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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
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 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
Barriers to enrollment in a pediatric critical care biorepository
CONCLUSION: Inability to enroll patients in a critical care biorepository may be associated with several sociodemographic factors at various points in recruitment/enrollment.IMPACT: Individuals of minority race/ethnicity are less likely to enroll in genomic research and in critical care research. This study evaluated sociodemographic characteristics associated with decisions to enroll a child in a pediatric critical care biorepository. Sociodemographic factors including race/ethnicity, primary language, and insurance status and patient clinical characteristics are associated with differential enrollment into a pediatric cr...
Source: Pediatric Research - February 9, 2023 Category: Pediatrics Authors: Erin Paquette Avani Shukla Tracie Smith Tricia Pendergrast Susan Duyar Karen Rychlik Matthew M Davis 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
Pediatric Primary Care Involvement in End-of-Life Care for Children.
CONCLUSION: Primary care involvement affected hospice use among older age-groups and home health use among younger age-groups. These findings underscore the need for clinical knowledge about end-of-life care for children of all ages among primary care providers.
PMID: 26430133 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - September 30, 2015 Category: Palliative Care Authors: Lindley LC, Nageswaran S Tags: Am J Hosp Palliat Care Source Type: research
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
Children With Intellectual Disability and Hospice Utilization: The Moderating Effect of Residential Care.
CONCLUSIONS: The findings highlight the important role of residential care in facilitating hospice enrollment for children with intellectual disability. More research is needed to understand the capability of residential care staff to identify children with intellectual disability earlier in their end-of-life trajectory and initiate longer hospice length of stays.
PMID: 29169246 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Lindley LC Tags: Am J Hosp Palliat Care Source Type: research
Unraveling EPSDT and Pediatric Hospice Care: An Exploratory Policy Analysis
Conclusion: We found significant variation in state documents on EPSDT and pediatric hospice care. Clear guidelines and consistent standards regarding EPSDT services and how they interface with hospice, concurrent hospice care, and palliative care would improve care for children and families.PMID:35357256 | DOI:10.1177/10499091221079329
Source: The American Journal of Hospice and Palliative Care - March 31, 2022 Category: Palliative Care Authors: Lisa C Lindley Meaghann S Weaver Source Type: research
