How are hospitals supposed to reduce readmissions? Part III
By KIP SULLIVAN, JD The Medicare Payment Advisory Commission (MedPAC) and other proponents of the Hospital Readmissions Reduction Program (HRRP) justified their support for the HRRP with the claim that research had already demonstrated how hospitals could reduce readmissions for all Medicare fee-for-service patients, not just for groups of carefully selected patients. In this three-part series, I am reviewing the evidence for that claim. We saw in Part I and Part II that the research MedPAC cited in its 2007 report to Congress (the report Congress relied on in authorizing the HRRP) contained no studies supporting tha...
Source: The Health Care Blog - October 14, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Medicare health reform Hospital Readmissions Reduction Program HRRP Kip Sullivan MedPAC Source Type: blogs

Chronic Lyme arthritis: A mystery solved?
In 1975, researchers from Yale investigated an epidemic of 51 patients with arthritis who lived near the woodsy town of Lyme, Connecticut. The most common symptom was recurrent attacks of knee swelling. A few had pain in other joints, such as the wrist or ankle. Many had fever, fatigue, and headache. Some remembered a round skin rash before the onset of knee swelling. We now know that Lyme disease is an infection acquired from tick bites, caused by a spiral bacterium named Borrelia burgdorferi. After a tick bite, Borrelia bacteria wriggle through the skin away from the bite site. This leads to a circular red rash, known as...
Source: Harvard Health Blog - October 3, 2019 Category: Consumer Health News Authors: John Ross, MD, FIDSA Tags: Arthritis Bones and joints Infectious diseases Source Type: blogs

Podcast: Misinformation Crusader – Writing About Mental Illness
On today’s show, Gabe talks with Dr. Jessi Gold, a self-described misinformation crusader.  In addition to being a practicing psychiatrist, Dr. Gold’s career has focused on writing about mental health and mental illness for a lay audience. Join us as Gabe and Dr. Jessi talk about common sources of psychiatric misinformation, the perils of the supplement industry, how mental health and mental illness are often portrayed incorrectly in the popular media, and why she decided to pursue a very specific type of writing career. SUBSCRIBE & REVIEW Guest information for ‘Dr. Jessi’ Podcast Episod...
Source: World of Psychology - October 3, 2019 Category: Psychiatry & Psychology Authors: The Psych Central Podcast Tags: General Health-related Interview Mental Health and Wellness Podcast Psychiatry Psychology The Psych Central Show Women's Issues Source Type: blogs

Herbert Kleber
Jeffrey A. SingerToday ’sGoogle Doodle is about Dr. Herbert Kleber, a noted U.S. psychiatrist who died on October 5, 2018. After his early work with addicted inmates at a national prison in Kentucky, he became very disappointed with the results of what was, in effect, abstinence therapy augmented by work assignments and group therapy sessions —which had been the standard approach in the 1960s. This approach was associated with a roughly 90 percent failure rate.His research at Yale and later at Columbia University was largely responsible for the now widespread acceptance of methadone, and now other forms of what...
Source: Cato-at-liberty - October 1, 2019 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

How are hospitals supposed to reduce readmissions? Part II
By KIP SULLIVAN, JD The notion that hospitals can reduce readmissions, and that punishing them for “excess” readmissions will get them to do that, became conventional wisdom during the 2000s on the basis of very little evidence. The Medicare Payment Advisory Commission (MedPAC) urged Congress to enact the Hospital Readmissions Reduction Program (HRRP) beginning in 2007, and in 2010 Congress did so. State Medicaid programs and private insurers quickly adopted similar programs. The rapid adoption of readmission-penalty programs without evidence confirming they can work has created widespread concern that th...
Source: The Health Care Blog - October 1, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy CMS hospital readmissions Hospital Readmissions Reduction Program HRRP Kip Sullivan MedPAC Source Type: blogs

