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Management: Hospitals

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Total 165 results found since Jan 2013.

Institutional Postacute Care Use May Help Reduce Readmissions for Ischemic Stroke Patients
We examined the causal impact of institutional PAC use on 30-day readmission rates for Medicare fee-for-service patients initially admitted for ischemic stroke. Data Sources: The 2010–2016 Medicare Provider Analysis and Review files. Research Design: We used the method of instrumental variable (IV) analysis to control for unobserved differences in the types of patients admitted to each PAC facility. We chose the distance from the patient’s residence to the closest institutional PAC provider and the number of PAC providers of each type within a county where the patient resides as IVs. Principal Findings...
Source: Medical Care - July 15, 2021 Category: Health Management Tags: Original Articles Source Type: research

A Score to Predict Home Discharge for Patients With Stroke in Rehabilitation Units
Stroke is a global health problem, with an estimated lifetime risk of 23% in high-income Asia-Pacific regions, including Japan.1 In Japan, rehabilitation units for functional recovery after stroke have been established as a Japanese version of convalescent rehabilitation, and are covered by insurance. It is important to predict the discharge destination of patients with stroke and to appropriately plan an efficient discharge early in the hospitalization process. A score can be used to predict home discharge of patients from hospitals after an acute stroke, but it is not known whether it can be applied to patients in rehabilitation units.
Source: Journal of the American Medical Directors Association - March 22, 2022 Category: Health Management Authors: Yuria Ishida, Akio Shimizu, Keisuke Maeda, Kenta Murotani, Tatsuro Inoue, Junko Ueshima, Ayano Nagano, Naoharu Mori Tags: Research Letters Source Type: research

Capital idea: Trenton health system launches region's first mobile stroke unit
Capital Health is hitting the streets in Mercer County Monday with the region ’s first mobile stroke unit. “What we have is a stroke-ready hospital on wheels,” said Dr. Michael Stiefel, director of the Capital Institute for Neurosciences and the Stroke and Cerebrovascular Center at Capital Health in Trenton. “We can bring this to patients, rather than bring patients to the hospital, when time is critical.” The mobile unit was funded through a portion of a $2 million grant the health system…
Source: bizjournals.com Health Care News Headlines - January 30, 2017 Category: Health Management Authors: John George Source Type: news

The weekend effect revisited: evidence from the Upper Austrian stroke registry
AbstractEmpirical evidence on the so-called ‘weekend-effect’ on stroke mortality is mixed with some studies reporting significantly higher mortality for weekend admissions and others finding no difference. The aim of this paper is to enhance the evidence on the weekend-effect on stroke mortality using a rich stroke registry data set from Upper Austria and to discuss underlying reasons for the heterogeneity in results. Using logistic regressions and ordinary least squares regressions with hospital and year-fixed effects, the outcomes of weekend versus weekday admissions are compared for patients admitted to 16 hospitals...
Source: The European Journal of Health Economics - February 12, 2019 Category: Health Management Source Type: research

How Does Geographic Access Affect In-Hospital Mortality for Veterans With Acute Ischemic Stroke?
Objective: To examine the relationship between estimated travel time to admitting hospital and mortality for veterans with acute ischemic stroke, controlling for patient demographic, clinical, facility-level variables, as well as select in-hospital treatments and procedures. Methods: A longitudinal observational population-based study. Information on all veterans discharged from a Veterans Administration Medical Center (VAMC) with an ischemic stroke diagnosis between October 1, 2006 and September 30, 2008 were examined. A total of 10,430 patients met the inclusion criteria for the study. Unadjusted differences between pati...
Source: Medical Care - May 15, 2015 Category: Health Management Tags: Original Articles Source Type: research

Stroke: a Hidden Danger of Margin Trading in Stock Markets
Abstract Using 10-year population data from 2000 through 2009 in Taiwan, this is the first paper to analyze the relationship between margin trading in stock markets and stroke hospitalizations. The results show that 3 and 6 days after an increase of margin trading in the Taiwan stock markets are associated with greater stoke hospitalizations. In general, a 1 % increase in total margin trading positions is associated with an increment of 2.5 in the total number of stroke hospitalizations, where the mean number of hospital admissions is 233 cases a day. We further examine the effects of margin trading by gender an...
Source: Journal of Urban Health - May 27, 2015 Category: Health Management Source Type: research

Hospital to pilot stroke app with Dayton-area EMS squads
Miami Valley Hospital will pilot a new smart device app with three local EMS departments that is expected to increase coordinated care for stroke victims and significantly cut the time it takes to reverse potential brain damage. The hospital is the first in Southwest Ohio to pilot the device. Pulsara is a cloud-based communication application that will place all members of the hospital’s stroke team – including EMS, neurologists, CAT scan technologists, nurses and consulting physicians –…
Source: bizjournals.com Health Care News Headlines - June 6, 2017 Category: Health Management Source Type: news

