Hospital Costs: The expenses incurred by a hospital in providing care. The hospital costs attributed to a particular patient care episode include the direct costs plus an appropriate proportion of the overhead for administration, personnel, building maintenance, equipment, etc. Hospital costs are one of the factors which determine HOSPITAL CHARGES (the price the hospital sets for its services).Length of Stay: The period of confinement of a patient to a hospital or other health facility.Inpatients: Persons admitted to health facilities which provide board and room, for the purpose of observation, care, diagnosis or treatment.Health Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Hospitalization: The confinement of a patient in a hospital.Hospitals, Psychiatric: Special hospitals which provide care to the mentally ill patient.Utilization Review: An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services and promote their most efficient use.Economics, Hospital: Economic aspects related to the management and operation of a hospital.Patient Admission: The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.United StatesPatient Discharge: The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.Cost Allocation: The assignment, to each of several particular cost-centers, of an equitable proportion of the costs of activities that serve all of them. Cost-center usually refers to institutional departments or services.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Hospital Charges: The prices a hospital sets for its services. HOSPITAL COSTS (the direct and indirect expenses incurred by the hospital in providing the services) are one factor in the determination of hospital charges. Other factors may include, for example, profits, competition, and the necessity of recouping the costs of uncompensated care.Ambulatory Care: Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.Hospitals, Teaching: Hospitals engaged in educational and research programs, as well as providing medical care to the patients.Hospitals, University: Hospitals maintained by a university for the teaching of medical students, postgraduate training programs, and clinical research.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Cost Control: The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)Cost of Illness: The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, or QUALITY OF LIFE. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Diagnosis-Related Groups: A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system.Drug Costs: The amount that a health care institution or organization pays for its drugs. It is one component of the final price that is charged to the consumer (FEES, PHARMACEUTICAL or PRESCRIPTION FEES).EnglandHospital Bed Capacity: The number of beds which a hospital has been designed and constructed to contain. It may also refer to the number of beds set up and staffed for use.Hospital Bed Capacity, 500 and overCost Savings: Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.Hospitals, General: Large hospitals with a resident medical staff which provides continuous care to maternity, surgical and medical patients.Hospitals, Urban: Hospitals located in metropolitan areas.Insurance, Health, Reimbursement: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)Hospital Planning: Areawide planning for hospitals or planning of a particular hospital unit on the basis of projected consumer need. This does not include hospital design and construction or architectural plans.Direct Service Costs: Costs which are directly identifiable with a particular service.Financial Management, Hospital: The obtaining and management of funds for hospital needs and responsibility for fiscal affairs.Hospitalists: Physicians who are employed to work exclusively in hospital settings, primarily for managed care organizations. They are the attending or primary responsible physician for the patient during hospitalization.Medicare: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)Hospitals, Pediatric: Special hospitals which provide care for ill children.Insurance, Hospitalization: Health insurance providing benefits to cover or partly cover hospital expenses.Patient Readmission: Subsequent admissions of a patient to a hospital or other health care institution for treatment.Models, Economic: Statistical models of the production, distribution, and consumption of goods and services, as well as of financial considerations. For the application of statistics to the testing and quantifying of economic theories MODELS, ECONOMETRIC is available.Nursing Staff, Hospital: Personnel who provide nursing service to patients in a hospital.Hospitals, Proprietary: Hospitals owned and operated by a corporation or an individual that operate on a for-profit basis, also referred to as investor-owned hospitals.Intermediate Care Facilities: Institutions which provide health-related care and services to individuals who do not require the degree of care which hospitals or skilled nursing facilities provide, but because of their physical or mental condition require care and services above the level of room and board.Bed Occupancy: A measure of inpatient health facility use based upon the average number or proportion of beds occupied for a given period of time.Hospitals, District: Government-controlled hospitals which represent the major health facility for a designated geographic area.Critical Pathways: Schedules of medical and nursing procedures, including diagnostic tests, medications, and consultations designed to effect an efficient, coordinated program of treatment. (From Mosby's Medical, Nursing & Allied Health Dictionary, 4th ed)Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Health Resources: Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.Ancillary Services, Hospital: Those support services other than room, board, and medical and nursing services that are provided to hospital patients in the course of care. They include such services as laboratory, radiology, pharmacy, and physical therapy services.Hospitals, Special: Hospitals which provide care for a single category of illness with facilities and staff directed toward a specific service.Prospective Payment System: A system wherein reimbursement rates are set, for a given period of time, prior to the circumstances giving rise to actual reimbursement claims.Economic Competition: The effort of two or more parties to secure the business of a third party by offering, usually under fair or equitable rules of business practice, the most favorable terms.Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Health Expenditures: The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.Intensive Care Units: Hospital units providing continuous surveillance and care to acutely ill patients.Hospitals, Private: A class of hospitals that includes profit or not-for-profit hospitals that are controlled by a legal entity other than a government agency. (Hospital Administration Terminology, AHA, 2d ed)Accounting: System of recording financial transactions.Hospitals, Community: Institutions with permanent facilities and organized medical staff which provide the full range of hospital services primarily to a neighborhood area.Surgical Procedures, Elective: Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.Hospital Departments: Major administrative divisions of the hospital.Academic Medical Centers: Medical complexes consisting of medical school, hospitals, clinics, libraries, administrative facilities, etc.Ambulatory Surgical Procedures: Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.Operating Rooms: Facilities equipped for performing surgery.Hospital Units: Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Hospitals: Institutions with an organized medical staff which provide medical care to patients.Multi-Institutional Systems: Institutional systems consisting of more than one health facility which have cooperative administrative arrangements through merger, affiliation, shared services, or other collective ventures.Psychiatric Department, Hospital: Hospital department responsible for the organization and administration of psychiatric services.Recovery Room: Hospital unit providing continuous monitoring of the patient following anesthesia.Ownership: The legal relation between an entity (individual, group, corporation, or-profit, secular, government) and an object. The object may be corporeal, such as equipment, or completely a creature of law, such as a patent; it may be movable, such as an animal, or immovable, such as a building.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Health Facility Closure: The closing of any health facility, e.g., health centers, residential facilities, and hospitals.Economics, Medical: Economic aspects of the field of medicine, the medical profession, and health care. It includes the economic and financial impact of disease in general on the patient, the physician, society, or government.Hospital Mortality: A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.Cross Infection: Any infection which a patient contracts in a health-care institution.Models, Econometric: The application of mathematical formulas and statistical techniques to the testing and quantifying of economic theories and the solution of economic problems.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Surgical Procedures, Operative: Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)Rehabilitation Centers: Facilities which provide programs for rehabilitating the mentally or physically disabled individuals.Infant, Newborn: An infant during the first month after birth.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Databases, Factual: Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.Surgery Department, Hospital: Hospital department which administers all departmental functions and the provision of surgical diagnostic and therapeutic services.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.Efficiency, Organizational: The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.Cost Sharing: Provisions of an insurance policy that require the insured to pay some portion of covered expenses. Several forms of sharing are in use, e.g., deductibles, coinsurance, and copayments. Cost sharing does not refer to or include amounts paid in premiums for the coverage. (From Dictionary of Health Services Management, 2d ed)Hospital Records: Compilations of data on hospital activities and programs; excludes patient medical records.Medicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.Multivariate Analysis: A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Risk Adjustment: The use of severity-of-illness measures, such as age, to estimate the risk (measurable or predictable chance of loss, injury or death) to which a patient is subject before receiving some health care intervention. This adjustment allows comparison of performance and quality across organizations, practitioners, and communities. (from JCAHO, Lexikon, 1994)Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Insurance, Health: Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.Outpatient Clinics, Hospital: Organized services in a hospital which provide medical care on an outpatient basis.Hospitals, County: Hospitals controlled by the county government.Hospital Administration: Management of the internal organization of the hospital.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Managed Care Programs: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Vascular Surgical Procedures: Operative procedures for the treatment of vascular disorders.Anti-Bacterial Agents: Substances that reduce the growth or reproduction of BACTERIA.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Databases as Topic: Organized collections of computer records, standardized in format and content, that are stored in any of a variety of computer-readable modes. They are the basic sets of data from which computer-readable files are created. (from ALA Glossary of Library and Information Science, 1983)Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Equipment and Supplies, Hospital: Any materials used in providing care specifically in the hospital.Comorbidity: The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.Outpatients: Persons who receive ambulatory care at an outpatient department or clinic without room and board being provided.Hospital Information Systems: Integrated, computer-assisted systems designed to store, manipulate, and retrieve information concerned with the administrative and clinical aspects of providing medical services within the hospital.Quality-Adjusted Life Years: A measurement index derived from a modification of standard life-table procedures and designed to take account of the quality as well as the duration of survival. This index can be used in assessing the outcome of health care procedures or services. (BIOETHICS Thesaurus, 1994)Food Service, Hospital: Hospital department that manages and supervises the dietary program in accordance with the patients' requirements.CaliforniaMassachusettsLaryngeal Diseases: Pathological processes involving any part of the LARYNX which coordinates many functions such as voice production, breathing, swallowing, and coughing.Infection Control: Programs of disease surveillance, generally within health care facilities, designed to investigate, prevent, and control the spread of infections and their causative microorganisms.Hospitals, Veterans: Hospitals providing medical care to veterans of wars.New JerseyPatient Transfer: Interfacility or intrahospital transfer of patients. Intrahospital transfer is usually to obtain a specific kind of care and interfacility transfer is usually for economic reasons as well as for the type of care provided.Libraries, Hospital: Information centers primarily serving the needs of hospital medical staff and sometimes also providing patient education and other services.New YorkChild, Hospitalized: Child hospitalized for short term care.Obstetrics and Gynecology Department, Hospital: Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients.Surgical Wound Infection: Infection occurring at the site of a surgical incision.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Health Maintenance Organizations: Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)Stroke: A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)Hospitals, Municipal: Hospitals controlled by the city government.Laparoscopy: A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.Cardiac Surgical Procedures: Surgery performed on the heart.Perioperative Period: The time periods immediately before, during and following a surgical operation.Day Care: Institutional health care of patients during the day. The patients return home at night.American Hospital Association: A professional society in the United States whose membership is composed of hospitals.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Medical Audit: A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.Health Facility Size: The physical space or dimensions of a facility. Size may be indicated by bed capacity.Tertiary Care Centers: A medical facility which provides a high degree of subspecialty expertise for patients from centers where they received SECONDARY CARE.