Pressure Injuries Expanded by CMS as Indicators of Hospital Harm
CMS has implemented a new quality measure for hospitals that expands the array of pressure injuries considered as adversely impacting quality care.  The new measure, developed in a program to provide electronic clinical quality measures (eCQMs), widens the scope of pressure injury stages that directly infer quality deficit.  The new measure however, bears no consideration for unavoidability of some pressure injuries even when recommended clinical practice guidelines for prevention have been followed.  According to CMS, the benefit of eCQMs is to assess the outcomes of treatment, reduce the burden of manual a...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 28, 2019 Category: Geriatrics Authors: Jeffrey Levine Tags: Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care Risk Management bedsores decubiti decubitus ulcer end-of-life care geriatrics Healthcare Quality hospital quality Improving Medical Care Jeff Levine MD J Source Type: blogs

How Are Hospitals Supposed to Reduce Readmissions? | Part I
By KIP SULLIVAN The notion that hospital readmission rates are a “quality” measure reached the status of conventional wisdom by the late 2000s. In their 2007 and 2008 reports to Congress, the Medicare Payment Advisory Commission (MedPAC) recommended that Congress authorize a program that would punish hospitals for “excess readmissions” of Medicare fee-for-service (FFS) enrollees. In 2010, Congress accepted MedPAC’s recommendation and, in Section 3025 of the Affordable Care Act (ACA) (p. 328), ordered the Centers for Medicare and Medicaid Services (CMS) to start the Hospital Readmissions Red...
Source: The Health Care Blog - September 24, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Medicare ACA Affordable Care Act hospital readmissions Hospital Readmissions Reduction Program HRRP Kip Sullivan Medicaid MedPAC Source Type: blogs

Back to School: Top Tips for Undergraduates Eyeing Careers in Biomedical Sciences
Finding a career path in biomedical research can be challenging for many young people, especially when they have no footsteps to follow. We asked three recent college graduates who are pursuing advanced degrees in biomedical sciences to give us their best advice for undergrads. Tip 1: Talk with mentors and peers, and explore opportunities. One of the most challenging things for incoming undergraduates is simply to find out about biomedical research opportunities. By talking to professors and peers, students can find ways to explore and develop their interests in biomedical research. Credit: Mariajose Franco. Ma...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - September 11, 2019 Category: Research Authors: Matt Mills Tags: Being a Scientist Profiles Training Source Type: blogs

Physicians Should Play a New Role in Reducing Gun Violence
Julie Rosenbaum Matthew Ellman By MATTHEW S. ELLMAN, MD and JULIE R. ROSENBAUM, MD What if firearm deaths could be reduced by visits to the doctor? More than 35,000 Americans are killed annually by gunfire, about 60% of which are from suicide. The remaining deaths are mostly from accidental injury or homicide. Mass shootings represent only a tiny fraction of that number.  There’s a lot physicians can do to reduce these numbers. Typically, medical organizations such as the AMA recommend counseling patients on firearm safety.  But there is another way to use medical expertise to help reduce harm f...
Source: The Health Care Blog - August 29, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Gun Control gun violence Julie Rosenbaum Matthew Ellman Source Type: blogs

Tourette Syndrome Treated with Functional MRI
Researchers at Yale University have for the first time showed that it is possible to control the symptoms of Tourette Syndrome using functional magnetic resonance imaging (fMRI). The researchers recruited twenty one 11 to 19 year-olds and used real-time fMRI neurofeedback (rt-fMRI-NF), a technology that lets patients monitor their own brain activity, to control the frequency of tics. While rt-fMRI-NF is a relatively new technology, it seems to have the capability to significantly impact on neuropsychiatric conditions. Potentially, it may have long-lasting impacts on patients, which is something that has yet to be stu...
Source: Medgadget - August 22, 2019 Category: Medical Devices Authors: Medgadget Editors Tags: Neurology Pediatrics Psychiatry Radiology Rehab Source Type: blogs

