Read by QxMD icon Read

Hospital Topics

Gabriela Orsak, Kate Starnes, Gerald Ledlow
The current study sought to examine the return on investment (ROI) of a mobile pediatric asthma clinic in a rural region with small metropolitan statistical areas, in terms of reduced costs attributed to preventable emergency department visits, inpatient admission, school absenteeism, cost of education, and parent work absenteeism. For fiscal years 2015 and 2016, an average return of $1.32 and a community ROI of $1.45 was estimated. Estimated benefits were $445,125.00 and cost avoidance was $263,853.01. A mobile pediatric asthma clinics operating in less densely populated regions is able to yield a positive ROI...
October 2, 2018: Hospital Topics
Rangarajan Parthasarathy, Theresa Steinbach, James Knight, Linda Knight
The ability of nurses to adopt and successfully use EMR is expected to have a significant impact on achieving benefits such as reduction in healthcare costs and improvement in healthcare quality. A review of the current research literature reveals issues and concerns relating to the adoption and use of EMR by nurses in hospital environments. This article presents a literature review of such issues and concerns, and suggests a framework for enhancing the adoption and use of EMR by nurses and hospitals.
October 2, 2018: Hospital Topics
Ragarupa Kotala, Daniel J West
Use of the hospitalist model has reduced the number of primary care physicians taking care of inpatients. Physician shortages in primary care has forced many healthcare systems to use locum physicians as part of their delivery system and physician practice plan. With value-based purchasing and new payment models, measuring quality and patient-satisfaction with the hospitalist model is important. Hospital administrators need to carefully monitor the use of locum hospitalists, especially around quality of care and clinical outcomes...
October 2, 2018: Hospital Topics
David P Paul
Despite their widespread use, electronic medical records have created frustrations for physicians, especially those working in busy hospital emergency departments. After a brief discussion of the causes of the problems, a potential solution-the use of medical scribes-is presented. The extant literature regarding results obtained following the implementation of medical scribes in emergency departments is reviewed and some conclusions regarding the future of this phenomenon are presented. The future looks quite bright for use of medical scribes in hospitals' emergency departments...
September 20, 2018: Hospital Topics
Dennis Emmett
This paper examines the accreditation of mental health facilities and sources of funding. The funding sources examined are Medicare, Medicaid, Veterans Administration, private insurance, and client fees. Other factors included are the type of ownership of the facility. The conclusion is that accreditation is important. Different accreditations are important for different funding sources. The most important accreditations are state accreditations. Type of ownership is important, but relatively the least important...
June 6, 2018: Hospital Topics
Seyed Hosein Shaker, Seyed Mohammad Hosseini Kasnavieh, Milad Amini, Ali Tahmasebi, Siamak Soltani
BACKGROUND: Informed consent is legal and ethical process which is considered as important issue in quality of patient's treatment. The aim of the current study was to assess current informed consent of patients admitted in Iranian selected Hospitals, 2016. MATERIALS AND METHODS: This cross-sectional study was conducted on 2150 patients admitted in 11 public Hospitals. Data was collected using a dichotomous questionnaire with 30 questions. Statistical analysis was done using SPSS software (version 18)...
May 22, 2018: Hospital Topics
James R Langabeer, Karima H Lalani, Tiffany Champagne-Langabeer, Jeffrey R Helton
Hospitals continue to face financial pressures from healthcare reform and heightened competition. In this study, our objective was to quantify the financial distress in acute care hospitals in Texas, applying multivariate logistic regression in a four-year longitudinal analysis. Of the 310 acute care hospitals, 50 (16.1%) were in financial distress in the most recent year, up considerably year over year. Distressed hospitals had fewer beds, lower patient acuity, and less outpatient revenues than those in good financial condition...
May 22, 2018: Hospital Topics
Audrey M Johnson, Janice Kuperstein, Dana Howell, Esther E Dupont-Versteegden
Negative consequences of immobility during hospitalization are widely known and remain undisputed. Evidence of low mobility for general medicine adult inpatients persists. Patients who experience hospital acquired functional decline due to low mobility require costly post-acute care services. The impact of immobility on post-acute care physical function and quality of life is directly at odds with value-based care. New Medicare payment models emphasize value-based care to promote care improvement and better patient outcomes...
April 2018: Hospital Topics
James R Langabeer, Karima H Lalani, Rafeek A Yusuf, Jeffrey R Helton, Tiffany Champagne-Langabeer
Teaching hospitals are large and complex, and under constant financial pressure. In this study, we examine the financial performance of 80 large teaching hospitals in the 20 largest cities in the U.S. over the last five years, to identify which strategic and operational management factors separate high-performing hospitals from lower-performing ones. Results suggest that growth strategies should continue to be sought for improving long-term financial condition. Operational efficiency was less important than market share, economic status of surrounding community, hospital size, and teaching intensity...
April 2018: Hospital Topics
Nahid Hajimohammadi, Tabandeh Sadeghi, Seyed Habibollah Hosseini
In this semiexperimental study conducted at the university hospitals in an urban area of Iran, the number of reported incidents-as per the information from offices-was evaluated and recorded for the improvement of the quality of hospitals. Subsequently, an educational intervention was conducted for nursing managers. Three months later, the number of reported incidents was again evaluated and recorded. According to the results, the number of reported incidents increased in the hospitals after the educational intervention...
