Medicares Coverage with Evidence Development Policy 4.21.10
•
0 likes•111 views
- Medicare implemented a coverage policy for carotid arterial stents (CAS) in 2005 that required hospitals to meet quality standards before receiving reimbursement. - This policy may have inadvertently reduced access to CAS for disadvantaged Medicare groups by limiting hospital adoption. - The study found that fewer hospitals adopted CAS during 2005-2007 than expected based on their use of other cardiovascular technologies, but lower adoption rates did not reduce access for disadvantaged groups. Academic centers and high-volume hospitals were the main adopters of CAS.
Report
Share
Report
Share
![Medicare’s Coverage with Evidence Development Policy and the Availability of New Technology Peter W. Groeneveld, MD, MS · Andrew J. Epstein, PhD, MPP · Lin Yang, MS · Feifei Yang, MS · Mollie Epstein, MA · Daniel Polsky, PhD Philadelphia VA Medical Center; Division of General Internal Medicine, Department of Medicine, University of Pennsylvania School of Medicine; Division of Health Policy and Administration, Yale School of Public Health Background Objective Methods Results (continued) Conclusions Implications Results (continued) Hospitals in Study (n=1,479) a Results are odds ratios (95% confidence interval). * p<0.05. * p<0.01. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],a Percentages may not add to 100 due to rounding. b Hospital in an HRR with per capita income in lowest U.S. quartile. c Hospital in an HRR with <250 inhabitants per square mile. d Low competition areas defined by Herfindahl-Hirschman Index >0.18 (U.S. Dept. of Justice). e Members of the American Association of Medical College’s Council of Teaching Hospitals. f Annual # of Medicare hospitalizations. High: ≥5,000 admissions per year; moderate: 2,000 to 4,999 admissions per year, low: < 2000 admissions per year. Results ,[object Object],[object Object],Characteristic Hospitals, n (% a ) U.S. Census region: Northeast 231 (16) Midwest 384 (26) South 580 (39) West 284 (19) HRR with > 12% black patients 373 (25) Low-income HRR b Rural HRR c 851 (58) Low-competition HRR d 758 (51) Academic hospitals e 269 (18) Hospital ownership: Government 169 (11) Not-for-profit 1,010 (68) Proprietary 300 (20) Hospital volume f : High 106 (7) Moderate 627 (42) Low 746 (50)](https://image.slidesharecdn.com/groeneveldpete-medicarescoveragewithevidencedevelopmentpolicy-4-21-10-100818152220-phpapp01/85/Medicares-Coverage-with-Evidence-Development-Policy-4-21-10-1-320.jpg)
Recommended
Annotation Editorial
This document discusses the debate between randomized clinical trials (RCTs) and observational studies using big data. While RCTs are better for minimizing bias, observational studies can include more patients and answer questions RCTs cannot. The document outlines several large cancer databases that can help learn from every patient, including SEER and NCDB registries. It describes how these databases are being enriched with additional data sources like EHRs, genomic data, and mobile devices. This evolving use of big data from numerous sources can improve outcomes by better understanding toxicity, costs, and quality of cancer care.
Clinical trials article
While clinical trials represent leading cancer research, less than 5% of cancer patients enroll due to a lack of awareness and resources. Physicians have little time to enroll patients, and patients and doctors have misconceptions about clinical trials. Molecular targeted trials, based on genetic markers, require less patients than traditional trials to produce meaningful results. Unlike traditional trials, targeted trials do not use placebos and allow switching to tested drugs if beneficial. While complex genetic profiling is required for targeted trials, they provide more personalized treatment with fewer side effects than chemotherapy. Focusing clinical trial searches on predefined molecular markers can help patients find more suitable targeted trials.
Aos 213 01 nelson rivaroxaban effectiveness and safety in nvaf final
This study compared the real-world effectiveness and safety of rivaroxaban versus warfarin for stroke prevention in nonvalvular atrial fibrillation patients using claims data. The study found:
1) Rivaroxaban and warfarin had similar risks of major bleeding, stroke, systemic embolism, and venous thromboembolism.
2) Rivaroxaban was associated with a higher risk of gastrointestinal bleeding compared to warfarin.
3) Patients were less likely to discontinue rivaroxaban treatment compared to warfarin, suggesting better treatment persistence with rivaroxaban.
Trachtenberg surg onc risk icosna
General principal is that all patients with good functional capacity should proceed to surgery and coronary assessment should only be performed if the results would change management•For patients with recent MI, 2014 AHA/ACC guidelines recommend 3 month delay before stopping DAPT although anticipated updates may require only 1 month for newer DES•Several risk scores have been studied for risk MICA
Dialysis...Only 28% in Georgia Referred for Transplant
Only 28% of patients with end-stage renal disease in Georgia, the state with the lowest kidney transplant rate, are referred for transplant evaluation within a year of starting dialysis. Referral rates vary substantially between dialysis facilities in Georgia, ranging from 0% to 75%. Factors associated with lower referral rates include treating patients from high-poverty neighborhoods, higher patient-to-social worker ratios, and nonprofit facility status. Standardized guidelines may be needed for patient education on treatment options including transplant at the start of dialysis.
Call-On Congress Legislative Prep Crccp webinar #1
This prep document partners with the video and is for participants attending ConC 2012 - it is presented by Camille Bonta for the workshops she will lead at the Fight Colorectal Cancer conference.
Do we need a new system to price oncology pharmaceuticals?
Anti-cancer therapy is big business. In Australia alone between 2000 and 2009, cancer-related pharmaceutical expenditure has risen over 200% to over half a billion dollars per annum.
What does it take to perform an optimal cost effectiveness analysis in radiology
What does it take to perform an optimal cost-effectiveness analysis in radiology? https://www.radiologybusiness.com/topics/healthcare-economics/cost-effectiveness-analysis-radiology-imaging-jacr
Recommended
Annotation Editorial
This document discusses the debate between randomized clinical trials (RCTs) and observational studies using big data. While RCTs are better for minimizing bias, observational studies can include more patients and answer questions RCTs cannot. The document outlines several large cancer databases that can help learn from every patient, including SEER and NCDB registries. It describes how these databases are being enriched with additional data sources like EHRs, genomic data, and mobile devices. This evolving use of big data from numerous sources can improve outcomes by better understanding toxicity, costs, and quality of cancer care.
Clinical trials article
While clinical trials represent leading cancer research, less than 5% of cancer patients enroll due to a lack of awareness and resources. Physicians have little time to enroll patients, and patients and doctors have misconceptions about clinical trials. Molecular targeted trials, based on genetic markers, require less patients than traditional trials to produce meaningful results. Unlike traditional trials, targeted trials do not use placebos and allow switching to tested drugs if beneficial. While complex genetic profiling is required for targeted trials, they provide more personalized treatment with fewer side effects than chemotherapy. Focusing clinical trial searches on predefined molecular markers can help patients find more suitable targeted trials.
Aos 213 01 nelson rivaroxaban effectiveness and safety in nvaf final
This study compared the real-world effectiveness and safety of rivaroxaban versus warfarin for stroke prevention in nonvalvular atrial fibrillation patients using claims data. The study found:
1) Rivaroxaban and warfarin had similar risks of major bleeding, stroke, systemic embolism, and venous thromboembolism.
2) Rivaroxaban was associated with a higher risk of gastrointestinal bleeding compared to warfarin.
3) Patients were less likely to discontinue rivaroxaban treatment compared to warfarin, suggesting better treatment persistence with rivaroxaban.
