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Total 38 results found since Jan 2013.

Lori’s Stroke Required Help From Doctors An Hour Away. Telemedicine Provided It.
Editor’s note: Our previous stories this American Stroke Month featured warning signs heeded and missed. Today we shift gears to showcase a textbook response to a stroke, including the crucial role of telestroke, a way for experts at another facility to help care for a patient via a webcam-type connection. The CHRONIC Care Act, which includes a provision to require Medicare to cover telestroke, will be discussed Tuesday during a hearing of the Senate Finance Committee. Lori Hoopingarner savored her occasional weekend getaway. Between running her financial advising company, raising a 10-year-old daughter and 6-year-old s...
Source: Healthy Living - The Huffington Post - May 15, 2017 Category: Consumer Health News Source Type: news

Predictive indices for functional improvement and deterioration, institutionalization, and death among elderly Medicare beneficiaries
Conclusion Predictive indices, or point and scoring systems used to predict outcomes, can identify elderly Medicare beneficiaries at risk of functional deterioration, institutionalization, and death and can aid policy makers, clinicians, and family members in improving care for older adults and supporting successful aging in the community.
Source: PMandR - April 27, 2017 Category: Rehabilitation Source Type: research

Getting to the Core of Stroke Care: Real Time Chart Review Improves Hospital Compliance with Core Measures (P6.269)
Conclusions:Real time chart review, utilization of a MQA, and alerting of providers is significantly more effective than a process utilizing retrospective chart review based on sampling and manual abstraction in increasing CM compliance. Implementation of these methods reduces CM deficiencies and leads to improved stroke care.Disclosure: Dr. Katsafanas has nothing to disclose. Dr. Furbeyre has nothing to disclose. Dr. Coppen has nothing to disclose. Dr. Hodges has nothing to disclose. Dr. Schnepel has nothing to disclose. Dr. Falk has nothing to disclose. Dr. Alonso has nothing to disclose. Dr. Tran has nothing to disclose...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Katsafanas, C., Furbeyre, J., Coppen, V., Hodges, W., Schnepel, L., Falk, D., Alonso, J., Tran, A., Northcut, M., Toback, A., Silliman, S. Tags: Cerebrovascular Disease Health Services Research Source Type: research

Abstract 043: Health Insurance and the Risk of Incident Cardiovascular Disease in the Multi-Ethnic Study of Atherosclerosis Session Title: Poster Session I
Conclusions: The association of health insurance with CVD incidence varied by insurance group, and private insurance was associated with a lower risk of incident CVD. Further exploration of the features of health insurance coverage that impact CVD incidence may facilitate improvements in the primary prevention of CVD.
Source: Circulation: Cardiovascular Quality and Outcomes - March 31, 2017 Category: Cardiology Authors: Crim, M. T., Xie, J. X., Ko, Y.-A., Blumenthal, R. S., Blaha, M. J., Nasir, K., Budoff, M. J., Shaw, L. J. Tags: Session Title: Poster Session I Source Type: research

Characteristics of Accredited Transcranial Doppler Ultrasound Laboratories in the United States
CONCLUSIONSThe results suggest that there are significant differences between IAC applicant laboratories and laboratories represented by Centers for Medicaid and Medicare Services (CMS) claims data. In addition, accurate study reporting, physician training, and ongoing quality improvement activities may not be optimized in laboratories applying for accreditation. With the information learned from this study, educational strategies by professional organizations, including the IAC, can be tailored to help improve TCD practice.
Source: Journal of Neuroimaging - October 31, 2016 Category: Radiology Authors: Mary Beth Farrell, John Y. Choi, Endrit Ziu, Kevin M. Cockroft Tags: Technology Update Source Type: research

The Fault in our (Three) Stars
Conclusions Like it or not (I think only a minority of CEOs will be happy with their star rating and many physicians will chafe at the ED metrics being used) CMS has started rating your hospital on a five star scale. All of the ED metrics used in the star rating system are typically followed by the ED medical director and nursing leaders, but now you may notice hospital administration is more interested in your performance. The good news is that with added visibility, hospital admin may provide more support in helping to improve performance. We need to know which of our metrics are involved and how we’re contributing to ...
Source: EPMonthly.com - September 27, 2016 Category: Emergency Medicine Authors: Matt McGahen Tags: Uncategorized Source Type: news

Becoming A Hosehead: Sleeping My Way To Better Health
CPAP machines are in the news this month after the New England Journal of Medicine released a study casting doubt on their effectiveness in preventing heart problems. See here for an explanation of the study and a summary of reasons why it is likely not accurate. Regardless of that study, let me tell you why I have become an unexpected missionary for the wonders of the CPAP. For the past year, I've been wrestling with a diagnosis of sleep apnea. What have I learned, even while kicking, screaming and denying, through the entire testing and education process? That it is a real thing, that I really do have it, and that I fee...
Source: Healthy Living - The Huffington Post - September 7, 2016 Category: Consumer Health News Source Type: news