April 2018: Hospital Topics
Maria Soledad Kappes Ramirez
A study of cost has been performed that considers cases and controls of healthcare-associated infections (HAI) regarding urinary tract infections (UTI) in a public hospital in the south of Chile. To perform the study, 10 cases of UTI were examined, considering the use of a urinary catheter as a risk factor. The study contributes to clarifying the costs of HAI, justifying the investments that can be made in order to prevent HAI in health centers. This study provides the basis to determine the importance not only in preventing infections, but also in the savings that the health system should consider when health centers prevent nosocomial infections...
April 2018: Hospital Topics
Vidya Dalvi, Nandakumar Mekoth
Medication non-adherence is a global health issue. Numerous factors predict it. This study is aimed to identify the association between regimen difficulty and medication non-adherence among patients with chronic conditions and testing the interaction effects of gender and age on the same. It was a cross-sectional study conducted among 479 outpatients from India. Convenience sampling method was used. Multiple regression analyses were performed to find the predictors of non-adherence and to test interaction effects...
April 2018: Hospital Topics
Cory E Cronin, Douglas S Bolon
Mission statements are key elements of how an organization communicates its purpose and priorities to its community. This study considers how mission statements from Ohio, Florida, and Texas hospitals approach key concepts in healthcare - access, cost, and quality. It also considers the concept of community benefit, given its recent prevalence in policy changes. The analysis found quality represented within hospital mission statements at a rate of 65%, compared to 21% for access, 21% for cost, and 24% for community benefit...
January 2018: Hospital Topics
Archontoula Dalma, Pania Karnaki, Agoritsa Baka, Vasilios Raftopoulos, Dina Zota, Afroditi Veloudaki, Amanda Garrison, Paloma Ellis Montalban, Zainub Dhanani, Athena Linos
Health Care Workers (HCWs) are a high-risk group for contracting Vaccine-Preventable Diseases who, despite legislation and guidance, remain undervaccinated. In order to understand their barriers and needs, focus groups were formed with 278 physicians, nurses, infection-control personnel, and policy-makers in 7 EU MS. Several implications for the development of promotional initiatives were identified including the need to overcome organizational barriers, to sensitize HCWs about the importance of immunization and to provide specific up-to-date information about vaccinations covering prevalence of diseases, protection years, side effects, administration times, antibody examinations, costs and immunization settings...
January 2018: Hospital Topics
Taylor Hanzel, Jessica Richards, Paige Schwitters, Kirsten Smith, Kyle Wendland, Jamie Martin, Jaciel Keltgen
Using social capital theory, Augustana University healthcare marketing students examined how medical professionals utilize social media to further engage with their communities. The team selected Twitter as the social media network from which to collect data because of its popularity and ease of use. The sample was drawn from 1,000 Twitter profiles that were retrieved from 24 keywords such as MD. A total of 3,378,285 tweets from this sample were collected and analyzed for content, use of hashtags, mobile device use, frequency, longevity, medical relevance, medical specialty, gender, and approximate age...
January 2018: Hospital Topics
M Paige Powell, Xinhua Yu, Oluaseyi Isehunwa, Cyril F Chang
Emergency department (ED) visits and the number of adults with multiple chronic conditions (MCC) have been increasing over the last decade, but little is known about the trends in ED use for patients with MCC. This study examined national trends in ED use for those with MCC compared with one chronic condition and no chronic conditions and used data from the 2007-2012 National Emergency Department Sample, limited to patients 45 years old or older. ED visits for encounters with one chronic condition and MCC increased at significantly greater rates than for those with no chronic conditions both overall and for all subgroups examined...
January 2018: Hospital Topics
Dennis Palkon
No abstract text is available yet for this article.
October 2017: Hospital Topics
Gary Hackbarth, Kirk Fiedler
The relationship between readmissions and customer service expectations is examined through the lens of the Zone of Tolerance (ZoT) theory. ZoT theory is expanded to consider the potential conflicting expectations and nature of the payer and patent customer dichotomy of the healthcare industry. The paper will suggest opportunities to influence patient expectations and understanding. It will also present empirical methods for understanding and responding to payer service expectations.
October 2017: Hospital Topics
Rajeev Kumar Panda, Rama Koteswara Rao Kondasani
Changes in demographic and sociocultural environment, improved health awareness, and information technology have considerably changed the outlook of healthcare sector in India. While both the public and the private healthcare sectors have priority of increasing access while minimizing costs, they try hard to achieve goals without letting the quality suffer. Customers with rising disposable income no longer have faith in the public healthcare system and are willing to migrate to the private healthcare sector, which is more professional, technology savvy, and trustworthy...
October 2017: Hospital Topics
Suryanto, Virginia Plummer, Malcolm Boyle
The cultural diversity, its archipelago, and the major religion being Muslim have all influenced the development of the healthcare in Indonesia. The authors' objective is to describe the evolution of the healthcare system in Indonesia. Community-based health service, called puskesmas, is the key of the healthcare service in the country. The World Health Organization estimated that 64% of all deaths in Indonesia are caused by noncommunicable diseases, which might relate to the mostly unorganized prehospital care system...
October 2017: Hospital Topics
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"