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The Opportunity in Disruption, Part 1
By JOE FLOWER The system is unstable. We are already seeing the precursor waves of massive and multiple disturbances to come. Disruption at key leverage points, new entrants, shifting public awareness and serious political competition cast omens and signs of a highly changed future. So what’s the frequency? What are the smart bets for a strategic chief financial officer at a payer or provider facing such a bumpy ride? They are radically different from today’s dominant consensus strategies. In this five-part series, Joe Flower lays out the argument, the nature of the instability, and the best-bet strategie...
Source: The Health Care Blog - September 12, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Health care Disruption Health care system Joe Flower Source Type: blogs

Doctoring in 2020: Why is the Patient Here? Whose Visit is it Anyway?
By HANS DUVEFELT, MD A new decade and a new EMR are making me think about what the best use of my time and medical knowledge really is. The thing that stands out more and more for me is the tension between what my patients are asking me for and what the medical bureaucracy is mandating me to do. This is, to be blunt, an untenable, crazy-making situation to be in. Many of my patients with chronic diseases don’t, deep down, want better blood sugars, BMIs or blood pressures – nor do they want better diets or exercise habits. People often hope they can feel better without fundamentally changing their comfortable, fam...
Source: The Health Care Blog - January 9, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Patients Physicians Primary Care Hans Duvefelt Source Type: blogs

Veterans Affairs OIG Issues Caution on Goals of Care Compliance
The Veterans Affairs Office of Inspector General just released an inspection report of the Oscar G. Johnson VA Medical Center in Iron Mountain, Michigan. Care coordination concerning life-sustaining treatment decisions was one of the four focus areas. VHA requires practitioners to initiate goals of care conversations with high-risk patients—including hospice patients or their surrogates—within a time frame that meets the medical needs of the patient or at the time of a triggering event. The GOC conversations are discussion between a healthcare provider and a patient or surrogate to help define the patient&...
Source: blog.bioethics.net - July 12, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Payment incentives and the use of higher-cost drugs: a retrospective cohort analysis of intravenous iron in the Medicare population.
CONCLUSIONS: There was an increase in the dispensing of a higher-priced IV iron formulation associated with a shortage of a less expensive drug that persisted once the shortage ended. These findings in IV iron have broader implications for Part B drug payment policy because the price of the drug determines the physician and health system payment. PMID: 33315326 [PubMed - in process]
Source: The American Journal of Managed Care - December 1, 2020 Category: Health Management Authors: Hambley BC, Anderson KE, Shanbhag SP, Sen AP, Anderson G Tags: Am J Manag Care Source Type: research

Terrible twos: intravenous iron ameliorates a toddler ’s iron deficiency and sleep disturbance
Journal of Clinical Sleep Medicine, Ahead of Print.
Source: Journal of Clinical Sleep Medicine : JCSM - October 5, 2021 Category: Sleep Medicine Authors: Baha Al-Shawwa Mukta Sharma David G Ingram 1Division of Pulmonary and Sleep Medicine, Children ’s Mercy-Kansas City, Kansas City, MO 2University of Missouri-Kansas City School of Medicine, Kansas City, MO 3Division of Hematology, Children’s Mercy-Kans Source Type: research

Terrible twos: intravenous iron ameliorates a toddler ’s iron deficiency and sleep disturbance
Journal of Clinical Sleep Medicine, Ahead of Print.
Source: Journal of Clinical Sleep Medicine : JCSM - October 5, 2021 Category: Sleep Medicine Authors: Baha Al-Shawwa Mukta Sharma David G Ingram 1Division of Pulmonary and Sleep Medicine, Children ’s Mercy-Kansas City, Kansas City, MO 2University of Missouri-Kansas City School of Medicine, Kansas City, MO 3Division of Hematology, Children’s Mercy-Kansas C Source Type: research

