Risk of hospital readmission for patients receiving post acute care hospital readmissions economics hospital. Medical search. Frequent questions

An advanced practice nurse-centered discharge planning and home care intervention for at-risk hospitalized elders reduced readmissions, lengthened the time between discharge and readmission, and decreased the costs of providing health care. (nih.gov)

Comprehensive discharge planning by advanced practice nurses has demonstrated short-term reductions in readmissions of elderly patients, but the benefits of more intensive follow-up of hospitalized elders at risk for poor outcomes after discharge has not been studied. (nih.gov)
To examine the effectiveness of an advanced practice nurse-centered discharge planning and home follow-up intervention for elders at risk for hospital readmissions. (nih.gov)
Randomized clinical trial with follow-up at 2, 6, 12, and 24 weeks after index hospital discharge. (nih.gov)
Intervention group patients received a comprehensive discharge planning and home follow-up protocol designed specifically for elders at risk for poor outcomes after discharge and implemented by advanced practice nurses. (nih.gov)
001). There were no significant group differences in post-discharge acute care visits, functional status, depression, or patient satisfaction. (nih.gov)
In this study, we applied a generic prediction model to nationwide discharge data from hospitals with various characteristics. (biomedcentral.com)
In this study, we applied a generic case-mix-based risk adjustment model for in-hospital mortality prediction to hospitals with varying characteristics, and evaluated its performance for benchmarking risk-adjusted hospital mortality using a nationwide database of discharge cases. (biomedcentral.com)
Objective The relationship between admission nutritional status and clinical outcomes following hospital discharge is not well established. (bmj.com)
This study investigated whether older patients' nutritional status at admission predicts unplanned readmission or death in the very early or late periods following hospital discharge. (bmj.com)
Outcome measures The impact of nutritional status was measured on a combined endpoint of any readmission or death within 0-7 days and between 8 and 180 days following hospital discharge. (bmj.com)
Results Within 7 days following discharge, 29 (10.5%) patients had an unplanned readmission or death whereas an additional 124 (50.0%) patients reached this combined endpoint within 8-180 days postdischarge. (bmj.com)
0.001) and within 8-180 days (OR 1.98, 95% CI 1.19 to 3.28, P=0.007) following discharge and this risk remained significant even after adjustment for other covariates. (bmj.com)
Conclusions Malnutrition in older patients at the time of hospital admission is a significant predictor of readmission or death both in the very early and in the late periods following hospital discharge. (bmj.com)
The authors attributed this finding to the increased use of managed care and utilization review by Medicaid programs, which may have imposed stricter criteria for admission and discharge. (apstudybay.com)
Unplanned readmissions within 30 days of discharge are considered a marker of poor quality of care and a source of avoidable costs [5]. (apstudybay.com)
The authors concluded that LOS may not be a good predictor of readmission risk and that other factors, such as patient characteristics, clinical factors, discharge planning, and post-discharge follow-up, may be more important. (apstudybay.com)
In the United States, when home health care services are prescribed, federal guidelines require they begin within two days of hospital discharge. (rutgers.edu)
Length of stay measures the amount of time a patient spends in the hospital from the time of admission to time of discharge. (nursingpaperslayers.com)
In the usual care group, no changes are made in the information, discharge planning, or care the patients who have had a stroke normally receive, and caregivers have access to existing VA resources (eg, caregiver support line, self-help materials). (researchprotocols.org)
The British Thoracic Society (BTS) requires Hospital Episode Statistics (HES) and Civil Registration Mortality data held by NHS Digital to link with data collected by the BTS Adult Community Acquired Pneumonia (CAP) Audit 2018/19 to enable a more accurate analysis of a wider range of important outcome measures including mortality after discharge and readmission rates. (theysolditanyway.com)

Outcome measures reflect the impact of the health care service or intervention on the health status of patients. (nursingpaperslayers.com)
Accurate information on outcome measures, including mortality, periods of augmented care and readmission data are required to fully assess geographical variation. (theysolditanyway.com)
Analysis of outcome measures for differential treatments, accounting for the full patient pathway. (theysolditanyway.com)

The authors suggested that LOS may have a nonlinear relationship with readmission risk, such that both very short and very long stays may increase the likelihood of readmission. (apstudybay.com)

