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https://www.readbyqxmd.com/read/27818131/threats-to-reproductive-health-care-time-for-obstetrician-gynecologists-to-get-involved
#1
David L Eisenberg, V C Leslie
To be healthy, support their families, and be productive members of their communities, women must have access to comprehensive reproductive health services including treatment of miscarriage and ectopic pregnancy and access to abortion, sterilization, and other contraceptive methods. However, in the United States, hospitals and legislative bodies are erecting barriers and limiting access to these basic health care services. These barriers are caused by factors such as hospital mergers (specifically those that are religiously affiliated); federal, state, and local legislation; hospital policies; and business-related decisions are threatening reproductive health care...
November 4, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27806788/-treatment-and-prognostic-analysis-of-retinoblastoma-patients-with-choroid-invasion
#2
Y Z Wang, D S Huang, J T Shi, J M Ma, B Li, X L Xu, H M Hu, Y Zhou, H L Gu
Objective: To observe the treatment and prognosis of choroid invasion of retinoblastoma (RB) in children. Method: A total of 149 children who had been diagnosed with unilateral RB and received enucleation disclosing tumor invasion to choroid from January 2006 to December 2013 in Beijing Tongren Hospital were recruited in this study. Choroid involvement was classified as massive choroid invasion and focal choroid invasion. Massive choroid invasion was defined as a maximum diameter of invasive tumor focus of 3 mm or more in diameter that might reach the scleral tissue...
November 2, 2016: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/27687918/does-laminar-airflow-make-a-difference-to-the-infection-rates-for-lower-limb-arthroplasty-a-study-using-the-national-joint-registry-and-local-surgical-site-infection-data-for-two-hospitals-with-and-without-laminar-airflow
#3
S Singh, S Reddy, Raj Shrivastva
This study compared the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man (NJR) data for total hip replacements (THRs) and total knee replacements (TKRs) from Hospital A [with laminar airflow (LAF)] and Hospital B (without LAF). These hospitals were originally managed by two different trusts that subsequently merged. Consequently, the theatres in Hospital A have always had LAF and those in Hospital B had only conventional ventilation systems. As this merger happened before the establishment of the NJR, it puts us in a unique position, enabling direct comparison of the revision rates for infected hip and knee replacements between the two hospitals that follow similar infection protocols...
September 29, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27625744/hospital-and-health-plan-partnerships-the-affordable-care-act-s-impact-on-promoting-health-and-wellness
#4
Michelle Vu, Annesha White, Virginia P Kelley, Jennifer Kuca Hopper, Cathy Liu
BACKGROUND: The Affordable Care Act (ACA) healthcare reforms, centered on achieving the Centers for Medicare & Medicaid Services (CMS) Triple Aim goals of improving patient care quality and satisfaction, improving population health, and reducing costs, have led to increasing partnerships between hospitals and insurance companies and the implementation of employee wellness programs. Hospitals and insurance companies have opted to partner to distribute the risk and resources and increase coordination of care...
July 2016: American Health & Drug Benefits
https://www.readbyqxmd.com/read/27584895/affiliation-and-its-benefits-to-the-hospital-and-community
#5
Maureen Schneider
As a result of the Affordable Care Act, innovative strategies must be developed and initiated to work with the Affordable Care Act in order to diminish fragmentation of care delivery and thereby improve quality and reduce costs. It is imperative for health care organizations to explore options from mergers and acquisitions to affiliation agreements in order to prepare for business transformation. Since financial strength combined with independent governance and retention of cultural identity may be optimal, a legal transactional structure such as an affiliation is sometimes the best course of action for a health system...
October 2016: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27584890/two-essential-roles-health-care-network-nurse-leaders-and-local-nurse-leaders
#6
Maureen Schneider
American health care organizations are experiencing increasing change driven by emerging partnerships, market demographics, population health initiatives, and merger and acquisition trends. The health care business environment necessitates alterations in how companies operate on a larger scale. New regional leadership roles are being created to provide leadership to systematize networks, build market share, and strengthen market needs. It is important and necessary to explore, review, and contrast the roles, skills, and behaviors of regional leader's roles and the solo organization leaders...
October 2016: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27526483/amsurg-envision-merger-aims-at-hospital-appetite-for-buffet-of-physician-services
#7
Dave Barkholz
No abstract text is available yet for this article.
