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Variation in Family Experience of Pediatric Inpatient Care As Measured by Child HCAHPS
CONCLUSIONS: Family experience of pediatric inpatient care shows substantial room for improvement and varies considerably across hospitals and measures.
Source: PEDIATRICS - March 31, 2017 Category: Pediatrics Authors: Toomey, S. L., Elliott, M. N., Zaslavsky, A. M., Klein, D. J., Ndon, S., Hardy, S., Wu, M., Schuster, M. A. Tags: Administration/Practice Management, Quality Improvement Article Source Type: research

Reducing the Cost of Care; Provide Home Care for Sicker Patients with Remote Monitoring
Although changes often come slowly in healthcare, we are now in the midst of the following three major changes in the field: (1) reduction in inpatient admissions that is driving the growth of bedless or mini-hospitals; (2) provision of first-tier outpatient care in walk-in clinics such as CVS/MinuteClinics; (3) the transfer of some inpatient care to patients' homes, partly as a cost-reduction strategy. This latter topic was previously covered in one of my blog notes (see:Some Details about Hospital-at-Home (HaH) Services for Selected ER Patients) and also in a recent article (see:Commentary: Reducing the cost of...
Source: Lab Soft News - January 4, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Delivery Healthcare Information Technology Healthcare Innovations Quality of Care Telemedicine Source Type: blogs

Reducing Churn to Increase Value in Health Care: Solutions for Payers, Providers, and Policymakers
Conclusion Churn has vexed insurance executives for decades and is considered by many at this point an inevitable challenge. But now that the value-based movement has led to a refocusing on social determinants of health, incentives are aligned to address this issue. This solution may be a key step towards a healthcare system focused on investing in health rather than in treating illness. Niko has a background in research and consulting and enjoys writing about and solving problems facing the US health care industry. Saeed has more than 25 years of health information technology experience, with a track record of ...
Source: The Health Care Blog - May 15, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics The Business of Health Care Uncategorized Churn health innovation Health policy health20 niko lehman-white saeed aminzadeh Source Type: blogs

Health Insurance and Out-of-Pocket Costs in the Last Year of Life Among Decedents Utilizing the ICU
Conclusions: Across all categories of insurance coverage, out-of-pocket spending in the last 12 months of life is high and represents a significant portion of assets for many patients requiring intensive care and their families. Medicare fee-for-service alone does not insulate individuals from the financial burden of high-intensity care, due to lack of an out-of-pocket maximum and a relatively high co-payment for hospitalizations. Medicaid plays an important role in the social safety net, providing the most complete hospital coverage of all the insurance groups, as well as significantly financing long-term care.
Source: Critical Care Medicine - May 16, 2019 Category: Emergency Medicine Tags: Feature Articles Source Type: research

Association Between Initiation of Pulmonary Rehabilitation and Rehospitalizations in Patients Hospitalized with COPD
CONCLUSIONS: After hospitalization for COPD, Medicare beneficiaries who initiated PR within 90 days of discharge experienced fewer rehospitalizations over one year. These results support findings from randomized clinical trials and highlight the need to identify effective strategies to increase PR participation.PMID:34283694 | DOI:10.1164/rccm.202012-4389OC
Source: American Journal of Respiratory and Critical Care Medicine - July 20, 2021 Category: Respiratory Medicine Authors: Mihaela S Stefan Penelope S Pekow Aruna Priya Richard ZuWallack Kerry A Spitzer Tara C Lagu Quinn R Pack Victor M Pinto-Plata Kathleen M Mazor Peter K Lindenauer Source Type: research

Long-Term Trends in Home Respiratory Medical Equipment among US Medicare Patients, 2013-2019
Am J Respir Crit Care Med. 2022 May 13. doi: 10.1164/rccm.202202-0238LE. Online ahead of print.NO ABSTRACTPMID:35549846 | DOI:10.1164/rccm.202202-0238LE
Source: American Journal of Respiratory and Critical Care Medicine - May 13, 2022 Category: Respiratory Medicine Authors: Kevin I Duan Edwin S Wong Joshua M Liao Amber K Sabbatini David H Au Source Type: research

" A Radical Idea for Health-Care Reform: Listen to the Doctors " - Oops, I Mean Listen to the Corporate Executives, Directors, and Lobbyists
It has been the season for health care reform in the US since at least the Nixon administration.  We have endlessly discussed the unholy triad of health care dysfunction: rising costs, declining access, and stagnant quality.These days, with all the furor over whether Obamacare should be repealed and replaced, let alone, or improved, it is still the season for health care reform.  Last weekan article by David Ignatius in the Washington Postentitled " A Radical Idea for Health Care Reform: Listen to the Doctors, " appeared.   Since onHealth Care Renewal we are all about trying to uphold physicians ' profe...
Source: Health Care Renewal - April 7, 2017 Category: Health Management Tags: boards of directors conflicts of interest deception disinformation health care reform propaganda Source Type: blogs

Pulling Care Out of Hospital —By Phone, Ambulance, and Good Ol ’ House Calls.
By REBECCA FOGG In the 20th century, hospitals completed their transformation from the hospice-like institutions of the Middle Ages, into large, gleaming centers of advanced medical expertise and technology that save and improve lives every day. But an unintended consequence of hospitals’ dazzling capabilities is a staggering cost burden that’s proving toxic to the American economy. Today, hospital care accounts for approximately 33% of the US’ $3.5 trillion annual health care expenditures, according to CMS. The drivers of hospital costs are complex and hard to tackle, including (but not limited to) market cons...
Source: The Health Care Blog - May 1, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Hospitals Patients Physicians The Business of Health Care health innovation Home Health Rebecca Fogg Telehealth The Christensen Institute Source Type: blogs

Sepsis Among Medicare Beneficiaries: 3. The Methods, Models, and Forecasts of Sepsis, 2012–2018*
Conclusions: A sepsis inpatient admission is associated with marked increase in risk of death that is comparable to the risks associated with inpatient admissions for other common and serious chronic illnesses. The aggregate costs of sepsis care for Medicare beneficiaries will continue to increase.
Source: Critical Care Medicine - February 15, 2020 Category: Emergency Medicine Tags: Late Breaker Articles Source Type: research

Which Specialties Get the Biggest Markups Over Medicare Rates? Which Specialties Get the Biggest Markups Over Medicare Rates?
A study of private insurance claims found that the highest markups were in anesthesiology, emergency and critical care, and neurosurgery.Medscape Medical News
Source: Medscape Emergency Medicine Headlines - October 21, 2021 Category: Emergency Medicine Tags: Family Medicine/Primary Care News Source Type: news

NQF Endorses SSC Measures
The National Quality Forum (NQF) ratified the measures for the treatment and management of patients with severe sepsis and septic shock as submitted collaboratively by the Henry Ford Hospital, the Infectious Diseases Society of America, and the Society of Critical Care Medicine. Measures ratified by NQF are considered by the Centers for Medicare & Medicaid Services (CMS) for public reporting and payment programs. The measures are consistent with the updated Surviving Sepsis Campaign (SSC) bundles. The SSC’s North American Steering Committee will conduct grand rounds with CMS on March 27 to outline the measures and data t...
Source: SCCM RSS News - March 22, 2013 Category: Intensive Care Source Type: news