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Colectomy: Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)Hospital Bed Capacity, 100 to 299Statistics, Nonparametric: A class of statistical methods applicable to a large set of probability distributions used to test for correlation, location, independence, etc. In most nonparametric statistical tests, the original scores or observations are replaced by another variable containing less information. An important class of nonparametric tests employs the ordinal properties of the data. Another class of tests uses information about whether an observation is above or below some fixed value such as the median, and a third class is based on the frequency of the occurrence of runs in the data. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed, p1284; Corsini, Concise Encyclopedia of Psychology, 1987, p764-5)Nursing Service, Hospital: The hospital department which is responsible for the organization and administration of nursing activities.Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Medication Systems, Hospital: Overall systems, traditional or automated, to provide medication to patients in hospitals. Elements of the system are: handling the physician's order, transcription of the order by nurse and/or pharmacist, filling the medication order, transfer to the nursing unit, and administration to the patient.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Acute Disease: Disease having a short and relatively severe course.Cardiology Service, Hospital: The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cardiac patient.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Aortic Aneurysm, Abdominal: An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm.Admitting Department, Hospital: Hospital department responsible for the flow of patients and the processing of admissions, discharges, transfers, and also most procedures to be carried out in the event of a patient's death.Linear Models: Statistical models in which the value of a parameter for a given value of a factor is assumed to be equal to a + bx, where a and b are constants. The models predict a linear regression.Insurance Claim Review: Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.Hospitals, Religious: Private hospitals that are owned or sponsored by religious organizations.Great BritainQuality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Aftercare: The care and treatment of a convalescent patient, especially that of a patient after surgery.Bacteremia: The presence of viable bacteria circulating in the blood. Fever, chills, tachycardia, and tachypnea are common acute manifestations of bacteremia. The majority of cases are seen in already hospitalized patients, most of whom have underlying diseases or procedures which render their bloodstreams susceptible to invasion.Laboratories, Hospital: Hospital facilities equipped to carry out investigative procedures.Mental Disorders: Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Survival Analysis: A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.Medical Records: Recording of pertinent information concerning patient's illness or illnesses.Hospitals, Military: Hospitals which provide care for the military personnel and usually for their dependents.SwitzerlandHospital Bed Capacity, under 100Hospitals, Maternity: Special hospitals which provide care to women during pregnancy and parturition.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Burns: Injuries to tissues caused by contact with heat, steam, chemicals (BURNS, CHEMICAL), electricity (BURNS, ELECTRIC), or the like.State Medicine: A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.Laryngectomy: Total or partial excision of the larynx.Catchment Area (Health): A geographic area defined and served by a health program or institution.Hospital Shared Services: Cooperation among hospitals for the purpose of sharing various departmental services, e.g., pharmacy, laundry, data processing, etc.Health Services: Services for the diagnosis and treatment of disease and the maintenance of health.Personnel Staffing and Scheduling: The selection, appointing, and scheduling of personnel.Episode of Care: An interval of care by a health care facility or provider for a specific medical problem or condition. It may be continuous or it may consist of a series of intervals marked by one or more brief separations from care, and can also identify the sequence of care (e.g., emergency, inpatient, outpatient), thus serving as one measure of health care provided.Home Care Services: Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.Health Services Misuse: Excessive, under or unnecessary utilization of health services by patients or physicians.Age Distribution: The frequency of different ages or age groups in a given population. The distribution may refer to either how many or what proportion of the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.LondonCoronary Artery Bypass: Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Intensive Care: Advanced and highly specialized care provided to medical or surgical patients whose conditions are life-threatening and require comprehensive care and constant monitoring. It is usually administered in specially equipped units of a health care facility.Emergencies: Situations or conditions requiring immediate intervention to avoid serious adverse results.Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.Hospital-Patient Relations: Interactions between hospital staff or administrators and patients. Includes guest relations programs designed to improve the image of the hospital and attract patients.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Hospital-Physician Relations: Includes relationships between hospitals, their governing boards, and administrators in regard to physicians, whether or not the physicians are members of the medical staff or have medical staff privileges.Home Care Services, Hospital-Based: Hospital-sponsored provision of health services, such as nursing, therapy, and health-related homemaker or social services, in the patient's home. (Hospital Administration Terminology, 2d ed)International Classification of Diseases: A system of categories to which morbid entries are assigned according to established criteria. Included is the entire range of conditions in a manageable number of categories, grouped to facilitate mortality reporting. It is produced by the World Health Organization (From ICD-10, p1). The Clinical Modifications, produced by the UNITED STATES DEPT. OF HEALTH AND HUMAN SERVICES, are larger extensions used for morbidity and general epidemiological purposes, primarily in the U.S.GermanyGuideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Medication Errors: Errors in prescribing, dispensing, or administering medication with the result that the patient fails to receive the correct drug or the indicated proper drug dosage.Oncology Service, Hospital: The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cancer patient.Long-Term Care: Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care.Emergency Medical Services: Services specifically designed, staffed, and equipped for the emergency care of patients.
... hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment ... In summary, the Medicare "Prospective" Payment System has multiple retrospective factors that limited cost sharing in 1990. ... This was most true for men aged 65 to 69 with surgery requiring ICU care and an increased length of stay. Generosity estimates ... Lower costs equaled lower reimbursement; however, higher costs led to higher reimbursements only if the costs were driven by a ...
Length of stay
It is useful to be able to predict an individual's expected length of stay or to model length of stay to determine factors that ... Length of stay (LOS) is a term to describe the duration of a single episode of hospitalization. Inpatient days are calculated ... While the mean length of stay is useful from the point of view of costs, it may be a poor statistic in terms of representing a ... Length of stay is commonly used as a quality metric. The prospective payment system in U.S. Medicare for reimbursing hospital ...
Healthcare in Canada
... the insured individual has to have been discharged as an inpatient of a hospital after an overnight stay and require ... The cost of treatment by a psychologist or psychotherapist in Canada has been cited as a contributing factor in the high ... As the cost of patient care has increased, hospitals have been forced to cut costs or reduce services. Applying perspective ( ... This covered most hospital and physician cost while the dental and pharmaceutical costs were primarily paid for by individuals ...
SGR Repeal and Medicare Provider Payment Modernization Act of 2014
National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011. HCUP Statistical Brief #160. Agency for ... It was the primary payer for an estimated 15.3 million inpatient stays in 2011, representing 47.2 percent ($182.7 billion) of ... The bill would revise and expands factors for identification of potentially misvalued codes. Sets an annual target for relative ... total aggregate inpatient hospital costs in the United States. On average, Medicare covers about half (48 percent) of health ...
It is designed to prevent delirium and functional decline among elderly individuals in the hospital inpatient setting. HELP ... Labrum T. Factors related to abuse of older persons by relatives with psychiatric disorders. Archives of Gerontology and ... elderly patients become confused and disoriented when confronted with the uncertainty and confusion of a hospital stay. The ... outcomes and to provide cost-effective care. Unique to the program is the use of specially trained volunteers who carry out the ...
This price includes all visits in and out of the hospital for 3 months. Besides the cost of the bone graft itself (ranging from ... Bone banks also supply allograft bone sourced from living human bone donors (usually hospital inpatients) who are undergoing ... Convenient surgical access, low morbidity, elimination of hospital stay, minimal donor site discomfort and avoidance of ... Growth Factor enhanced grafts are produced using recombinant DNA technology. They consist of either Human Growth Factors or ...
Hospitals may seek to maximize profit by limiting access to specialists during an inpatient stay. Because one provider may ... A 2001 paper examining three of the original four hospitals with comparable "micro-cost" data determined that "the cost ... controlling for patient risk factors, the inpatient mortality rate in the demonstration hospitals declined over the course of ... criteria excluding costs for cases in excess of a cost threshold (such as unusual cases whose cost is more than 3 standard ...
Richard Clarke Cabot
Cannon stayed in the position for forty years and became Head of Social Work at the hospital. Cabot and Cannon pioneered many ... low-cost meals for patients and research on the social factors that increased a person's likelihood of developing tuberculosis ... At this time, outpatient wards dealt mostly with people who couldn't afford inpatient treatment, or for the treatment of ... he turned down the role of the first bacteriologist at Massachusetts General Hospital to work in the hospital's much less ...
... inpatient hospital stays and incurred approximately $112.5 billion in aggregate inpatient hospital costs (29% of the total ... Other factors noted by the PWC study included the movement to broader-access plans, higher-priced technologies, and cost- ... National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011. HCUP Statistical Brief #160. Agency for ... Together, Medicare and Medicaid accounted for approximately 63 percent of the national inpatient hospital costs in 2011. SCHIP ...
The majority of those who would be under continuous care in long-stay psychiatric hospitals are paranoid and delusional to the ... Costs have been reported as generally equivalent to inpatient hospitalisation, even lower in some cases (depending on how well ... Other factors include scandals. A 1972 television broadcast exposed the abuse and neglect of 5,000 patients at the Willowbrook ... "Report of the Confidential Forum for Former In-Patients of Psychiatric Hospitals". Department of Internal Affairs, New Zealand ...
"National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2013". www.hcup-us.ahrq.gov. Rockville, MD: Agency ... is used to track a person's status during the stay in an intensive care unit (ICU) to determine the extent of a person's organ ... risk factors and outcome evaluated by the SOFA score. Intensive Care Med 2000 Jul;26(7):915-21. PMID 10990106. Ferreira FL, ... more qSOFA points near the onset of infection was associated with a greater risk of death or prolonged intensive care unit stay ...
Torio, Celeste (August 2013). "National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011". HCUP. Archived ... with a cost of about $11.5 billion for 612,000 hospital stays. Play media Myocardial infarction (MI) refers to tissue death ( ... Risk factors for myocardial disease are often included in risk factor stratification scores, such as the Framingham risk score ... McCaul, M; Lourens, A; Kredo, T (Sep 10, 2014). "Pre-hospital versus in-hospital thrombolysis for ST-elevation myocardial ...
National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011. HCUP Statistical Brief #160. Agency for ... In 2011, there were approximately 39 million inpatient stays in the United States, with a national aggregate cost of $387 ... eligible for discharge it is important to examine factors such as the likelihood of re-injury to avoid higher health care costs ... Inpatient care goes back to 230 BC in India where Ashoka founded 18 hospitals. The Romans also adopted the concept of inpatient ...
Health care system in Japan
... hospital stays being cheaper for the patient than low cost hotels, the shortage of specialist doctors and low risk patients ... and 1,000 comprehensive hospitals with a total capacity of 1.5 million beds. Hospitals provided both out-patient and in-patient ... factors such as medical imbursements set so low that hospitals need to maintain very high occupancy rates in order to stay ... Thus, as of 2009, in the U.S. an MRI of the neck region could cost $1,500, but in Japan it cost US$98. Japan has had " ...
Cost-cutting measures by hospitals in response to reimbursement cutbacks. Environment and design factors. In emergencies, ... Thirteen inpatient indicators are recommended for use at the hospital level, and five are designated area indicators. Inpatient ... Length of stay 2- to 6-fold longer 2) Hospital mortality 2- to 18-fold greater 3) Hospital charges 2- to 20-fold higher In ... and payer benefit from lower costs. However, hospitals pay in both higher costs for implementation and potentially lower ...
Poison control center
Miller T, Lestina D (1997). "Costs of poisoning in the United States and savings from poison control centers: a benefit-cost ... These factors led to the medical community developing a response to both unintentional and intentional poisonings. In Europe in ... The French developed an inpatient unit for the treatment of poisoned patients in the late 1950s. In England the National Poison ... If it's safe to stay home, then home treatment recommendations, specific symptoms to expect, and symptoms of greater concern ...
