Subsequent admissions of a patient to a hospital or other health care institution for treatment.
The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.
The period of confinement of a patient to a hospital or other health facility.
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)
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.
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
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.
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).
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.
The confinement of a patient in a hospital.
An assessment of a patient's illness, its chronicity, severity, and other qualitative aspects.
Institutions with an organized medical staff which provide medical care to patients.
The care and treatment of a convalescent patient, especially that of a patient after surgery.
The term "United States" in a medical context often refers to the country where a patient or study participant resides, and is not a medical term per se, but relevant for epidemiological studies, healthcare policies, and understanding differences in disease prevalence, treatment patterns, and health outcomes across various geographic locations.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
Method of charging whereby a physician or other practitioner bills for each encounter or service rendered. In addition to physicians, other health care professionals are reimbursed via this mechanism. Fee-for-service plans contrast with salary, per capita, and prepayment systems, where the payment does not change with the number of services actually used or if none are used. (From Discursive Dictionary of Health Care, 1976)
A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.
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.
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.
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).
Special hospitals which provide care to the mentally ill patient.
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.
Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.
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)
Elements of limited time intervals, contributing to particular results or situations.
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.
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.
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.
The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.
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.
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.
Persons admitted to health facilities which provide board and room, for the purpose of observation, care, diagnosis or treatment.
Hospitals engaged in educational and research programs, as well as providing medical care to the patients.
Situations or conditions requiring immediate intervention to avoid serious adverse results.
Institutions with permanent facilities and organized medical staff which provide the full range of hospital services primarily to a neighborhood area.
The formal process of obtaining a complete and accurate list of each patient's current home medications including name, dosage, frequency, and route of administration, and comparing admission, transfer, and/or discharge medication orders to that list. The reconciliation is done to avoid medication errors.
Hospitals providing medical care to veterans of wars.
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)
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.
Special hospitals which provide care for ill children.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
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.
Infection of the lung often accompanied by inflammation.
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.
Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.
A professional society in the United States whose membership is composed of hospitals.
Disease having a short and relatively severe course.
NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).

Recurrence in affective disorder: analyses with frailty models. (1/1240)

The risk of recurrence in affective disorder is influenced by the number of prior episodes and by a person's tendency toward recurrence. Newly developed frailty models were used to estimate the effect of the number of episodes on the rate of recurrence, taking into account individual frailty toward recurrence. The study base was the Danish psychiatric case register of all hospital admissions for primary affective disorder in Denmark during 1971-1993. A total of 20,350 first-admission patients were discharged with a diagnosis of major affective disorder. For women with unipolar disorder and for all kinds of patients with bipolar disorder, the rate of recurrence was affected by the number of prior episodes even when the effect was adjusted for individual frailty toward recurrence. No effect of episodes but a large effect of the frailty parameter was found for unipolar men. The authors concluded that the risk of recurrence seems to increase with the number of episodes of bipolar affective disorder in general and for women with unipolar disorder.  (+info)

Randomized, controlled trial of long-term moderate exercise training in chronic heart failure: effects on functional capacity, quality of life, and clinical outcome. (2/1240)

BACKGROUND: It is still a matter of debate whether exercise training (ET) is a beneficial treatment in chronic heart failure (CHF). METHODS AND RESULTS: To determine whether long-term moderate ET improves functional capacity and quality of life in patients with CHF and whether these effects translate into a favorable outcome, 110 patients with stable CHF were initially recruited, and 99 (59+/-14 years of age; 88 men and 11 women) were randomized into 2 groups. One group (group T, n=50) underwent ET at 60% of peak &f1;O2, initially 3 times a week for 8 weeks, then twice a week for 1 year. Another group (group NT, n=49) did not exercise. At baseline and at months 2 and 14, all patients underwent a cardiopulmonary exercise test, while 74 patients (37 in group T and 37 in group NT) with ischemic heart disease underwent myocardial scintigraphy. Quality of life was assessed by questionnaire. Ninety-four patients completed the protocol (48 in group T and 46 in group NT). Changes were observed only in patients in group T. Both peak &f1;O2 and thallium activity score improved at 2 months (18% and 24%, respectively; P<0. 001 for both) and did not change further after 1 year. Quality of life also improved and paralleled peak VO2. Exercise training was associated both with lower mortality (n=9 versus n=20 for those with training versus those without; relative risk (RR)=0.37; 95% CI, 0.17 to 0.84; P=0.01) and hospital readmission for heart failure (5 versus 14; RR=0.29; 95% CI, 0.11 to 0.88; P=0.02). Independent predictors of events were ventilatory threshold at baseline (beta-coefficient=0.378) and posttraining thallium activity score (beta-coefficient -0.165). CONCLUSIONS: Long-term moderate ET determines a sustained improvement in functional capacity and quality of life in patients with CHF. This benefit seems to translate into a favorable outcome.  (+info)

Depression during the longitudinal course of schizophrenia. (3/1240)

This prospective research investigated the occurrence and persistence of depression during the longitudinal course of schizophrenia. The research goals were to (1) compare depression in schizophrenia with that in schizoaffective and major depressive disorders, (2) assess whether some schizophrenia patients are vulnerable to depression, and (3) assess the relationship of depression to posthospital adjustment in schizophrenia. A total of 70 schizophrenia, 31 schizoaffective depressed, 17 psychotic unipolar major depressed, and 69 nonpsychotic unipolar major depressed patients were assessed during hospitalization and prospectively assessed for depression, psychosis, and posthospital functioning at 4.5- and 7.5-year followups. A large number (30% to 40%) of schizophrenia patients evidenced full depressive syndromes at each followup, including a subgroup of patients who evidenced repeated depression. Even when considering the influence of psychosis on outcome, depression in schizophrenia was associated with poor overall outcome, work impairment, lower activity, dissatisfaction, and suicidal tendencies. During the post-acute phase assessed, neither the rates nor the severity of depressive syndromes differentiated depression in schizophrenia from schizodepressive or major depressive disorders. However, the depressed schizophrenia patients showed poorer posthospital adjustment in terms of less employment, more rehospitalizations, and more psychosis than the patients with primary major depression. The high prevalence of depression in schizophrenia warrants its incorporation into theory about the disorder. A continuum of vulnerability to depression contributes to the heterogeneity of schizophrenia, with some schizophrenia patients being prone to depression even years after the acute phase. Depression in schizophrenia is one factor, in addition to psychosis, associated with poor outcome and requires specific attention to the treatment strategies by psychiatrists.  (+info)

Need to measure outcome after discharge in surgical audit. (4/1240)

OBJECTIVE: To assess the accuracy of outcome data on appendicectomy routinely collected as part of a surgical audit and to investigate outcome in the non-audited period after discharge. DESIGN: Retrospective analysis of audit data recorded by the Medical Data Index (MDI) computer system for all patients undergoing emergency appendicectomy in one year; subsequent analysis of their hospital notes and notes held by their general practitioners for patients identified by a questionnaire who had consulted their general practitioner for a wound complication. SETTING: One district general hospital with four consultant general surgeons serving a population of 250,000. PATIENTS: 230 patients undergoing emergency appendicectomy during 1989. MAIN MEASURES: Comparison of postoperative complications recorded in hospital notes with those recorded by the MDI system and with those recorded by patients' general practitioners after discharge. RESULTS: Of the 230 patients, 29 (13%) had a postoperative complication recorded in their hospital notes, but only 14 (6%) patients had these recorded by the MDI system. 189 (82%) of the patients completed the outcome questionnaire after discharge. The number of wound infections as recorded by the MDI system, the hospital notes, and notes held by targeted patients' general practitioners were three (1%), eight (3%), and 18 (8%) respectively. None of 12 readmissions with complications identified by the hospital notes were identified by the MDI system. CONCLUSIONS: Accurate audit of postoperative complications must be extended to the period after discharge. Computerised audit systems must be able to relate readmissions to specific previous admissions.  (+info)

Does a dedicated discharge coordinator improve the quality of hospital discharge? (5/1240)

OBJECTIVE: To evaluate the effectiveness of the role of a discharge coordinator whose sole responsibility was to plan and coordinate the discharge of patients from medical wards. DESIGN: An intervention study in which the quality of discharge planning was assessed before and after the introduction of a discharge coordinator. Patients were interviewed on the ward before discharge and seven to 10 days after being discharged home. SETTING: The three medical wards at the Homerton Hospital in Hackney, East London. PATIENTS: 600 randomly sampled adult patients admitted to the medical wards of the study hospital, who were resident in the district (but not in institutions), were under the care of physicians (excluding psychiatry), and were discharged home from one of the medical wards. The sampling was conducted in three study phases, over 18 months. INTERVENTIONS: Phase I comprised base line data collection; in phase II data were collected after the introduction of the district discharge planning policy and a discharge form (checklist) for all patients; in phase III data were collected after the introduction of the discharge coordinator. MAIN MEASURES: The quality and out come of discharge planning. Readmission rates, duration of stay, appropriateness of days of care, patients' health and satisfaction, problems after discharge, and receipt of services. RESULTS: The discharge coordinator resulted in an improved discharge planning process, and there was a reduction in problems experienced by patients after discharge, and in perceived need for medical and healthcare services. There was no evidence that the discharge coordinator resulted in a more timely or effective provision of community services after discharge, or that the appropriateness or efficiency of bed use was improved. CONCLUSIONS: The introduction of a discharge coordinator improved the quality of discharge planning, but at additional cost.  (+info)

Readmission rates are associated with differences in the process of care in acute asthma. (6/1240)

OBJECTIVE: To test the hypothesis that sustained differences in readmission rate for acute asthma were associated with variations in clinical practice. DESIGN: Data were collected by retrospective review of case notes, using the criteria recommended by the British Thoracic Society. SETTING: Two city National Health Service (NHS) hospitals that had recorded a sustained difference in readmission rate for acute asthma. SUBJECTS: A random sample of 50 from each hospital, selected from all 16-44 year old patients discharged in 1992 with acute asthma (ninth revision of the international classification of diseases (ICD-9) 493). RESULTS: Hospital A had a lower readmission rate than hospital B. The sample groups were similar for age, sex, deprivation of area of residence, and severity of episode. Systemic corticosteroids were given early more often (p = 0.02) and oral corticosteroids were prescribed at discharge more often (p = 0.04) in hospital A. When a short course of oral corticosteroids was prescribed the duration stated was longer (p = 0.02) and inhaled corticosteroids were started or the dose increased more often (p = 0.02) in hospital A. CONCLUSIONS: These results support the hypothesis that differences in readmission rates for acute asthma are associated with variations in clinical practice. Sustained variation in readmission rates is an outcome of health care, for acute asthma. The findings also support audit of the process of hospital asthma care as a proxy for outcome.  (+info)

Disease management interventions to improve outcomes in congestive heart failure. (7/1240)

