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Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. “Many of our health systems that have at-risk contracts are expecting headwinds in revenue of up to 20%.”
The Trial STRONG-HF studied two treatment strategies after a patient was discharged from the hospital after treatment for heart failure. Actual cardiologists performed these visits, which included up-titration of meds, but, also, as Adam correctly notes, patients had MD-level assessments. Here were the results. A: It does not.
If applicants are more impressive on paper, but no more impressive in the clinics and hospitals, aren’t we doing something wrong? To some extent, I think this is mostly what we already do in admission/selection committees. [ii] One could also follow the lead of the tech industry and invest in the selection process.
She meets her existing patients and picks up a new one, Bill. He was a direct admission after an electrophysiologic (EP) study. They found a medication that made it harder to induce VT and sent him up to the medical floor for admission and monitoring with instructions to initiate that medication.
JMM The CHAGASICS Trial: A Disturbing Failure of Peer Review at a Leading Cardiology Journal By Anis Rassi Jr, MD, PhD, FAHA, FACP, FACP, Scientific Director, Anis Rassi Hospital, Goiânia, Brazil I submitted a letter to the editor regarding the CHAGASICS trial, which was recently published in JAMA Cardiology (October 2024).
Doctors and hospitals incur penalties if a patient with an MI is not on a beta-blocker—unless there is a darn good reason put down in the chart. A place where a learner can go to look up the seminal trials that established modern day cardiology practice. About 16,000 patients were randomized from more than 200 hospitals.
The idea was that the software would examine patients’ medical records – the entire medical record: clinical notes; labs; radiology; and their admission histories – and learn to stratify people in terms of their risk for readmission. I admit that I do not follow the Medical AI literature closely.
Her outpatient follow-up appointments were scheduled; we had reviewed her safety plan; she felt well and ready to leave the hospital. Her hospital course was uneventful, and she made good therapeutic use of her time on the unit. ” As the conversation wrapped up, I started putting the papers back on her bed.
Even though my practice is made up of about 750, overwhelmingly older people, mostly with chronic medical conditions, I only attend to the death of a patient a few times a month. I usually see people who die alone in the hospital. Some of these patients die alone in the hospital, with nobody at their bedside.
This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. Hospitals need to be aware of these state-specific rules as well. Think of your documentation as the ironclad defense for your hospitaladmissions.
In case you aren’t familiar, the Two-Midnight Rule mandates that a patient’s hospital stay must span at least two midnights to qualify for inpatient status, directly influencing reimbursement rates and compliance requirements. In the MA Final Rule, however, CMS explicitly states that the two-midnight presumption does not apply to MA plans.
As a result of these experiences, I launched my organization Project Diversify Medicine, a digital community on Instagram with over 60,000 followers, with a mission to provide culturally inclusive pre-med educational resources to increase the admission of minorities to medical school.
She responded to treatment with prednisone and was thankful at a follow-up appointment three weeks later. Over the years following her diagnosis, CT developed an impressive array of complications from the prednisone: hypertension, diabetes, a spinal compression fracture. What did I learn from her?
Three in four nurses working in hospitals care about the success of their institution — “they show up and gown up…yet only 57% feel a sense of ownership in their hospitals, leaving leaders to expect 100% quality to be delivered by about half of the nursing workforce.” health system.
What reliably follows is a conversation with a smart, earnest, mature, and absurdly accomplished young adult. 1] I want to take physics over the summer to free up time in my schedule. Will the admissions committee frown on this? ” I thought I could easily come up with something inspiring.
Having AI check errors gives providers peace of mind while speeding up reimbursements and minimizing costly denials. By predicting admissions and discharge patterns, AI helps prevent overcrowding and reduces wait times. Post-visit, AI can guide patients through recovery by sending reminders to take medications or schedule follow-ups.
Mercer County Joint Township Community Hospital in Coldwater, Ohio, has suffered a significant data breach involving the electronic protected health information of up to 88,541 individuals. Notification letters were mailed to the affected individuals on February 21, 2025.