With an aggregate cost of $14.8 billion ($15,400 per stay), it was the second-most expensive condition seen in U.S. hospital ... Torio CM, Andrews RM (August 2013). "National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011". HCUP ... Although a single factor is not generally sufficient to cause the disease, about half of the variation in susceptibility has ... Pfuntner, A; Wier, L. M.; Steiner, C (December 2013). "Costs for Hospital Stays in the United States, 2011: Statistical Brief # ...
Health insurance coverage in the United States
Nearly half those without insurance cite its cost as the primary factor. Rising insurance costs have contributed to a trend in ... "Hospitals: Is the Price Right?". CBS News. March 2, 2006.. *^ Catherine Hoffman, Karyn Schwartz, Jennifer Tolbert, Allison Cook ... For large firms with 200 or more workers, in 2000, 99% of employers offered health benefits; in 2007, that number stayed the ... emergency departments were less likely to be admitted for inpatient care than those with Medicare, Medicaid, or private ...
... of total aggregate inpatient hospital costs in the United States. At $8,000, the mean cost per stay billed to Medicaid was ... Several political factors influence the cost and eligibility of tax-funded health care, according to a study conducted by ... account for more hospital stays (5.9 vs.1.3 stays), longer length of stay (6.1 vs. 4.5 days), and higher hospital costs per ... National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011. HCUP Statistical Brief #160. Agency for ...
Medicare (United States)
The maximum length of stay that Medicare Part A covers in a hospital inpatient stay or series of stays is typically 90 days. ... Cost reduction is influenced by factors including reduction in inappropriate and unnecessary care by evaluating evidence-based ... The nursing home stay must be for something diagnosed during the hospital stay or for the main cause of hospital stay. If the ... Part A covers inpatient hospital stays, including semi-private room, food, and tests. As of January 1, 2016, Medicare Part A ...
Healthcare disparity in Massachusetts
The primary factor affecting access to healthcare is out-of-pocket cost. In a 2010 study, 34.5% of respondents reported that ... "Access to Care After Massachusetts' Health Care Reform: A Safety Net Hospital Patient Survey". Ncbi.nlm.nih.gov. Retrieved 2017 ... an observation unit stay, or an emergency department visit. Health equity has two parts - unhealthy populations, and access to ... and became the first state to mandate collection of race and ethnicity data on all patients with an inpatient hospitalization, ...
Long-term care insurance in Germany
For a hospital stay, the review period has to occur by the medical service of health insurance within a week. Pension ... income from all the family members required to pay maintenance is not sufficient to pay the remaining costs of the inpatient ... Furthermore, important factors in determining the time required for care are not taken into account in general. The emerging ... The need for inpatient care is assumed. The care fund pays a fee to the nursing home. In care level I, the amount is €1023; in ...
National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011. HCUP Statistical Brief #160. Agency for ... April 2008). "Factors Identified as Precipitating Hospital Admissions for Heart Failure and Clinical Outcomes: Findings From ... of people seek re-admission within 6 months after treatment and the average duration of hospital stay is 6 days. ... with aggregate inpatient hospital costs of more than $10.5 billion.. Heart failure is associated with a high health ...
Health systems by country
For example, GP visits are (€11 per visit with annual €33 cap), hospital outpatient treatment (€22 per visit), a hospital stay ... In the early 2000s, policy has focused on improving primary health care facilities and cutting the cost of inpatient facilities ... A deciding factor here depends on one's job. From people who are unemployed or disabled, receiving other benefits or business- ... The major hospitals were the National Referral Hospital in Thimphu, and other hospitals in Geylegphug, and Tashigang. Hospital ...
Total costs in USA for hospital stays involving eating disorders rose from $165 million in 1999-2000 to $277 million in 2008- ... "Factors associated with suicidal behaviors in a large French sample of inpatients with eating disorders". The International ... Psychoanalysis Inpatient care There are few studies on the cost-effectiveness of the various treatments. Treatment can be ... The mean cost per discharge of a person with an eating disorder rose by 29% over the decade, from $7,300 to $9,400. Over the ...
Health care system in Japan
... hospital stays being cheaper for the patient than low cost hotels, the shortage of specialist doctors and low risk patients ... and 1,000 comprehensive hospitals with a total capacity of 1.5 million beds. Hospitals provided both out-patient and in-patient ... factors such as medical imbursements set so low that hospitals need to maintain very high occupancy rates in order to stay ... They oversee annual hospital inspections. The Japan Council for Quality Health Care accredits about 25% of hospitals. One ...
Patient safety organization
... is a Federal-State-Industry partnership providing all discharge data from 994 hospitals-approximately 8 million hospital stays ... sponsors the Nationwide Inpatient Sample (NIS), a database of the Healthcare Cost and Utilization Project (HCUP). The HCUP ... a Canadian Root Cause Analysis Framework is offered to healthcare organizations to analyze the contributing factors that led to ... The Nationwide Inpatient Sample is the largest all-payer inpatient care database in the United States from which national ...
Gartnavel Royal Hospital
... along with mental health facilities at Stobhill Hospital and Parkhead Hospital. The modernisation cost £19 million and was said ... During this stay, Pitt refused food and fluids given to him by hospital staff but accepted some from his parents. Dr June ... Gartnavel Royal Hospital is a mental health facility based in the west end of Glasgow, Scotland. It provides inpatient ... Hugh Pitt brought forward evidence that: The high temperature in his room at Gartnavel Royal Hospital was a major factor in his ...
Chronic obstructive pulmonary disease
"National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011: Statistical Brief #160". Healthcare Cost and ... and the length of hospital stay in people with acute COPD. In people with stable COPD, ACTs may lead to short-term ... The primary risk factor for COPD globally is tobacco smoking. Of those who smoke, about 20% will get COPD, and of those ... hospitals in 2011, with a total cost of about $5.7 billion. ... Lomborg B (2013). Global problems, local solutions : costs and ...
List of countries with universal health care
For example, GP visits cost €11 per visit with annual €33 cap; hospital outpatient treatment €22 per visit; a hospital stay, ... mostly non-profit hospitals providing the majority of inpatient care. Employers pay for half of their employees' health ... or other factors. Second, different funds provided different levels of benefit coverage or services to their members. Lastly, ... "Length of hospital stay, Germany". Group-economics.allianz.com. July 25, 2005. Retrieved November 14, 2011.. ...
Prescription drug prices in the United States
... cost-effectiveness, and cost-utility analysis. They take into account the total costs, including hospital stays, repeated ... Programs and strategies are available to cut prescription drug costs. When it comes to US drug prices, many factors are at hand ... markups from hospitals, markups for physicians, drug price for inpatients versus outpatients, formulary (pharmacy) tiers, mail ... followed by the cost of medical research (64%), the cost of marketing and advertising (54%), and the cost of lawsuits against ...
"Costs for Hospital Stays in the United States, 2011". Healthcare Cost and Utilization Project. Statistical Brief #168. National ... "National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2013". Healthcare Cost and Utilization Project. ... These factors include local patterns of bacterial sensitivity to antibiotics, whether the infection is thought to be a hospital ... at an aggregate cost of $23.6 billion for nearly 1.3 million hospitalizations. Costs for sepsis hospital stays more than ...
Hospital stay. A study performed nationwide in the Netherlands found that general ward patients staying at the hospital ... Over 70% experienced being woken up by external causes, such as hospital staff (35.8%). Sleep disturbing factors included noise ... "Harvard Heart Letter examines the costs of not getting enough sleep - Harvard Health Publications". Health.harvard.edu. 31 May ... "A narrative review of interventions for improving sleep and reducing circadian disruption in medical inpatients". Sleep ...
Over the same time, Medicare had the most rapid growth in number of hospital stays. ... CostEdit. Policymakers try to understand the relative costs of drug-related interventions. An appropriate drug policy relies on ... "Hospital Inpatient Utilization Related to Opioid Overuse Among Adults, 1993-2012". HCUP Statistical Brief #177. Rockville, MD: ... a b c E. Fehrman, A. K. Muhammad, E. M. Mirkes, V. Egan, A. N. Gorban,The Five Factor Model of personality and evaluation of ...
... whereas the low costs for hospital stays and major/complex procedures at Western-accredited medical facilities abroad are cited ... Factors that have led to the increasing popularity of medical travel include the high cost of health care, long wait times for ... It narrowly defined medical travelers as only those whose primary and explicit purpose in traveling was to obtain in-patient ... They also vary in terms of cost to hospitals and healthcare institutions making use of them. ...
... administrative data from a statewide California inpatient database from all non-federal inpatient community hospital stays in ... hospital cost, and complications and comorbidities in medical non-complications and comorbidity-stratified diagnosis-related ... The factors responsible for the development of comorbidity can be chronic infections, inflammations, involutional and ... The comorbidities were not simplified as an index because each comorbidity affected outcomes (length of hospital stay, hospital ...
... hospitalization in an inpatient psychiatric hospital. The severity of manic symptoms can be measured by rating scales ... Long-term inpatient stays are now less common due to deinstitutionalization, although these can still occur. Following (or ... Risk factors. Family history, childhood abuse, long-term stress. Differential diagnosis. Attention deficit hyperactivity ... Hirschfeld RM, Vornik LA (June 2005). "Bipolar disorder--costs and comorbidity". The American Journal of Managed Care. 11 (3 ...
"Costs for Hospital Stays in the United States, 2011". Healthcare Cost and Utilization Project (Statistical Brief #168). PMID ... These factors include local patterns of bacterial sensitivity to antibiotics, whether the infection is thought to be a hospital ... according to the nationwide inpatient sample from the United States, the incidence of severe sepsis increased from 200 per ... at an aggregate cost of $23.6 billion for nearly 1.3 million hospitalizations. Costs for sepsis hospital stays more than ...
Inpatient surgery is performed in a hospital, and the patient stays at least one night in the hospital after the surgery. ... more than one-fourth of stays and half of hospital costs involved stays that included operating room (OR) procedures. The ... Obesity has long been considered a risk factor for adverse post-surgical outcomes. It has been linked to many disorders such as ... In 2011, of the 38.6 million hospital stays in U.S. hospitals, 29% included at least one operating room procedure. These stays ...
... whereas the low costs for hospital stays and major/complex procedures at Western-accredited medical facilities abroad are cited ... Factors that have led to the increasing popularity of medical travel include the high cost of health care, long wait times for ... It narrowly defined medical travelers as only those whose primary and explicit purpose in traveling was to obtain in-patient ... 67% used private hospital, 24% public hospitals and 9% university hospitals. The Regulation on International Health Tourism and ...
