2021
Impact of a Dedicated Cancer Urgent Care Center on Acute Care Utilization
Rothberg BE, Canavan ME, Mun S, Sedghi T, Carafeno T, Raucci M, Dest V, Sinanis N, Gross CP, Adelson KB. Impact of a Dedicated Cancer Urgent Care Center on Acute Care Utilization. JCO Oncology Practice 2021, 18: e129-e136. PMID: 34383579, DOI: 10.1200/op.21.00183.Peer-Reviewed Original ResearchConceptsUrgent care centersCare centerHospitalization ratesLarge tertiary academic centerAcute care useAcute care utilizationEmergency department presentationsTertiary academic centerEmergency room utilizationCancer care costsPeriod 1 yearProvider visitsActive therapyHospital admissionPrimary outcomeCare utilizationOncology patientsAcute careCare useClinic capacityPatient awarenessPhysician comfortClinical pathwayPatientsAcademic centersCreating and Validating a Predictive Model for Suitability of Hospital at Home for Patients With Solid-Tumor Malignancies.
Chen K, Desai K, Sureshanand S, Adelson K, Schwartz JI, Gross CP, Chaudhry SI. Creating and Validating a Predictive Model for Suitability of Hospital at Home for Patients With Solid-Tumor Malignancies. JCO Oncology Practice 2021, 17: e556-e563. PMID: 33417488, PMCID: PMC8257922, DOI: 10.1200/op.20.00663.Peer-Reviewed Original ResearchConceptsSolid tumor malignanciesAdmission of patientsAdmission sourceMultivariable logistic regression modelActive cancer diagnosisEscalation of careEmergency department visitsModel c-statisticNasogastric tube placementLogistic regression modelsHospital deathUnplanned admissionsIntestinal obstructionNeurologic symptomsPatient demographicsDepartment visitsDerivation cohortHospital admissionPrimary outcomeSecondary malignanciesCancer HospitalTube placementValidation cohortC-statisticGI cancers
2016
Preparing for Value-Based Payment: A Stepwise Approach for Cancer Centers
Adelson KB, Velji S, Patel K, Chaudhry B, Lyons C, Lilenbaum R. Preparing for Value-Based Payment: A Stepwise Approach for Cancer Centers. JCO Oncology Practice 2016, 12: e924-e932. PMID: 27858564, DOI: 10.1200/jop.2016.014605.Peer-Reviewed Original ResearchConceptsSmilow Cancer HospitalEmergency departmentCancer HospitalCancer CenterValue-based paymentMost cancer centersYale-New HavenMedicare Limited Data SetIntensive care unitPatterns of careSite of careUrgent care servicesDay of deathBetter value careStepwise approachED utilizationHospital admissionCare unitUrgent careCare managementCare servicesPatient careHealth system leadershipValue careFutile treatmentUnderstanding total cost of cancer care to determine strategic interventions to improve value.
Adelson K, Velji S, Patel K, Chaudhry B, Grizzle S, Lyons C, Lilenbaum R. Understanding total cost of cancer care to determine strategic interventions to improve value. Journal Of Clinical Oncology 2016, 34: 4-4. DOI: 10.1200/jco.2016.34.7_suppl.4.Peer-Reviewed Original ResearchSmilow Cancer HospitalAcademic cancer centerCost of careED visitsED utilizationHospital admissionCancer CenterHospital admissions/readmissionsLarge academic cancer centerAdmissions/readmissionsMedicare Limited DatasetAcademic medical centerElements of careSite of serviceValue-based payment modelsEarly referralAggressive treatmentICU useCancer HospitalPalliative careCancer careUrgent careFirst episodeMedicare patientsMedical Center
2014
Emergency department (ED) utilization and hospital admission rates among oncology patients at a large academic center and the need for improved urgent care access.
Adelson K, Dest V, Velji S, Lisitano R, Lilenbaum R. Emergency department (ED) utilization and hospital admission rates among oncology patients at a large academic center and the need for improved urgent care access. Journal Of Clinical Oncology 2014, 32: 19-19. DOI: 10.1200/jco.2014.32.30_suppl.19.Peer-Reviewed Original ResearchOncology patientsHospital admissionSmilow Cancer HospitalYale-New HavenPalliative care consultationHospital admission ratesEmergency department utilizationLarge academic centerEpic electronic medical recordAmbulatory oncology practicesElectronic medical recordsAverage daily costEducation of physiciansCancer expendituresMean hospitalizationAbdominal painED referralsAdvanced cancerCancer HospitalHospital EDUrgent presentationCare consultationsMost hospitalizationsDisease groupAdmission rates