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Total 165 results found since Jan 2013.

The Impact of COVID-19 Pandemic on Ischemic Stroke Patients in a Comprehensive Hospital
Source: Risk Management and Healthcare Policy - September 13, 2022 Category: Health Management Tags: Risk Management and Healthcare Policy Source Type: research

Post-Acute Care Use Associated with Medicare Shared Savings Program and Disparities
Medicare Shared Savings Program (MSSP) was implemented in 2012, but the impact of the MSSP on institutional post-acute care (PAC) use, and by race/ethnicity and payer status is less studied. We studied the impact of hospital participation in the MSSP on institutional PAC use and variations by race/ethnicity and payer status among 3 Medicare patient groups: ischemic stroke, hip fracture, and elective total joint arthroplasty (TJA).
Source: Journal of the American Medical Directors Association - September 12, 2022 Category: Health Management Authors: Yeunkyung Kim, Caroline Thirukumaran, Helena Temkin-Greener, Robert Holloway, Elaine Hill, Yue Li Tags: Original Study Source Type: research

CUPID research: Finding faster ways to pinpoint the deadliest strokes
Although fewer than one in five strokes is caused by intracerebral hemorrhage (ICH), or bleeding in the brain, this type of stroke is the deadliest. A new study led by Dr. Aarti Sarwal, professor of neurology at Wake Forest University School of Medicine, is examining whether it is possible to identify patients with an ICH stroke before they get to the hospital in order to help these patients get life-saving care without delay. “For ICH, outcomes tend to be much worse if patients get specialized…
Source: bizjournals.com Health Care News Headlines - June 14, 2022 Category: Health Management Authors: Atrium Health Wake Forest Baptist Source Type: news

A Score to Predict Home Discharge for Patients With Stroke in Rehabilitation Units
Stroke is a global health problem, with an estimated lifetime risk of 23% in high-income Asia-Pacific regions, including Japan.1 In Japan, rehabilitation units for functional recovery after stroke have been established as a Japanese version of convalescent rehabilitation, and are covered by insurance. It is important to predict the discharge destination of patients with stroke and to appropriately plan an efficient discharge early in the hospitalization process. A score can be used to predict home discharge of patients from hospitals after an acute stroke, but it is not known whether it can be applied to patients in rehabilitation units.
Source: Journal of the American Medical Directors Association - March 22, 2022 Category: Health Management Authors: Yuria Ishida, Akio Shimizu, Keisuke Maeda, Kenta Murotani, Tatsuro Inoue, Junko Ueshima, Ayano Nagano, Naoharu Mori Tags: Research Letters Source Type: research

Charlotte hospital adopts faster way to treat strokes in kids
When we think about strokes, we usually think of older adults. Although pediatric stroke is rare, it can happen. Babies and children can have strokes, too. Each year, about 25 in 100,000 newborns and about 12 in 100,000 children younger than 18 will have a stroke. Because many people don’t expect a baby or child to experience a stroke, they may miss the signs. And just like with adults, every minute that separates a stroke and its treatment can raise the odds of lifelong ramifications. Atrium…
Source: bizjournals.com Health Care News Headlines - February 2, 2022 Category: Health Management Authors: Atrium Health Source Type: news

Lean six sigma and stroke in rural hospital – The case of Baruch Padeh Medical Center
Batsheva Tzadok, Oran Ben Tov, Vladimir Vaispapir, Lev Shornikov, Olga Marik, Leon Martens, Eran Tal Or International Journal of Health Care Quality Assurance, Vol. 35, No. 1, pp.21-37 This case study aims to demonstrate the strengths of the Lean Six Sigma (LSS) methodology to improve the acute ischemic stroke (AIS) treatment rates and reduce process lead time at Baruch Padeh Medical Center (BPMC), a rural hospital in the Galilee region of Northern Israel. The LSS project redefined the BPMC stroke care pathway and increased its efficacy.The LSS methodology was implemented in September 2017 by integrating lean principles a...
Source: International Journal of Health Care Quality Assurance - January 26, 2022 Category: Health Management Authors: Batsheva Tzadok Oran Ben Tov Vladimir Vaispapir Lev Shornikov Olga Marik Leon Martens Eran Tal Or Source Type: research

Can competition improve hospital quality of care? A difference-in-differences approach to evaluate the effect of increasing quality transparency on hospital quality
AbstractPublic reporting on the quality of care is intended to guide patients to the provider with the highest quality and to stimulate a fair competition on quality. We apply a difference-in-differences design to test whether hospital quality has improved more in markets that are more competitive after the first public release of performance data in Germany in 2008. Panel data from 947 hospitals from 2006 to 2010 are used. Due to the high complexity of the treatment of stroke patients, we approximate general hospital quality by the 30-day risk-adjusted mortality rate for stroke treatment. Market structure is measured (com...
Source: The European Journal of Health Economics - January 8, 2022 Category: Health Management Source Type: research

