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Administrative Law

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https://www.readbyqxmd.com/read/29791084/the-hospital-readmissions-reduction-program-learning-from-failure-of-a-healthcare-policy
#1
REVIEW
Ankur Gupta, Gregg C Fonarow
Heart failure is the leading cause of readmissions in patients aged ≥65 years with high associated societal and economic costs. The utilization metric of 30-day risk standardized readmission rates (RSRRs) has therefore become a target to reduce healthcare costs. In this review, we discuss in detail the implementation, effectiveness, and unintended consequences of the Hospital Readmissions Reduction Program (HRRP)-the major healthcare policy approach in the U.S. to reduce readmissions by financially penalizing hospitals with higher than average 30-day RSRRs...
May 23, 2018: European Journal of Heart Failure
https://www.readbyqxmd.com/read/29782372/keeping-up-with-today-s-top-health-law-issues-to-avoid-a-nasty-surprise
#2
Joseph Baar Topinka
Just as in fictional television shows and movies, reality in the healthcare industry sometimes includes complications, disruptions, glitches, and nasty surprises. This article reviews several important legal topics, including emergency planning, privacy, fraud, public health, and ethics, to name only a few. Healthcare administrators are not expected to be attorneys or compliance officers, but they must appreciate (or at least be sensitive to) the legal and regulatory issues facing their organizations.
2018: Frontiers of Health Services Management
https://www.readbyqxmd.com/read/29777601/-informed-consent-something-unresolved-in-the-penitentiary-setting
#3
Julio García Guerrero
INTRODUCTION: The exercise of Informed Consent within the penitentiary environment contradicts the ordinary exercise of the same towards the rest of the population. METHODOLOGY: review of legal regulations and constitutional doctrine on IC. Review of the judicial outcomes when a prisoner refuses medical treatment. RESULTS: Normative on IC (Ley 41/2002 y Convenio de Oviedo, Spanish legal framework): with the exception of cases in which IC cannot be taken or under the risk of causong damage to third parties, competent and capable persons can decide over their life and health, and such decisions need to be respected...
May 2018: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/29776688/naloxone-laws-facilitate-the-establishment-of-overdose-education-and-naloxone-distribution-programs-in-the-united-states
#4
Barrot H Lambdin, Corey S Davis, Eliza Wheeler, Stephen Tueller, Alex H Kral
BACKGROUND: The opioid overdose crisis in the United States continues to worsen. Opioid overdose mortality is entirely preventable with timely administration of naloxone. Since 2001, many states have passed laws to create an enabling environment for the implementation of overdose education and naloxone distribution (OEND) programs. We assessed whether state-level naloxone laws and their provisions stimulated the implementation of OEND programs in the United States. METHODS: Covering the period from 2000 to 2014, we utilized five data sources including the Westlaw legal database, the Prescription Drug Abuse Policy System, the Harm Reduction Coalition's OEND database, National Center of Health Statistics and the United States Census...
May 12, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29769757/stochastic-geometric-models-with-non-stationary-spatial-correlations-in-lagrangian-fluid-flows
#5
François Gay-Balmaz, Darryl D Holm
Inspired by spatiotemporal observations from satellites of the trajectories of objects drifting near the surface of the ocean in the National Oceanic and Atmospheric Administration's "Global Drifter Program", this paper develops data-driven stochastic models of geophysical fluid dynamics (GFD) with non-stationary spatial correlations representing the dynamical behaviour of oceanic currents. Three models are considered. Model 1 from Holm (Proc R Soc A 471:20140963, 2015) is reviewed, in which the spatial correlations are time independent...
2018: Journal of nonlinear science
https://www.readbyqxmd.com/read/29764468/development-and-implementation-of-a-geographical-area-categorisation-method-with-targeted-performance-indicators-for-nationwide-ems-in-finland
#6
Jukka Pappinen, Päivi Laukkanen-Nevala, Pekka Mäntyselkä, Jouni Kurola
BACKGROUND: In Finland, hospital districts (HD) are required by law to determine the level and availability of Emergency Medical Services (EMS) for each 1-km2 sized area (cell) within their administrative area. The cells are currently categorised into five risk categories based on the predicted number of missions. Methodological defects and insufficient instructions have led to incomparability between EMS services. The aim of this study was to describe a new, nationwide method for categorising the cells, analyse EMS response time data and describe possible differences in mission profiles between the new risk category areas...
May 15, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/29764322/biting-the-hands-that-feed-the-alligators-a-case-study-in-morbid-obesity-extremes-end-of-life-care-and-prohibitions-on-harming-and-accelerating-the-end-of-life
#7
Michael J Malinowski
Obesity, recognized as a disease in the U.S. and at times as a terminal illness due to associated medical complications, is an American epidemic according to the Centers for Disease Control and Prevention ("CDC"), American Heart Association ("AHA"), and other authorities. More than one third of Americans (39.8% of adults and 18.5% of children) are medically obese. This article focuses on cases of "extreme morbid obesity" ("EMO")-situations in which death is imminent without aggressive medical interventions, and bariatric surgery is the only treatment option with a realistic possibility of success...