The Conquest of the United States by China
In 1898, after the United States ’ quick victory in the Spanish-American war, the great Yale social scientist William Graham Sumner gave a speech titled “The Conquest of the United States by Spain. ” He told his audience, “We have beaten Spain in a military conflict, but we are submitting to be conquered by her on the field of ideas and policies.”He argued that early Americans “came here to isolate themselves from the social burdens and inherited errors of the old world” and chose to “to strip off all the follies and errors which they had inherited…. They would have no...
Source: Cato-at-liberty - August 13, 2019 Category: American Health Authors: David Boaz Source Type: blogs

Reining In Government by Dear Colleague Letter: An Update
For many decades, critics have noted that agencies were using Dear Colleague and guidance letters, memos and so forth — also known variously as subregulatory guidance, stealth regulation and regulatory dark matter — to grab new powers and ban new things in the guise of interpreting existing law, all while bypassing notice-and-comment and other constraints on actual rulemaking.That ’s a problem we at Cato have been concerned about for at least twenty years — the quote itself is from my 2017 post in this space. In  financial regulation, for example, as Charles Calomiris argued in a...
Source: Cato-at-liberty - July 16, 2019 Category: American Health Authors: Walter Olson Source Type: blogs

Are hospitalists to blame for the fragmentation of medical care?
“What About Recovery” is a provocative essay by Yale professor Lenore Buckley, MD, in JAMA. She writes in detail about the death of her 68-year-old brother in a hospital. She felt his doctors did not do enough to help him recover because his nutritional and physical therapy needs were not met. H owever, there’s more to […]Find jobs at  Careers by  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 14, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="" rel="tag" > Skeptical Scalpel, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Hospitalist Public Health & Policy Source Type: blogs

Looking Back: Charles Reich and His Era
Charles Reich, who died Saturday at 91, had a brief run in popular culture as author of “The Greening of America,” the bestseller that endeavored to sell the 1968 outlook to middle-class readers as the coming thing (“Consciousness III”). His reputation was to prove much more durable in the world of law, where as a young professor he penned what was to become the most cited Yale Law Journal article ever: “The New Property,” published in 1964. In it, Reich argued that courts should treat welfare benefits, public employment, and government contracts and licenses as types of property to whic...
Source: Cato-at-liberty - June 19, 2019 Category: American Health Authors: Walter Olson Source Type: blogs

A trauma surgeon reflects on the Yale System, 20 years later
The best lens for reflection is to be immersed in the places and people that spawned those memories. Why else would reunions matter? Twenty years after we graduated the Yale School of Medicine, I found myself on campus embracing my classmates again. But it didn ’t take long before I felt something creeping up behind the […]Find jobs at  Careers by  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 14, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="" rel="tag" > Ara Feinstein < /a > < /span > Tags: Education Medical school Surgery Source Type: blogs

Medicare for All and Industry Consolidation
This article is adapted from a forthcoming book. (Source: The Health Care Blog)
Source: The Health Care Blog - June 13, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Medicare Ken Terry Medicare For All Source Type: blogs

International Bioethics Retreat (Paris)
Discussion Research EthicsChair: Matti Hayry, PhD, Aalto University, Helsinki, FINLAND 11:00 – 11:15 AM  The Ethics of What, How, and Why: Lessons from Tuskegee, Manhattan, and Beyond Tuija Takala, PhD University of Helsinki, FINLAND 11:15 – 11:30 AM  Pig Brains and Pig Lungs: Novel Research ModelsSteve Latham. JD, Yale University, New Haven, Connecticut, USA 11:30 – 12:00 PM  Group Discussion 12:00 – 1:30 PM Class Photo and Lunch in the Garden In the ClinicChair: Leonard Fleck, PhD, Michigan State University, East Lansing, Michigan, USA 1:30 – 1:45 PM  Code Status Ont...
Source: - May 31, 2019 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Survey for Athletes with AF
Hey Athletes: My colleague, Professor Rachel Lampert, from Yale, along with the patient group, seek to learn more about how atrial fibrillation (AF) and its treatments affect athletic people. If you are an athlete or if you regularly exercise vigorously, please give the Yale researchers a few moments of your time. Here is the link to the survey. Since I had AF in the past, I filled it out. It takes only a few minutes. Prof. Lampert’s research into this area is important because AF affects people in vastly different ways. It’s weird; while most AF stems from advanced age or lifestyle...
Source: Dr John M - May 24, 2019 Category: Cardiology Authors: Dr John Source Type: blogs