This study is part of a planned 24-month, multicenter, longitudinal comparison of a comprehensive congestive heart failure (CHF) disease management program and was designed to determine effectiveness after 12 months of implementation. The impact of interventions such as telemonitoring of patients, post-hospitalization follow-up, and provider education on selected primary outcomes (hospital admission and readmission rates, length of stay, total hospital days, and emergency room utilization) in a managed care setting was evaluated. Subjects in the study included all participants in the managed care plan, as well as 149 selected program participants. The effects of the program were analyzed for pure CHF and CHF-related diagnoses, with outcomes for the third quarter of 1996 (postintervention follow-up) being compared with those for the third quarter of 1995 (preintervention baseline). Overall, the data demonstrated significantly reduced admission and readmission rates for patients with the pure CHF diagnosis. Among the entire CHF patient population, the third quarter admission rate declined 63% (P = 0.00002), and the 30-day and 90-day readmission rates declined 75% (P = 0.02) and 74% (P = 0.004), respectively. Among program participants with pure CHF diagnoses, the 30-day readmission rate was reduced to 0, and an 83% reduction occurred for both the third quarter admission (P = 0.008) and 90-day readmission (P = 0.06) rates. In addition, the average length of stay for patients with CHF-related diagnoses was significantly reduced among both plan participants (P = 0.03) and program participants (P = 0.001). Reductions were also seen in total hospital days and emergency room utilization. These data thus indicate that a comprehensive disease management program can reduce healthcare utilization not only among CHF patients in the program but also among the entire managed care plan population.  (+info)

Longer hospital length of stay is not related to better clinical outcomes in congestive heart failure. (8/1240)

Efforts to reduce hospital lengths of stay (LOS) are prevalent, despite limited understanding of the clinical impact of duration of hospitalization. Thus, we sought to evaluate the clinical relevance of LOS in congestive heart failure (CHF) by studying its relationship to inpatient and post-discharge outcomes among individuals with this disorder. Ten acute care community hospitals in New York State participated in this investigation. The study population consisted of 1,402 consecutive patients, predominantly elderly, who were hospitalized for evaluation and treatment of moderately severe or severe CHF. The patients' medical records were abstracted by trained personnel immediately after hospital discharge. Patients were followed forward for six month's time to track death and readmission rates, as well as functional status, quality of life, and satisfaction. Mean LOS for the group was 7.9 +/- 9.2 days. Longer LOS had a neutral or negative association with patient outcomes. Specifically, longer LOS was linked to a higher adjusted mortality rate during the index hospitalization, as well as a greater adjusted risk of death during the post-discharge period. Moreover, longer LOS was associated with worse post-discharge functional class and a trend for less patient satisfaction with their physicians' care. We conclude that death becomes more prevalent and functional measures decline in association with prolonged hospital stays for heart failure. Although these findings may be of use in planning management strategies, they offer no proof that reducing the costs of care will improve clinical outcomes in CHF.  (+info)

Patient readmission refers to the event when a patient who was previously discharged from a hospital or healthcare facility returns for further treatment, often within a specified period. It is measured as a percentage of patients who are readmitted within a certain time frame, such as 30, 60, or 90 days after discharge. Readmissions may be planned or unplanned and can occur due to various reasons, including complications from the initial illness or treatment, inadequate post-discharge follow-up care, or the patient's inability to manage their health conditions effectively at home. High readmission rates are often considered an indicator of the quality of care provided during the initial hospitalization and may also signify potential issues with care coordination and transitions between healthcare settings.

Patient discharge is a medical term that refers to the point in time when a patient is released from a hospital or other healthcare facility after receiving treatment. This process typically involves the physician or healthcare provider determining that the patient's condition has improved enough to allow them to continue their recovery at home or in another appropriate setting.

The discharge process may include providing the patient with instructions for ongoing care, such as medication regimens, follow-up appointments, and activity restrictions. The healthcare team may also provide educational materials and resources to help patients and their families manage their health conditions and prevent complications.

It is important for patients and their families to understand and follow the discharge instructions carefully to ensure a smooth transition back to home or another care setting and to promote continued recovery and good health.

"Length of Stay" (LOS) is a term commonly used in healthcare to refer to the amount of time a patient spends receiving care in a hospital, clinic, or other healthcare facility. It is typically measured in hours, days, or weeks and can be used as a metric for various purposes such as resource planning, quality assessment, and reimbursement. The length of stay can vary depending on the type of illness or injury, the severity of the condition, the patient's response to treatment, and other factors. It is an important consideration in healthcare management and can have significant implications for both patients and providers.

Medicare is a social insurance program in the United States, administered by the Centers for Medicare & Medicaid Services (CMS), that provides health insurance coverage to people who are aged 65 and over; or who have certain disabilities; or who have End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant).

The program consists of four parts:

1. Hospital Insurance (Part A), which helps pay for inpatient care in hospitals, skilled nursing facilities, hospices, and home health care.
2. Medical Insurance (Part B), which helps pay for doctors' services, outpatient care, medical supplies, and preventive services.
3. Medicare Advantage Plans (Part C), which are private insurance plans that provide all of your Part A and Part B benefits, and may include additional benefits like dental, vision, and hearing coverage.
4. Prescription Drug Coverage (Part D), which helps pay for medications doctors prescribe for treatment.

Medicare is funded by payroll taxes, premiums paid by beneficiaries, and general revenue. Beneficiaries typically pay a monthly premium for Part B and Part D coverage, while Part A is generally free for those who have worked and paid Medicare taxes for at least 40 quarters.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Heart failure is a pathophysiological state in which the heart is unable to pump sufficient blood to meet the metabolic demands of the body or do so only at the expense of elevated filling pressures. It can be caused by various cardiac disorders, including coronary artery disease, hypertension, valvular heart disease, cardiomyopathy, and arrhythmias. Symptoms may include shortness of breath, fatigue, and fluid retention. Heart failure is often classified based on the ejection fraction (EF), which is the percentage of blood that is pumped out of the left ventricle during each contraction. A reduced EF (less than 40%) is indicative of heart failure with reduced ejection fraction (HFrEF), while a preserved EF (greater than or equal to 50%) is indicative of heart failure with preserved ejection fraction (HFpEF). There is also a category of heart failure with mid-range ejection fraction (HFmrEF) for those with an EF between 40-49%.

Diagnosis-Related Groups (DRGs) are a system of classifying hospital patients based on their severity of illness, resource utilization, and other factors. DRGs were developed by the US federal government to determine the relative cost of providing inpatient care for various types of diagnoses and procedures.

The DRG system categorizes patients into one of several hundred groups based on their diagnosis, treatment, and other clinical characteristics. Each DRG has a corresponding payment weight that reflects the average resource utilization and costs associated with caring for patients in that group. Hospitals are then reimbursed for inpatient services based on the DRG payment weights, providing an incentive to provide more efficient and cost-effective care.

DRGs have been widely adopted as a tool for managing healthcare costs and improving quality of care. They are used by Medicare, Medicaid, and many private insurers to determine payments for inpatient hospital services. DRGs can also be used to compare the performance of hospitals and healthcare providers, identify best practices, and support quality improvement initiatives.

Hospital costs are the total amount of money that is expended by a hospital to provide medical and healthcare services to patients. These costs can include expenses related to:

* Hospital staff salaries and benefits
* Supplies, such as medications, medical devices, and surgical equipment
* Utilities, such as electricity, water, and heating
* Facility maintenance and renovation
* Equipment maintenance and purchase
* Administrative costs, such as billing and insurance processing

Hospital costs can also be classified into fixed and variable costs. Fixed costs are those that do not change with the volume of services provided, such as rent or depreciation of equipment. Variable costs are those that change with the volume of services provided, such as supplies and medications.

It's important to note that hospital costs can vary widely depending on factors such as the complexity of care provided, the geographic location of the hospital, and the patient population served. Additionally, hospital costs may not always align with charges or payments for healthcare services, which can be influenced by factors such as negotiated rates with insurance companies and government reimbursement policies.

A hospitalist is a specialized medical doctor who practices hospital medicine, focusing on the general medical care of hospitalized patients. Hospitalists are trained in internal medicine or pediatrics and are experts in managing acute illnesses, coordinating care between different specialists, and ensuring timely and safe transitions of care between inpatient and outpatient settings. They typically do not have outpatient clinical responsibilities and are available to manage patient issues around the clock while they are hospitalized. Hospitalists play a crucial role in improving the quality, safety, and efficiency of inpatient medical care.

Hospitalization is the process of admitting a patient to a hospital for the purpose of receiving medical treatment, surgery, or other health care services. It involves staying in the hospital as an inpatient, typically under the care of doctors, nurses, and other healthcare professionals. The length of stay can vary depending on the individual's medical condition and the type of treatment required. Hospitalization may be necessary for a variety of reasons, such as to receive intensive care, to undergo diagnostic tests or procedures, to recover from surgery, or to manage chronic illnesses or injuries.

Patient acuity is a term used to describe the level of care and attention a patient requires based on their current health status and condition. It's an assessment of how critical or complex a patient's needs are, taking into account various factors such as their physical condition, mental state, and any co-existing medical conditions.

Patient acuity can be determined through a variety of methods, including the use of standardized assessment tools that evaluate different aspects of a patient's health. These tools may consider factors such as vital signs, level of consciousness, mobility, pain management needs, and other relevant clinical indicators.

The level of patient acuity is often used to determine staffing levels and skill mix for nursing units or hospital wards, as well as to prioritize care delivery in busy healthcare settings. Patients with higher acuity levels typically require more frequent monitoring and interventions, and may need to be cared for by nurses with advanced training and expertise.

A hospital is a healthcare facility where patients receive medical treatment, diagnosis, and care for various health conditions, injuries, or diseases. It is typically staffed with medical professionals such as doctors, nurses, and other healthcare workers who provide round-the-clock medical services. Hospitals may offer inpatient (overnight) stays or outpatient (same-day) services, depending on the nature of the treatment required. They are equipped with various medical facilities like operating rooms, diagnostic equipment, intensive care units (ICUs), and emergency departments to handle a wide range of medical situations. Hospitals may specialize in specific areas of medicine, such as pediatrics, geriatrics, oncology, or trauma care.

Aftercare, in a medical context, refers to the ongoing care and support provided to a patient following a medical treatment, procedure, or hospitalization. The goal of aftercare is to promote recovery, prevent complications, manage symptoms, and ensure the overall well-being of the patient. Aftercare may include follow-up appointments with healthcare providers, medication management, physical therapy, wound care, lifestyle modifications, and psychological support. It is an essential part of the treatment process that helps patients transition back to their normal lives and maintain their health and wellness in the long term.

I'm sorry for any confusion, but "United States" is a geopolitical entity, specifically the name of the country consisting of 50 states, and it is not a medical term or concept. Therefore, I can't provide a medical definition for it. If you have any questions related to health, medicine, or biology, I would be happy to try to help answer those!

Quality of health care is a term that refers to the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. It encompasses various aspects such as:

1. Clinical effectiveness: The use of best available evidence to make decisions about prevention, diagnosis, treatment, and care. This includes considering the benefits and harms of different options and making sure that the most effective interventions are used.
2. Safety: Preventing harm to patients and minimizing risks associated with healthcare. This involves identifying potential hazards, implementing measures to reduce errors, and learning from adverse events to improve systems and processes.
3. Patient-centeredness: Providing care that is respectful of and responsive to individual patient preferences, needs, and values. This includes ensuring that patients are fully informed about their condition and treatment options, involving them in decision-making, and providing emotional support throughout the care process.
4. Timeliness: Ensuring that healthcare services are delivered promptly and efficiently, without unnecessary delays. This includes coordinating care across different providers and settings to ensure continuity and avoid gaps in service.
5. Efficiency: Using resources wisely and avoiding waste, while still providing high-quality care. This involves considering the costs and benefits of different interventions, as well as ensuring that healthcare services are equitably distributed.
6. Equitability: Ensuring that all individuals have access to quality healthcare services, regardless of their socioeconomic status, race, ethnicity, gender, age, or other factors. This includes addressing disparities in health outcomes and promoting fairness and justice in healthcare.