Factors Associated With Seeking Physician Care by Medicare Beneficiaries Who Receive All Their Primary Care From Nurse Practitioners.
CONCLUSIONS: About half of Medicare patients under exclusive NP primary care switched to physicians for some or all primary care over a 3-year period. Future study is needed to understand the reasons for switching. PMID: 27456894 [PubMed - as supplied by publisher]
Source: Primary Care - July 24, 2016 Category: Primary Care Authors: Raji MY, Chen NW, Raji M, Kuo YF Tags: J Prim Care Community Health Source Type: research

A Comparative Analysis of Stroke in Haitian and Non-Haitian Populations of South Florida (P1.259)
Conclusions: Multiple factors may play a role in these significant differences, including healthcare disparities and differences in socioeconomic status. Policies aimed at improving access to healthcare, patient education, and health care provider cultural/language comprehension should benefit Haitian stroke patient outcomes. Study Supported by: N/ADisclosure: Dr. Barratt has nothing to disclose. Dr. Brown has nothing to disclose. Dr. Lopez has nothing to disclose. Dr. Sirutis has nothing to disclose. Dr. Lozano has nothing to disclose. Dr. Starosciak has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Barratt, D., Brown, C., Lopez, J., Sirutis, B., Lozano, J., Starosciak, A. Tags: Cerebrovascular Disease: Health Disparities Source Type: research

Decline in dementia rate offers “cautious hope”
“The number of Americans with Alzheimer’s disease and other dementias will grow each year as the size and proportion of the U.S. population age 65 and older continue to increase. The number will escalate rapidly in coming years as the baby boom generation ages.” 2015 Alzheimer’s disease Facts and Figures Despite these alarming projections, a report from a recent issue of the New England Journal of Medicine (NEJM) offered a few words of encouragement. Researchers from the longstanding Framingham study found that the rate of dementia has declined over the course of three decades. Framingham researchers had been study...
Source: New Harvard Health Information - March 9, 2016 Category: Consumer Health News Authors: Beverly Merz Tags: Alzheimer's Disease Behavioral Health Brain and cognitive health Caregiving Healthy Aging Memory Mental Health Prevention cognitive decline dementia Source Type: news

Many African Americans Still Only Dream of High Quality Health Care
Recently, AARP conducted a study to determine how perceptions of key social issues ranked in importance to African Americans age 50 and over. Ninety-one percent gave the answer "high quality health care." Eighty-nine percent gave the answer, "Access to high quality health care information." We were not surprised at the high percentage of either response. Why wouldn't the foremost issue on the minds of African Americans be the key issue that would prolong, enhance or save lives? Why wouldn't the dominant issue on the minds of Black people age 50 and over be their health; even more so than education, employment and access t...
Source: Healthy Living - The Huffington Post - February 16, 2015 Category: Consumer Health News Source Type: news

Association of the 2011 ACGME Resident Duty Hour Reforms With Mortality and Readmissions Among Hospitalized Medicare Patients
Conclusions and RelevanceAmong Medicare beneficiaries, there were no significant differences in the change in 30-day mortality rates or 30-day all-cause readmission rates for those hospitalized in more intensive relative to less intensive teaching hospitals in the year after implementation of the 2011 ACGME duty hour reforms compared with those hospitalized in the 2 years before implementation.
Source: JAMA - December 10, 2014 Category: Journals (General) Source Type: research

Variables Associated with Effects on Morbidity in Older Adults Following Disasters
Conclusion Older adults are at a known risk for increased morbidity during and shortly after disasters and catastrophic events, especially in the presence of multiple co-morbidities such as hypertension, diabetes, stroke, and heart disease. Other factors, such as the need for prescription medications, low social support, visual and hearing impairment, impaired mobility, and poor economic status, have also been associated with an increased risk of negative health outcomes. The utilization of existing databases of older adults’ vulnerabilities and the measurement of the prevalence of these risk factors in the community may...
Source: PLOS Currents Disasters - December 5, 2014 Category: Global & Universal Authors: jenkins at jhmi.edu Source Type: research

Development and validation of a brief dementia screening indicator for primary care
Conclusions The Dementia Screening Indicator is a simple tool that may be useful in primary care settings to identify high-risk patients to target for cognitive screening.
Source: Alzheimer's and Dementia: The Journal of the Alzheimer's Association - November 19, 2014 Category: Geriatrics Source Type: research

Blood pressure measurements at emergency department visits by adults: United States, 2007-2008.
Authors: Niska RW Abstract This brief shows that elevated BP readings are much more common at visits to the ED than at visits to outpatient primary care providers. Compared with the 27.0% prevalence found at visits to primary care providers, the combined visit prevalence of severely and moderately elevated BP in EDs is about 43.5%. Disproportionately affected subgroups include patients who are older, male, non-Hispanic black, Medicare beneficiaries, or uninsured.One reason that elevated BP may be observed more frequently in the ED than at visits to primary care providers is that adults in less than optimal general ...
Source: NCHS data brief - November 12, 2014 Category: American Health Tags: NCHS Data Brief Source Type: research