Monitor, Measure, Act - Finally, understanding that the patient intake process is critical to starting or continuing a patient's treatment, you must also monitor and measure its performance. (cureatr.com)
Other studies have suggested that longer LOS may increase the risk of readmission by disrupting the patient's social and environmental support systems or exposing them to nosocomial infections or adverse events [7]. (apstudybay.com)
It also tracks a patient's readmission due to a complication related to the original condition of care. (nursingpaperslayers.com)
The aim of this study is to test a problem-solving intervention for stroke caregivers that can be delivered over the telephone during the patient's transitional care period (time when the stroke survivor is discharged to home) followed by 8 asynchronous online sessions. (researchprotocols.org)

Older adults with diabetes are at elevated risk of complications following hospitalization. (rutgers.edu)
Early post-transplant survival: interaction of MELD score and hospitalization status. (jamanetwork.com)
Post-acute care provides a "short-stay" transition between hospitalization and home (or another long-term care setting) for more than five million Medicare beneficiaries each year. (va.gov)

Congratulations, Dr. Jamie M. Smith on the successful defense of you Ph.D. dissertation, 'Among Medicare Beneficiaries Living with Diabetes, Does Post-Acute Home Health Care Use Reduce the Risk of Rehospitalization? (rutgers.edu)

The 2018/19 CAP audit is the sixth national CAP audit since 2009 and provides data on the treatment of patients hospitalised with CAP from over 120 participating hospital sites across the UK. (theysolditanyway.com)
The BTS is requesting pseudonymised HES APC, CC and mortality data to be disseminated to the University of Nottingham where it will be combined, using a common pseudonymous patient ID, with a copy of the 2018/19 CAP audit data supplied to the University of Nottingham by Westcliff Solutions Limited. (theysolditanyway.com)

The purpose of sharing the results is to encourage nurses to improve care efficiency to enable short hospital stays. (nursingpaperslayers.com)
The results of the readmission rate metric are not shared with the nurses. (nursingpaperslayers.com)
However, I think that these results should be shared because nurses can help reduce the rate of readmission. (nursingpaperslayers.com)
Nurses can improve on the quality of care they provide to patients. (nursingpaperslayers.com)

Outcomes of acute versus elective primary ventral hernia repair. (jamanetwork.com)

As its name suggests, the PDPM is based on patient characteristics. (ajmc.com)
Few studies have examined whether risk adjustment is evenly applicable to hospitals with various characteristics and case-mix. (biomedcentral.com)
Since the calculation of risk-adjusted in-hospital mortality is often conducted for benchmarking purposes, whether the risk adjustment model is applicable to hospitals with varying characteristics and case-mix must be clarified. (biomedcentral.com)
It will examine the rise in expenditures across periods and their determinants through, for example, changes in patterns of morbidity, characteristics of patients and providers. (eshcru.com)

Length of stay (LOS) is an important indicator of the quality and efficiency of inpatient mental health care. (apstudybay.com)
The implementation of the Affordable Care Act (ACA) in 2014 may have impacted the patterns and outcomes of inpatient mental health care for children and adolescents. (apstudybay.com)
These findings suggest that reducing LOS may not necessarily improve the quality or efficiency of inpatient mental health care for children and adolescents. (apstudybay.com)
The metrics included indicators of inpatient, outpatient, and patient experience performance that align with three central tenants of VA care. (nursingpaperslayers.com)
The number of patients who contract UTI's during their inpatient stay that have indwelling catheters is measured daily. (nursingpaperslayers.com)
All-Payer Model for hospitals, which shifted the state's hospital payment structure from an all-payer hospital rate setting system to an all-payer global hospital budget that encompasses inpatient and outpatient hospital services. (who.int)
Variation in hospital mortality associated with inpatient surgery. (jamanetwork.com)
It will build on earlier ESHCRU work examining the drivers of inpatient hospital expenditures and activity. (eshcru.com)