Trachtenberg surg onc risk icosna
General principal is that all patients with good functional capacity should proceed to surgery and coronary assessment should only be performed if the results would change management•For patients with recent MI, 2014 AHA/ACC guidelines recommend 3 month delay before stopping DAPT although anticipated updates may require only 1 month for newer DES•Several risk scores have been studied for risk MICA
Dialysis...Only 28% in Georgia Referred for Transplant
Only 28% of patients with end-stage renal disease in Georgia, the state with the lowest kidney transplant rate, are referred for transplant evaluation within a year of starting dialysis. Referral rates vary substantially between dialysis facilities in Georgia, ranging from 0% to 75%. Factors associated with lower referral rates include treating patients from high-poverty neighborhoods, higher patient-to-social worker ratios, and nonprofit facility status. Standardized guidelines may be needed for patient education on treatment options including transplant at the start of dialysis.
Call-On Congress Legislative Prep Crccp webinar #1
This prep document partners with the video and is for participants attending ConC 2012 - it is presented by Camille Bonta for the workshops she will lead at the Fight Colorectal Cancer conference.
Do we need a new system to price oncology pharmaceuticals?
Anti-cancer therapy is big business. In Australia alone between 2000 and 2009, cancer-related pharmaceutical expenditure has risen over 200% to over half a billion dollars per annum.
What does it take to perform an optimal cost effectiveness analysis in radiology
What does it take to perform an optimal cost-effectiveness analysis in radiology? https://www.radiologybusiness.com/topics/healthcare-economics/cost-effectiveness-analysis-radiology-imaging-jacr
Precision Medicine in Oncology
Please share this webinar with anyone who may be interested!
Watch all our webinars: https://www.youtube.com/playlist?list=PL4dDQscmFYu_ezxuxnAE61hx4JlqAKXpR
Cancer care is increasingly tailored to individual patients, who can undergo genetic or biomarker testing soon after diagnosis, to determine which treatments have the best chance of shrinking or eliminating tumours.
In this webinar, a pathologist and clinical oncologist discuss:
● how they are using these new tests,
● how they communicate results and treatment options to patients and caregivers, and
● how patients can be better informed on the kinds of tests that are in development or in use across Canada
View the video: https://youtu.be/_Wai_uMQKEQ
Follow our social media accounts:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Pinterest - https://www.pinterest.com/survivornetwork
YouTube - https://www.youtube.com/user/Survivornetca
Multidisciplinary Approach to Prostate Cancer and Changes in Treatment Decisi...
Multidisciplinary Approach to Prostate Cancer and Changes in Treatment Decisi...CrimsonpublishersCancer
In order to demonstrate the impact of multi-disciplinary care in the community oncology setting, we evaluated treatment decisions following the initiation of a dedicated genitourinary multi-disciplinary clinic (GUMDC).Decisions about Medication Use and Cancer Screening Among Elderly Adults in t...
Decisions about Medication Use and Cancer Screening Among Elderly Adults in t...Informed Medical Decisions Foundation
This study surveyed U.S. adults aged 40 and older about their medical decision making regarding cancer screening tests and medications for common conditions. It found that decision processes were generally poor across age groups. While knowledge about treatments was higher for medications than screening, all groups valued potential benefits highly. The oldest group (75+) reported less discomfort with some cancer screenings and less importance on costs or side effects of medications. The study concludes there is opportunity to better educate elderly patients and their doctors about estimated benefits, competing risks when considering screenings or adding medications.Risk Communication and Medical Decision Making
1. Collective statistical illiteracy in healthcare is widespread among physicians, patients, and politicians due to non-transparent framing of information and lack of risk communication training.
2. Studies show physicians and the public poorly understand concepts like survival rates, risk reductions, and probabilities related to cancer screenings.
3. Implementing transparent risk communication frameworks in medical education and public health materials is needed to improve informed decision making.
Health System and Beneficiary Costs Associated With Intensive End-of-Life Med...
Health System and Beneficiary Costs Associated With Intensive End-of-Life Med...Δρ. Γιώργος K. Κασάπης
This study analyzed health care costs for nearly 49,000 cancer patients in their last month of life. It found that over half (58.9%) received intensive medical services like ICU stays, chemotherapy, or short hospice stays. Patients receiving any intensive services had significantly higher costs - the health system spent $15,952 more and patients faced $1,123 higher out-of-pocket costs, on average. ICU stays were associated with the greatest additional costs, while chemotherapy imposed the lowest additional costs. The study suggests intensive end-of-life cancer care is widespread and imposes substantial financial burdens on both health systems and patients.Geriatric oncology
The emerging field of oncogeriatrics, or geriatric oncology, deals with management of cancer in older people. This presentation introduces the area and reviews the evidence base. It also explains how cancer presents and behaves differently in older people.
Geriatric Oncology
Geriatric Oncology
1. Relationship between aging and cancer
2. Constructs of frailty and multimorbidity
3. Evidence for geriatric assessment in older adults living with cancer
American Journal of Anesthesia & Clinical Research
Background: The transition from resident physician to independent practitioner is an important period for young physicians.Optimally, they would feel well prepared to independently care for all patients presenting to them for anesthesia, however, this is unlikely Methods: A survey was emailed to all accredited anesthesiology residency program coordinators in April 2018 for further distribution to their CA3 residents. The survey collected data on the resident’s perception of his or her preparedness to manage a variety of anesthesia cases, patients with comorbid conditions, and ethical issues as well as perform various procedures.
Gene Profiling in Clinical Oncology - Slide 12 - N. Liebermann - But can my h...
Gene Profiling in Clinical Oncology - Slide 12 - N. Liebermann - But can my h...European School of Oncology
1) The non-profit health organization Clalit Health Services in Israel will fund the Oncotype DX test for breast cancer patients to determine who would benefit from chemotherapy and who could avoid it.
2) Oncotype DX testing changed the treatment recommendation in 40% of cases, avoiding chemotherapy in 84% deemed at low risk of recurrence by the test.
3) The added cost of Oncotype DX testing was partially offset by savings from avoiding chemotherapy and resulted in a cost-effectiveness ratio of $10,770 per quality-adjusted life year gained.Group 4 presentation
This document analyzes quality of care measures across five Dallas area hospitals' emergency rooms. It examines four indicators: average time to be seen, time spent in the ER, time before admission, and patients who left before being seen. Texas Health Presbyterian generally had the best outcomes. The conclusion suggests hospitals can improve through better communication, process structure, and consulting. Overall it finds quality of emergency care can vary substantially between hospitals in the same area.
Oncotype dx
Oncotype DX is a prognostic test that uses gene expression profiles in tumors to predict the risk of breast cancer recurrence. It has been recommended in the UK to help guide chemotherapy decisions for women with early-stage, hormone receptor-positive breast cancer who are assessed to have intermediate risk. The test results categorize a patient's risk as low (score <18), intermediate (score 18-30), or high (score >30) to help determine if the benefits of chemotherapy outweigh the risks. Adjuvant! Online is a similar web-based tool that uses factors like age, tumor size, and hormone receptor status to calculate survival probabilities and expected benefit of adjuvant therapy. Treatment decisions for early-stage breast cancer consider
Advances in Personalized Medicine and Improving the Quality of Life: The Futu...
Advances in Personalized Medicine and Improving the Quality of Life: The Futu...Cancer Treatment Centers of America
This document discusses advances in personalized cancer treatment and improving patient quality of life. It outlines goals of anti-cancer therapy including maximizing survival, treating symptoms, and improving quality of life. Studies show quality of life scores can predict survival, and improvements in physical functioning correlate with better outcomes. Targeted and precision therapies are highlighted like treatments for EGFR mutations in lung cancer and BRAF mutations in melanoma. Challenges in developing precision medicines are addressed, but new technologies are making genome sequencing cheaper and more accessible to guide individual treatment.Clinical oncology-can-observational-research-impact-clinical-decision-making
Observational research can impact clinical decision making for cancer treatment by providing real-world evidence to complement randomized controlled trials, which have limitations. Observational studies capture long-term outcomes of various treatments in everyday practice. However, their findings are more susceptible to bias. To strengthen observational research, standards are needed for electronic health data collection and reporting, while prioritizing patient privacy and rigorous methodologies. With these improvements, observational data can better inform estimates of cancer progression and treatment effects.