Overall, the quality of health care is a multidimensional concept that requires ongoing evaluation and improvement to ensure that patients receive the best possible care.

Healthcare Quality Indicators (QIs) are measurable elements that can be used to assess the quality of healthcare services and outcomes. They are often based on evidence-based practices and guidelines, and are designed to help healthcare providers monitor and improve the quality of care they deliver to their patients. QIs may focus on various aspects of healthcare, such as patient safety, clinical effectiveness, patient-centeredness, timeliness, and efficiency. Examples of QIs include measures such as rates of hospital-acquired infections, adherence to recommended treatments for specific conditions, and patient satisfaction scores. By tracking these indicators over time, healthcare organizations can identify areas where they need to improve, make changes to their processes and practices, and ultimately provide better care to their patients.

Fee-for-service (FFS) plans are a type of medical reimbursement model in which healthcare providers are paid for each specific service or procedure they perform. In this system, the patient or their insurance company is charged separately for each appointment, test, or treatment, and the provider receives payment based on the number and type of services delivered.

FFS plans can be either traditional fee-for-service or modified fee-for-service. Traditional FFS plans offer providers more autonomy in setting their fees but may lead to higher healthcare costs due to potential overutilization of services. Modified FFS plans, on the other hand, involve pre-negotiated rates between insurance companies and healthcare providers, aiming to control costs while still allowing providers to be compensated for each service they deliver.

It is important to note that FFS plans can sometimes create financial incentives for healthcare providers to perform more tests or procedures than necessary, potentially leading to increased healthcare costs and potential overtreatment. As a result, alternative payment models like capitation, bundled payments, and value-based care have emerged as alternatives to address these concerns.

Hospital mortality is a term used to describe the number or rate of deaths that occur in a hospital setting during a specific period. It is often used as a measure of the quality of healthcare provided by a hospital, as a higher hospital mortality rate may indicate poorer care or more complex cases being treated. However, it's important to note that hospital mortality rates can be influenced by many factors, including the severity of illness of the patients being treated, patient demographics, and the availability of resources and specialized care. Therefore, hospital mortality rates should be interpreted with caution and in the context of other quality metrics.

Medical Definition:

"Risk factors" are any attribute, characteristic or exposure of an individual that increases the likelihood of developing a disease or injury. They can be divided into modifiable and non-modifiable risk factors. Modifiable risk factors are those that can be changed through lifestyle choices or medical treatment, while non-modifiable risk factors are inherent traits such as age, gender, or genetic predisposition. Examples of modifiable risk factors include smoking, alcohol consumption, physical inactivity, and unhealthy diet, while non-modifiable risk factors include age, sex, and family history. It is important to note that having a risk factor does not guarantee that a person will develop the disease, but rather indicates an increased susceptibility.

A psychiatric hospital is a type of medical facility that specializes in the treatment and care of patients with mental illnesses or disorders. These hospitals provide inpatient and outpatient services, including evaluation, diagnosis, and therapy for various psychiatric conditions such as depression, bipolar disorder, schizophrenia, anxiety disorders, personality disorders, and substance use disorders.

Psychiatric hospitals typically have a multidisciplinary team of healthcare professionals, including psychiatrists, psychologists, social workers, nurses, and occupational therapists, who work together to provide comprehensive care for patients. The treatment modalities used in psychiatric hospitals may include medication management, individual and group therapy, psychoeducation, and milieu therapy.

Psychiatric hospitals may also offer specialized programs for specific populations, such as children and adolescents, older adults, or individuals with co-occurring mental illness and substance use disorders. The goal of psychiatric hospitals is to stabilize patients' symptoms, improve their functioning, and help them develop the skills necessary to manage their mental health condition in the community.

An insurance claim review is the process conducted by an insurance company to evaluate a claim made by a policyholder for coverage of a loss or expense. This evaluation typically involves examining the details of the claim, assessing the damages or injuries incurred, verifying the coverage provided by the policy, and determining the appropriate amount of benefits to be paid. The insurance claim review may also include investigating the circumstances surrounding the claim to ensure its validity and confirming that it complies with the terms and conditions of the insurance policy.

Continuity of patient care is a concept in healthcare that refers to the consistent and seamless delivery of medical services to a patient over time, regardless of changes in their location or healthcare providers. It emphasizes the importance of maintaining clear communication, coordination, and information sharing among all members of a patient's healthcare team, including physicians, nurses, specialists, and other caregivers.

The goal of continuity of patient care is to ensure that patients receive high-quality, safe, and effective medical treatment that is tailored to their individual needs and preferences. This can help to reduce the risk of medical errors, improve patient outcomes, enhance patient satisfaction, and decrease healthcare costs.

There are several types of continuity that are important in patient care, including:

1. Relational continuity: This refers to the ongoing relationship between a patient and their primary care provider or team, who knows the patient's medical history, values, and preferences.
2. Management continuity: This involves the coordination and management of a patient's care across different settings, such as hospitals, clinics, and long-term care facilities.
3. Informational continuity: This refers to the sharing of accurate and up-to-date information among all members of a patient's healthcare team, including test results, medication lists, and treatment plans.

Continuity of patient care is particularly important for patients with chronic medical conditions, who require ongoing monitoring and management over an extended period. It can also help to reduce the risk of fragmented care, which can occur when patients receive care from multiple providers who do not communicate effectively with each other. By promoting continuity of care, healthcare systems can improve patient safety, quality of care, and overall health outcomes.

Risk adjustment is a statistical method used in healthcare financing and delivery to account for differences in the health status and expected healthcare costs among groups of enrollees. It is a process that modifies payment rates or capitation amounts based on the relative risk of each enrollee, as measured by demographic factors such as age, sex, and chronic medical conditions. The goal of risk adjustment is to create a more level playing field for healthcare providers and insurers by reducing the financial impact of serving patients who are sicker or have greater healthcare needs. This allows for a more fair comparison of performance and payment across different populations and helps to ensure that resources are distributed equitably.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

A cohort study is a type of observational study in which a group of individuals who share a common characteristic or exposure are followed up over time to determine the incidence of a specific outcome or outcomes. The cohort, or group, is defined based on the exposure status (e.g., exposed vs. unexposed) and then monitored prospectively to assess for the development of new health events or conditions.

Cohort studies can be either prospective or retrospective in design. In a prospective cohort study, participants are enrolled and followed forward in time from the beginning of the study. In contrast, in a retrospective cohort study, researchers identify a cohort that has already been assembled through medical records, insurance claims, or other sources and then look back in time to assess exposure status and health outcomes.

Cohort studies are useful for establishing causality between an exposure and an outcome because they allow researchers to observe the temporal relationship between the two. They can also provide information on the incidence of a disease or condition in different populations, which can be used to inform public health policy and interventions. However, cohort studies can be expensive and time-consuming to conduct, and they may be subject to bias if participants are not representative of the population or if there is loss to follow-up.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:

1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.

Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.

Patient admission in a medical context refers to the process by which a patient is formally accepted and registered into a hospital or healthcare facility for treatment or further medical care. This procedure typically includes the following steps:

1. Patient registration: The patient's personal information, such as name, address, contact details, and insurance coverage, are recorded in the hospital's system.
2. Clinical assessment: A healthcare professional evaluates the patient's medical condition to determine the appropriate level of care required and develop a plan for treatment. This may involve consulting with other healthcare providers, reviewing medical records, and performing necessary tests or examinations.
3. Bed assignment: Based on the clinical assessment, the hospital staff assigns an appropriate bed in a suitable unit (e.g., intensive care unit, step-down unit, general ward) for the patient's care.
4. Informed consent: The healthcare team explains the proposed treatment plan and associated risks to the patient or their legal representative, obtaining informed consent before proceeding with any invasive procedures or significant interventions.
5. Admission orders: The attending physician documents the admission orders in the medical chart, specifying the diagnostic tests, medications, treatments, and care plans for the patient during their hospital stay.
6. Notification of family members or caregivers: Hospital staff informs the patient's emergency contact or next of kin about their admission and provides relevant information regarding their condition, treatment plan, and any necessary follow-up instructions.
7. Patient education: The healthcare team educates the patient on what to expect during their hospital stay, including potential side effects, self-care strategies, and discharge planning.

The goal of patient admission is to ensure a smooth transition into the healthcare facility, providing timely and appropriate care while maintaining open communication with patients, families, and caregivers throughout the process.

Logistic models, specifically logistic regression models, are a type of statistical analysis used in medical and epidemiological research to identify the relationship between the risk of a certain health outcome or disease (dependent variable) and one or more independent variables, such as demographic factors, exposure variables, or other clinical measurements.

In contrast to linear regression models, logistic regression models are used when the dependent variable is binary or dichotomous in nature, meaning it can only take on two values, such as "disease present" or "disease absent." The model uses a logistic function to estimate the probability of the outcome based on the independent variables.

Logistic regression models are useful for identifying risk factors and estimating the strength of associations between exposures and health outcomes, adjusting for potential confounders, and predicting the probability of an outcome given certain values of the independent variables. They can also be used to develop clinical prediction rules or scores that can aid in decision-making and patient care.

Multivariate analysis is a statistical method used to examine the relationship between multiple independent variables and a dependent variable. It allows for the simultaneous examination of the effects of two or more independent variables on an outcome, while controlling for the effects of other variables in the model. This technique can be used to identify patterns, associations, and interactions among multiple variables, and is commonly used in medical research to understand complex health outcomes and disease processes. Examples of multivariate analysis methods include multiple regression, factor analysis, cluster analysis, and discriminant analysis.

An inpatient, in medical terms, refers to a person who has been admitted to a hospital or other healthcare facility for the purpose of receiving medical treatment and who is expected to remain there for at least one night. Inpatients are typically cared for by a team of healthcare professionals, including doctors, nurses, and therapists, and may receive various treatments, such as medications, surgeries, or rehabilitation services.

Inpatient care is generally recommended for patients who require close monitoring, frequent assessments, or intensive medical interventions that cannot be provided in an outpatient setting. The length of stay for inpatients can vary widely depending on the nature and severity of their condition, as well as their individual treatment plan.

A "Teaching Hospital" is a healthcare institution that provides medical education and training to future healthcare professionals, such as medical students, residents, and fellows. These hospitals are often affiliated with medical schools or universities and have a strong focus on research and innovation in addition to patient care. They typically have a larger staff of specialized doctors and medical professionals who can provide comprehensive care for complex and rare medical conditions. Teaching hospitals also serve as important resources for their communities, providing access to advanced medical treatments and contributing to the development of new healthcare technologies and practices.

An emergency is a sudden, unexpected situation that requires immediate medical attention to prevent serious harm, permanent disability, or death. Emergencies can include severe injuries, trauma, cardiac arrest, stroke, difficulty breathing, severe allergic reactions, and other life-threatening conditions. In such situations, prompt medical intervention is necessary to stabilize the patient's condition, diagnose the underlying problem, and provide appropriate treatment.