The company also offers GuidingSigns Analytics, a clinical decision support system with predictive risk modeling and care gap identification tools embedded directly into the care management system. (beckershospitalreview.com)
Dr. Staudenmayer's clinical focus is on trauma, emergency general surgery, and surgical critical care, and her research interests encompass trauma systems of care and vulnerable patient populations such as the elderly. (stanford.edu)
If successful, findings will support an evidence-based model that can be transported into clinical practice to improve the quality of caregiving post stroke. (researchprotocols.org)
What providers say they want to know is how will these new ways of processing data, populating electronic health records (EHRs), moving to mobile devices for clinical charting and other nurse functions, monitoring for falls, or EHR connecting devices actually improve care and operations, and importantly in this era of tight to nonexistent margins, show a return on investment. (providermagazine.com)
To determine the clinical and economic consequences of inhaled corticosteroid doses and particle size in patients on triple-inhalation therapy for COPD. (dovepress.com)
Translating these advances into improved clinical care for patients requires a cadre of specialty-trained clini. (rochester.edu)
Translating these advances into improved clinical care for patients requires a cadre of specialty-trained clinician neuroscientists who are to be responsive to the increasing pace of scientific discoveries, as well as to the emerging suite of approaches and techniques. (rochester.edu)

In October 2019, Medicare, which spends $30 billion on 2.4 million skilled nursing facility (SNF) stays annually, began reimbursing facilities using the Patient-Driven Payment Model (PDPM). (ajmc.com)
Care efficiency contributes significantly to how long a patient stays in the hospital. (nursingpaperslayers.com)
High care efficiency leads to short hospital stays, while inadequate care efficiency extends the length of patient stay. (nursingpaperslayers.com)

Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965. (wikipedia.org)
As with many healthcare initiatives, the more work an organization puts into its care management program, the greater the improvements it can expect to achieve. (cureatr.com)
It should represent just one of many resources organizations can use to help ensure their care management programs help deliver on the triple aim of healthcare: improving the experience of care, improving the health of populations, and reducing per capita costs of healthcare. (cureatr.com)
With such high patient volume, every healthcare organization should take a thorough review of its patient intake processes and identify areas for improvement. (cureatr.com)
The firm offers a population health services solution designed to help healthcare organizations transition to value-based care and deliver population health. (beckershospitalreview.com)
Recent enthusiasm for outcome evaluation such as in-hospital mortality, however, has been challenged because of the difficulties of ensuring adequate risk adjustment for different patient populations, an indispensable factor for fairly evaluating healthcare performance [ 2 ]. (biomedcentral.com)
This will be used to assess variation in healthcare and outcomes of patients hospitalised with CAP across the UK and, where possible, identify potential targets for improved patient care in the future. (theysolditanyway.com)
Once the analysis has been conducted, this will be sent back to the BTS, this is to allow BTS to assess variation in healthcare and outcomes of patients hospitalised with CAP across the UK and, where possible, identify potential targets for improved patient care in the future. (theysolditanyway.com)
Another priority for Marquis and its Consonus Healthcare unit (pharmacy, rehabilitation, and data analytics) is to have technology that offers ways to communicate performance data for meaningful conversations with hospital systems and physician groups. (providermagazine.com)
1 , 2 COPD results in high healthcare costs, with the most severe patients and COPD exacerbations consuming the most resources. (dovepress.com)
Results The optimisation of the medicines process has led to benefits to patients in terms of morbidity and mortality in addition to a reduction in healthcare resource utilisation. (bmj.com)
1 Current healthcare systems continue to face great challenges due to increasing numbers of adverse events, poor adherence, increasing numbers of medication incidents and inadequate communication at transitions of care, especially at the primary/secondary care interface. (bmj.com)

In this blog post, we will review some of the recent literature on this topic and discuss the implications for health care reform, policy, and practice. (apstudybay.com)
This is a blog by a former CEO of a large Boston hospital to share thoughts about negotiation theory and practice, leadership training and mentoring, and teaching. (blogspot.com)
There is a provision of the law ("Chapter 176T, Risk-bearing Provider Organizations") that was written to provide some assurance that provider organizations--physician organizations, physician-hospital organizations, independent practice associations, provider networks, accountable care organizations and any other organization that contracts with carriers for payment for health care services--would be financially capable of bearing the risk of alternative payment contracts. (blogspot.com)

It requires that organizations have a strong grasp of the needs of their patient populations and are capable of taking a team-based, patient-centered approach to treatment - one that must often be carried between sites of services and requires careful coordination of care transitions. (cureatr.com)
Population health efforts can include targeting at-risk populations for diagnostic testing and preventative measures, chronic care management and home care support. (beckershospitalreview.com)
Population health initiatives rely on data gathering and analytics to develop an understanding of patient populations and gaps of care. (beckershospitalreview.com)
Patients needing post-acute care are likely to be older with worse health status, making the search for information more difficult than among younger populations studied in non-nursing home settings. (va.gov)

