Primary Care Networks and Team Effectiveness: The Case of a Large-Scale Quality Improvement Disparity Reduction Program
Sivan Spitzer-Shohat, Calanit Kay, Moshe Hoshen, Ran D Balicer, Efrat Shadmi
Electronic health records use in primary care of patients with multimorbidity
Tally Lang, Efrat Shadmi, Maayan Agmon
Care Coordination and Continuity of Care in Oral Anticancer Treatment: The Patients' Perspective
Orit Cohen Castel, Efrat Shadmi, Tal Granot, Lital Keinan-Boker, Khaled Karkabi, Efrat Dagan
Pre- and within hospitalization risk factors for readmission of older adults
Orly Tonkikh, Efrat Shadmi, Natalie Flaks-Manov, Moshe Hoshen, Ran D. Balicer, Anna Zisberg
Transitional Care among Minority Patients: the role of Health Literacy, Caregiver Presence and Language-concordant Care
Nosaiba Rayan-Gharra, Boaz Tadmor, Natalie Flaks-Manov, Ran Balicer, Efrat Shadmi
Association between cultural factors and readmissions: the mediating effect of the quality of transitional care
Nosaiba Rayan-Gharra, Efrat Shadmi
Big data combined with clinical insight: identification of patients at-risk for 30-day readmission to be included in prevention interventions
Natalie Flaks-Manov, Einav Srulovici, Rina Yahalom, Henia Peri-Mazra, Moshe Hoshen, Ran Balicer, Efrat Shadmi
Evaluating provider- and patient-related drivers of why care is not concordant with guidelines for patients with multiple chronic conditions
Chandra Cohen-Stavi, Calanit Key, Tchiya Molcho, Ran Balicer, Efrat Shadmi
Integrated Care for High-need High-cost Patients: The Comprehensive Care for Multimorbid Adults Program (CC-MAP)
Efrat Shadmi, Calanit Key, Tchiya Molcho, Marcelo Low, Shmuel Giveon, Nicky Lieberman, Ran D. Balicer
Meaningful post-discharge primary care visits and readmissions: Are primary care post discharge explanations associated with reduced risk for readmission?
Nosaiba Rayan-Gharra, Efrat Shadmi, Boaz Tadmor, Natalie Flaks-Manov, Ran Balicer
Identifying patients at highest-risk: the best timing to apply a readmission predictive model
Natalie Flaks-Manov, Max Topaz, Moshe Hoshen, Ran Balicer, Efrat Shadmi
Oncology patients' experience at the interface between hospital and community care: a mixed method investigation
Efrat Shadmi, H. Admi, N. Nave, L. Ungar, M. Kaffman, E. Muller, S. Reis