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Total 32351 results found since Jan 2013.

Critical Care Medicine Beds, Use, Occupancy, and Costs in the United States: A Methodological Review*
This article is a methodological review to help the intensivist gain insights into the classic and sometimes arcane maze of national databases and methodologies used to determine and analyze the ICU bed supply, use, occupancy, and costs in the United States. Data for total ICU beds, use, and occupancy can be derived from two large national healthcare databases: the Healthcare Cost Report Information System maintained by the federal Centers for Medicare and Medicaid Services and the proprietary Hospital Statistics of the American Hospital Association. Two costing methodologies can be used to calculate U.S. ICU costs: the Ru...
Source: Critical Care Medicine - October 16, 2015 Category: Emergency Medicine Tags: Review Articles Source Type: research

Trends in Critical Care Beds and Use Among Population Groups and Medicare and Medicaid Beneficiaries in the United States: 2000–2010
Conclusions: Critical care medicine beds, use, and costs in the United States continue to rise. The increasing use of critical care medicine by the premature/neonatal and Medicaid populations should be considered by healthcare policy makers, state agencies, and hospitals as they wrestle with critical care bed growth and the associated costs.
Source: Critical Care Medicine - July 19, 2016 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Personal and Professional Characteristics of U.S. Dual-Boarded Critical Care Cardiologists in 2015
Conclusions: Dual-boarded cardiologists appear to deliver a small proportion of all Cardiac ICU services received by Medicare beneficiaries. Optimizing the modern Cardiac ICU workforce will require greater efforts to promote and support the training of dual-boarded cardiologists.
Source: Critical Care Medicine - November 18, 2017 Category: Emergency Medicine Tags: Online Brief Reports Source Type: research

Critical Care Implications of the Affordable Care Act
Conclusions: The Affordable Care Act represents the furthest reaching regulatory changes in the U.S. healthcare system since the 1965 Medicare and Medicaid provisions of the Social Security Act. The Affordable Care Act aims to expand health insurance coverage to millions of Americans and place an emphasis on quality and cost-effectiveness of care. From models which link pay and performance to those which center on episodic care, the Affordable Care Act outlines sweeping changes to health systems, reimbursement structures, and the delivery of critical care. Staffing models that include daily rounding by an intensivist, pall...
Source: Critical Care Medicine - February 24, 2016 Category: Emergency Medicine Tags: Online Special Communication Source Type: research

Critical Care Telemedicine: Evolution and State of the Art*
Conclusions: The inclusion of an ICU telemedicine program as a major part of their critical care delivery paradigm has been implemented for 11% of critically ill U.S. adults as a solution for the problem of access to adult critical care services. Implementation of an ICU telemedicine program is one practical way to increase access and reduce mortality as well as length of stay. ICU telemedicine research including comparative effectiveness studies is urgently needed.
Source: Critical Care Medicine - October 16, 2014 Category: Emergency Medicine Tags: Review Article Source Type: research

Critical Care Bed Growth in the United States: a Comparison of Regional and National Trends.
Conclusions: National trends in ICU bed growth are not uniformly reflected at the regional level, with the majority of growth occurring in a small number of highly populated regions. PMID: 25522054 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - December 18, 2014 Category: Respiratory Medicine Authors: Wallace DJ, Angus DC, Seymour CW, Barnato AE, Kahn JM Tags: Am J Respir Crit Care Med Source Type: research

Changes in physician reimbursement by medicare for critical care services from 1998 to 2008.
PMID: 24032389 [PubMed - in process]
Source: American Journal of Respiratory and Critical Care Medicine - September 15, 2013 Category: Respiratory Medicine Authors: Evans AS, Brady JE, Sladen RN, Wunsch H Tags: Am J Respir Crit Care Med Source Type: research

Rising Billing for Intermediate Intensive Care Among Hospitalized Medicare Beneficiaries Between 1996 and 2010.
CONCLUSIONS: Intermediate care billing increased markedly between 1996 and 2010. These findings highlight the need to better define the value, specific practices, and effective use of intermediate care for patients and hospitals. PMID: 26372779 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - September 15, 2015 Category: Respiratory Medicine Authors: Sjoding MW, Valley TS, Prescott HC, Wunsch H, Iwashyna TJ, Cooke CR Tags: Am J Respir Crit Care Med Source Type: research

Palliative Care Utilization in Nontraumatic Intracerebral Hemorrhage in the United States*
Objectives: Palliative care is now recognized as an essential component of comprehensive care in serious illness that interferes with quality of life. We explored utilization of palliative care in spontaneous intracerebral hemorrhage at a population level using a large national database. Design: Population based cross-sectional study. Setting: Inpatient hospital admissions from the Nationwide Inpatient Sample. Patients: A total of 311,217 patients with intracerebral hemorrhage. Interventions: Palliative care use. Measurements and Main Results: Intracerebral hemorrhage patients with and without palliative care were ide...
Source: Critical Care Medicine - February 24, 2016 Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research

Electronic siloing: An unintended consequence of the electronic health record - Cleveland Clinic Journal of Medicine
EHR systems have largely been designed by those of a manufacturing, mercantile, and management computing background, largely due to abdication of responsibility and acquiescence by medical professionals, and political impotence of organized medicine and medical informatics organizations.The results were predictable - a toxic effect on healthcare.  One such toxic effect is an impairment of essential communications between caregiving personnel - exactly the opposite effect the hundreds of billions of dollars spent on today's health IT was intended to improve.From the Cleveland Clinic Journal of Medicine:Electronic siloi...
Source: Health Care Renewal - July 24, 2013 Category: Health Medicine and Bioethics Commentators Tags: electronic siloing healthcare IT difficulties Cleveland Clinic Journal of Medicine James Stoller MD MS Source Type: blogs

Critical care medicine and community involvement in addressing health disparities
With the passage of the Affordable Care Act (ACA), health institutions are trying to accommodate the best cost-effective approach to meet the health demands of American citizens in the 21st century. One component of the ACA requires hospitals to implement health needs assessments to its surrounding communities. This is in an effort to better learn about the community's health issues and expectations, and help foster a medical-community partnership. The Centers for Medicare and Medicaid Services have recently announced a $157 million program to test a medical-community partnership, called the Accountable Health Communities ...
Source: Journal of Critical Care - September 21, 2016 Category: Intensive Care Authors: Panagis Galiatsatos Source Type: research

Increased one-year health care utilization in survivors of severe sepsis.
Conclusion: Health care use is markedly elevated after severe sepsis, and post-discharge management may be an opportunity to reduce resource utilization. PMID: 24872085 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - May 28, 2014 Category: Respiratory Medicine Authors: Prescott HC, Langa KM, Liu V, Escobar GJ, Iwashyna TJ Tags: Am J Respir Crit Care Med Source Type: research

Longitudinal Changes in ICU Admissions Among Elderly Patients in the United States*
Conclusions: Primary diagnoses of patients admitted to critical care units have substantially changed over 15 years. Funding agencies, physician accreditation groups, and quality improvement initiatives should ensure that their efforts account for the shifting epidemiology of critical illness.
Source: Critical Care Medicine - June 18, 2016 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Critical Care Coding 2023
Is anyone aware whether the critical care time brackets have changed for 2023? I read this CPT® and CMS rules for critical care | What's the difference? CMS issued a “technical correction” in the 2023 PFS Final Rule. Here's what they said about code 99292 and critical care time codingintel.com and made me wonder. Is it just for Medicare patients or are all patients subject to this? First I've heard of it.
Source: Student Doctor Network - March 26, 2023 Category: Universities & Medical Training Authors: thegenius Tags: Emergency Medicine Source Type: forums

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