in the US
Standardizing Terminology and Definitions of Medication Adherence and Persistence in Research Employing Electronic Databases
OBJECTIVE: To propose a unifying set of definitions for prescription adherence research utilizing electronic health record prescribing databases, prescription dispensing databases, and pharmacy claims databases and to provide a conceptual framework to operationalize these definitions consistently across studies. METHODS: We reviewed recent literature to identify definitions in electronic database studies of prescription-filling patterns for chron…
A Pragmatic Framework for Single-site and Multisite Data Quality Assessment in Electronic Health Record-based Clinical Research
INTRODUCTION: Answers to clinical and public health research questions increasingly require aggregated data from multiple sites. Data from electronic health records and other clinical sources are useful for such studies, but require stringent quality assessment. Data quality assessment is particularly important in multisite studies to distinguish true variations in care from data quality problems. METHODS: We propose a "fit-for-use" conceptual mo…
Medication Exposure in Pregnancy Risk Evaluation Program
Characteristics of Medicare Part D Beneficiaries Who Reach the Drug Benefit Threshold in Both of the First Two Years of the Part D Benefit
BACKGROUND: Medicare Part D beneficiaries who reach the drug benefit threshold (DBT) risk adverse health outcomes. OBJECTIVES: We explore clinical characteristics of beneficiaries who repeatedly reach the DBT during the first 2 years of Medicare Part D and may benefit from proactive identification for medication and care management. RESEARCH DESIGN: Retrospective cohort. SUBJECTS: 25,320 Medicare Advantage beneficiaries of whom 536 reached the DB…
Effects of Reaching the Drug Benefit Threshold on Medicare Members' Healthcare Utilization during the First Year of Medicare Part D
BACKGROUND: Information on the effects of reaching the Medicare Part D standard drug benefit threshold is limited. OBJECTIVES: Describe and compare pre- and post-threshold healthcare and medication utilization of Medicare beneficiaries who reach threshold relative to those who do not reach threshold and those who do not have a threshold. RESEARCH DESIGN: Retrospective study of 21,349 beneficiaries enrolled into a Medicare Direct Pay Plan with a s…
Cluster Randomized Trials
BACKGROUND: Cluster randomized trials (CRTs) offer unique advantages over standard randomized controlled clinical trials (RCTs) and observational methodologies, and may provide a cost-efficient alternative for answering questions about the best treatments for common conditions. OBJECTIVES: To describe health plan leaders' views on CRTs, identify barriers to conducting CRTs, and solicit recommendations for increasing the acceptability of CRTs. RES…
Potential Drug–Drug Interactions in the Outpatient Setting
BACKGROUND: Although medication safety research has tended to focus on inpatients, the safety of drug use among outpatients is also a concern. OBJECTIVE: We estimate the frequency of potentially interacting concomitant medication dispensing among outpatients. RESEARCH DESIGN: We report the number and percent of patients annually dispensed an object drug of interest (ie, warfarin, digoxin, cyclosporine, or lovastatin/simvastatin) with a potentiall…
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Potential Drug–Drug Interactions in the Outpatient Setting
BACKGROUND: Although medication safety research has tended to focus on inpatients, the safety of drug use among outpatients is also a concern. OBJECTIVE: We estimate the frequency of potentially interacting concomitant medication dispensing among outpatients. RESEARCH DESIGN: We report the number and percent of patients annually dispensed an object drug of interest (ie, warfarin, digoxin, cyclosporine, or lovastatin/simvastatin) with a potentiall…
Cluster Randomized Trials
BACKGROUND: Cluster randomized trials (CRTs) offer unique advantages over standard randomized controlled clinical trials (RCTs) and observational methodologies, and may provide a cost-efficient alternative for answering questions about the best treatments for common conditions. OBJECTIVES: To describe health plan leaders' views on CRTs, identify barriers to conducting CRTs, and solicit recommendations for increasing the acceptability of CRTs. RES…
Effects of Reaching the Drug Benefit Threshold on Medicare Members' Healthcare Utilization during the First Year of Medicare Part D
BACKGROUND: Information on the effects of reaching the Medicare Part D standard drug benefit threshold is limited. OBJECTIVES: Describe and compare pre- and post-threshold healthcare and medication utilization of Medicare beneficiaries who reach threshold relative to those who do not reach threshold and those who do not have a threshold. RESEARCH DESIGN: Retrospective study of 21,349 beneficiaries enrolled into a Medicare Direct Pay Plan with a s…
