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https://www.readbyqxmd.com/read/28817428/interprofessional-qi-training-enhances-competency-and-qi-productivity-among-graduates-findings-from-nationwide-children-s-hospital
#1
Thomas Bartman, Karen Heiser, Andrew Bethune, Wallace Crandall, Richard McClead, J Terrance Davis, Richard J Brilli
PURPOSE: Significant resources are expended on quality improvement (QI) training courses. The authors sought to determine whether education provided in QI course training improves self-assessed QI content competence and QI-related productivity among course graduates. METHOD: "Quality Improvement Essentials" is a four-month didactic and experiential course designed to prepare multidisciplinary professionals to participate in and lead QI efforts at Nationwide Children's Hospital (NCH)...
August 16, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28814569/the-impact-of-urban-speed-reduction-programmes-on-health-system-cost-and-utilities
#2
Babak Mohit, Zohn Rosen, Peter A Muennig
BACKGROUND: Vehicle speed changes impact the probability of injuring a pedestrian in ways that differ from the way that it impacts the probability of a collision or of death. Therefore, return on investment in speed reduction programmes has complex and unpredictable manifests. The objective of this study is to analyse the impact of motor vehicle speed reduction on the collision-related morbidity and mortality rates of urban pedestrians. METHODS AND FINDINGS: We created a simple way to estimate the public health impacts of traffic speed changes using a Markov model...
August 16, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/28813636/using-systems-science-to-inform-population-health-strategies-in-local-health-departments-a-case-study-in-san-antonio-texas
#3
Yan Li, Norma A Padrón, Anil T Mangla, Pamela G Russo, Thomas Schlenker, José A Pagán
OBJECTIVES: Because of state and federal health care reform, local health departments play an increasingly prominent role leading and coordinating disease prevention programs in the United States. This case study shows how a local health department working in chronic disease prevention and management can use systems science and evidence-based decision making to inform program selection, implementation, and assessment; enhance engagement with local health systems and organizations; and possibly optimize health care delivery and population health...
January 1, 2017: Public Health Reports
https://www.readbyqxmd.com/read/28781375/the-agricultural-origins-of-time-preference
#4
Oded Galor, Ömer Özak
This research explores the origins of observed differences in time preference across countries and regions. Exploiting a natural experiment associated with the expansion of suitable crops for cultivation in the course of the Columbian Exchange, the research establishes that pre-industrial agro-climatic characteristics that were conducive to higher return to agricultural investment, triggered selection, adaptation and learning processes that generated a persistent positive effect on the prevalence of long-term orientation in the contemporary era...
October 2016: American Economic Review
https://www.readbyqxmd.com/read/28771418/quality-early-education-and-child-care-from-birth-to-kindergarten
#5
Elaine A Donoghue
High-quality early education and child care for young children improves physical and cognitive outcomes for the children and can result in enhanced school readiness. Preschool education can be viewed as an investment (especially for at-risk children), and studies show a positive return on that investment. Barriers to high-quality early childhood education include inadequate funding and staff education as well as variable regulation and enforcement. Steps that have been taken to improve the quality of early education and child care include creating multidisciplinary, evidence-based child care practice standards; establishing state quality rating and improvement systems; improving federal and state regulations; providing child care health consultation; as well as initiating other innovative partnerships...
August 2017: Pediatrics
https://www.readbyqxmd.com/read/28765452/considering-students-cost-of-a-dental-education-return-on-investment-and-debt-to-income-ratio
#6
Allan J Formicola
The cost for students of a dental education has become an issue of concern. This article explores the return on investment and the debt to income ratio of studying dentistry. These two measures are monitored to gain perspective on whether the cost of education pays off in earnings. The factors underlying these measures and a discussion of them are included. The purpose of this article is to focus attention on one of the current issues facing dental schools in the United States. This article was written as part of the project "Advancing Dental Education in the 21(st) Century...
August 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28763408/cost-and-return-on-investment-of-a-work-family-intervention-in-the-extended-care-industry-evidence-from-the-work-family-and-health-network
#7
William N Dowd, Jeremy W Bray, Carolina Barbosa, Krista Brockwood, David J Kaiser, Michael J Mills, David A Hurtado, Brad Wipfli
OBJECTIVE: To estimate the cost and return on investment (ROI) of an intervention targeting work-family conflict (WFC) in the extended care industry. METHODS: Costs to deliver the intervention during a group-randomized controlled trial were estimated, and data on organizational costs-presenteeism, health care costs, voluntary termination, and sick time-were collected from interviews and administrative data. Generalized linear models were used to estimate the intervention's impact on organizational costs...