"Laguna Treatment Hospital. Retrieved 17 January 2021.. *^ Schaler JA (1997). "Addiction Beliefs of Treatment Providers: Factors ... Even though the cost of producing most illegal addictive substances is very low, their illegality combined with the addict's ... Medical professionals weigh the consequences of withdrawal symptoms against the risk of staying dependent on these substances. ... the same author suggests that social skills training adjunctive to inpatient treatment of alcohol dependence is probably ...
Southern United States
... had the highest rate of inpatient hospital stays in 2012. The other divisions, West South Central (Texas, Oklahoma, Arkansas, ... and lower cost of living than the rest of the United States. These factors, combined with the fact that Southerners have ... Neither group stayed long at rural farm labor. The Chinese became merchants and established stores in small towns ... "U.S. News Best Hospitals: Cancer". usnews.com. Archived from the original on April 6, 2012.. ...
Chou, Kuei-Ru; Lu, Ru-Band; Chang, Min (2001). "Assaultive Behavior by Psychiatric In-Patients and Its Related Factors". ... Treatment and support for mental disorders is provided in psychiatric hospitals, clinics or a range of community mental health ... A common sleep disorder is insomnia, which is described as difficulty falling and/or staying asleep. ... low in cost and often become self-financing over time, saving public expenditure". In 2016, the National Institute of ...
Alcohol and Native Americans
... usually implemented during a brief hospital stay.. *Partial hospitalization where the patient continues to reside at home, but ... Psychosocial Factors. *^ Ehlers, Cindy L. "Variations in ADH and ALDH in Southwest California Indians." Alcohol research & ... Beckwourth reported that "one pint of alcohol, costing no more than six cents [in Missouri], was [diluted] into five times the ... These programs are administered in tribal communities, including emergency, inpatient and outpatient treatment and ...
In the United States, high costs are incurred by non-emergency use of the emergency room. The National Hospital Ambulatory ... he or she must be transferred to an actual hospital, as these facilities do not have the capability to provide inpatient care. ... Other influential factors identified by the report included temperature (with both hotter and colder weather pushing up A&E ... length of stay, and patient satisfaction. A review of the literature bears out the logical premise that since the outcome of ...
... the cost of schizophrenia-including direct costs (outpatient, inpatient, drugs, and long-term care) and non-health care costs ( ... although hospital stays are now shorter and less frequent than they once were. ... Environmental and genetic factors. Risk factors. Family history, cannabis use, problems during pregnancy, being raised in a ... Developmental factors. Factors such as hypoxia and infection, or stress and malnutrition in the mother during fetal development ...
Characteristics of Hospital Stays for Nonelderly Medicaid Super-Utilizers, 2012 (Healthcare Cost and Utilization Project (HCUP ... "How do trends for behavioral health inpatient care differ from medical inpatient care in US community hospitals?" (PDF). ... Therefore, the diagnostic procedure may vary greatly based upon these factors. Typically, though, a psychiatric diagnosis ... An inpatient may be treated in a psychiatric hospital. Research and treatment within psychiatry as a whole are conducted on an ...
Medicare (United States)
The maximum length of stay that Medicare Part A covers in a hospital admitted inpatient stay or series of stays is typically 90 ... Cost reduction is influenced by factors including reduction in inappropriate and unnecessary care by evaluating evidence-based ... Part A: Hospital/hospice insurance. Part A covers inpatient hospital stays where the beneficiary has been formally ... The skilled nursing facility stay must be for something diagnosed during the hospital stay or for the main cause of hospital ...
Chronic obstructive pulmonary disease
"National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011: Statistical Brief #160". Healthcare Cost and ... Other genetic factors are being investigated, of which many are likely. A number of other factors are less closely linked to ... Those with COPD may experience fewer symptoms if they stay indoors on days when outdoor air quality is poor. One key effort is ... COPD was among the most expensive conditions seen in U.S. hospitals in 2011, with a total cost of about $5.7 billion. ...
This may cause $3.4 billion/year in additional medical costs. Whether medical cost savings occur with treatment of sleep apnea ... Several inpatient and outpatient procedures use sedation. Many drugs and agents used during surgery to relieve pain and to ... Yaggi HK, Concato J, Kernan WN, Lichtman JH, Brass LM, Mohsenin V (November 2005). "Obstructive sleep apnea as a risk factor ... Breathing is regular in a healthy person during sleep, and oxygen levels and carbon dioxide levels in the bloodstream stay ...
Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients
... and incur higher inpatient costs. In light of the preventability of many HAIs and the magnitude of the clinical and economic ... and in-hospital mortality, length of stay, and inpatient costs using logistic regression and generalized linear models. ... Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients Arch Surg. ... Risk Factors * Trauma Centers / economics* * United States / epidemiology * Wounds and Injuries / complications* ...
Organisational Interventions to Reduce Length of Stay in Hospital: A Rapid Evidence Assessment | RAND
... identify the factors that are known to influence length of stay; and (iii) assess the impact of interventions on patient ... describe the nature of interventions that have been used to reduce length of stay in acute care hospitals; (ii) ... Nursing-led inpatient units were associated with improved outcomes but, if anything, increased length of stay. Factors ... Full economic costing should be undertaken where possible, including considering the cost implications for the wider local ...
Effectiveness of Practices To Increase Timeliness of Providing Targeted Therapy for Inpatients with Bloodstream Infections | RTI
... hospital lengths of stay, and antibiotic use. In addition, the strategy can reduce the cost of care for patients with BSIs. ... The search contained the following medical subject headings: bacteremia; bloodstream infection; time factors; health care costs ... hospital; hospital information systems; Gram stain; pharmacy service; and spectrometry, mass, matrix-assisted laser desorption- ... Effectiveness of Practices To Increase Timeliness of Providing Targeted Therapy for Inpatients with Bloodstream Infections a ...
Measuring and Modeling Health Care Costs Fall 2013 | NBER
Output of private hospitals includes both outpatient and inpatient care. Inpatient stays are more difficult to measure. These ... correspond to these two concepts of inpatient care. Additional factors such as the quality of care and the outcome of the ... The models show differing rates of positive long-term growth in hospital output and hospital productivity over the period of ... While previous studies on obesitys effects on healthcare costs conclude that obesity increases costs, they do not control for ...
Circulation: Clinical Summaries | Circulation
The overall length of hospital stay has remained unchanged; however, the cost of inpatient care has increased tremendously, ... length of stay, and total cost of care. Understanding these factors helps us understand the health economics of AF better. ... this is the first study to assess the trends of AF-related inpatient care at a national level from the actual hospital ... Factors associated with long-term death included age, female sex, raised serum creatinine, defect size, New York Heart ...
Hospital visits for irregular heart rhythms rising | EurekAlert! Science News
An 11-year study shows that hospitalizations for the condition jumped by 23 percent and costs rose by 24 percent. The rise in ... atrial fibrillations accompanying risk factors might account in part for the rise in hospitalizations. ... Hospital visits for the irregular heartbeat known as atrial fibrillation are escalating, increasing the burden on our ... the longer their hospital stay and the higher their cost. Researchers analyzed results from the Nationwide Inpatient Sample, ...
A Randomized, Double-Blind, Placebo-Controlled Trial of Intravenous Acetaminophen on Hospital Length of Stay in Obese...
Background Retrospective studies indicate that acetaminophen iv administration reduces hospital length of stay (LoS) and opiate ... Cost of bariatric surgery and factors associated with increased cost: an analysis of national inpatient sample. Surg Obes Relat ... the effect of intravenous acetaminophen for postoperative pain management on length of stay and inpatient hospital costs. Adv ... Primary outcomes include hospital LoS and associated hospital costs. Secondary outcomes include patient satisfaction and ...
New study compares outcomes from two postoperative pain control methods in knee replacement patients
The investigators also reported a half-day decrease in hospital stay. Those factors resulted in notable cost savings. ... Patients receiving a periarticular injection averaged 2.3 inpatient physical therapy sessions, compared to 3.5 inpatient ... Adding in the cost of additional physical therapy needed and extended hospital stay, the injection can save around $1,615 per ... Tags: Arthroplasty, Bupivacaine, Hospital, Knee, Knee Arthroplasty, Knee Replacement, Liposome, Medicine, Nerve, Nerve Block, ...
Supply factors as determinants of treatment costs: clinicians' assessments of a given set of referrals to community mental...
Our results confirm that supply factors are important but ignoring such variables, when analyzing demand variables, do not ... thus creating data with a panel structure being particularly relevant for analyzing supply factors. The referrals were obtained ... and the clinicians assessed the referrals with respect to recommended treatment costs and health status. Supply variables ... Determinants of inpatient psychiatric length of stay in an urban county hospital. Psychiatr Q. 2006;77:173-88. ...
Science Clips - Volume 11, Issue 18 May 7, 2019
METHODS: In 2018, survey-weighted analysis of hospital stays in the 2016 Healthcare Cost and Utilization Project National ... A multivariable logistic regression model assessed index stay factors associated with readmission by type (opioid overdose or ... This brief report describes 90-day readmissions among patients discharged from inpatient stays for opioid overdose. ... Influenza vaccination was calculated using data reported in 2016 by short-stay acute care hospitals (n=4,370) to the National ...
Special Report: Why a Hospital Bill Costs What It Costs | Reader's Digest
Now, all those factors affect the math for one simple outpatient test. For an inpatient hospital stay, those computations ... Special Report: Why a Hospital Bill Costs What It Costs. Kimberly Hiss ... his hospital calculates its charge based on such factors as the cost of buying or leasing the machinery, the wear and tear on ... often fail to cover the hospitals cost of providing the service in the first place, which means some of those costs are often ...
Cancer Risk and Behavioral Factors, Comorbidities, and Functional Status in the US Elderly Population
... of cancers are associated with behavioral factors. An approach to estimate the contribution of various measurable factors, ... Behavioral risk factors significantly affected cancer risks in the US elderly. The most influential of potentially preventable ... The associations (i.e., relative risks) of selected factors with risks of breast, prostate, lung and colon cancers were ... data were used for measuring functional status and behavioral factors in the US elderly population (65+), and Medicare Claims ...
Attributable Outcomes of Endemic Clostridium difficile-associated Disease in Nonsurgical Patients - Volume 14, Number 7-July...
In a propensity score matched-pairs analysis that used a nested subset of the cohort (N = 706), attributable length of stay ... We conducted a retrospective cohort study of nonsurgical inpatients admitted for >48 hours in 2003 (N = 18,050). The ... CDAD patients were significantly more likely than controls to be discharged to a long-term-care facility or outside hospital. ... and the impact of CDAD persisted beyond hospital discharge. ... risk factors for length of stay, readmission to the hospital, ...
Hospital costs, length of stay and mortality attributable to invasive scedosporiosis in haematology patients. | Garvan...
A retrospective case-control study was undertaken during 2002-10 to determine the attributable inpatient costs, length of stay ... SCEDO has substantial impact on hospital resource consumption, LOS and mortality in haematology patients. Risk factors and ... The cost differential was driven by ward costs (64%, P = 0.005) and antifungal treatment costs (29%, P , 0.001). The all-cause ... The cost differential was driven by ward costs (64%, P = 0.005) and antifungal treatment costs (29%, P , 0.001). The all-cause ...