Emergency medical services (EMS) are responsible for providing emergency care to patients outside of a hospital setting, such as in the home, workplace, or public place. EMS personnel include emergency medical technicians (EMTs), paramedics, and other first responders who are trained to assess a patient's condition, provide basic life support, and transport the patient to a hospital for further treatment.

In a hospital setting, an emergency department (ED) is a specialized unit that provides immediate care to patients with acute illnesses or injuries. ED staff includes physicians, nurses, and other healthcare professionals who are trained to handle a wide range of medical emergencies. The ED is equipped with advanced medical technology and resources to provide prompt diagnosis and treatment for critically ill or injured patients.

Overall, the goal of emergency medical care is to stabilize the patient's condition, prevent further harm, and provide timely and effective treatment to improve outcomes and save lives.

Community hospitals are healthcare facilities that provide a range of medical services to the local population in a given geographic area. They are typically smaller than major teaching or tertiary care hospitals and offer a more personalized level of care. The services provided by community hospitals may include general medical, surgical, obstetrical, and pediatric care, as well as diagnostic and therapeutic services such as laboratory testing, imaging, and rehabilitation.

Community hospitals often play an important role in providing access to healthcare for underserved populations and may offer specialized programs to address the specific health needs of the communities they serve. They may also collaborate with other healthcare providers, such as primary care physicians, specialists, and long-term care facilities, to provide coordinated care and improve outcomes for patients.

Overall, community hospitals are an essential component of the healthcare system and play a vital role in providing high-quality, accessible care to local populations.

Medication reconciliation is the process of creating and maintaining an accurate list of all medications a patient is taking, including the name, dosage, frequency, and route, and comparing it to the current medication orders to ensure they are appropriate and safe. This process is used to prevent medication errors such as omissions, duplications, dosing errors, or drug interactions that can occur when patients transfer from one care setting to another (e.g., hospital to home) or when new medications are added. Medication reconciliation aims to reduce adverse drug events and improve patient safety by ensuring that the right medications are given at the right time, in the right dose, and for the right reason. It is typically performed by healthcare professionals such as physicians, pharmacists, and nurses.

Veterans hospitals, also known as Veterans Administration (VA) hospitals, are healthcare facilities provided by the US Department of Veterans Affairs. These hospitals offer comprehensive medical care, including inpatient and outpatient services, to eligible veterans. The services offered include surgery, mental health counseling, rehabilitation, long-term care, and other specialized treatments. The mission of veterans hospitals is to provide high-quality healthcare to those who have served in the US military.

Critical pathways, also known as clinical pathways or care maps, are specialized treatment plans for specific medical conditions. They are designed to standardize and improve the quality of care by providing evidence-based guidelines for each stage of a patient's treatment, from diagnosis to discharge. Critical pathways aim to reduce variations in care, promote efficient use of resources, and enhance communication among healthcare providers. These pathways may include recommendations for medications, tests, procedures, and follow-up care based on best practices and current research evidence. By following critical pathways, healthcare professionals can ensure that patients receive timely, effective, and coordinated care, which can lead to better outcomes and improved patient satisfaction.

Comorbidity is the presence of one or more additional health conditions or diseases alongside a primary illness or condition. These co-occurring health issues can have an impact on the treatment plan, prognosis, and overall healthcare management of an individual. Comorbidities often interact with each other and the primary condition, leading to more complex clinical situations and increased healthcare needs. It is essential for healthcare professionals to consider and address comorbidities to provide comprehensive care and improve patient outcomes.

A pediatric hospital is a specialized medical facility that provides comprehensive healthcare services for infants, children, adolescents, and young adults up to the age of 21. These hospitals employ medical professionals with expertise in treating various childhood illnesses, injuries, and developmental disorders. The facilities are designed to cater to the unique needs of children, including child-friendly environments, specialized equipment, and age-appropriate care.

Pediatric hospitals offer a wide range of services such as inpatient and outpatient care, emergency services, surgical procedures, diagnostic testing, rehabilitation, and mental health services. They also focus on preventive healthcare, family-centered care, and education to support the overall well-being of their young patients. Some pediatric hospitals may specialize further, focusing on specific areas such as cancer treatment, cardiology, neurology, or orthopedics.

Ambulatory surgical procedures, also known as outpatient or same-day surgery, refer to medical operations that do not require an overnight hospital stay. These procedures are typically performed in a specialized ambulatory surgery center (ASC) or in a hospital-based outpatient department. Patients undergoing ambulatory surgical procedures receive anesthesia, undergo the operation, and recover enough to be discharged home on the same day of the procedure.

Examples of common ambulatory surgical procedures include:

1. Arthroscopy (joint scope examination and repair)
2. Cataract surgery
3. Colonoscopy and upper endoscopy
4. Dental surgery, such as wisdom tooth extraction
5. Gallbladder removal (cholecystectomy)
6. Hernia repair
7. Hysteroscopy (examination of the uterus)
8. Minor skin procedures, like biopsies and lesion removals
9. Orthopedic procedures, such as carpal tunnel release or joint injections
10. Pain management procedures, including epidural steroid injections and nerve blocks
11. Podiatric (foot and ankle) surgery
12. Tonsillectomy and adenoidectomy

Advancements in medical technology, minimally invasive surgical techniques, and improved anesthesia methods have contributed to the growth of ambulatory surgical procedures, offering patients a more convenient and cost-effective alternative to traditional inpatient surgeries.

Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.

In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.

The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.

Pneumonia is an infection or inflammation of the alveoli (tiny air sacs) in one or both lungs. It's often caused by bacteria, viruses, or fungi. Accumulated pus and fluid in these air sacs make it difficult to breathe, which can lead to coughing, chest pain, fever, and difficulty breathing. The severity of symptoms can vary from mild to life-threatening, depending on the underlying cause, the patient's overall health, and age. Pneumonia is typically diagnosed through a combination of physical examination, medical history, and diagnostic tests such as chest X-rays or blood tests. Treatment usually involves antibiotics for bacterial pneumonia, antivirals for viral pneumonia, and supportive care like oxygen therapy, hydration, and rest.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

An emergency service in a hospital is a department that provides immediate medical or surgical care for individuals who are experiencing an acute illness, injury, or severe symptoms that require immediate attention. The goal of an emergency service is to quickly assess, stabilize, and treat patients who require urgent medical intervention, with the aim of preventing further harm or death.

Emergency services in hospitals typically operate 24 hours a day, 7 days a week, and are staffed by teams of healthcare professionals including physicians, nurses, physician assistants, nurse practitioners, and other allied health professionals. These teams are trained to provide rapid evaluation and treatment for a wide range of medical conditions, from minor injuries to life-threatening emergencies such as heart attacks, strokes, and severe infections.

In addition to providing emergency care, hospital emergency services also serve as a key point of entry for patients who require further hospitalization or specialized care. They work closely with other departments within the hospital, such as radiology, laboratory, and critical care units, to ensure that patients receive timely and appropriate treatment. Overall, the emergency service in a hospital plays a crucial role in ensuring that patients receive prompt and effective medical care during times of crisis.

The American Hospital Association (AHA) is a national organization that represents and serves hospitals, healthcare networks, and their patients and communities. The AHA advocates for hospital and health system issues at the federal level, provides information and education resources to its members, and collaborates with other organizations to improve the overall state of healthcare in the United States.

The mission of the AHA is to advance the health of individuals and communities by providing leadership and advocacy that promotes the best practices and policies for hospitals and health systems. The organization works to ensure that hospitals have the resources they need to provide high-quality care, and it seeks to address the challenges facing the healthcare industry, such as rising costs, access to care, and health disparities.

The AHA is made up of a diverse group of members, including community hospitals, academic medical centers, children's hospitals, and long-term care facilities. The organization provides a range of services to its members, including policy analysis, advocacy, education, and research. It also offers various publications, conferences, and networking opportunities to help members stay informed and connected.

Overall, the American Hospital Association plays an important role in shaping healthcare policies and practices in the United States, working to ensure that hospitals have the resources they need to provide high-quality care to their patients and communities.

An acute disease is a medical condition that has a rapid onset, develops quickly, and tends to be short in duration. Acute diseases can range from minor illnesses such as a common cold or flu, to more severe conditions such as pneumonia, meningitis, or a heart attack. These types of diseases often have clear symptoms that are easy to identify, and they may require immediate medical attention or treatment.

Acute diseases are typically caused by an external agent or factor, such as a bacterial or viral infection, a toxin, or an injury. They can also be the result of a sudden worsening of an existing chronic condition. In general, acute diseases are distinct from chronic diseases, which are long-term medical conditions that develop slowly over time and may require ongoing management and treatment.

Examples of acute diseases include:

* Acute bronchitis: a sudden inflammation of the airways in the lungs, often caused by a viral infection.
* Appendicitis: an inflammation of the appendix that can cause severe pain and requires surgical removal.
* Gastroenteritis: an inflammation of the stomach and intestines, often caused by a viral or bacterial infection.
* Migraine headaches: intense headaches that can last for hours or days, and are often accompanied by nausea, vomiting, and sensitivity to light and sound.
* Myocardial infarction (heart attack): a sudden blockage of blood flow to the heart muscle, often caused by a buildup of plaque in the coronary arteries.
* Pneumonia: an infection of the lungs that can cause coughing, chest pain, and difficulty breathing.
* Sinusitis: an inflammation of the sinuses, often caused by a viral or bacterial infection.

It's important to note that while some acute diseases may resolve on their own with rest and supportive care, others may require medical intervention or treatment to prevent complications and promote recovery. If you are experiencing symptoms of an acute disease, it is always best to seek medical attention to ensure proper diagnosis and treatment.

Myocardial infarction (MI), also known as a heart attack, is a medical condition characterized by the death of a segment of heart muscle (myocardium) due to the interruption of its blood supply. This interruption is most commonly caused by the blockage of a coronary artery by a blood clot formed on the top of an atherosclerotic plaque, which is a buildup of cholesterol and other substances in the inner lining of the artery.

The lack of oxygen and nutrients supply to the heart muscle tissue results in damage or death of the cardiac cells, causing the affected area to become necrotic. The extent and severity of the MI depend on the size of the affected area, the duration of the occlusion, and the presence of collateral circulation.

Symptoms of a myocardial infarction may include chest pain or discomfort, shortness of breath, nausea, lightheadedness, and sweating. Immediate medical attention is necessary to restore blood flow to the affected area and prevent further damage to the heart muscle. Treatment options for MI include medications, such as thrombolytics, antiplatelet agents, and pain relievers, as well as procedures such as percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).

