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https://www.readbyqxmd.com/read/28525558/electronic-clinical-quality-measure-reporting-challenges-findings-from-the-medicare-ehr-incentive-program-s-controlling-high-blood-pressure-measure
#1
Dawn M Heisey-Grove, Hilary K Wall, Janet S Wright
Objective: To identify physician and practice characteristics associated with high clinical and technical performance on the electronic clinical quality measure (eCQM) that calculates the proportion of patients with hypertension who have controlled blood pressure. Materials and Methods: The study included 268 602 physicians participating in the Medicare Electronic Health Record Incentive Program between 2011 and 2014. Independent variables included delivery reform participation and physician, practice level, and area characteristics...
May 19, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/28525404/growth-hormone-treatment-for-growth-hormone-deficiency-and-idiopathic-short-stature-new-guidelines-shaped-by-the-presence-and-absence-of-evidence
#2
Adda Grimberg, David B Allen
PURPOSE OF REVIEW: The Pediatric Endocrine Society recently published new guidelines for the use of human growth hormone (hGH) and human insulin-like growth factor-I (hIGF-I) treatment for growth hormone deficiency, idiopathic short stature, and primary IGF-I deficiency in children and adolescents. This review places the new guidelines in historical contexts of the life cycle of hGH and the evolution of US health care, and highlights their future implications. RECENT FINDINGS: The new hGH guidelines, the first to be created by the Grading of Recommendations Assessment, Development and Evaluation approach, are more conservative than their predecessors...
May 18, 2017: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/28514910/value-based-healthcare-measurement-as-a-context-for-organizational-learning
#3
Patrik Nordin, Anna-Aurora Kork, Inka Koskela
Purpose The purpose of this paper is to shed light on the potential of organizational learning for developing effectiveness of care. Value-based healthcare measurement recognizes patient value as a driver for improving health outcomes at the societal and individual levels. By using the action learning method, this paper examines the phases of organizational learning in a private healthcare organization that has developed a novel Big Data screening tool for the treatment of patients with type 2 diabetes mellitus (DM2)...
May 2, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28513604/exploring-the-statistical-uncertainty-in-acceptable-exposure-limit-values-for-hexavalent-chromium-exposure
#4
Göran Kauermann, Heiko Becher, Verena Maier
Exposure limit values give the exposure level at which an accepted (or acceptable) number of additional work related diseases are expected. The values are derived from dose-response curves and carry a large amount of uncertainty. In this paper we aim to quantify some of this uncertainty with statistical means. We explore the limit value issued by the European Chemical Agency (ECHA) for occupational exposure to hexavalent chromium, CR(VI). We investigate how the dose-response model and statistical estimation variability influences the data-based fixation of exposure limit values...
May 17, 2017: Journal of Exposure Science & Environmental Epidemiology
https://www.readbyqxmd.com/read/28511946/national-incidence-of-patient-safety-indicators-in-the-total-hip-arthroplasty-population
#5
Joseph E Tanenbaum, Derrick M Knapik, Glenn D Wera, Steven J Fitzgerald
BACKGROUND: The Centers for Medicare & Medicaid Services use the incidence of patient safety indicators (PSIs) to determine health care value and hospital reimbursement. The national incidence of PSI has not been quantified in the total hip arthroplasty (THA) population, and it is unknown if patient insurance status is associated with PSI incidence after THA. METHODS: All patients in the Nationwide Inpatient Sample (NIS) who underwent THA in 2013 were identified using the International Classification of Diseases, Ninth Revision, Clinical Modification codes...
April 12, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28511830/personality-disorders-and-the-difficult-dermatology-patient-maximizing-patient-satisfaction
#6
Mio Nakamura, John Koo
Personality disorders (PDs) are stable and enduring patterns of thought, feeling, and behavior that deviate from one's cultural norms and cause impairment in functionality. Patients with PDs are commonly encountered in the dermatologic setting and can be perceived by providers as "difficult." Given that PDs are chronic, rigid, and frustrating to deal with, it is important to be skillful in the approach to such patients, especially in the era of the value-based reimbursement system, in which patient satisfaction is crucial for reimbursement...
May 2017: Clinics in Dermatology
https://www.readbyqxmd.com/read/28511768/telemedicine-seems-to-work-but-payment-creates-a-disconnect
#7
Richard G Stefanacci
As American health care shifts from the fee-for-service, disconnected health care to value-based, holistic care, an alignment between providers and total cost of care should encourage the use of telemedicine-especially in cases where it has been shown to reduce costs and improve individual care and population.