Kaiser Permanente study finds cognitive behavioral therapy is cost-effective | EurekAlert! Science News
... delivered in a primary care setting is a cost-effective way to treat adolescents with depression who decline or quickly stop ... researchers examined the cost of mental health-related inpatient hospital stays, a wide variety of medical and mental health ... services, and the time that parents spent taking their children to services, among other factors. ... Researchers examined depression-related costs from a societal perspective, meaning they accounted for costs experienced by ...
Higher Hospital Costs Found for Surgical Patients Who Smoke
Cigarette smoking contributes to significantly higher hospital costs for smokers undergoing elective general surgery, according ... After factoring in the complexity of the operation, researchers found that hospital costs for smokers who had more complex ... Study results showed that total inpatient costs were 4 percent higher for current smokers compared with patients who never ... and length of hospital stay. Because smokers often have coexisting health conditions such as hypertension, chronic obstructive ...
Variables Associated With High Olanzapine Dosing in a State Hospital|J Clin Psychiatry
Method: A retrospective review of all patients receiving olanzapine during an inpatient stay at a state psychiatric hospital in ... Many institutions target high-dose olanzapine prescribers in an effort to reduce unnecessary drug costs. However, factors such ... The association of increased length of stay with high dose suggests that treatment resistance may be an important factor in ... intermediate length of stay [8-60 days], OR = 5.6; long-term length of stay [, 60 days], OR = 12.0, relative to acute length of ...
What drives up spine surgery costs & length of stay? 5 things to know for bundled payments
... hospital and procedure characteristics, according to a study published on Medscape. ... providers should understand costs associated with certain patient, ... 17,181 with inpatient death, $8,351 for patients with recent weight loss and $6,129 with metastatic cancer. Each factor was ... 2. The average cost of ACDF for hospitals was $18,622, and the average length of stay after ACDF was 1.7 days. ...
Inpatient Diabetes Education Is Associated With Less Frequent Hospital Readmission Among Patients With Poor Glycemic Control |...
Associations between reduced hospital length of stay and 30-day readmission rate and mortality: 14-year experience in 129 ... The relationship between diabetes education and hospital readmission persisted after correction for sociodemographic factors, ... of total hospital costs) in the U.S. (6).. Rehospitalizations occur disproportionately among socioeconomically disadvantaged ... Using routine inpatient data to identify patients at risk of hospital readmission. BMC Health Serv Res 2009;9:96pmid:19505342. ...
Global Revenue Cycle Management Market to Reach USD 216,990.6 Million by 2026; Rising Demand for Efficient Hospital...
Inpatient care, where people stay in a hospital overnight, is an expensive endeavor as it involves multiple costs and taxes ... Increasing inclination of patients to get outpatient care is one of the main driving factors for this market. ... For example, data released by the American Hospital Association in 2019 shows that net outpatient revenue increased by 5.7% ... The report also provides a detailed evaluation of the factors, trends, and regional and competitive dynamics that will ...
Physiotherapy works: dementia care | The Chartered Society of Physiotherapy
The service has reduced inpatient hospital bed stay, prevented future hospital admissions and reduced costs. ... Physiotherapy-led exercise that increases physical activity levels can also reduce cardiovascular risk factors, as well as the ... Cost of dementia. Dementia costs the UK economy £20 billion a year.. The costs per person are higher than for all other mental ... Early discharge planning is a key component of reducing length of stay for patients with dementia. The average hospital stay ...
Using Case Costing Data and Case Mix for Funding and Benchmarking in Rehabilitation Hospitals: Medicine & Healthcare Book...
The concern for Ontario hospitals in Canada is that the funding model has recently changed from global- to activity-based ... Using Case Costing Data and Case Mix for Funding and Benchmarking in Rehabilitation Hospitals: 10.4018/978-1-4666-6339-8.ch068 ... Adult Inpatient Rehabilitation Minimum Data.. *2. To provide a "Shrub" framework to understand the factors that impact funding: ... A clinical decision-making tool is demonstrated for defining admission criteria and predict length of stay and volumes. It is ...
Trends in Resource Utilization for Hospitalized Children With Skin and Soft Tissue Infections | American Academy of Pediatrics
Healthcare Cost and Utilization Project. I&D - incision and drainage. KID - Kids Inpatient Database. LOS - length of stay. ... METHODS: This was a cross-sectional analysis of hospital discharges from 1997 to 2009 within the Healthcare Cost and ... Multivariate logistic regression was conducted for 2009 data to assess factors associated with increased I&D. ... and resource utilization including length of stay (LOS), hospital charges, and performance of incision and drainage (I&D). ...
Community Academic Profiles - Faculty & Researchers - Stanford Medicine
... and multivariate models to evaluate the effect of several patient factors and hospital factors on total hospital cost. ... and longer length of stay were associated with higher costs. The wage index was positively correlated with cost, and hospitals ... Trends in Utilization and Cost of Cervical Spine Surgery Using the National Inpatient Sample Database, 2001 to 2013 SPINE Liu, ... The authors obtained the total hospital costs for these patients, including the cost of imaging studies, from the hospital ...
Quality data can help doctors fight chronic disease | Blue Cross Blue Shield
27 reduction in per-member-per-month overall cost." Thats thanks to fewer inpatient hospital stays, better medication ... While $27 may not sound like much, factor in the nearly 300,000 patients participating in the program as of 2017, and the ... Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. In ... But mostly, he says, the program frees him up to do what matters most: help his patients get well and stay well. And, he says, ...
Psychiatric readmissions: A reader responds | The Incidental Economist
Hospital readmission rates are widely used as proxies for relapse or complications following an inpatient stay for psychiatric ... Those include patient factors (clinical, social), admitting physician factors (experience, training), and system-level factors ... In the US and increasingly in other cost-conscious places of the world, inpatient admission is being reserved as the absolute ... At the same time, with capacity so constrained, dont we want to know how best to treat those who do have an inpatient stay so ...
Trends in the inpatient mental health treatment of children and adolescents in US community hospitals between 1990 and 2000
Community hospitals evaluated, treated, and discharged mentally ill children and adolescents far more quickly than 10 years ... The period between 1990 and 2000 was characterized by a transformation in the length of inpatient mental health treatment for ... total inpatient days and average length of stay, charges, diagnoses, dispositions, and patient demographic and hospital ... Design and setting: Analysis of the Healthcare Cost and Utilization Project Nationwide Inpatient Sample, a nationally ...
Pesquisa | Portal Regional da BVS
Primary outcome measures included method of treatment, total hospital costs, and length of stay. Student/Welch t testing and χ ... in the first domain related to factors that influence the parents desire to discuss health care costs in the inpatient setting ... The 2012 Healthcare Cost and Utilization Project Kids Inpatient Database and 2014 Childrens Hospital Association, Pediatric ... In the current push toward cost containment, hospital type, and surgeon subspecialization have emerged as important factors ...
Haematology Flashcards by Languages 247365 | Brainscape
LMWH have been shown to be as efficacious, safer and have improved inpatient stay and hospital cost. ... Which of the following factors is likely to be affected as part of her condition?. (Please select 1 option). Factor VII. Factor ... Factor V Leiden. Factor IX deficiency. Factor XII deficiency. Primary antiphospholipid syndrome. von Willebrands disease ... Factor VII and tissue factor are involved in the extrinsic pathway of the coagulation cascade whereas the intrinsic pathway is ...
Nationwide Inpatient SampleMortalityReadmissionClinicalConclusionsLengthsRetrospectivePostoperativeSurgeriesIncidenceAdultInfectionsReimbursementDecreaseComplicationsReadmissionsMillion inpatientMedianLogistic regressionPatientResource utilizationPrognosticTotalPhysicianCliniciansPatient'sDescribeResultsResearchersFindingsHigherCentersSignificantlyProspectiveRiskRehabilitationDiabetes management teamsInadequateLongerOutcomeFewerRural hospitalsVariationPredictive
Nationwide Inpatient Sample5
- The Healthcare Cost and Utilization Project Nationwide Inpatient Sample. (nih.gov)
- Researchers analyzed results from the Nationwide Inpatient Sample, the largest in-patient hospital database in the United States. (eurekalert.org)
- Analysis of the Healthcare Cost and Utilization Project Nationwide Inpatient Sample, a nationally representative sample of discharges from US community hospitals sponsored by the Agency for Healthcare Research and Quality. (nih.gov)
- Setting Health Care Utilization Project Nationwide Inpatient Sample (HCUP-NIS), a 20% sample of nonfederal US hospitals. (scialert.net)
- Setting Healthcare Cost and Utilization Project Nationwide Inpatient Sample. (scialert.net)
- We examined the association between HAIs (sepsis, pneumonia, Staphylococcus infections, and Clostridium difficile- associated disease) and in-hospital mortality, length of stay, and inpatient costs using logistic regression and generalized linear models. (nih.gov)
- After controlling for patient demographics, mechanism of injury, injury type, injury severity, and comorbidities, we found that mortality, cost, and length of stay were significantly higher in patients with HAIs compared with patients without HAIs. (nih.gov)
- Trauma patients with HAIs are at increased risk for mortality, have longer lengths of stay, and incur higher inpatient costs. (nih.gov)
- In this study, we examined the trends of AF hospitalizations in the United States and assessed the effects of patient demographics and comorbid diagnoses on in-hospital mortality, length of stay, and total cost of care. (ahajournals.org)
- Hospital costs, length of stay and mortality attributable to invasive scedosporiosis in haematology patients. (garvan.org.au)
- METHODS: A retrospective case-control study was undertaken during 2002-10 to determine the attributable inpatient costs, length of stay (LOS) and mortality associated with SCEDO in haematology patients. (garvan.org.au)
- CONCLUSIONS: SCEDO has substantial impact on hospital resource consumption, LOS and mortality in haematology patients. (garvan.org.au)
- Adverse events result in longer hospital stays and increase costs and mortality. (medsci.org)
- Adverse events occurring during hospitalization increase duration of hospital stay, costs and mortality ( 1 - 3 ). (medsci.org)
- Unadjusted in-hospital mortality did not significantly differ between MDR (26.4% [77/ and non-MDR (21.7% [130/ groups (P=0.12). (duke.edu)
- Some of the components of direct medical costs include hospital admissions, increased length of stay and patient mortality that results from. (beckershospitalreview.com)
- Under the Patient Protection and Affordable Care Act, CMS can also penalize hospitals for high infection rates by tying reimbursements to factors influenced by infections, such as readmissions, mortality rates and patient satisfaction scores. (beckershospitalreview.com)
- MDROs lead to unnecessary tests on newly admitted patients, longer lengths of stay and higher patient mortality rates. (beckershospitalreview.com)
- Outcome measures included length of stay and mortality. (aafp.org)
- NIV failure, maximum SOFA, and older age independently predicted hospital mortality. (springer.com)
- At the end of the study, arterial blood gas, success of extubation, septic complications, ICU length of stay, and mortality were similar, but the number of days without invasive ventilation at day 28 was higher in the NIV group than in the control group. (springer.com)