Wiseman opac2013
This document discusses the Continuous Update Project (CUP), a systematic review of mechanistic evidence conducted by the World Cancer Research Fund (WCRF). It outlines the CUP methodology, including:
- Conducting systematic literature reviews on cancer mechanisms by exposure
- Developing review protocols through an external expert Mechanisms Protocol Development Group
- Reviewing evidence on cancer hallmarks and emerging hallmarks outlined by Hanahan and Weinberg
- Peer reviewing draft review protocols and reports
- Grading the strength of evidence using predefined criteria to form the basis of recommendations
Complementary Therapies Yrmg July 2008 For Handouts
This document provides an overview of complementary and alternative medicine (CAM) in the UK. It defines CAM and presents statistics on the use of common CAM therapies like chiropractic, osteopathy, and acupuncture. It discusses reasons patients use CAM, primarily for musculoskeletal issues, and barriers to integrating CAM into the mainstream healthcare system. The document also reviews evidence and regulation of different CAM therapies in the UK.
Webinar: Special Considerations for Managing Immuno-Oncology Studies: A New P...
Medpace medical and operational experts discuss the unique considerations and insights into best practices for managing immuno-oncology studies.
Webinar: Oncology Trial Recruitment: Challenging Indications and Challenging ...
Medpace experts discuss how to overcome oncology recruitment challenges for clinical trials for specific populations, indications, and challenging studies.
Original Article Predicting Late-stage Breast/tutorialoutletdotcom
Over 21% of women diagnosed with breast cancer in Appalachia had late-stage diagnoses, and only 46.9% of eligible women received adjuvant hormonal therapy. Predictors of late-stage diagnosis included age, insurance status, access to primary care physicians. Predictors of receiving adjuvant therapy included comorbidities, economic status, and access to mammography centers. The 2-step floating catchment area method of measuring spatial access to care was found to have the greatest predictive validity compared to traditional methods when examining these clinical outcomes in Appalachia.
Guidelines to authors in Writing an effective Medical Case Report - Scientifi...
Medical Case reports (or the case study or the case history) disseminate clinical practices, examines clinical scenarios, and illustrates a diagnostic or therapeutic problem experienced by one or several patients. MCRs can be from any area of medicine, nursing, dentistry, and veterinary science.
When you order our services, we promise you the following – Plagiarism free, always on Time, outstanding customer support, written to Standard, Unlimited Revisions support and High-quality Subject Matter Experts.
Learn More: https://pubrica.com/services/research-services/case-report-writing/
Contact:
Web: https://pubrica.com/
Email: sales@pubrica.com
WhatsApp : +91 9884350006
United kingdom : +44-1143520021
Nrclinonc.2011.81
A study examined the effectiveness of high-intensity focused ultrasound (HIFU) for treating unresectable hepatocellular carcinoma (HCC). HIFU is a local ablation therapy that does not puncture the tumor, avoiding risks of bleeding and cancer cell dissemination seen with other ablation methods. The study found tumor size was the main risk factor affecting treatment success, with smaller tumors under 3 cm having better outcomes. The overall recurrence rate was 61.9% while 1-year and 3-year survival rates were 87.7% and 62.4% respectively. Child-Pugh grade was the only significant prognostic factor for survival. The results suggest HIFU can be an effective treatment for unresect
HL7: Clinical Decision Support
This is the presentation given to the HL7 Clinical Interoperability Council on Clinical Decision Suppoprt (referenced in the post below), April, 2009.
Empowering Healthcare Leaders: The Business Case for Language Access_10.3.14
Empowering Healthcare Leaders: The Business Case for Language Access provides a framework for calculating total potential encounters with limited English patients, the economic benefit and cost of not providing language access and a frame work to align the economic benefits with organizational goals under the Affordable Care Act.
More Related Content
What's hot
Precision Medicine in Oncology
Please share this webinar with anyone who may be interested!
Watch all our webinars: https://www.youtube.com/playlist?list=PL4dDQscmFYu_ezxuxnAE61hx4JlqAKXpR
Cancer care is increasingly tailored to individual patients, who can undergo genetic or biomarker testing soon after diagnosis, to determine which treatments have the best chance of shrinking or eliminating tumours.
In this webinar, a pathologist and clinical oncologist discuss:
● how they are using these new tests,
● how they communicate results and treatment options to patients and caregivers, and
● how patients can be better informed on the kinds of tests that are in development or in use across Canada
View the video: https://youtu.be/_Wai_uMQKEQ
Follow our social media accounts:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Pinterest - https://www.pinterest.com/survivornetwork
YouTube - https://www.youtube.com/user/Survivornetca
Multidisciplinary Approach to Prostate Cancer and Changes in Treatment Decisi...
Multidisciplinary Approach to Prostate Cancer and Changes in Treatment Decisi...CrimsonpublishersCancer
In order to demonstrate the impact of multi-disciplinary care in the community oncology setting, we evaluated treatment decisions following the initiation of a dedicated genitourinary multi-disciplinary clinic (GUMDC).Decisions about Medication Use and Cancer Screening Among Elderly Adults in t...
Decisions about Medication Use and Cancer Screening Among Elderly Adults in t...Informed Medical Decisions Foundation
This study surveyed U.S. adults aged 40 and older about their medical decision making regarding cancer screening tests and medications for common conditions. It found that decision processes were generally poor across age groups. While knowledge about treatments was higher for medications than screening, all groups valued potential benefits highly. The oldest group (75+) reported less discomfort with some cancer screenings and less importance on costs or side effects of medications. The study concludes there is opportunity to better educate elderly patients and their doctors about estimated benefits, competing risks when considering screenings or adding medications.Risk Communication and Medical Decision Making
1. Collective statistical illiteracy in healthcare is widespread among physicians, patients, and politicians due to non-transparent framing of information and lack of risk communication training.
2. Studies show physicians and the public poorly understand concepts like survival rates, risk reductions, and probabilities related to cancer screenings.
3. Implementing transparent risk communication frameworks in medical education and public health materials is needed to improve informed decision making.
Health System and Beneficiary Costs Associated With Intensive End-of-Life Med...
Health System and Beneficiary Costs Associated With Intensive End-of-Life Med...Δρ. Γιώργος K. Κασάπης
This study analyzed health care costs for nearly 49,000 cancer patients in their last month of life. It found that over half (58.9%) received intensive medical services like ICU stays, chemotherapy, or short hospice stays. Patients receiving any intensive services had significantly higher costs - the health system spent $15,952 more and patients faced $1,123 higher out-of-pocket costs, on average. ICU stays were associated with the greatest additional costs, while chemotherapy imposed the lowest additional costs. The study suggests intensive end-of-life cancer care is widespread and imposes substantial financial burdens on both health systems and patients.Geriatric oncology
The emerging field of oncogeriatrics, or geriatric oncology, deals with management of cancer in older people. This presentation introduces the area and reviews the evidence base. It also explains how cancer presents and behaves differently in older people.
Geriatric Oncology
Geriatric Oncology
1. Relationship between aging and cancer
2. Constructs of frailty and multimorbidity
3. Evidence for geriatric assessment in older adults living with cancer
American Journal of Anesthesia & Clinical Research
Background: The transition from resident physician to independent practitioner is an important period for young physicians.Optimally, they would feel well prepared to independently care for all patients presenting to them for anesthesia, however, this is unlikely Methods: A survey was emailed to all accredited anesthesiology residency program coordinators in April 2018 for further distribution to their CA3 residents. The survey collected data on the resident’s perception of his or her preparedness to manage a variety of anesthesia cases, patients with comorbid conditions, and ethical issues as well as perform various procedures.
