Versus differences in patient or hospital hospitals urban. Medical search. Frequent questions

Under the program, acute-care hospitals are rewarded or penalized depending on the quality of care. (modernhealthcare.com)
Rural acute-care hospitals may be in a better position to ensure quality because they are likely to have a greater familiarity with their patients, the report said. (modernhealthcare.com)

Finally, discharge to home care was twice as common among malnourished patients, and a discharge of death was more than 5 times as common among patients with a malnutrition diagnosis. (researchgate.net)
Total costs at discharge are also just 55% of an urban hospital discharge. (dotmed.com)
Comprehensive discharge planning by advanced practice nurses has demonstrated short-term reductions in readmissions of elderly patients, but the benefits of more intensive follow-up of hospitalized elders at risk for poor outcomes after discharge has not been studied. (nih.gov)
To examine the effectiveness of an advanced practice nurse-centered discharge planning and home follow-up intervention for elders at risk for hospital readmissions. (nih.gov)
Randomized clinical trial with follow-up at 2, 6, 12, and 24 weeks after index hospital discharge. (nih.gov)
Intervention group patients received a comprehensive discharge planning and home follow-up protocol designed specifically for elders at risk for poor outcomes after discharge and implemented by advanced practice nurses. (nih.gov)
001). There were no significant group differences in post-discharge acute care visits, functional status, depression, or patient satisfaction. (nih.gov)
One of the biggest causes of gridlock is the inability to discharge patients who no longer need hospital care - patients who cannot go home because there are insufficient supports at home, or are waiting for a bed in a rehabilitation hospital, nursing home or other assisted living facility. (healthydebate.ca)
An inability to discharge ALC patients is one of the root causes of long emergency department wait times. (healthydebate.ca)
There is thus considerable pressure on hospitals to discharge ALC patients. (healthydebate.ca)
Under these circumstances hospitals attempt to discharge ALC patients more quickly. (healthydebate.ca)
Outcomes were mortality within 30 days of admission among all patients and time to readmission to either a VA or community hospital within 30 days of discharge. (va.gov)

Hospitals are increasingly competing with freestanding outpatient centers for laboratory, imaging, therapy, and surgical service patients. (hfma.org)
As these freestanding centers siphon away volumes, pricing transparency continues to be at the forefront of discussions when hospitals are setting prices in these areas. (hfma.org)
Competition with freestanding centers is more prevalent in urban areas, but even rural hospitals are concerned with how nearby hospitals are pricing ambulatory services for which patients can make a choice based on price. (hfma.org)
Therefore, we decided to undertake a review to determine the 50 procedures that hospitals should be most concerned about when trying to compete with freestanding outpatient centers on price. (hfma.org)
Cardiac catheterization procedures, such as left heart artery/ventricle angiography (CPT 93458), ranked seventh overall for hospitals in total charges, but are not performed in ambulatory surgery centers. (hfma.org)
Electrocardiogram tracing (CPT 93005) is the 12th ranked procedure in total hospital charges, but only ranks 94th in freestanding imaging centers. (hfma.org)
CT head/brain without dye (CPT 70450) ranks fourth in highest hospital charges, but only ranks 56th in freestanding imaging centers, most likely due to these being performed quite often in the ED with a trauma or fall. (hfma.org)
In 2011, the Centers for Medicare & Medicaid Services Hospital Value-Based Purchasing (VBP) program began tying hospital payments to patient-reported experience scores, but whether implementation of this program narrowed differences in scores between safety-net and non-safety-net hospitals is unknown. (unboundmedicine.com)
By identifying short and long-term trends, data analysts enable urban planners to make informed decisions when planning building projects, schools, and healthcare centers. (alteryx.com)
Primary-level facilities (including community health facilities in urban areas, township health centers, and village clinics in the rural areas) provide preventive and basic medical services, whereas secondary and tertiary hospitals provide specialized care. (jabfm.org)
This study identified English-language peer-reviewed research articles describing CCM-based interventions for managing type 1 and type 2 diabetes in US primary care settings (ie, hospital-network outpatient clinics, private practices, and community health centers). (cdc.gov)
AHCA data contain medical records on all patients treated at hospitals and free-standing surgical and radiological treatment centers (6). (cdc.gov)

All of the local CBOs and hospitals are using the Coleman model, the Care Transitions Intervention™, and are targeting Medicare Fee-For-Service patients. (medicaring.org)
Untreated patients were assumed to age into Medicare at 65 years, where they were treated with LDV/SOF without restriction by fibrotic stage. (cdc.gov)
According to Medicare records, the average length of stay at a rural hospital is two days shorter (7.4 days versus 9.5 days) than at urban facilities. (dotmed.com)
She noted that the study looked only at Medicare claims, which would account for about 30%-40% patients in an oncology practice, and she speculated that if the study had also included commercial patients, the adoption of immunotherapy would be shown to be even faster and more complete. (medscape.com)
Using VA, Medicare, CDC, and American Hospital Association data from March 2020 through December 2021, investigators identified 64,856 Veterans dually enrolled in VA and Medicare. (va.gov)
Investigators lacked data on community hospital admissions paid for through Managed Medicare or private insurance and therefore may have under-estimated the role of community hospitals. (va.gov)
26,27 Part of the motivation was the Patient Protection and Affordable Care Act (2010), which tied Medicare reimbursements with scores on a patient experience survey. (ahrq.gov)
In 2010, 1,264 of 4,519 (28 percent) of U.S. hospitals providing acute care services to Medicare beneficiaries and reporting hospital characteristics to the American Hospital Association were designated as CAHs. (medindia.net)

Conclusions Important differences exist between these two hospitals of Oman. (bmj.com)