Both received new spending, funded through a combination of new taxes and cuts to Medicare provider rates and Medicare Advantage. (wikipedia.org)
A systematic review of 34 studies on LOS and readmission rates for adult psychiatric patients found that there was no consistent association between these two outcomes [8]. (apstudybay.com)
Similarly, a meta-analysis of 12 studies on LOS and readmission rates for child and adolescent psychiatric patients found that there was no significant correlation between these two outcomes [9]. (apstudybay.com)
I'd like to suggest that a factor in the differential premium growth rates relates to whether companies have affirmatively counteracted the strategic plans of health insurers to migrate employees to plans that correspond to greater use of health care services. (blogspot.com)
The two-quality metrics used in my workplace are the length of stay and readmission rates. (nursingpaperslayers.com)
Readmission rates show the number of patients admitted into the same facility or a different facility within thirty days of being discharged for the same condition. (nursingpaperslayers.com)
In contrast, Medicare and Medicaid - the two largest government health insurance programs - regulate the rates that providers receive. (who.int)
Havens JM, Olufajo OA, Cooper ZR, Haider AH, Shah AA, Salim A. Defining rates and risk factors for readmissions following emergency general surgery [published online November 11, 2015]. (jamanetwork.com)
Key findings include reduced length of stay, reduced readmission rates, improved Medicines Appropriateness Index, improved Medicines Administration Error rate, positive impact on Risk Adjusted Mortality Index and improved communication across the primary/secondary care interface. (bmj.com)

1 The PDPM replaces the Resource Utilization Groups (RUG) system, which had been used since 1998 and which many believe created perverse incentives that contributed to rapid growth and unwarranted variation in Medicare spending on postacute care. (ajmc.com)
Some SNFs are thought to have taken advantage of these features to increase revenue by moving patients into higher RUG payment categories, contributing to rapid growth in Medicare expenditures. (ajmc.com)
Medicare was established in response to the specific medical care needs of the elderly, coverage was extended for disabled persons and persons with kidney disease in 1973. (who.int)
This study examined the relationship between report card scores and patient choice of nursing home after the Centers for Medicare and Medicaid Services began publicly reporting nursing home quality information on post-acute care in 2002. (va.gov)

Research has shown that using a patient intake management system can help organizations increase efficiency, focus more on the patient experience, and reduce overhead costs. (cureatr.com)
The data collected is important because it provides sufficient evidence on the hospital's level of care efficiency. (nursingpaperslayers.com)

Many countries adopted austerity policies, with substantial reductions in public spending affecting health and social care budgets, and many citizens faced growing insecurity and social exclusion (Thomson et al . (cambridge.org)

The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act (PPACA) and colloquially known as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. (wikipedia.org)
Estimates call for dramatic increases in insurance premiums with the cost add-ons that result from the Affordable Care Act. (blogspot.com)
2 The Patient Protection and Affordable Care Act, signed into law in March 2010, made broad changes to the way health insurance is provided and paid for in the United States. (who.int)

However, there is no consensus on the optimal LOS for adolescent psychiatric patients, and the relationship between LOS and unplanned readmissions is unclear. (apstudybay.com)
For example, a study of psychiatric hospitalizations for adolescents in Washington State found that patients with mood disorders, substance use disorders, or co-occurring medical conditions had longer LOS than those with other diagnoses [3]. (apstudybay.com)
Similarly, a study of psychiatric hospitalizations for children and adolescents in Massachusetts found that patients with psychotic disorders, developmental disorders, or suicidal ideation had longer LOS than those with other conditions [4]. (apstudybay.com)
A study of psychiatric hospitalizations for children and adolescents in Washington State found that after ACA implementation, there was a significant decrease in LOS over time, especially for Medicaid-insured patients [10]. (apstudybay.com)
The results from the included articles suggest that periods of economic crisis might be linked to an increase of general help sought for mental health problems, with conflicting results regarding the changes in the use of specialised psychiatric care. (cambridge.org)