Gene Profiling in Clinical Oncology - Slide 12 - N. Liebermann - But can my h...
Gene Profiling in Clinical Oncology - Slide 12 - N. Liebermann - But can my h...European School of Oncology
1) The non-profit health organization Clalit Health Services in Israel will fund the Oncotype DX test for breast cancer patients to determine who would benefit from chemotherapy and who could avoid it.
2) Oncotype DX testing changed the treatment recommendation in 40% of cases, avoiding chemotherapy in 84% deemed at low risk of recurrence by the test.
3) The added cost of Oncotype DX testing was partially offset by savings from avoiding chemotherapy and resulted in a cost-effectiveness ratio of $10,770 per quality-adjusted life year gained.Group 4 presentation
This document analyzes quality of care measures across five Dallas area hospitals' emergency rooms. It examines four indicators: average time to be seen, time spent in the ER, time before admission, and patients who left before being seen. Texas Health Presbyterian generally had the best outcomes. The conclusion suggests hospitals can improve through better communication, process structure, and consulting. Overall it finds quality of emergency care can vary substantially between hospitals in the same area.
Oncotype dx
Oncotype DX is a prognostic test that uses gene expression profiles in tumors to predict the risk of breast cancer recurrence. It has been recommended in the UK to help guide chemotherapy decisions for women with early-stage, hormone receptor-positive breast cancer who are assessed to have intermediate risk. The test results categorize a patient's risk as low (score <18), intermediate (score 18-30), or high (score >30) to help determine if the benefits of chemotherapy outweigh the risks. Adjuvant! Online is a similar web-based tool that uses factors like age, tumor size, and hormone receptor status to calculate survival probabilities and expected benefit of adjuvant therapy. Treatment decisions for early-stage breast cancer consider
Advances in Personalized Medicine and Improving the Quality of Life: The Futu...
Advances in Personalized Medicine and Improving the Quality of Life: The Futu...Cancer Treatment Centers of America
This document discusses advances in personalized cancer treatment and improving patient quality of life. It outlines goals of anti-cancer therapy including maximizing survival, treating symptoms, and improving quality of life. Studies show quality of life scores can predict survival, and improvements in physical functioning correlate with better outcomes. Targeted and precision therapies are highlighted like treatments for EGFR mutations in lung cancer and BRAF mutations in melanoma. Challenges in developing precision medicines are addressed, but new technologies are making genome sequencing cheaper and more accessible to guide individual treatment.Clinical oncology-can-observational-research-impact-clinical-decision-making
Observational research can impact clinical decision making for cancer treatment by providing real-world evidence to complement randomized controlled trials, which have limitations. Observational studies capture long-term outcomes of various treatments in everyday practice. However, their findings are more susceptible to bias. To strengthen observational research, standards are needed for electronic health data collection and reporting, while prioritizing patient privacy and rigorous methodologies. With these improvements, observational data can better inform estimates of cancer progression and treatment effects.
Wiseman opac2013
This document discusses the Continuous Update Project (CUP), a systematic review of mechanistic evidence conducted by the World Cancer Research Fund (WCRF). It outlines the CUP methodology, including:
- Conducting systematic literature reviews on cancer mechanisms by exposure
- Developing review protocols through an external expert Mechanisms Protocol Development Group
- Reviewing evidence on cancer hallmarks and emerging hallmarks outlined by Hanahan and Weinberg
- Peer reviewing draft review protocols and reports
- Grading the strength of evidence using predefined criteria to form the basis of recommendations
Complementary Therapies Yrmg July 2008 For Handouts
This document provides an overview of complementary and alternative medicine (CAM) in the UK. It defines CAM and presents statistics on the use of common CAM therapies like chiropractic, osteopathy, and acupuncture. It discusses reasons patients use CAM, primarily for musculoskeletal issues, and barriers to integrating CAM into the mainstream healthcare system. The document also reviews evidence and regulation of different CAM therapies in the UK.
Webinar: Special Considerations for Managing Immuno-Oncology Studies: A New P...
Medpace medical and operational experts discuss the unique considerations and insights into best practices for managing immuno-oncology studies.
Webinar: Oncology Trial Recruitment: Challenging Indications and Challenging ...
Medpace experts discuss how to overcome oncology recruitment challenges for clinical trials for specific populations, indications, and challenging studies.
Original Article Predicting Late-stage Breast/tutorialoutletdotcom
Over 21% of women diagnosed with breast cancer in Appalachia had late-stage diagnoses, and only 46.9% of eligible women received adjuvant hormonal therapy. Predictors of late-stage diagnosis included age, insurance status, access to primary care physicians. Predictors of receiving adjuvant therapy included comorbidities, economic status, and access to mammography centers. The 2-step floating catchment area method of measuring spatial access to care was found to have the greatest predictive validity compared to traditional methods when examining these clinical outcomes in Appalachia.
Guidelines to authors in Writing an effective Medical Case Report - Scientifi...
Medical Case reports (or the case study or the case history) disseminate clinical practices, examines clinical scenarios, and illustrates a diagnostic or therapeutic problem experienced by one or several patients. MCRs can be from any area of medicine, nursing, dentistry, and veterinary science.
When you order our services, we promise you the following – Plagiarism free, always on Time, outstanding customer support, written to Standard, Unlimited Revisions support and High-quality Subject Matter Experts.
Learn More: https://pubrica.com/services/research-services/case-report-writing/
Contact:
Web: https://pubrica.com/
Email: sales@pubrica.com
WhatsApp : +91 9884350006
United kingdom : +44-1143520021
Nrclinonc.2011.81
A study examined the effectiveness of high-intensity focused ultrasound (HIFU) for treating unresectable hepatocellular carcinoma (HCC). HIFU is a local ablation therapy that does not puncture the tumor, avoiding risks of bleeding and cancer cell dissemination seen with other ablation methods. The study found tumor size was the main risk factor affecting treatment success, with smaller tumors under 3 cm having better outcomes. The overall recurrence rate was 61.9% while 1-year and 3-year survival rates were 87.7% and 62.4% respectively. Child-Pugh grade was the only significant prognostic factor for survival. The results suggest HIFU can be an effective treatment for unresect
What's hot (20)
Multidisciplinary Approach to Prostate Cancer and Changes in Treatment Decisi...
Multidisciplinary Approach to Prostate Cancer and Changes in Treatment Decisi...
Decisions about Medication Use and Cancer Screening Among Elderly Adults in t...
Decisions about Medication Use and Cancer Screening Among Elderly Adults in t...
Health System and Beneficiary Costs Associated With Intensive End-of-Life Med...
Health System and Beneficiary Costs Associated With Intensive End-of-Life Med...
American Journal of Anesthesia & Clinical Research
American Journal of Anesthesia & Clinical Research
Gene Profiling in Clinical Oncology - Slide 12 - N. Liebermann - But can my h...
Gene Profiling in Clinical Oncology - Slide 12 - N. Liebermann - But can my h...
Advances in Personalized Medicine and Improving the Quality of Life: The Futu...
Advances in Personalized Medicine and Improving the Quality of Life: The Futu...
Clinical oncology-can-observational-research-impact-clinical-decision-making
Clinical oncology-can-observational-research-impact-clinical-decision-making
Complementary Therapies Yrmg July 2008 For Handouts
Complementary Therapies Yrmg July 2008 For Handouts
Webinar: Special Considerations for Managing Immuno-Oncology Studies: A New P...
Webinar: Special Considerations for Managing Immuno-Oncology Studies: A New P...
Webinar: Oncology Trial Recruitment: Challenging Indications and Challenging ...
Webinar: Oncology Trial Recruitment: Challenging Indications and Challenging ...
