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Ecological research summary examining variation in oral isotretinoin prescribing for acne patients across Kaiser Permanente Northern California service areas and identifying clinical and provider-related variables associated with higher prescription rates.
Authors: Veena Vanchinathan, MD; Michael Hartmann, MS; Noah M. Contreras, BS; Andrew L. Avins, MD, MPH; Amara A. Lieberman, MD
Organization: Kaiser Permanente Northern California (KPNC)
Field: Dermatology
Topic: Isotretinoin prescribing patterns for acne
Document Type: Ecological research study summary
Study Population: Members aged 13–40 with at least two visits with an acne diagnosis
Study Period: 2016–2020
Geographic Scope: KPNC Service Areas, Northern California, United States
Key Variables: Time to first isotretinoin prescription, prior oral antibiotic use, proportion of prescriptions written by advanced practice providers
Primary Outcome: Variation in isotretinoin prescription rates across Service Areas
Lowest Observed Prescription Rate: 7.6%
Highest Observed Prescription Rate: 17.3%
Recommended Follow-up: Patient-level analyses and reassessment of prescribing covariates
Implementation Context: Health system clinical practice evaluation and dermatology service line analysis
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Opportunities for Expanding Utilization of the Medical Financial Assistance Program within KPNC (2016–2017)
Organization: Kaiser Permanente Northern California (KPNC)
Program: Medical Financial Assistance (MFA)
Principal Investigator: Alyce S. Adams
Co-Investigators: Stacy Sterling; Andrea Altschuler; Somalee Banerjee
Analyst: Lin Ma
Year: 2016–2017
Target Population: KPNC members who applied for the MFA program
Intervention or Exposure: Application for and award or denial of MFA under established income or expenditure eligibility criteria
Topic: Medical debt; financial assistance programs; program utilization; patient awareness
Geographic Scope: Northern California
Type of Document: Internal report
Key Findings: Limited awareness of MFA among seniors; lack of clarity in application process; identified opportunities for outreach, capacity building, and systematic assessment of member experience
Resulting Action: Findings reviewed with stakeholders to inform program review and dissemination
Follow-Up Measurement: Applicant awareness, uptake, characteristics, and barriers
Isotretinoin: Regulator adds prescribing safeguards after review of side effects
Year: 2023
Region / City: UK
Theme: Dermatology, Pharmacology
Document Type: Article
Organization / Institution: BMJ
Author: Andrew G Affleck
Target Audience: Healthcare professionals, dermatologists
Period of Validity: N/A
Approval Date: N/A
Date of Changes: N/A
Appendix A.5: Sample Letter for Student with Disabilities Screening Results that are Significantly Below Relevant Benchmarks
Year: Not specified
Region / City: Massachusetts
Topic: Early literacy screening, special education
Document Type: Sample letter
Organization / Institution: School
Author: Principal
Target Audience: Parents or guardians of students with disabilities
Period of validity: Not specified
Approval Date: Not specified
Date of Changes: Not specified
Study Finds Vomaris Bioelectric Technology Significantly Decreased Biofilms in Burn Patients, August 2022
Year: 2022
Location: Tempe, Arizona, USA
Topic: Burn wound treatment and biofilm infection
Document Type: Clinical study report
Organization: Vomaris Innovations, Inc.
Authors: Rodney Chan, M.D.; Sashwati Roy, PhD; Michael Nagel
Target Audience: Medical professionals, researchers
Study Sites: Brooke Army Medical Center, San Antonio, TX; US Army Institute of Surgical Research Burn Center
Methodology: Prospective, randomized, controlled, blinded clinical trial
Intervention: Fabric-based Wireless Electroceutical Dressing (WED, Procellera Antimicrobial Wound Dressing)
Comparison: Standard of care including silver-based treatments and antibiotics
Publication: Plastic and Reconstructive Surgery
Related Studies: Preclinical study published in Annals of Surgery
Topics: KPNC Isotretinoin Significantly