We generated and validated a case-mix in-hospital mortality prediction model using 50/50 split sample validation. (biomedcentral.com)
Data from previous BTS CAP audits have shown a decreasing trend in mortality from CAP associated with improved processes of care. (theysolditanyway.com)
Association of Model for End-Stage Liver Disease score and mortality in trauma patients with chronic liver disease. (jamanetwork.com)
Matsuyama T, Iranami H, Fujii K, Inoue M, Nakagawa R, Kawashima K. Risk factors for postoperative mortality and morbidities in emergency surgeries. (jamanetwork.com)
Mortality and drug exposure in a 5-year cohort of patients with chronic liver disease. (jamanetwork.com)
Neighborhood poverty rate and mortality in patients receiving critical care in the academic medical center setting. (jamanetwork.com)

Care management" is a broad framework that encompasses many different components, but they are all aimed at achieving a few very significant objectives: reduce health risks and the cost of care by delivering the most appropriate care to the most appropriate patients at the most appropriate times. (cureatr.com)
The ACA also introduced incentives for hospitals to reduce readmissions by imposing financial penalties for excess readmissions under the Hospital Readmissions Reduction Program (HRRP). (apstudybay.com)

Home health care may especially benefit older adults with diabetes through individualized education, advocacy, care coordination, and psychosocial support for patients and their caregivers. (rutgers.edu)
Effective care is based on scientific knowledge of what is likely to provide benefit to veterans, Safe Care that avoids harm from the care that is intended to help veterans, and veteran -centered care that anticipates and responds to Veterans and their caregivers. (nursingpaperslayers.com)
These increased demands coupled with the lack of preparedness for their new roles lead to a high risk for caregivers developing depressive symptoms and other negative outcomes. (researchprotocols.org)
Participants randomized into the intervention arm receive a modified problem-solving intervention that uses telephone and web-based support and training with interactive modules, fact sheets, and tools on the previously developed and nationally available Resources and Education for Stroke Caregivers' Understanding and Empowerment Caregiver website. (researchprotocols.org)
Secondary outcomes include changes in stroke caregivers' burden, knowledge, positive aspects of caregiving, self-efficacy, perceived stress, health-related quality of life, and satisfaction with care and changes in stroke survivors' functional abilities and health care use. (researchprotocols.org)

Understanding changes in the demand for health and social care (H&SC) from different population groups and the implications for how health and care services are provided and funded. (eshcru.com)

Thus, the intervention demonstrated great potential in promoting positive outcomes for hospitalized elders at high risk for rehospitalization while reducing costs. (nih.gov)

ABSTRACT We assessed the economic impact of Joint Commission International hospital accreditation on 5 structural and outcome hospital performance measures in Jordan. (who.int)
We conducted a 4-year retrospective study comparing 2 private accredited acute general hospitals with matched non-accredited hospitals, using difference-in-differences and adjusted covariance analyses to test the impact and value of accreditation on hospital performance measures. (who.int)
The measures used to assess and compare the quality of health care organizations are classified as either a structure, process, or outcome measure. (nursingpaperslayers.com)
Structural measures give consumers a sense of a health care provider's capacity, systems, and processes to provide high-quality care. (nursingpaperslayers.com)
Process measures indicate what a provider does to maintain or improve health, either for healthy people or for those diagnosed with a health care condition. (nursingpaperslayers.com)
The readmission rate metric measures the quality of care given to patients (Fische et al. (nursingpaperslayers.com)
The audit monitors performance of process of care measures against the BTS Guidelines for the management of patients with CAP 2009. (theysolditanyway.com)
The BTS CAP audit dataset is uniquely rich in treatment and process of care measures on an individual case basis. (theysolditanyway.com)

The Patient-Driven Payment Model addresses perverse incentives in Medicare's previous payment system for skilled nursing facilities, but it includes new incentives that may be problematic. (ajmc.com)
The Patient-Driven Payment Model (PDPM) addresses perverse incentives in Medicare's prior payment system for skilled nursing facilities by prioritizing patient needs over service volume. (ajmc.com)

Unmet needs for mental health treatment are large and widespread, and periods of economic crisis may increase the need for care and the treatment gap, with serious consequences for individuals and society. (cambridge.org)
The aim of this systematic review was to summarise the empirical evidence on the association between periods of economic crisis and the use of mental health care. (cambridge.org)

