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The RUC. "an Independent Group of Physicians?" - But It Includes Executives and Board Members of For-Profit Health Care Corporations and Large Hospital Systems
Introduction We just discussed how a major story in Politico has once again drawn attention to the opaque RUC (Resource Based Relative Value System Update Committee) and its important role in determining what physicians are paid for different kinds of services, and hence the incentives that have helped make the US health care system so procedurally oriented. (See the end of our last post for a summary of the complex issues that swirl around the RUC.)The Politico article covered most of the bases, but notably omitted how the RUC may be tied to various large health care organizations, especially for-profit, and how the...
Source: Health Care Renewal - August 28, 2014 Category: Health Management Tags: AMA boards of directors conflicts of interest health care prices healthcare executive hospital systems perverse incentives regulatory capture RUC Source Type: blogs
Physician Payments Sunshine Act: One Month After the Data Release, What Are People Writing About Open Payments?
The Sunshine database was released one month ago, and it has been interesting to see the range of media coverage that has surrounded the release. On October 3, we looked at the first few days of Open Payments articles. These focused primarily on the deficiencies in the roll-out of the Open Payments System. Many early articles also highlighted the importance of context in looking at the database. Other journalists looked for evidence of wrongdoing in the database, but often noted that the system made proper analysis difficult.
One month later, news outlets have had a better chance to analyze some of the numbers. While appr...
Source: Policy and Medicine - October 30, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs
How Can I Find Out Which Grants at My Institution Are About to End and Require Administrative Actions?
For an individual grant, the grantee can conduct a general search in eRA Commons using the grant number and see the project end date in the information displayed for that grant. (See the eRA Commons User Guide for more information.)
Officials from a grantee organization who want to search for all grants that will end in the next three months for their entire organization can use this search tool to assist. The tool allows grants officials to search by their Institutional Profile File (IPF) number (a unique number that is used by NIH for tracking and reporting on grant awards to grantee organizations) to identi...
Source: NIH Extramural Nexus - December 1, 2014 Category: Research Authors: NIH Staff Tags: You Ask, We Answer Source Type: funding
Dealing with retractions
When you are a scientist, the worst thing that can happen professionally is the retraction of a paper you published. The amount of damage depends on the reason for retraction. If the retraction is the result of fraud, it means the end of your scientific career. The number of retractions per year is rising. Interestingly, high-impact journals such as Nature and Science score relatively more retractions than less prestigious journals.
A widely publicized retraction may even boost the impact factor of a journal: the infamous Wakefield article in The Lancet has, according to Google Scholar, been cited more than 2300 times.
Aut...
Source: BioMed Central Blog - May 3, 2016 Category: Journals (General) Authors: Paul van der Vet Tags: Medical Evidence Publishing peer review research integrity Source Type: blogs
The relationship and effects of golf on physical and mental health: a scoping review protocol
Introduction
Golf is a sport played in 206 countries worldwide by over 50 million people. It is possible that participation in golf, which is a form of physical activity, may be associated with effects on longevity, the cardiovascular, metabolic and musculoskeletal systems, as well as on mental health and well-being. We outline our scoping review protocol to examine the relationships and effects of golf on physical and mental health.
Methods and analysis
Best practice methodological frameworks suggested by Arksey and O'Malley, Levac et al and the Joanna Briggs Institute will serve as our guide, providing clarity and rigou...
Source: British Journal of Sports Medicine - May 16, 2016 Category: Sports Medicine Authors: Murray, A., Daines, L., Archibald, D., Hawkes, R., Grant, L., Mutrie, N. Tags: Golf Review Source Type: research
UK health IT ' glitch ' : Hundreds of thousands of patients have potentially been given an incorrect cardiovascular risk estimation after a major IT system error
This in the UK. What is euphemistically referred to as an " IT system error " is, in reality, the mass delivery of a grossly defective medical device adversely affecting hundreds of thousands of patients. I ' m surprised not to see that other kindly euphemism, " glitch " ( http://hcrenewal.blogspot.com/search/label/glitch ): http://www.pulsetoday.co.uk/your-practice/practice-topics/it/gps-told-to-review-patients-at-risk-as-it-error-miscalculates-cv-score-in-thousands/20031807.article 11 May 2016 By Alex Matthews-King Hundreds of thousands of patients have potentially been given an incorrect cardiova...
Source: Health Care Renewal - May 31, 2016 Category: Health Management Tags: Alex Matthews-King Clinical Safety Incident Dr Grant Ingrams glitch Harry Potter Patient care has not been compromised Source Type: blogs
Who Benefits? - Hospital Profits and Quality May Fall, But Hospital Executives ' Compensation Keeps Rising
Conclusion - Change Will be Resisted So even when non-profit hospitals and hospital systems perform poorly, their executives continue to receive ever greater remuneration. The executives, their public relations flacks, and their often compliant boards of trustees continue to cite the same stale talking points to justify their pay. Yet these talking points are based on market fundamentalist theory and business school dogma whose credibility is increasingly challenged. In the absence of anyone willing to confront them with these criticisms, the apologists for soaring health care executive pay continue t...
Source: Health Care Renewal - May 2, 2016 Category: Health Management Tags: boards of trustees executive compensation hospital systems hospitals Lahey health market fundamentalism MetroHealth Medical Center pay for performance Source Type: blogs
Fight Aging! Newsletter, September 26th 2016
This study included 647 patients 80 to 106 years of age who had audiometric evaluations at an academic medical center (141 had multiple audiograms). The degree of hearing loss was compared across the following age brackets: 80 to 84 years, 85 to 89 years, 90 to 94 years, and 95 years and older. From an individual perspective, the rate of hearing decrease between 2 audiograms was compared with age. The researchers found that changes in hearing among age brackets were higher during the 10th decade of life than the 9th decade at all frequencies for all the patients (average age, 90 years). Correspondingly, the annual rate of ...
