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Lack of insurance as a barrier to care in sepsis: A retrospective cohort study
ConclusionsThe association between lack of insurance and organ dysfunction on admission in community-onset sepsis suggests that lack of insurance may impede timely care for patients with community-onset infections.
Source: Journal of Critical Care - July 10, 2018 Category: Gastroenterology Source Type: research

Utilization of a Clinical Decision Support Tool to Reduce Child Tobacco Smoke Exposure in the Urgent Care Setting
Conclusions An electronic health record–embedded CDSS was feasible to incorporate into busy UC nurses' workloads and was associated with encouraging changes in the smoking behavior of caregivers. More research on the use of CDSS to screen and counsel caregivers who smoke in the UC and other acute care settings is warranted.
Source: Pediatric Emergency Care - October 31, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Sovaldi - a "Revolution" in Clinical Care, or in Marketing and Public Relations?
DiscussionWashington Post/ Kaiser Health NewsOn May 12, 2014, in an article on the dilemma the drug's US price of $1000/ pill presents to Medicare, Richard Knox wrote this about a patient with the infection:Previous drug treatments didn't clear the virus from Bianco's system. But it's almost certain that potent new drugs for hep-C could cure him. In other words, the article asserted that Sovaldi and similar drugs cure nearly everyone with hepatitis C, even those not cured by previous treatment.  ReutersOn May 20, 2014, in an article about how US health insurers are balking at the price of Sovaldi, was this statement b...
Source: Health Care Renewal - May 28, 2014 Category: Health Management Tags: evidence-based medicine Gilead health care prices manipulating clinical research Sovaldi You heard it here first Source Type: blogs

Research and Reviews in the Fastlane 186
This article is robust, but boils down some salient points about how we can evaluate and manage these occluded CVCs in the ED. Recommended by: Sean M. Fox Read more: Occluded Vascular Catheter (Pediatric EM Morsels) The R&R iconoclastic sneak peek icon key The list of contributors The R&R ARCHIVE R&R Hall of famer You simply MUST READ this! R&R Hot stuff! Everyone’s going to be talking about this R&R Landmark paper A paper that made a difference R&R Game Changer? Might change your clinical practice R&R Eureka! Revolutionary idea or concept R&R Mona Lisa Bril...
Source: Life in the Fast Lane - June 14, 2017 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Emergency Medicine Intensive Care Pediatrics Pre-hospital / Retrieval R&R in the FASTLANE critical care EBM Education literature recommendations research and reviews Source Type: blogs

The Operating System For Value-Based care
Conclusions In order to support the sea change occurring in medicine – moving from fee-for-service to value-based care – the technology platform must also be re-invented. Institution-centered technology, which is the soil where current EHRs have grown, will no longer work. No matter how much effort is put into connecting data silos with record locater services and lowered technology barriers between them – dubbed “interoperability” in current lingo – the solution will not be sufficient. A universal data platform is needed, where patients and care teams can see their information and use it in meaningful ways. Th...
Source: The Health Care Blog - July 20, 2015 Category: Consumer Health News Authors: suchandan roy Tags: THCB The Business of Health Care Robert Rowley value-based care Source Type: blogs

National survey of health services provided by pediatric post-acute care facilities in the US
CONCLUSION: PAC in the U.S. is provided to an increasingly medically-complex population of children. There is a critical need to investigate financially-viable solutions for PAC facilities to meet the patient demands for their services and to sufficiently reimburse and retain staff for the challenging and important care that they provide.PMID:35754294 | DOI:10.3233/PRM-201519
Source: Journal of Pediatric Rehabilitation Medicine - June 27, 2022 Category: Rehabilitation Authors: Jay G Berry Elizabeth Casto Helene Dumas Jane O'Brien David Steinhorn Michelle Marks Christine Traul Karen Wilson Edwin Simpser Source Type: research