June 20, 2016: Modern Healthcare
https://www.readbyqxmd.com/read/27380119/impact-of-early-inpatient-rehabilitation-on-adult-burn-survivors-functional-outcomes-and-resource-utilization
#8
Manuel Gomez, Morris Tushinski, Marc G Jeschke
On July 2012, a rehabilitation hospital merged with a trauma center where the regional burn center is located. That rehabilitation center provides the only burn rehabilitation program in our region. The objective of this study was to determine if earlier initiation of inpatient rehabilitation after merger had an effect on burn survivors' functional outcomes and resource utilization. A retrospective review of electronic data of burn survivors' functional outcomes (functional independence measure [FIM] ratings on admission, at discharge, and percent change), and resource utilization (waiting time for rehab, burn center length of stay [LOS], rehab LOS, physiotherapy and occupational therapy rehabilitation workload [RehabWorkload], and discharge destination) was undertaken...
June 29, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/27265946/effective-staffing-takes-a-village-creating-the-staffing-ecosystem
#9
Margaret Gavigan, Therese A Fitzpatrick, Carole Miserendino
The traditional approaches to staffing and scheduling are often ineffective in assuring sufficient budgeting and deployment of staff to assure the right nurse at the right time for the right cost. As hospital merger activity increases, this exercise is further complicated by the need to rationalize staffing across multiple enterprises and standardize systems and processes. This Midwest hospital system successfully optimized staffing at the unit and enterprise levels by utilizing operations research methodologies...
March 2016: Nursing Economic$
https://www.readbyqxmd.com/read/27140995/differing-impacts-of-market-concentration-on-affordable-care-act-marketplace-premiums
#10
Richard M Scheffler, Daniel R Arnold, Brent D Fulton, Sherry A Glied
Recent increases in market concentration among health plans, hospitals, and medical groups raise questions about what impact such mergers are having on costs to consumers. We examined the impact of market concentration on the growth of health insurance premiums between 2014 and 2015 in two Affordable Care Act state-based Marketplaces: Covered California and NY State of Health. We measured health plan, hospital, and medical group market concentration using the well-known Herfindahl-Hirschman Index (HHI) and used a multivariate regression model to relate these measures to premium growth...
May 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27139402/a-process-model-for-it-migrations-in-the-context-of-a-hospital-merger-results-from-an-austrian-case-study
#11
Katharina Steininger, Birgit Kempinger, Stefan Schiffer, Gustav Pomberger
In 2016, a new university hospital merged from three former independent Austrian hospitals started its operation. This paper presents a process model developed to coordinate the IT migration after the merger, using five phases to meet the requirements of the specific setting. A methodological mix of interviews, surveys and workshops was applied during the IT migration process. High stakeholder participation and a transparent methodical approach led to a broad agreement on success factors, migration objectives, and evaluation results...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27068659/decomposition-of-potential-efficiency-gains-from-hospital-mergers-in-greece
#12
Angeliki Flokou, Vassilis Aletras, Dimitris Niakas
This paper evaluates the technical efficiency of 71 Greek public hospitals and examines potential efficiency gains from 13 candidate mergers among them. Efficiency assessments are performed using bootstrapped Data Envelopment Analysis (DEA) whilst merger analysis is conducted by applying the Bogetoft and Wang methodology which allows the overall potential merger gains to be decomposed into three main components of inefficiency, namely technical (or learning), scope (or harmony) and scale (or size) effects. Thus, the analysis provides important insights not only on the magnitude of the potential total efficiency gains but also on their sources...
April 11, 2016: Health Care Management Science
https://www.readbyqxmd.com/read/26956890/the-design-fate-and-impact-of-a-hospital-wide-training-program-in-evidence-based-medicine-for-physicians-an-observational-study
#13
Johan Thor, Daniel Olsson, Jörgen Nordenström
BACKGROUND: Many doctors fail to practice Evidence-Based Medicine (EBM) effectively, in part due to insufficient training. We report on the design, fate and impact of a short learner-centered EBM train-the-trainer program aimed at all 2400 doctors at the Karolinska University Hospital in Sweden on the heels of a tumultuous merger, focusing particularly on whether it affected the doctors' knowledge, attitudes and skills regarding EBM. METHODS: We used a validated EBM instrument in a before-and-after design to assess the impact of the training...
2016: BMC Medical Education
https://www.readbyqxmd.com/read/26904780/the-capital-budgeting-process-of-healthcare-organizations-a-review-of-surveys
#14
REVIEW
Tarun Mukherjee, Naseem Al Rahahleh, Walter Lane
Several surveys have been administered over the last 40 plus years to learn about capital budgeting practices of healthcare organizations. In this report, we analyze and synthesize these surveys in a four-stage framework of the capital budgeting process: identification, development, selections, and post-audit. We examine three issues in particular: (1) efficiency of for-profit hospitals relative to not-for-profit hospitals, (2) capital budgeting practices of the healthcare industry vis-à-vis other industries, and (3) effects of healthcare mergers and acquisitions on capital budgeting decisions...
January 2016: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/26870605/the-daniel-k-inouye-college-of-pharmacy-scripts-prescription-drug-pricing
#15
Wesley K Sumida, Ronald Taniguchi, Deborah Taira Juarez
Prescription drugs have reduced morbidity and mortality and improved the quality of life of millions of Americans. Yet, concerns over drug price increases loom. Drug spending has risen relatively slowly over the past decade because many of the most popular brand-name medicines lost patent protection. In the near future, there will be fewer low-cost generics coming into the market to offset the rising prices of brand-name drugs. Drug expenditures are influenced by both volume and price. This article focuses on how drug prices are set in the United States and current trends...
January 2016: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/26863833/hospital-cost-containment-strategies-that-earn-the-respect-of-rating-agencies
#16
Jason Dopoulos
To confirm that hospitals have the necessary structures and strategies in place to reduce costs and secure future market share, credit rating agencies analyze a variety of quantitative and qualitative criteria, including: Salaries and benefits, bad debt, age of plant and depreciation, and other line items that may point to inefficiencies in a hospital's expense structure. Cost-benefit analyses, strategic plans, and leadership qualities that show the long-term value of expense cuts, capital investments, and mergers and acquisitions...
January 2016: Healthcare Financial Management: Journal of the Healthcare Financial Management Association
https://www.readbyqxmd.com/read/26814369/private-capital-investments-in-health-care-provision-through-mergers-and-acquisitions-from-long-term-to-acute-care
#17
Federica Angeli, Hans Maarse
OBJECTIVES: This work aims to test whether different segments of healthcare provision differentially attract private capital and thus offer heterogeneous opportunities for private investors' diversification strategies. METHODS: Thomson Reuter's SDC Platinum database provided data on 2563 merger and acquisition (M&A) deals targeting healthcare providers in Western Europe between 1990 and 2010. Longitudinal trends of industrial and geographical characteristics of M&As' targets and acquirers are examined...
October 2016: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/26720983/rural-hospital-mergers-and-acquisitions-which-hospitals-are-being-acquired-and-how-are-they-performing-afterward
#18
Marissa J Noles, Kristin L Reiter, Jonathan Boortz-Marx, George Pink
The number of stand-alone rural hospitals has been shrinking as larger health systems target these hospitals for mergers and acquisitions (M and As). However, little research has focused specifically on rural hospital M and A transactions. Using data from Irving Levin Associates' Healthcare M and A Report and Medicare Cost Reports from 2005 to 2012, we examined two research questions: (1) What were the characteristics of rural hospitals that merged or were acquired, and (2) were there changes in rural hospital financial performance, staffing, or services after an M and A transaction? We used logistic regression to identify factors predictive of merger, and we used multiple regression to examine various hospital measures after an M or A...
November 2015: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/26715242/reshaping-the-emergency-radiology-call-experience-after-the-merger-of-two-programs-the-yale-experience
#19
Michael S Kelleher, Michael F Rolen, S A Jamal Bokhari
In the summer of 2013, 16 radiology residents from the Hospital of Saint Raphael (HSR) joined the 38 residents of Yale-New Haven Hospital (YNHH) to become a single 54-resident program. This posed a significant challenge given the number of residents and very different call structures of the two institutions. After evaluating the emergency radiology volume at both hospitals, it was determined that implementing YNHH's traditional call system at HSR would increase call by approximately 25 %. In order to negate this increase, the SRC rotation was created at HSR...
February 2016: Emergency Radiology
https://www.readbyqxmd.com/read/26643437/hospital-merger-control-in-germany-the-netherlands-and-england-experiences-and-challenges
#20
REVIEW
Andreas Schmid, Marco Varkevisser
Aiming at the efficiency enhancing and quality improving effects of competition, various steps have been undertaken to foster competition in hospital markets. For these mechanisms to work, robust competition policy needs to be enacted and enforced. We compare the hospital markets in Germany, the Netherlands and England regarding their experience with competition and put a special focus on merger control and the stringency of its implementation. Elaborating on the differences in merger control practice we find that despite very similar goals the respective agencies apply very different approaches and take fundamentally different routes when balancing proclaimed benefits of mergers with potential risks of consolidated markets...
January 2016: Health Policy
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