Source: Fight Aging! - September 25, 2016 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Recent trends in oropharyngeal cancer funding and public interest
ConclusionIncreased public interest and NIH funding has paralleled the rising incidence of OPC. NIH funding has been driven by projects related to the role of HPV in OPC.
Level of Evidence2c. Laryngoscope, 2017
Source: The Laryngoscope - April 11, 2017 Category: ENT & OMF Authors: Michael A. Blasco, Peter F. Svider, Troy Tenbrunsel, Gautham Vellaichamy, George H. Yoo, Andrew M. Fribley, S. Naweed Raza Tags: Head and Neck Source Type: research
Assessing Exposure to Household Air Pollution: A Systematic Review and Pooled Analysis of Carbon Monoxide as a Surrogate Measure of Particulate Matter
Conclusions:
Our results suggest that exposure to CO is not a consistently valid surrogate measure of exposure to PM2.5. Studies measuring CO exposure as a surrogate measure of PM exposure should conduct local validation studies for different stove/fuel types and seasons. https://doi.org/10.1289/EHP767
Received: 06 July 2016
Revised: 19 December 2016
Accepted: 20 December 2016
Published: 28 July 2017
Address correspondence to J. Baumgartner, Institute for Health and Social Policy and Department of Epidemiology, Biostatistics and Occupational Health, 1130 des Pins Ave. Ouest, Montréal, Québec H3A 1A3 Canada. Telepho...
Source: EHP Research - July 29, 2017 Category: Environmental Health Authors: Daniil Lyalko Tags: Review Source Type: research
Saddle nose deformity and septal perforation in granulomatosis with polyangiitis
ConclusionsThis study systematically reviews the efficacy and safety of surgical reconstruction of external nasal deformities in GPA patients for the first time. Saddle nose reconstruction in GPA patients with minimal or no local disease is a safe procedure despite an increased rate of revision surgery. Further research is required regarding the impact of antibiotic prophylaxis, immune‐modulating therapy, long‐term outcomes, and functional outcomes measured with subjective and objective parameters.This article is protected by copyright. All rights reserved.
Source: Clinical Otolaryngology - August 1, 2017 Category: ENT & OMF Authors: Annekatrin Coordes, Sonja Maike Loose, Veit M. Hofmann, Grant S. Hamilton, Frank Riedel, Dirk Jan Menger, Andreas E. Albers Tags: Original Article Source Type: research
Revised NIH Grants Policy Statement
NIH issues a revised Grants Policy Statement each fall. The latest version, issued in October, introduces no new policies. Rather, it incorporates updates made throughout the year. This revision applies to all NIH grants and cooperative agreements with budget periods beginning on or after October 1, 2017.
Changes in NIH policy made throughout the year are issued as policy notices in the NIH Guide to Grants and Contracts. We aggregate these notices on our Notices of Changes to Grants Policy web page for your convenience. Remember that applicants and grantees are responsible for tracking policy changes as they happen.
You c...
Source: NIH Extramural Nexus - November 9, 2017 Category: Research Authors: NIH Staff Tags: Uncategorized Source Type: funding
Why Titles Are Important
Over the next few days, we’ll be sharing strategies for writing effective titles in our new writing series, What’s in a Name? How to Write an Effective Title. We’ll end the week with a writing exercise so you can practice what you’ve learned. This writing series is based on a workshop the Academic Medicine editorial staff developed, so the terminology and examples we use are from Academic Medicine. However, you can apply these strategies to articles you’re writing for other journals, other scholarly publications, grant applications, conference abstracts, and more.
Let’s start with a basic question:
Why are titl...
Source: Academic Medicine Blog - June 11, 2018 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Writing Series health professions education medical education scholarly publishing scholarly writing Source Type: blogs
A Mysterious Company Claims to Sell Sneeze-Filled Tissues for $80. Is It Real?
The package appeared one day, unbidden, on the desk of a TIME writer. Inside was a slick white box that housed a petri dish sealed with gold tape. In the dish was a crumpled tissue—and inside the tissue were, allegedly, the germs of a sick person who had sneezed into it.
Vaev Tissue, the only product of a new startup based in Los Angeles, costs $79.99, according to the company’s website. Its sole purpose is to give the user a cold virus. “We believe using a tissue that carries a human sneeze is safer than needles or pills,” read the note that came with the product, written by the founder of the comp...
Source: TIME: Health - January 18, 2019 Category: Consumer Health News Authors: Mandy Oaklander Tags: Uncategorized public health Source Type: news
Fast Intracortical Sensory-Motor Integration: A Window Into the Pathophysiology of Parkinson ’s Disease
Conclusion and Outlook
In this review, we have discussed the possible contributions of the fast-afferent somatosensory pathway, the intracortical integrative component and the fast-efferent corticomotor pathway to alterations of SAI in PD. We concluded that PD-related changes in SAI are most likely caused at the cortical level, where sensory input is rapidly integrated into a motor output. This makes SAI a useful tool to probe how PD impacts on the sensorimotor integration processing at the cortical level.
Studies performed on PD patients have shown variable results, ranging from reduced to normal or even enhanced SAI fi...
Source: Frontiers in Human Neuroscience - April 7, 2019 Category: Neuroscience Source Type: research
