Catherine H MacLean
Biographic Data
| ID | 5536325 |
|---|---|
| NAME | Catherine H MacLean |
| GIVEN NAMES | Catherine H |
| FAMILY NAME | MacLean |
| SIGNATURE | MACLEAN C H |
| AFFILIATIONS | RAND Corporation |
| ORCID | 0000-0003-2581-189X |
| VERIFIED | Yes |
| TOTAL WORKS | 8 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 8 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2006 |
| LATEST PUBLICATION YEAR | 2015 |
| H-INDEX | 0 |
Quality Varies Across Health Insurance Marketplace Pricing Regions
BACKGROUND: Although consumers purchasing health plans in the new Health Insurance Marketplace will be provided information on the cost and quality of participating health plans, it is unclear whether the state-wide plan quality averages that will be reported will accurately represent quality at the pricing region level where care will be received. OBJECTIVES: To evaluate whether currently reported state-wide health plan quality scores accurately…
Improving Health Care Quality
Center for Quality Measures and Improvement, WellPoint, Thousand Oaks, CA †David Geffen School of Medicine at UCLA, Los Angeles, CA The author declares there is nothing to disclose. This editorial and its content reflect the views of Dr MacLean and have not been reviewed or endorsed by WellPoint Inc. Reprints: Catherine H. MacLean, MD, PhD, Clinical Quality Interventions, WellPoint, 4553 La Tienda Drive, MS CAT-E007, Thousand Oaks, CA 91362. E-ma…
Measuring the Quality of Care Provided to Dually Enrolled Medicare and Medicaid Beneficiaries Living in Nursing Homes
OBJECTIVES: To adapt the Assessing Care of Vulnerable Elders project nursing home (NH) specific quality indicators (QIs), for use with routinely collected data, and to evaluate which clinical conditions and types of care were inadequately measured using these data sources. DESIGN: Retrospective cohort study. SETTING: Nursing homes. PARTICIPANTS: NH residents 66 years of age and older dually enrolled in Medicare and Medicaid in 19 California count…
Multimorbidity is Associated With Better Quality of Care Among Vulnerable Elders
BACKGROUND: Older patients with multiple chronic conditions may be at higher risk of receiving poorer overall quality of care compared with those with single or no chronic conditions. Possible reasons include competing guidelines for individual conditions, burden of numerous recommendations, and difficulty implementing treatments for multiple conditions. OBJECTIVES: We sought to determine whether coexisting combinations of 8 common chronic condit…
The Effect of a Quality Improvement Initiative on the Quality of Other Aspects of Health Care
PROBLEM: Policymakers and clinicians are concerned that initiatives to improve the quality of care for some conditions may have unintended negative consequences for quality in other conditions. OBJECTIVE: We sought to determine whether a practice redesign intervention that improved care for falls, incontinence, and cognitive impairment by an absolute 15% change also affected quality of care for masked conditions (conditions not targeted by the in…
Measuring the Quality of Care Provided to Community Dwelling Vulnerable Elders Dually Enrolled in Medicare and Medicaid
CONTEXT: Small studies suggest that the quality of healthcare provided to older patients needs improvement. However, measuring the quality of care for larger groups of older adults is difficult. OBJECTIVE: To measure the quality of care in a community-dwelling vulnerable geriatric population using administrative data to apply quality indicators (QIs) from the Assessing Care of Vulnerable Elders project. DESIGN, SETTING, AND PARTICIPANTS: Cohort s…
The Complexity of Care for Patients with Rheumatoid Arthritis
Background: Patients with rheumatoid arthritis (RA) provide an important opportunity for understanding care of patients with a serious chronic condition. Objectives: We sought to characterize the complexity of care for patients with RA, including metrics describing the patient, the disease, and use of the health care system across time and place. Methods: We undertook a prospective cohort study of 568 community-dwelling patients with RA by using …
Comparison of Administrative Data and Medical Records to Measure the Quality of Medical Care Provided to Vulnerable Older Patients
BACKGROUND: Administrative data are used to determine performance for publicly reported in health plan "report cards," accreditation status, and reimbursement. However, it is unclear how performance based on administrative data and medical records compare. METHODS: We compared applicability, eligibility, and performance on 182 measures of health care quality using medical records and administrative data during a 13-month period for a random sampl…