Neurological Emergencies in Patients Hospitalized With Nonneurological Illness
Objective We aimed to present neurological profiles and clinical outcomes of patients with acute neurological symptoms, which developed during hospitalization with nonneurological illness. Methods We organized the neurological alert team (NAT), a neurological rapid response team, to manage in-hospital neurological emergencies. In this registry-based study, we analyzed the clinical profiles and outcomes of patients who were consulted to the NAT. We also compared the 3-month mortality of patients with acute neurological symptoms with that of patients without acute neurological symptoms. Results Among the 85...
Source: Journal of Patient Safety - December 1, 2021 Category: Health Management Tags: Original Studies Source Type: research

The weekend effect in stroke mortality: evidence from Austrian acute care hospitals
AbstractMany studies provide evidence for the so-called weekend effect by demonstrating that patients admitted to hospital during weekends show less favourable outcomes such as increased mortality, compared with similar patients admitted during weekdays. The underlying causes for this phenomenon are still discussed controversially. We analysed factors influencing weekend effects in inpatient care for acute stroke in Austria. The study analysed secondary datasets from all 130 public acute care hospitals in Austria between 2010 and 2014 (Austrian DRG Data). The study cohort included 86,399 patient cases admitted with acute i...
Source: International Journal of Health Care Finance and Economics - November 3, 2021 Category: Health Management Source Type: research

Temporal trend of comorbidity and increasing impacts on mortality, length of stay, and hospital costs of first stroke in Tianjin, North of China
Stroke patients have a high incidence of comorbidity. Previous studies have shown that comorbidity can impact on the short-term and long-term mortality after stroke.
Source: Cost Effectiveness and Resource Allocation - September 28, 2021 Category: Health Management Authors: Ruixiao Hao, Xuemei Qi, Xiaoshuang Xia, Lin Wang and Xin Li Tags: Research Source Type: research

Stroke care networks and the impact on quality of care
This study aims to analyze the performance of the current design of stroke care networks in Bavaria, Germany, and to evaluate the improvement potential when the networks are redesigned to minimize travel distances. To this end, we define three fundamental criteria for assessing network design performance: 1) average travel distances, 2) the populace in the catchment area relative to the number of stroke units, and 3) the ratio of stroke units to lower-care hospitals. We generate several alternative stroke network designs using an analytical approach based on mathematical programming and clustering. Finally, we evaluate the...
Source: Health Care Management Science - September 25, 2021 Category: Health Management Source Type: research

Institutional Postacute Care Use May Help Reduce Readmissions for Ischemic Stroke Patients
We examined the causal impact of institutional PAC use on 30-day readmission rates for Medicare fee-for-service patients initially admitted for ischemic stroke. Data Sources: The 2010–2016 Medicare Provider Analysis and Review files. Research Design: We used the method of instrumental variable (IV) analysis to control for unobserved differences in the types of patients admitted to each PAC facility. We chose the distance from the patient’s residence to the closest institutional PAC provider and the number of PAC providers of each type within a county where the patient resides as IVs. Principal Findings...
Source: Medical Care - July 15, 2021 Category: Health Management Tags: Original Articles Source Type: research

Opportunities and limitations of risk adjustment of quality indicators based on inpatient administrative health data - a workshop report
DISCUSSION: Implementing specific risk adjustment models had only minor effects on the distribution of risk-adjusted mortality compared to the standard procedure, but the judgement of quality of care could change for a fifth of the hospitals in individual indicators. Concerning methodological and practical reasons, the task force recommends further development of risk adjustment methods for selected indicators. This should be accompanied by studies on the validity of inpatient administrative data for quality management as well as by efforts to improve the usefulness of these data for such purposes.PMID:34023246 | DOI:10.10...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 23, 2021 Category: Health Management Authors: Daniel Schwarzkopf Ulrike Nimptsch Raphael Graf Jochen Schmitt Josef Zacher Ralf Kuhlen Source Type: research

Knowledge on Prevention of Stroke and Its Associated Factors Among Hypertensive Patients at Debre Tabor General Hospital: An Institution-Based Cross-Sectional Study
Source: Risk Management and Healthcare Policy - April 22, 2021 Category: Health Management Tags: Risk Management and Healthcare Policy Source Type: research