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Checking In: Are Your State Legislators Concentrating on Drug-Price Transparency?
Price transparency is such a hot topic today that it is oftentimes hard to keep up with the different state legislatures that are reviewing different ideas on price transparency and price gouging when it comes to the pharmaceutical industry. Below are some of the states and the bills that are pending before the legislatures. Colorado The state of Colorado has two bills pending – one in the House and one in the Senate – that each focus on different aspects of pricing. HB18-1009, the Diabetes Drug Pricing Transparency Act of 2018, has been introduced in the House and assigned to the Health, Insurance, and Environment s...
Source: Policy and Medicine - February 28, 2018 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Better Late than Never - JAMA Article Advocates Banning Academic Medical Leaders from Serving on Many Health Care Corporate Boards
Conclusion So it is very nice to see that the issue of what we once called a new species of conflict of interest finally has made the big time.  Whether it now gets any traction remains to be seen.  Unfortunately, since conflicts of interest can be so profitable for the directly affected parties, I fully expect they will continue to oppose any restrictions.  The money they have made will likely be used to deploy marketing and public relations personnel and legal counsel to counter any attempts to try to make this aspect of health care more honest.As we have said again and again, the web of conflicts of inter...
Source: Health Care Renewal - March 20, 2014 Category: Health Medicine and Bioethics Commentators Tags: academic medical centers boards of directors boards of trustees conflicts of interest leadership medical schools You heard it here first Source Type: blogs

Helicopters Play Key Role in Success at German Train Accident
The robust and highly touted aeromedical system that supports EMS operations throughout Germany and Austria was in full swing at the head-on train crash that killed 10 people and injured dozens in southern Germany in Bad Aibling, some 60 kilometers (40 miles) southeast of Munich, with at least eight helicopters being on scene and continually being loaded to transport critical and seriously injured patients. I have previously visited Germany and witnessed the capabilities of the German system. The coordination between the Notarzt (German doctor system) and ÖAMTC systems is phenomenal and an important asset thro...
Source: JEMS Operations - February 11, 2016 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: Ambulances & Vehicle Ops Source Type: news

Why Consumers Are the New Patients
RAY DESROCHER Meet Edith Stowe. An 83-year-old resident of the District of Columbia, Ms. Stowe has made a routine out of her two to three monthly trips to MedStar Health, a Maryland-based nonprofit health system. After all, her life literally depends on it. Ms. Stowe has chronic kidney failure, so her 5-mile trips to the hospital aren’t a luxury. She absolutely needs them. Stowe doesn’t own a car, and taking the bus to get life-critical care isn’t always reliable–or even desirable for an aged patient with a chronic disease. That’s how Uber enters the frame. Beginning earlier this year, MedStar has integrated...
Source: The Health Care Blog - January 12, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Anti-MOC Laws Picking Up Steam Across the United States
Conclusion The anti-MOC rhetoric is real, and heated. A quick google search shows at least two websites dedicated to the anti-MOC movement. Change Board Recertification, seems to collect articles about MOC and re-publish them all in one convenient website. The DOCS4Patient Care Foundation shows that – presumably in an attempt to gain more followers – proponents of anti-MOC legislation like to frame the issue as “right to care” laws, an interesting tactic. Proponents of the anti-MOC laws believe that MOC restricts patient access by forcing older physicians into early retirement. It is our belief, however, that wit...
Source: Policy and Medicine - June 28, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Survival analysis of extracorporeal membrane oxygenation in neonatal and pediatric patients - A nationwide cohort study.
CONCLUSION: In contrast to the widespread use of ECMO in respiratory distress syndrome in western countries, pediatric ECMO in Taiwan was more often applied to patients with underlying cardiovascular diseases. Mortality rates varied according to age groups and various etiologies. The results of this large pediatric cohort provides a different prospective in critical care outcomes in medical environments where ECMO is more widely available. PMID: 30612882 [PubMed - as supplied by publisher]
Source: J Formos Med Assoc - January 4, 2019 Category: General Medicine Authors: Hsu J, Chang CH, Chiang LT, Caffrey JL, Lin JW, Chen YS Tags: J Formos Med Assoc Source Type: research

Impact of Intensivist and Nursing Staff on Critically Ill Patient Mortality: A Retrospective Analysis of the Korean NHIS Cohort Data, 2011-2015.
CONCLUSION: The number of nursing staff and the presence of an intensivist in ICU were associated with the ICU mortality rate. Also, increasing the number of nursing staff and the presence of intensivist might reduce the mortality rate among ICU patients. PMID: 33381934 [PubMed - indexed for MEDLINE]
Source: Yonsei Medical Journal - January 1, 2021 Category: Universities & Medical Training Authors: Lee SH, Hong JH, Kim YS, Park EC, Lee SM, Han CH Tags: Yonsei Med J Source Type: research