"Impact of HbA1c measurement on hospital readmission rates: analysis of 70,000 clinical database patient records." BioMed ... "Hospital readmission of patients with diabetes". Current Diabetes Reports. 15 (4): 1-9. doi:10.1007/s11892-015-0584-7. PMID ...
Brian Dolan (January 27, 2015). "Medication adherence app reminds pharmacy's HIV patients to take meds". MobiHealth News. ... Vera Gruessner (April 17, 2015). "Mobile Health Technology Cuts Hospital Readmission Rates". mHealth Intelligence. "Pharmacist- ... as well as a provider portal which gives physicians patient health data. John Musil, a practicing pharmacist, founded Avella ... Avella Provides Guidance on Factors to Consider when Selecting a Specialty Pharmacy for Hepatitis C Patients Meet the Mid- ...
"Hospital Readmission in General Medicine Patients: A Prediction Model". Journal of General Internal Medicine. 25 (3): 211-219. ... She has studied the sleep that patients get in hospital, and showed that hospitalised patients receive two hours less sleep a ... "Hospital Readmission in General Medicine Patients: A Prediction Model". Journal of General Internal Medicine. 25 (3): 211-219. ... As well as studying the sleep of patients, Arora has investigated the impact of on-duty napping on the fatigue of mental health ...
Impact of Patient Safety Indicators on readmission after abdominal aortic surgery. J Vasc Nurs 2018 Dec;36(4):189-195. Epub ... National estimates of 30-day unplanned readmissions of patients on maintenance hemodialysis. Clin J Am Soc Nephrol 2017 Oct 6; ... Nationwide Readmissions Database (NRD): The NRD is designed to support various types of analyses of national readmission rates ... The NEDS captures encounters where the patient is admitted for inpatient treatment, as well as those in which the patient is ...
"Patient-Identified Factors Related to Heart Failure Readmissions". Circulation: Cardiovascular Quality and Outcomes. 6 (2): 171 ... December 2014). "Efficacy of β blockers in patients with heart failure plus atrial fibrillation: an individual-patient data ... Breast cancer patients are at high risk of heart failure due to several factors. After analysing data from 26 studies (836,301 ... Heart failure is a leading cause of hospital readmissions in the U.S. People aged 65 and older were readmitted at a rate of ...
Patients may be recalled if they don't abide to conditions on residence or medical supervision decided by a psychiatrist on ... Crime Solutions: Management Strategies to Reduce Psychiatric Readmissions. The Treatment Advocacy Center are an advocacy group ... Patients are often monitored and assigned to case managers or a community dedicated to treating mental health known as ... They allowed patients detainable under mental health legislation to be treated outside hospital and had the same stringent ...
One study performed showed that patients with heart failure who received teach-back education had a 12% lower readmission rate ... "Do self-management interventions in COPD patients work and which patients benefit most? An individual patient data meta- ... For example, a patient with asthma may recognize the symptom of shortness of breath. This patient can manage the symptom by ... The patient may need to contact their healthcare team for advice. Red is the danger zone, meaning the patient's signs and ...
Sonmez, H; Kambo, V; Taha, R; Poretsky, L (2016). "Reducing hospital readmissions in patients with diabetes: Developing better ... "The effects of a comprehensive multidisciplinary outpatient diabetes program on hospital readmission rates in patients with ... Poretsky's work helped lead to the use of insulin-sensitizing agents in patients with PCOS. Poretsky and his coworkers also ... Stolyarczyk R, Rubio S, Smolyar D, Young I, Poretsky L (June 1998). "24 hr urinary free cortisol in patients with acquired ...
... decrease hospital readmission's and increase patient's ability to thrive at home after hospital discharge. Post hospitalization ... Faith community nurses also maintain the goal of patient care towards wholistic functioning. Patients have needs that are not ... to improve the patient's health and disease status. Not only does a faith community nurse improve patient outcomes but they ... It is important to note that faith community nurses are not expected to provide patient care in the church or at a patient's ...
The Health Management Unit is set up to assist patients who need help to manage their long-term conditions. These patients ... It also aimed to reduce unnecessary re-admissions to the hospital. The Transitional Care team comprised doctors, nurses, ... Andrew's Community Hospital's Home Care Service attended to the nursing needs of patients residing in the east. These patients ... Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Advances in Patient Safety, Rockville (MD): Agency for ...
"Transition Coaches Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs". Agency for Healthcare Research ... During transitions, patients with complex medical needs, primarily older patients, are at risk for poorer outcomes due to ... every patient's primary physician would be responsible for the patient through every health care process at all times, but this ... Patient responses to the survey predicts return to the emergency department and/or hospital. Dr. Eric Coleman and his team at ...
Area hospitals ranked well in patient readmissions, but wait times need improving. "Long-Term Care Homes - Kitchener-Waterloo- ... Region of Waterloo Paramedic Services may transport patients to either Grand River Hospital or St. Mary's General Hospital ... "Waterloo Region hospitals rank well on readmissions, but wait times need work". Waterloo Region Record. November 29, 2018. ...
Johnson RF (October 2017). "Emergency department visits, hospitalizations, and readmissions of patients with a peritonsillar ... Treatment can also be given while a patient is under anesthesia, but this is usually reserved for children or anxious patients ... Tonsillectomy can be indicated if a patient has recurring peritonsillar abscesses or a history of tonsillitis. For patients ...
Area hospitals ranked well in patient readmissions, but wait times need improving. "Long-Term Care Homes - Kitchener-Waterloo- ... "Waterloo Region hospitals rank well on readmissions, but wait times need work". Waterloo Region Record. 29 November 2018. ...
Predictors of Cause-Specific Hospital Readmissions in Patients with Congestive Heart Failure. Clinical Cardiology, 26, 411-418 ... Yazigi A, Zahr L, Armenian HK: Patient Compliance in a Well Baby Clinic. Effect of Two Modes of Intervention. Tropical and ... Familial aggregation of fainting in a case-control study of neurally mediated hypotension patients who present with unexplained ... Armenian HK, Lilienfeld AM, Diamond EL, Bross IDJ: Epidemiologic Characteristics of Patients with Prostatic Neoplasms, American ...
... right to readmission; right to appeal hearings; right to have necessary care and services for highest practicable well-being; ... right to informed consent in language patient can understand; right to refuse treatment; right of family and Ombudsman to ...
For acute coronary syndrome patients, CR reduces cardiovascular mortality by 25% and readmission rates by 20%. The potential ... despite the fact that these patients often need it most. Cardiac patients can assess their CR barriers here, and receive ... or an exercise physiologist works to help patients achieve their targets. During exercise, the patient's heart rate and blood ... Where available, patients receiving CR in the hospital after surgery are usually able to begin within a day or two. First steps ...
CRISP has developed basic reports to support initial hospital needs in monitoring performance on readmission goals. Sentementes ... The Chesapeake Regional Information System for our Patients (CRISP) is a nonprofit organization created to function as ... patient centered care. In doing so, CRISP offers a suite of tools aimed at improving the facilitation of care for their service ... and master patient indexing; and assisting in the development of strategies for integrating end-point. Finance Advisory Board ...
The partnership is expected to help Tri-City improve patient outcomes and reduce its readmission rate. Research affiliations of ... Under the terms of this agreement, ECRMC patients have access to specialized facilities operated by UC San Diego Health in the ... In particular, clinical and translational research are important for both entities to advance the quality of patient care. UC ... the floor for which is completely pressurized and filtered allowing patients to roam freely. The Rady Pavilion for Women and ...
"Comparison of Hospital Mortality and Readmission Rates for Medicare Patients Treated by Male vs Female Physicians". JAMA ... "Comparison of postoperative outcomes among patients treated by male and female surgeons: a population based matched cohort ...
"Using Telehealth to Reduce All-Cause 30-Day Hospital Readmissions among Heart Failure Patients". Telehealth at Home. Retrieved ... can lead to better patient outcomes and higher patient satisfaction. Researchers also note that Remote Patient Monitoring will ... The remote patient monitoring product and service used had a cost-per-patient of $800, compared to the average cost of a cycle ... This form of patient monitoring can be particularly important when patients are managing complex self-care processes such as ...
The patient is enrolled in Medicare fee-for-service and is over age 65 The patient is alive at discharge The patient has ... If a patient is transferred from Hospital A to Hospital B, any readmission within 30 days of being discharged from Hospital B ... A hospital readmission is an episode when a patient who had been discharged from a hospital is admitted again within a ... Broadly defined, a hospital readmission is when a patient who had been discharged from a hospital is admitted again to that ...
In the latter case re-admissions, recoveries and deaths were recorded as far as possible. This was one of the first prospective ... The total number of patients in the cohort was 1297. The study documented both those who remained within asylums, and those who ... was a Scottish doctor involved in the study and care of patients with mental illness. He served on several public commissions, ...
... assisting the patient to navigate the health care system, and evaluating patient outcomes. Nurse/patient encounters can occur ... Quality ambulatory care nursing has been associated with fewer emergency department visits, hospital visits and readmissions. ... Contact with patients in ambulatory care is often relatively brief, and in the context of a high volume of patients. Nurses in ... RN care managers focus on the sicker patients on all providers' patient panels and make regular contact with them at and in ...
... time to readmission in 17'145 [corrected] patients with 37'697 hospitalisations at a German psychiatric hospital". PLOS ONE. 8 ... It meant that more patients could be treated without the need for confinement in a psychiatric hospital. It was one of the key ... One of the most important discoveries was chlorpromazine, an antipsychotic that was first given to a patient in 1952. In the ... Oyffe I, Kurs R, Gelkopf M, Melamed Y, Bleich A (2009). "Revolving-door patients in a public psychiatric hospital in Israel: ...
The available data suggests that in general, patients discharged AMA have an increased risk of hospital readmission, and ... "breakdown in the patient-doctor relationship" and an infringement of patient autonomy. Authors across numerous disciplines have ... lacks evidence of its utility to improve patient care, and may harm patients by reducing their likelihood of following up. ... as well as the patient's understanding, should be documented in the patient's chart. Many physicians incorrectly believe that ...
Here he drafted his first publication, a brief case report on a young patient with filariasis. In January 1911, Howard took an ... In any case, he was not permitted readmission to the army. Nevertheless, he did find success in another branch of the ... In October 1911, Knox attempted to rejoin the army and applied to the office of the surgeon general for readmission. His ... he had validated the patient which contributed to his improvement. ...
The oldest patient was the 62-year-old nun. The youngest patient was the 22-month-old baby girl.[citation needed] Two patients- ... However, during the time between Acosta's discharge from and readmission to Willard Parker, he had returned to work at Bellevue ... However, both patients, one a 22-month-old baby girl who had been treated for croup, and the other, Ishmael Acosta, a 27-year- ... Two patients on the same floor at Willard Parker Hospital with Le Bar were discharged soon after Le Bar's death. ...
Health information exchange makes patient care more informed and coordinated, and reduces unnecessary care and readmissions. ... and safety-net providers to explore how a formalized health information organization could enable better care for patients in ...
Due to improved patient outcomes, in the last two decades, laparoscopic surgery has been adopted by various surgical sub- ... "Adhesion-related readmissions following gynaecological laparoscopy or laparotomy in Scotland: an epidemiological study of 24 ... The risk of such injuries is increased in patients who have a low body mass index or have a history of prior abdominal surgery ... About 20% of patients undergo hypothermia during surgery and peritoneal trauma due to increased exposure to cold, dry gases ...
