Teaching ambulatory pediatrics in a university HMO

Assessment of the Treatment of Hypertension in a University HMO Ambulatory Clinic

• Objective: To determine the adequacy of hypertension treatment for patients enrolled in a university health maintenance organization (HMO). • Design: Retrospective review of medical records. • Patients and setting: 182 patients with an ICD-9 diagnosis code for benign essential hypertension seen between October 1995 and October 1997 in internal medicine and family practice clinics. • Methods: ...

Case Western Reserve University HMO Group SBC

HMO Penetration, Hospital Competition, and Growth of Ambulatory Surgery Centers

Using metropolitan statistical area (MSA) panel data from 1992-2001 constructed from the 2002 Medicare Online Survey Certification and Reporting (OSCAR) System, we estimate the market effects of health maintenance organization (HMO) penetration and hospital competition on the growth of freestanding ambulatory surgery centers (ASCs). Our regression models with MSA and year fixed effects suggest ...

Improving Error Reporting in Ambulatory Pediatrics with a Team Approach

Objective: We aimed to determine the effectiveness of team-based reporting, systems analysis, and redesign to address medical errors in pediatric ambulatory care. Methods: Voluntary, anonymous, nonpunitive reporting, paired with a team-based system analysis and change implementation, was established in an outpatient pediatric department of an urban teaching hospital. Results: In the first year,...

A Cardiovascular Teaching Laboratory: the master class in ambulatory teaching.

For decades, outpatient teaching has been equated with the outpatient clinic or facility, with brief, discontinuous patient encounters in a variety of settings. In spite of diverse suggested remedies, the result has been a difficult environment for learning and teaching. In addition, medical students possess limited clinical information at the time of their initial physical diagnosis experience...