Potentially Avoidable Days
Roundup: Mass. Doctors Eye Care Management Funds; Fla. Groups Fear Scott Will ...
It's clear from the data that hospitals and doctors can do a lot better at coordinating care for their patients. On the final day of hearings on controlling health care costs today, state officials estimated that at least $2 billion was spent in Massachusetts in 2009 on potentially avoidable emergency room visits, hospitalizations and readmissions. These are problems that can be addressed in part by having primary care doctors closely oversee patients care, to look for and treat medical issues before they become serious (Kowalczyk, 6/30).Health News Florida : Will Scott Block Still More Grants? Dozens of health alliances around the state that are competing for big federal grants are worried that Gov. Rick Scott will block their chances of winning. Their concern is over 75 Community Transformation Grants that the Centers for Disease Control and Prevention will award, worth a combined $100 million. The program is part of the federal health law that Florida is contesting in court, the Patient Protection and Affordable Care Act. Opposition to the Act by Scott and legislative leaders has already led Florida to turn down more than $50 million in health funds that were then redirected to other states (Davis & Gentry, 6/30).
The New York Times : Local Laws Fighting Fat Under Siege Several state legislatures are passing laws that prohibit municipalities and other local governments from adopting regulations aimed at curbing rising obesity and improving public health, such as requiring restaurants to provide nutritional information on menus or to eliminate trans fats from the foods they serve (Strom, 6/30).
Kansas Health Institute : Legislative Leaders Approve Interim Studies State legislative leaders today approved 13 topics for study by interim committees that will meet during the summer and fall, including a review of the options for a Kansas health insurance exchange and the potential cost-effectiveness of providing dental benefits to adult Medicaid beneficiaries (Shields, 6/30).
Modern Healthcare : Colo. Exchange Appointees Spur Concern The operators of a proposed "open access" methadone clinic for heroin addicts, which promised treatment within 15 minutes, say they will delay the launch by 30 days to work out differences with state regulators. The clinic was to open July 5 from 6 p.m.
Potentially Avoidable Days - News
On the final day of hearings on controlling health care costs today, state officials estimated that at least $2 billion was spent in Massachusetts in 2009 on potentially avoidable emergency room visits, hospitalizations and readmissions.
On the final day of hearings on controlling health care costs today, state officials estimated that at least $2 billion was spent in Massachusetts in 2009 on potentially avoidable emergency room visits, hospitalizations and readmissions.
The report found the two conditions accounted in 2009-10 for almost 30000 potentially avoidable admissions and about 170000 bed days in NSW public hospitals. Admission is considered potentially avoidable through disease prevention or by stopping
SERIOUS chronic heart and lung conditions were responsible for a total of 413 potentially avoidable admissions at Coffs Harbour Hospital last year, a report by the Bureau of Health Information has found. The base hospital features among the most
The report, to be released today, shows 1457 heart and lung disease-related admissions at Wollongong, Shellharbour and Bulli hospitals last financial year were potentially avoidable. Once they were admitted, the average patient stayed up to a week at
Studies evaluate criteria for detecting potentially inappropriate ...
CHICAGO – Using the Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria was associated with identification of adverse drug events in older patients, according to a report in the June issue of Archives of Internal Medicine, one of the JAMA/Archives journals. The article is part of the journal's Less Is More series.
According to information in the article, adverse drug events (ADEs) are a significant issue in the older population, and are thought to represent an important cause of hospitalization and account for substantial health care expenditures. Some ADEs are associated with potentially inappropriate medications (PIMs): agents that may cause problems in older patients "because of the higher risk of intolerance related to adverse pharmacodynamics or pharmacokinetics or drug-disease interactions." During the last two decades, the Beers criteria for judging whether a medication is appropriate for use in an older patient have become the leading standard. Nevertheless, the authors write, research into whether the Beers criteria are associated with avoidable ADEs has not generated consistent results.
Hilary Hamilton, M.B., M.R.C.P.I., and colleagues from University College Cork in Ireland had developed STOPP as an alternate way to address the PIMs in older patients. In this study, they compared STOPP and the Beers criteria in terms of the prevalence of ADEs associated with PIMs, including those resulting in hospital admission. Their prospective study included 600 consecutive patients ages 65 years or older admitted to a university hospital. The researchers examined the patient's preadmission medication regimens and clinical profile, then applied the STOPP and Beers criteria to determine whether any agents were PIMs. The only ADEs noted were those that occurred after exposure to PIMs but before hospital management. Incidents were analyzed for ADEs against World Health Organization–Uppsala Monitoring Centre criteria, and ADE avoidability against Hallas criteria.
A total of 329 ADEs were detected in 158 of the 600 patients. Of those, 219 ADEs were determined to have played a part in the patient's admission to the hospital; 68.9 percent (151) of these were determined to be avoidable or potentially avoidable. When STOPP criteria were applied, researchers found that serious, avoidable ADEs were identified more often (170 ADEs, or 51.7 percent) than when Beers criteria (67 ADEs, or 20.4 percent) were applied.
Potentially Avoidable Days - Bookshelf
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A significant variance from a normal proportion of potentially avoidable days for a specific case, a physician's practice, or a hospital could be subject to ...Guide to clinical resource management
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Discover why avoidable hospitalization days occur, who's responsible for them, and how to tackle the problem head on with this new edition of a best seller.
2009 National Healthcare Quality and Disparities Reports ...
Medicare home health patients with potentially avoidable hospitalizations within 30 days of start of care ... Potentially avoidable hospitalizations and emergency department ...
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Potentially avoidable inpatient nights among warfarin receiving patients; an audit of a ... 10.5 days minus average potentially avoidably stay of 3 days equals ...