Even People Without Mathematical Training Experience The “Beauty” Of Maths
By Matthew Warren Philosophers and mathematicians have long held that maths can be aesthetically pleasing. “Mathematics, rightly viewed, possesses not only truth, but supreme beauty,” wrote Bertrand Russell, while Carl Friedrich Gauss proclaimed that “The enchanting charms of this sublime science reveal themselves in all their beauty only to those who have the courage to go deeply into it”. But a study published recently in Cognition suggests that even those whose lives don’t revolve around logic and numbers also have an appreciation for mathematical “beauty”. People tend to see si...
Source: BPS RESEARCH DIGEST - May 23, 2019 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Aesthetics Perception Source Type: blogs

We, Too
by Abby Rosenberg (@AbbyRosenbergMD)I didn ’t want to be another “me too” story. I am becoming one, now, because I believe in the power of a collective voice.You see, there is something terribly lonely about experiencing sexual harassment. And, there is something incredibly powerful about the quiet moment when you finally, bravely, share your story. There is something bittersweet about knowing you are not alone.Sexual harassment in medicine is common. Over 50% of women medical students experience it before they graduate.(1) Disparities in women ’s salaries, grant-funding, academic rank, and leadersh...
Source: Pallimed: A Hospice and Palliative Medicine Blog - April 28, 2019 Category: Palliative Care Tags: discrimination harassment rosenberg The profession Source Type: blogs

Confessions of a First Time Presenter
By Kristin Edwards (@KristinMDCT)I ’ve been attending theAnnual Assembly of Hospice and Palliative Care (AAHPM/HPNA) for nearly a decade, but this is the first year I presented a concurrent session. As I return to work, the glow from my 15 minutes of Friday morning fame fading away, I wanted to share a few thoughts for those who, might feel intimidated about submitting an abstract.An abstract can only be accepted if it is submitted.I spent years coming up with ideas for a presentation, but ultimately deciding they were not good enough. A trusted mentor encouraged me to submit my ideas anyway. He saw value in the proc...
Source: Pallimed: A Hospice and Palliative Medicine Blog - April 22, 2019 Category: Palliative Care Tags: AAHPM conference Edwards HPNA Source Type: blogs

When Pigs Fly
by Arthur Caplan, Ph.D. Researchers at Yale University recently reported an experiment in which they used an experimental chemical solution to create electrical activity in the cells of pig brains, brains obtained from a slaughterhouse four hours after the death of the animals from decapitation (NY Times ‘Partly Alive’: Scientists Revive Cells in Brains From Dead Pigs, 4/17,19).  These results led to all manner of comments in this story, many from bioethicists and in stories elsewhere.  Commentators suggested that the pigs’ brains were somehow made partly alive, that concerns about consciousness...
Source: - April 22, 2019 Category: Medical Ethics Authors: Arthur Caplan Tags: Animal Ethics Clinical Trials & Studies End of Life Care Featured Posts Organ Transplant & Donation Research Ethics Science Source Type: blogs