Original Article Predicting Late-stage Breast/tutorialoutletdotcom
Original Article Predicting Late-stage Breast/tutorialoutletdotcom
Guidelines to authors in Writing an effective Medical Case Report - Scientifi...
Guidelines to authors in Writing an effective Medical Case Report - Scientifi...
Similar to Medicares Coverage with Evidence Development Policy 4.21.10
HL7: Clinical Decision Support
This is the presentation given to the HL7 Clinical Interoperability Council on Clinical Decision Suppoprt (referenced in the post below), April, 2009.
Empowering Healthcare Leaders: The Business Case for Language Access_10.3.14
Empowering Healthcare Leaders: The Business Case for Language Access provides a framework for calculating total potential encounters with limited English patients, the economic benefit and cost of not providing language access and a frame work to align the economic benefits with organizational goals under the Affordable Care Act.
Middleton.Cgu2005v6
The document summarizes the Partners HealthCare Patient Gateway, which allows patients to access their medical information online. It discusses how the gateway aims to address issues like medical errors due to a lack of access to patient information. It also notes that the gateway is part of Partners HealthCare's efforts to improve patient-centered care by better engaging and informing patients.
Medical home Navy
Patient-centered medical homes (PCMHs) are intended to actively provide effective care by physician-led teams, Where patients take a leading role and responsibility. Objective: To determine whether the Walter Reed PCMH has reduced costs while at least maintaining if not improving access to and quality of care, and to determine
whether access, quality, and cost impacts differ by chronic condition status. Design, setting, and patients: This study
conducted a retrospective analysis using a patient-level utilization database to determine the impact of the Walter Reed PCMH on utilization and cost metrics, and a survey of enrollees in the Walter Reed PCMH to address access to care and quality of care. Outcome measures: Inpatient and outpatient utilization, per member per quarter costs, Healthcare Effectiveness Data and Information Set metrics, and composite measures for access, patient satisfaction, provider communication, and customer service are included. Results: Costs were 11% lower for those with chronic conditions compared to 7% lower for those without. Since treating patients with chronic conditions is 4 times more costly than treating patients without such conditions, the vast majority of dollar savings are attributable to chronic care.
effective_care
Fewer than half of Medicare enrollees with diabetes received annual eye exams, despite guidelines recommending them to screen for blindness. Rates varied widely between regions, from less than 20% to 60% compliance. Research also found underuse of other effective diabetic care like blood sugar and lipid screening tests. This underuse of recommended care is common and represents missed opportunities to prevent health issues. Spending levels do not correlate with higher quality or effective care delivery. Systems need to change incentives to reward doctors for following guidelines and ensure all eligible patients receive necessary care.
Running head STRATEGIC PLAN FOR CHANGE1STRATEGIC PLAN FOR.docx
Running head: STRATEGIC PLAN FOR CHANGE
1
STRATEGIC PLAN FOR CHANGE
2
Strategic Plan for Change
Jennifer Zimmerman
Walden University- NURS 6201
December 29, 2017
Improving Patient Experience who are Undergoing Chemotherapy from an Outpatient setting to an Inpatient Setting
1.
Introduction and Statement of the Problem
1.1.
What is the problem?
Outpatient chemotherapy sessions are sufficient in most organizations, especially for those receiving curative intent chemotherapy (Davidoff et al. 2013). The patients who meet the set criteria end up receiving supportive care post induction chemotherapy, as well as different cycles as other outpatients. Outpatient management can be made safe and the transition to inpatient more efficient, which is considered a challenge for most healthcare organizations. The problem at hand in this section has been adequately analyzed, which involves the transition of patients receiving chemotherapy from outpatient to inpatient in healthcare facilities.
1.2.
Why is it important enough to warrant a change?
Outpatient care especially for most patient has become a familiar concept that is driven by increased healthcare costs and more so, the increased demand for existing inpatient resources in different organizations (Joana et al. 1987). Improved supportive care in inpatient is also another reason for the need to embrace the transition, and patient wishes to spend the least amount of time, especially in waiting for service delivery in the outpatient setting. With these concepts in mind, it is important enough to warrant a change. Patient satisfaction ought not to be ignored in different healthcare organizations. There is a need to, therefore, be on the forefront in enhancing adequate care, and embracing inpatient plans for the chronically ill patients.
1.2.1.
Scholarly Reference #1
Joana, L., Mary, H., Alan, M., Andrew, B., & Steven, C., (1987). Case Mix and Changes in inpatient and outpatient chemotherapy. PubMed 8(4): 65-71.
In most healthcare settings, the therapy provided in outpatient has been associated with substantial tumors, chemotherapy involving high doses, and then followed by autologous stem cell transplantation. Outpatient administration of consolidation cycles has been reported, which emphasizes the major problem in this scholarly soured. According to the authors, the transition to inpatient to outpatient care should be considered and priority to solve the efficiency problems at hand.
1.2.2.
Scholarly Reference #2
Hayes, J. (2014). The theory and practice of change management. Palgrave Macmillan.
This source deals with theory and practice of change management. Change management is an adequate practice in the healthcare setting. There is a need for all healthcare organizations to be at the forefront to ensure that healthcare, both inpatient and outpatient are realized. The source provides and explains outpatient inefficiency for chronic patients as the worst problem in the medical profession. Th ...
Acs0003 Benchmarking Surgical Outcomes
This document discusses various sources of data for benchmarking surgical outcomes. It describes public reporting programs that release hospital or surgeon-specific outcomes data online. However, these programs often rely on administrative data, which has limitations. The document also discusses public use administrative databases that surgeons can access themselves, such as Medicare and Nationwide Inpatient Sample data. Finally, it covers clinical outcomes registries like the National Surgical Quality Improvement Program (NSQIP), which prospectively collect detailed clinical data but have high costs of participation. Overall, the document evaluates the strengths and weaknesses of different data sources for benchmarking surgical performance.
Electronic Medical Records: From Clinical Decision Support to Precision Medicine
Electronic Medical Records: From Clinical Decision Support to Precision MedicineKent State University
This document discusses the transition from traditional clinical decision support using electronic medical records to precision medicine. It provides examples of how Cleveland Clinic has used electronic medical records to create registries for conditions like chronic kidney disease, develop predictive models, and power algorithms for precision treatment recommendations. The document envisions precision medicine relying on vast amounts of molecular, genomic, and patient-reported data integrated into clinical decision support.Disrupting the Oncology Care Continuum through AI and Advanced Analytics
Having Presented at #SROA18 on the need to move from basic Data and Reporting to Advanced Analytics and Artificial Intelligence, I thought I would share my deck for all.
Copyright © 2017 The Author(s). Published by Wolters Kluwer He.docx
Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the National Association of Orthopaedic Nurses.
12 Orthopaedic Nursing • January/February 2017 • Volume 36 • Number 1 Copyright © 2017 The Author(s).
T
here are transformative changes occurring in
healthcare for which nurses, because of their
role, their education, and the respect they have
earned, are well positioned to contribute to and
lead. To be a major player in shaping these changes,
nurses must understand the factors driving the change,
the mandates for practice change, and the competencies
(knowledge, skills, and attitudes) that will be needed for
personal and systemwide success. This article discusses
the driving factors leading to healthcare transformation
and the role of the registered nurse (RN) in leading and
being a fully contributing member of the interprofes-
sional team as we shift from episodic, provider-based,
fee-for-service care to team-based, patient-centered care
across the continuum that provides seamless, affordable,
Factors driving healthcare transformation include fragmen-
tation, access problems, unsustainable costs, suboptimal
outcomes, and disparities. Cost and quality concerns along
with changing social and disease-type demographics cre-
ated the greatest urgency for the need for change. Caring
for and paying for medical treatments for patients suffering
from chronic health conditions are a signifi cant concern.
