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Hospital-Based Emergency Department Visits With Pediatric Burns: Characteristics and Outcomes
Conclusions Pediatric burn injuries require significant resources for stabilization and treatment by EDs. The present study highlights the burden and impact of pediatric burn injuries in the United States.
Source: Pediatric Emergency Care - August 1, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Comparing Preventive Visits of Children in Foster Care with other Children in Medicaid.
Conclusion. Policies require a Health Check visit upon placement into foster care and annual check-ups consistent with pediatric guidelines; we found more Early and Periodic Screening, Detection, and Treatment screenings for foster care children in Georgia than for other children receiving Medicaid. PMID: 23728046 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - June 5, 2013 Category: Global & Universal Authors: Landers G, Snyder A, Zhou M Tags: J Health Care Poor Underserved Source Type: research

Editorial December 2014: A year in transition
The December issue of the Journal of Critical Care highlights a number of important, controversial, and innovative topics. The open access article “The association of intensivists with failure-to-rescue rates in outlier hospitals: Results of a national survey of intensive care unit organizational characteristics” by Elliot Wakearn and colleagues is an interesting and important look at the demographics that create national statistics. The clear challenge is to hospitals with a high Medicaid patient population and affiliated level I trauma center; the results imply that the presence of intensivists on the rapid response ...
Source: Journal of Critical Care - October 9, 2014 Category: Intensive Care Authors: Philip D. Lumb Source Type: research

Incorporating Interprofessional Evidenced-Based Sepsis Simulation Education for Certified Nursing Assistants (CNAs) and Licensed Care Providers Within Long-term Care Settings for Process and Quality Improvement
Improving resident safety and quality of care by maximizing interdisciplinary communication among long-term care providers is essential in meeting the goals of the United States' Federal Health care reform. The new Triple Aim goals focus on improved patient outcomes, increasing patient satisfaction, and decreased health care costs, thus providing consumers with quality, efficient patient-focused care. Within the United States, sepsis is the 10th leading cause of death with a 28.6% mortality rate in the elderly, increasing to 40% to 60% in septic shock. As a result of the Affordable Care Act, the Centers for Medicare & Medi...
Source: Critical Care Nursing Quarterly - December 5, 2015 Category: Nursing Tags: Original Articles Source Type: research

Analysis Shows Health Care Cost Predictions Grossly Incorrect
This study, once again disproves the misleading claims that pharmacy benefit managers and insurers (among others) make about spending on new innovative medicines. The report found that predictions of health care costs made prior to the introduction of new medicines were often dramatically overstated. The study points to the example of new cholesterol-lowering medicines, also known as PCSK9 inhibitors. The Institute for Clinical and Economic Review (ICER) predicted that the one-year cost of the two PCSK9 inhibitors would be $7.2 billion. However, in reality, based on reported sales, the actual cost will be approximately $8...
Source: Policy and Medicine - January 5, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

What ’s New and In the Queue for Academic Medicine
What’s New: A Preview of the September Issue The September issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org. Highlights from the issue include: Let’s Get Real About Health Care Reform Karpf argues for an approach to health care policy that understands and accounts for the interdependence between choice, cost, and coverage in a competitive and functional market-based system. It is Time to Cancel Medicine’s Social Contract Metaphor Harris contends that removing medicine’s narrow, overworked social contract metaphor would open the door to a more complex, fruitful consi...
Source: Academic Medicine Blog - September 5, 2017 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview Affordable Care Act health care reform medical education primary care retirement social determinants of health Source Type: blogs

Quality Health Care for Homeless Children: Achieving the AAP Recommendations for Care of Homeless Children and Youth.
We described barriers and facilitators to meeting recommendations. DISCUSSION: Health care organizations serving homeless children largely meet AAP recommendations, but integrating comprehensive care into acute visits remains an area for improvement. Disseminating best practices may support guideline adherence. PMID: 29176102 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - November 28, 2017 Category: International Medicine & Public Health Authors: Chatterjee A, So M, Dunleavy S, Oken E Tags: J Health Care Poor Underserved Source Type: research

