Search

Your search keyword '"Casale, Alfred S."' showing total 18 results
Start Over Author "Casale, Alfred S."
18 results on '"Casale, Alfred S."'

2. Coronary and Structural Heart Disease Interventions During COVID-19 Pandemic: A Road Map for Clinicians and Health Care Delivery Systems

Author

Harjai, Kishore J., Agarwal, Shikhar, Bauch, Terry, Bernardi, Mark, Casale, Alfred S., Green, Sandy, Harostock, Michael, Ierovante, Nicholas, Mascarenhas, Vernon, Matsumura, Martin, Nawaz, Yassir, Scott, Thomas, Singh, Deepak, Stella, Joseph J., Vijayaraman, Pugazhendi, Yost, Gregory, and Blankenship, James C.

Published
2020
Full Text
View/download PDF

7. “ProvenCareSM”

Author

Casale, Alfred S., primary, Paulus, Ronald A., additional, Selna, Mark J., additional, Doll, Michael C., additional, Bothe, Albert E., additional, McKinley, Karen E., additional, Berry, Scott A., additional, Davis, Duane E., additional, Gilfillan, Richard J., additional, Hamory, Bruce H., additional, and Steele, Glenn D., additional

Published
2007
Full Text
View/download PDF

8. Artifactual temporary dual chamber pacemaker malfunction

Author

Intintola, Pamela L., Banas, John S., Jr., Casale, Alfred S., Neibart, Richard M., Parr, Grant V.S., III, and Winters, Stephen L.

Subjects
Pacemaker, Artificial (Heart) -- Complications, Cardiac pacing -- Complications, Health
Published
1993

13. Current indications, risks, and outcome after pericardiectomy

Author

DeValeria, Patrick A., primary, Baumgartner, William A., additional, Casale, Alfred S., additional, Greene, Peter S., additional, Cameron, Duke E., additional, Gardner, Timothy J., additional, Gott, Vincent L., additional, Watkins, Levi, additional, and Reitz, Bruce A., additional

Published
1991
Full Text
View/download PDF

18. "ProvenCareSM": a provider-driven pay-for-performance program for acute episodic cardiac surgical care.

Author

Casale AS, Paulus RA, Selna MJ, Doll MC, Bothe AE Jr, McKinley KE, Berry SA, Davis DE, Gilfillan RJ, Hamory BH, and Steele GD Jr

Subjects
Aged, Elective Surgical Procedures economics, Evidence-Based Medicine, Female, Hospital Charges, Hospitalization economics, Humans, Length of Stay, Male, Medical Records Systems, Computerized, Patient Discharge, Patient Participation, Patient Readmission, Pennsylvania, Postoperative Care economics, Preoperative Care economics, Prospective Payment System, Reproducibility of Results, Risk Assessment, Treatment Outcome, Coronary Artery Bypass economics, Coronary Artery Bypass standards, Delivery of Health Care, Integrated economics, Delivery of Health Care, Integrated standards, Episode of Care, Reimbursement, Incentive
Abstract

Objective: To test whether an integrated delivery system could successfully implement an evidence-based pay-for-performance program for coronary artery bypass graft (CABG) surgery., Methods: The program consisted of 3 components: (1) establishing implementable best practices; (2) developing risk-based pricing; (3) establishing a mechanism for patient engagement. Surgeons reviewed all class I and IIa "2004 American Heart Association/American College of Cardiology Guidelines for CABG Surgery" and translated them into 40 verifiable behaviors. These were imbedded within a new ProvenCareSM program and "hardwired" within the electronic health record system, including order sets, templates, and "time outs". Concurrently preoperative, inpatient, and postoperative care within 90 days was packaged into a fixed price. A Patient Compact was developed to highlight the importance of patient activation. All elective CABG patients treated between February 2, 2006 and February 2, 2007 were included (ProvenCareSM Group) and compared with 137 patients treated in 2005 (Conventional Care Group)., Results: Initially, only 59% of patients received all 40 best practice components. At 3 months, program compliance reached 100%, but fell transiently to 86% over the next 3 months. Reliability subsequently increased to 100% and was sustained for the remainder of the study period. The overall trend in reliability was significant at P=0.001. Thirty-day clinical outcomes showed improved trends () but only the likelihood of discharge to home reached statistical significance. Length of stay decreased by 16% and mean hospital charges fell 5.2%.(Table is included in full-text article.), Conclusion: A provider-driven pay-for-performance process for CABG, enabled by an electronic health record system, can reliably deliver evidence-based care, fundamentally alter reimbursement incentives, and may ultimately improve outcomes and reduce resource use.

Published
2007
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results