Pregnancy and Living Wills: A Behavioral Economic Analysis
Elizabeth Villarreal has just published "Pregnancy and Living Wills: A Behavioral Economic Analysis" in the Yale Law Journal Forum. Here is the abstract: “Living wills” are a commonly-used form of advance directive that allow people to state their preferences for medical treatment in the event that they become unable to make those wishes known in the future. But many people, including health-care professionals, are surprised to learn that women in the majority of states are not allowed to have binding living wills during parts of their pregnancies.  These so-called “pregnancy exemption...
Source: - April 19, 2019 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Brain resuscitation (?) in pigs
By Jon Holmlund The latest mind-blowing (seriously, no pun intended) report from the science literature is that a team of scientists at Yale Medical School have been able to use an artificial preservative solution to recover electrical activity in some of the cells of the brains from the severed heads of pigs that had been … Continue reading "Brain resuscitation (?) in pigs" (Source:
Source: - April 19, 2019 Category: Medical Ethics Authors: Jon Holmlund Tags: Health Care bioethics biotechnology syndicated Source Type: blogs

2019 Health Law Professors Conference
Conclusion (Source:
Source: - March 27, 2019 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

You Lose a Child, You Lose Your Job
By LEO LOPEZ III, MD I’m a physician, born in McAllen, Texas. In June 2018, I returned home to demand that immigrant children who had been torn from their families as a result of the Trump Administration’s zero-tolerance policy, be safely and immediately reunited. I demonstrated at a federal detention center in McAllen at the Free the Children Protest. I marched alongside other concerned citizens, and we confronted a bus carrying the children. With my palms pressed against the bus, I demanded that the government free them. I could not have imagined that just a few months later, I’d demand ...
Source: The Health Care Blog - March 25, 2019 Category: Consumer Health News Authors: Matthew Holt Tags: Health Policy Politics Health and Human Services HHS Immigration Kristjen Nielsen Leo Lopez Trump administration Source Type: blogs

Do You Want A Values-Based Relationship?
Each person who finds themselves in a relationship has as an influence and reference point: their upbringing and what they witnessed between those who raised them. There are three choices when it comes to dating, mating and relating. Emulate the family pattern Resist or otherwise avoid the family pattern A combination of these two Any of these options may be engaged in either by conscious or unconscious intent or action. Each of them helps to mold and shape the values by which we choose partners. Sally found herself attracting partners who were like her distant and brooding father. Try as she might, she was not able to...
Source: World of Psychology - March 23, 2019 Category: Psychiatry & Psychology Authors: Edie Weinstein, MSW, LSW Tags: Communication Family Relationships Core Values Dating Source Type: blogs

Improvement in Heart Attack Incidence and Outcomes Over the Past Twenty Years
The story of the past few decades has been a steady reduction in the incidence and mortality of the major age-related diseases that dominated old age in the last century. This has been a strange triumph, in the sense that it was achieved using very inefficient strategies for medical research and development, coupled with an aggressive push towards prevention through lifestyle choice. At no point were the causes of aging deliberately targeted; instead medical efforts focused on tinkering with the downstream consequences of the late disease state. That this combination nonetheless achieved the results that it did is a testam...
Source: Fight Aging! - March 18, 2019 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Podcast: How to Break Habits – And Keep Them Broken
 We all have habits we’d rather not have, whether it’s smoking, emotional eating, or any of a hundred other things. And it’s likely that we’ve all, at one point or another, tried to break one or more of them, only to have the break be only temporary. What’s the secret to permanent habit change? Listen to this episode and find out! Subscribe to Our Show! And Remember to Review Us! About Our Guest Judson Brewer, MD, PhD is a thought leader in the field of habit change and the “science of self-mastery,” having combined over 20 years of experience with mindfu...
Source: World of Psychology - March 14, 2019 Category: Psychiatry & Psychology Authors: The Psych Central Show Tags: General Habits Mindfulness The Psych Central Show breaking habits Gabe Howard Vincent M. Wales Source Type: blogs