Characteristics of Medicare Part D Beneficiaries Who Reach the Drug Benefit Threshold in Both of the First Two Years of the Part D Benefit
BACKGROUND: Medicare Part D beneficiaries who reach the drug benefit threshold (DBT) risk adverse health outcomes. OBJECTIVES: We explore clinical characteristics of beneficiaries who repeatedly reach the DBT during the first 2 years of Medicare Part D and may benefit from proactive identification for medication and care management. RESEARCH DESIGN: Retrospective cohort. SUBJECTS: 25,320 Medicare Advantage beneficiaries of whom 536 reached the DB…
Medication Exposure in Pregnancy Risk Evaluation Program
A Pragmatic Framework for Single-site and Multisite Data Quality Assessment in Electronic Health Record-based Clinical Research
INTRODUCTION: Answers to clinical and public health research questions increasingly require aggregated data from multiple sites. Data from electronic health records and other clinical sources are useful for such studies, but require stringent quality assessment. Data quality assessment is particularly important in multisite studies to distinguish true variations in care from data quality problems. METHODS: We propose a "fit-for-use" conceptual mo…
The Prevalence and Trends of Antiviral Medication Use During Pregnancy in the US
Standardizing Terminology and Definitions of Medication Adherence and Persistence in Research Employing Electronic Databases
OBJECTIVE: To propose a unifying set of definitions for prescription adherence research utilizing electronic health record prescribing databases, prescription dispensing databases, and pharmacy claims databases and to provide a conceptual framework to operationalize these definitions consistently across studies. METHODS: We reviewed recent literature to identify definitions in electronic database studies of prescription-filling patterns for chron…
Health Care System-level Factors Associated With Performance on Medicare STAR Adherence Metrics in a Large, Integrated Delivery System
BACKGROUND: The Centers for Medicare and Medicaid Services provide significant incentives to health plans that score well on Medicare STAR metrics for cardiovascular disease risk factor medication adherence. Information on modifiable health system-level predictors of adherence can help clinicians and health plans develop strategies for improving Medicare STAR scores, and potentially improve cardiovascular disease outcomes. OBJECTIVE: To examine t…
Near Real-time Surveillance for Consequences of Health Policies Using Sequential Analysis
BACKGROUND: New health policies may have intended and unintended consequences. Active surveillance of population-level data may provide initial signals of policy effects for further rigorous evaluation soon after policy implementation. OBJECTIVE: This study evaluated the utility of sequential analysis for prospectively assessing signals of health policy impacts. As a policy example, we studied the consequences of the widely publicized Food and Dr…
Identifying Common Predictors of Multiple Adverse Outcomes Among Elderly Adults With Type-2 Diabetes
OBJECTIVE: As part of a multidisciplinary team managing patients with type-2 diabetes, pharmacists need a consistent approach of identifying and prioritizing patients at highest risk of adverse outcomes. Our objective was to identify which predictors of adverse outcomes among type-2 diabetes patients were significant and common across 7 outcomes and whether these predictors improved the performance of risk prediction models. Identifying such pred…
Planning for Implementation Success Using RE-AIM and CFIR Frameworks
Background: RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) and CFIR (Consolidated Framework for Implementation Research) define theory-based domains associated with the adoption, implementation and maintenance of evidence-based interventions. Used together, the two frameworks identify metrics for evaluating implementation success, i.e., high reach and effectiveness resulting in sustained practice change (RE-AIM), and modifia…
Adults With Asthma Experience No Increase in Asthma-related Exacerbations When Digital Communication Technology Tools Are Employed to Offset Provider Workload
BACKGROUND: Challenges to health care efficiency are increasingly addressed with the help of digital communication technology tools (DCTs). OBJECTIVE: The objective of this study was to test whether DCT, compared with Usual Care, can reduce health care clinician burden without increasing asthma-related exacerbations among patients with asthma in a large integrated health care system. RESEARCH DESIGN: The (Breathewell) program was a pragmatic, ran…
Medicine (12 works) · Health care (7 works) · Internal Medicine (6 works) · Nursing (6 works) · Computer Science (5 works) · Internal Medicine (5 works) · Medication Adherence and Compliance (5 works) · Population (5 works) · Emergency Medicine (4 works) · Emergency Medicine (4 works)