The platform helps hospital leaders manage care transitions and coordinate teams in all aspects of population health. (beckershospitalreview.com)
The platform includes Allscripts Analytics intelligence, the dbMotion health information exchange platform, Allscripts CareInMotion Care Transitions and Care Team Management tools and the Allscripts FollowMyHealth vendor-agnostic patient engagement platform. (beckershospitalreview.com)

A significantly higher proportion of hospitals in the lower c-index group were specialized hospitals and hospitals with convalescent wards. (biomedcentral.com)

This WP will consider systematic variations in the supply of health care services, setting out a conceptual framework and devising empirical strategies for identifying and quantifying variation. (eshcru.com)

Racial and ethnic disparities exist in diabetes prevalence, health services utilization, and outcomes including disabling and life-threatening complications among patients with diabetes. (rutgers.edu)

Pooling both hospitals over 3 years, these improvements translated into total savings of US$ 593 000 in Jordan's health-care system. (who.int)
The next steps will be to further integrate with primary care and deliver improvements in medicines processes in that sector together with requisite enabling technologies. (bmj.com)
Measuring what is being delivered for the money spent on H&SC to maximise quality of care and improvements in health and wellbeing. (eshcru.com)
Improvement in quality is believed ( 18 ) for health-care providers and We used the intervention period, to result in fewer mistakes, shorter its high cost to hospitals might be the hospital's accreditation status and delays, improvements in productivity, a barrier to seeking accreditation the interaction term between these fac- increased market share and lower costs ( 14 ). (who.int)

Dr. Staudenmayer was promoted to Associate Professor of Surgery in 2016, and continues her research, policy and advocacy work to improve the care and outcomes for patients with traumatic injuries and critical surgical illnesses. (stanford.edu)

Nutritional state should be included in future risk prediction models. (bmj.com)
The research was a large prospective observational study evaluating the association between nutritional status and readmission or death in medical inpatients ≥60 years old. (bmj.com)

This approach assumes patient safety and strengthen the quality the economics of accreditation con- that underlying changes in Jordan's of health care. (who.int)

Hospital accreditation aims to improve tionships ( 11 - 13 ). (who.int)

Our guide helps organizations to develop the foundation for care management and assist those with a program to identify opportunities for improvement. (cureatr.com)
This e-book aims to help organizations develop the foundation for care management, if they lack such a program, and assist those organizations with a program already implemented to identify a wide range of opportunities for improvement. (cureatr.com)
Advisory Board provides customized support for care transformation strategy and execution in addition to a consultation team and the Crimson applications technology to help organizations build a transformational population health program. (beckershospitalreview.com)

Pneumonia is responsible for more hospital admissions and bed days than any other lung disease in the UK, and results in 29,000 deaths per annum (5-15% of patients hospitalised with CAP will die within 30 days of admission). (theysolditanyway.com)

She was subsequently double-boarded in General Surgery and Surgical Critical Care. (stanford.edu)

Eligible patients were 65 years or older, hospitalized between August 1992 and March 1996, and had 1 of several medical and surgical reasons for admission. (nih.gov)

The $163, or 37%, differential in the per diem payment between the very high and ultra-high categories created a strong incentive for SNFs to provide just enough therapy to move a patient into the higher-paying category, regardless of whether they required such intensive therapy. (ajmc.com)
Prospective evaluation of the prognostic scores for cirrhotic patients admitted to an intensive care unit. (jamanetwork.com)

According to the last survey conducted by the U.S. Department of Health & Human Services, there were over 125 million outpatient department visits in a single year to U.S. hospitals. (cureatr.com)

1 ). Hospital accreditation--a self- accreditation on health outputs and had 2 observations for each hospital: the assessment and external quality review outcomes, and the cost savings associ- first in the pre-intervention period and mechanism that checks a hospital's ated with accreditation, is helpful for the second in the intervention period. (who.int)

This is the first known study to test a transitional care and messaging center intervention combined with technology to decrease caregiver depressive symptoms and to improve the recovery of stroke survivors. (researchprotocols.org)
BTS exists to improve standards of care for people who have respiratory diseases and to support and develop those who provide that care. (theysolditanyway.com)
Technology for long term and post-acute care (LT/PAC) providers is in many ways all about how best to procure new software or hardware options to improve caregiving. (providermagazine.com)
This program will train the next generation of leaders in the experimental therapeutics of neurological disease, to accelerate therapeutic development and improve access to emerging breakthroughs for all patients and families who may benefit. (rochester.edu)
The continued access to this data will enable the CCG to further understand and improve service performance and delivery, including patient pathway design, re-design and patient experience. (theysolditanyway.com)

