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Total 30728 results found since Jan 2013.

Unraveling EPSDT and Pediatric Hospice Care: An Exploratory Policy Analysis
Conclusion: We found significant variation in state documents on EPSDT and pediatric hospice care. Clear guidelines and consistent standards regarding EPSDT services and how they interface with hospice, concurrent hospice care, and palliative care would improve care for children and families.PMID:35357256 | DOI:10.1177/10499091221079329
Source: The American Journal of Hospice and Palliative Care - March 31, 2022 Category: Palliative Care Authors: Lisa C Lindley Meaghann S Weaver Source Type: research

Implementation of a Preventive Services Bundle in Academic Pediatric Primary Care Centers
CONCLUSIONS: Innovative redesign led to improvement in percentage of patients age 0 to 14 months who received the entire preventive services bundle. Key elements for success were multidisciplinary site-specific teams, redesigned visit flow, effective communication, and resources for data and project management.
Source: PEDIATRICS - March 1, 2016 Category: Pediatrics Authors: Samaan, Z. M., Brown, C. M., Morehous, J., Perkins, A. A., Kahn, R. S., Mansour, M. E. Tags: Administration/Practice Management, Quality Improvement, Preventive Medicine Quality Report Source Type: research

Race, Ethnicity, Health Insurance, and Mortality in Older Survivors of Critical Illness
Conclusions: Mortality after critical illness among older adults varies by insurance coverage but not by race or ethnicity. Those with federal or state insurance coverage only had higher mortality rates than those with additional commercial insurance.
Source: Critical Care Medicine - May 17, 2017 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research

Moving toward Equitable Care for Sleep Apnea in the United States: Positive Airway Pressure Adherence Thresholds: An Official American Thoracic Society Policy Statement
Conclusions: Modifications to the current policies for PAP insurance coverage could improve health disparities.PMID:36722719 | DOI:10.1164/rccm.202210-1846ST
Source: American Journal of Respiratory and Critical Care Medicine - February 1, 2023 Category: Respiratory Medicine Authors: Anna M May Sanjay R Patel Motoo Yamauchi Tilak K Verma Terri E Weaver Ching Li Chai-Coetzer J Daryl Thornton Gary Ewart Terrance Showers Najib T Ayas Sairam Parthasarathy Reena Mehra Martha E Billings Source Type: research

Implementation of the Affordable Care Act: A Comparison of Outcomes in Patients With Severe Sepsis and Septic Shock Using the National Inpatient Sample*
Objectives: Sepsis is the most common and costly diagnosis in U.S.’ hospitals. Despite quality improvement programs and heightened awareness, sepsis accounts for greater than 50% of all hospital deaths. A key modifier of outcomes is access to healthcare. The Affordable Care Act, passed in 2010, expanded access to health insurance coverage. The purpose of this study was to evaluate changes in insurance coverage and outcomes in patients with severe sepsis and septic shock as a result of the full implementation of the Affordable Care Act. Design: This retrospective study uses data from the Healthcare Cost and Utilizati...
Source: Critical Care Medicine - May 22, 2020 Category: Emergency Medicine Tags: Feature Articles Source Type: research

Chronic Obstructive Pulmonary Disease Readmissions and Other Measures of Hospital Quality.
CONCLUSIONS: These findings suggest there may be common organizational factors that influence multiple disease-specific outcomes. As pay-for-performance programs focus attention on individual disease outcomes, hospitals may benefit from in-depth assessments of organizational factors affecting multiple aspects of hospital quality. PMID: 28145726 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - January 31, 2017 Category: Respiratory Medicine Authors: Rinne ST, Castaneda J, Lindenauer PK, Cleary PD, Paz HL, Gomez JL Tags: Am J Respir Crit Care Med Source Type: research

Using Ventilator-Associated Pneumonia Rates as a Health Care Quality Indicator: A Contentious Concept
Semin Respir Crit Care Med 2017; 38: 237-244 DOI: 10.1055/s-0037-1602580Pneumonia is a leading cause of hospital-acquired infections, although reported rates of ventilator-associated pneumonia (VAP) have been declining in recent years. A multifaceted infection prevention approach, using a “ventilator bundle,” has been shown to reduce the frequency of VAP, while improving other patient outcomes. Because of difficulties in defining VAP, the Center for Medicare and Medicaid Service introduced a new streamlined ventilator-associated event (VAE) definition in 2013 for the surveillance of complications in mechanically ventil...
Source: Seminars in Respiratory and Critical Care Medicine - June 4, 2017 Category: Respiratory Medicine Authors: Nair, Girish B. Niederman, Michael S. Tags: Review Article Source Type: research

