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Drayton A Hammond, Melanie N Smith, Kristen C Lee, Danielle Honein, April Miller Quidley
Heart failure (HF) is a societal burden due to its high prevalence, frequent admissions for acute decompensated heart failure (ADHF), and the economic impact of direct and indirect costs associated with HF and ADHF. Common etiologies of ADHF include medication and diet noncompliance, arrhythmias, deterioration in renal function, poorly controlled hypertension, myocardial infarction, and infections. Appropriate medical management of ADHF in patients is guided by the identification of signs and symptoms of fluid overload or low cardiac output and utilization of evidence-based practices...
September 16, 2016: Journal of Intensive Care Medicine
Robert Doherty
No abstract text is available yet for this article.
September 6, 2016: Annals of Internal Medicine
Martin Donohoe
No abstract text is available yet for this article.
September 6, 2016: Annals of Internal Medicine
Titipat Achakulvisut, Daniel E Acuna, Tulakan Ruangrong, Konrad Kording
Finding relevant publications is important for scientists who have to cope with exponentially increasing numbers of scholarly material. Algorithms can help with this task as they help for music, movie, and product recommendations. However, we know little about the performance of these algorithms with scholarly material. Here, we develop an algorithm, and an accompanying Python library, that implements a recommendation system based on the content of articles. Design principles are to adapt to new content, provide near-real time suggestions, and be open source...
2016: PloS One
Joey Berlin
Concierge medicine, a practice model in which the patient pays an annual membership fee or retainer for services that won't be covered by insurance, is garnering more attention from physicians.
2016: Texas Medicine
Lynette Reid
In bioethics and health policy, we often discuss the appropriate boundaries of public funding; how the interface of public and private purchasers and providers should be organized and regulated receives less attention. In this paper, I discuss ethical and regulatory issues raised at this interface by three medical practice models (concierge care, executive wellness clinics, and block fee charges) in which physicians provide insured services (whether publicly insured, privately insured, or privately insured by public mandate) while requiring or requesting that patients pay for services or for the non-insured services of the physicians themselves or their associates...
June 3, 2016: Health Care Analysis: HCA: Journal of Health Philosophy and Policy
Virginie Rigolle
In order to promote quality of life at work and reconcile private life and work life, Amiens-Picardie university hospital started a concierge service in 2015. This approach, innovative in a hospital, is a first in France in the public sector.
April 2016: Revue de L'infirmière
Charlotte Huff
No abstract text is available yet for this article.
December 2015: Health Affairs
Steven Ross Johnson
No abstract text is available yet for this article.
September 21, 2015: Modern Healthcare
David Feinberg, Glenn Steele, Andis Robeznieks
No abstract text is available yet for this article.
September 14, 2015: Modern Healthcare
Robert Doherty
As physicians seek innovative practice models, one that is gaining ground is for practices to contract with patients to pay directly for some or all services-often called cash-only, retainer, boutique, concierge, or direct primary care or specialty care practices. Such descriptions do not reflect the variability found in practices. For the purposes of this paper, the American College of Physicians (ACP) defines a direct patient contracting practice (DPCP) as any practice that directly contracts with patients to pay out-of-pocket for some or all of the services provided by the practice, in lieu of or in addition to traditional insurance arrangements, and/or charges an administrative fee to patients, sometimes called a retainer or concierge fee, often in return for a promise of more personalized and accessible care...
December 15, 2015: Annals of Internal Medicine
Philip M Eskew, Kathleen Klink
Direct primary care (DPC) is an emerging practice alternative that (1) eliminates traditional third-party fee-for-service billing and (2) charges patients a periodic fee for primary care services. We describe the DPC model by identifying DPC practices across the United States; distinguish it from other practice arrangements, such as the "concierge" practice; and describe the model's pricing using data compiled from existing DPC practices across the United States. Lower price points and a broad distribution of DPC practices were confirmed, but data about quality are lacking...