- Compared with patients who were initially treated with IMV, patients treated with NIV demonstrated lower mortality rates with an odds ratio of 0.54, lower risk of hospital-acquired pneumonia with an odds ratio of 0.53, and a 32% cost reduction. (the-hospitalist.org)
- Treatment of acute COPD exacerbations with NIV is associated with lower mortality, lower costs, and shorter length of stay as compared with IMV. (the-hospitalist.org)
- On scene mortality rate and pre-hospital return of spontaneous circulation.Among the 204 TCA patients, 140 patients met the inclusion criteria. (bvsalud.org)
- Infections with multidrug-resistant organisms (MDROs) have been associated with increased lengths of stay, costs, morbidity, and mortality. (eventscribe.com)
- Secondary endpoints included the prevalence of risk factors (coexisting infection, prior antibiotic exposure, previous ICU admission, recent surgery, previous hospitalization, residence in a nursing home or long-term care facility, history of cancer or immunodeficiency, central lines or other hemodialysis access sites, and indwelling Foley or suprapubic catheter) and the burden of infection (all-cause mortality and length of stay). (eventscribe.com)
- There was a trend towards higher mortality and longer average length of stay in patients with Gram-negative MDRO infections. (eventscribe.com)
- Using 2010 claims and enrollment data from the Centers for Medicare and Medicaid Services (CMS), describe annual utilization and costs across the full range of health care services required to treat patients with SV who are enrolled in fee-for-service Medicare in the U.S. and characterize variations in costs and mortality by patient socio-demographic, clinical, and geographic factors. (vasculitisfoundation.org)
- Patients with OIRD experience 55% longer hospital stays, 47% higher care costs, 36% increased risk of 30-day readmission, and 3.4 times higher risk of inpatient mortality compared to those with no opioid-related adverse drug events [ 11 ]. (atlantis-press.com)
- There is mounting evidence that hyponatremia is an independent risk for factor for mortality in both the ambulatory and hospital settings, particularly in patients with end-stage liver disease, congestive heart failure, pneumonia and end stage renal disease. (frontiersin.org)
- ICU delirium can lead to immediate in-hospital complications including a longer length of ICU and hospital stay, increased risk of in-patient mortality, and elevated costs of care. (springer.com)
- Studies have shown that, compared with patients with a late referral to nephrology care before starting dialysis (1-6 months), patients with an early referral have slower rates of eGFR deterioration, have shorter hospital stays associated with dialysis initiation, are more likely to have a permanent vascular access and receive peritoneal dialysis, and have an approximately 30% lower mortality rate at 3 months and 5 years after dialysis initiation. (asnjournals.org)
- Both CIPA and SGA detect patients with higher mortality in hospital and one month after discharge. (isciii.es)
- For each of these records at least one of two pre-specified conditions known to be a highly predictive risk factor for mortality was also present. (docplayer.net)
- Inpatient falls can result in physical injury, increased patient mortality and morbidity, decreased quality of life, and increased length of stay and cost. (nursingcenter.com)
- Maryland Health Services Cost Review Commission data on Although the U.S. has made strides in improving health hospital inpatient stays and emergency department visits equity, significant health disparities persist and are from 2009 to 2016, as well as hospital readmission data from contributing to the rise in health care costs. (cdc.gov)
- Hospital readmission rates are widely used as proxies for relapse or complications following an inpatient stay for psychiatric and substance use disorders. (theincidentaleconomist.com)
- Relationships between IDE and hospital readmission were analyzed with stepwise backward logistic regression models. (diabetesjournals.org)
- Hospital readmission is an important contributor to total medical expenditures and is an emerging indicator of quality of care. (diabetesjournals.org)
- Diabetes, similar to other chronic medical conditions, is associated with increased risk of hospital readmission ( 3 ). (diabetesjournals.org)
- However, it's known that diabetes is associated with a higher risk for hospital readmission, and while it may not be the primary reason for admission, it is a frequent comorbidity. (physiciansweekly.com)
- A clinical decision-making tool is demonstrated to assist hospital administrators to define admission criteria and predict length of stay and volumes with clinical teams. (igi-global.com)
- Researchers at the National Cancer Registry Ireland (NCRI) carried out a population-based study of sociodemographic, clinical, and health service factors affecting length of stay (LOS) after treatment for head and neck cancer. (ncri.ie)
- Low back pain associated with lumbar degenerative pathologies is highly prevalent and an economic burden.1-5 It is important to investigate costs and to examine the real-world clinical and cost benefit of commonly performed spinal surgeries. (deepdyve.com)
- Patient demographic and clinical characteristics, surgeon specialty (general vs urologist), surgeon adrenalectomy volume, and hospital factors were assessed. (scialert.net)
- Objectives: We investigate variations in costs and length of stay (LoS) among hospitals for ten clinical treatments to assess: 1. (repec.org)
- Conclusion: The findings suggest that all hospitals have scope to make efficiency savings in at least one of the clinical areas considered by this study. (repec.org)
- Once this clinical data is documented and made available within the patient's electronic health record (EHR), the notification of critical risk factor information can be promptly shared with the larger multidisciplinary team across clinical specialty areas, hospital locations and admission encounters. (pharmacyonesource.com)
- What works in one hospital may not work in another," says AnnMarie Papa, R.N., clinical nurse specialist at the Hospital of the University of Pennsylvania, Philadelphia, and president of the Emergency Nurses Association. (hhnmag.com)
- The key is learning how to manage hospital capacity as a whole," says Jeff Terry, managing principle of clinical operations for GE Healthcare Performance Solutions. (hhnmag.com)
- Incidental findings present clinical and financial challenges," says Venkat Gundareddy, M.D., M.P.H ., a director of the Collaborative Inpatient Medicine Service at Johns Hopkins Bayview Medical Center in Baltimore. (hopkinsmedicine.org)
- CONCLUSIONS: The design and implementation of an intervention seeking to reduce (directly or indirectly) the length of stay in hospital should be informed by local context and needs. (rand.org)
- 3. If conclusions are robust to whether resource use is described by costs or by LoS. (repec.org)
- Conclusions In the present study, we identified risk factors associated with longer LOS in ACHD. (bmj.com)
- CONCLUSIONS: A fall-prevention bundle is effective in decreasing inpatient falls and falls with injury. (nursingcenter.com)
- Declines in median and mean lengths of stay were observed for most diagnostic categories and remained significant after controlling for changes in background patient and hospital characteristics. (nih.gov)
- Residential programs provide less medicalized services and longer lengths of stay than inpatient programs. (biomedcentral.com)
- They also had shorter lengths of stay. (the-hospitalist.org)
- and lengths of stay. (bu.edu)
- CMS has identified 294 MSAs eligible to be drafted into the cardiac bundles, which means hospitals in one-third of the eligible MSAs would be subject to the rule's retrospective payment adjustments for AMI and CABG for performance years beginning July 1, 2017 through December 31, 2021. (bakerlaw.com)
- This was a retrospective study using a limited data set, and the authors did not have access to potentially confounding factors between the two groups, including vital signs and blood gases. (the-hospitalist.org)
- Level III retrospective comparative study regressing length of stay with many variables, including ASA physical status. (springermedizin.de)
- Note this retrospective study suggests that the length of stay of pediatric inpatients admitted with infections requiring prolonged antibiotic therapy was significantly prolonged when parents or caregivers had limited English proficiency. (medpagetoday.com)
- In a nine-year retrospective study, sick children with parents whose English proficiency was limited spent 60% longer in hospital than those whose parents spoke fluently, according to Michael Levas, MD, and colleagues from Children's Mercy Hospitals and Clinics in Kansas City, Mo. (medpagetoday.com)
- Results of the retrospective study appear in the May issue of the Journal of Hospital Medicine . (hopkinsmedicine.org)
- We used a retrospective review of patient fall data for adult inpatients who fell while hospitalized. (nursingcenter.com)
- Upon further analysis, the researchers found that, in fact, postoperative respiratory complications, and not length of hospital stay, account for the added expense for smokers undergoing elective general surgery operations. (facs.org)
- Measures to reduce postoperative infection by implementing and enforcing infection control in hospitals should reduce LOS and, consequently, health service costs. (ncri.ie)
- Specific surgeons were found to have greater odds of performing high-cost surgeries. (deepdyve.com)
- In 2017, the hospital registered 102,000 outpatient visits and just 200 inpatient surgeries. (kansascity.com)
- In addition to overall patient volume declines, the hospital also saw a drop in outpatient surgeries at Pequot Medical Center in Groton, and a leveling off of inpatient surgeries at the main hospital. (theday.com)
- Common posttransplantation complications, such as infections and GVHD, have been shown to be significant cost drivers. (bloodjournal.org)
- We have to get to the bottom of why it is that we keep having the number of drug-resistant healthcare-associated infections that are currently reported" Lynn White, MD, said during a webinar hosted by Becker's Hospital Review . (beckershospitalreview.com)
- Tracheostomy and hospital acquired infections are two potentially modifiable risk factors which were shown to greatly prolong LOS. (ncri.ie)
- 8-072 - Identification of risk factors for infections with multidrug-resistant organisms. (eventscribe.com)
- Because risk factors for development of an MDRO infection differ by facility, the CDC recommends monitoring of institution-specific trends of MDRO infections to quantify risk factors for the development of such infections. (eventscribe.com)
- C. difficile infection has become the most common cause of healthcare-associated infections (HAI) in U.S. hospitals 1 , increasing hospital length of stay by 2.8 to 5.5 days 2 and inpatient costs by an estimated $3,006 - $15,397 per episode 2 . (pharmacyonesource.com)
- As the rate of hip fracture cases increases, so will the costs associated with treating a primarily geriatric patient population that faces longer recovery periods [ 4 ], higher risks of opportunistic infections, and prolonged length of stay (LOS) [ 5 - 8 ]. (hindawi.com)
- i) for planning purposes (e.g. identifying cost drivers), (ii) for risk- adjustment (resource allocation formulae), (iii) for the design of activity-based reimbursement systems, and, (iv) as inputs into cost - and economic evaluation analyses. (biomedcentral.com)
- To learn what a reasonable price should be, check out the free, online cost-comparison tool from Healthcare Blue Book (healthcarebluebook.com), which lists "fair" rates in your zip code based on the average insurance reimbursement fee. (rd.com)
- The proposed rule builds on prior experiments with episode-based payment models (EPM) and confirms predictions that bundled payments will become a broader reality and a mandatory reimbursement framework for hospitals - whether they are ready or not. (bakerlaw.com)
- Under some circumstances, clinicians who are EPM "collaborators" (including hospital employees) may be able to improve or avoid Part B reimbursement under the new Merit-Based Incentive Payment System (MIPS). (bakerlaw.com)
- In 2015, the penalty increases and reimbursement changes are predicted to cost a 300-bed hospital $1.3 million annually. (beckershospitalreview.com)