July 31, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28759314/enhanced-recovery-after-surgery-implementation-from-planning-to-success
#8
Didier Roulin, Peter Najjar, Nicolas Demartines
Enhanced recovery after surgery (ERAS(®)) is an evidence-based approach in perioperative care. The implementation and translation of ERAS pathways into clinical practice requires a certain investment in time and money. A multidisciplinary team must be gathered and should undergo training according to the ERAS Implementation Program. Close attention to financial aspects of implementation, including projecting return on investment, is necessary in today's cost-conscious healthcare environment. Despite frequently encountered barriers and resistance to change, the common objective of reducing complications should overcome these barriers, so that every patient benefits from the most appropriate perioperative care...
July 31, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28751062/model-for-prioritization-of-graduate-medical-education-funding-at-a-university-setting-engagement-of-gme-committee-with-the-clinical-enterprise
#9
Chandrakanth Are, Melissa Suh, Lauren Carpenter, Hugh Stoddard, Vicki Hamm, Matthew DeVries, Whitney Goldner, Kimberly Jarzynka, Jennifer Parker, Jean Simonson, Geoffrey Talmon, Chad Vokoun, Jeffrey Gold, David Mercer, Michael Wadman
BACKGROUND: Funding for graduate medical education (GME) is becoming scarce and is likely to worsen. There is a higher degree of accountability and return on investment demanded from public funds dedicated to GME. Academic centers (AC) partnered with clinical enterprises (CE) are finding it increasingly difficult to retain sustainable funding streams for GME activities. METHODS: To develop and implement a novel algorithmic funding model at one AC in symbiotic partnership with the CE for all 50 GME programs with nearly 500 residents...
July 19, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28750670/the-experience-of-a-nationwide-community-of-practice-to-set-up-regional-prevention-plans-in-italy
#10
Angela Giusti, Alberto Perra, Flavia Lombardo
BACKGROUND: In 2010, the Italian Ministry of Health decided to start the planning process to elaborate the National Plan of Prevention 2010-2012 jointly with the 21 Regions. The National Institute of Health was responsible for supporting regional planners (RPs) by an original participatory approach of a web-based Community of Practice (CoP) to set up their own Regional Plans of Prevention. In this paper, we summarise the theoretical framework adopted, the main phases characterising the lifecycle of the nationwide CoP, the evaluation approach adopted and its findings...
July 27, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28745778/conversion-of-provider-emr-training-from-instructor-led-training-to-elearning-at-an-academic-medical-center
#11
Karen Sharp, Michele Williams, Alison Aldrich, Adrienne Bogacz, Sighle Denier, Ann S McAlearney
This case study overviews the conversion of provider training of the electronic medical record (EMR) from an instructor-led training (ILT) program to eLearning at an Academic Medical Center (AMC). This conversion provided us with both a useful training tool and the opportunity to maximize efficiency within both our training and optimization team and organization. eLearning Development Principles were created and served as a guide to assist us with designing an eLearning curriculum using a five step process...
July 26, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28742935/response-to-telling-the-whole-story-about-simulation-based-education
#12
Christopher W H Yau, Elena Pizzo, Steve Morris, David E Odd, Cathy Winter, Timothy J Draycott
We thank Barsuk et al. for their letter, "Telling the whole story about simulation-based education" (1). We acknowledge that our paper, "The cost of local, multi-professional obstetric emergencies training"(2), focussed on the cost of training and did not elaborate on cost savings, value for money or return on investment (ROI). The authors' call for a ROI analysis is welcome. Others have estimated the potential savings of obstetric training (3). This article is protected by copyright. All rights reserved.
July 25, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28735447/cost-benefit-analysis-of-two-child-abuse-and-neglect-primary-prevention-programs-for-us-states
#13
Cora Peterson, Curtis Florence, Robert Thomas, Joanne Klevens
We assessed the US state-level budget and societal impact of implementing two child abuse and neglect (CAN) primary prevention programs. CAN cost estimates and data from two prevention programs (Child-Parent Centers and Nurse-Family Partnership) were combined with current population, cost, and CAN incidence data by US state. A cost-benefit mathematical model for each program by US state compared program costs with the future monetary value of benefits from reduced CAN. The models used a lifetime time horizon from government payer and societal perspectives...
July 22, 2017: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/28735210/moisture-content-prediction-in-poultry-litter-using-artificial-intelligence-techniques-and-monte-carlo-simulation-to-determine-the-economic-yield-from-energy-use
#14
José Octavio Rico-Contreras, Alberto Alfonso Aguilar-Lasserre, Juan Manuel Méndez-Contreras, Jhony Josué López-Andrés, Gabriela Cid-Chama
The objective of this study is to determine the economic return of poultry litter combustion in boilers to produce bioenergy (thermal and electrical), as this biomass has a high-energy potential due to its component elements, using fuzzy logic to predict moisture and identify the high-impact variables. This is carried out using a proposed 7-stage methodology, which includes a statistical analysis of agricultural systems and practices to identify activities contributing to moisture in poultry litter (for example, broiler chicken management, number of air extractors, and avian population density), and thereby reduce moisture to increase the yield of the combustion process...
