Safety-Net Hospitals Aren’t Sustainable — But They Can BeMary Tolan
It didn’t take long for the shock to set in when Chicago’s Westlake Hospital announced its impending closure. The hospital, which serves predominantly low-income communities in Melrose Park and Maywood, first signaled its intent to close in the spring; by fall, it had filed for bankruptcy, citing crushing financial circumstances. When news of the closure broke, many in the community expressed their shock and concern about what the sudden lack of care would do for the community. Some even filed legal action, worried that the closure would have a severe impact on its patient population.
A new report suggests that risks of misdiagnoses or treatment delays are higher when hospital ER overcrowding leads to patients being cared for in hallways.
No more than 5% of physicians in the New York metro region have achieved this designation, which is given by Key Professional Media, a leading research and medical ranking organization.
Dr. Datta, chair of the dept. of surgery and medical director of the Gertrude & Louis Feil Cancer Center at South Nassau Communities Hospital, was named co-honoree in recognition of his community works, leadership, accomplishments and excellence.
Safety-Net Hospitals Aren’t Sustainable — But They Can BeMary Tolan
It didn’t take long for the shock to set in when Chicago’s Westlake Hospital announced its impending closure. The hospital, which serves predominantly low-income communities in Melrose Park and Maywood, first signaled its intent to close in the spring; by fall, it had filed for bankruptcy, citing crushing financial circumstances. When news of the closure broke, many in the community expressed their shock and concern about what the sudden lack of care would do for the community. Some even filed legal action, worried that the closure would have a severe impact on its patient population.
A new report suggests that risks of misdiagnoses or treatment delays are higher when hospital ER overcrowding leads to patients being cared for in hallways.
No more than 5% of physicians in the New York metro region have achieved this designation, which is given by Key Professional Media, a leading research and medical ranking organization.
Dr. Datta, chair of the dept. of surgery and medical director of the Gertrude & Louis Feil Cancer Center at South Nassau Communities Hospital, was named co-honoree in recognition of his community works, leadership, accomplishments and excellence.
Latest Articles, Journals and Case Report Published by Edorium Journals on Ap...Edorium Journals
The open access journals published by Edorium Journals are international, peer reviewed, open access journals covering subjects in medical specialties, surgical specialties and basic sciences. These high quality open access academic journals give every author an avenue to publish their work in some of the best open access journals in medical and biomedical disciplines.
Dr. Peter Ihle, M.D.,F.A.C.S used years of experience & involvement in Wisconsin State Medical Society, the American Medical Association (AMA), the Medical exams WI, the Wisconsin Orthopaedic Society, Medical exams Eau Claire WI the American Academy of Orthopedic Surgeons, Call us today at (715) 514-4390.
1227 Menomonie St., Suite B
Eau Claire, WI 54703
Whitepaper: Hospital Operations Management reduces wait states and replaces d...GE Software
No Wait States … in pursuit of the frictionless patient experience. Electronic health records have fallen short. Patients continue to wait. Costs remain high. Why focusing on operational management can help hospitals make things right … starting now.
Latest Articles, Journals and Case Report Published by Edorium Journals on Ap...Edorium Journals
The open access journals published by Edorium Journals are international, peer reviewed, open access journals covering subjects in medical specialties, surgical specialties and basic sciences. These high quality open access academic journals give every author an avenue to publish their work in some of the best open access journals in medical and biomedical disciplines.
Dr. Peter Ihle, M.D.,F.A.C.S used years of experience & involvement in Wisconsin State Medical Society, the American Medical Association (AMA), the Medical exams WI, the Wisconsin Orthopaedic Society, Medical exams Eau Claire WI the American Academy of Orthopedic Surgeons, Call us today at (715) 514-4390.
1227 Menomonie St., Suite B
Eau Claire, WI 54703
Whitepaper: Hospital Operations Management reduces wait states and replaces d...GE Software
No Wait States … in pursuit of the frictionless patient experience. Electronic health records have fallen short. Patients continue to wait. Costs remain high. Why focusing on operational management can help hospitals make things right … starting now.
The article discusses how the Comprehensive Care Physicians (CCP) model proved to improve patient care and reduce utilization for patients at increased risk for hospitalization.
