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dc.contributor.authorAdler, Ronald N.
dc.contributor.authorFerguson, Warren J.
dc.contributor.authorAntar, Hussein
dc.contributor.authorSteinkrauss, Michael
dc.contributor.authorBjoern, Brian
dc.contributor.authorKonar, Valerie
dc.contributor.authorFlanagan, Jay
dc.contributor.authorPolakoff, David F.
dc.date2022-08-11T08:09:53.000
dc.date.accessioned2022-08-23T16:47:47Z
dc.date.available2022-08-23T16:47:47Z
dc.date.issued2019-08-12
dc.date.submitted2019-09-09
dc.identifier.citation<p>Ann Fam Med. 2019 Aug 12;17(Suppl 1):S33-S39. doi: 10.1370/afm.2423. <a href="https://doi.org/10.1370/afm.2423">Link to article on publisher's site</a></p>
dc.identifier.issn1544-1709 (Linking)
dc.identifier.doi10.1370/afm.2423
dc.identifier.pmid31405874
dc.identifier.urihttp://hdl.handle.net/20.500.14038/41148
dc.description.abstractPURPOSE: We describe the results of a practice transformation project conducted within a national cohort of optometry practices participating in the Southern New England Practice Transformation Network. METHODS: Participants were 2,997 optometrists in 1,706 practices in 50 states. The multicomponent intervention entailed curriculum dissemination through a preexisting network of optometrists supported by specialized staff and resources, and data collection through a web portal providing real-time feedback. Outcomes included practices reporting data, urgent optometry visits for target conditions, and projected cost savings achieved by reducing emergency department (ED) use through increased provision of urgent care for conditions amenable to management in optometry practices. RESULTS: Over 13 months, 69.9% of practices reported data for a mean of 6.7 months. Beginning with the fourth month, the number of urgent optometry visits increased steadily. Among reporting practices, the total cost savings were estimated at $152 million (176,703 ED visits avoided at an average cost differential of $860 per visit). Monthly projected cost savings per optometrist were substantially greater in rural vs urban practices ($10,800 vs $7,870; P < .001). CONCLUSIONS: Technical assistance to promote practice transformation can be provided remotely and at scale at low per-practice cost. Through the provision of timely, easily accessed ambulatory care, optometrists can improve the patient experience and reduce ED use, thereby reducing costs. The cost savings opportunities are immense because of the large volume and high expense of ED visits for ocular conditions that might otherwise be managed in ambulatory optometry practices.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=31405874&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1370/afm.2423
dc.subjectcost savings
dc.subjecthealth care utilization
dc.subjecthealth information technology
dc.subjectoptometry
dc.subjectpractice transformation
dc.subjectpractice-based research
dc.subjectquality improvement
dc.subjecturgent care
dc.subjectFamily Medicine
dc.subjectHealth and Medical Administration
dc.subjectHealth Information Technology
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectOptometry
dc.titleTransformation Support Provided Remotely to a National Cohort of Optometry Practices
dc.typeJournal Article
dc.source.journaltitleAnnals of family medicine
dc.source.volume17
dc.source.issueSuppl 1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/3937
dc.identifier.contextkey15291860
html.description.abstract<p>PURPOSE: We describe the results of a practice transformation project conducted within a national cohort of optometry practices participating in the Southern New England Practice Transformation Network.</p> <p>METHODS: Participants were 2,997 optometrists in 1,706 practices in 50 states. The multicomponent intervention entailed curriculum dissemination through a preexisting network of optometrists supported by specialized staff and resources, and data collection through a web portal providing real-time feedback. Outcomes included practices reporting data, urgent optometry visits for target conditions, and projected cost savings achieved by reducing emergency department (ED) use through increased provision of urgent care for conditions amenable to management in optometry practices.</p> <p>RESULTS: Over 13 months, 69.9% of practices reported data for a mean of 6.7 months. Beginning with the fourth month, the number of urgent optometry visits increased steadily. Among reporting practices, the total cost savings were estimated at $152 million (176,703 ED visits avoided at an average cost differential of $860 per visit). Monthly projected cost savings per optometrist were substantially greater in rural vs urban practices ($10,800 vs $7,870; P < .001).</p> <p>CONCLUSIONS: Technical assistance to promote practice transformation can be provided remotely and at scale at low per-practice cost. Through the provision of timely, easily accessed ambulatory care, optometrists can improve the patient experience and reduce ED use, thereby reducing costs. The cost savings opportunities are immense because of the large volume and high expense of ED visits for ocular conditions that might otherwise be managed in ambulatory optometry practices.</p>
dc.identifier.submissionpathoapubs/3937
dc.contributor.departmentCommonwealth Medicine
dc.contributor.departmentDepartment of Population and Quantitative Health Sciences
dc.contributor.departmentDepartment of Family Medicine and Community Health
dc.source.pagesS33-S39


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