What I wish I knew before becoming a hospitalist
This article is sponsored by the SHM Physicians in Training Committee, which submits quarterly content to The Hospitalist on topics relevant to trainees and early-career hospitalists. The post What I wish I knew before becoming a hospitalist appeared first on The Hospitalist.
Source: The Hospitalist - January 7, 2022 Category: Hospital Management Authors: Lisa Casinger Tags: Hospital Medicine Source Type: research

Do Your Patients Expect Something for Nothing?
I would say yes. However, I would submit that the reason our patient’s expect something for nothing is our fault, not theirs. The truth is, we’ve given away so much over the years. And now that we want to charge for things (that have always cost us) like forms, after hour phone calls, and others, and people think we are wanting to collect for something that they were lead to believe has no value. Not to mention they often think we are nickle-and-diming people. But some practices have been very careful about not falling into this trap of giving away their time and their resources. Take Village Pediatrics for exa...
Source: Pediatric Inc - July 24, 2013 Category: Pediatricians Authors: Brandon Tags: Leadership Lessons Note to Self The Business of Medicine Health Insurance Parent Patient Pediatric Source Type: blogs

Access, Excess, And Medical Transformation: Delivering Durable Health Care In Rural Nepal
Conclusion: On Impact And Scale We believe that Durable Healthcare can transform the health care industry away from the dominant fee-for-service paradigm and towards a model that incentivizes patient safety, patient-centeredness, and evidence-based medicine. Only then we will have a competitive marketplace of private sector providers who leverage public funds for the broader public good.
Source: Health Affairs Blog - May 21, 2015 Category: Health Management Authors: Duncan Maru and Padam Chand Tags: Global Health Innovations in Care Delivery Organization and Delivery Population Health Public Health ACOs Durable Healthcare Organization EMR health technology Nepal health care Possible triple aim Source Type: blogs

HHS Must Remove Barriers To Coverage For Pregnant Women
The Affordable Care Act (ACA) has made strides towards improving access to health care by giving most women access to affordable coverage and requiring private health insurance plans to include maternity coverage and preventive services as part of essential benefit requirements. Unfortunately, the Department of Health and Human Services has left in place a key barrier to coverage by failing to establish a Special Enrollment Period (SEP) for women who become pregnant. The Importance Of Maternity Care High quality maternity care is essential for promoting maternal health and positive birth outcomes. For example, studies show...
Source: Health Affairs Blog - February 19, 2016 Category: Health Management Authors: Nicole Garro, Brittany Hernandez and Cynthia Pellegrini Tags: Costs and Spending Featured Following the ACA Insurance and Coverage Medicaid and CHIP Public Health Quality Healthy MOM Act March of Dimes Maternal Health prenatal care special enrollment period Women's Health Source Type: blogs

Preserving The Bipartisan Commitment To Health Care Delivery System Reform
Editor’s Note: This is the first in a five-part Health Affairs Blog series, produced in conjunction with the Bipartisan Policy Center, examining current issues and care models in the delivery system reform effort. Each post will be jointly authored by Democratic and Republican leaders in health policy. Check back for the next entry in the series on May 25. Improving and reforming our health care delivery system is not a partisan issue. The need to improve health care delivery models, as a means for ensuring better patient outcomes and a more efficient health care system, enjoys broader consensus than elements surrounding...
Source: Health Affairs Blog - May 18, 2017 Category: Health Management Authors: Alice M. Rivlin and Sheila Burke Tags: Featured Health Professionals Hospitals Medicare Organization and Delivery Payment Policy bipartisan delivery system reform Bipartisan Policy Center delivery reform value based care Source Type: blogs

Mandated Queries of the Florida Prescription Drug Monitoring Program: Early Experiences from a Cancer Center-based Outpatient Palliative Medicine Clinic
This article describes our e xperiences in the first month of experience with the new law, although we plan to examine queries for a total of three months before closing this QI project.For the purpose of this QI project, we have documented patients ’ demographics, including each patient’s age, gender and limited identifying information, such as patient names and identification numbers; this data will be de-identified for any statistical analysis planned in the future. We also recorded patients’ main diagnosis and pain symptoms, the numbe r of prescribers listed by the PDMP as well as the dose of the patient’s opio...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 14, 2018 Category: Palliative Care Tags: kollas opioids pdmp quality improvement The profession Source Type: blogs