High levels of trust in providers may facilitate better patient experiences or outcomes both in the inpatient and outpatient setting. (modernhealthcare.com)
All-Payer Model for hospitals, which shifted the state's hospital payment structure from an all-payer hospital rate setting system to an all-payer global hospital budget that encompasses inpatient and outpatient hospital services. (who.int)

Our analysis sought to analyze services performed at hospitals versus freestanding clinics. (hfma.org)
Using a probability proportional-to-size sampling technique, based on number of hospital beds, we randomly selected within each country 42 hospitals and their associated primary health care clinics. (oregonstate.edu)
We used descriptive statistics and t tests to identify significant differences in CPV scores between hospitals and clinics and rural vs. urban facilities, and ANOVA to identify significant differences in CPV scores across countries. (oregonstate.edu)
The population includes all midwives between the ages of 21 and 60 years who work in antenatal care (ANC) clinics in 11 district hospitals in the Central Region of Ghana where the study was conducted. (bvsalud.org)

One area in which rural hospitals did not do better compared to urban areas, however, is readmissions . (modernhealthcare.com)
Last year 709, or 79%, of rural hospitals evaluated under the hospital readmissions-reduction program were hit with a financial penalty versus 1,902 or 76% of urban hospitals. (modernhealthcare.com)

Hospitals were categorized as rural or urban and by their teaching status. (lww.com)
Regardless of hospital type (urban or rural, teaching or nonteaching), agreement between final radiology report and final pathology report was the same for patients scanned only with intravenous contrast and those scanned with both intravenous and enteral contrast. (lww.com)
The Hopkins Center for Health Disparities Solutions (HCHDS), a research center within the Johns Hopkins Bloomberg School of Public Health, strives to eradicate disparities in health and health care among racial and ethnic groups, socioeconomic groups, and geopolitical categories such as urban, rural, and suburban populations. (wikipedia.org)
The coastal regions of this country consist of highly developed urban centres, with the interior regions being rural and less developed. (bmj.com)
Methods A prospective trauma registry was launched in two hospitals in Oman: Khoula Hospital, the national referral centre located in Muscat and Nizwa Hospital, a regional centre serving rural communities. (bmj.com)
Rural hospitals are generally smaller than those located in urban areas. (dotmed.com)
On average, a rural hospital is about one-third the size of an urban hospital. (dotmed.com)
For instance, an average rural hospital has about 75 patient beds, where the average urban facility has 250 beds. (dotmed.com)
Interestingly, rural hospitals represent more than half of all hospitals in America. (dotmed.com)
Rural hospitals provide service to nearly 50 million Americans, and are a critical part of our national healthcare delivery system. (dotmed.com)
Even with the added survival pressure on rural hospitals, they do have a few advantages over their urban counterparts. (dotmed.com)
According to Virgil Dickson at Modern Healthcare, "rural hospitals on average have done better at avoiding the spread of hospital-acquired conditions and have scored higher in Medicare's value-based purchasing program than their urban counterparts. (dotmed.com)
Rural hospitals also had fewer postoperative wound infection rates than urban hospitals. (dotmed.com)
Last year only 288, or 34% of rural hospitals participating in the hospital value-based purchasing program, faced financial penalties, compared to 1,040 or 49% of urban hospitals. (dotmed.com)
The rural hospitals that I work in have had the same people performing the housekeeping services, some for decades, and no staff turnover rates that urban facilities experience. (dotmed.com)
In addition, it is not unusual for the housekeeping staff (environmental services, EVS) to actually know the patient or the patient's family in the rural facility. (dotmed.com)
Rural hospitals on average have done better at avoiding the spread of hospital-acquired conditions and have scored higher in Medicare's value-based purchasing program than their urban counterparts. (modernhealthcare.com)
Similarly rural hospitals performed well under the hospital-acquired-condition reduction program that aims to prevent conditions like pressure sores and hip fractures after surgery. (modernhealthcare.com)
Only 129, or 14% of rural hospitals evaluated under the effort faced a penalty versus 568, or 26% of urban hospitals. (modernhealthcare.com)
Rural hospitals are also more likely to do better in care coordination models as they often share a physical space with outpatient and nursing home facilities. (modernhealthcare.com)
In payment models that reward such coordination and place increasing focus on efficiency and collaborative care, rural hospitals may be poised to perform particularly well," the report said. (modernhealthcare.com)
Compared to urban practices, rural practices adopted immunotherapy at a much slower rate, although they caught up over time. (medscape.com)
The data set included 71,659 episodes at 1732 oncology practices, which were evaluated for location (rural vs urban), affiliation type (academic system, nonacademic system, independent), and size (1 to 5 physicians vs 6 or more physicians). (medscape.com)
Adoption of immunotherapy in rural practices was 11 percentage points lower than in urban practices in the years after FDA approval. (medscape.com)
Differences were largest immediately after FDA approval, with rural practices catching up to urban counterparts over time (eg, 13% gain 2 years after approval). (medscape.com)
This finding is consistent with other research reporting lower adoption of high-cost technologies at rural or small hospitals. (medscape.com)
The disparity between urban and rural areas is a significant factor in Indonesia's healthcare system. (april-international.com)
This can be seen from the fact that the majority of people in rural areas do not go to the hospital when they are sick, but rather rely on traditional medicine or self-medication. (april-international.com)
1991), including differences in deaths rates for children in rural versus urban settings (Gausche et al. (nationalacademies.org)
[5] Additionally, there is a highly apparent contrast between maternal health in rural (poor) versus urban environments. (wikipedia.org)
In rural areas, it was found that less than half of women had skilled attendants with them during delivery, compared to nearly 90% of urban women. (wikipedia.org)
A recent study identified several differences between endophthalmitis cases presenting in rural and urban hospitals. (reviewofoptometry.com)
Among their findings, bacterial endogenous endophthalmitis was more common in the rural group, and Candida endogenous endophthalmitis was observed more in the urban cohort. (reviewofoptometry.com)
This research effort, which involved data from the 2002-2014 National Inpatient Sample (NIS) Database, sought to investigate US trends in urban and rural cases of endogenous endophthalmitis. (reviewofoptometry.com)
In the NIS Database, urban and rural hospitals are defined based on the hospital county's population statistics. (reviewofoptometry.com)
The researchers identified 8,255 cases of endogenous endophthalmitis, with 6% occurring in rural areas and 94% in urban settings, as might be expected based on population distribution. (reviewofoptometry.com)
The data found that Candida endophthalmitis was observed in 2% of rural cases and 5% of urban cases. (reviewofoptometry.com)
In this study, we have demonstrated that there are important differences in cases of endogenous endophthalmitis that present to urban and rural hospitals," the study authors noted in their paper. (reviewofoptometry.com)
Uppuluri A, Zarbin MA, Bhagat N. Trends in endogenous endophthalmitis in rural and urban settings in the United States. (reviewofoptometry.com)
The rate of ED visits for infectious enteritis was more than 75 percent higher in rural areas than in urban areas (160 and 90 ED visits per 100,000, respectively). (ahrq.gov)
Hospital-level variables also were examined (i.e., urban vs. rural locations, number of acute care and ICU beds). (va.gov)
Community hospitals played a disproportionate role in care for rural Veterans with COVID-19, likely because of poor geographic access to VA hospitals among this population: 46% of community hospitals caring for VA enrollees with COVID-19 were in rural areas. (va.gov)
4 In China, farmers in the rural sector with secondary education were trained for 3 to 6 months by urban physicians to meet the health needs of the sizable number of rural inhabitants, accounting for 80% of the whole population during the Cultural Revolution. (jabfm.org)
While the urban-rural healthcare divide is slowly disappearing, some differences continue to persist. (medindia.net)
In 1997, the U.S. Congress created the Critical Access Hospital (CAH) program in response to increasing rural hospital closures," according to background information in the article. (medindia.net)
Comparing CAHs with other small, rural hospitals, similar patterns were found. (medindia.net)
Given the substantial challenges that CAHs face, new policy initiatives may be needed to help these hospitals provide care for U.S. residents living in rural areas," the authors conclude. (medindia.net)
The data also point to higher rates of unemployment among refugee camp dwellers than among urban or rural residents. (who.int)