Your hair care questions answered – episode 180
Welcome to the Beauty Brains show. On today’s episode we’re going to be answering your hair care beauty questions! Hair products that claim to restore natural color in gray hairOuidad curl conditionerProducts that claim to thicken hairHow do you avoid hair damage?How do you know what ingredients actually do something?What are the best natural ingredients for hair products? Beauty Questions Bexaida asks – I have found this product that is restoring my hair color back to the shade I had in my youth, i used it for a few days and the silver and white turned darker and darker brown and my red underton...
Source: thebeautybrains.com - April 23, 2019 Category: Consumer Health News Authors: Perry Romanowski Tags: Hair Care Podcast hair color Source Type: blogs

Discontinuation of performance-based financing in primary health care: impact on family planning and maternal and child health
AbstractPerformance-based financing (PBF) is advocated as an effective means to improve the quality of care by changing healthcare providers ’ behavior. However, there is limited evidence on its effectiveness in low- and middle-income countries and on its implementation in primary care settings. Evidence on the effect ofdiscontinuing PBF is even more limited than that of introducing PBF schemes. We estimate the effects of discontinuing PBF in Egypt on family planning, maternal health, and child health outcomes. We use a difference-in-differences (DiD) model with fixed effects, exploiting a unique dataset of six waves ofs...
Source: International Journal of Health Care Finance and Economics - May 18, 2022 Category: Health Management Source Type: research

Your hair care questions answered – episode 180
Welcome to the Beauty Brains show. On today’s episode we’re going to be answering your hair care beauty questions! Hair products that claim to restore natural color in gray hairOuidad curl conditionerProducts that claim to thicken hairHow do you avoid hair damage?How do you know what ingredients actually do something?What are the best natural ingredients for hair products? Beauty Questions Bexaida asks – I have found this product that is restoring my hair color back to the shade I had in my youth, i used it for a few days and the silver and white turned darker and darker brown and my red underton...
Source: thebeautybrains.com - April 23, 2019 Category: Consumer Health News Authors: Perry Romanowski Tags: Hair Care Podcast hair color Source Type: blogs

Concordance with urgent referral guidelines in patients presenting with any of six 'alarm features of possible cancer: a retrospective cohort study using linked primary care records
Conclusions Guideline recommendations for action are not followed for the majority of patients presenting with common possible cancer features. A significant number of these patients developed cancer within 1 year of their consultation, indicating scope for improvement in the diagnostic process.
Source: Quality and Safety in Health Care - July 19, 2022 Category: Health Management Authors: Wiering, B., Lyratzopoulos, G., Hamilton, W., Campbell, J., Abel, G. Tags: Open access, Press releases Original research Source Type: research

Hepcidin predicts response to IV iron therapy in patients admitted to the intensive care unit: a nested cohort study
ConclusionsIn critically ill patients with anaemia admitted to an ICU, baseline hepcidin concentration predicts RBC transfusion requirement and is able to identify a group of patients in whom IV iron compared with placebo is associated with a significant decrease in RBC transfusion requirement.Trial registrationAustralian New Zealand Clinical Trials Registry:ANZCTRN12612001249 Registered 26/11/2012
Source: Journal of Intensive Care - September 10, 2018 Category: Intensive Care Source Type: research

Correction to: ABM Clinical Protocol #29: Iron, Zinc, and Vitamin D Supplementation During Breastfeeding, by Sarah N. Taylor and The Academy of Breastfeeding Medicine.; Breastfeed Med 2018;13(6):398 –404. ; DOI: 10.1089/bfm.2018.29025.snt
Breastfeeding Medicine, Ahead of Print.
Source: Breastfeeding Medicine - October 23, 2018 Category: Perinatology & Neonatology Source Type: research

Birmingham Iron tap Brookwood Baptist as health care provider
Birmingham's newest professional football team has chosen its official health care partner.
Source: bizjournals.com Health Care:Pharmaceuticals headlines - December 17, 2018 Category: Pharmaceuticals Authors: Tyler Patchen Source Type: news