By-the-numbers medical-february2016
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Boone Hospital ranked highest in the state of Missouri with an 82% recommendation rate from patients. Several key health rankings and statistics are provided for Boone Hospital, including ranking 7th out of 114 counties in Missouri for overall health outcomes and 3rd for health factors. The document also provides data on clinic visits, births, radiological exams, surgeries, and other services provided at Boone Hospital in 2015.
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• Antioxidante.
• Aporta minerales y oligoelementos.
• Contribuye a la oxigenación celular.
• Es relajante.
• Estimula los sentidos.
• Hidrata y nutre la piel.
Post-Operatorio
En cualquier intervención quirúrgica (Liposucción , abdominoplastia, implantes de mamas, glúteos, etc.), el paciente debe recibir instrucciones claras, además de algunos cuidados generales
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• Gel conductor.
• Cremas reductoras o reafirmantes según necesidad de la clienta.
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AusJouPha2012V093N1107_032
1. A pharmacist reviewed pharmacy operations in Broken Hill, NSW and identified issues with patients' medication management during transitions between the local hospital and nursing home. Medication lists were often incomplete or inaccurate.
2. The pharmacist proposed allowing the hospital access to the pharmacies' database of patients' medication histories to address this issue. A secure system was set up, with patient consent, to share medication information for nursing home residents with the hospital pharmacy and emergency department.
3. By providing the hospital access to complete and up-to-date medication lists, the new system aims to improve patient health and safety by reducing medication errors during transitions of care between facilities. Early signs indicate the system has positively impacted medication management
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Outcomes research examines the end results of health services on individuals and is intended to provide evidence to inform healthcare decisions. The Agency for Healthcare Research and Quality (AHRQ) and the Patient Centered Outcomes Research Institute (PCORI) conduct outcomes research to help healthcare professionals provide good outcomes for patients. This research aids in establishing evidence, translating evidence into tools and training, and implementing evidence into practice.
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This document discusses new options for HIV prevention through the use of antiretroviral therapy (ART). Observational studies and the HPTN 052 clinical trial showed that ART can significantly decrease the risk of transmitting HIV, with a 96% reduction in risk seen in the HPTN 052 trial. However, real-world adherence to lifelong ART may be challenging and is not as high as was achieved in HPTN 052 through intensive support strategies. U.S. guidelines now recommend ART for all HIV-infected individuals, but limitations remain regarding how well ART prevents transmission through different risk behaviors or in situations where adherence is imperfect.
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Clinica Esperanza/Hope Clinic "International Healthcare on the local bus line...
Clínica Esperanza/Hope Clinic (CEHC) provides primary healthcare to uninsured Rhode Island residents. CEHC aims to offer high-quality and culturally competent care with an emphasis on prevention. It is run by volunteer healthcare providers and staff, with support from community donations. The document discusses CEHC's services, patient demographics, outcomes in managing chronic conditions, and initiatives like the CHEER walk-in clinic and Navegantes program to improve healthcare access and navigation. It also notes ongoing challenges around increasing demand and reducing emergency room use.
Medication_NonAdherenceX
This document discusses medication non-adherence and strategies to improve adherence. It finds that 50% of medications are not taken correctly, resulting in increased hospitalization risks and healthcare costs. Case management adherence guidelines (CMAG) provide an algorithm to assess patient knowledge, motivation, and barriers to adherence. Hospitals seek to improve discharge counseling and adherence messaging due to accreditation standards and financial incentives to reduce readmissions. Key elements of successful hospital discharge planning include multidisciplinary teams, protocols, staff education, and measuring adherence programs.
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Dr. Robert Winn worked with a team to determine rates of hepatitis C (HCV) risk factor ascertainment, testing, and referral in urban primary care practices, with particular attention to the effect of race and ethnicity.
Health Renaissance in the Pharmacy
The document discusses the pharmacy renaissance and the expanding role of pharmacists in healthcare delivery. It notes that pharmacists are highly accessible, work to improve patient health, and provide new services. Pharmacies are redefining their spaces to include health corners for education and private consultation rooms. Pharmacists are trusted professionals, and their expanded roles can help improve outcomes and lower costs. The pharmacy is well-positioned to increase access to primary care services and preventative care.
Ira Klein, Can Value-based Contracting Work for Pharma Companies?
Ira Klein, Can Value-based Contracting Work for Pharma Companies?The Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics
March 02, 2018
Value-based health care is one of the most pressing topics in health care finance and policy today. Value-based payment structures are widely touted as critical to controlling runaway health care costs, but are often difficult for health care entities to incorporate into their existing infrastructures. Because value-based health care initiatives have bipartisan support, it is likely that these programs will continue to play a major role in both the public and private health insurance systems. As such, there is a pressing need to evaluate the implementation of these initiatives thus far and to discuss the direction that American health care financing will take in the coming years.
To explore this important issue, the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School collaborated with Ropes & Gray LLP to host a one-day conference on value-based health care. This event brought together scholars, health law practitioners, and health care entities to evaluate the impact of value-based health care on the American health care system.
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The document reports on an investigation of Crisis Pregnancy Centers (CPCs) conducted in Connecticut from 2012 to 2013. It finds that CPCs outnumber abortion providers 25 to 19 in the state. Investigators visited 25 CPCs in person and by phone, analyzing websites and finding that 95% provided misleading or medically inaccurate information about abortion, contraception, and reproductive health. Specifically, most CPCs incorrectly claimed abortion leads to breast cancer or mental health issues. The report recommends legislation be passed to regulate deceptive advertising and require medical accuracy from CPCs. It concludes CPCs threaten women's health in Connecticut by intentionally providing false medical information to vulnerable women.
Medication Non Adherence X
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Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
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The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
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Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
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Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
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Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
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By-the-numbers medical-february2016
- 1. OVERALLRANKING 82% Boone Hospital 71% State Average 70% National Average HOSPITALRECOMMENDATIONPATIENTSURVEY Source: medicaid.gov MISSOURISTATEHEALTHRANKING Source: America’s Health Rankings, 2015 MUHEALTHSTATISTICS Source: MU Health, 2015 #36 LOWESTMISSOURIRANKING MALES VACCINATED AGAINST HPV #48 HIGHESTMISSOURIRANKING FEWEST CHILDREN IN POVERTY #10 J.OTTOLOTTESHEALTHSCIENCESLIBRARY Source: MU Health 287,912VOLUMES IN COLLECTION 614,133 clinic visits 1,837 births 576 patients transported by helicopter 71,962 emergency and trauma center visits 279,655 radiological exams and treatments 23,472 major surgical operations BOONECOUNTYIN-STATE HEALTHRANKING Source: County Health Rankings, 2015 7OUTOF114 OVERALLRANKING 3OUTOF114 HEALTHRISKRANKING Patient origin: All 114 Missouri counties, plus several states and foreign countries Would you definitely recommend this hospital?