Safety-net hospitals, which have limited financial resources and care for disadvantaged populations, have lower performance on measures of patient experience than non-safety-net hospitals. (unboundmedicine.com)
These hospitals are at high risk of falling behind with respect to quality improvement, owing to their limited resources and vulnerable patient populations. (medindia.net)
The Chinese and urban populations showed significantly higher use of the private health-care sector with an adjusted odds ratio of 4.8 [95% confidence interval (CI): 4.6-5.1] and 2.3 (95% CI: 2.2-2.4), respectively. (who.int)

The project proposes to engage clinicians, patients, malpractice insurers, and the State public health agency to ensure more timely resolution of medical errors that occur in outpatient practices and improve communication in all aspects of care. (mediate.com)
Future investigations into these differences in patient demographics, source/systemic infections and hospital courses may allow clinicians and hospitals to develop a more targeted approach to treating endogenous endophthalmitis based on the type of community from which the patient presents. (reviewofoptometry.com)
Clinicians and healthcare systems have key roles in patient and family engagement, so many strategies target clinicians to improve the patient-provider relationship by improving communication skills and shared decision making techniques. (ahrq.gov)
15-19 Clinicians often use complicated medical jargon, limiting patients' understanding of their care. (ahrq.gov)
20 Communication studies show that clinicians quickly interrupt patients, allowing less opportunity for listening to concerns and building rapport. (ahrq.gov)

Safety-net hospitals were defined as those in the highest quartile of the disproportionate share hospital index. (unboundmedicine.com)

All differences between estimates noted in the text are statistically significant at the 0.05 level or better. (ahrq.gov)
There were no statistically significant differences between case- and control-patients in sex, age, race, or HIV transmission category. (cdc.gov)

METHODS: Treatment-naïve patients with genotype 1 chronic HCV were followed over a lifetime horizon from the third-party payer perspective. (cdc.gov)