Allscripts CareInMotion population health management platform is designed to enhance care coordination, patient engagement, connectivity, data aggregation and analytics. (beckershospitalreview.com)

2014). When the number of readmitted patients is high, it indicates that the health professionals are delivering low-quality care to patients, ignoring complications or relevant patient information. (nursingpaperslayers.com)

3M (St. Paul, Minn.). To support population health management, 3M offers multiple data tools and services, such as risk adjustment, health risk assessment, medical records coding and auditing, care management analytics, provider profiling, and value-based payment design. (beckershospitalreview.com)
We used standardized data of 1,878,767 discharged patients provided by 469 hospitals from July 1 to October 31, 2006. (biomedcentral.com)
Others are new to the concept and, according to the word on the street, do not have in place the kind of care management regime and data sophistication needed to avoid a deficit in these plans. (blogspot.com)
The additional data will also allow further review on the presence of one or more additional conditions, whilst considering their current social class and living conditions, as these are known factors in increased risk of developing CAP. (theysolditanyway.com)
Coordinated care demands data and technology are needed to crunch the numbers and produce actionable reports, he says. (providermagazine.com)
Calculating the benefits of a Research Patient Data Repository. (jamanetwork.com)

Regulators should maintain close oversight of billing by skilled nursing facilities and patient outcomes as the PDPM takes effect to mitigate potential unintended consequences. (ajmc.com)
3 This commentary explores these risks and what can be done to mitigate them. (ajmc.com)
Home health care services mitigate the risk of adverse events and facilitate a safe transition home. (rutgers.edu)

Of course, any efforts undertaken to develop and strengthen care management must be carefully executed to ensure there are no breakdowns in processes that can cause delay or harm patient care, prevent staff from performing at their full capacity, and waste valuable time and money. (cureatr.com)

However, the dataset used in the previous study was derived mainly from large university-affiliated teaching hospitals, which may compromise the ability to generalize results to a broader array of hospitals. (biomedcentral.com)
Post-results. (bmj.com)
The results also suggest that economic crises might be associated with a higher use of prescription drugs and an increase in hospital admissions for mental disorders. (cambridge.org)

Advantmed (Santa Ana, Calif.). Advantmed is an integrated risk adjustment optimization and quality improvement company dedicated to helping risk-bearing entities. (beckershospitalreview.com)
The company's solutions include medical record retrieval, medical record abstraction, risk adjustment coding, risk adjustment suspecting and targeting, NCQA-certified HEDIS® software, compliance and audit services, and health risk assessments. (beckershospitalreview.com)
To date, few studies have examined whether case-mix risk adjustment can be evenly applied such hospitals. (biomedcentral.com)

A model to predict poor survival in patients undergoing transjugular intrahepatic portosystemic shunts. (jamanetwork.com)

The net impact of accreditation was a 1.2 percentage point reduction in patients who returned to the ICU, 12.8% reduction in annual staff turnover and 20.0% improvement in the completeness of medical records. (who.int)
Leverage Electronic Messaging - To give patients the best care possible, providers must have access to detailed information, such as medication history, allergies, family history, information on primary care doctor, medical conditions, and history of hospitalizations. (cureatr.com)
Dr. Kristan Staudenmayer received her medical degree at the University of Texas at Southwestern Medical School in 1999, and completed her residency in General Surgery at Parkland Hospital in 2006. (stanford.edu)
On the other hand, Medicaid was established in response to the widely- perceived inadequacy of welfare medical care under public assistance. (who.int)
UR Medicine Faculty The University of Rochester Medical Faculty Group (URMFG) consists of over 900 specialist and primary care providers spanning 19 departments. (rochester.edu)
Accountable Health Partner Accountable Health Partners (AHP) is a network of over 2,000 community and UR medical faculty and a dozen leading hospitals throughout the region. (rochester.edu)
He received his undergraduate (1985) and medical degrees from the University of Connecticut (1989), and his neurology (1993) and health services research training (MPH, 1996) at the University of Rochester. (rochester.edu)

