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 is refe...
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 these prog...
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 abstraction 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 Reduction Program (HRRP...
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 from ...
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 court and no pomp; no orders, or rib...
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 Cato working paper around the...
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 KevinMD.com. 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="https://www.kevinmd.com/blog/post-author/skeptical-scalpel" 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 which current holders were p...
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 KevinMD.com. 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="https://www.kevinmd.com/blog/post-author/ara-feinstein" 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: blog.bioethics.net - 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 StopAF.org 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 23, 2019 Category: Cardiology Authors: Dr John Source Type: blogs