Temporal trend of comorbidity and increasing impacts on mortality, length of stay, and hospital costs of first stroke in Tianjin, North of China
Stroke patients have a high incidence of comorbidity. Previous studies have shown that comorbidity can impact on the short-term and long-term mortality after stroke.
Source: Cost Effectiveness and Resource Allocation - September 28, 2021 Category: Health Management Authors: Ruixiao Hao, Xuemei Qi, Xiaoshuang Xia, Lin Wang and Xin Li Tags: Research Source Type: research

Discharge Huddle Outfitted With Mobile Technology Improves Efficiency of Transitioning Stroke Patients Into Follow-Up Care
Disjointed patient care is a well-documented problem in health care systems, often stemming from poor communication between providers, services, and follow-up care resources. A multidisciplinary discharge huddle, augmented with cellular and tablet technology, was implemented on the Neurology Stroke Service to facilitate multidisciplinary communication, improve transition of patients, and increase referrals into affiliated follow-up care. After initiating the huddle, patient length of stay decreased by 1.4 days (25%), patient flow into continuum partners increased by 10%, and the number of patients going without services af...
Source: American Journal of Medical Quality - January 14, 2015 Category: Health Management Authors: Tielbur, B. R., Rice Cella, D. E., Currie, A., Roach, J. D., Mattingly, B., Boone, J., Watwood, C., McGauran, A., Kirshner, H. S., Charles, P. D. Tags: Articles Source Type: research

Education-only versus a multifaceted intervention for improving assessment of rehabilitation needs after stroke; a cluster randomised trial
In 2011, more than half of the patients with stroke in Australian hospitals were not assessed for the need for rehabilitation. Further, there were no recommended criteria to guide rehabilitation assessment dec...
Source: Implementation Science - September 7, 2016 Category: Health Management Authors: Elizabeth A. Lynch, Dominique A. Cadilhac, Julie A. Luker and Susan L. Hillier Source Type: research

Long-term care provision, hospital bed blocking, and discharge destination for hip fracture and stroke patients
AbstractWe examine the relationship between long-term care supply (care home beds and prices) and (i) the probability of being discharged to a care home and (ii) length of stay in hospital for patients admitted to hospital for hip fracture or stroke. Using patient level data from all English hospitals and allowing for a rich set of demographic and clinical factors, we find no association between discharge destination and long-term care beds supply or prices. We do, however, find evidence of bed blocking: hospital length of stay for hip fracture patients discharged to a care home is shorter in areas with more long-term care...
Source: International Journal of Health Care Finance and Economics - February 27, 2017 Category: Health Management Source Type: research

Shawnee Mission Health races the clock with new stroke software
Since Shawnee Mission Health implemented a stroke screening software, the hospital system has saved valuable minutes in treating patients.
Source: bizjournals.com Health Care News Headlines - May 31, 2017 Category: Health Management Authors: Elise Reuter Source Type: news

Grady Health System doctor ’s app helps direct EMS stroke care
A few years ago, Dr. Raul Nogueira began working on an idea for how to get stroke patients to the right hospitals faster — resulting in less long-term damage and suffering.
Source: bizjournals.com Health Care News Headlines - May 18, 2018 Category: Health Management Authors: Erin Moriarty Source Type: news

Hospital organizational context and delivery of evidence-based stroke care: a cross-sectional study
Organizational context is one factor influencing the translation of evidence into practice, but data pertaining to patients with acute stroke are limited. We aimed to determine the associations of organization...
Source: Implementation Science - January 18, 2019 Category: Health Management Authors: Nadine E. Andrew, Sandy Middleton, Rohan Grimley, Craig S. Anderson, Geoffrey A. Donnan, Natasha A. Lannin, Enna Striol-Salama, Brenda Grabsch, Monique F. Kilkenny, Janet E. Squires and Dominique A. Cadilhac Tags: Research Source Type: research

What is the impact of large-scale implementation of stroke Early Supported Discharge? A mixed methods realist evaluation study protocol
Stroke Early Supported Discharge (ESD) is a service innovation that facilitates discharge from hospital and delivery of specialist rehabilitation in patients ’ homes. There is currently widespread implementatio...
Source: Implementation Science - June 13, 2019 Category: Health Management Authors: Rebecca Fisher, Niki Chouliara, Adrian Byrne, Sarah Lewis, Peter Langhorne, Thompson Robinson, Justin Waring, Claudia Geue, Alex Hoffman, Lizz Paley, Anthony Rudd and Marion Walker Tags: Study protocol Source Type: research