Through the Revolving Door, with a Few Stumbles - Health Care Corporate Executives and Consultants Continue to Become Leaders of Trump ' s Department of Health and Human Services
We continue to see a remarkable stream of people transiting therevolving door from high-level positions in health care corporations to high-level positions in health care policy or regulation for the Trump administration.  Lately, though, these transitions have not been without missteps. The most recent cases we have found, in the order of their public appearance, appear below.John Bardis, Who Went from MedAssets to Assistant Secretary of Health and Human Services for Administration, Resigned Under FireWe first discussed the appointment of Mr Bardis in May, 2017,here.  We noted then that most recently Mr Bar...
Source: Health Care Renewal - April 18, 2018 Category: Health Management Tags: conflicts of interest CVS Donald Trump finance health care corruption Pfizer revolving doors Source Type: blogs

Access to primary and dental care among adults newly enrolled in Medicaid.
CONCLUSIONS: Many new Medicaid enrollees did not have usual sources of primary or dental care, regardless of nearby provider supply. Efforts to understand what improves access or engagement in healthcare among Medicaid enrollees are critical after low-income adults gain insurance. PMID: 30875182 [PubMed - in process]
Source: The American Journal of Managed Care - February 28, 2019 Category: Health Management Authors: Chaiyachati KH, Hom JK, Wong C, Nasseh K, Chen X, Beggin A, Zygmunt E, Vujicic M, Grande D Tags: Am J Manag Care Source Type: research

Evaluation of a Family Medicine Transitional Care Service Line
Conclusion: Although there was no evidence of an impact of the new service line on a decline in 30-day readmission rates it was decided that this service was a benefit to the patients and the physicians involved.
Source: Journal of the American Board of Family Medicine - July 11, 2019 Category: Primary Care Authors: Farford, B., Pantin, S. A., Presutti, J., Ball, C. S. Tags: Family Medicine and The Health Care System Source Type: research

Quality Virtual Care Is Within Reach – But Only If We Act Now
By JULIA HU Though it will be impossible to overstate the devastation that the COVID-19 pandemic is leaving in its wake, we can also acknowledge that it has pushed humanity to creatively adapt to our new, socially-distanced reality—necessity is the mother of invention, as they say. Telehealth is not a new invention, but the necessity of keeping people physically apart, especially those particularly vulnerable to COVID, has suddenly put virtual health care at the center of our delivery system.  Patients and providers quickly pivoted to at-home care as in-person visits were limited for safety, and use of telehea...
Source: The Health Care Blog - August 4, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Health Technology Julia Hu Lark health virtual care Source Type: blogs

Care Coordination in Emergency Departments for Children and Adolescents With Behavioral Health Conditions: Assessing the Degree of Regular Follow-up After Psychiatric Emergency Department Visits
Conclusions It is of concern that fewer than half of patients received care coordination following an ED visit. Factors such as behavioral health workforce shortages, wait times for an appointment with a provider, and lack of reimbursement for care coordination may help explain these results.
Source: Pediatric Emergency Care - April 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Reliance on Acute Care Settings for Health Care Utilization: A Comparison of Adolescents With Younger Children
Objective Because a goal of the Affordable Care Act was to increase preventive care and reduce high-cost care, the objective of this study was to evaluate current health care use and reliance on acute care settings among Medicaid-enrolled children. Methods This was a retrospective cohort study of the 2015 Truven Marketscan Medicaid claims database among children 0 to 21 years old with at least 11 months of continuous enrollment. We calculated adjusted probabilities of health care use (any health care use and ≥1 health maintenance visit) and high acute care reliance (ratio of emergency department or urgent care...
Source: Pediatric Emergency Care - December 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Acute Care Utilization and Health Care Expenditures in Medicaid‐Enrolled Children
Objectives Although recent health care reform efforts have focused on minimizing high cost health care utilization, the relationship between acute care use and health care expenditures among certain vulnerable populations such as Medicaid-insured children remains poorly understood. We sought to evaluate the association between acute care utilization and health care expenditures and to identify characteristics associated with high spending. Methods We performed a retrospective cohort study of Medicaid-enrolled children 1–21 years old from 1/1/2016 to 12/31/2016. Children were categorized by acute care use (incl...
Source: Pediatric Emergency Care - January 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Where Health Care Value Can Lead
By BRIAN KLEPPER It seems inevitable that, in the near future, an innovative health care organization – Let’s call it The Platform – is going to seize the market opportunity of broader value. It will cobble together the pieces, and demonstrate to organizational purchasers that it consistently delivers better health outcomes at significantly lower cost than previously has been available. To manage risk and drive performance, The Platform will embrace the best healthcare management lessons of the past decades: risk identification through data monitoring and analytics, driving the right care, quality manag...
Source: The Health Care Blog - March 15, 2022 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Health Tech Brian Klepper The Platform value based care Source Type: blogs