Damian Everhart's research while affiliated with Centers for Medicare & Medicaid Services and other places

Publications (7)

Article
Background By 2025, experts estimate a significant shortage of primary care providers in the U.S., and expansion of the NP workforce may reduce this burden. However, barriers imposed by state NP regulations could reduce access to primary care. Purpose Examined the association between three levels of NP state practice regulation (Independent, Minim...
Article
Full-text available
The role of inferior vena cava filter (IVC) filters for prevention of pulmonary embolism (PE) is controversial. This study evaluated outcomes of IVC filter placement in a managed care population. This retrospective cohort study evaluated data for individuals with Humana healthcare coverage 2013–2014. The study population included 435 recipients of...
Article
Background: The dipeptidyl peptidase-4 (DPP-4) inhibitors are among the newer, yet more established, classes of diabetes medications. Objective: To compare adherence, persistence, and health care costs among patients taking DPP-4 inhibitors. Methods: Claims were extracted from Humana Medicare Advantage Prescription Drug (MAPD) or commercial pl...
Article
Background: Patient falls in acute care hospitals represent a significant patient safety concern. Although cross-sectional studies have shown that fall rates vary widely between acute care hospitals, it is not clear whether hospital fall rates remain consistent over time. Purpose: The aim of this study was to determine whether hospitals can be c...
Article
Background: Hospitals facing financial uncertainty have sought to reduce nurse staffing as a way to increase profitability. However, nurse staffing has been found to be important in terms of quality of patient care and nursing-related outcomes. Nurse staffing can provide a competitive advantage to hospitals and as a result of better financial perf...

Citations

... States with FPA have more access to primary care, and these gains tend to be concentrated in underserved rural areas (Graves et al., 2016;McMichael, 2018;Timmons et al., 2021). FPA lowers the likelihood that a county contains a HPSA, and patients are less likely to be located more than 30 miles from a primary care provider (McMichael, 2018;Neff et al., 2018). It also increases the frequency of patient visits and improves outcomes through improved access to care (Traczynski & Udaolva, 2018). ...
... However, there is no consensus among the guidelines on other possible indications, such as VTE despite anticoagulation, patients with recent VTE who must have anticoagulation held for surgery, and IVC placement for primary prevention in high-risk patients [5]. Moreover, as more filters have been placed, complications such as subsequent DVT, worsening post-thrombotic syndrome, as well as migration, perforation, and thrombosis of an IVC filter have been recognized [6]. Overall, there are unanswered questions regarding their efficacy for non-standard indications and more widely recognized complications. ...
... A total of 41 studies presented data on incident users [43,[48][49][50][51][52][54][55][56]62,[65][66][67]70,71,74,[83][84][85]97,101,[104][105][106][107]114,118,119,[123][124][125][126]128,129,133,150,153,154,161,165,167]. A total of 30 studies reported the number/proportion of adherent patients treated with biguanides [41,57,59,65,70,71,76,84,85,87,97,99,100,114,118,119,123,128,130,133,136,142,143,146,149,153,159,161,171,172], 23 with insulin secretagogues [41,43,52,59,65,66,70,71,76,84,97,99,123,128,133,136,142,146,149,159,165,171,172], 13 TZDs [41,59,65,66,70,71,84,123,133,142,143,149,159], 19 with DPP-4i [41,[50][51][52][65][66][67]84,99,101,121,123,125,126,137,142,143,149,159], 8 with SGLT-2i [43,[48][49][50]123,124,142,157], and 7 with α-glucosidase inhibitors [41,84,99,123,142,149,159]. All the studies (156) were included in the subgroup analysis by age and gender, 78 in the analysis by therapeutic regimen complexity [29-31,33,34,37,39,41,42,44,45,50,57,58,63,70,72,82,85-87,91,94,99-101,103-105, 107,114,115,117,123,128,129,133,142,146,151,156,160,163-165,167-169,178,181,182], 47 in the analysis by follow-up period for incident users [43,[48][49][50][51][52][54][55][56][65][66][67]71,74,[83][84][85]97,101,[104][105][106][107]114,119,[123][124][125][126]128,129,133,150,154,161,165,167,173], and 16 studies were included in the analysis measuring the association between good adherence and blood glucose control [40,41,88,98,102,105,109,116,120,131,140,149,152,173,174,180]. ...
... The patients were also monitored for a certain period of time following the procedure. When the patients were evaluated with HDFS after the endoscopic procedure, the median (range) score was 12 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). According to the HDFS taking cut-off value as 12 points, 44 (22.9%) of the patients had a low risk for and 148 (77.1%) had a high-risk for a fall (Table 2). ...
... In contrast, insufficient nurse staffing has a negative impact on workrelated stress, job satisfaction, desire to change careers, and instances of infection exposure [6]. Ensuring a sufficient number of nurses has a positive effect on hospital financial performance by increasing profitability and reducing expenditures, such as nurse turnover and associated costs [7,8]. ...