April 2017: Managed Care
https://www.readbyqxmd.com/read/28511435/agreement-and-correlation-between-arterial-and-central-venous-blood-gas-following-coronary-artery-bypass-graft-surgery
#8
Masoumeh Esmaeilivand, Alireza Khatony, Gholamreza Moradi, Farid Najafi, Alireza Abdi
INTRODUCTION: Arterial blood sampling, used to assess patients in acute conditions, may result in complications such as thrombosis and embolism. However, it can be replaced by venous blood sampling, but there is a dearth of information on this. AIM: To assess the correlation and agreement between the arterial and central venous blood gases analyses in patients undergoing elective Coronary Artery Bypass Graft (CABG) surgery. MATERIALS AND METHODS: In this cross-sectional study, 100 ICU patients undergoing elective CABG surgery were recruited...
March 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28509711/trends-in-governance-structure-and-activities-among-not-for-profit-u-s-hospitals-2009-2015
#9
Olena Mazurenko, Taleah Collum, Nir Menachemi
BACKGROUND: In U.S. hospitals, boards of directors (BODs) have numerous governance responsibilities including overseeing hospital activities and guiding strategic decisions. BODs can help hospitals adapt to changes in their markets including those stemming from a shift from fee-for-service to value-based purchasing. The recent increase in market turbulence for hospitals has brought renewed attention to the work of BODs. PURPOSE: The aim of the study was to examine trends in hospital BOD structure and activities and determine whether these changes are commensurate with approaches designed to respond to market pressures...
May 15, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28508629/inorganic-ligand-thiosulfate-capped-quantum-dots-for-efficient-quantum-dot-sensitized-solar-cells
#10
Zhenwei Ren, Juan Yu, Zhenxiao Pan, Jizheng Wang, Xinhua Zhong
The insulating nature of organic ligands containing long hydrocarbon tail brings forward serious limitations for pre-synthesized quantum dots (QDs) in photovoltaic applications. Replacing the initial organic hydrocarbon chain ligands with simple, cheap, and small inorganic ligands is regarded as an efficient strategy to improve the performance of the resulting solar cells. Herein, thiosulfate (S2O32-), and sulfide (S2-) were employed as ligand exchange reagents to get access to the inorganic ligand S2O32-, and S2- capped CdSe QDs...
May 16, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28506982/social-risk-factors-and-performance-under-medicare-s-value-based-purchasing-programs
#11
Karen E Joynt, Rachael Zuckerman, Arnold M Epstein
No abstract text is available yet for this article.
May 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28506498/sweet-spot-matching-a-thin-layer-chromatography-based-countercurrent-solvent-system-selection-strategy
#12
Yang Liu, J Brent Friesen, Edyta M Grzelak, Qingfei Fan, Ting Tang, Kemal Durić, Birgit U Jaki, James B McAlpine, Scott G Franzblau, Shao-Nong Chen, Guido F Pauli
TLC-based strategies were proposed in 1979 (Hostettmann et al.) and 2005 (Friesen & Pauli; GUESS method) to minimize the number of partitioning experiments required for countercurrent separation (CCS) solvent system selection. As semi-empirical approaches, both proposed that the K values defining the sweet spot of optimal CCS corresponded to a matching Rf value range from the silica gel TLC plate developed in the organic phase of a biphasic or a corresponding monophasic solvent system. Despite their simplicity, there has been an absence of theoretical support and a deficiency of reported experimental evidence...
April 27, 2017: Journal of Chromatography. A
https://www.readbyqxmd.com/read/28500406/assessment-of-genetic-diversity-of-sesame-accessions-collected-from-different-ecological-regions-using-sequence-related-amplified-polymorphism-markers
#13
Bazel H Ali Al-Somain, Hussein M Migdadi, Sulieman A Al-Faifi, Salem S Alghamdi, Abdulmalek A Muharram, Nabil A Mohammed, Yahya A Refay
Sequence-related amplified polymorphism (SRAP) markers were used to assess the genetic diversity among a collection of 52 sesame accessions representing different geographical environments, including eight Saudi landraces. A combination of seventeen primers generated a high number of alleles (365) with 100% polymorphism. The polymorphic information content (PIC) and primer discrimination power (DP) recorded overall means of 0.88 and 5.88, respectively. Genetic similarity values based on Jaccard coefficients ranged from 0...
May 2017: 3 Biotech
https://www.readbyqxmd.com/read/28498332/design-synthesis-molecular-docking-analysis-and-carbonic-anhydrase-ix-inhibitory-evaluations-of-novel-n-substituted-%C3%AE-d-glucosamine-derivatives-that-incorporate-benzenesulfonamides
#14
Feng-Ran Li, Zhan-Fang Fan, Su-Jiao Qi, Yan-Shi Wang, Jian Wang, Yang Liu, Mao-Sheng Cheng
A series of novel N-substituted-β-d-glucosamine derivatives that incorporate benzenesulfonamides were designed using a fragment-based drug design strategy. Each derivative was synthesized and evaluated in vitro for its inhibitory activity against human carbonic anhydrase (hCA) IX; several derivatives displayed desirable potency profiles against this enzyme. The molecular docking studies provided the design rationale and predicted potential binding modes for carbonic anhydrase (CA) IX and three target compounds, including the most potent inhibitor, compound 7f (IC50 = 10...