The Affordable Care Act includes programs now led by
the Centers for Medicare & Medicaid Services aiming to
improve quality and control cost. Greater coordination of
care—across providers and across settings—will improve
quality care, improve outcomes, and reduce spending, es-
pecially attributed to unnecessary hospitalization, unneces-
sary emergency department utilization, repeated diagnostic
testing, repeated medical histories, multiple prescriptions,
and adverse drug interactions. As a nation, we have taken
incremental steps toward achieving better quality and lower
costs for decades. Nurses are positioned to contribute to
and lead the transformative changes that are occurring
in healthcare by being a fully contributing member of the
interprofessional team as we shift from episodic, provider-
based, fee-for-service care to team-based, patient-centered
care across the continuum that provides seamless, afford-
able, and quality care. These shifts require a new or an
enhanced set of knowledge, skills, and attitudes around
wellness and population care with a renewed focus on
patient-centered care, care coordination, data analytics, and
quality improvement.
Healthcare Transformation and Changing
Roles for Nursing
Susan W. Salmond ▼ Mercedes Echevarria
Susan W. Salmond, EdD, RN, ANEF, FAAN, Professor & Executive Vice
Dean, Rutgers University School of Nursing, Westfi eld, NJ.
Mercedes Echevarria, DNP, RN, APN, Associate Dean of A.
Leveraging Data And Strong Partnerships To Thrive In The Land Between Volume ...
Leveraging Data And Strong Partnerships To Thrive In The Land Between Volume And Value presented by Pam Rush, RN, MS and William Katsiyiannis, MD
The Workforce of the Future - Ben Frasier.pdf
As a nation, we are faced with a critical health care worker shortage that needs both immediate and long-term solutions. Everyone is affected by healthcare: as citizens whose health and that of our loved ones is affected by how well our healthcare system is functioning; as healthcare staff who are facing increasing levels of burnout and lack of motivation to work within a broken system; as healthcare administrators whose job it is to optimize resources to ensure that patients receive comprehensive and equitable care and that healthcare workers receive the support they need to thrive in a safe working environment; to legislators whose job it is to create practices and policies that allow the healthcare system to achieve these goals.
Challenge of Practice Variations
The document summarizes research on variations in medical practice and healthcare utilization in different geographic regions. It discusses studies in Vermont and Maine that found wide variations in tonsillectomy and hysterectomy rates that did not correlate with patient characteristics or health status. The Dartmouth Atlas Project also found significant unwarranted variations across hospital referral regions in procedures, spending, and end-of-life care intensity. Areas with more healthcare resources generally had higher utilization and spending but not better outcomes.
How a 5 Hospital System Reduced Infection Rates, Saved Over $2 million and In...
How a 5 Hospital System Reduced Infection Rates, Saved Over $2 million and In...Innovations2Solutions
A 5-hospital health system collaborated with a healthcare services company to reduce infection rates and increase patient satisfaction. They implemented initiatives like rapid diagnostic screening, expanded handwashing campaigns, and upgraded cleaning protocols using UV disinfection. As a result, MRSA infections decreased 64% and all device-related HAIs decreased 56% from 2010-2012. Patient satisfaction scores also improved significantly, increasing 14% on HCAHPS and gaining 63 percentile points on Press Ganey. The initiatives helped the system save over $2 million annually while improving outcomes.Adding Value to the EMR: A Clinical Perspective
Known for leading large-scale healthcare improvement using data and analytics to drive positive change, Dr. Charles Macias speaks to creating greater value in the EMR through analytics. This approach has done more to increase value than many other cost-reduction efforts.
In this webinar you will 1) Explore each component of the value equation, 2) learn how TCH has increased the value of its healthcare using data to drive quality an ever more important need of those facing capitated or value–based care reimbursements and 3) consider a new ROI equation for systems who have invested heavily in their EMRs
Machine Learning applied to heart failure readmissions
Great article on how to integrate machine learning and optimization technique.
One group of researchers was able to reduce heart failure readmissions by 35% by combining machine learning and decision science technique, see "Data-driven decisions for reducing readmissions for heart failure: general methodology and case study" (Bayati, et. al., 2014).
Brindley aegate ams 2.2
The document discusses medicines authentication and outlines several myths to be challenged regarding the Falsified Medicines Directive (FMD), healthcare industry, authentication systems, and a UK pilot project. It proposes conducting a UK pilot to evaluate an authentication system, support FMD compliance, and stimulate stakeholder engagement. Key lessons from the pilot so far include the need for multi-organizational support and representative tests, as well as the importance of clinical engagement and governance structures.
Implementation science tailored to precision prevention
Seminar on Implementation science at Victorian Comprehensive Cancer Center (VCCC), Melbourne April 23, 2018
David Haggstrom Regenstrief Conference Slides
The document discusses approaches to measuring and improving cancer care quality through health information technology and data sharing. It proposes:
1) Measuring quality using longitudinal data from sources like cancer registries to track entire patient populations.
2) Implementing health information exchange and clinical decision support systems to provide real-time quality data and reminders to guide screening and follow-up care.
3) Addressing accountability for follow-up care through approaches like assigning responsibility to larger provider groups or enabling data sharing through personal health records.
Reducing variation in hospital admissions from the emergency department for l...
Reducing variation in hospital admissions from the emergency department for l...John Frias Morales, DrBA, MS
Reducing variation in hospital admissions from the emergency department for low mortality conditions may produce savingsSimilar to Medicares Coverage with Evidence Development Policy 4.21.10 (20)
Empowering Healthcare Leaders: The Business Case for Language Access_10.3.14
Empowering Healthcare Leaders: The Business Case for Language Access_10.3.14
Running head STRATEGIC PLAN FOR CHANGE1STRATEGIC PLAN FOR.docx
Running head STRATEGIC PLAN FOR CHANGE1STRATEGIC PLAN FOR.docx
Electronic Medical Records: From Clinical Decision Support to Precision Medicine
Electronic Medical Records: From Clinical Decision Support to Precision Medicine
Disrupting the Oncology Care Continuum through AI and Advanced Analytics
Disrupting the Oncology Care Continuum through AI and Advanced Analytics
Copyright © 2017 The Author(s). Published by Wolters Kluwer He.docx
Copyright © 2017 The Author(s). Published by Wolters Kluwer He.docx
Leveraging Data And Strong Partnerships To Thrive In The Land Between Volume ...
Leveraging Data And Strong Partnerships To Thrive In The Land Between Volume ...
How a 5 Hospital System Reduced Infection Rates, Saved Over $2 million and In...
How a 5 Hospital System Reduced Infection Rates, Saved Over $2 million and In...
Machine Learning applied to heart failure readmissions
Machine Learning applied to heart failure readmissions
Implementation science tailored to precision prevention
Implementation science tailored to precision prevention
Reducing variation in hospital admissions from the emergency department for l...
Reducing variation in hospital admissions from the emergency department for l...
More from Leonard Davis Institute of Health Economics
The Effects of Federal Parity on Substance Use Disorder Treatment_Andrew Epst...
The Effects of Federal Parity on Substance Use Disorder Treatment_Andrew Epst...Leonard Davis Institute of Health Economics
This study analyzed insurance claims data from before and after the implementation of the Federal Mental Health Parity and Addiction Equity Act to examine the effects of parity on substance use disorder treatment. The results showed:
1) There was no change in the use of substance use disorder services or the total annual spending per enrollee on these services (which increased by only $10 per enrollee).
2) There was also no change in out-of-pocket spending for substance use disorder treatment users or several HEDIS quality measures related to identification and initiation of treatment.
3) This suggests that concerns about parity greatly increasing health care costs related to substance use disorder treatment were unfounded.Epstein,andy ispor poster_2013
This study analyzed insurance claims data from before and after the implementation of the Federal Mental Health Parity and Addiction Equity Act to examine the effects of parity on substance use disorder treatment. The results showed:
1) There was no change in the use of substance use disorder services or the total annual spending per enrollee on these services (which increased by only $10 per enrollee).