Taken together, these nationally representative, cross-sectional data indicate that hospitalized patients discharged with a diagnosis of malnutrition are older and sicker and their inpatient care is more expensive than their counterparts without this diagnosis. (researchgate.net)
Patients are inherently vulnerable within medical encounters and must be trustful of the multiple institutional entities and individuals involved in their care. (wikipedia.org)
Additionally, significant differences in hospital transport times highlight the need for improved pre-hospital care. (bmj.com)
The system operates within the context of the Care Transitions Intervention, and allows care managers to document data about home and hospital visits, as well as follow-up calls and evaluation information. (medicaring.org)
He also repeats the classic fallacy that I've written about time and time again in the context of cancer therapy, namely that if a patient is using quackery as well as science-based medicine, then either it was the quackery that cured him or the quackery somehow made the conventional medical care work better. (sciencebasedmedicine.org)
Data on patients admitted to the level I trauma unit and trauma intensive care unit at Inkosi Albert Luthuli Central Hospital, Durban, from March 2007 to December 2008 were retrieved from the hospital informatics system and an independent database in the trauma unit. (scielo.org.za)
All complementary surgical sub-specialties and necessary allied health care professionals are available in the hospital. (scielo.org.za)
2 Admissions are derived direct from scene (DIR) in consultation with the pre-hospital care providers, or by interhospital transfer (IHT). (scielo.org.za)
The substantially lower risk of death when care is provided in a dedicated trauma centre instead of a general hospital 3 comes at considerable cost. (scielo.org.za)
These patients account for 90% of the US $3.3 trillion annual health care costs. (jmir.org)
Physicians and midwives within each clinical area of interest were randomly selected from each hospital and clinic and asked how they would care for simulated patients using Clinical Performance and Value (CPV) vignettes. (oregonstate.edu)
2 The Patient Protection and Affordable Care Act, signed into law in March 2010, made broad changes to the way health insurance is provided and paid for in the United States. (who.int)
About one in six beds in Ontario's hospitals are occupied by patients who no longer need hospital care. (healthydebate.ca)
The term 'gridlock', used to describe heavy traffic on roads or highways, is being applied to our hospitals and health care system. (healthydebate.ca)
Gridlock occurs when patients are unable to flow effectively and efficiently through the health care system. (healthydebate.ca)
These patients are described as needing alternate level of care (ALC). (healthydebate.ca)
How many acute care beds are occupied by ALC patients? (healthydebate.ca)
Overall, about 16% of acute care beds in Ontari o are occupied by ALC patients. (healthydebate.ca)
Differences across regions may be related to a great concentration of community-based health care services in the urban Toronto area. (healthydebate.ca)
ALC patients tend to need help with activities of daily living, which can range from house cleaning or cooking, to people who need round the clock care. (healthydebate.ca)
The shortage of diverse options that meet the needs of ALC patients outside the hospital (ranging from enhanced home care to supportive housing to rehabilitation to a nursing home) is the main reason ALC patients are not discharged from hospital as soon as they no longer need acute care. (healthydebate.ca)
Newspapers have reported on patients who were forced to vacate a hospital bed for a long-term care home they didn't choose. (healthydebate.ca)
Hospitals can receive a special Category A1 Crisis designation when the hospital is experiencing overcapacity and there are many patients in the emergency department waiting for acute care beds. (healthydebate.ca)
Patients who are in hospital waiting for a bed in a specific chronic care institution may be asked to go to another institution in the region. (healthydebate.ca)
Although you may receive medical care in community hospitals as an expat, you wouldn't be able to communicate with most physicians without speaking Bahasa, as they usually don't speak English. (april-international.com)
there are also vast differences in the quality of medical care available in different parts of Indonesia. (april-international.com)
The project creates a statewide initiative involving communication training for health care workers and a collaboration between hospitals and a malpractice insurer to improve adverse event analysis, disclosure, and compensation. (mediate.com)
The goal is to enhance the culture of health care communication in order to improve patient safety and decrease medical malpractice liability. (mediate.com)
Six themes relating to barriers and facilitators to lung-cancer care were identified, and the authors concluded that these factors must be addressed to improve quality of care among lung cancer patients. (ahrq.gov)
however, more than one-third (41%) of VA patients age 65+ live more than a one-hour drive to the nearest acute care VA hospital. (va.gov)
Poor geographic access to VA hospitals means that community hospitals likely played a large role in caring for acutely ill Veterans with severe COVID-19, but little is known about the outcomes of care in VA vs. community hospitals. (va.gov)
VA must understand sources of the mortality difference to plan care for VA patients during future COVID-19 surges, as well as the next pandemic. (va.gov)
However, the changing trend of primary care utilization 4 years before and after 2009, when the health reforms started, is against the government's stated goal. (jabfm.org)
These include taking irrational hospital expansion under strict control through enhancing the government's accountability for health care industry regulation, strategies to recruit and retain a quality primary care workforce, empowering PCPs as gatekeepers in the system, timely evaluation of the impact of health reforms on primary care, and modifying damaging policies. (jabfm.org)
this led to the proliferation of specialized care in hospitals. (jabfm.org)
12 Medical practices became profit-driven entities, and hospitals competed for patients with primary care facilities. (jabfm.org)
From January through April 1990, tuberculin skin-test conversions* occurred among eight health-care workers (HCWs) on a specialized ward for human immuno deficiency virus (HIV)-infected patients at a large urban hospital in Florida. (cdc.gov)
The widely applied Chronic Care Model emphasizes the need for both an "informed activated patient" and a "prepared and proactive team" to improve patient outcomes. (ahrq.gov)
1,2 Multiple studies have demonstrated that activated patients have better health outcomes and lower utilization of emergency health care services. (ahrq.gov)
3 Conversely, low levels of patient engagement in direct patient care is associated with significant, serious or life- threatening adverse events. (ahrq.gov)
Interventions, such as tailored coaching interventions that increased patient activation, have been associated with improved intermediate outcomes, including chronic disease self-management behavior and reduced health care utilization. (ahrq.gov)
Despite the proven benefits of patient engagement and activation, not all patients have the capacity to be engaged and active in their care, including children, and patients with dementia or disability. (ahrq.gov)
21 Patients and families do not feel empowered to speak up about their questions or concerns in health care environments, with greater risks among marginalized patients and families, including those with limited English language proficiency. (ahrq.gov)
26 Patient and family engagement strategies have been integrated into advanced primary care models, including Patient Centered Medical Homes and Comprehensive Primary Care. (ahrq.gov)
29,30 Diverse organizations have developed tools to promote engagement of patients and families at the organizational level, including the Agency for Healthcare Research and Quality (AHRQ), and the Institute for Patient- and Family-Centered Care, resulting in implementation guides and workshops. (ahrq.gov)
31-34 An early review of patient and family engagement in health care design identified case studies which demonstrated effects on patients, changes to services available to patients, and changes in staff attitudes to patient engagement, 35 but found little evidence on quality or effectiveness of care. (ahrq.gov)
Karen E. Joynt, M.D., M.P.H., of the Harvard School of Public Health, Boston, and colleagues conducted a study to evaluate trends in mortality for patients receiving care at CAHs and compared these trends with those for patients receiving care at non-CAHs. (medindia.net)
Disease registries and electronic medical records were used to establish patient-centered goals, monitor patient progress, and identify lapses in care. (cdc.gov)
Primary care physicians (PCPs) were trained to deliver evidence-based care, and PCP office-based diabetes self-management education improved patient outcomes. (cdc.gov)
The sum of these CCM component parts are purported to create more effective health care delivery systems that institute mechanisms for decision support, link health care systems to community resources and policies, deliver comprehensive self-management support services for patients, and operate and manage patient-centered clinical information systems. (cdc.gov)
Dengue patients in Malaysia have the choice to seek care from either public or private sector providers. (who.int)
Both public and private health facilities bear significant responsibilities in delivering health-care services to dengue patients. (who.int)
9 The public incidence doubled from 146 per 100 000 population in health-care system is mainly financed through taxation a Clinical Research Centre, Dermatology Block, Hospital Kuala Lumpur, Jalan Pahang, Kuala Lumpur, Malaysia. (who.int)