Preparing for the Final Asana: End of Life Law, Medicine, Policy and What Yoga Offers
Join Kathryn Tucker, in October 2019, at Rancho La Puerta for "Preparing for the Final Asana:  End of Life Law, Medicine, Policy and What Yoga Offers." The right of patients approaching end of life to make choices to ensure a dying process consistent with their preferences has been rapidly evolving in the U.S. A veteran of nearly every effort to protect and expand end of life choice in the U.S. for more than two decades, Professor Tucker will share insight on advocacy strategies, progress, challenges and predictions.  Advocacy in the courthouse, the statehouse, and in various policy forums will be discu...
Source: - March 12, 2019 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Economic Forecasts Are Fiction
TheWall Street Journalreports:ECB economists have cut their economic growth forecast for 2019 to 1.1% from the 1.7% they had expected in December.  The European Central Bank has decided that just three months ago it was overestimating growth by 55 percent. That is a big error for growth not years ahead but immediately ahead.Media reports sometimes treat central bankers and other government experts as seers, but in predicting the future they seem quite useless. The ECBemploys more than 2,500 presumably high-paid officials with high-tech models, and they can ’t project accurately a few months ahead.In his book exa...
Source: Cato-at-liberty - March 8, 2019 Category: American Health Authors: Chris Edwards Source Type: blogs

Training Your Mind with Meditation
You're reading Training Your Mind with Meditation, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. “Meditation is a science, the systematic process of training the mind.” – John Yates, Ph.D. By sophomore year of high school, it had become clear that my mind was completely out of control. After a series of car crashes resulting from my own distraction and declining grades in school, I was promptly diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) and prescribed several medications. This ca...
Source: PickTheBrain | Motivation and Self Improvement - March 8, 2019 Category: Consumer Health News Authors: liammccl Tags: featured meditation self improvement adhd health pickthebrain Source Type: blogs

Senator Hawley ’s Apostasy and the Substantive Due Process Problem
A week or so ago, the nomination of George Mason Law ’sNeomi Rao to fill Justice Brett Kavanaugh ’s seat on the D.C. Circuit ran into someunexpected headwinds when Missouri ’s freshman Republican senator, 39-year-old Josh Hawley, raised several concerns about her views, all centered around his opposition to abortion. Fearing that the nomination might fail in committee, theWall Street Journal’s editorial board took the extraordinary step last week of running notone buttwo house editorials questioning Senator Hawley ’s “judgment.” In the end, the senator came around. On Thursday, Pro...
Source: Cato-at-liberty - March 6, 2019 Category: American Health Authors: Roger Pilon Source Type: blogs

China Uses DNA to Track Its People, With the Help of American (Yale) Expertise - from a Yale scientist sadly all too familiar to this author
You saw it here on Healthcare Renewal first.In 2005 and 2007 I'd written the posts:"Academic abuses in biomedicine vs. Indigenous Peoples: The Genographic Project" ("Informed consent, exploitation and developing a SNP panel for forensic identification of individuals" ( theme of these posts was that genetics research (especially that centering on profiling) by unscrupulous scientists could have unforeseen, adverse (if not devastatin...
Source: Health Care Renewal - February 25, 2019 Category: Health Management Tags: Allele Frequency Database China genetics Kelsang Dolma Kenneth Kidd Uighurs Yale Yale Daily News Source Type: blogs

Failing Healthcare ’ s ‘ Free Market ’ Experiment in US: Single Payer to the Rescue?
This article originally appeared on LinkedIn here.  (Source: The Health Care Blog)
Source: The Health Care Blog - February 19, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Politics ACA Health insurance Khurram Nasir Single payer Source Type: blogs

People Who Are Most Fearful Of Genetically Modified Foods Think They Know The Most About Them, But Actually Know The Least
via Fernbach et al, 2019 By Jesse Singal There are few subjects where a larger gap exists between public opinion and expert opinion than people’s opinions on foods, like corn or wheat, that have been genetically manipulated to, for example, increase crop yields or bolster pest-resistance. Experts generally view so-called GM foods as totally safe to consume, while the public is suspicious of them — and this divide is massive. One Pew Research Center survey found that just 37 per cent of the American public believed GM foods are safe to eat, compared with 88 per cent of members of the American Association fo...
Source: BPS RESEARCH DIGEST - February 11, 2019 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Decision making Educational Political Source Type: blogs