- In an effort to curb escalating costs, CMS has proposed a pay-for-performance episode-based bundled payment model for hospital and physician reimbursement. (deepdyve.com)
- These data suggest that risk adjustment according to underlying patient factors may be warranted when considering reimbursement for costs related to HACs in the setting of CVPs. (thejns.org)
- Those factors can lead to lower reimbursement rates. (kansascity.com)
- McClellan suggests that PPS may not optimally incentivize cost sharing among insurers and health providers due to the income effect by which hospitals may seek out particular diagnoses with higher reimbursement rates, akin to skimming in the insurance arena. (wikipedia.org)
- The investigators also reported a half-day decrease in hospital stay. (news-medical.net)
- Our goal was to decrease hospital days for VOC admissions by 40% over a 5-year period. (aappublications.org)
- Raising awareness of additional factors may decrease risk of injuries during an inpatient fall. (nursingcenter.com)
- Another aim of the current study was to determine if the increased costs found for smokers were primarily the result of respiratory complications. (facs.org)
- This nationwide ranking is calculated from publicly available data that involves patient flow, patient satisfaction, on-site complications and other factors. (rosenfeldinjurylawyers.com)
- Main Outcome Measures The 2 test, analysis of variance, and multivariate linear and logistic regression were used to assess in-hospital complications, mean hospital length of stay (LOS), and total inpatient hospital costs. (scialert.net)
- urologists had more complications (18.4% vs 15.2%, P = .03) and higher costs ($13 168 vs $11 732, P = .02) than did general surgeons. (scialert.net)
- This may offset some of the costs to the healthcare system of higher prevalence by reducing complications of uncontrolled diabetes that result in more costly hospital use. (ajmc.com)
- All of the elements, except payer source, were audited and the design was structured to focus on three main data elements: 1) the Condition Present on Admission (CPOA), a data element used to distinguish comorbid conditions from hospital related complications, 2) Do Not Resuscitate (DNR), and 3) location of Injury E-Codes with missing location. (docplayer.net)
- What factors of treatment are modifiable such that readmissions (somehow measured) could be reduced? (theincidentaleconomist.com)
- As suggested, it is reasonable to expect variation in potentially avoidable and unavoidable readmissions across mental health diseases and even within diseases, by severity and other related factors. (theincidentaleconomist.com)
- Other payment adjustments will include continued penalties for readmissions, a continued -1 percent penalty for hospitals in the worst performing quartile under the Hospital Acquired Condition Reduction Program, and continued bonuses and penalties for hospital-valued based purchasing. (aapc.com)
- However, barriers to outpatient education-such as access, coverage, and competing medical priorities-are common, and it's possible that diabetes education in the inpatient setting can further reduce hospital readmissions. (physiciansweekly.com)
- However, there was a significant reduction in hospital readmissions within 30 days among all races receiving IDE. (physiciansweekly.com)
- Survivors of sepsis are more likely to be discharged to a place other than home after the hospital 2 and suffer readmissions at a high rate, costing approximately $2B per year 3 . (cdc.gov)
- Data: We analysed patient-level data from the Hospital Episode Statistics (HES) data for 2007/8, which contains approximately 16.5 million inpatient records. (repec.org)
- It was the primary payer for an estimated 15.3 million inpatient stays in 2011, representing 47.2 percent ($182.7 billion) of total aggregate inpatient hospital costs in the United States. (wikipedia.org)
- Across all subjects, median hospital LoS in group A ( n = 63) was 1.87 vs. 1.97 days in group P ( n = 64) ( p = 0.03, Wilcoxon rank-sum test). (springer.com)
- The median charge for acute appendicitis admissions at 289 medical centers and hospitals throughout California, for example, ranged from $1,529 to almost $183,000, an Archives of Internal Medicine study reported in April. (rd.com)
- RESULTS: The crude total median cost of treating SCEDO was AU$32 182 per patient versus AU$17 424 per control. (garvan.org.au)
- Exclusion of cases and matched pairs with early death further increased the median excess cost and LOS. (garvan.org.au)
- Median length of stay declined 63% over the decade from 12.2 days to 4.5 days. (nih.gov)
- Given that the median stay was about four days, that suggests that parents with poor English proficiency faced extra costs of about $6,000. (medpagetoday.com)
- BACKGROUND: Available evidence on effective interventions to reduce length of stay in hospital is wide-ranging and complex, with underlying factors including those acting at the health system, organisational and patient levels, and the interface between these. (rand.org)
- Adding in the cost of additional physical therapy needed and extended hospital stay, the injection can save around $1,615 per patient. (news-medical.net)
- Before entering bundled payment agreements, providers should understand costs associated with certain patient, hospital and procedure characteristics, according to a study published on Medscape . (beckersspine.com)
- Hospital costs and [length of stay] after ACDF rise with increasing patient comorbidities. (beckersspine.com)
- Stakeholders entering into bundled payments should be aware of that certain patient, hospital and procedure characteristics will consume greater resources," researchers concluded. (beckersspine.com)
- Is poor adherence a patient or provider factor? (theincidentaleconomist.com)
- At first blush it seems like a patient factor, but consider also attention to side effects and outpatient follow-up and monitoring. (theincidentaleconomist.com)
- the extra cost is estimated as £5,950 per patient. (csp.org.uk)
- That finding translated into a higher cost of approximately $900 for each patient who underwent a surgical procedure, Dr. Kamath said. (facs.org)
- Initially when he presented with classic symptoms and risk factors that included hypertension, hyperlipidemia, stage III chronic kidney disease, and history of tobacco use, the patient was referred directly for coronary angiography. (acc.org)
- Hospitals will be reimbursed based on a pre-set payment price for each patient type or case mix treated. (igi-global.com)
- Given this funding approach, it is crucial that hospitals manage their case costs and understand their various patient populations (or case mix). (igi-global.com)
- Thus, understanding how staffing mix within SUDTPs impacts the benefits and costs of specialty SUD services is key to improving the effectiveness and cost-effectiveness of treating this patient population. (biomedcentral.com)
- Comparisons across studies are limited by differences in patient populations, cost ascertainment methods, and length of follow-up. (bloodjournal.org)
- The total direct, indirect and nonmedical social costs of HAIs are estimated at around $96 billion to $147 billion annually, including loss of work, legal costs and other patient factors. (beckershospitalreview.com)
- If you were to take all of these costs and average them across the hospital and across every patient, with or without an HAI, it would amount to a surcharge of $1,100 per patient admitted to the hospital," said Dr. White. (beckershospitalreview.com)
- For instance, a patient with an SSI and MRSA costs the hospital roughly $42,000 more than a patient without an HAI, and a patient with comorbid CLABSI and MRSA costs $58,500 extra. (beckershospitalreview.com)
- The average length of stay for a patient without an HAI is roughly five days. (beckershospitalreview.com)
- Indirectly, HAIs lead to a considerable financial burden and even bankruptcy for many patient families, as well as costs for medical malpractice cases and hospital liability. (beckershospitalreview.com)
- A dedicated team effort with simple interventions can have a significant impact on the well-being of a patient population and hospital costs. (aappublications.org)
- However, inpatient cost efficiency which is often considered the most significant expenditure for the patient ranks low at the hospital. (rosenfeldinjurylawyers.com)
- Given the wide variation in patient profile, disease process, surgical techniques, and practice patterns, it is prudent to assess the cost variability and to determine the factors driving high cost surgery. (deepdyve.com)
- In stage I, we ran fixed effects models to explore which patient-level factors explain variations. (repec.org)
- Across the ten treatments, patient factors explained between 32% (stroke) and 72% (breast cancer and knee replacement) of the observed variation in costs. (repec.org)
- After accounting for these patient-level factors, substantial variation in costs and LoS among hospitals was evident for all ten treatments. (repec.org)
- In patient stays at hospitals are down as well as out patient use of facilities. (angrybearblog.com)
- Patient age and premorbid weakness were the only factors found to be significantly associated with outcome (p = 0.04 and 0.012, respectively). (thejns.org)
- 0.0001) when adjusting for patient and hospital factors. (thejns.org)
- The management of hyponatremia is complicated as there are various risk factors for both the development of symptomatic hyponatremia and for a the development of demyelination syndrome, and these risk factors need to be taken into account when evaluating and managing a patient. (frontiersin.org)
- In the end, a hospital's decision to send a post-surgery patient to an inpatient rehabilitation facility was the key driver of total 90-day post-hospital costs. (claimsjournal.com)
- New London - The parent company of Lawrence + Memorial Hospital ended the fiscal year in the red for the first time in at least a decade, as patient volumes and state and federal support both declined. (theday.com)
- L+M's patient volume was down about 3 percent, while The William W. Backus Hospital in Norwich saw a 5 percent drop. (theday.com)
- EDs are unique, in part, because their operations are dependent on such external factors as patient demand and internal factors like availability of inpatient beds. (hhnmag.com)
- The Linköping burn score has been used for two decades to calculate the cost to the hospital of each burned patient. (diva-portal.org)
- Prognostic factors. (isciii.es)
- The Geriatric Nutritional Risk Index (GNRI) is a simple and well-established nutritional assessment tool and is a significant prognostic factor in various cancers. (bioportfolio.com)
- Preoperative prognostic nutritional index as an independent prognostic factor for resected ampulla of Vater cancer. (bioportfolio.com)
- it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival. (bioportfolio.com)
- 7.7 million in 2008, accounting for 20% of hospitalizations and $83 billion (23% of total hospital costs) in the U.S. ( 6 ). (diabetesjournals.org)
- During the period of the study, there were 20 beds in post-emergency unit of Toulouse university hospital with a total of 1250 hospitalizations in 2010. (medsci.org)
- Total revenue for the year increased over last year, largely due to the addition of The Westerly Hospital in August, Inzana said, but expenses outpaced revenue by about $7 million. (theday.com)
- Atrial fibrillation is a disease in itself, but it also serves as a marker for the severity of other illnesses," said Nileshkumar Patel, M.D., lead author and internal medicine physician at Staten Island University Hospital, New York. (eurekalert.org)
- This means your stay has been ordered at the request of a physician. (healthcare.com)
- L+M Healthcare Corp., which includes the main hospital, The Westerly Hospital, affiliated physician practices and the Visiting Nurse Association of Southeastern Connecticut, had a negative operating margin of expenses over revenues of 1.76 percent for the fiscal year that ended Sept. 30. (theday.com)
- 8 The Danish population and healthcare attendance during 1 year Directly to hospital 2% Gatekeeper Population % Family Physician 4,760,941 14% 19% 17% Hospital 666,990 Hosp. (docplayer.net)
- Hospitals, health systems, and physician practices use MAP App to benchmark and compare revenue cycle performance to data from more than 600 facilities. (hfma.org)
