strataconf: Moving to the open healthcare graph http:// http://t.co/YYTUDN3Vzn Achieving the triple aim in healthcare: better, cheaper, safer #stratarx

Toni Tripp-Reimer
Jan 1, 2001; 14:
Articles

Toni Tripp-Reimer
Jan 1, 2001; 14:
Articles

Long before word recently broke that white referees in the National Basketball Association were calling fouls at a higher rate on black athletes than on white athletes, and long before studies found racial disparities in how black and white applicants get called for job interviews, researchers no...

Manitoba health officials says visits can be done via the internet, through window panes, or outside at a distance if everyone is healthy. People whose moms are in a hospital or a care home can still drop off gifts of food or clothing.

CONTEXT:

Recommendations conflict regarding universal application of formal screening instruments in primary care (PC) and PC-like settings for autism spectrum disorder (ASD).

Many patient and family demographic characteristics are well-known risk factors for nonurgent emergency-department use. No previous study has examined the primary care physician perspective on parental decisions regarding specific nonurgent emergency-department visits by children.

When discussing specific instances when families in their practices sought nonurgent care for children in the emergency department, physicians believed that parents acted appropriately. Neither parents nor primary care physicians saw nonurgent emergency-department visits as a significant enough problem to warrant change. (Read the full article)

Primary care settings provide an important venue for early detection of substance use and intervention, but adolescent screening rates need improvement. Screening and brief interventions appear effective in reducing adult problem drinking but evidence for effectiveness among adolescents is needed.

A computer-facilitated system for screening, feedback, and provider brief advice for primary care can increase adolescent receipt of substance use screening across a variety of practice settings, and shows promise for reducing adolescents’ use of alcohol and cannabis. (Read the full article)

Neonatal mortality rate and causes of death have been relatively stable in recent years. Decision-making practices preceding death of sick neonates affect the circumstances of death. These practices vary worldwide according to the team approach and local population background.

Although our population is mostly religious, we observed a decline in maximal intensive care along with increasing redirection of care over a decade. Changes in the team approach and increasing level of parental involvement influence type and duration of treatment. (Read the full article)

Adolescents with chronic disease are a diverse population with common needs for transition. Disease-specific interventions have shown promise at improving patient outcomes but with substantial personnel and resource costs. Whether a generic approach across diseases may be useful is unknown.

This study is among the first to evaluate a generic (across disease) approach to transition of adolescents to adult care. The approach demonstrated promise and cost savings due to reduced personnel requirement and use of low-cost technology dissemination methods. (Read the full article)

The Centers for Disease Control and Prevention recommends that health departments in all 50 states deliver AFIX (Assessment, Feedback, Incentives, and eXchange) consultations to 25% of federally funded vaccine providers each year. AFIX effectively raises vaccination coverage among young children.

AFIX consultations achieved short-term gains in coverage for 11- to 12-year-olds for vaccines in the adolescent platform. No gains occurred for older adolescents or over the long term. Consultations were equally effective when delivered in-person or by webinar. (Read the full article)

Childhood obesity rates in the United States remain at historic highs. The pediatric primary care office represents an important, underutilized source of intervention. There is a need to test the efficacy of motivational interviewing for pediatric obesity in primary care.

This is among the first large-scale randomized trials to show significant reductions in BMI and that motivational interviewing, delivered by trained providers in the primary care setting, can be an important and feasible part of addressing childhood obesity. (Read the full article)

US parents trust the health care system and bring their infant children in for preventive care. Previous studies have demonstrated the ability of health care systems to identify, and sometimes address, the economic needs of low-income families.

Families of newborns at a safety-net primary care center have high levels of economic hardship. Compared with controls, Developmental Understanding and Legal Collaboration for Everyone families had accelerated access to concrete supports, improved rates of on-time immunization and preventive care, and decreased emergency department utilization. (Read the full article)

More than 200 million children <5 years are not reaching their developmental potential. Lack of stimulating caregiving is a major cause, and effective scalable interventions are needed. Integrating parenting with health services has been recommended, but there are few evaluations.

An innovative parenting intervention can be delivered at routine visits for primary health care, with benefits to child cognitive development and parenting knowledge. This approach using films, discussion, and practice has the potential for delivery at scale. (Read the full article)

Nurses act as caregiver, adviser, confidante, educator, advocate – often all at once – and for multiple patients. Nurses also shape policies at the national level as representatives of professional organizations. During National Nurses Week, we’re celebrating the important role nurses play, now and every day of the year.

This is the first postponement of an EPL game, after UEFA Champion's League and Europa League games were played behind closed doors and Italy, Spain and France league fixtures have gone haywire.

The above mentioned Trust is the authorised body to manage and supervise the day-to-day activities and facilities of the samadhi temple.

In accordance with the state government guidelines, the Mehrangarh Museum Trust, that runs the world famous site, also decided to shut Umaid Bhawan Palace Museum, Rao Jodha Desert Rock Park, Jaswant Thada and Ahhichatragarh Fort of Nagaur till March 31.