Objective The objective of this review was to assess the improvement in medicines processes in Northern Ireland focusing mainly on secondary care and at the interface with primary care and also to consider the benefits of enabling technologies for the system. (bmj.com)

That is especially the case because Blue Cross padded first-year global payment budgets to entice hospitals and doctors to sign on . (blogspot.com)

In the earlier example, an SNF providing a patient with 719 minutes of therapy in a week would receive the very high category payment rate ($438), but providing 720 minutes would raise payment to the ultra-high category rate ($601). (ajmc.com)
Under these rate-setting systems, the federal or state government establishes how much providers are paid for health care services. (who.int)

This metric aids patients in understanding the quality of care available in their geographic region. (nursingpaperslayers.com)
Conversely, a small number of readmission cases shows the hospital provides high quality of care. (nursingpaperslayers.com)
1. Supporting Quality Innovation Productivity and Prevention (QIPP) to review demand management, integrated care and pathways. (theysolditanyway.com)
Quality of care reflects sist of studies concerning the explicit health system affect accredited and the degree to which health services are costs of seeking accreditation ( 14 ) non-accredited hospitals similarly. (who.int)

4 Under the RUG system, an SNF received $438 per day, on average, for a typical patient needing assistance with 6 to 10 activities of daily living in the "very high" RUG category (Table 1). (ajmc.com)
If this same patient were placed in the "ultra-high" category, the per diem payments increased to $601, on average. (ajmc.com)
The United States of America (US) health care system has developed largely through the private sector and combines high levels of funding with a uniquely low level of government involvement. (who.int)
Hospital administrative overheads are far higher in the US than in other high-spending countries (Himmelstein et al. (who.int)
Private sector stakeholders play a stronger role in the US health care system than in other high-income countries. (who.int)
Patients were grouped according to inhaled corticosteroid (ICS) dose (low/medium/high) and particle size device (extrafine/non-extrafine particles). (dovepress.com)
Of these, 849 (38.9%) patients received low-dose ICS, 612 medium-dose ICS (28.0%) and 724 (33.1%) high-dose ICS. (dovepress.com)
Despite the face validity of using report cards to increase demand for highly-rated providers, the evidence that providers who receive a high report card rating are rewarded with an increased market share - or that providers who receive a low report card rating lose market share - is mixed. (va.gov)

Among the studied hospitals, 446 (95%) had a c-index of ≥0.8 and were classified as the higher c-index group. (biomedcentral.com)

Impact of economic crises on mental health care: a. (cambridge.org)
The evidence on the use of mental health care specifically due to suicide behaviour is mixed. (cambridge.org)
Research on the impact of economic crises on the use of mental health care is scarce, and methodologies of the included papers are prone to substantial bias. (cambridge.org)
More empirical and long-term studies on this topic are needed, in order to adapt mental health care systems to the specific needs of the population in times of economic crisis. (cambridge.org)

Diseases7

Chemicals and Drugs1

Analytical, Diagnostic and Therapeutic Techniques and Equipment35

Psychiatry and Psychology1

Phenomena and Processes3

Disciplines and Occupations2

Anthropology, Education, Sociology and Social Phenomena2

Technology, Industry, Agriculture2

Humanities1

Information Science10

Named Groups4

Health Care108

Geographicals4

Lengthened the time between discharg1

Discharge20

Outcome measures3

Increase the likelihood1

Patient's4

Hospitalization3

Beneficiaries1

20182

Nurses4

Elective1

Characteristics4

Inpatient8

Clinical7

Stays3

Healthcare12

Practice3

Populations4

Rates9

Medicare4

Efficiency2

Reductions1

Affordable Care Act3

Psychiatric5

Mortality6

Reduce2

Caregivers5

Implications1

Rehospitalization1

Measures8

Incentives2

Periods2

Transitions2

Significantly higher1

Systematic1

Utilization1

Improvements4

20161

Nutritional2

Jordan's1

Aims to improve1

Organizations3

Pneumonia1

Critical Care1

Admission1

Intensive2

Visits1

Hospital's1

Improve5

Coordination1

Complications1

Data6

Mitigate3

Strengthen1

Results3

Adjustment3

Model to predict1

Medical7

Primary care1

Budgets1

Rate2

Quality4

High8

Higher1

Mental health4