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Hospital Closures Pose Challenges to Care
Empty beds in a hospital room. When 10-bed Nye Regional Medical Center, in west-central Nevada, closed abruptly in 2015, it meant that the residents of the former gold-mining town of Tonopah would have to drive about two hours across a hundred miles of desert roads to get to the nearest hospital.  The hospital’s CEO, Wayne Allen, didn’t sugar-coat it. “This is a decision that will ultimately jeopardize the health and well-being of our community and surrounding areas,” he said. Hospital closures over the last decade—most notably in rural areas and in pediatrics, but urban closures as well—have left patients wi...
Source: The Hospitalist - November 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Business of Medicine Career Pediatrics PHM22 Source Type: research

UCLA raises $611 million in 2020 –21, supporting students and advancing critical research
UCLA raised more than $611 million in gifts and pledges in the fiscal year ending June 30, exceeding its annual goal and drawing donors from all 50 states and 72 countries.“Generous donors at all levels have continued to partner with UCLA to effect meaningful change on campus, in the community and around the world,” said Chancellor Gene Block. “Despite a challenging year, our friends have once again demonstrated their extraordinary commitment to UCLA’s mission of education, research and service.”In response to conditions created by the COVID-19 pandemic, many donors focused on students ’ need to adapt to distan...
Source: UCLA Newsroom: Health Sciences - October 4, 2021 Category: Universities & Medical Training Source Type: news

Swallowing Sound Recognition at Home Using GMM
ConclusionThe proposal method has great potential to assist in the clinical evaluation using only swallowing sounds, which is a non-invasive technic for swallowing studies.Graphical abstract
Source: IRBM - October 18, 2018 Category: Biomedical Engineering Source Type: research

American Heart Association's Call to Action for Payment and Delivery System Reform.
Abstract The healthcare system is undergoing a transition from paying for volume to paying for value. Clinicians, as well as public and private payers, are beginning to implement alternative delivery and payment models, such as the patient-centered medical home, accountable care organizations, and bundled payment arrangements. Implementation of these new models will necessitate delivery system transformation and will actively involve all fields of medical care, in particular medicine and surgery. This call to action, on behalf of the American Heart Association's Expert Panel on Payment and Delivery System Reform, ...
Source: Circulation - July 10, 2017 Category: Cardiology Authors: Bufalino VJ, Berkowitz SA, Gardner TJ, Piña IL, Konig M, AHA Expert Panel on Payment and Delivery System Reform Tags: Circulation Source Type: research

Medicaid waiver program helped public hospitals improve care to California ’s most needy
A five-year Medicaid waiver program that infused billions of dollars into public hospitals prompted significant improvements in health care to California ’s neediest population — the poor and uninsured, according to an extensiveevaluation by the UCLA Center for Health Policy Research.Seventeen designated public hospitals participated in the $3.3 billion “pay-for-performance” experiment, including five University of California hospital systems and 12 county‐owned-and‐operated hospital systems. Collectively, these facilities serve more than 2 million patients every year, including most of the state’s Medi-Cal p...
Source: UCLA Newsroom: Health Sciences - June 28, 2017 Category: Universities & Medical Training Source Type: news

Perspectives Towards a smart medical home
Julia is nudged awake at 0615 h, her optimum waking time as determined by patterns of her vital signs and body movements, which are all measured by her mattress as she sleeps. Although prone to orthostatic hypotension, the floor-based hallway sensors do not detect any unsteadiness as she walks to the bathroom. Upon sitting on the toilet, a rapid assessment of her blood pressure, cardiac stroke volume, bodyweight, urine, and stool assays takes place. When she looks in the mirror, a reminder of her medications appear.
Source: LANCET - January 27, 2017 Category: Journals (General) Authors: Evan D Muse, Paddy M Barrett, Steven R Steinhubl, Eric J Topol Tags: Perspectives Source Type: research

Turn the Beat Around: A Stroke Prevention Program for African‐American Churches
ConclusionA church‐based intervention delivered by trained CHWs is feasible and may be a promising public health strategy to increase knowledge regarding hypertension and stroke prevention among African‐Americans.
Source: Public Health Nursing - September 25, 2015 Category: Nursing Authors: Lovoria B. Williams, Brandi Franklin, Mary B. Evans, Chazeman Jackson, Alethea Hill, Michael Minor Tags: Populations at Risk Across the Lifespan: Population Studies Source Type: research

Patient-Centered Medical Homes and Oral Anticoagulation Therapy Initiation
Despite evidence-based guidelines, oral anticoagulation therapy (OAT) initiation is low among incident atrial fibrillation (AF) patients. Patient-centered medical homes (PCMHs) may increase access, quality, and value through coordinating care. As such, PCMHs hold potential for improving OAT initiation among AF patients. We estimated the effect of receiving care in accredited PCMHs on OAT initiation for incident AF patients compared with those not receiving care in accredited PCMHs. Our study, a retrospective cohort new user design, included privately insured patients in North Carolina during years 2006 to 2010. We develope...
Source: Medical Care Research and Review - March 10, 2014 Category: Health Management Authors: Beadles, C. A., Hassmiller Lich, K., Viera, A. J., Greene, S. B., Brookhart, M. A., Weinberger, M. Tags: Empirical Research Source Type: research