AND THEIR READMISSIONS.. CDI discharges have a higher 30-day readmission rate and longer length of stay among readmissions as ... When do patient-reported outcome measures inform readmission risk? J Hosp Med. 2015;10(5):294-300. ... Clinical question: Among patients discharged from the hospital, how do patient-reported outcome (PRO) measures change after ... Burden of Clostridium difficile infection on hospital readmissions and its potential impact under the Hospital Readmission ...
For the 134,038 patients hospitalized with cirrhosis, the overall 30-day readmission rate was 17%. Common causes of readmission ... Conclusions: Patients hospitalized with cirrhosis complications had high rates of unscheduled 30-day readmission. Average ... occurred during readmission, and an additional 14,425 deaths up to 1 year (63.5% total mortality among readmitted patients). ... and the long-term outcomes of readmission among patients with cirrhosis. To examine the rates, costs, and 1-year outcomes of ...
... to achieve dramatic readmission reductions for patients at the c ... to achieve dramatic readmission reductions for patients at the ... In the study entitled, Does Glycemic Control Using eGMS® Reduce Readmission Rates for Hospitalized Patients Undergoing CABG?, ... patients have an increased risk of readmission," says Parsons. "Our studies underscore that by starting these patients on an ... Readmission Rates in Cardiovascular Patients Hospitalized with AMI, CHF or Undergoing CABG During the Implementation of a ...
Reduced patient readmissions. Healthcare accreditation and ISO 9001 helped align the organizational strategy, reducing patient ... Readmission of patients within 30 days of discharge is one of the most serious issues plaguing healthcare delivery in the ... To reduce hospital readmissions, CoxHealth embarked on a variety of initiatives to reduce the likelihood that patients would be ... It integrated a tool into its electronic medical records system that gauged the risk of readmission for each patient, based on ...
Multiple readmissions occurred in 1.6% of patients. Risk factors for readmission included age ≥65 years, presence of certain ... More than a single readmission occurred among 1.6% of patients discharged after the index hospitalization. Readmissions ... readmission, and demographic and clinical characteristics associated with hospital readmission after a patients initial COVID- ... In the Premier Healthcare Database, readmissions were only recorded if a patient returned to the same hospital where the index ...
We were one of the first private healthcare providers to publish clinical performance and patient reported outcomes on our ... Unplanned readmissions. Patients at Spire Hospitals are, on average, at low risk of requiring a readmission for further ... We calculate the rate of unplanned readmissions by dividing the number of readmissions by the number of patients we have ... An unplanned re-admission is when a patient is re-admitted to the hospital within 31 days of being discharged. The reason for ...
Given pain is a key reason for readmission a patient information leaflet on the use of morphine in the community was developed ... Will improving pain in paediatric tonsillectomy patients decrease hospital readmissions?. William Milligan, Catherine Vass. ... Our aim was to assess readmission rates of tonsillectomy patients and consider ways to reduce this. ... Results: Twenty-five patients underwent tonsillectomy in the six-month period (mean age - 8 years). One patient remained an ...
Patients hospitalized for heart failure have a high risk for all-cause re-hospitalization and a 30-day readmission rate of 25 ... In 2013, hospitals with excessive 30-day readmission rates were not reimbursed by one percent from Medicare; this penalty has ... Increasing Heart Failure Knowledge to Improve Patient Education and Decrease Re-Admission Rates. Price: $8.00 ... Increasing Heart Failure Knowledge to Improve Patient Education and Decrease Re-Admission Rates ...
... program using causal inference methods to examine the impact of PDDE on readmission. ... of patients had private insurance, 9.1% of patients had Medicaid, 34.2% of patients had Medicare, and 35.0% of patients had ... Readmission With PDDE by Risk Level. Readmission analysis was categorized by risk level. A total of 1509 patients were low risk ... This included patients with a moderate or high unplanned readmission risk score. Additionally, patients with a low unplanned ...
Articles reporting on 30-day readmission rate and examining at least one patient-level predictor of readmission at 30 days were ... consistent predictors of readmission at 30-days. Patients with these risk factors for readmission should be targeted for more- ... Patient- and Hospital-level Predictors of 30-day Readmission after Acute Coronary Syndrome: A Systematic Review. ... However, no studies reported psychosocial factors as predictors of readmission at 30 days. Conclusion: Studies of readmission ...
... which may reduce patients risk of readmission. In fact, preventing hospital readmission can improve patients quality of life ... Of the 1,856 HF patients, 542 (29.9%) had at least one hospital readmission. The mean age of these patients was 71.7 ± 13.4 ... of patients experience readmission 30 to 60 days after discharge [11]. Hospital readmission imposes high economic costs for ... it is essential to identify HF patients at a higher risk of readmission in order to manage these patients better [12]. ...
New study finds patients with female doctors have a lower risk of death and hospital readmission rates. ...
Dhital, R., Basnet, S., Tachamo, N., Poudel, D., & Lynn, T. (2018). Factors associated with early readmission in adult patients ... Factors associated with early readmission in adult patients with diabetic ketoacidosis and hyperglycemic hyperosmolar state. ...
The current literature on preventable readmissions in the US contains evidence from a variety of patient populations, ... Conclusions: The current literature on preventable readmissions in the US contains evidence from a variety of patient ... Studies of cardiovascular-related readmissions were most common, followed by all cause readmissions, other surgical procedures ... or early readmissions. Each of these modifying terms was included in keyword searches of readmissions or rehospitalizations in ...
Readmission rates and costs of care. Our final sample, for the analysis of readmission, comprised of 1 182 268 patients who ... Patient outcomes. The primary outcome was 30 day mortality of patients. Secondary outcomes were 30 day readmission rates and ... Fifth, to deal with the impact of unobserved care preferences of patients, we excluded patients with cancer and patients who ... Patient 30 day readmission rates and costs of care between general internists who graduated from a medical school outside the ...
County-level Variation in Readmission Rates: Implications for the Hospital Readmissions Reduction Programs Potential to ... Quality of Care and Patient-Reported Outcomes in Carpal Tunnel Syndrome: A Prospective Observational Study 2018. ... Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III (2004-2005) ... Economic Evaluation of Quality Improvement Interventions Designed to Prevent Hospital Readmission: A Systematic Review and Meta ...
The patients were divided into two equal groups: patients with or without PIMs. The main outcome was any readmission during the ... older patients; polypharmacy; potentially inappropriate medication; hospital readmission; Malaysia. Subjects:. R Medicine , RC ... The impact of potentially inappropriate medications and polypharmacy on 3-month hospital readmission among older patients: a ... The impact of potentially inappropriate medications and polypharmacy on 3-month hospital readmission among older patients: a ...
TCM: Tracking Patients to Reduce Readmissions. *19 February 2019. *Blog. For Best Results, Engage Your Patients!. ... Enhanced Patient Interaction and Improved Provider Satisfaction: AI helps in addressing issues like physician burnout and ... With an AI-Powered EHR,, and healow Patient Engagement, eCW is a One-Stop Solution for Small and Independent Practices ... How the Patient Portal Is Making a Difference for a Pediatric Practice. ...
... out-patient medical sub-specialties clinics; patient experience; quality of care; and quality metrics (i.e.; readmission, ... HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other ... HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other ... Lead Regulatory surveys of the department and event investigations in adverse outcomes of patients. ...
"Impact of HbA1c measurement on hospital readmission rates: analysis of 70,000 clinical database patient records." BioMed ... "Hospital readmission of patients with diabetes". Current Diabetes Reports. 15 (4): 1-9. doi:10.1007/s11892-015-0584-7. PMID ...
... of patients with SLE required readmission during our study. Yazdany, et al demonstrated that 16% of patients hospitalized for ... Ninety-nine patients (40.1%) required readmission during the study period (2011-2012). Incidental causes were the leading cause ... Our Lupus Clinic patients had higher SDI scores than non-Lupus Clinic patients, and we assumed this to be because our Lupus ... Another possible limitation is that we did not distinguish between patients with single admissions and readmissions in the ...
Virginia Mason held a two-day Kaizen event focused on conducting patient interviews at the time of readmission to learn what ... Virginia Mason is leading change by ensuring patient voices are heard, especially following a readmission. Like other WSHA ... The team also developed a template in the electronic medical record to document the patient interview, which is visible to the ... The Kaizen event helped the team identify how to embed patient interviews into staffs normal workflows. They decided to use ...
Structure and predictors of in-hospital nursing care leading to reduction in early readmission among patients with ... hospital nursing care leading to reduction in early readmission among patients with schizophrenia. A new questionnaire was ... hospital nursing care leading to reduction in early readmission among patients with schizophrenia. This study adopted a cross- ... In-hospital nursing care leading to reduction in early readmission was predicted by the following variables the score on the ...
30-day medical readmission; 30-day surgical readmission; 30-day obstetric readmission; 30-day readmission patients aged 19 and ... Wait time for hip fracture surgery; Caesarean section; Patients with repeat hospitalizations for mental illness; Ambulatory ... Wait time for hip fracture surgery; Caesarean section; Patients with repeat hospitalizations for mental illness; Ambulatory ... Readmission; Self-injury hospitalization rate; Hospitalized hip fracture event rate ...
Predict the risk of readmissions, infection and disease.. *Analyze patient outcomes in the context of relevant cohort ... Protect patient data in a secure cloud environment.. *Expand the use of data-driven insights across clinical and operational ... Make each patient touchpoint more relevant with proactive, data-driven insights.. *Reduce latency and processing time by moving ... Break down data silos to create holistic patient health profiles.. *Easily integrate data from industry standards available in ...
Patient Readmission. 2. 2020. 3111. 0.130. Why? Male. 22. 2022. 349538. 0.130. Why? ...
Patient Experience: Tips for Understanding and Promoting Patient Satisfaction: What influences patient satisfaction, and how ... How Much Responsibility Should Hospitalists Have in Readmission Prevention? Should hospitalists be held responsible for ... The Patient Experience What can you, and your hospital, do to enhance patient experience? This article explores the many ... Unassigned and Undocumented Patients Caring for uninsured patients--who often are sicker and have more complex conditions than ...
Costly hospital readmissions that pose a huge challenge for the health care system can be reduced among Medicare beneficiaries ... Patients admitted to skilled nursing facilities tend to have a high rate of early and unplanned readmissions, said a statement ... Another CMS initiative cited by McGann is the Partnership for Patients campaign, an ambitious patient safety project announced ... its clear readmissions rates can be reduced" by the magnitude envisioned by the Partnership for Patients campaign, he said. ...
  • Identifying factors that increase risk for readmissions may be helpful to focus resources to optimize the discharge process and reduce avoidable readmissions. (
  • After discharge from an initial COVID-19 hospitalization, 9% of patients were readmitted to the same hospital within 2 months of discharge. (
  • Risk factors for readmission included age ≥65 years, presence of certain chronic conditions, hospitalization within the 3 months preceding the first COVID-19 hospitalization, and discharge to a skilled nursing facility or with home health care. (
  • Understanding frequency of, and potential reasons for, readmission after a COVID-19 hospitalization can inform clinical practice, discharge disposition decisions, and public health priorities, such as health care resource planning. (
  • Few studies have investigated discharge patterns and hospital readmissions among large groups of patients after an initial COVID-19 hospitalization ( 4 - 7 ). (
  • Using electronic health record and administrative data from the Premier Healthcare Database,* CDC assessed patterns of hospital discharge, readmission, and demographic and clinical characteristics associated with hospital readmission after a patient's initial COVID-19 hospitalization (index hospitalization). (
  • Among the 106,543 (85%) surviving patients, 9% (9,504) were readmitted to the same hospital within 2 months of discharge through August 2020. (