Psychologists find that adults take girls' pain less seriously
From Science Daily 01/25/19Gender stereotypes can hurt children -- quite literally. When asked to assess how much pain a child is experiencing based on the observation of identical reactions to a finger-stick, American adults believe boys to be in more pain than girls, according to a new Yale study in the Journal of Pediatric Psychology. The researchers attribute this downgrading of the pain of girls and/or upgrading of the pain of boys to culturally ingrained, and scientifically unproven, myths like "boys are more stoic" or "girls are more emotive."For moreclick here. (Source: Markham's Behavioral Health)
Source: Markham's Behavioral Health - February 3, 2019 Category: International Medicine & Public Health Authors: David G. Markham Source Type: blogs

Improving Healthcare Efficiency with Incentives: Interview with Ben Kraus, CEO of Stellar Health
We present simple reminders to the provider at the point-of-care. For example: “There are two things that you really need to do for this patient today, based on their history.”  It simplifies everything and prioritizes the actions that contribute to a healthier patient in the long-run. Trying to use an EHR to do this doesn’t work because EHRs were designed to serve as a complete clinical record of a patient, which is cavernous and lacks actionability. EHRs were not designed to align payor and providers incentives and create a prioritization framework to maximize health outcomes. There are innovative ...
Source: Medgadget - January 23, 2019 Category: Medical Devices Authors: Mohammad Saleh Tags: Exclusive Informatics Medicine Public Health Society Source Type: blogs

M***Why " Virtual Assistants " Cannot Remove EHR Pain Points
In a recent note, I commented on the emergence of"virtual scribes" (see:Virtual Scribe Vendors Remotely Generate EHR Notes and Coding). This hospital service consists of having the treating physician dictate the details of a patent office encounter. At a later time, a transcriptionist working for a virtual scribe company remotely enters the essential data into the hospital EHR. This is by way of contrast with the original concept of virtual scribes when they were present in the examining room with the doctor and patient and performed all of the EHR keyboard entries. It should not some as a surprise that the ...
Source: Lab Soft News - January 21, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Source Type: blogs

Why " Virtual Assistants " Won't Remove EHR Pain Points Quickly
In a recent note, I commented on the emergence of"virtual scribes" (see:Virtual Scribe Vendors Remotely Generate EHR Notes and Coding). This is hospital service with physicians dictating the details of a patient office encounter. At a later time, a remote transcriptionist employed by a virtual scribe company enters the essential dictated data into the hospital EHR. These remote transcriptionists have access to the hospital EHR for this data entry. This is in contrast with the original and continuing idea of EHR scribes who are physically present in the examining room with the doctor and patient and perform a...
Source: Lab Soft News - January 21, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Electronic Health Record (EHR) Healthcare Information Technology Healthcare Innovations Medical Research Source Type: blogs

Commissioning Healthcare Policy: Hospital Readmission and Its Price Tag
By ANISH KOKA MD  The message comes in over the office slack line at 1:05 pm. There are four patients in rooms, one new, 3 patients in the waiting room. Really, not an ideal time to deal with this particular message. “Kathy the home care nurse for Mrs. C called and said her weight yesterday was 185, today it is 194, she has +4 pitting edema, heart rate 120, BP 140/70 standing, 120/64 sitting” I know Mrs. C well. She has severe COPD from smoking for 45 of the last 55 years. Every breath looks like an effort because it is. The worst part of it all is that Mrs. C just returned home from the hospital just days...
Source: The Health Care Blog - January 10, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Hospitals Medicare Anish Koka hospital readmissions HRRP MedPAC Source Type: blogs