2) There was also no change in out-of-pocket spending for substance use disorder treatment users or several HEDIS quality measures related to identification and initiation of treatment.
3) This suggests that concerns about parity greatly increasing health care costs related to substance use disorder treatment were unfounded.
Does a Wireless Incentive Structure Improve Retention, Subject Satisfaction a...
Does a Wireless Incentive Structure Improve Retention, Subject Satisfaction a...Leonard Davis Institute of Health Economics
This study compared retention rates, satisfaction, and safety between intimate partner violence (IPV) research participants paid via wireless gift cards versus cash. Participants receiving gift cards completed significantly more of the 12 weekly phone surveys (average 8.3 vs 6 calls). Over 90% of gift card recipients expressed satisfaction, and 60% preferred this method. While safety did not differ, wireless incentives may improve retention in repetitive IPV research that can involve remote data collection.Characterizing Emergency Department Utilization By A Population-based Cohort...
Characterizing Emergency Department Utilization By A Population-based Cohort...Leonard Davis Institute of Health Economics
This study analyzed data from 658 insured pregnant women in a Midwestern county to compare risks and outcomes between those who did and did not utilize the emergency department (ED) during their peripartum period. The study found that 218 women (33%) visited the ED at least once during this time. ED users were more likely to experience psychosocial risks like postpartum depression and smoking, have poorer birth outcomes like prematurity, and have inadequate prenatal care. After adjusting for demographic factors, ED use was associated with a higher likelihood of postpartum depression, smoking during pregnancy, unstable housing, delayed prenatal care initiation, and missing a postpartum visit.Non-Medically Indicated Delivery Prior to 39 Weeks Gestation in United State...
Non-Medically Indicated Delivery Prior to 39 Weeks Gestation in United State...Leonard Davis Institute of Health Economics
This study conducted a telephone survey of labor and delivery units at U.S. hospitals to determine the prevalence of hospital policies addressing non-medically indicated deliveries prior to 39 weeks gestation. They found that 66.5% of responding hospitals reported having such a policy. Hospitals in states with initiatives to reduce early deliveries were more likely to have a policy, with 67.8% of hospitals in initiative states reporting a policy compared to 62.1% in non-initiative states. The majority (68.8%) of policies were coded as having a "hard stop" against early deliveries. The study concludes that state initiatives can effectively encourage more hospitals to adopt restrictive policies on non-medically indicated early deliverA Qualitative Study of Adverse Childhood Experiences of Low-Income Youth in P...
A Qualitative Study of Adverse Childhood Experiences of Low-Income Youth in P...Leonard Davis Institute of Health Economics
This study explored a broader range of adverse childhood experiences reported by low-income adults from Philadelphia compared to those measured in previous research. The researchers conducted focus groups with 119 participants who generated a list of childhood stressors across 10 domains. The most commonly reported experiences were issues within family relationships, community safety threats, personal victimization, and economic hardship. The study concludes that considering a wider range of adversities is important for understanding health impacts on low-income urban populations.The Intersection of Attitudes and Organizational Factors by Provider Type in ...
The Intersection of Attitudes and Organizational Factors by Provider Type in ...Leonard Davis Institute of Health Economics
This document summarizes a mixed-methods study examining the relationship between mental health therapists' attitudes towards evidence-based practices (EBPs), perceptions of organizational factors, and degree status. The study found that doctoral-level therapists with positive attitudes reported more autonomy, while those with less positive attitudes reported requirements to use CBT and lack of time. Non-doctoral therapists reported lack of resources, space, funding, and regular client access as barriers. Managerial support was a facilitator for all therapists. The study provides insight into implementation challenges faced in community clinics from front-line perspectives.Doulas to fill the gap: a proposed model of doula delivery of cognitive-behav...
Doulas to fill the gap: a proposed model of doula delivery of cognitive-behav...Leonard Davis Institute of Health Economics
This document proposes a model where doulas receive training in cognitive behavioral therapy (CBT) principles from staff at an integrated maternal wellness clinic. The objectives are to incorporate doulas into standard practice while providing training, and to utilize doulas to increase implementation of evidence-based CBT for common mental health issues in the perinatal period like anxiety and depression. Limitations include challenges of implementing a novel intervention and ensuring standardized training, protected staff time, and adherence to practice guidelines.A Glorious Mess: Implementing Evidence-Based Social Skills Interventions in P...
A Glorious Mess: Implementing Evidence-Based Social Skills Interventions in P...Leonard Davis Institute of Health Economics
This study piloted a modified social skills intervention for children with ASD implemented by school personnel in public school settings. The intervention focused on facilitating peer engagement during lunch and recess. Results showed improvements in social network centrality and joint engagement for children who received the immediate treatment compared to those in the waitlist control. However, barriers like unclear staff roles, lack of support, and loss of recess time prevented long-term sustainability. Future work is needed to address school-level barriers to implementation and adapt interventions to fit individual school contexts.Healthcare System Supports for Internists Caring for Young Adult Patients wit...
Healthcare System Supports for Internists Caring for Young Adult Patients wit...Leonard Davis Institute of Health Economics
This study examined the healthcare system supports for internists caring for young adult patients with chronic illnesses that began in pediatric care. Semi-structured interviews were conducted with 21 internists across 4 states. The interviews identified 5 major themes of healthcare system burdens experienced by internists, including difficulty identifying patients' medical teams, inadequate time for complex patients, significant administrative burden, lack of social/case management support, and financial constraints. The interviews also identified 3 potential strategies to improve supports, such as formalizing transfer processes, maximizing electronic records/communication, and leveraging patient-centered medical homes and bundled payments.Elderly Adults with Dementia and Young Adults with Developmental Disabilities...
Elderly Adults with Dementia and Young Adults with Developmental Disabilities...Leonard Davis Institute of Health Economics
Most internists found more similarities than differences in caring for young adults with intellectual and developmental disabilities (I/DD) and elderly adults with dementia. Both populations require longer office visits and more staffing resources due to complex health histories. Obtaining records and coordinating care can be difficult for both. Reliance on advocates, community services for transportation and supervision, and vulnerability to insurance changes are also similarities. While specific diseases differ, models for geriatric care could potentially address supervision and caretaking needs for adults with I/DD. Strengthening safety net services would help low-income families and elderly patients with dementia or I/DD.Is the quality of case management in a medical home associated with patient s...
Is the quality of case management in a medical home associated with patient s...Leonard Davis Institute of Health Economics
This study examines the association between patient perceptions of case manager performance and satisfaction with care, as well as the relationship between perceptions of case managers and primary care providers (PCPs) and subsequent healthcare utilization. The study analyzed survey and claims data from over 2,000 patients receiving primary care from a medical home model with embedded case managers. The results found that higher ratings of both case manager and PCP performance were independently associated with greater patient satisfaction. The study concludes by noting that perceptions of case management may impact health outcomes and behaviors, warranting further analysis of utilization patterns.Comparison of HIV Testing with other Markers of Chronic Disease Screening 4_...