Patient demographics (race/ethnicity were self-reported) and comorbidities were assessed. (va.gov)

Furthermore, we conducted a group comparison to identify significant differences across these 2 groups. (jmir.org)

Interestingly, we found no significant difference in terms of benefits ( P =.09) and success ( P =.08) of IT-mediated communication versus FtF communication. (jmir.org)
Interestingly, a study from Montreal found that elderly patients who do not have children stayed in hospital twice as long as those who do have children. (healthydebate.ca)

Because ALC beds are not available for sick patients in the emergency department, ALC beds are an important cause of emergency department overcrowding. (healthydebate.ca)
If fewer hospital beds were occupied by ALC patients, those beds could be used to immediately admit patients from the emergency department, thus potentially decreasing emergency department overcrowding. (healthydebate.ca)

Assay of Troponin (CPT 84484) is the seventh most common lab test in the outpatient hospital setting and is a test to determine if a myocardial infarction has occurred, but it is much lower on the list of tests performed in freestanding labs (244th) due to the acute urgent nature of the test. (hfma.org)

Certain payers such as Anthem have told their enrollees in 13 states that they will no longer pay for CTs and MRIs that are performed in a hospital outpatient setting as of March 2018. (hfma.org)

According to a report by the American College of Surgeons [ 4 ], physicians no longer make house calls, and for a growing number of patients, text messaging and telemedicine have become alternatives to phone calls and traditional office visits. (jmir.org)
This enabled hospital employees to predict visits and admissions for up to 15 days in advance, significantly improving the patient experience. (alteryx.com)
This Statistical Brief presents data from the Healthcare Cost and Utilization Project (HCUP) on hospital inpatient stays and treat-and-release emergency department (ED) visits for infectious enteritis and foodborne noninfectious gastroenteritis and diarrhea. (ahrq.gov)
Inpatient hospital stays and treat-and-release emergency department (ED) visits with all-listed diagnoses for infectious enteritis and nonspecific gastroenteritis diagnoses are included. (ahrq.gov)
In 2010, nearly 3.7 million treat-and-release ED visits and 1.3 million hospital stays involved diagnoses of enteritis or gastrointestinal symptoms that suggested possible foodborne illness (table 1). (ahrq.gov)
Focusing on infectious enteritis, treat-and-release ED visits tended to be for younger patients, with 81 percent under the age of 45, while inpatient stays tended to be for older patients, with 60 percent aged 45 years or older. (ahrq.gov)
In 2010, the rates of ED visits for infectious enteritis were highest in the cold weather months, averaging 31,200 per month from January through March versus 18,900 from April through October. (ahrq.gov)

Despite a significantly higher median ISS in direct admissions, there was no difference in mortality. (scielo.org.za)
Of those surviving more than 12 hours, patients admitted directly had a significant decrease in mortality. (scielo.org.za)
City-dwellers had longer hospital stays but lower mortality rates, and were more likely to undergo vitrectomy. (reviewofoptometry.com)
Admission to community hospitals was associated with higher unadjusted (27% vs. 18%) and risk adjusted 30-day mortality compared to admission to VA hospitals. (va.gov)
Ohl M, Richardson K, Beck B, Mecham B, Bailey G, Mengeling M, and Vaughan-Sarrazin M. Mortality among US Veterans Admitted to Community vs Veterans Health Administration Hospitals for COVID-19. (va.gov)
The researchers found that there were differences in trends in 30-day mortality rates over time between CAHs and non-CAHs for the 3 conditions examined. (medindia.net)
When a composite across the 3 conditions was formally tested, adjusting for teaching status, ownership, region, rurality, poverty, and local physician supply, composite baseline mortality was similar between CAHs and non-CAHs (12.8 percent vs. 13.0 percent). (medindia.net)
However, between 2002 and 2010, mortality rates increased at CAHs at a rate of 0.1 percent per year, whereas at non-CAHs they decreased 0.2 percent per year, for a difference in change in mortality of 0.3 percent per year. (medindia.net)
Thus, by 2010, CAHs had higher overall mortality rates (13.3 percent vs. 11.4 percent). (medindia.net)
The researchers note that although CAHs had higher mortality rates by 2010 for each of the conditions examined, the absolute difference was only 1.8 percent. (medindia.net)
Editorial: Are Mortality Differences Detected by Administrative Data Reliable and Actionable? (medindia.net)
Conversely, mortality rates per 100,000 are lower in Native Americans than in the general population for cancers of the lung (43.0 vs 66.7) and breast (9.8 vs 17.7) (3). (cdc.gov)

