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Author: Lauren Lapointe-Shaw Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Many readmissions after hospital discharge may be preventable through improved transitional care. This thesis seeks to inform clinical practice and policy development to reduce avoidable readmissions. The three included projects use health administrative data to examine the post-discharge care processes and outcomes for patients hospitalized in Ontario, Canada. In the first study, we compared the outcomes for patients discharged during the extended December holiday to outcomes for patients discharged from hospital at other times, over a 14 year period. We found that December holiday-discharged patients were at greater risk of 30-day death or readmission, while also being less likely to have outpatient physician follow-up within 14 days of discharge. The second study evaluated the effects of a physician financial incentive (an additional billing code) on timely follow-up after discharge. Despite physician uptake of the incentive code, there was no change in 14-day follow-up rates after incentive introduction, suggesting that it was not effective in changing physician behavior. In our third study, we compared the outcomes of post-discharge patients receiving a community pharmacy-based medication review to those not receiving one. Among older adults filling a prescription in a community pharmacy, receipt of a medication review was associated with a reduced rate of 30-day death or readmission. These thesis findings provide evidence to support decision- and policymaking relating to the clinical care of patients transitioning home from hospital.
Author: Lauren Lapointe-Shaw Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Many readmissions after hospital discharge may be preventable through improved transitional care. This thesis seeks to inform clinical practice and policy development to reduce avoidable readmissions. The three included projects use health administrative data to examine the post-discharge care processes and outcomes for patients hospitalized in Ontario, Canada. In the first study, we compared the outcomes for patients discharged during the extended December holiday to outcomes for patients discharged from hospital at other times, over a 14 year period. We found that December holiday-discharged patients were at greater risk of 30-day death or readmission, while also being less likely to have outpatient physician follow-up within 14 days of discharge. The second study evaluated the effects of a physician financial incentive (an additional billing code) on timely follow-up after discharge. Despite physician uptake of the incentive code, there was no change in 14-day follow-up rates after incentive introduction, suggesting that it was not effective in changing physician behavior. In our third study, we compared the outcomes of post-discharge patients receiving a community pharmacy-based medication review to those not receiving one. Among older adults filling a prescription in a community pharmacy, receipt of a medication review was associated with a reduced rate of 30-day death or readmission. These thesis findings provide evidence to support decision- and policymaking relating to the clinical care of patients transitioning home from hospital.
Author: Publisher: ISBN: 9781683086857 Category : Languages : en Pages : 546
Book Description
In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.
Author: Longjian Liu Publisher: Elsevier Health Sciences ISBN: 0323495990 Category : Medical Languages : en Pages : 121
Book Description
Get a quick, expert overview of the many key facets of heart failure research with this concise, practical resource by Dr. Longjian Liu. This easy-to-read reference focuses on the incidence, distribution, and possible control of this significant clinical and public health problem which is often associated with higher mortality and morbidity, as well as increased healthcare expenditures. This practical resource brings you up to date with what's new in the field and how it can benefit your patients. - Features a wealth of information on epidemiology and research methods related to heart failure. - Discusses pathophysiology and risk profile of heart failure, research and design, biostatistical basis of inference in heart failure study, advanced biostatistics and epidemiology applied in heart failure study, and precision medicine and areas of future research. - Consolidates today's available information and guidance in this timely area into one convenient resource.
Author: Kristy Collins Publisher: ISBN: Category : Evidence-based nursing Languages : en Pages : 0
Book Description
The recent focus on reduction of hospital readmissions has brought to light the need to improve quality of patient care, and develop more effective strategies to determine the need for post-acute care services. Poor quality of care during an acute care admission, or the lack of clear instruction at discharge can lead to detrimental results for a patient. In residents who reside in a retirement community, often times they are discharged to their independent living apartments with the misunderstanding that they will be cared for by community staff. Because statistics have shown that senior patients who are battling multiple chronic diseases are 100 times more likely to experience a preventable hospital readmission (Amedysis, The Chronic Care Challenge), implementing a policy that ensures communication between the hospital and retirement community staff occurs prior to the patient being discharged is necessary to help bridge the gap in the care continuum. Communication among different members of this continuum will ensure that the patient is receiving the necessary post-acute care services. If post-acute care services are not recommended by the discharging facility, the new policy being implemented will allow for Wellness checks to be provided for the first 2 weeks post discharge when a patient is discharged to their independent living apartment on the retirement community campus, therefore reducing the number of hospital readmissions.
