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Association of Insurance Status With Treatment and Outcomes in Pediatric Patients With Severe Traumatic Brain Injury
Objective: To determine whether a health insurance disparity exists among pediatric patients with severe traumatic brain injury using the National Trauma Data Bank. Design: Retrospective cohort study. Setting: National Trauma Data Bank, a dataset containing more than 800 trauma centers in the United States. Patients: Pediatric patients (
Source: Critical Care Medicine - June 20, 2020 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research

Characteristics of Short Stay Critical Care Admissions from Emergency Departments in Maryland
ConclusionsOver one‐third of critical care admissions were short stay. Alternate strategies to manage these patients, including ED‐based critical care units or other venues of inpatient care may be more cost‐efficient for selected patients.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - February 28, 2017 Category: Emergency Medicine Authors: Obiora O. Chidi, Sarah M. Perman, Adit A. Ginde Tags: Original Contribution Source Type: research

Characteristics of Short ‐stay Critical Care Admissions From Emergency Departments in Maryland
ConclusionsOver one‐third of critical care admissions were short stay. Alternate strategies to manage these patients, including ED‐based critical care units or other venues of inpatient care, may be more cost‐efficient for selected patients.
Source: Academic Emergency Medicine - May 8, 2017 Category: Emergency Medicine Authors: Obiora O. Chidi, Sarah M. Perman, Adit A. Ginde Tags: Original Contribution Source Type: research

High-Frequency Utilization of the PICU*
CONCLUSIONS: Children identified as having HFPICU account for 6.2% of children surviving an index ICU admission. They are a high-risk patient population with increased medical resource utilization during index and subsequent ICU admissions. Patients readmitted within 82 days of discharge should be considered at higher risk of HFPICU status. Further research, including validation and exploration of interventions that may be of use in this patient population, are necessary.
Source: Pediatric Critical Care Medicine - May 1, 2022 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

A 10-year population-based nationwide descriptive analysis of pediatric emergency care
Conclusions: In Taiwan, 25% of individuals seeking emergency care are children, mostly aged 0-5 years old. Costs and disease patterns vary among different age groups. Preventive measures targeting all children should focus on respiratory and gastrointestinal diseases, but should target different diseases for different age groups to improve child health.
Source: BMC Pediatrics - Latest articles - April 10, 2014 Category: Pediatrics Authors: Mei-Jy JengYu-Sheng LeePei-Chen TsaoChia-Feng YangYu-Cheng LuoWen-Jue Soong Source Type: research

More Barbarians at the Gates: Private Equity Puts Primary Care in Play
There are still some idealistic physicians who enter primary care practice as a calling.The usual informal definition of primary care is care which is continuous, coordinated, comprehensive and compassionate.  The official definition used by the American Academy of Family Physicians (AAFP) is:Primary care is that care provided by physicians specifically trained for and skilled in comprehensive first contact and continuing care for persons with any undiagnosed sign, symptom, or health concern (the 'undifferentiated' patient) not limited by problem origin (biological, behavioral, or social), organ system, or diagnosis.P...
Source: Health Care Renewal - April 26, 2015 Category: Health Management Tags: corporate physician primary care private equity You heard it here first Source Type: blogs

Patient-level Factors and the Quality of Care Delivered in Pediatric Emergency Departments.
CONCLUSION: We found that quality of ED care delivered to children among a cohort of 12 EDs participating in the PECARN network was high and did not differ by patient age, sex, race/ethnicity, and payment source, but did vary by the presenting chief complaint. This article is protected by copyright. All rights reserved. PMID: 29150972 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - November 18, 2017 Category: Emergency Medicine Authors: Marcin JP, Romano PS, Dayal P, Dharmar M, Chamberlain JM, Dudley N, Macias CG, Nigrovic LE, Powell EC, Rogers AJ, Sonnett M, Tzimenatos L, Alpern ER, Andrews-Dickert R, Borgialli DA, Sidney E, Casper TC, Dean JM, Kuppermann N, Pediatric Emergency Care App Tags: Acad Emerg Med 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

The Impact of the Evolving Health Care System on Pediatric Emergency Care
This article discusses the implications of health care reform on the pediatric emergency department (ED). The author briefly discusses the health care costs and outcomes in the United States in comparison to other developed nations. The article discusses the impact of the Affordable Care Act and insurance expansion on the pediatric ED. Then the article addresses the impacts of the growing patient financial responsibility on ED use. There will be a discussion of the development of pediatric accountable care organizations and how payment mechanisms are evolving, and the challenges the pediatric ED may face in these new payment strategies.
Source: Pediatric Clinics of North America - November 14, 2018 Category: Pediatrics Authors: Lalit Bajaj Source Type: research

Biden Signs Orders to Expand Health Care Access
Reopened Affordable Care Act health insurance enrollment period will run from Feb. 15 to May 15
Source: Pulmonary Medicine News - Doctors Lounge - January 29, 2021 Category: Respiratory Medicine Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Nursing, Oncology, Ophthalmology, Orthopedics, ENT, Source Type: news

Organizational characteristics associated with high performance on quality measures in pediatric primary care: A positive deviance study
Conclusions Both modifiable organizational practices and factors external to a practice may affect quality of care. Addressing differences in practice performance may not be reducible to implementation of changes in single organizational characteristics. Practice Implications Pediatric practices seeking to improve quality of care may wish to adopt the strategies that were associated with higher performance on quality measures, but additional studies are needed to better understand the mechanisms behind these associations and how they relate to each other.
Source: Health Care Management Review - June 3, 2021 Category: American Health Tags: Features Source Type: research

An outpatient critical care transition clinic model reduces admissions/readmissions in medically complex patients
CONCLUSIONS: In patients with complex chronic medical conditions with recent hospital admissions, the HTC model appears to reduce both admissions and encounter costs. Further community/regional studies are needed to better define this observation on a longitudinal basis.PMID:34533912 | DOI:10.37765/ajmc.2021.88742
Source: The American Journal of Managed Care - September 17, 2021 Category: Health Management Authors: Isaac A Janson Todd L Foster Mason R Goodman Source Type: research