Pathology findings correlated with radiographic findings in 90.0% of patients who received IV + enteral contrast and 90.4% of patients scanned with IV contrast alone. (lww.com)
This report provides preliminary findings from the ongoing investigation of possible nosocomial transmission of multidrug-resistant TB (MDR-TB) at the hospital. (cdc.gov)

This cohort study evaluated 2266 US hospitals that participated in the VBP program between 2008 and 2019. (unboundmedicine.com)
This cohort study of 2266 US hospitals found that the VBP program was not associated with improved patient experience at safety-net hospitals vs non-safety-net hospitals during an 8-year period. (unboundmedicine.com)
This retrospective cohort study compared outcomes among Veterans (ages 65+) admitted for COVID-19 in VA (n = 121) and community hospitals (n = 4,369). (va.gov)

71% of admissions were inter-hospital transfers (IHT) and 29% direct from scene (DIR). (scielo.org.za)
Given the large volume of admissions, with about 20 randomized hospitals, a follow-up of about a year should suffice to obtain conclusive answers about specific tested interventions. (medindia.net)

Despite measures that have been taken to reduce disparities between middle-income and poor citizens, vast differences still exist. (wikipedia.org)

Although national data indicate that the number of malnutrition diagnoses among hospital discharges has been steadily rising, an in-depth examination of the demographic and clinical characteristics of these patients has not been conducted. (researchgate.net)
Secondary outcomes included the 7 other Hospital Consumer Assessment of Healthcare Providers and Systems measures encompassing communication ratings, clinical processes ratings, and hospital environment ratings. (unboundmedicine.com)
Holly brings a strong hospital operations background to healthcare mediations including a focus on clinical quality. (mediate.com)
A case of MDR-TB was defined as a positive culture for M. tuberculosis in any patient at the hospital from January 1, 1988, through January 31, 1990, whose clinical course was consistent with TB and whose isolate was resistant to at least isoniazid (INH) and rifampin. (cdc.gov)
Information was obtained from clinical notes and surgical records for each patient using a standardized data collection form that was specifically developed to investigate the epidemiologic features of maxillofacial trauma. (bvsalud.org)

National Center for HIV V . . 2021 ;2022(July 24). (cdc.gov)

Research has shown that text-based communication via telemedicine will continue to be a mode of communication that patients and physicians use in the future. (jmir.org)
This study aimed to understand and compare the potential differences in patients' perceptions of communication effectiveness with their physicians through different modes of communication. (jmir.org)
We found no significant differences between patients' perceptions of effective communication using either IT-mediated communication or FtF communication with their physicians. (jmir.org)
The results of this study imply that patients can achieve the same level of communication effectiveness with their physicians using IT-mediated communication as they would in comparable FtF interactions, but patients view FtF communication to be a more favorable medium than IT-mediated communication. (jmir.org)
In recent years, patients' and providers' use of technology has been gaining more prevalence as patients communicate more regularly with their physicians using technology [ 3 ] and an emphasis has been placed on telemedicine. (jmir.org)
Practices with six or more physicians had higher adoption than small practices, especially in urban areas. (medscape.com)
Because foreigners are not qualified for the national health insurance program, the physicians at these public hospitals would likewise demand you to pay upfront. (april-international.com)

Based on our definition, 3.2% of all U.S. hospital discharges in 2010 had this diagnosis. (researchgate.net)
Relative to patients without a malnutrition diagnosis, those with the diagnosis were older, had longer lengths of stay and incurred higher costs. (researchgate.net)
We evaluated associations of race, primary payer at diagnosis, and survival among patients diagnosed in Florida with lung cancer (n = 148,140) and breast cancer (n = 111,795), from 1996 through 2007. (cdc.gov)
Patients were categorized as IHS users for primary payer at diagnosis if they reported using IHS services in FCDS. (cdc.gov)
The primary outcome of our study, overall survival, was elapsed time from diagnosis to date of death or last patient encounter. (cdc.gov)

We analyzed data for adult patients who underwent nonelective appendectomy at 56 hospitals over a 2-year period. (lww.com)
US adult homeless patients (age ≥ 18 years) admitted to the hospital were age and sex matched (1:1) with non-homeless individuals using the propensity score matching technique. (psychiatrist.com)
and pediatric versus adult death rates in the field in Los Angeles County (Seidel et al. (nationalacademies.org)

The pricing differences are significant in these areas, illustrating the challenge that hospitals face as they try to compete (see the exhibit below). (hfma.org)
However, we found significant differences in patients' perception of media effectiveness: patients perceived FtF communication to be a more favorable medium ( P =.02). (jmir.org)
As someone who spends a great deal of time in both types of hospitals, there is a significant difference in how patient areas are cleaned. (dotmed.com)

Patients must trust that individual healthcare providers are competent and will have their best interests in mind while making treatment decisions. (wikipedia.org)
The primary outcomes were the Hospital Consumer Assessment of Healthcare Providers and Systems global measures of patient-reported experience and satisfaction, including a patient's overall rating of a hospital and willingness to recommend a hospital. (unboundmedicine.com)

These patterns were similar for the global measure that assessed whether patients would definitely recommend a hospital. (unboundmedicine.com)
They study patient records, track trends in disease prevalence and treatments, identify patterns in patient behaviors, and evaluate the effectiveness of treatments and medications. (alteryx.com)
In a recent proof of concept in Paris, four hospitals crunched around 10 years' worth of data to identify patterns in admission rates and assist resource allocation. (alteryx.com)