Interfering in the Interaction between Amyloid- β and Prion Protein as a Treatment for Alzheimer's Disease
The damage of Alzheimer's disease mediated by aggregation of amyloid-β and tau protein deposits isn't so much due to the aggregates, but rather the surrounding halo of complex interactions and related proteins. One of those thought to be important is between oligomeric amyloid-β and cellular prion protein, the latter of which is also of note in transmissible spongiform encephalopathy. Researchers here sought to interfere in this interaction, and achieved interesting results, at least in a mouse model of Alzheimer's disease. The usual caveats apply, in that Alzheimer's mouse models are highly artificial constructs...
Source: Fight Aging! - January 4, 2019 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Why Smart People Make Bad Decisions
I recently read the book summary of Big Mistakes by Michael Batnick. The book has an interesting subtitle: The Best Investors and Their Worst Investments. Interesting combination, isn’t it? It contains story after story of how very smart people made bad decisions in investing. But how could that happen? How could these smart people make bad decisions? In essence, what happened was that they failed to manage their risks. They didn’t prepare themselves for the worst things that could happen. They were overconfident, thinking that good times would last forever. So, when the opposite happened, they lost a lot and s...
Source: Life Optimizer - January 4, 2019 Category: Consumer Health News Authors: Donald Latumahina Tags: Thinking Source Type: blogs

Now John Bargh ’s Famous Hot-Coffee Study Has Failed To Replicate
By Jesse Singal If you Google “holding a warm cup of coffee can” you’ll get a handful of results all telling the same story based on social priming research (essentially the study of how subtle cues affect human thoughts and behavior). “Whether a person is holding a warm cup of coffee can influence his or her views of other people, and a person who has experienced rejection may begin to feel cold,” notes a New York Times blog post, while a Psychology Today article explains that research shows that “holding a warm cup of coffee can make you feel socially closer to those around you.&r...
Source: BPS RESEARCH DIGEST - January 2, 2019 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Replications Social Source Type: blogs

The Death of Cancer: Book Review and Reflections
By CHADI NABHAN MD, MBA, FACP Some books draw you in based on a catchy title, a provocative book jacket, or familiarity with the author. For me, recollections of medical school primers written by the renowned lymphoma pioneer Vincent DeVita Jr. and my own path as an oncologist immediately attracted me to “The Death of Cancer.” I felt a connection to this book before even reading it and prepped myself for an optimistic message about how the cancer field is moving forward. Did I get what I bargained for? Co-authored with his daughter, Elizabeth DeVita-Raeburn, DeVita brings us back decades ago to when he had jus...
Source: The Health Care Blog - January 1, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Care Books Physicians Book Review Chadi Nabhan Chemotherapy Oncology randomized controlled trials The Death of Cancer Vincent DeVita Source Type: blogs

PGS/PGD/PGT testing can reduce pregnancy rates
Many IVF-clinic websites are selling PGS / PGD/ PGT - preimplantation genetic testing to their patients , by claiming that : It increases pregnancy success rates, lowers the risk of miscarriage, and avoids the time (and expense) of multiple IVF cycles. However, the website of Britain ’s Human Fertilisation and Embryology Authority, which regulates IVF medicine in the U.K., clearly states - that there is “limited evidence” for those claims.The dilemma posed by mosaic embryos has muddied the water so much that Pasquale Patrizio, head of fertility medicine at Yale University, and Sherman Silber of St. L...
Source: Dr.Malpani's Blog - December 31, 2018 Category: Reproduction Medicine Source Type: blogs

Increased Payer and Provider Support May Drive Billions of Dollars in Savings from Biosimilars
By SHEILA FRAME  FDA Commissioner Scott Gottlieb has said biosimilars are “key to promoting access and reducing health care costs. And it’s a key to advancing public health.” While the Administration works to reduce barriers to bringing biosimilars to market, payers and providers can help increase adoption of biosimilars in clinical practice and ensure cost savings. Organizations such as the American College of Rheumatology and the American Society of Clinical Oncology have issued educational documents to help guide providers in incorporating biosimilars into treatment plans, where appropriate. ...
Source: The Health Care Blog - December 20, 2018 Category: Consumer Health News Authors: matthew holt Tags: Pharmaceuticals biologics biosimilars Sheila Frame Source Type: blogs