Author: Barbara Starfield Publisher: Oxford University Press, USA ISBN: Category : Medical Languages : en Pages : 284
Book Description
This comprehensive work provides a lucid examination of the difficult problems that arise with the implementation of effective primary care. The book has four purposes: to help practitioners of primary care understand what they do and why; to provide a basis for the training of primary care practitioners; to stimulate research that will provide a more substantive basis for improvements in primary care; and to help policy makers understand the difficulties and challenges of primary care and its importance. In addition to discussing systems of primary care and alternative ways of evaluating them, the author addresses important issues such as practitioner-patient communication, information systems and medical records, referral processes, personnel, managed care, financing, quality assessment and community orientation. This unique volume provides a clear and valuable assessment of the basic concepts, issues and challenges in this increasingly important field.
Author: Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population Publisher: National Academies Press ISBN: 9780309286602 Category : Medical Languages : en Pages : 0
Book Description
In the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the barriers to achieving excellent care for all cancer patients remain daunting. Care often is not patient-centered, many patients do not receive palliative care to manage their symptoms and side effects from treatment, and decisions about care often are not based on the latest scientific evidence. The cost of cancer care also is rising faster than many sectors of medicine--having increased to $125 billion in 2010 from $72 billion in 2004--and is projected to reach $173 billion by 2020. Rising costs are making cancer care less affordable for patients and their families and are creating disparities in patients' access to high-quality cancer care. There also are growing shortages of health professionals skilled in providing cancer care, and the number of adults age 65 and older--the group most susceptible to cancer--is expected to double by 2030, contributing to a 45 percent increase in the number of people developing cancer. The current care delivery system is poorly prepared to address the care needs of this population, which are complex due to altered physiology, functional and cognitive impairment, multiple coexisting diseases, increased side effects from treatment, and greater need for social support. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis presents a conceptual framework for improving the quality of cancer care. This study proposes improvements to six interconnected components of care: (1) engaged patients; (2) an adequately staffed, trained, and coordinated workforce; (3) evidence-based care; (4) learning health care information technology (IT); (5) translation of evidence into clinical practice, quality measurement and performance improvement; and (6) accessible and affordable care. This report recommends changes across the board in these areas to improve the quality of care. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis provides information for cancer care teams, patients and their families, researchers, quality metrics developers, and payers, as well as HHS, other federal agencies, and industry to reevaluate their current roles and responsibilities in cancer care and work together to develop a higher quality care delivery system. By working toward this shared goal, the cancer care community can improve the quality of life and outcomes for people facing a cancer diagnosis.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309047420 Category : Medical Languages : en Pages : 240
Book Description
Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
Author: Eduardo Bancalari Publisher: Elsevier Health Sciences ISBN: 0323568750 Category : Medical Languages : en Pages : 464
Book Description
Dr. Richard Polin’s Neonatology Questions and Controversies series highlights the most challenging aspects of neonatal care, offering trustworthy guidance on up-to-date diagnostic and treatment options in the field. In each volume, renowned experts address the clinical problems of greatest concern to today’s practitioners, helping you handle difficult practice issues and provide optimal, evidence-based care to every patient. Stay fully up to date in this fast-changing field with The Newborn Lung, 3rd Edition. The most current clinical information throughout, including key management strategies that may reduce some of the chronic sequelae of neonatal respiratory failure. New content on the role of microbiome in lung injury and lung development. Current coverage of non-invasive respiratory support, perinatal events and their influence on lung development and injury, cell-based lung therapy, automation of respiratory support, and oxygenation targeting in preterm infants. Consistent chapter organization to help you find information quickly and easily. The most authoritative advice available from world-class neonatologists who share their knowledge of new trends and developments in neonatal care. Purchase each volume individually, or get the entire 7-volume set! Gastroenterology and Nutrition Hematology, Immunology and Genetics Hemodynamics and Cardiology Infectious Disease and Pharmacology New Volume! Nephrology and Fluid/Electrolyte Physiology Neurology The Newborn Lung
Author: Ronnie Ann Rosenthal Publisher: Springer Science & Business Media ISBN: 1441969993 Category : Medical Languages : en Pages : 1364
Book Description
"In the preface to this impressive and well-produced book, the editors state that their aim is not to describe a new surgical specialty, since most surgeons will soon need to be "geriatric surgeons," but to assemble a comprehensive account that will allow "all providers of healthcare to the elderly to understand the issues involved in choosing surgery as a treatment option for their patients." This is a useful book that deserves to do well. I hope that the editors and their publisher will have the stamina to make this the first of several editions, as it is clear that updated information about surgery in the elderly will be required to keep pace with this important field." NEJM Book Review
Author: Lauren Lapointe-Shaw
Author: Lauren Lapointe-Shaw
Author: Kerm Henriksen
Author: 
Author: Longjian Liu
Author: Kristy Collins
Author: Barbara Starfield
Author: Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population
Author: Institute of Medicine
Author: Eduardo Bancalari
Author: Ronnie Ann Rosenthal