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Comparison of Administrative Data and Medical Records to Measure the Quality of Medical Care Provided to Vulnerable Older Patients
BACKGROUND: Administrative data are used to determine performance for publicly reported in health plan "report cards," accreditation status, and reimbursement. However, it is unclear how performance based on administrative data and medical records compare. METHODS: We compared applicability, eligibility, and performance on 182 measures of health care quality using medical records and administrative data during a 13-month period for a random sampl…
Multimorbidity is Associated With Better Quality of Care Among Vulnerable Elders
BACKGROUND: Older patients with multiple chronic conditions may be at higher risk of receiving poorer overall quality of care compared with those with single or no chronic conditions. Possible reasons include competing guidelines for individual conditions, burden of numerous recommendations, and difficulty implementing treatments for multiple conditions. OBJECTIVES: We sought to determine whether coexisting combinations of 8 common chronic condit…
The Effect of a Quality Improvement Initiative on the Quality of Other Aspects of Health Care
PROBLEM: Policymakers and clinicians are concerned that initiatives to improve the quality of care for some conditions may have unintended negative consequences for quality in other conditions. OBJECTIVE: We sought to determine whether a practice redesign intervention that improved care for falls, incontinence, and cognitive impairment by an absolute 15% change also affected quality of care for masked conditions (conditions not targeted by the in…
Measuring the Quality of Care Provided to Community Dwelling Vulnerable Elders Dually Enrolled in Medicare and Medicaid
CONTEXT: Small studies suggest that the quality of healthcare provided to older patients needs improvement. However, measuring the quality of care for larger groups of older adults is difficult. OBJECTIVE: To measure the quality of care in a community-dwelling vulnerable geriatric population using administrative data to apply quality indicators (QIs) from the Assessing Care of Vulnerable Elders project. DESIGN, SETTING, AND PARTICIPANTS: Cohort s…
The Complexity of Care for Patients with Rheumatoid Arthritis
Background: Patients with rheumatoid arthritis (RA) provide an important opportunity for understanding care of patients with a serious chronic condition. Objectives: We sought to characterize the complexity of care for patients with RA, including metrics describing the patient, the disease, and use of the health care system across time and place. Methods: We undertook a prospective cohort study of 568 community-dwelling patients with RA by using …
Measuring the Quality of Care Provided to Dually Enrolled Medicare and Medicaid Beneficiaries Living in Nursing Homes
OBJECTIVES: To adapt the Assessing Care of Vulnerable Elders project nursing home (NH) specific quality indicators (QIs), for use with routinely collected data, and to evaluate which clinical conditions and types of care were inadequately measured using these data sources. DESIGN: Retrospective cohort study. SETTING: Nursing homes. PARTICIPANTS: NH residents 66 years of age and older dually enrolled in Medicare and Medicaid in 19 California count…
Improving Health Care Quality
Center for Quality Measures and Improvement, WellPoint, Thousand Oaks, CA †David Geffen School of Medicine at UCLA, Los Angeles, CA The author declares there is nothing to disclose. This editorial and its content reflect the views of Dr MacLean and have not been reviewed or endorsed by WellPoint Inc. Reprints: Catherine H. MacLean, MD, PhD, Clinical Quality Interventions, WellPoint, 4553 La Tienda Drive, MS CAT-E007, Thousand Oaks, CA 91362. E-ma…
Quality Varies Across Health Insurance Marketplace Pricing Regions
BACKGROUND: Although consumers purchasing health plans in the new Health Insurance Marketplace will be provided information on the cost and quality of participating health plans, it is unclear whether the state-wide plan quality averages that will be reported will accurately represent quality at the pricing region level where care will be received. OBJECTIVES: To evaluate whether currently reported state-wide health plan quality scores accurately…
Medicine (8 works) · Health care (5 works) · Quality (philosophy) (5 works) · Frailty in Older Adults (4 works) · Gerontology (4 works) · Gerontology (4 works) · Political science (4 works) · Primary Care and Health Outcomes (4 works) · Family medicine (3 works) · Geriatric Care and Nursing Homes (3 works)