March 2018: American Journal of Law & Medicine
https://www.readbyqxmd.com/read/29761419/measuring-geographic-migration-patterns-using-matr%C3%A3-culas-consulares
#8
Maria Esther Caballero, Brian C Cadena, Brian K Kovak
In this article, we show how to use administrative data from the Matrícula Consular de Alta Seguridad (MCAS) identification card program to measure the joint distribution of sending and receiving locations for migrants from Mexico to the United States. Whereas other data sources cover only a small fraction of source or destination locations or include only very coarse geographic information, the MCAS data provide complete geographic coverage of both countries, detailed information on migrants' sources and destinations, and a very large sample size...
May 14, 2018: Demography
https://www.readbyqxmd.com/read/29749067/outlaws-old-laws-no-laws-the-prospects-of-gene-editing-for-agriculture-in-the-usa
#9
Wayne Parrott
The advent of genome-edited products that are nearing commercialization in agriculture has highlighted that the USA biotechnology regulatory system has not kept pace with technological advances. Of the three agencies that regulate engineered crops and animals for agriculture, only one has indicated how it will regulate edited plants. The Food and Drug Administration can regulate any plant, but has not indicated if it will single out edited plants. The United States Department of Agriculture currently has no authority over edited plants when the edit is a deletion or does not contain any added DNA from a plant pest...
May 10, 2018: Physiologia Plantarum
https://www.readbyqxmd.com/read/29745972/the-philippines-rolls-back-advancements-in-the-postabortion-care-policy
#10
Melissa Upreti, Jihan Jacob
On February 18, 2018, a new postabortion care policy was issued by the Department of Health in the Philippines, in the form of Administrative Order 2018-0003.1 This policy rescinds Administrative Order 2016-0041, dated November 25, 2016,2 which was developed by the Technical Working Group established by the Department of Health to implement the Philippines' landmark reproductive health law passed in 2012,1 (p.7) Unlike the 2016 policy, the 2018 policy was drafted without broadly soliciting the input of reproductive health advocates whose collective efforts had led to the passage of a more ethical and human rights-based postabortion care policy in 2016, as discussed in depth in an article in the May issue of the International Journal of Obstetrics and Gynecology...
May 10, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29734521/translating-behavioral-science-into-practice-a-framework-to-determine-science-quality-and-applicability-for-police-organizations
#11
REVIEW
Kimberley A McClure, Katherine L McGuire, Denis M Chapan
Policy on officer-involved shootings is critically reviewed and errors in applying scientific knowledge identified. Identifying and evaluating the most relevant science to a field-based problem is challenging. Law enforcement administrators with a clear understanding of valid science and application are in a better position to utilize scientific knowledge for the benefit of their organizations and officers. A recommended framework is proposed for considering the validity of science and its application. Valid science emerges via hypothesis testing, replication, extension and marked by peer review, known error rates, and general acceptance in its field of origin...
May 7, 2018: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/29714584/product-approvability-recommendations-from-fda-advisory-committees-inconsistently-sought-indirectly-obtained
#12
Joseph V Gulfo, Jason Briggeman, Asmaa Gamie
BACKGROUND: Divisions within the Food and Drug Administration (FDA) often convene meetings of advisory committees, also known as AdComm or Panel meetings. The purpose of many AdComm meetings is for the FDA to obtain outside advice and recommendations on whether to approve a new drug or medical device. Laws and regulations indicate that such Panels are to provide recommendations regarding the approvability of the drug or device by FDA. METHODS: We examine recent AdComm meetings, including a systematic review of drugs and biologics AdComms between 2011 and 2016, to find whether FDA is obtaining Panel recommendations on drug and device approvability in accordance with these laws and regulations...
January 1, 2018: Therapeutic Innovation & Regulatory Science
https://www.readbyqxmd.com/read/29708303/utility-of-von-pechman-synthesis-of-coumarin-reaction-for-development-of-spectrofluorimetric-method-for-quantitation-of-salmeterol-xinafoate-in-pharmaceutical-preparations-and-human-plasma
#13
Mohamed Awad, Mohamed A Hammad, Ahmed M Abdel-Megied, Mahmoud A Omar
Simple, precise and selective spectrofluorimetric technique was evolved for quantitation of selective β2 agonist drug namely salmeterol xinafoate (SAL). Utilizing its phenolic nature, a method was described based on the reaction of the studied drug with ethyl acetoacetate (EAA) to yield extremely fluorescent coumarin product which can be detected at 480 nm (λex  = 420 nm). The procedure obeys Beer's law with a correlation coefficient of r = 0.9999 in the concentration range between 500 and 5000 ng ml-1 with and 177 ng ml-1 for limit of detection (LOD) and limit of quantification (LOQ), respectively...
