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https://www.readbyqxmd.com/read/28920658/value-based-health-care-how-to-succeed-in-a-bundled-care-apm
#1
Daniel T Engelman
No abstract text is available yet for this article.
March 2017: Bulletin of the American College of Surgeons
https://www.readbyqxmd.com/read/28917833/values-based-shared-decision-making-in-the-antenatal-period
#2
REVIEW
Stephanie K Kukora, Renee D Boss
Despite advances in life-saving technology for critically ill neonates, challenges continue to arise for infants delivered with extreme prematurity, congenital anomalies, and genetic conditions that exceed the limits of currently available interventions. In these situations, parents are forced to make cognitively and emotionally difficult decisions, in discussion with a neonatologist, regarding how aggressively to provide supportive measures at the time of delivery and at what point burdens of therapy outweigh benefits...
September 13, 2017: Seminars in Fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28903078/derivation-of-reliable-empirical-models-describing-lead-transfer-from-metal-polluted-soils-to-radish-raphanus-sativa-l-determining-factors-and-soil-criteria
#3
Sha Zhang, Jing Song, Yinwen Cheng, Peter Christie, Jian Long, Lingfei Liu
Reliable models describing Pb transfer from soils to food crops are useful in the improvement of soil protection guidelines. This study provides mechanistic insights from in-situ soil solution measurement on the Pb uptake in the root tissues (RF) of radish, grown in 25 representative Pb-contaminated agricultural soils. Lead speciation and regression analysis indicate that >88.6% of the variation in RF Pb is attributable to free Pb(2+) activity (aPb(2+)) in the soil solution, which is predominantly controlled by pH and DOC...
September 10, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28901983/enhanced-recovery-after-surgery-evidence-for-delivering-value-based-care
#4
Anair Beverly, Dionisios Vrochides, Richard D Urman
No abstract text is available yet for this article.
2017: International Anesthesiology Clinics
https://www.readbyqxmd.com/read/28901346/-procurement-of-medical-devices-based-on-cost-effectiveness-data
#5
Sabrina Trippoli
The field of medical devices is characterized by a paucity of cost-effectiveness data that support their use. In this context, we have proposed a project based on the calculation of net monetary benefit (NMB) for each product subjected to procurement through tenders. This project consists of two steps: 1) calculation of NMB; 2) calculation of a value-based score to be used in the process of procurement and tendering. The NMB is defined as follows: NMB per patient= (monetary threshold of WTP) x (QALYs per patient) - (treatment cost per patient); WTP= willingness to pay]...
September 2017: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/28901308/utility-of-fluorescence-in-situ-hybridization-analysis-for-detecting-upper-urinary-tract-urothelial-carcinoma
#6
Jiang Yu, Hui Xiong, Chunxiao Wei, Zilian Cui, Xunbo Jin, Jianjun Zhang
OBJECTIVES: The objective of this study was to evaluate the clinical utility of fluorescence in situ hybridization (FISH) in the detection of upper urinary tract-urothelial carcinoma (UUT-UC). METHODS: Between November 2011 and November 2015, voided urine specimens from 52 consecutive patients with UUT-UC and 26 controls were collected for both FISH test and cytology. Sensitivity and specificity of FISH test and cytology were determined and compared. The frequency of chromosomal aberrations was also analyzed...
2017: Journal of Cancer Research and Therapeutics
https://www.readbyqxmd.com/read/28899704/2017-acr-annual-meeting-open-microphone-session-navigating-the-landscape-of-changing-practice-models-private-practice-corporate-radiology-and-enterprise-systems
#7
Eric J Stern, Catherine Everett, Eric B Friedberg, Amy L Kotsenas, McKinley Glover, Johnson B Lightfoote, Neil Lall, Timothy L Swan
Many practice groups are considering adopting new practice models, primarily to secure their practices by adapting to new payment models, government compliance and regulation, and increasing IT and infrastructure costs. As we move toward value-based care and capitation, the value equation (value = quality/cost) will lead us to also compete on cost to improve value. No matter what payment models ultimately dominate, we need to be prepared to lead in a value-based care environment. Measures of value will either be defined by radiologists or imposed by outside entities...