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The changing nature of healthcare and patients’ desire for convenience have given rise to nontraditional care formats such as stand-alone emergency rooms and “micro-hospitals,” and now “bedless hospitals” are joining the push. Such hospitals still have standard hospital features, including infusion suites, emergency rooms, helipads and operating areas, but no overnight space, In addition to patients’ desire for speedier, more convenient care models, the growth of such facilities is also due to growth in outpatient care within the industry. While experts say increased use of outpatient services offsets the cost of pricier inpatient care, others question whether the increase of bed-less facilities mean fewer resources for patients with complex treatment needs that require beds and overnight stays.
Understanding and Managing Patient Fear in the Hospital SettingInnovations2Solutions
Few regard being in the hospital as a pleasant experience. A hospital stay is usually associated with
a dual burden — the unpleasantness of the condition causing the hospitalization, as well as the discomfort associated with the state of being in a hospital. Medical research and increasingly also patient engagement can help speed and alleviate the first issue. To mitigate the second concern, hospital staff and administrators can make valuable contributions.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
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.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. FREESTANDINGEMERGENCYDEPARTMENTS
Freestanding emergency departments (FSED) have proven to
be the hot, new emergency care model, brandishing all of the
expensive, life-saving equipment of traditional emergency
rooms.
With that said, some are concerned that these 24-hour
facilities, which offer on-site laboratory testing and diagnostic
imaging, concentrate their services in high-income areas,
predominantly servicing those with private insurance, rather
than those with Medicaid.
3. Nothing stands still. Not time, not emergency care medicine. The
surge and gains with regards to freestanding urgent care centers
and emergency departments is a mark of progression, signifying
the fact that the future of emergency care medicine is happening
now. The economics of emergency medicine make sense for a
number of communities, making emergency and ambulatory care
more accessible.
Freestanding EDs are defined by the American College of
Emergency Physicians (ACEP) as “a facility that is structurally
separate and distinct from a hospital and provides emergency
care.” There are two types of ownerships for these facilities:
hospital outpatient departments (HOPD), which are owned and
operated by medical centers, and independent freestanding EDs
(IFECs).
4. Sources suggest that there are 10,000 urgent care centers, 5,000 hospital
emergency departments, 5,000 ambulatory surgery centers, 2,800 retail
clinics, and the 500 freestanding EDs. These functions have been enabled by
technology and consumer preference, and ideally, both insured and uninsured
parents are immunized from overbearing out-of-pocket debt that’s usually due
following a visit to the standard emergency department. More than a visit
costing about a third of emergency room costs, the wait time is also
significantly shorter.
The freestanding ED has gained momentum in recent years, and this can be
contributed to the fact that these facilities tend to be open 24/7. They’re
equipped with CT scanners, labs, x-rays machines, and sophisticated
diagnostic equipment than urgent care centers.
5. With that said, these facilities have been accused of precluding poor and non-
white communities. These standalone ER facilities tend to be located in
affluent, growing communities with high incomes, and often welcomes cherry-
picked patients with private insurance. FSED have roused concern and
criticism due to the fact that this particular type of care access blooms in
areas that has higher annual spending, fewer minorities, and diminished need
for emergency care access.
6. “In the states with the most freestanding EDs, it seems less likely that they
will expand access to underserved populations,” corresponding author
Jeremiah Schuur, M.D., vice chair, Clinical Affairs, Department of Emergency
Medicine, Brigham and Women’s Hospital, said in a statement, “as they are
preferentially located in areas where people had more available health
services, higher rates of private health insurance, lower rates of Medicaid and
higher median incomes.”
7. The lowered rates of Medicaid users can be attributed to the fact that only
HOPDs are able to bill for Medicare patients, influencing the cause for
independent facilities to seek out those who are privately insured. On the
most part, FSEDs exist in Texas, Colorado, and other states that don’t require
a certificate of need.
8. Expanding nationwide, freestanding emergency departments are equipped to
care for those in need of cardiovascular stress test as well as anything from
chest pain, asthma attacks, allergic reactions, seizures, gastrointestinal
bleeding, infections, and other conditions traditionally cared for at hospitals.
FSED have helped to decrease admission at emergency rooms and lower costs
nationally. Some researcher suggest that this effort could be furthered if FSED
partnered with medical home models and feel the need for community-based
medical care.