April 30, 2018: Luminescence: the Journal of Biological and Chemical Luminescence
https://www.readbyqxmd.com/read/29700812/privileges-and-penalties-in-the-legal-profession-an-intersectional-analysis-of-career-progression
#14
Jennifer Tomlinson, Danat Valizade, Daniel Muzio, Andy Charlwood, Sundeep Aulakh
Intersectionality theory is concerned with integrating social characteristics to better understanding complex human relations and inequalities in organizations and societies (McCall ). Recently, intersectionality research has taken a categorical and quantitative turn as scholars critically adopt but retain existing social categories to explain differences in labour market outcomes. A key contention is that social categories carry penalties or privileges and their intersection promotes or hinders the life chances of particular groups and individuals...
April 26, 2018: British Journal of Sociology
https://www.readbyqxmd.com/read/29685438/antimicrobials-usage-assessments-in-commercial-poultry-and-local-birds-in-north-central-nigeria-associated-pathways-and-factors-for-resistance-emergence-and-spread
#15
N B Alhaji, A E Haruna, B Muhammad, M K Lawan, T O Isola
The World Health Organization's Global Action Plan on antimicrobial resistance (AMR) recommended monitoring of antimicrobial use (AMU) through surveillance and research to help mitigate AMR. This survey was aimed at assessing poultry owners' knowledge/awareness and practices regarding AMU, identified pathways for AMR emergence and spread in small-scale commercial poultry farms and free-range local bird flocks in North-central Nigeria. An interview questionnaire-based cross-sectional study was conducted on commercial poultry farmers and local bird flock keepers in 2017...
June 1, 2018: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/29677999/sifting-through-chaos-extracting-information-from-unstructured-legal-opinions
#16
Bruno Miguel Oliveira, Rui Vasconcellos Guimarães, Luís Antunes, Pedro Pereira Rodrigues
Abiding to the law is, in some cases, a delicate balance between the rights of different players. Re-using health records is such a case. While the law grants reuse rights to public administration documents, in which health records produced in public health institutions are included, it also grants privacy to personal records. To safeguard a correct usage of data, public hospitals in Portugal employ jurists that are responsible for allowing or withholding access rights to health records. To help decision making, these jurists can consult the legal opinions issued by the national committee on public administration documents usage...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29661105/book-review-correctional-health-care-practice-administration-and-law-cohen-f-ed-2017-3-correctional-health-care-practice-administration-and-law-kingston-nj-civic-research-institute-416-pp-135-95-hardcover-isbn-978-1-939083-07-4
#17
https://www.readbyqxmd.com/read/29650539/a-call-for-more-science-in-forensic-science
#18
Suzanne Bell, Sunita Sah, Thomas D Albright, S James Gates, M Bonner Denton, Arturo Casadevall
Forensic science is critical to the administration of justice. The discipline of forensic science is remarkably complex and includes methodologies ranging from DNA analysis to chemical composition to pattern recognition. Many forensic practices developed under the auspices of law enforcement and were vetted primarily by the legal system rather than being subjected to scientific scrutiny and empirical testing. Beginning in the 1990s, exonerations based on DNA-related methods revealed problems with some forensic disciplines, leading to calls for major reforms...
April 12, 2018: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/29650444/reviewing-state-mandated-training-requirements-for-naloxone-dispensing-pharmacists
#19
Andrew W Roberts, Delesha M Carpenter, Austin Smith, Kevin A Look
BACKGROUND: Expanding access to naloxone is crucial for mitigating the public health epidemic of opioid overdose deaths in America. Pharmacists now have greater independent authority to dispense naloxone to the public due to a wave of enhanced pharmacy naloxone access laws. It is unknown to what extent pharmacists are required to receive specialized training to serve in this capacity. OBJECTIVES: The goal of this study was to review naloxone training mandates from states with enhanced pharmacy naloxone access laws...
April 5, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29649407/undermining-the-aca-through-the-executive-branch-and-federalism-what-the-trump-administration-s-approach-to-health-reform-means-for-older-americans
#20
David K Jones, Michael K Gusmano, Pamela Nadash, Edward Alan Miller
The ACA has survived multiple existential threats in the legislative and judicial branches, including dozens of congressional attempts at repeal and two major Supreme Court cases. Even as it seems that the ACA is here to stay, what the law accomplishes is far from settled. The Trump administration is using executive powers to weaken the law, in many cases the same powers that President Obama used to strengthen the effects of the reform. States have responded by seeking flexibility to pursue reforms, such as work requirements, that could not pass Congress and that were not allowed by the Obama administration...
April 12, 2018: Journal of Aging & Social Policy
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