Hospital Management
RSSArticles
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Social Needs Data Are Useful, but Consistent Collection Needed
Case managers and researchers need data that can be used to improve care coordination and prevent hospitalizations and ED visits. But the challenge is deciding which patient data are useful and which are not.
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Novel Method Proposed to Optimize Care Coordination
Healthcare organizations need new methods to improve care coordination and patient-centered care. A co-author of a recent study proposes a method to determine whether a patient needs primary care or specialty care, naming the categories as “lifer” and “destination.”
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More Efficient Social Care Programs Could Improve Screening and Tailor Solutions
Researchers are finding that Accountable Health Communities need greater flexibility in activities geared toward improving patients’ health-related social risks. The Centers for Medicare & Medicaid Services adopted quality metrics for health systems, requiring them to screen for health-related social risks. The authors of a new study found that the model does not allow for the flexibility needed to ensure hospitals sustain the adoption of AHC activities.
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‘Payvider’ Model Is a New Trend for Care Coordination and Addressing Social Needs
Case management and care coordination often are seen as ways to improve patient care outcomes, reduce readmissions, and make hospital-to-community care more efficient. However, resources remain limited in care coordination efforts because of the payment disincentive. A solution that is gaining steam is the “payvider” model.
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Care Management Aided by Solutions to Social Determinants of Health Needs
When a healthcare system asked clinical staff in all settings to screen patients for social determinants of health, patients’ personal struggles became apparent. The next step was more of a challenge — developing solutions.
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Higher Mortality for Neurosurgery Patients with Pre-Existing DNRs
Neurosurgeons at University of Rochester Medicine observed that patients with pre-existing do-not-resuscitate (DNR) orders receiving cranial neurosurgery tended to have poor outcomes. To see if their clinical observations were reflected in actual data, the neurosurgeons analyzed 30,384 patients who underwent cranial neurosurgery in 2018-2020.
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Audio Assistance Improves Minorities’ Willingness to Participate in Research
Audio-assisted informed consent forms significantly improved the willingness of a sample of primarily African American patients to participate in a mock clinical trial.
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It Is Not Just Physicians: Residents also Receive Industry Payments
Drug and device makers publicly report all gifts made to physicians and advanced practice providers, as required by the 2010 Physician Payments Sunshine Act. Residents and other trainees are excluded from this requirement — but that does not mean these providers are not receiving payments.
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Informed Consent Practices for Acute Stroke Treatment Vary
Currently, the two cornerstones of acute ischemic stroke treatment are intravenous thrombolysis and, for patients with large vessel occlusions, endovascular thrombectomy. For treating clinicians, the question becomes: How do clinicians ensure that patients (or their surrogate decisionmakers) make an informed decision while avoiding treatment delays that can result in worse outcomes?
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Ethical Decision-Making with Deprescribing for Older Adults
Physicians must consider multiple ethical issues when making decisions on deprescribing for older adults with dementia, a recent study found.