Scholars@Duke
Jeffrey David Clough

Jeffrey David Clough

Assistant Professor of Medicine
Medicine, General Internal Medicine
jeffrey.clough@duke.edu
3004 Tower Boulevard, Durham, NC 27707

Selected Publications

Association of ACO Shared Savings Success and Serious Illness Spending.

Journal Article J Healthc Manag · May 2021 Accountable care organizations (ACOs) need confidence in their return on investment to implement changes in care delivery that prioritize seriously ill and high-cost Medicare beneficiaries. The objective of this study was to characterize spending on seriou ... Full text Link to item Cite

Prospective or retrospective ACO attribution matters for seriously ill patients.

Journal Article Am J Manag Care · December 2020 OBJECTIVES: Since 2019, the Medicare Shared Savings Program (MSSP) has allowed accountable care organizations (ACOs) to choose either retrospectively or prospectively attributed ACO populations. To understand how ACOs' choice of attribution method affects ... Full text Link to item Cite

Association of Primary Care Providers' Beliefs of Statins for Primary Prevention and Statin Prescription.

Journal Article J Am Heart Assoc · February 5, 2019 Background The 2013 American College of Cardiology/American Heart Association Cholesterol Treatment Guideline increased the number of primary prevention patients eligible for statin therapy, yet uptake of these guidelines has been modest. Little is known o ... Full text Link to item Cite

Sodium Oxybate: A Cause of Extreme Involuntary Weight Loss in a Young Lady.

Journal Article Case Rep Med · 2019 We present a case of a young lady with extreme involuntary weight loss and alarming constitutional symptoms found ultimately to be all due to a single medication's side effects. The objective of this case report is to alert physicians, especially in a prim ... Full text Link to item Cite

Trends in hospital-physician integration in medical oncology.

Journal Article Am J Manag Care · October 2017 OBJECTIVES: Hospitals have rapidly acquired medical oncology practices in recent years. Experts disagree as to whether these trends are related to oncology-specific market factors or reflect a general trend of hospital-physician integration. The objective ... Link to item Cite

Variation in Specialty Outpatient Care Patterns in the Medicare Population.

Journal Article J Gen Intern Med · November 2016 BACKGROUND: Multiple payment reform efforts are under way to improve the value of care delivered to Medicare beneficiaries, yet few directly address the interface between primary and specialty care. OBJECTIVE: To describe regional variation in outpatient v ... Full text Link to item Cite

Association of Practice-Level Hospital Use With End-of-Life Outcomes, Readmission, and Weekend Hospitalization Among Medicare Beneficiaries With Cancer.

Journal Article J Oncol Pract · October 2016 PURPOSE: To determine the relationships between hospital use of treating oncology practices and patient outcomes. PATIENTS AND METHODS: Retrospective analysis of 397,646 Medicare beneficiaries who received anticancer therapy in 2012. Each beneficiary was a ... Full text Link to item Cite

Patterns of care for clinically distinct segments of high cost Medicare beneficiaries.

Journal Article Healthc (Amst) · September 2016 BACKGROUND: Efforts to improve the efficiency of care for the Medicare population commonly target high cost beneficiaries. We describe and evaluate a novel management approach, population segmentation, for identifying and managing high cost beneficiaries. ... Full text Link to item Cite

Practice-Level Variation in Outpatient Cardiac Care and Association With Outcomes.

Journal Article J Am Heart Assoc · February 23, 2016 BACKGROUND: Utilization of cardiac services varies across regions and hospitals, yet little is known regarding variation in the intensity of outpatient cardiac care across cardiology physician practices or the association with clinical endpoints, an area o ... Full text Open Access Link to item Cite

Comparison of breast cancer risk in women with and without systemic lupus erythematosus in a Medicare population.

Journal Article Breast Cancer Res Treat · June 2015 Studies have suggested a decreased breast cancer risk in women with systemic lupus erythematosus. However, these studies enrolled younger patients identified primarily from lupus clinics. We compared the 5-year incidence of breast cancer among women with a ... Full text Link to item Cite

Wide variation in payments for Medicare beneficiary oncology services suggests room for practice-level improvement.

Journal Article Health Aff (Millwood) · April 2015 In recent years many policy makers have recommended alternative payment models in medical oncology in order to reduce costs and improve patient outcomes. Yet information on how oncology practices differ in their use of key service categories is limited. We ... Full text Link to item Cite

Acgme, test thyself!

Journal Article Neurology · November 24, 2009 Full text Link to item Cite

ACGME competencies in neurology: web-based objective simulated computerized clinical encounters.

Journal Article Neurology · March 10, 2009 OBJECTIVE: The American Headache Society developed an innovative Web-based neurology resident educational program to 1) meet the objectives of the Accreditation Council for Graduate Medical Education Outcomes Project; 2) provide measurable improvement of a ... Full text Link to item Cite

Utilization of darbepoetin alfa in relation to cancer patients' hemoglobin levels.

Journal Article Curr Med Res Opin · March 2008 OBJECTIVE: Previous labeling and guidelines recommended initiating erythropoiesis agents (ESAs) for chemotherapy-induced anemia (CIA) at hemoglobin (Hb) levels < 11 g/dL, maintaining near 12 g/dL, and withholding at > or = 13 g/dL. This study analyzed adhe ... Full text Link to item Cite