No survival association was found for Native American compared with white lung cancer patients or those using the Indian Health Service versus private insurance in fully adjusted models. (cdc.gov)
however, 176 lung cancer patients and 177 breast cancer patients reported using IHS providers ( Table 1 ). (cdc.gov)

US Department of Housing and Urban Development (HUD) statistics indicate that on a single night in 2019, around 567,715 persons experienced homelessness. (psychiatrist.com)
To evaluate whether the VBP program's implementation was associated with changes in measures of patient-reported experience at safety-net hospitals compared with non-safety-net hospitals between 2008 and 2019. (unboundmedicine.com)
Piecewise linear mixed regression models were used to assess annual trends in performance on each patient experience measure by hospital safety-net status before (July 1, 2007-June 30, 2011) and after (July 1, 2011-June 30, 2019) implementation of the VBP program. (unboundmedicine.com)
Safety-net hospitals consistently had lower patient experience scores than non-safety-net hospitals across all measures from 2008 to 2019. (unboundmedicine.com)

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

It will evaluate the impact on Medical Liability Reform and Patient Safety outcomes of extending an existing disclosure program from an academic hospital setting to diverse hospitals in the greater Chicago area. (mediate.com)
The project will implement and evaluate the use of perinatal best practices in 16 hospitals to assess the impact on patient safety and the level of malpractice activity. (mediate.com)

The frail elderly, people with cognitive and behavioral problems and neurology/stroke patients account for the greatest proportion of ALC patients . (healthydebate.ca)

The investigation is being conducted by the hospital, the local health department, the Florida Department of Health and Rehabilitative Services, and CDC. (cdc.gov)
We excluded non-Florida residents aged 18 years or younger, patients with missing values for survival time, and patients with carcinoma in situ. (cdc.gov)

Our goal was to perform a comparative effectiveness study of intravenous (IV)-only versus IV + enteral contrast in computed tomographic (CT) scans performed for patients undergoing appendectomy across a diverse group of hospitals. (lww.com)
The study included a total of 614,390 homeless patients (mean age = 46.1 years, 71.9% male). (psychiatrist.com)
The location and size of an oncology practice may impact whether or not patients have access to the latest development in cancer treatment, including immunotherapy, a nationwide study suggests. (medscape.com)
Smaller practices were also 27 percentage points less likely to adopt immunotherapy after FDA approval, with smaller differences later in the study period. (medscape.com)
The study did not find a discernible association of TEE in patients concomitantly exposed to dexamethasone and a DOAC. (ahrq.gov)
To identify risk factors for MDR-TB, a case-control study was conducted by comparing case-patients with randomly selected TB patients at the hospital with drug-susceptible M. tuberculosis isolates. (cdc.gov)
A second case-control study compared case-patients with randomly selected patients at the hospital who had both HIV infection and TB with drug-susceptible M. tuberculosis isolates. (cdc.gov)
This study found that case-patients were more likely to have had opportunistic infections (e.g. (cdc.gov)
This study assessed the compliance with COVID-19 prevention protocols among healthcare workers in Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria. (bvsalud.org)
This study aims to analyse the pattern of health facility use among dengue patients to provide input for the ongoing policy discussion regarding public-private integration. (who.int)
This 10-year retrospectively study was undertaken by the Graduate Oral and Maxillofacial Surgery Division, University of Campinas - UNICAMP at 7 hospitals located in the cities of Piracicaba, Limeira and Rio Claro, São Paulo state. (bvsalud.org)

Data were obtained directly from patient charts by trained abstractors. (lww.com)
We examined data from the 2010 Healthcare Cost and Utilization Project (HCUP), the most recent nationally-representative data describing U.S. hospital discharges. (researchgate.net)
To-date little data has been generated on the regional differences in injury scale and case mix. (bmj.com)
To that end, P 2 worked with a software company to invest in and develop a platform all hospitals could use to enter data about eligible patients. (medicaring.org)
In a separate area, data is the ammunition in the non-stop battle against cybercrime. (alteryx.com)
Data was collected from patients during a 10-year period (1999-2009). (bvsalud.org)
The data recorded only patients sustaining maxillofacial injuries after motorcycle accidents. (bvsalud.org)

This difference was not sensitive to adjustment for patient characteristics, suggesting that higher readmission in VA hospitals may reflect a feature of the VA healthcare system and not case-mix. (va.gov)

The report didn't identify the reason for the difference, but did note adults living in nonmetropolitan areas have poorer health, higher rates of tobacco use and major chronic conditions and poorer indicators of oral and mental health. (modernhealthcare.com)
The project is designed to fill the evidence gap regarding the impact on patient safety and litigation rates of programs that feature improved communication with patients, transparency, disclosure of adverse events, early offers of compensation, and learning from mistakes. (mediate.com)
High fertility rates (3.1 among refugees in the West Bank and 4.6 in the Gaza Strip) explain this difference. (who.int)

vs nonacademic systems, −9 percentage points). (medscape.com)

If a hospital can compete with freestanding entities on price for these 50 procedures, we believe they will have captured the tests for which patients most frequently price shop. (hfma.org)
We eliminated many high total charge outpatient procedures performed at hospitals from inclusion because they are not areas where freestanding groups compete or were not areas that rank high on the total volumes performed by these entities. (hfma.org)

Understanding these differences will allow for effective injury-prevention policies and targeted interventions. (bmj.com)

