The Potential for Increasing Quality and Reducing Costs
Authors: Craig A. Umscheid
Journal: Annals of Internal Medicine (2011)

Letters18 October 2011The Potential for Increasing Quality and Reducing CostsCraig A. Umscheid, MD, MSCECraig A. Umscheid, MD, MSCEFrom University of Pennsylvania, Philadelphia, PA 19104.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-155-8-201110180-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:I read the recently published simulation study by Eddy and colleagues (1) with great interest. In the simulation, hypertension treatment based on individualized guidelines powered by the authors' proprietary computer model reduced myocardial infarctions (MIs), strokes, and the cost of care when compared with treatment based on a traditional guideline—the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. The reductions in MI and stroke resulting from the model were particularly impressive. The effects were on par with pharmaceuticals we traditionally use to treat hypertension and cardiovascular risk, but ...References1. Eddy DM, Adler J, Patterson B, Lucas D, Smith KA, Morris M. Individualized guidelines: the potential for increasing quality and reducing costs. Ann Intern Med. 2011;154:627-34. [PMID: 21536939] LinkGoogle Scholar2. Archimedes Incorporated. Healthcare Modeling. San Francisco: Archemedes. Accessed at archimedesmodel.com/ on 28 May 2011. Google Scholar3. Volpp KG, Das A. Comparative effectiveness—thinking beyond medication A versus medication B. N Engl J Med. 2009;361:331-3. [PMID: 19625714] CrossrefMedlineGoogle Scholar4. Blumenthal D. Launching HITECH. N Engl J Med. 2010;362:382-5. [PMID: 20042745] CrossrefMedlineGoogle Scholar5. Drazen JM, Van Der Weyden MB, Sahni P, Rosenberg J, Marusic A, Laine C, et al. Uniform format for disclosure of competing interests in ICMJE journals [Editorial]. Ann Intern Med. 2010;152:125-6. [PMID: 20083831] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Pennsylvania, Philadelphia, PA 19104.Disclosures: Dr. Umscheid collaborates with multiple organizations on the development of traditional clinical practice guidelines. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoUniform Format for Disclosure of Competing Interests in ICMJE Journals Jeffrey M. Drazen , Martin B. Van Der Weyden , Peush Sahni , Jacob Rosenberg , Ana Marusic , Christine Laine , Sheldon Kotzin , Richard Horton , Paul C. Hébert , Charlotte Haug , Fiona Godlee , Frank A. Frizelle , Peter W. de Leeuw , and Catherine D. DeAngelis Individualized Guidelines: The Potential for Increasing Quality and Reducing Costs David M. Eddy , Joshua Adler , Bradley Patterson , Don Lucas , Kurt A. Smith , and Macdonald Morris The Potential for Increasing Quality and Reducing Costs Ravi Varadhan , Carlos O. Weiss , and Cynthia M. Boyd The Potential for Increasing Quality and Reducing Costs David M. Eddy Metrics 18 October 2011Volume 155, Issue 8Page: 563-564KeywordsComputing systemsConflicts of interestDrugsHealth economicsHealth information technologyHypertensionMyocardial infarctionSimulation and modelingSoftware toolsTreatment guidelines ePublished: 18 October 2011 Issue Published: 18 October 2011 CopyrightCopyright © 2011 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...