July 20, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28727623/return-on-investment-evaluating-the-evidence-regarding-financial-outcomes-of-workplace-wellness-programs
#15
REVIEW
Julie A Astrella
Workplace wellness programs are expected to reduce employee healthcare costs, increase productivity, and provide a positive return on investment. A review of the literature from 2000 to 2016 was conducted to determine whether workplace wellness programs deliver a positive economic impact. Individual financial metrics and results varied; 6 of 7 studies reported a positive economic impact. Additional study is recommended because of the high-degree variability and lack of longitudinal data.
July 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28720631/accrued-cost-savings-of-a-free-clinic-using-quality-adjusted-life-years-saved-and-return-on-investment
#16
Jim Sanders, Marcus Lacey, Clare E Guse
INTRODUCTION: Savings garnered through the provision of preventive services is a form of profit for health systems. Free clinics have been using this logic to demonstrate their cost-savings. The Community-Based Chronic Disease Management (CCDM) clinic treats hypertension using nurse-led teams, clinical protocols, and community-based settings. METHODS: We calculated CCDM's cost-effectiveness from 2007 to 2013 using 2 metrics: Quality-adjusted life years (QALYs) saved and return on investment (ROI)...
July 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28716198/herd-specific-interventions-to-reduce-antimicrobial-usage-in-pig-production-without-jeopardising-technical-and-economic-performance
#17
L Collineau, C Rojo-Gimeno, A Léger, A Backhans, S Loesken, E Okholm Nielsen, M Postma, U Emanuelson, E Grosse Beilage, M Sjölund, E Wauters, K D C Stärk, J Dewulf, C Belloc, S Krebs
Pig farmers are strongly encouraged to reduce their antimicrobial usage in order to reduce the risk of antimicrobial resistance. Herd-level intervention is needed to achieve national and European reduction targets. Alternative, especially preventive measures, have to be implemented to reduce the need for antimicrobial treatments. However, little is known about the feasibility, effectiveness and return on investment of such measures. The objective of this study was to assess, across four countries, the technical and economic impact of herd-specific interventions aiming at reducing antimicrobial usage in pig production while implementing alternative measures...
September 1, 2017: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/28713314/when-advisors-true-intentions-are-in-question-how-do-bank-customers-cope-with-uncertainty-in-financial-consultancies
#18
Barbara Mackinger, Eva Jonas, Christina Mühlberger
When making financial decisions bank customers are confronted with two types of uncertainty: first, return on investments is uncertain and there is a risk of losing money. Second, customers cannot be certain about their financial advisor's true intentions. This might decrease customers' willingness to cooperate with advisors. However, the uncertainty management model and fairness heuristic theory predict that in uncertain situations customers are willing to cooperate with financial advisors when they perceive fairness...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28711849/fertilizer-efficiency-in-wheat-is-reduced-by-ozone-pollution
#19
Malin C Broberg, Johan Uddling, Gina Mills, Håkan Pleijel
Inefficient use of fertilizers by crops increases the risk of nutrient leaching from agro-ecosystems, resulting in economic loss and environmental contamination. We investigated how ground-level ozone affects the efficiency by which wheat used applied nitrogen (N) fertilizer to produce grain protein (NEP, N efficiency with respect to protein yield) and grain yield (NEY, N efficiency with respect to grain yield) across a large number of open-top chamber field experiments. Our results show significant negative ozone effects on NEP and NEY, both for a larger data set obtained from data mining (21 experiments, 70 treatments), and a subset of data for which stomatal ozone flux estimates were available (7 experiments, 22 treatments)...
July 13, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28699542/community-cost-benefit-discussions-that-launched-the-camino-verde-intervention-in-nicaragua
#20
Carlos Hernandez-Alvarez, Jorge Arosteguí, Harold Suazo-Laguna, Rosa Maria Reyes, Josefina Coloma, Eva Harris, Neil Andersson, Robert J Ledogar
BACKGROUND: Recent literature on community intervention research stresses system change as a condition for durable impact. This involves highly participatory social processes leading to behavioural change. METHODS: Before launching the intervention in the Nicaraguan arm of Camino Verde, a cluster-randomised controlled trial to show that pesticide-free community mobilisation adds effectiveness to conventional dengue controls, we held structured discussions with leaders of intervention communities on costs of dengue illness and dengue control measures taken by both government and households...
May 30, 2017: BMC Public Health
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