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Popul Health Manag. 2018 Jun;21(3):217-221. doi: 10.1089/pop.2017.0064. Epub 2017 Sep 25.

Improvement in Quality Metrics by the UPMC Enhanced Care Program: A Novel Super-Utilizer Program.

Bryk J1,2, Fischer GS1,2, Lyons A1,2, Shroff S1,3, Bui T1,2, Simak D1,2, Kapoor W1,2.

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1 Division of General Internal Medicine, Department of Medicine, School of Medicine, University of Pittsburgh , Pittsburgh, Pennsylvania.
2 Department of Medicine University of Pittsburgh , UPMC Montefiore Hospital, Pittsburgh, Pennsylvania.
3 Department of Medicine University of Pittsburgh , VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania.


The aim was to evaluate pre-post quality of care measures among super-utilizer patients enrolled in the Enhanced Care Program (ECP), a primary care intensive care program. A pre-post analysis of metrics of quality of care for diabetes, hypertension, cancer screenings, and connection to mental health care for participants in the ECP was conducted for patients enrolled in ECP for 6 or more months. Patients enrolled in ECP showed statistically significant improvements in hemoglobin A1c, retinal exams, blood pressure measurements, and screenings for colon cancer, and trends toward improvement in diabetic foot exams and screenings for cervical and breast cancer. There was a significant increase in connecting patients to mental health care. This study shows that super-utilizer patients enrolled in the ECP had significant improvements in quality metrics from those prior to enrollment in ECP.


primary care; quality improvement; super-utilizers

[Indexed for MEDLINE]

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