September 9, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28899233/differences-in-utility-elicitation-methods-in-cardiovascular-disease-a-systematic-review
#8
Marissa Blieden, Shravanthi R Gandra, Lung-I Cheng, Anna Szatkowski, Peter P Toth
AIMS: Utility values inform estimates of the cost-effectiveness of treatment for cardiovascular disease (CVD), but values can vary depending on the method used. The aim of this systematic literature review (SLR) was to explore how methods of elicitation impact utility values for CVD. MATERIALS AND METHODS: We identified English-language articles in Embase, MEDLINE, and the grey literature published between September 1992 and August 2015 using keywords for 'utilities' and 'stroke,' 'heart failure,' 'myocardial infarction,' or 'angina...
September 12, 2017: Journal of Medical Economics
https://www.readbyqxmd.com/read/28898574/integrating-kidney-transplantation-into-value-based-care-for-people-with-renal-failure
#9
Benjamin E Hippen, Franklin W Maddux
Healthcare reimbursement is increasingly tied to value instead of volume, with special attention paid to resource-intensive populations such as patients with renal disease. To this end, Medicare has sponsored pilot projects to encourage providers to develop care coordination and population health management strategies to provide quality care while reducing resource utilization. In this Personal Viewpoint essay, we argue in favor of expanding one such pilot project-the Comprehensive ESRD Care (CEC) initiative-to include patients with advanced chronic kidney disease and kidney transplant recipients...
September 12, 2017: American Journal of Transplantation
https://www.readbyqxmd.com/read/28898195/user-centered-design-for-developing-interventions-to-improve-clinician-recommendation-of-human-papillomavirus-vaccination
#10
Michelle L Henninger, Carmit K Mcmullen, Alison J Firemark, Allison L Naleway, Nora B Henrikson, Joseph A Turcotte
INTRODUCTION: Human papillomavirus (HPV) is the most common sexually transmitted infection in the US and is associated with multiple types of cancer. Although effective HPV vaccines have been available since 2006, coverage rates in the US remain much lower than with other adolescent vaccinations. Prior research has shown that a strong recommendation from a clinician is a critical determinant in HPV vaccine uptake and coverage. However, few published studies to date have specifically addressed the issue of helping clinicians communicate more effectively with their patients about the HPV vaccine...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28895829/in-utah-process-measures-are-winning-friends-influencing-outcomes
#11
Michael D Dalzell
Choosing the right blend of quality metrics for each DRG is one of the many intricacies of Value-Driven Outcomes (VDOs), Utah's answer to the challenge of how to "do" value-based care. An initiative five years in the making, VDO matches indicators of quality to DRGs with substantial variation in cost within Utah's own system.
July 2017: Managed Care
https://www.readbyqxmd.com/read/28895824/value-based-care-will-flop-without-clinical-integration
#12
Chad Johnson
Value-based payment is gaining traction and proving to be a major factor in health care reform. But the success of those value-based models will depend on true clinical integration of providers-not just lip service to coordination.
August 2017: Managed Care
https://www.readbyqxmd.com/read/28895820/bob-kocher-believes-with-missionary-zeal-that-venture-capital-can-start-to-cure-what-ails-american-health-care
#13
Timothy Kelley
This upbeat doctor-policymaker-entrepreneur sees opportunity where others see a federal policy train wreck these days. For instance, he's pleased that both political parties seem to endorse a shift from fee-for-service to value-based care. However, continuing uncertainty about the individual market may chill new investment in that area for a while.
August 2017: Managed Care
https://www.readbyqxmd.com/read/28895692/development-of-equations-and-proposed-reference-values-to-estimate-body-fat-mass-among-chilean-children-and-adolescents
#14
Marco Cossio-Bolaños, Miguel de Arruda, José Sulla Torres, Camilo Urra Albornoz, Rossana Gómez Campos
INTRODUCTION: The assessment of body composition is relevant to establish nutritional status and identify potential health risks. OBJETIVE: a) To develop regression equations to predict fat mass (FM) using a dual-energy X-ray absorptiometry as reference method; b) to propose reference FM values based on chronological and biological age for Chilean children and adolescents. METHODOLOGY: Cross-sectional study in children and adolescents aged 5...