November 2015: Journal of the American Board of Family Medicine: JABFM
Shehbaz Shaikh, Rounak Bafana, Safwan S Halabi
Radiology's core assets include the production, interpretation, and distribution of quality imaging studies. Second-opinion services and concierge practices in radiology aim to augment traditional services by providing patient-centered and physician-centered care, respectively. Patient centeredness enhances patients' understanding and comfort with their radiology tests and procedures and allows them to make better decisions about their health care. As the fee-for-service paradigm shifts to value-based care models, radiology practices have begun to diversify imaging service delivery and communication to coincide with the American College of Radiology Imaging 3...
March 2016: Current Problems in Diagnostic Radiology
Kristen F Linton, Marissa M Ing, Megan A Vento, Kazuma Nakagawa
The Affordable Care Act and budget cuts have changed the role of hospital social workers by placing pressure on them to conduct speedy discharges and decrease readmission rates. This qualitative study aimed to assess if hospital social work is meeting the needs of clients in the hospital and postdischarge. Semistructured interviews with 10 clients with intracerebral hemorrhage (ICH) and 11 caregivers were conducted. Participants reported that social work services were not meeting their needs. Clients with ICH and their caregivers expressed needs from social workers that surpassed their roles as discharge planners, including counseling, help with finances and insurance, and advocacy...
2015: Social Work in Public Health
Susan Childs
Physicians are actively considering the direct pay and concierge models as a plausible option in providing more patient-oriented care. What are the major considerations and how do we attain accurate data that may help in sophisticated decision-making? Part I of this article provides an introduction of the models, typical patient contract configurations, and physician/provider and commercial payer considerations. Part II will discuss the access, cost, and value from a patient's point of view; patient loyalty and self-care; approaches for inviting patients and other providers; and community relations...
May 2015: Journal of Medical Practice Management: MPM
Mhair Dekmezian, Stacy G Beal, Mary Jane Damashek, Raul Benavides, Neelam Dhiman
Successful performance and execution of rapid diagnostics in a clinical laboratory hinges heavily on careful validation, accurate and timely communication of results, and real-time quality monitoring. Laboratories must develop strategies to integrate diagnostics with stewardship and evidence-based clinical practice guidelines. We present a collaborative SUCCESS model for execution and monitoring of rapid sepsis diagnostics to facilitate timely treatment. Six months after execution of the Verigene Gram-Positive Blood Culture (BC-GP) and the AdvanDx PNA-FISH assays, data were collected on 579 and 28 episodes of bacteremia and fungemia, respectively...
April 2015: Proceedings of the Baylor University Medical Center
Debra Cascardo
Review your current practice, patient load and demographics, revenue, and insurance processing procedures. Work with an expert to develop a business plan of a direct-pay practice, and compare the expected patient load and demographics and revenue to that of your current practice. Will a direct-pay/concierge practice: Increase your revenue/decrease your expenses? Offer your patients better healthcare by taking decisions out of the hands of the insurance company? Provide your patients easier access to you and your staff? Maintain or attract a sufficient number of patients? Offer you more career satisfaction? Any change can be daunting, but many times, the results are well worth the challenges...
November 2014: Journal of Medical Practice Management: MPM
Cynthia Williams
No abstract text is available yet for this article.
January 19, 2015: Modern Healthcare
Andrew E Scharlach
This study demonstrates the use of a social return on investment (SROI) approach in estimating the financial and social value created by volunteer-assisted community-based aging services. An expanded value added statement (EVAS) analysis found that the total value of outputs produced by the Concierge Club of San Diego substantially exceeded the cost of the program, after considering likely secondary and tertiary benefits for a range of affected stakeholders-including elderly service recipients, family members, volunteers, and societal institutions...
2015: Home Health Care Services Quarterly
Dorothy Cornwell, Smith Moore Leatherwood
No abstract text is available yet for this article.
2014: Journal of the Medical Association of Georgia
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