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Religious Nonmedical Health Care Institution Requirements: CMS (Centers for Medicare and Medicaid Services) Emergency Preparedness Final Rule
U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. 12/12/2017 This 43-page document from TRACIE (Technical Resources, Assistance Center, and Information Exchange) combines excerpts from the Emergency Preparedness Final Rule and the recently released Interpretive Guidelines from the Centers for Medicare and Medicaid Services (CMS) to provide a consolidated overview document for the Religious Nonmedical Health Care Institution (RNHCI) requirements. It provides the requirements for the Emergency Plan, Policies and Procedures, Communications Plan, and Training and Testing. (PDF)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - December 14, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news
Health Care in Puerto Rico and the U.S. Virgin Islands: A Six-Month Check-Up After the Storms
Henry J. Kaiser Family Foundation. 03/19/2018 This one-hour, 44-minute public briefing, held six months after Hurricanes Irma and Maria battered Puerto Rico and the U.S. Virgin Islands, discusses how the U.S. territories continue to struggle with crippled infrastructure, faltering economies, and an exodus of their populations to the continental U.S. It examines the status of the recovery on the islands, with a focus on how their health care systems are doing and the likely impact of new Medicaid and disaster relief funding approved by Congress earlier this year. (Video or Multimedia)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - March 22, 2018 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news
American Primary Care is a Big Waste of Time (When …)
By HANS DUVEFELT
Before Johannes Gutenberg invented the printing press in 1450, books in Europe were copied by hand, mostly by monks and clergy. Ironically, they were often called scribes, the same word we now use for the new class of healthcare workers employed to improve the efficiency of physician documentation.
Think about that for a moment: American doctors are employing almost medieval methods in what is supposed to be the era of computers. Why aren’t we using AI for documentation?
The pathetically cumbersome methods of documentation available (required) for our clinical encounters is only one of several a...
Source: The Health Care Blog - September 27, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Primary Care Hans Duvefelt Source Type: blogs
The Texas Tribune: In Coordination of Care, a Partner in Children’s Health
Founders of a pilot program to aid medically needy children in Austin, Tex., hope that data will show that centralized coordination improves the quality of health care while cutting costs.
Source: NYT Health - March 15, 2013 Category: Consumer Health News Authors: By BECCA AARONSON Tags: Texas Dell Children's Medical Center of Central Texas Medicaid Health Insurance and Managed Care Medicine and Health Children and Childhood Source Type: news
Template for an Antibiotic Stewardship Policy for Post-Acute and Long-Term Care Settings
In response to a rising concern for multidrug resistance and Clostridium difficile infections, the Centers for Medicare and Medicaid services (CMS) will require all long-term care (LTC) facilities to establish an antibiotic stewardship program by November 2017. Thus far, limited evidence describes implementation of antibiotic stewardship in LTC facilities, mostly in academic- or hospital-affiliated settings. To support compliance with CMS requirements and aid facilities in establishing a stewardship program, the Infection Advisory Committee at AMDA —The Society for Post-Acute and Long-Term Care Medicine, has developed an...
Source: Journal of the American Medical Directors Association - September 18, 2017 Category: Health Management Authors: Robin L.P. Jump, Swati Gaur, Morgan J. Katz, Christopher J. Crnich, Ghinwa Dumyati, Muhammad S. Ashraf, Elizabeth Frentzel, Steven J. Schweon, Philip Sloane, David Nace, Infection Advisory Committee for AMDA —The Society of Post-Acute and Long-Term Care Tags: Special Article Source Type: research
Access to primary and specialty care and emergency department utilization of medicaid enrollees needing specialty care.
Conclusions. As states prepare for the impending expansion of Medicaid funded via the Affordable Care Act, they should address barriers to accessing primary care providers for Medicaid enrollees with high need.
PMID: 24858887 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - May 30, 2014 Category: Global & Universal Authors: Mortensen K Tags: J Health Care Poor Underserved Source Type: research
Improving the Care of Dual Eligible Patients in Rural Federally Qualified Health Centers: The Impact of Care Coordinators and Clinical Pharmacists.
CONCLUSIONS: A modest investment in care coordination and clinical pharmacy review can produce significant reductions in hospitalization and harmful polypharmacy for community dwelling dual eligible patients.
PMID: 26582045 [PubMed - as supplied by publisher]
Source: Primary Care - November 18, 2015 Category: Primary Care Authors: Doyle D, Emmett M, Crist A, Robinson C, Grome M Tags: J Prim Care Community Health Source Type: research
Health care eligibility and availability and health care reform: Are we addressing rural women's barriers to accessing care?
We report rural women's access barriers and the PPACA elements that address these barriers as well as potential gaps.
METHODS: For this qualitative study, we analyzed two datasets using a common framework. We used content analysis to understand rural, focus group participants' access barriers prior to PPACA implementation. Subsequently, we analyzed the PPACA text.
RESULTS: Participants described health care access barriers in two domains: availability and eligibility. The PPACA proposes solutions within each domain, including health care workforce training, Medicaid expansion, and employer-based health care provi...