October 1, 2017: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/28890196/cost-effectiveness-and-public-health-impact-of-alternative-influenza-vaccination-strategies-in-high-risk-adults
#15
Jonathan M Raviotta, Kenneth J Smith, Jay DePasse, Shawn T Brown, Eunha Shim, Mary Patricia Nowalk, Angela Wateska, Glenson S France, Richard K Zimmerman
PURPOSE: High-dose trivalent inactivated influenza vaccine (HD-IIV3) or recombinant trivalent influenza vaccine (RIV) may increase influenza vaccine effectiveness (VE) in adults with conditions that place them at high risk for influenza complications. This analysis models the public health impact and cost-effectiveness (CE) of these vaccines for 50-64year-olds. METHODS: Markov model CE analysis compared 5 strategies in 50-64year-olds: no vaccination; only standard-dose IIV3 offered (SD-IIV3 only), only quadrivalent influenza vaccine offered (SD-IIV4 only); high-risk patients receiving HD-IIV3, others receiving SD-IIV3 (HD-IIV3 & SD-IIV3); and high-risk patients receiving HD-IIV3, others receiving SD-IIV4 (HD-IIV3 & SD-IIV4)...
September 7, 2017: Vaccine
https://www.readbyqxmd.com/read/28888316/outcome-metrics-after-burn-injury-from-patient-reported-outcome-measures-to-value-based-health-care
#16
REVIEW
Jonathan S Friedstat, Colleen M Ryan, Nicole Gibran
Outcomes research is important because it allows us to critically evaluate our results and strive for quality improvement, share our experiences with our colleagues, and improve the care and results delivered to the patient. This article focuses on outcomes research in burns from a historical perspective, highlights some of the current innovations, and previews future directions for outcomes-based research in burn care.
October 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28887349/population-health-management-an-independent-physician-organization-approach
#17
Jeanette L Altavela, Kathryn M Dorward, Thomas A Sorrento, Katherine M Diehl, Cori A Wyman
PURPOSE: The role of clinical pharmacists and their impact on population health and value-based contracts within a multidisciplinary care management team are described. SUMMARY: The Greater Rochester Independent Practice Association (GRIPA) has promoted high-quality, value-based care since its foundation 20 years ago. One of several ways that GRIPA enables its physicians to succeed in shared-savings agreements is by providing a community-based multidisciplinary care management team...
September 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28887347/pharmacists-supporting-population-health-in-patient-centered-medical-homes
#18
Antoinette B Coe, Hae Mi Choe
PURPOSE: The integral role of pharmacists in supporting population health initiatives in the patient-centered medical home (PCMH) model of care is described. SUMMARY: Population health initiatives focus on the health outcomes of a group of patients; in the PCMH model, such groups of patients, known as panels, may be defined as patients assigned to a care team or provider. The basic characteristics of the PCMH model include physician-led, team-based practice; coordinated and integrated care within the PCMH and in the patient's community; provision of safe, evidence-based, high-quality care; incorporation of health information technology and continuous quality improvement strategies into panel identification, documentation, and care processes; improved access to care (e...
September 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28886191/clinical-chemistry-reference-intervals-of-healthy-adult-populations-in-gojjam-zones-of-amhara-national-regional-state-northwest-ethiopia
#19
Zewdie Mekonnen, Asmare Amuamuta, Wondemagegn Mulu, Mulat Yimer, Yohannes Zenebe, Yesuf Adem, Bayeh Abera, Wondemu Gebeyehu, Yakob Gebregziabher
BACKGROUND: Reference interval is crucial for disease screening, diagnosis, monitoring, progression and treatment efficacy. Due to lack of locally derived reference values for the parameters, clinicians use reference intervals derived from western population. But, studies conducted in different African countries have indicated differences between locally and western derived reference values. Different studies also indicated considerable variation in clinical chemistry reference intervals by several variables such as age, sex, geographical location, environment, lifestyle and genetic variation...
2017: PloS One
https://www.readbyqxmd.com/read/28885532/governance-practices-in-an-era-of-healthcare-transformation-achieving-a-successful-turnaround
#20
Samuel E Sondheim, Dipesh M Patel, Nicole Chin, Kurt Barwis, Julie Werner, Alexus Barclay, Angela Mattie
This article illustrates the successful application of principles established by the American Hospital Association (AHA) to foster hospital transformations (). We examined a small community hospital's successful transition from one emergency care center (ECC) physician group to another and the methods by which significant improvements in outcomes were achieved. The foundation of this transformation included a generative governance style at the board level, a shared governance model at the employee level, a renewed sense of employee and physician engagement, and a sense of individual accountability...
September 2017: Journal of Healthcare Management / American College of Healthcare Executives
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