Transforming Clinical Practice Initiative Boosted Participation in Medicare Alternative Payment Models

The Centers for Medicare & Medicaid Services' (CMS's) Transforming Clinical Practice Initiative (TCPi) was the largest national-scale practice transformation model.

Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Fourth Annual Report Appendices

The Appendices to the Fourth Annual Report provide detailed information about the data, methods, analyses, and findings from the independent evaluation of the first four years of CPC+ for the practices that began the model in 2017.

Internal and External Validity of the Comparative Interrupted Time-Series Design: A Meta-Analysis

This paper meta-analyzes 12 heterogeneous studies that examine bias in the comparative interrupted time-series design (CITS) that is often used to evaluate the effects of social policy interventions.

Effects of a Behavioral Health and Chronic Illness Care Intervention on Patient Outcomes in Primary Care Practices in the Dakotas

From 2012 to 2015, Sanford Health, a large health care system, integrated behavioral health services and chronic condition care management in some of its primary care practices in the Dakotas and rural Minnesota.

The Internal and External Validity of the Regression Discontinuity Design: A Meta-Analysis of 15 Within-Study Comparisons

We test RD’s validity across 15 studies, each of which compared impact estimates from RD with those from a corresponding RCT. We find bias below 0.01 standard deviations on average, and below 0.07 by study based on results shrunken to capitalize on information from the other studies.

Analytical Methods for a Learning Health System: 1. Framing the Research Question

Learning health systems use routinely collected electronic health data (EHD) to advance knowledge and support continuous learning.

Analytical Methods for a Learning Health System: 3. Analysis of Observational Studies

The third paper in a series on how learning health systems can use routinely collected electronic health data (EHD) to advance knowledge and support continuous learning, this review describes how analytical methods for individual-level electronic health data EHD, including regression approaches, interrupted...

Testing the Replicability of a Successful Care Management Program: Results from a Randomized Trial and Likely Explanations for Why Impacts Did Not Replicate

Even if demonstrated in a randomized trial, successful results from one test may not replicate in other settings or time periods.

Partnership for Patients: Interim Evaluation Report

This is an interim evaluation report for the Partnership for Patients (PfP) campaign. The goals of the evaluation were to assess the reduction in inpatient harms and readmissions during the period 2011–2014, and to assess, if possible, the contribution that PfP made to those reductions.

Lessons from Comparative Effectiveness Research Methods Development Projects Funded Under the Recovery Act

The American Recovery and Reinvestment Act of 2009 (ARRA) directed nearly US$29.2 million to comparative effectiveness research (CER) methods development.

Project Evaluation Activity in Support of Partnership for Patients: Task 2 Evaluation Progress Report, Appendices

The goal of the evaluation is to assess the harm reduction during the period when all three engines (CMMI, federal partners, and private partners) were engaged simultaneously in an extraordinary effort to meet the common goals.

Project Evaluation Activity in Support of Partnership for Patients: Task 2 Evaluation Progress Report

The goal of the evaluation is to assess the harm reduction during the period when all three engines (CMMI, federal partners, and private partners) were engaged simultaneously in an extraordinary effort to meet the common goals.

Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare D-SNPs: The Brand New Day Study

This study compares key patient outcomes at Brand New Day, a Medicare SNP for dual eligibles with severe mental illness, under two alternatives—routine care (services routinely provided at the plan before the study) and enhanced care (more frequent or more intensive services)—for each of 11 care components....

Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare D-SNPs: The Care Wisconsin and Gateway Study

The study findings suggest that only one of the interventions tested (more frequent routine contacts and medication review) appeared to have led to improved outcomes, but the lack of consistency of favorable findings across outcomes for this intervention, and the anomalous finding for the teachback method,...

Using Multifactorial Experiments for Comparative Effectiveness Research in Physician Practices with Electronic Health Record

This paper identifies opportunities for using multifactorial designs and electronic health record data to evaluate quality improvement efforts in physicians' practices.

Efficient Orthogonal Designs: Testing the Comparative Effectiveness of Alternative Ways of Implementing Patient-Centered Medical Home Components (Issue Brief)

This brief focuses on using efficient orthogonal designs to evaluate patient-centered medical home (PCMH) models.

Effectiveness of Alternative Ways of Implementing Care Coordination Components in Medicare D-SNPs

Perceptions of Electronic Health Records and Their Effect on the Quality of Care: Results from a Survey of Patients in Four States

Using data from patients surveyed after primary care provider visits, this working paper found patients had favorable perceptions of electronic health records (EHRs). Patients believed that EHRs improved the quality of care, and most were not concerned with confidentiality of records.

A New Tool for Rapid-Cycle Comparative Effectiveness Research: The Promise of Orthogonal Design