Three premier hotels in Delhi's Aerocity directed to reserve rooms for quarantine.

As part of the precautionary measures, the district administration has advised tourists to vacate hotels IN two days and refrain from visiting Puri for now.

Title: Americans Uneasy With Push to Repeal Obamacare: HealthDay/Harris Poll
Category: Health News
Created: 5/4/2017 12:00:00 AM
Last Editorial Review: 5/4/2017 12:00:00 AM

In 2019, the National Academy of Medicine (NAM) turned to the all-important state level to draw insights on the status of health and health care within the context of the NAM Vital Directions for Health and Health Care initiative. The NAM held a two-day symposium in the Research Triangle to bring together various stakeholders to better understand actions that states and localities are taking to achieve—and the barriers they face in pursuing—more affordable, value-driven quality care and health outcomes. The NAM purposefully chose to pivot to the state level with North Carolina given that it has been at the forefront of health care transformation and illustrates the promise but also the challenges facing US health and health care nationally. A 19-member planning committee, cochaired by NAM President Victor Dzau and Secretary Mandy Cohen of the North Carolina Department of Health and Human Services, selected topics that resonate with the state's activities within the context of the Vital Directions framework, ranging from empowering people and connecting care through the integration of social, physical, and behavioral health to payer alignment though the advancement of new payment models (Figure 1). The priorities discussed during the symposium continue to be central to health reform in North Carolina and are further explored in the commentaries in this issue.

Surgical procedures are performed in the United States in a wide variety of clinical settings and with variation in clinical outcomes. In May 2012, the Task Force for Children’s Surgical Care, an ad hoc multidisciplinary group comprising physicians representing specialties relevant to pediatric perioperative care, was convened to generate recommendations to optimize the delivery of children’s surgical care. This group generated a white paper detailing the consensus opinions of the involved experts. Following these initial recommendations, the American College of Surgeons (ACS), Children’s Hospital Association, and Task Force for Children’s Surgical Care, with input from all related perioperative specialties, developed and published specific and detailed resource and quality standards designed to improve children’s surgical care (https://www.facs.org/quality-programs/childrens-surgery/childrens-surgery-verification). In 2015, with the endorsement of the American Academy of Pediatrics (https://pediatrics.aappublications.org/content/135/6/e1538), the ACS established a pilot verification program. In January 2017, after completion of the pilot program, the ACS Children’s Surgery Verification Quality Improvement Program was officially launched. Verified sites are listed on the program Web site at https://www.facs.org/quality-programs/childrens-surgery/childrens-surgery-verification/centers, and more than 150 are interested in verification. This report provides an update on the ACS Children’s Surgery Verification Quality Improvement Program as it continues to evolve.

Background:

Patient identification is an important step for advance care planning (ACP) discussions.

Therapeutic inertia is a prevalent problem in people with type 2 diabetes in primary care and affects clinical outcomes. It arises from a complex interplay of patient-, clinician-, and health system–related factors. Ultimately, clinical practice guidelines have not made an impact on improving glycemic targets over the past decade. A more proactive approach, including focusing on optimal combination agents for early glycemic durability, may reduce therapeutic inertia and improve clinical outcomes.

BackgroundUrinary tract infections (UTIs) are one of the most common bacterial infections managed in general practice. Many women with symptoms of uncomplicated UTI may not benefit meaningfully from antibiotic treatment, but the evidence base is complex and there is no suitable shared decision-making resource to guide antibiotic treatment and symptomatic care for use in general practice consultations.AimTo develop an evidence-based, shared decision-making intervention leaflet to optimise management of uncomplicated UTI for women aged <65 years in the primary care setting.Design and settingQualitative telephone interviews with GPs and patient focus group interviews.MethodIn-depth interviews were conducted to explore how consultation discussions around diagnosis, antibiotic use, self-care, safety netting, and prevention of UTI could be improved. Interview schedules were based on the Theoretical Domains Framework.ResultsBarriers to an effective joint consultation and appropriate prescribing included: lack of GP time, misunderstanding of depth of knowledge and miscommunication between the patient and the GP, nature of the consults (such as telephone consultations), and a history of previous antibiotic therapy.ConclusionConsultation time pressures combined with late symptom presentation are a challenge for even the most experienced of GPs: however, it is clear that enhanced patient–clinician shared decision making is urgently required when it comes to UTIs. This communication should incorporate the provision of self-care, safety netting, and preventive advice to help guide patients when to consult. A shared decision-making information leaflet was iteratively co-produced with patients, clinicians, and researchers at Public Health England using study data.

PURPOSE

The prognosis of older patients with dizziness in primary care is unknown. Our objective was to determine the prognosis and survival of patients with different subtypes and causes of dizziness.