Source: Journal of Health Care for the Poor and Underserved - November 8, 2016 Category: Global & Universal Authors: Zimmermann K, Carnahan LR, Paulsey E, Molina Y Tags: J Health Care Poor Underserved Source Type: research
Integrated care organizations: Medicare financing for care at home.
CONCLUSIONS: Adoption of an HCBS benefit in Medicare would improve financial protection for beneficiaries with physical and/or cognitive impairment and provide the financing for health organizations to better integrate medical and social services. ICOs and delivery models of care emphasizing care at home would improve accessibility of care and avoid costly institutionalization; additionally, it would also reduce beneficiary reliance on Medicaid.
PMID: 27870546 [PubMed - in process]
Source: The American Journal of Managed Care - October 31, 2016 Category: Health Management Authors: Davis K, Willink A, Schoen C Tags: Am J Manag Care Source Type: research
Gutting the Health Care Corporate Strike Force
DiscussionSo the Trump administration proposes two part time attorneys to drain the health care corporate swamp. That seems like bailing out the Titanic with teaspoons. But should we expect anything else from an administration that is being increasinglyidentified with corruption and impunity itself?We have frequently discussed outrightcorruption in health care as one of the most important causes of health care dysfunction. Transparency International (TI) defines corruption asAbuse of entrusted power for private gainIn 2006,TI published a report on health care corruption, which asserted that corruption is widesp...
Source: Health Care Renewal - July 13, 2017 Category: Health Management Tags: deferred prosecution agreement Donald Trump health care corruption impunity legal settlements US Department of Justice Source Type: blogs
Round and Round It Spins - Our Latest Health Care Revolving Door Roundup
DiscussionThe revolving door has been a chronic problem for the US, but seems to only be getting worse. We saw plenty of examples of people transiting the door to or from the US executive branch during the George W Bush and Obama administrations. We are still seeing people transiting the door from the latter administration. However, the number of people transiting the door into the Trump administration seems unprecedented, although admittedly that impression is based on series of cases, not systematic quantitative studies.So, as I have said before, most recentlyin August, 2017,The revolving door is a spec...
Source: Health Care Renewal - October 8, 2017 Category: Health Management Tags: Donald Trump health care corruption regulatory capture revolving doors Source Type: blogs
Care coordination for children with special needs in Medicaid: lessons from Medicare.
CONCLUSIONS: States and Medicaid managed care organizations have many options for designing effective care coordination programs for CSHCN. Their choices should account for the diversity of conditions among CSHCN, families' capacity to coordinate care, and social determinants of health.
PMID: 29668210 [PubMed - in process]
Source: The American Journal of Managed Care - April 1, 2018 Category: Health Management Authors: Stewart KA, Bradley KWV, Zickafoose JS, Hildrich R, Ireys HT, Brown RS Tags: Am J Manag Care Source Type: research
Is Universal Health Care Socialism?
By ETIENNE DEFFARGES
The November midterms elections are approaching, and one of the major topics is health care. Democrats are campaigning on retaining Obamacare, in many cases advocating that we move towards universal health care.
That would be pure socialism, retort Republicans, who would rather repeal the Affordable Care Act as they attempted in 2017, even if this leads to 20 million Americans losing coverage.
Is Universal Health Care Socialism?
Only if we believe that every other developed market-based economy in the world is socialist since the U.S. is the only one without universal coverage. We spend almost $10,...
Source: The Health Care Blog - September 5, 2018 Category: Consumer Health News Authors: matthew holt Tags: Economics Socialism Universal Health Care UntanglingtheUSA Source Type: blogs
The Importance of Patient Engagement in Post-Acute Care
By BRIAN HOLZER MD, MBA
Leaders in hospitals and health systems as well as post-acute care providers such as skilled nursing facilities (SNFs) and Home Health Care (HHC) agencies operate in a complex environment. Currently, the health care reimbursement environment is largely dominated by fee-for-service models. However, acute and post-acute leaders must increasingly position their organizations to prepare for, and participate in, evolving value-based care programs—without losing sight of the current fee-for-service reimbursement structure.
With that said, the call to action for acute and post-acute providers working a...
Source: The Health Care Blog - December 19, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Medicare ACOs Brian Holzer CMS health innovation patient engagement post-acute care value-based care Source Type: blogs
The Future of the Affordable Care Act: Unscathed by Attacks from the Right, Overtaken on its Left?
By ETIENNE DEFFARGES
Having survived years of attacks from Republicans at the federal level, will the surviving ACA be rendered obsolete by Democrats’ local and state efforts towards universal health care? This could be an ironic twist of fate for Obamacare. Conceived out of the conservative Heritage Foundation’s ideas and an early experiment in Massachusetts under a Republican governor, President Obama’s signature legislative achievement could very well survive its most recent judiciary challenge. But over time the ACA is susceptible to obsolescence, because of the many universal health care solutions being pushed...
Source: The Health Care Blog - January 24, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Obamacare Affordable Care Act Etienne Deffarges Politics Source Type: blogs