Comparison of HIV Testing with other Markers of Chronic Disease Screening 4_...Leonard Davis Institute of Health Economics
This document analyzes survey data from 2002-2010 on HIV testing rates and chronic disease screening in Southeastern Pennsylvania. It finds that HIV testing rates are lower than screening for other chronic diseases. Populations receiving care at community health clinics, emergency rooms, or with no primary care are more likely to get HIV testing than those at private clinics. While community health clinics perform similar to private clinics on chronic disease screening, those using emergency rooms or with no primary care are less likely to receive routine chronic disease screening. Primary care physicians adhere to guidelines for screening of conditions like blood pressure and cancer but may neglect appropriately screening for HIV.Comparison of HIV Testing with other Markers of Chronic Disease Screening
Comparison of HIV Testing with other Markers of Chronic Disease Screening Leonard Davis Institute of Health Economics
This study analyzed survey data from 50,698 individuals in Southeastern Pennsylvania between 2002-2010 to compare HIV testing rates to other routine health screenings. It found that HIV testing rates were lower than for other conditions. Those receiving care at community health clinics, emergency rooms, or with no primary care had higher odds of receiving an HIV test compared to private clinics. While community health clinics performed similarly to private clinics on other screenings, emergency rooms and no primary care had lower rates. The study suggests primary care physicians may neglect appropriate HIV screening of patients despite adhering to other screening guidelines.High Value Cost Conscious Care: Is it Rationing or Rational Care? 1_11_13
High Value Cost Conscious Care: Is it Rationing or Rational Care? 1_11_13Leonard Davis Institute of Health Economics
1. The document discusses high value cost conscious care and whether it constitutes rationing or rational care.
2. It notes that health care costs in the US continue to rise significantly each year, with diagnostic imaging being a major driver of increasing costs.
3. Data from 6 large health systems showed large variations in diagnostic imaging rates between different regions without clear clinical benefits, indicating opportunities for more rational use of imaging to improve quality and reduce costs.LDI Research Seminar with Art Kellermann, MD, MPH 11_28_12
LDI Research Seminar with Art Kellermann, MD, MPH 11_28_12Leonard Davis Institute of Health Economics
This document summarizes key findings from RAND research on health care spending in the United States. It finds that between 1999-2009, health care costs grew substantially for a median-income American family, consuming money that could have otherwise been used to pay down debt, save for retirement, or pay for education. While Americans received more medical services, the quality of care was still suboptimal, with recommended care received only about 55% of the time. The document also examines different approaches to reducing health care costs, finding that high-deductible health plans with deductibles over $1,000 were effective in reducing spending.CMHPSR/LDI Research Seminar_New Models for Childrens Mental Health Services D...
CMHPSR/LDI Research Seminar_New Models for Childrens Mental Health Services D...Leonard Davis Institute of Health Economics
The document outlines Marc Atkins' presentation goals which include reviewing concerns with the current U.S. children's mental health care system, justifying a focus on schooling using ecological principles and a public health framework, presenting an experimental intervention model and preliminary results, and discussing future directions. It then lists the collaborators involved in the research from various universities.LDI Research Seminar 9_7_12 Eff ects of Federal Policy to Insure Young Adults...
LDI Research Seminar 9_7_12 Eff ects of Federal Policy to Insure Young Adults...Leonard Davis Institute of Health Economics
The document summarizes a study that analyzes the effects of the 2010 Affordable Care Act's dependent coverage mandate on young adults' health insurance coverage and labor market behavior using data from the 2008 panel of the Survey of Income and Program Participation. The study finds that the policy led to a 3.3 percentage point reduction in uninsurance among young adults ages 19-25, a 6.2 percentage point increase in dependent coverage through a parent's employer-sponsored insurance, and evidence of increased labor market flexibility for young adults.LDI Poster Template
This document provides a template for creating scientific posters. It includes suggestions for formatting, design principles, and sections like the title, abstract, methods, results, and conclusions. The template is meant to simplify poster creation and emphasize key points for viewers through techniques like italics, boldface, and effective use of space. Proper formatting of images, tables, and graphs is also discussed. The goal is to design posters that are easy to understand and focused on the needs of the audience.
LDI Charles Leighton Memorial Lecture with Mark Chassin, MD 5_4_12
LDI Charles Leighton Memorial Lecture with Mark Chassin, MD 5_4_12Leonard Davis Institute of Health Economics
1) Current state of quality and safety in healthcare is poor, with routine safety processes failing regularly and preventable adverse events occurring commonly.
2) High reliability organizations like commercial aviation have achieved much higher levels of safety through effective process improvement, a strong safety culture, and principles of collective mindfulness.
3) The Joint Commission aims to transform healthcare into a high reliability industry through initiatives like robust quality measurement, establishing accountability criteria for measures, and promoting high reliability principles.More from Leonard Davis Institute of Health Economics (20)
The Effects of Federal Parity on Substance Use Disorder Treatment_Andrew Epst...
The Effects of Federal Parity on Substance Use Disorder Treatment_Andrew Epst...
Does a Wireless Incentive Structure Improve Retention, Subject Satisfaction a...
Does a Wireless Incentive Structure Improve Retention, Subject Satisfaction a...
Characterizing Emergency Department Utilization By A Population-based Cohort...
Characterizing Emergency Department Utilization By A Population-based Cohort...
Non-Medically Indicated Delivery Prior to 39 Weeks Gestation in United State...
Non-Medically Indicated Delivery Prior to 39 Weeks Gestation in United State...
A Qualitative Study of Adverse Childhood Experiences of Low-Income Youth in P...
A Qualitative Study of Adverse Childhood Experiences of Low-Income Youth in P...
The Intersection of Attitudes and Organizational Factors by Provider Type in ...
The Intersection of Attitudes and Organizational Factors by Provider Type in ...
Doulas to fill the gap: a proposed model of doula delivery of cognitive-behav...
Doulas to fill the gap: a proposed model of doula delivery of cognitive-behav...
A Glorious Mess: Implementing Evidence-Based Social Skills Interventions in P...
A Glorious Mess: Implementing Evidence-Based Social Skills Interventions in P...
Healthcare System Supports for Internists Caring for Young Adult Patients wit...
Healthcare System Supports for Internists Caring for Young Adult Patients wit...
Elderly Adults with Dementia and Young Adults with Developmental Disabilities...
Elderly Adults with Dementia and Young Adults with Developmental Disabilities...
Is the quality of case management in a medical home associated with patient s...
Is the quality of case management in a medical home associated with patient s...
Comparison of HIV Testing with other Markers of Chronic Disease Screening 4_...
Comparison of HIV Testing with other Markers of Chronic Disease Screening 4_...
Comparison of HIV Testing with other Markers of Chronic Disease Screening
Comparison of HIV Testing with other Markers of Chronic Disease Screening
High Value Cost Conscious Care: Is it Rationing or Rational Care? 1_11_13
High Value Cost Conscious Care: Is it Rationing or Rational Care? 1_11_13
LDI Research Seminar with Art Kellermann, MD, MPH 11_28_12
LDI Research Seminar with Art Kellermann, MD, MPH 11_28_12
CMHPSR/LDI Research Seminar_New Models for Childrens Mental Health Services D...
CMHPSR/LDI Research Seminar_New Models for Childrens Mental Health Services D...
LDI Research Seminar 9_7_12 Eff ects of Federal Policy to Insure Young Adults...
LDI Research Seminar 9_7_12 Eff ects of Federal Policy to Insure Young Adults...
LDI Charles Leighton Memorial Lecture with Mark Chassin, MD 5_4_12
LDI Charles Leighton Memorial Lecture with Mark Chassin, MD 5_4_12
Recently uploaded
Best Ayurvedic medicine for Gas and Indigestion
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Top Effective Soaps for Fungal Skin Infections in India
Swisschem Dermacare has mentioned the List of The Best Antifungal Soap In India 2022. All of these soaps are trusted by various Dermatology Experts.
NVBDCP.pptx Nation vector borne disease control program
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
The Best Ayurvedic Antacid Tablets in India
Treat the symptoms of indigestion, heartburn and stomach reflux with the 10 Best Ayurvedic Antacid Tablets in India.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Top 10 Best Ayurvedic Kidney Stone Syrups in India
we have mentioned the best 10 ayurvedic Kidney Stone Syrups. You can check all these products and choose the best one for yourself.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
STIs may cause PID. For the both disease, herbal medicine Fuyan Pill can be a solution.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Recently uploaded (20)
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh