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https://www.readbyqxmd.com/read/28922291/population-based-models-of-planning-for-palliative-care-in-older-people
#1
David C Currow, Jane Phillips, Meera Agar
PURPOSE OF REVIEW: Health service planning requires demographic, clinical, and health systems data and is unique to each health system. Planning for palliative care in older people must include patients and their carers. This review explores literature from the last 24 months. RECENT FINDINGS: The proportion of people living in skilled nursing facilities is increasing and many residents require quality palliative care. Simultaneously, the complexity of care for older people is also increasing...
September 16, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28918956/healthcare-utilization-and-expenditures-for-united-states-medicare-beneficiaries-with-systemic-vasculitis
#2
Carolyn T Thorpe, Joshua M Thorpe, Tao Jiang, Dylan Atkinson, Yihuang Kang, Loren J Schleiden, Delesha M Carpenter, Julie Anne G McGregor, Susan L Hogan
OBJECTIVE: The Medicare federal insurance program is the most common United States insurer of patients with systemic vasculitis (SV). We compared healthcare utilization and expenditures for Medicare beneficiaries with versus without SV. METHODS: This national, retrospective study used 2010 claims and enrollment data for a 100% cohort of Medicare Part A and B beneficiaries with ≥1 claim including a diagnosis for a form of SV (n = 176,498), and a randomly selected group of non-SV beneficiaries (n = 46,561)...
August 10, 2017: Seminars in Arthritis and Rheumatism
https://www.readbyqxmd.com/read/28917026/venous-thromboembolism-rates-in-transferred-patients-a-cross-sectional-study
#3
Samuel Lai, Eric Ton, Marianne Lovejoy, William Graham, Alpesh Amin
BACKGROUND: Patients undergoing a transfer during a hospitalization may be more likely to be diagnosed with a venous thromboembolism (VTE) than patients who are not transferred. OBJECTIVE: To determine whether transferred patients have an increased prevalence of VTE diagnosis. DESIGN: This was a cross-sectional study comparing VTE diagnosis rates between transferred patients and non-transferred patients. For the years 2012-2014, the University HealthSystem Consortium database of multiple community and academic medical centers throughout the United States was parsed using ICD-9 VTE diagnosis codes and patient's point of origin...
September 15, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28910238/telemanagement-of-heart-failure-patients-across-the-post-acute-care-continuum
#4
Amy Dadosky, Heather Overbeck, Laura Barbetta, Ken Bertke, Maureen Corl, Kathleen Daly, Natasha Hiles, Nancy Rector, Eugene Chung, Santosh Menon
BACKGROUND: Heart failure (HF) is a chronic condition causing nearly 1 million hospital admissions annually in the United States with 25% of patients rehospitalized within 30 days. INTRODUCTION: The purpose of this study was to investigate whether telemanagement of HF patients throughout the post-acute continuum of care would reduce rehospitalization rates and improve patient self-care knowledge and satisfaction. MATERIALS AND METHODS: HF patients discharged to a skilled nursing facility (SNF) received telemanagement by HF clinicians with opportunity for continuation at home with assistance of home healthcare (HHC) nurses...
September 13, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28899592/the-american-college-of-surgeons-national-surgical-quality-improvement-program-surgical-risk-calculator-has-a-role-in-predicting-discharge-to-post-acute-care-in-total-joint-arthroplasty
#5
Daniel E Goltz, Billy T Baumgartner, Cary S Politzer, Marcus DiLallo, Michael P Bolognesi, Thorsten M Seyler
BACKGROUND: Patient demand and increasing cost awareness have led to the creation of surgical risk calculators that attempt to predict the likelihood of adverse events and to facilitate risk mitigation. The American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator is an online tool available for a wide variety of surgical procedures, and has not yet been fully evaluated in total joint arthroplasty. METHODS: A single-center, retrospective review was performed on 909 patients receiving a unilateral primary total knee (496) or hip (413) arthroplasty between January 2012 and December 2014...
August 18, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28891876/impact-of-a-nurse-residency-program-on-transition-to-specialty-practice
#6
Susan A Boyer, Krystal K Valdez-Delgado, Jody L Huss, Amber J Barker, Elizabeth A Mann-Salinas
A nurse residency program can support transition for new-to-specialty nurses but requires commitment of time and resources. This implementation project used a specialty residency program shown to be effective in a Burn Center, and translated it into the Emergency Department and Maternal Child Health area located within the same medical treatment facility. Preceptor survey responses and leadership assessment of program suitability provided data related to intervention impact. The evidence pertaining to developing specialty knowledge, skills, competency, and clinical reasoning validated program efficacy...
September 2017: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/28887048/nursing-staff-s-perceptions-of-quality-of-care-for-children-in-emergency-departments-high-respect-low-resources
#7
Katja Janhunen, Päivi Kankkunen, Tarja Kvist
PURPOSE: To describe the quality of care for children in emergency departments (ED) as perceived by the nursing staff, and to compare the quality of care for children in a pediatric ED and in a general ED and to identify care quality factors that predict nursing staff's satisfaction with pediatric care in an ED. DESIGN AND METHODS: A cross-sectional survey study was performed using the 41-item Children Revised Humane Caring Scale (CRHCS) to collect data (n=147) from acute hospitals' pediatric EDs and general EDs in November 2015...
September 5, 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28878435/assessment-of-knowledge-about-snakebite-management-amongst-healthcare-providers-in-the-provincial-and-two-district-hospitals-in-savannakhet-province-lao-pdr
#8
Vongphoumy Inthanomchanh, Joshua A Reyer, Joerg Blessmen, Ketkesone Phrasisombath, Eiko Yamamoto, Nobuyuki Hamajima
Snakebite is a neglected condition and a common public health problem in Lao People's Democratic Republic (Lao PDR), with a high incidence of up to 1,105 cases per 100,000 persons per year. Snakebite patients with systemic envenoming do not receive effective treatment at local health facilities. Healthcare providers have only limited knowledge in assessing and providing the correct treatment for venomous snakebites. A cross-sectional study was conducted among 119 healthcare providers in Savannakhet Province, Lao PDR, with respect to their socio-demographic characteristics, knowledge of snake identification, and management of snakebite...
August 2017: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/28874486/reducing-hospital-readmissions-through-preferred-networks-of-skilled-nursing-facilities
#9
John P McHugh, Andrew Foster, Vincent Mor, Renée R Shield, Amal N Trivedi, Terrie Wetle, Jacqueline S Zinn, Denise A Tyler
Establishing preferred provider networks of skilled nursing facilities (SNFs) is one approach hospital administrators are using to reduce excess thirty-day readmissions and avoid Medicare penalties or to reduce beneficiaries' costs as part of value-based payment models. However, hospitals are also required to provide patients at discharge with a list of Medicare-eligible providers and cannot explicitly restrict patient choice. This requirement complicates the development of a SNF network. Furthermore, there is little evidence about the effectiveness of network development in reducing readmission rates...
September 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28870269/failure-to-communicate-transmission-of-extensively-drug-resistant-bla-oxa-237-containing-acinetobacter-baumannii-multiple-facilities-in-oregon-2012-2014
#10
Genevieve L Buser, P Maureen Cassidy, Margaret C Cunningham, Susan Rudin, Andrea M Hujer, Robert Vega, Jon P Furuno, Steven H Marshall, Paul G Higgins, Michael R Jacobs, Meredith S Wright, Mark D Adams, Robert A Bonomo, Christopher D Pfeiffer, Zintars G Beldavs
OBJECTIVE To determine the scope, source, and mode of transmission of a multifacility outbreak of extensively drug-resistant (XDR) Acinetobacter baumannii. DESIGN Outbreak investigation. SETTING AND PARTICIPANTS Residents and patients in skilled nursing facilities, long-term acute-care hospital, and acute-care hospitals. METHODS A case was defined as the incident isolate from clinical or surveillance cultures of XDR Acinetobacter baumannii resistant to imipenem or meropenem and nonsusceptible to all but 1 or 2 antibiotic classes in a patient in an Oregon healthcare facility during January 2012-December 2014...
September 5, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28865889/regional-variation-in-utilization-in-hospital-mortality-and-health-care-resource-use-of-transcatheter-aortic-valve-implantation-in-the-united-states
#11
Tanush Gupta, Ankur Kalra, Dhaval Kolte, Sahil Khera, Pedro A Villablanca, Kashish Goel, Anna E Bortnick, Wilbert S Aronow, Julio A Panza, Neal S Kleiman, J Dawn Abbott, David P Slovut, Cynthia C Taub, Gregg C Fonarow, Michael J Reardon, Charanjit S Rihal, Mario J Garcia, Deepak L Bhatt
We queried the National Inpatient Sample database from 2012 to 2014 to identify all patients aged ≥18 years undergoing transcatheter aortic valve implantation (TAVI) in the United States. Regional differences in TAVI utilization, in-hospital mortality, and health-care resource use were analyzed. Of 41,025 TAVI procedures in the United States between 2012 and 2014, 10,390 were performed in the Northeast, 9,090 in the Midwest, 14,095 in the South, and 7,450 in the West. Overall, the number of TAVI implants per million adults increased from 24...
August 10, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28863353/predicting-3-year-mortality-and-admission-to-acute-care-hospitals-skilled-nursing-facilities-and-long-term-care-facilities-in-medicare-beneficiaries
#12
Jibby E Kurichi, Hillary R Bogner, Joel E Streim, Dawei Xie, Pui L Kwong, Debra Saliba, Sean Hennessy
PURPOSE: The ability to predict mortality and admission to acute care hospitals, skilled nursing facilities (SNFs), and long-term care (LTC) facilities in the elderly and how it varies by activity of daily living (ADL) and instrumental ADL (IADL) status could be useful in measuring the success or failure of economic, social, or health policies aimed at disability prevention and management. We sought to derive and assess the predictive performance of rules to predict 3-year mortality and admission to acute care hospitals, SNFs, and LTC facilities among Medicare beneficiaries with differing ADL and IADL functioning levels...
August 24, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28862964/hospital-practice-of-direct-home-discharge-and-30-day-readmission-after-transcatheter-aortic-valve-replacement-in-the-society-of-thoracic-surgeons-american-college-of-cardiology-transcatheter-valve-therapy-sts-acc-tvt-registry
#13
John A Dodson, Mathew R Williams, David J Cohen, Pratik Manandhar, Sreekanth Vemulapalli, Caroline Blaum, Hua Zhong, John S Rumsfeld, Judith S Hochman
BACKGROUND: Nearly 17% of patients are readmitted within 30 days of discharge after transcatheter aortic valve replacement. Selected patients are discharged to skilled nursing facilities, yet the association between a hospital's practice to discharge home versus to skilled nursing facilities, and readmission remains unclear. METHODS AND RESULTS: The Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy (STS/ACC TVT) Registry was used to evaluate readmissions among patients undergoing transcatheter aortic valve replacement (2011-2015)...
August 21, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28860096/the-association-between-therapy-intensity-and-discharge-outcomes-in-aged-medicare-skilled-nursing-facilities-admissions
#14
Suzanne R O'Brien, Ning Zhang
OBJECTIVE: To determine the association between therapy intensity and discharge outcomes for aged Medicare skilled nursing facilities (SNFs) fee-for-service admissions. Second, to determine the association between intensity and time to community discharge. DESIGN: A retrospective, observational design. Year 2008 databases of the Minimum Data Set, Online Survey Certification and Reporting dataset, and Rural Urban Commuting Area Codes were linked. SETTING: SNFs in California, Florida, New York, Ohio, Texas...
August 28, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28851435/first-dollar-cost-sharing-for-skilled-nursing-facility-care-in-medicare-advantage-plans
#15
Laura M Keohane, Regina C Grebla, Momotazur Rahman, Dana B Mukamel, Yoojin Lee, Vincent Mor, Amal Trivedi
BACKGROUND: The initial days of a Medicare-covered skilled nursing facility (SNF) stay may have no cost-sharing or daily copayments depending on beneficiaries' enrollment in traditional Medicare or Medicare Advantage. Some policymakers have advocated imposing first-dollar cost-sharing to reduce post-acute expenditures. We examined the relationship between first-dollar cost-sharing for a SNF stay and use of inpatient and SNF services. METHODS: We identified seven Medicare Advantage plans that introduced daily SNF copayments of $25-$150 in 2009 or 2010...
August 29, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28846129/do-safety-culture-scores-in-nursing-homes-depend-on-job-role-and-ownership-results-from-a-national-survey
#16
Jane Banaszak-Holl, Heidi Reichert, M Todd Greene, Lona Mody, Heidi L Wald, Christopher Crnich, Sara E McNamara, Jennifer Meddings
OBJECTIVES: To identify facility- and individual-level predictors of nursing home safety culture. DESIGN: Cross-sectional survey of individuals within facilities. SETTING: Nursing homes participating in the national Agency for Healthcare Research and Quality Safety Program for Long-Term Care: Healthcare-Associated Infections/Catheter-Associated Urinary Tract Infections Project. PARTICIPANTS: Responding nursing home staff (N = 14,177) from 170 (81%) of 210 participating facilities...
August 28, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28843523/use-of-an-exercise-technology-in-post-acute-care-of-a-skilled-nursing-facility-a-feasibility-study
#17
Verena R Cimarolli, Joann P Reinhardt, Jillian Minahan, Orah Burack, Channing Thomas, Regina Melly
OBJECTIVES: Use of exercise technologies has benefits for community-dwelling older adults in terms of improved gait and balance. But research on the feasibility of use of exercise technologies in various geriatric health care settings is lacking. Hence, the current study examined the feasibility of implementing an exercise technology intended to augment rehabilitation in patients receiving post-acute care (PAC) in a skilled nursing facility (SNF). We focused on 3 indicators of feasibility: extent of usage (including predictors of more intense use), patients' acceptability of the technology, and limited efficacy...
August 23, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28836900/a-nationwide-analysis-of-30-day-readmissions-related-to-critical-limb-ischemia
#18
Reza Masoomi, Zubair Shah, Clay Quint, Kirk Hance, Karthik Vamanan, Anand Prasad, Andrew Hoel, Buddhadeb Dawn, Kamal Gupta
Objectives There is paucity of information regarding critical limb ischemia-related readmission rates in patients admitted with critical limb ischemia. We studied 30-day critical limb ischemia-related readmission rate, its predictors, and clinical outcomes using a nationwide real-world dataset. Methods We did a secondary analysis of the 2013 Nationwide Readmissions Database. We included all patients with a primary diagnosis of extremity rest pain, ulceration, and gangrene secondary to peripheral arterial disease...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/28835213/evaluation-of-the-mobile-nurse-training-mnt-intervention-a-step-towards-improvement-in-intrapartum-practices-in-bihar-india
#19
Aritra Das, Dipty Nawal, Manoj Kumar Singh, Morchan Karthick, Parika Pahwa, Malay Bharat Shah, Tanmay Mahapatra, Kunal Ranjan, Indrajit Chaudhuri
BACKGROUND: Evidence shows that improving the quality of intrapartum care is critical for maternal survival. However, a significant rise in the proportion of facility-based births over the last decade in India - attributable to a cash transfer program - has not resulted in a corresponding reduction in maternal mortality, thanks, in part, to low-skilled care at facilities. The current study evaluated a mobile knowledge-based intervention aimed at improving quality of care by mentoring in-service staff nurses at public obstetric facilities...
August 23, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28830975/unexplained-variation-for-hospitals-use-of-inpatient-rehabilitation-and-skilled-nursing-facilities-after-an-acute-ischemic-stroke
#20
Ying Xian, Laine Thomas, Li Liang, Jerome J Federspiel, Laura E Webb, Cheryl D Bushnell, Pamela W Duncan, Lee H Schwamm, Joel Stein, Gregg C Fonarow, Helen Hoenig, Cris Montalvo, Mary G George, Barbara J Lutz, Eric D Peterson, Janet Prvu Bettger
BACKGROUND AND PURPOSE: Rehabilitation is recommended after a stroke to enhance recovery and improve outcomes, but hospital's use of inpatient rehabilitation facilities (IRFs) or skilled nursing facility (SNF) and the factors associated with referral are unknown. METHODS: We analyzed clinical registry and claims data for 31 775 Medicare beneficiaries presenting with acute ischemic stroke from 918 Get With The Guidelines-Stroke hospitals who were discharged to either IRF or SNF between 2006 and 2008...
August 22, 2017: Stroke; a Journal of Cerebral Circulation
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