All patients who were admitted with a history of trauma between October 2014 and April 2015 were included. (bmj.com)
1 In March 2007, the Inkosi Albert Luthuli Central Hospital (IALCH) level I trauma unit was commissioned. (scielo.org.za)
Before this unit opened all trauma patients in the Ethekwini region were referred to four level II registrar-based facilities in Durban where trauma and non-trauma patients competed for attention, theatre and ICU facilities. (scielo.org.za)
We aimed to describe the spectrum of major trauma managed at the IALCH level I trauma unit from 2007 to 2008, and to determine whether direct admission confers a survival advantage compared with inter-hospital transfers. (scielo.org.za)

These patients were more likely to have 27 of 29 comorbidities assessed in HCUP. (researchgate.net)

Infection-control policy on the HIV ward required that patients with any pulmonary symptoms and/or abnormal chest radiographs be routinely placed in TB isolation (AFB isolation) until TB was excluded or until they had been on anti-TB therapy for at least 7 days. (cdc.gov)

Eliminating enteral contrast may improve efficiency, patient comfort, and safety. (lww.com)

Therefore, family and caregiver engagement strategies are needed to support vulnerable patients, 13 including children, the elderly, and people with disabilities. (ahrq.gov)

One West Coast hospital determined that reducing prices for its imaging and laboratory tests to the state freestanding facility price averages would reduce their total charges by $510 million, a charge reduction of almost 16 percent. (hfma.org)
The objective of this project is to improve perinatal (the period prior to and just after birth) patient safety and demonstrate the relationship between improved patient safety and a reduction in the number of malpractice claims. (mediate.com)

Informing injured patients promptly, and making efforts to provide prompt compensation. (mediate.com)
The project will review the use of a disclosure and compensation model, which informs injured patients and families promptly and makes efforts to provide prompt compensation. (mediate.com)
But we share a common purpose-to make a difference through our work, to provide a good life for our families and ourselves, and to create a more just world. (aft.org)
The objective of this technical brief is to provide a framework and map of the currently available evidence on patient and family engagement strategies that have been used to help patients, families, and caregivers manage chronic conditions. (ahrq.gov)
The Technical Brief will summarize the evidence on patient and family engagement, provide a conceptual or organizational framework to understand key components of the strategies and interventions of interest, highlight evidence for innovative strategies, describe barriers to implementation, and provide guidance regarding future research directions and priorities. (ahrq.gov)
CCM was developed (4,5) to provide patients with self-management skills and tracking systems. (cdc.gov)

We tested the impact of patients' perceived communication and media effectiveness on their self-efficacy, communication satisfaction, and perceived health outcomes, separately for text-based information technology (IT)-mediated communication and FtF communication. (jmir.org)
22,23 Interventions that target patient-provider communication have improved patient satisfaction, as well as patient-centered health outcomes (e.g., resolution of depression, anxiety, pain, blood pressure and improvement in functional status). (ahrq.gov)

Due to the country's expanding middle class and the implementation of universal healthcare, demand has increased significantly across practically all segments of the healthcare sector in Indonesia, including hospitals, medicines, and medical equipment. (april-international.com)
These studies were generally single-site research projects initiated at children's hospitals, medical schools, and/or local departments of health. (nationalacademies.org)
The Agency for Healthcare Research and Quality (AHRQ) announced that seven demonstration grants for the Medical Liability Reform and Patient Safety initiative have been funded for a total amount of $19.7 million. (mediate.com)
The grants support the implementation and evaluation of evidence-based patient safety and medical liability projects. (mediate.com)
The seven demonstration grants include models that meet one or more of the medical liability reform and patient safety initiative goals, including: "Reducing preventable harms. (mediate.com)
Nine (31%) of the 29 case-patients had medical-record evidence of prior TB or a positive tuberculin skin test. (cdc.gov)

In urban areas, that type of consolidation may be seen as anti-competitive, the CMS said. (modernhealthcare.com)

After adjusting for age, sex, comorbid conditions, weight, hospital type, and perforation, odds ratio of concordance for IV + enteral contrast versus IV contrast alone was 0.95 (95% CI: 0.72-1.25). (lww.com)

The Kellogg Community Scholars and The Urban Health Institute Fellows are both Postdoctoral training opportunities found at Johns Hopkins Bloomberg School of Public Health that address health disparities-related issues. (wikipedia.org)
We have found that hospitals are struggling to identify what services should be targeted. (hfma.org)

Diseases14

Chemicals and Drugs1

Analytical, Diagnostic and Therapeutic Techniques and Equipment54

Psychiatry and Psychology1

Phenomena and Processes4

Disciplines and Occupations5

Anthropology, Education, Sociology and Social Phenomena6

Technology, Industry, Agriculture5

Information Science15

Named Groups8

Health Care190

Geographicals26

Acute-care hospitals2

Discharge12

Centers12

Medicare8

Conclusions1

Inpatient and outpatient2

Clinics4

Readmissions2

Rural48

Populations3

Clinicians5

Disproportionate1

Statistically significant2

Methods1

Care53

Demographics1

Identify significant differences1

Interestingly2

Beds2

Outpatient hospital1

20181

Visits7

Mortality12

Findings2

Cohort3

Admissions2

Vast differences1

Clinical5

20211

Physicians7

Diagnosis5

Adult3

Significant3

Healthcare providers2

Patterns3

Lung cancer patients2

20194

Surgical1

Evaluate2

Frail1

Florida2

Study11

Data7

Characteristics1

Rates3

Percentage1

Entities2

Targeted interventions1

Trauma4

Comorbidities1

Chest radiographs1

Efficiency1

Vulnerable1

Reduction2

Provide6

Health outcomes2

Medical6

Areas1

Odds ratio1

Found2