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Specialty: Urology & Nephrology
Management: Medicare

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Total 593 results found since Jan 2013.

Integrating Quality Improvement Education into the Nephrology Curricular Milestones Framework and the Clinical Learning Environment Review.
Abstract The Accreditation Council for Graduate Medical Education requires that trainees show progressive milestone attainment in the practice-based learning and systems-based practice competencies. As part of the Clinical Learning Environment Review, sponsoring hospitals must educate trainees in health care quality improvement, provide them with specialty-specific quality data, and ensure trainee participation in quality improvement activities and committees. Subspecialty-specific quality improvement curricula in nephrology training programs have not been reported, although considerable curricular and assessment ...
Source: Clinical Journal of the American Society of Nephrology : CJASN - February 6, 2017 Category: Urology & Nephrology Authors: Prince LK, Little DJ, Schexneider KI, Yuan CM Tags: Clin J Am Soc Nephrol Source Type: research

Strategies for Setting Medical Nutrition Therapy Priorities for Patients With Stage 3 and 4 Chronic Kidney Disease
The provision of medical nutrition therapy (MNT) for patients with early chronic kidney disease (CKD) has become more common since Medicare began reimbursing for this service in January 2002. This is good news for patients. It has been demonstrated that nutrition care for predialysis patients can improve survival during the first year of dialysis.
Source: Journal of Renal Nutrition - January 21, 2013 Category: Urology & Nephrology Authors: Lynn Munson Tags: Patient Education Source Type: research

Assessing Transplant Education Practices in Dialysis Centers: Comparing Educator Reported and Medicare Data.
CONCLUSIONS: While most educators inform new patients that transplant is an option, dialysis centers with higher wait-listing rates use multiple transplant education strategies. PMID: 26292696 [PubMed - as supplied by publisher]
Source: Clinical Journal of the American Society of Nephrology : CJASN - August 20, 2015 Category: Urology & Nephrology Authors: Waterman AD, Peipert JD, Goalby CJ, Dinkel KM, Xiao H, Lentine KL Tags: Clin J Am Soc Nephrol Source Type: research

Is Dorothy correct? The role of patient education in promoting home dialysis.
Abstract The major payer of dialysis services in the United States, Medicare, has established incentives to encourage the use of home dialysis. However, this modality remains underutilized. We think that a major cause of this situation is ineffective education of the prospective dialysis population regarding the choices of kidney replacement modalities. We discuss the value of patient education and the consequences of failing to educate prospective dialysis patients. We then explore approaches to achieve patient education goals and the physician's and education team's roles in the development of an individual pati...
Source: Seminars in Dialysis - March 1, 2013 Category: Urology & Nephrology Authors: Golper TA, Mehrotra R, Schreiber MS Tags: Semin Dial Source Type: research

Implementing Patient Education in the CKD Clinic
The passage of the Medicare Improvements for Patients and Providers Act (MIPPA) encouraged education for Stage 4 CKD patients by reimbursing qualified providers for formal instruction. This marked the first time Medicare reimbursed for kidney disease education. Although the law lays out specific requirements, it leaves much of the structure and content of the instruction up to the providers. The CKD clinic staffed by advanced practitioners (physician assistants, nurse practitioners, and/or clinical nurse specialists) provides a natural fit for patient education. Educated patients choose home modalities more frequently; mor...
Source: Advances in Chronic Kidney Disease - June 30, 2013 Category: Urology & Nephrology Authors: Jane S. Davis, Kim Zuber Tags: Articles Source Type: research

Health policy 2016: implications for geriatric urology
This article reviews contemporary health policy issues, with a focus on how these issues may impact the care of geriatric urology patients. Recent findings: The Affordable Care Act has broadened the scope of Medicare coverage. Future Medicare reimbursement will be increasingly tied to care coordination, quality reporting, and demonstration of appropriate outcomes. Additional research is needed to better define the comparative effectiveness of urologic therapies in geriatric patients. Workforce projections indicate that there is a shortage of urologists in many areas of the country, and that this shortage will worsen over ...
Source: Current Opinion in Urology - January 30, 2016 Category: Urology & Nephrology Tags: GERIATRIC UROLOGY: Edited by Tomas L. Griebling Source Type: research

Psychometric Properties of the Kidney Disease Quality of  Life 36-Item Short-Form Survey (KDQOL-36) in the United States
Conclusions The study provides support for the reliability and construct validity of the KDQOL-36 scales for assessment of health-related quality of life among dialysis patients.
Source: American Journal of Kidney Diseases - November 9, 2017 Category: Urology & Nephrology Source Type: research

Utilization of CMS pre-ESRD Kidney Disease Education services and its associations with the home dialysis therapies.
CONCLUSIONS: Utilization of pre-ESRD KDE services is associated with significantly greater home dialysis utilization in the incident ESRD Medicare beneficiaries. The very low rates of utilization of these services suggest the need for focused systemic evaluations to identify and address the barriers and facilitators of this important patient-centered endeavor. PMID: 33258420 [PubMed - as supplied by publisher]
Source: Peritoneal Dialysis International - December 2, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Is medical dissolution treatment for uric acid stones more cost-effective than surgical treatment? A novel, solo practice retrospective cost-analysis of medical vs. surgical therapy
CONCLUSIONS: Successful MDT is highly cost-effective. Incomplete response to dissolution can stem from several reasons and contributes to higher costs and likely decreased quality of life.PMID:36121885 | DOI:10.5489/cuaj.7833
Source: Canadian Urological Association Journal - September 19, 2022 Category: Urology & Nephrology Authors: Amihay Nevo Mitchell R Humphreys Michael Callegari Mira Keddis Jonathan P Moore Saif Salih Karen L Stern Source Type: research