  • The odds of hospital readmission increased with age among persons aged ≥65 years, presence of certain chronic conditions, hospitalization within the 3 months preceding the index hospitalization, and if discharge from the index hospitalization was to a SNF or to home with health care assistance. (
  • Understanding the frequency of, and risk factors for, readmission can inform clinical practice, discharge disposition decisions, and public health priorities such as health care planning to ensure availability of resources needed for acute and follow-up care of COVID-19 patients. (
  • COVID-19 patients were identified through International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) discharge diagnosis code of U07.1 (COVID-19, virus identified) during April-July 2020 or B97.29 (Other coronavirus as the cause of disease classified elsewhere [recommended before the April 2020 release of U07.1] † ) during March-April 2020. (
  • Outcome measures The primary outcome is the length of stay as defined from the date of hospital admission to the date of discharge or death (hospital patients) and from the date of hospital admission to the date of admission in a virtual ward (virtual ward patients). (
  • 2. Longer length of stay, days between discharge/first readmission, and pulmonary involvement ≥50% increase prevalence of admissions in ICU in unplanned readmissions after COVID-19 hospitalizations. (
  • 7. Causes and correlates of 30 day and 180 day readmission following discharge from a Medicine for the Elderly Rehabilitation unit. (
  • 8. Hospital Readmissions Among Veterans Within 90 Days of Discharge Following Initial Hospitalization for COVID-19. (
  • 11. The risk of death or unplanned readmission after discharge from a COVID-19 hospitalization in Alberta and Ontario. (
  • 15. Risk factors for hospital readmission in older adults within 30 days of discharge - a comparative retrospective study. (
  • 16. Analysis of Risk Factors for Patient Readmission 30 Days Following Discharge From General Surgery. (
  • Approximately 30 patients per surgical discipline undergoing any type of in-hospital surgery were followed up until hospital discharge to record all intra- and postoperative adverse events. (
  • Patient Discharge" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (
  • This graph shows the total number of publications written about "Patient Discharge" by people in UAMS Profiles by year, and whether "Patient Discharge" was a major or minor topic of these publications. (
  • Below are the most recent publications written about "Patient Discharge" by people in Profiles over the past ten years. (
  • A univariate analysis was conducted on patient sex, race, BMI, length of stay during the index admission, health insurance type during the index admission, discharge placement after the index admission, presence of coronary artery disease, presence of heart failure, and presence of type 2 diabetes. (
  • Of the 4180 patients included in this study, 926 (22.2%) were readmitted within 30 days of discharge. (
  • Pairwise analysis of the variables within insurance and discharge disposition categories demonstrates decreased readmission for individuals with Private/Other when compared to other insurance subtypes and decreased readmission for Other when compared to discharge disposition subtypes. (
  • Data on the education levels of patients and their caregivers were collected, and patient outcomes in high education level (HEL) and low education level (LEL) groups were compared. (
  • Appearing in Circulation: Cardiovascular Quality and Outcomes, the study describes the first risk model for hospital readmission specifically developed for older heart attack patients . (
  • Maternal race may be an important risk factor for postpartum readmissions and associated adverse outcomes. (
  • Access to high-quality physical therapy has been shown to reduce unnecessary surgeries, injections, emergency room visits, and imaging - resulting in better outcomes at a lower cost for patients, employers and payors. (
  • This FOA broadly invites applications to become a Center of Excellence on Comparative Health System Performance as part of AHRQ's Patient-Centered Outcomes Research (PCOR) dissemination work under Section 937(a) of the Affordable Care Act. (
  • Methods Statistical analyses included logistic and binomial mixed models for the length of stay in the hospital and readmission rate outcomes, as well as a Cox proportional hazard model for the survival of the patients. (
  • This study assesses the ability of summary electronic medical record metrics to control for patient-level variation in cost outcomes in pancreaticoduodenectomy. (
  • The team compared outcomes for heart attack patients between hospitals over the 13-year period. (
  • Emergency Department Closures And Openings: Spillover Effects On Patient Outcomes In Bystander Hospitals. (
  • 4. Readmission to the Intensive Care Unit: Incidence, Risk Factors, Resource Use, and Outcomes. (
  • 10. Frequency, risk factors, and outcomes of hospital readmissions of COVID-19 patients. (
  • 13. Characteristics and clinical outcomes of index versus non-index hospital readmissions in Australian hospitals: a cohort study. (
  • Our technology ecosystem delivers better outcomes: it optimizes the use of healthcare resources, improves care service quality, and reduces costs associated with managing patient health. (
  • Improving outcomes for patients with cardiovascular disease (CVD) is a clinical priority in the NHS Long-Term Plan. (
  • Reducing readmissions is the newest addition to multiple quality dashboards, both institutional and national, as a measure of the care delivered during hospitalization. (
  • Among 126,137 unique patients with an index COVID-19 admission during March-July 2020, 15% died during the index hospitalization. (
  • More than a single readmission occurred among 1.6% of patients discharged after the index hospitalization. (
  • Nutritional risk assessed by MNA-SF and malnutrition assessed by PG-SGA were associated with 2.48- and 6.04-fold increased likelihood of hospitalization (≥ 4 d) and readmission (60 d), respectively. (
  • Within Medicare recipients, an astounding one in five medical patients (19.6%) is readmitted within 30 days, accounting for $15 billion in spending. (
  • [ 3 ] One of the most notable of these reporting entities, Hospital Compare, now publicly reports Medicare readmission rates for a few common diagnoses. (
  • [ 4 ] While Medicare already withholds payment to hospitals for readmissions within 24 hours for the same diagnosis, Medicare may soon reduce payment to hospitals with the highest rates of readmission within 30 days, a powerful incentive for hospitals to intervene. (
  • Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. (
  • It is a way of providing Medicare services that gives patients better access to highquality care. (
  • Medicare enrolls most patients based on past claims. (
  • 14. Understanding why patients with COPD get readmitted: a large national study to delineate the Medicare population for the readmissions penalty expansion. (
  • Medicaid patients (24%) and Medicare patients (23%) demonstrated higher readmission rates than those with private insurance (17%) (P = .001). (
  • According to data provided by Medicare, nearly one in five patients who leave the hospital are readmitted within the next month. (
  • To try and avoid preventable readmissions, Medicare produced a checklist that patients can rely on when they are preparing to end their hospital stay. (
  • Among patients with MI, there is a strong relationship between degree of HF and mortality. (
  • The only therapy proven to reduce mortality for patients with cardiogenic shock is early revascularization. (
  • This single centre pilot study aimed to determine epidemiological correlations between education level and hospital readmission and mortality rates of CHF patients in a nonwestern country population. (
  • There were no significant differences in the mortality (3 vs 2%) or readmission rate (18 vs 19%) between the LEL and HEL patients, and 29.6% of LEL patients had caregivers with an LEL. (
  • The education levels of CHF patients and caregivers were not correlated with readmission or mortality rates. (
  • This study evaluated the epidemiological correlation of education level of patients and their caregivers and readmission and mortality rates of congestive heart failure (CHF) patients. (
  • We conducted a cohort study to examine the associations between residential green spaces and the incidence of acute myocardial infarction (AMI) and heart failure (HF), post-AMI and HF hospital readmissions, and mortality. (
  • When a new emergency department opened and reduced the driving time between hospitals by at least 30 minutes, 30-day mortality for heart attack patients dropped by 12% at crowded facilities. (
  • How can we keep patients with dementia safe in our acute hospitals? (
  • An ACO is a group of doctors, hospitals and other providers that work together to offer better care for patients. (
  • Methods 1574 (53% women, mean age 54 years) randomly selected adult inpatient admissions from a sample of eight hospitals, stratified by region and size, across the Republic of Ireland in 2009 were reviewed using two-stage (nurse review of patient charts, followed by physician review of triggered charts) retrospective chart review with electronic data capture. (
  • they in no way provide a modern-day representation of the typical conditions requiring inpatient rehabilitation.1 The 60% Rule is intended only to serve as a tool that broadly distinguishes IRFs from acute-care hospitals based on patient mix. (
  • This comprised more than 3,700 hospitals treating over 1 million patients. (
  • The administrative process of discharging the patient, live or dead, from hospitals or other health facilities. (
  • RightMove expects to be live and treating patients in late Q2 2023. (
  • Additional measures were 6-month readmission rates and survival rates at the follow-up date of 30 April 2023. (
  • At the October 2023 meeting, the commissioners discussed a potential "site-neutral' policy for certain conditions treated in IRFs, specifically considering whether conditions that fall outside the 13 that must account for 60% of IRF patients should be paid at the skilled-nursing facility (SNF) rate. (
  • Methods: The study was performed in King Abdullah Medical City, Makkah, Saudi Arabia from February 2015 to February 2016, and included 167 consecutive patients enrolled in a CHF management registry. (
  • CDAD patients were signifi cantly more likely than controls to Methods be discharged to a long-term-care facility or outside hospital. (
  • METHODS: Patients that underwent pancreaticoduodenectomy from 2014 to 2018 at a single institution were identified within the electronic medical record and linked with the National Surgical Quality Improvement Program. (
  • METHODS: This cohort study is nested in the ClassIntra ® validation study and includes only patients enrolled at the University Hospital of Basel. (
  • The aim of these pathways is to simplify and encourage adherence to national guidance for optimal management of patients at high risk of CVD and reducing the incidence of heart attacks or strokes. (
  • One recent study described a gradient of patient capability or willingness for self-care and the extent of caregiver contribution. (
  • The AMA Update covers a range of health care topics affecting the lives of physicians and patients. (
  • This two-day boot camp Sept. 23-24, 2024, is designed for clinical and operational change agents looking to eliminate unnecessary work and free up more time to focus on what matters most-patient care. (
  • In addition to patient care, HSS leads the field in research, innovation and education. (
  • Patients' and health care professionals' attitudes towards the PINK patient safety video. (
  • Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative. (
  • Patient involvement in patient safety: the health-care professional's perspective. (
  • Moving beyond the weekend effect: how can we best target interventions to improve patient care? (
  • Even in a nonoutbreak setting, CDAD had a statistically sig- tal (BJH), a 1,250-bed, tertiary-care academic hospital in nifi cant negative impact on patient illness and death, and the St. Louis, Missouri. (
  • Cascadia CCA helps patients get the right care, in the right place and at the right time. (
  • We also offer care navigation, support services and access to home health care when patients need it. (
  • Its patients get more coordinated care and personal attention. (
  • This definition is based on the definition used in section 6301(a) of the Patient Protection and Affordable Care Act (ACA) of 2010 ( ). (
  • These measures are reports of different things that affect patient care. (
  • NKDEP provides supporting investigator initiated research by data information for patients and providers regarding the detection of CKD and care of people with the disease. (
  • Fire Protection District, says his department's program, CJCares, which started in Sept. 2016, seeks to right-size the care that's given to patients. (
  • Right at Home caregivers help older adults and adults with disabilities follow your care plan to prevent readmissions. (
  • The program equips COVID-19 patients needing additional monitoring with a home healthcare kit and 24/7 oversight from registered nurses to ensure a higher level of post-hospital care. (
  • We are able to move our patients from an inpatient to a home setting with round-the-clock monitoring and reach-back care. (