May 12, 2017: Molecules: a Journal of Synthetic Chemistry and Natural Product Chemistry
https://www.readbyqxmd.com/read/28497724/explaining-moral-behavior
#15
Magda Osman, Alex Wiegmann
In this review we make a simple theoretical argument which is that for theory development, computational modeling, and general frameworks for understanding moral psychology researchers should build on domain-general principles from reasoning, judgment, and decision-making research. Our approach is radical with respect to typical models that exist in moral psychology that tend to propose complex innate moral grammars and even evolutionarily guided moral principles. In support of our argument we show that by using a simple value-based decision model we can capture a range of core moral behaviors...
March 2017: Experimental Psychology
https://www.readbyqxmd.com/read/28492959/the-relationship-between-consumption-of-alcohol-and-other-drugs-and-problematic-internet-use-among-adolescents
#16
Sandra Golpe, Patricia Gómez, Teresa Braña, Jesús Varela, Antonio Rial
Alcohol and drug use among adolescents has been causing great concern for decades in Spain and in the European Union as a whole. In addition, the technology boom experienced over the last two decades has contributed to the emergence of a new public healthcare issue: problematic Internet use. The increasing importance that both problems have been gaining in recent years has led some authors to analyze the relationship between alcohol and the consumption of other drugs alongside problematic Internet use, and to provide relevant empirical evidence...
April 12, 2017: Adicciones
https://www.readbyqxmd.com/read/28490259/recent-amendments-to-nice-s-value-based-assessment-of-health-technologies-implicitly-inequitable
#17
Mike Paulden
Over recent years, the UK's National Institute for Health and Care Excellence (NICE) has implemented or proposed several amendments to its methods and processes for the economic evaluation of health technologies within the National Health Service (NHS) [1-5]. These amendments have modified the 'value' that NICE assigns to health gains attributable to specific technologies when provided to patients with distinct characteristics. This raises fundamental equity issues that should be of concern to all NHS patients and other stakeholders...
May 10, 2017: Expert Review of Pharmacoeconomics & Outcomes Research
https://www.readbyqxmd.com/read/28488405/dollars-and-stents-a-brave-new-world
#18
EDITORIAL
Sandeep K Krishnan, Larry S Dean
Reimbursement in the healthcare system is shifting from pure volume to a mixed volume/value-based metric. Using complex statistical modeling to adjust for unknowns, the study provides real world data that the use of Co-Cr EES is more cost effective than BMS assuming that clinicians select clopidogrel for P2Y12 inhibition. More cost-effectiveness analyses should be conducted to guide the use of ever costlier novel medical devices and drugs.
May 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28484973/investigating-the-structural-compaction-of-biomolecules-upon-transition-to-the-gas-phase-using-esi-twims-ms
#19
Paul W A Devine, Henry C Fisher, Antonio N Calabrese, Fiona Whelan, Daniel R Higazi, Jennifer R Potts, David C Lowe, Sheena E Radford, Alison E Ashcroft
Collision cross-section (CCS) measurements obtained from ion mobility spectrometry-mass spectrometry (IMS-MS) analyses often provide useful information concerning a protein's size and shape and can be complemented by modeling procedures. However, there have been some concerns about the extent to which certain proteins maintain a native-like conformation during the gas-phase analysis, especially proteins with dynamic or extended regions. Here we have measured the CCSs of a range of biomolecules including non-globular proteins and RNAs of different sequence, size, and stability...
May 8, 2017: Journal of the American Society for Mass Spectrometry
https://www.readbyqxmd.com/read/28483891/impact-of-gaps-in-merit-based-incentive-payment-system-measures-on-marginalized-populations
#20
Kyle Eggleton, Winston Liaw, Andrew Bazemore
As the United States enters a new era of value-based payment heavy in emphasis on primary care measurement, careful examination of selected measures and their potential impact on outcomes and vulnerable populations is essential. Applying a theoretical model of health care quality as a coding matrix, we used a directed content analysis approach to categorize individual Merit Based Incentive Payment System (MIPS) measures. We found that most MIPS measures related to aspects of clinical effectiveness, whereas few, if any, related to aspects of access, patient experience, or interpersonal care...
May 2017: Annals of Family Medicine
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