Background:

It is unclear how patient-reported access to primary care differs by physician payment model and participation in team-based care. We examined the association between timely and after-hours access to primary care and physician payment model and participation in team-based care, and sought to assess how access varied by patient characteristics.

CNBC Make It spoke to female entrepreneurs about the impact today's pandemic is having on their companies as they fight for federal funding, pivot business operations and manage child-care.

Bollywood actors Vicky Kaushal and Rajkummar Raos housing complex here has been partially sealed after an 11-year-old tested positive for COVID-19. The complex in Mumbai's Andheri area is home to Bollywood actors including Vicky, Rajkummar and Patralekhaa, and Chitrangda Singh.

The child is the daughter of a director who resides in the C-wing of the complex, prompting the BMC to partially seal the A and B wings and also sanitise the entire complex, reports timesofindia.com. The residents of the complex have reportedly been asked to follow strict quarantine rules and take extra precautionary measures to contain the spread of the infection.

Over the past weeks, reports have stated that several buildings of film and television actors, including actress Ankita Lokhande's, were also sealed after confirmed positive COVID-19 cases were found in the area. Bollywood personalities who have been hospitalised after testing COVID-19 positive so far are producer Karim Morani, his daughters Zoa and Shaza Morani, and singer Kanika Kapoor. All of them have been discharged after recovering.

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Ramayana actress Mahika Sharma is stuck in the United Kingdom owing to the ongoing coronavirus pandemic that has prompted nationwide lockdowns all over the world. Far away from family and friends, the F.I.R actress has been in self-quarantine all alone in the foreign city and celebrating the Indian New Year distributing self-made sweets.

"Being Indian girl, and coming from a very religious Brahmin family I was always taught a girl should learn to adjust and survive in any circumstances away from family and should care to bring joy all around to let people feel her presence. Here in London I'm in a friend's apartment. Its a new year time in India. Be it Bihu in my home state Assam. Pôhela Boishakh at Kolkata or Vaisakhi.. Its a new year for India. So for celebrating it I'm making sweets here and greeting to people here. Its my luck," she said.

Later talking about coming back to nation. Former Miss teen northeast said, "I want to return India as soon as possible. But I don't want to take any risk. I'm safe and healthy here.. so won't return till things genuinely change and provide me a healthy and safe travel."

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Indian President Pranab Mukherjee said that nursing professionals were the backbone of the healthcare system and their contribution was critical in achievement of nation's healthcare goals.

President Pranab Mukherjee said nurses and midwives are crucial in delivering "cost-effective and good quality healthcare". He was speaking at Rashtrapati

Patient-reported experiences have the potential for driving improvements in the quality of hospital care, reveals a new study. The findings of the study

Parents who are educated beyond high school tend to invest more in Family health care and thereby are wise to do so as they, in turn, reduce the likelihood of adverse medical conditions.

According to a new OECD report, variations in health care use across the cantons in Switzerland need to be consider the potential of over- and underuse of health services and raise questions about the efficiency and equity of health care services delivered in Switzerland.

According to a new OECD report, variation in rates of health care activity across geographic areas in countries is a cause for concern. Wide variation suggests that whether or not you will receive a particular health service depends to a very great extent on the region where you live within a country.

This paper provides new projections of public spending on health and long-term care for OECD countries and the BRIICS countries (Brazil, Russia, India, Indonesia, China and South Africa). Despite the inevitable uncertainty surrounding projections, they suggest a rapidly rising trend over the next 50 years.

According to a new OECD report, variation in rates of health care activity between geographic areas within a country may be a cause for concern. Wide variation suggests that whether or not patients receive a particular health service depends on the region where they live within a country.

According to a new OECD report, variation in rates of health care activity across geographic areas in countries is a cause for concern. Wide variation suggests that whether or not you will receive a particular health service depends to a very great extent on where you live within a country.

This paper provides new projections of public spending on health and long-term care for OECD countries and the BRIICS countries (Brazil, Russia, India, Indonesia, China and South Africa). Despite the inevitable uncertainty surrounding projections, they suggest a rapidly rising trend over the next 50 years.

FEMAIL picked out a selection of the latest products infused with vitamin C for healthy skin. Picks include a radiance peel by Murad and a gentle daily polish wash from Super Facialist.

Just weeks after giving birth to her third child, Eva Amurri is opening up about postpartum depression in the midst of the coronavirus pandemic.

Clif Bar & Co. is among only 5% of U.S. employers that offer a child care center on-site or near its offices. Kate Torgersen, an 18-year employee, explains how bringing her three children to the company's "Base Camp" child care center has benefited her as a working mother. Photo: Tim Hussin for The Wall Street Journal

Clif Bar & Co. is among only 5% of U.S. employers that offer a child care center on-site or near its offices. Kate Torgersen, an 18-year employee, explains how bringing her three children to the company's "Base Camp" child care center has benefited her as a working mother. Photo: Tim Hussin for The Wall Street Journal