Penalizing hospitals for chronic obstructive pulmonary disease readmissions.
Abstract In October 2014, the United States Centers for Medicare & Medicaid Services (CMS) will expand its Hospital Readmission Reduction Program (HRRP) to include Chronic Obstructive Pulmonary Disease (COPD). Under the new policy, hospitals with high risk-adjusted, 30-day all-cause unplanned readmission rates after an index hospitalization for a COPD exacerbation will be penalized with reduced reimbursement for the treatment of Medicare beneficiaries. In this perspective, we review the history of the HRRP, including the recent addition of COPD to the policy. We critically assess the use of 30-day all-cause CO...
Source: American Journal of Respiratory and Critical Care Medicine - January 24, 2014 Category: Respiratory Medicine Authors: Feemster LC, Au DH Tags: Am J Respir Crit Care Med Source Type: research

The association of intensivists with failure-to-rescue rates in outlier hospitals: Results of a national survey of intensive care unit organizational characteristics
Abstract: Purpose: Critical care is often an integral part of rescue for patients with surgical complications. We sought to understand critical care characteristics predictive of failure-to-rescue (FTR) performance at the hospital level.Methods: Using 2009 to 2011 FTR data from Hospital Compare, we identified 144 outlier hospitals with significantly better/worse performance than the national average. We surveyed intensive care unit (ICU) directors and nurse managers regarding physical structures, patient composition, staffing, care protocols, and rapid response teams (RRTs). Hospitals were compared using descriptive statis...
Source: Journal of Critical Care - June 23, 2014 Category: Intensive Care Authors: Elliot Wakeam, Denise Asafu-Adjei, Stanley W. Ashley, Zara Cooper, Joel S. Weissman Tags: Outcomes Source Type: research

Joblessness and Lost Earnings After ARDS in a 1-Year National Multicenter Study.
CONCLUSIONS: At 12 months after ARDS, nearly one-half of previously-employed survivors were jobless. Post-ARDS joblessness is associated with readily identifiable patient and hospital variables, and accompanied by substantial lost earnings and a shift toward government-funded healthcare coverage. PMID: 28448162 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - April 27, 2017 Category: Respiratory Medicine Authors: Kamdar BB, Huang M, Dinglas VD, Colantuoni E, von Wachter TM, Hopkins RO, Needham DM, National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network Tags: Am J Respir Crit Care Med Source Type: research

Long-term Coarse PM Exposure is Associated with Asthma Among Children in Medicaid.
CONCLUSIONS: Among children enrolled in Medicaid, exposure to higher average coarse PM levels is associated with increased asthma prevalence and morbidity. These results suggest the need for direct monitoring of coarse PM and reconsideration of limits on long-term average coarse PM pollution levels. PMID: 29243937 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - December 15, 2017 Category: Respiratory Medicine Authors: Keet CA, Keller JP, Peng RD Tags: Am J Respir Crit Care Med Source Type: research

Urgent Care Utilization in a Pediatric Population with Private Health Insurance
Pediatric urgent care (UC) utilization patterns have been studied in Medicaid enrollees, but not in those with private insurance.
Source: Journal of Pediatric Health Care - February 19, 2020 Category: Pediatrics Authors: Shawna S. Mudd, Sylvia M. Alvarado, Sarah Otaru, Therese Canares Tags: Article Source Type: research

Losing Ground: Current Medicaid Policy Threatens Children's Access to Health Care
From 2008 through 2016, the number of uninsured children in the United States decreased from 7.6 million to 3.6 million (Alker& Roygardner, 2019). However, since 2017 that trend has reversed. Over 4 million children are now uninsured —the highest rate of uninsured children since the implementation of the Affordable Care Act (ACA)—and over one-quarter of these children are aged under 6 years (Burak, Clark,& Roygardner, 2019). According to the periodicity schedule for preventive pediatric health care, children should have 30 well-child visits from birth through 21 years of age, with 15 of these visits occurring from the ...
Source: Journal of Pediatric Health Care - April 29, 2020 Category: Pediatrics Authors: Eileen K. Fry-Bowers Tags: Health Policy Source Type: research