- We employed an observational study design where the same set of referrals was assessed by a sample of clinicians, thus creating data with a panel structure being particularly relevant for analyzing supply factors. (biomedcentral.com)
- Despite current importance given to genetics testing, clinicians should attempt to identify common contributing factors for prolonged non-therapeutic INR, to minimize the risk of coagulation, and to reduce costs of hospital stay and laboratory exams. (scielo.br)
- The figures are determined by a negotiated contract that dictates the rate at which the companies will reimburse the hospital on the patient's behalf. (rd.com)
- Under these two payment systems, CMS generally sets payment rates prospectively for inpatient stays based on the patient's diagnosis and severity of illness. (aapc.com)
- recently demonstrated that a patient's ASA score was a stronger predictor of increased LOS and room and board charges than other well-known predictors of costs such as age, BMI, and comorbidities [ 6 ]. (hindawi.com)
- To describe trends in inpatient treatment of children and adolescents with mental disorders between 1990 and 2000. (nih.gov)
- Specifically, the purpose of this chapter is to describe how case costing data and case mix information are collected and used for funding. (igi-global.com)
- our secondary aim was to describe their characteristics and to determine their associated factors. (medsci.org)
- OBJECTIVE: The study aims to describe factors associated and injuries sustained with inpatients who fell while hospitalized and identify the impact of a revised fall-prevention bundle. (nursingcenter.com)
- Our results confirm that supply factors are important but ignoring such variables, when analyzing demand variables, do not generally seem to produce biased (confounded) coefficients. (biomedcentral.com)
- Although there are many specific results clarifying the effects of lifestyle factors on risk of lung, breast, prostate, colorectal, and other cancers, both the roles of various lifestyle factors and combined effects of multiple factors are still not clear. (hindawi.com)
- These hospitals are likely to struggle financially under Payment by Results (PbR) and need to consider how to improve their use of resources. (repec.org)
- Results We identified 99 103 inpatient hospitalisations meeting criteria for inclusion. (bmj.com)
- Researchers conducted a prospective observational study at 12 Italian hospitals to identify which factors are associated with adequate and inadequate bowel cleansing . (healio.com)
- When parents don't speak English well, their children may have longer inpatient stays if they need to be hospitalized, researchers reported. (medpagetoday.com)
- The main outcome measure was length of hospital stay, but the researchers also studied referrals to home healthcare for the period that data was available -- after 2003. (medpagetoday.com)
- The researchers calculated that the relative length of stay for children whose parents were not proficient in English was 1.6 times that of those whose parents were fluent. (medpagetoday.com)
- The researchers also had a relatively small number of parents and caregivers with limited English proficiency, compared with the general population served by the hospital, for reasons that are not clear. (medpagetoday.com)
- Incidental findings from scans lead to longer hospital stays. (hopkinsmedicine.org)
- In our new study, we saw an association between the presence of incidental findings and longer length of stay in the hospital, in some cases because of further tests to explore those findings. (hopkinsmedicine.org)
- The unexpected findings are associated with a 26 percent increase in length of hospital stay. (hopkinsmedicine.org)
- Generally, the more secondary conditions people had, the longer their hospital stay and the higher their cost. (eurekalert.org)
- The costs per person are higher than for all other mental health conditions. (csp.org.uk)
- To report a case of a 4-month old girl that required 0.7 mg/kg/day (5 mg) of warfarin and discuss relevant risk factors for requiring higher doses. (scielo.br)
- The risk factors for higher warfarin doses were age and enteral tube feeding. (scielo.br)
- None of these reports demonstrated the synergistic influence of multiple risk factors resulting in higher doses or multiple adjustments in multivariate analysis. (scielo.br)
- Worsening radiologic infiltrate 24 h after admission, maximum Sepsis-Related Organ Failure Assessment (SOFA) score, and higher heart rate and lower PaO 2 /FiO 2 after 1 h of NIV were among the factors predicting NIV failure. (springer.com)
- 0001) and #6 (P = .002) had higher odds of performing high-cost fusion surgery. (deepdyve.com)
- Adjusting for preoperative comorbidities, however, led to costs that were higher than the actual costs for certain surgeons and lower than the actual costs for others. (deepdyve.com)
- The effects of age and gender were mixed, but higher levels of deprivation were associated with longer stays in 8 of the 10 treatments analysed. (repec.org)
- In the seven surgical interventions, wound infection was always associated with longer stays and usually with higher cost. (repec.org)
- similarly some hospitals had considerably higher average costs or LoS. (repec.org)
- Hospital administrative overheads are far higher in the US than in other high-spending countries (Himmelstein et al. (who.int)
- In a comparison ranking system against all other hospitals and medical centers in the US, Sarah Bush Lincoln Health Center maintains an overall "B-" score, ranking it in the 47th percentile. (rosenfeldinjurylawyers.com)
- At the same time, Boston s very affluence and the prominent standing of its renowned academic medical centers have made cost containment a particular challenge. (hschange.org)
- The Centers for Disease Control and Prevention (CDC) established the Behavioral Risk Factor Surveillance System (BRFSS) in 1984. (bioportfolio.com)
- Behavioral risk factors significantly affected cancer risks in the US elderly. (hindawi.com)
- About 80% of all cancers are diagnosed at ages above 65 years, and up to 75% of cancers are thought to be associated with behavioral factors-if modified, they could significantly reduce cancer burden [ 1 ]. (hindawi.com)
- Regardless, the length of your inpatient insurance coverage may vary significantly, depending on your health plan. (healthcare.com)
- The availability of large datasets with more detailed information provides a new prospective in studying the role of behavioral factors in the cancer risk both for each factor alone and by taking into account risk factor interactions. (hindawi.com)
- A prospective, randomised controlled trial of inpatient intervention with a 6 month follow-up with blinded assessment will be conducted. (pubmedcentralcanada.ca)
- Bhandari M, Sprague S, Ayeni O, Hanson B, Moro J (2004) A prospective cost analysis following operative treatment of unstable ankle fractures. (springermedizin.de)
- The hike in hospitalizations is probably because we're living longer and accompanying risk factors such as high blood pressure, obesity, sleep apnea and diabetes are increasing, he said. (eurekalert.org)
- Risk factors and preventative measures for SCEDO should be further studied. (garvan.org.au)
- An approach to estimate the contribution of various measurable factors, including behavior/lifestyle, to cancer risk in the US elderly population is presented. (hindawi.com)
- Analyzing an impact of the modifiable factors on cancer risk, it has been speculated that about 50% of cancers are potentially preventable [ 2 ]. (hindawi.com)
- The sources for obtaining the evidence on associations between behavioral factors and cancer risk include in vitro studies, animal experiments, ecological studies, and case-control studies. (hindawi.com)
- However, there are certain limitations in providing with exposure-to-a-factor-cancer risk correlations [ 3 , 4 ]. (hindawi.com)
- Physiotherapy-led exercise that increases physical activity levels can also reduce cardiovascular risk factors, as well as the risk of other chronic conditions, such as diabetes and osteoporosis. (csp.org.uk)
- Less than 70% of the normal value increases the risk of venous thrombosis because of the role of antithrombin in the inactivation of thrombin, factors VIIa, IXa, Xa, XIa, kallikrein and plasma. (brainscape.com)
- 8 9 Risk factors reported to be independently associated with ADRs have included advancing age, sex, comorbidity, multiple drug regimens, inappropriate use of medication, alcohol intake, poor cognitive function, and depression. (bmj.com)
- The risk factors included in the model are available in the information systems of hospitals at all levels. (bmj.com)
- The data were inadequate to determine which risk factors should determine the route of antibiotic administration. (aafp.org)
- Previous reports 3 , 4 , 5 , 6 illustrate the influence of isolated risk factors on high warfarin dose requirements. (scielo.br)
- Recent surgery was the most common risk factor associated with isolation of a Gram-positive or Gram-negative MDRO from blood, wound, and biopsy cultures. (eventscribe.com)
- Recent surgery, prior antibiotic exposure, and presence of a urinary catheter were consistently identified as the top risk factors associated with the development MDRO infection. (eventscribe.com)
- Scientific literature provides considerable evidence regarding risk factors for C. difficile infection. (pharmacyonesource.com)
- Using Case Costing Data and Case Mix for Funding and Benchmarking in Rehabilitation Hospitals. (igi-global.com)
- The chapter highlights the importance of data quality and use of comparative data and concludes with 10 key success factors for better funding and benchmarking for rehabilitation hospitals. (igi-global.com)
- This analysis sheds light on characteristics of clients with orthopedic conditions, stroke and amputation who return to inpatient rehabilitation. (cihi.ca)
Diabetes management teams2
- Inpatient diabetes management teams generally incorporate some component of diabetes education ( 11 ). (diabetesjournals.org)
- Typically, inpatient diabetes management teams incorporate some component of diabetes education, but Dr. Dungan says many hospitals have inadequate funding or resources to optimize this treatment strategy. (physiciansweekly.com)
- Each factor was associated with a longer length of stay. (beckersspine.com)
- Medicaid insurance and longer stay were also independent predictors in this model. (diabetesjournals.org)
- MDR Gram negative BSI are associated with recurrent BSI, longer hospital length of stay, and increased mean inpatient costs. (duke.edu)
- As in other countries, complex invasive surgery leads to longer hospital stay in Irish hospitals where recovery is frequently hampered by infection. (ncri.ie)
- Primary and secondary outcome measures The primary outcome measure was POD assessment during ICU stay. (bmj.com)
- Secondary outcome measures include the percent with diabetes-related prescription drug use, perceived access to prescription drugs, hospital inpatient stays, and emergency department use in the past 12 months. (ajmc.com)
- Fewer children are going to be followed up at the hospital and the GP must have confidence in the local paediatric team and know he or she has easy access to their specialist advice when it is needed. (bmj.com)
- Another major issue for Mercy is that it fell outside of eligibility for federal designation as a "critical access hospital," meaning one with 25 beds or fewer that is 35 miles or more from another hospital. (kansascity.com)
- Rural hospitals have trouble recruiting and retaining medical workers. (kansascity.com)
- It's a model similar to one developed by the Kansas Hospital Association called the Primary Health Center Model, a financially sustainable alternative for low-volume, rural hospitals that don't qualify for the "critical access" designation. (kansascity.com)
- In this article, we are exploring the role of supply variables in explaining variation in mental health treatment costs. (biomedcentral.com)
- And the bundles allow CMS to target conditions that are common and expensive to treat, with great variation in cost. (bakerlaw.com)
- Variation in cost, if extant, provides an opportunity to understand the differences and learn from the better practice patterns. (deepdyve.com)
- This is distinct from a cost index, which measures variation in actual expenditures, such as wages and benefits. (nap.edu)
- A variation in the calculation of ALOS can be to consider only length of stay during the period under analysis. (wikipedia.org)