  • It is intended to serve neither as an adjunct to determine the appropriateness of IRF level of care, nor in determining whether individual patients are appropriate for IRF care. (
  • One patient in each group cal ed care coordination of care. (
  • 9. Thirty-day readmission rate of COVID-19 patients discharged from a tertiary care university hospital in Turkey: an observational, single-center study. (
  • Similarly, the effects of ketamine on health care utilization (e.g., hospital readmission, emergency department visit) in patients with severe AUD reported in a RCT were also inconclusive due to the small sample size. (
  • Remington's Think Tank Leadership Exchange brings together the nation's home-based care leadership and healthcare ecosystem partners who have a vested interest in advancing mutually beneficial partnerships to optimize patient-centered care. (
  • By using our tried and tested remote patient monitoring care process, we improve patients' health and quality of life while reducing healthcare system costs, increasing efficiency, and increasing your ROI. (
  • You're the backbone of the healthcare system, working long hours to care for patients and being a team leader. (
  • Decreased readmission rates are largely seen as an indicator of effective care and improved resource management. (
  • The bivariate analysis revealed that patients discharged to skilled nursing facilities had the highest readmission rates (28%), followed by home care (26%) (P = .001). (
  • Other strong predictors of readmission within 30 days were prior chronic lung disease, arrhythmias, and acute kidney injuries. (
  • Predictors of the perceived impact of a patient safety collaborative: an exploratory study. (
  • Complementarity of nutritional assessment tools to predict prolonged hospital stay and readmission in older patients with solid tumors: A secondary analysis of a cohort study. (
  • These results support recent analyses that found chronic conditions to be significantly associated with hospital readmission ( 6 , 7 ) and could be explained by the complications of underlying conditions in the presence of COVID-19 ( 8 ), COVID-19 sequelae ( 3 ), or indirect effects of the COVID-19 pandemic ( 9 ). (
  • To determine the association of race with serious complications during postpartum readmissions. (
  • Real money: complications and hospital costs in trauma patients. (
  • The case management team at St. Petersburg General Hospital in St. Petersburg, Florida identified chronic obstructive pulmonary disease (COPD) exacerbation, pneumonia, and sepsis as 3 of the leading diagnoses on index admission that later led to 30-day readmissions. (
  • Identification of these risk factors can allow providers to target interventions to reduce potentially avoidable readmissions. (
  • To understand the impact of a variety of risk factors in a diverse general medicine population, we evaluated the characteristics of readmitted patients in a large urban university medical center over a 2-year period. (
  • Cite this: Redefining Readmission Risk Factors for General Medicine Patients - Medscape - Feb 01, 2011. (
  • Hospital readmissions are costly and detrimental to patient health, so an applicable risk model can support efforts to avert early readmissions, say the researchers. (
  • Overall risk for readmission by race was determined. (
  • Risk for severe maternal morbidity during readmissions by race was analyzed. (
  • Log-linear regression models including demographics, hospital factors, and comorbid risk were used to analyze risk for severe maternal morbidity during postpartum readmissions. (
  • Patients were grouped according to their nutritional risk and malnutrition status. (
  • Summary perioperative risk metrics within the electronic medical record predict patient-level cost variation in pancreaticoduodenectomy. (
  • AIMS OF THE STUDY: Multimorbidity is a growing global health problem, resulting in an increased perioperative risk for surgical patients. (
  • PCSK9 inhibitors provide an additional treatment option to statins and ezetimibe in high-risk patients who previously remained at risk despite receiving the maximum dose of those medicines that the individual could tolerate. (
  • Risk Factor Analysis of Hospital Readmissions at St. Petersburg General Hospital" by Vincent Wu, Sean Quinonez et al. (
  • Objective To evaluate the length of stay difference and its economic implications between hospital patients and virtual ward patients. (
  • Founded in 1863, the Hospital has the lowest complication and readmission rates in the nation for orthopedics, and among the lowest infection rates. (
  • A total of 31 (26.5%) patients experienced a complication identified by the National Surgical Quality Improvement Program. (
  • As a result, there are few data describing the clinical, operational, and demographic factors associated with readmission in a heterogeneous population of hospitalized general medicine patients-the patient population of most generalists in the United States. (
  • Kaiser Permanente's hospital-at-home effort has readmission rates that are lower than the national average-with no signs of slowing down. (
  • Conversely, certain oncology patients, once faced with grim survival rates, are now recovering and utilizing IRFs to regain function under close medical supervision in ways not possible in prior decades. (
  • However, in the multivariable analysis, only patients with type 2 diabetes and patients with non-private insurance were associated with increased readmission rates. (
  • Our findings lead us to suggest further investigation into changes in hospital policies and procedures for these groups that will aim to decrease readmission rates in the future. (
  • Conclusion The use of a 40-bed virtual ward was clinically effective in terms of survival for patients not needing readmission and allowed for the freeing of three hospital beds per day. (
  • The median number of comorbidities per patient was 5 (range 0-18), this number significantly increasing with higher ASA class: 1 comorbidity (95% CI 0.0-2.0) in ASA I, 4 comorbidities (3.8-4.2) in ASA II, 9 (8.1-9.9) in ASA III and 12 (10-14) in ASA IV patients. (
  • In the bivariate analysis race, BMI, mean length of stay during the index admission, coronary artery disease, heart failure, and type 2 diabetes were not significantly associated with readmission. (
  • We conducted a retrospective study with data from 4180 patients at St. Petersburg General Hospital from 2016 through 2019 with index admission diagnoses of COPD exacerbation, pneumonia, and sepsis. (
  • To identify factors associated with readmission within 30 days for general medicine patients. (
  • Clinical, operational, and sociodemographic factors were evaluated for association with readmission. (
  • Readmission of general medicine patients within 30 days is common and associated with several easily identifiable clinical and nonclinical factors. (
  • We hypothesized that a number of clinical, operational, and sociodemographic factors would be associated with readmission. (
  • Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. (
  • The emerging NAP1 strain of C. diffi cile has factors for length of stay, readmission to the hospital, and been associated with numerous outbreaks and appears to death were different in this population compared with other be more virulent than other endemic and epidemic C. dif- hospitalized patients. (
  • 17. Factors predicting readmission in patients with COVID-19. (
  • Readmissions are costly both financially for our healthcare system and emotionally for our patients. (
  • However, concerns regarding data quality and control for underlying patient variation when performing retrospective analyses exist. (
  • Our cohort included 10,359 consecutive admissions (6805 patients) discharged from the general medicine service. (
  • These results provide important baseline data on the adverse event burden and, alongside web-based chart review, provide an incentive and methodology to monitor future patient-safety initiatives. (
  • To develop systems which reduce readmissions, one must first gain understanding of the characteristics of readmissions. (
  • Participants Virtual ward patients (n=318) were matched 1:1 to 1:4, depending on matching characteristics, to all hospital patients (n=350). (
  • 3. Characteristics of patients discharged and readmitted after COVID-19 hospitalisation within a large integrated health system in the United States. (
  • Performance on a simple mobility test is the best predictor of whether an elderly heart attack patient will be readmitted, a Yale-led study reports. (
  • In this study, mobility was assessed using the Timed Up and Go (TUG) test, which involves timing patients as they stand up from a seated position and then walk 10 feet. (
  • Managing the after effects of serious patient safety incidents in the NHS: an online survey study. (
  • This study explored current practices related to the National Health Services' being open policy for communicating unintentional harm with patients and families. (
  • The frailty score was also associated with a higher rate of readmission within 6 months and lower survival. (
  • 6. Short durations of corticosteroids for hospitalised COVID-19 patients are associated with a high readmission rate. (
  • CDAD was 2.8 days, attributable readmission at 180 days endemic setting. (
  • Results The virtual ward patients had a shorter stay in the hospital before being admitted to the virtual ward (2.89 days, 95% CI 2.1 to 3.9 days). (
  • The researchers also looked at the likelihood of receiving a standard treatment called percutaneous coronary intervention (PCI) and of hospital readmission within 30 days. (
  • It is crucial that all patients understand that exercise should be a regular part of their routine, something to be done almost every day, rather than simply on the good days. (
  • Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. (
  • CONCLUSIONS: Multimorbidity in perioperative patients is highly prevalent and has a relevant impact on hospital costs, independent of the ASA class. (
  • A set of mobile apps designed for all levels of users: patients, doctors, family members, caregivers, and more. (
  • Surgical patients were increasingly common cause of hospital-associated di- excluded because of their heterogeneity. (
  • Otherwise, most patients with syndactyly benefit from surgical release. (
  • As just a few examples, due to advancement in certain orthopedic procedures, certain post-surgical patients that once frequently required IRF services now rarely do. (
  • 18. Characterization of Planned and Unplanned 30-Day Readmissions Following Vascular Surgical Procedures. (
  • A survey of results of operative intervention in various surgical disorders of psychotic patients, with consideration of the feasibility of major collapse measurements in tuberculous-psychotic patients. (
  • Our data demonstrate that hospital readmissions are associated with a diagnosis of type 2 diabetes and having a non-private insurance status. (
  • NEW YORK , Oct. 25, 2022 /PRNewswire/ -- Hospital for Special Surgery (HSS), the world's leading academic medical center specializing in musculoskeletal health, today announced a $21M Series A to launch RightMove Powered by HSS™, an independent for-profit company, whose mission is to make high quality, patient-focused virtual musculoskeletal physical therapy available to all Americans. (
  • TeleMedCare developed a unique system to help both public and private health and social entities monitor, educate, and guide patients through protocols necessary to manage the COVID-19 pandemic. (
  • Two-thirds were rated as having a mild-to-moderate impact on the patient, 9.9% causing permanent impairment and 6.7% contributing to death. (
  • In 2019, the US FDA approved the S-enantiomer of ketamine (esketamine) for the treatment of patients with treatment-resistant depression. (
  • In the 2018 ADR, we continue to characterize the but not least, the USRDS Coordinating Center staff spectrum of CKD and ESRD patient populations, and responds to a variety of queries related to kidney describe the distributions of patients by attributes such disease, ranging from simple to complex, from as age, sex, race, and comorbid conditions. (
  • Accuracy tests and logistic regression analysis were used to evaluate the ability of the combined tools to predict hospital length of stay and readmission. (
  • The median length of stay was 4 d (3-9 d), and 65.3% of patients remained hospitalized for ≥ 4 d. (
  • Concomitant application of MNA-SF (specific for older patients ) with PG-SGA (specific for patients with cancer ) might enhance the ability to predict length of stay and readmission in hospitalized older patients with solid tumors . (
  • Chronic kidney disease (CKD) and frailty were associated with a longer length of stay in the hospital (58%, 95% CI 22% to 100%) compared with patients without CKD, and 14% (95% CI 8% to 21%) compared with patients with one unit lower CFS. (
  • RESULTS: A total of 117 patients populated the final data set. (
  • When older patients are being discharged from the hospital after having a heart attack, it's important to consider and address mobility impairments," said Chaudhry. (
  • The optimal management of the patient with HF complicating MI varies according to time since the onset of infarction. (
  • [ 6-12 ] Likewise, interventions aiming to reduce readmissions have also focused on subgroups, excluding a large portion of hospitalized patients (for example, non-English speakers and younger patients). (
  • Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. (
  • With a large cohort case-patients and noncase patients. (