NHS England states that regional teams should be working with local government partners to set priorities for 2025/26, with an emphasis on improving timely access to general practice, urgent and emergency care, and reducing long and costly admissions to hospitals or care homes.
And from an admissions perspective, it’s essential that applicants from these groups consider how to best present themselves in their medical school applications. Self-identifying is the easiest way to let admissions committees know that you are part of an underrepresented ethnic or racial group, but it’s not the only way.
Show Summary Welcome to the 600th episode of Admissions Straight Talk ! Show Notes Welcome to the 600th episode of Admissions Straight Talk. Accepted’s free guide, Med School Admissions, What You Need to Know to Get Accepted can tell you exactly what you need to do. Dr. Schmude, welcome back to Admission Straight Talk.
Piraino also discusses the role of secondary essays in evaluating applicants and explores why teamwork, resilience, and cultural awareness are important in the admissions process. Show Notes: Our guest today is Dr. Beth Perino, Associate Dean for admissions at the University of Pittsburgh School of Medicine. Well, thank you.
Prisca Benson, MSN, RN is a a nurse navigator for the neuroscience department at The Valley Hospital. It was not long before I started picking up per diem job opportunities to explore and broaden my horizons as a nurse. In 2014, I got a job as a neurology nurse at my dream hospital, NYP-Columbia University Hospital.
When it comes to assessing and treating pressure injuries, diabetic wounds, and venous wounds, investing in expertise up front can help protect your organization against costly wound care liability down the road. To minimize liability, the entire healthcare team can benefit from training in the following areas: Recognizing wound risk factors.
Health information technology professionals charged with selecting, implementing, updating, and paying for health IT in hospital and care delivery settings are essentially the first-line consumers of health IT specifically, electronic health records. Second, consider user experience.
Show Summary Dr. Linton Yee, Associate Dean for Admissions at Duke University School of Medicine joins us to discuss how applicants can earn a spot in this highly competitive program. Show Notes Welcome to the 593rd episode of Admissions Straight Talk. Accepted’s Med School Admissions quiz can give you a quick reality check.
Early warning scores are another example, which are used in hospitals to predict clinical deterioration based on a patient’s vital signs [2]. The costs and consequences of false negatives and positives need to be carefully weighed up [7]. The recent rise of big data has propelled the pursuit of personalized medicine.
For example, maybe one of your siblings has a rare disability, or you grew up in a town with fewer than 500 inhabitants. Admissions officers believe that diversity in the classroom improves the educational experience of all the students involved. For example, perhaps you’re part of the 0.2% Deeds What have you done?
If you are more of a kinesthetic learner, then time spent on hospital rounds will be a great way to reinforce concepts. In medical school, it is often up to you to decide how best to spend your time. Your teachers include attendings, residents, nurses, hospital techs, and of course, the patients themselves. Use your time wisely.
Improving Access and Outcomes Using Success, Effort, Emotion, and Trust Metrics A nurse enters a hospital room for a routine blood draw. Hospitals with higher patient experience scores report a 161% better net margin than competitors with low scores. [1] She greets the patient, explains why she is there, and begins the task.
For this section of our Med School Admissions: What You Need to Know To Get Accepted series, I’ll provide a brief rundown of what happens after you graduate from medical school. The rest is up to you. The drawback of this is having to pick up and move two times. Let’s take a look at the different stops you’ll make along the way.
Pharmacy technician employers can be grouped into four main categories: community pharmacies (retail pharmacies), specialty pharmacies, mail-order pharmacies and hospital pharmacies. However, the day-to-day tasks of a pharmacy technician in a hospital are unique to that environment. Order and maintain protocol specific to inventory.
The mainstreaming of SDoH speaks to the awareness that health is made where we live, work, play, pray, learn and shop… beyond the health”care” system of hospitals, doctors’ offices, and prescription drug dispensaries. McKinsey conducted the survey among over 12,500 U.S.
Advancing these efforts, the BPCI Advanced model introduces a consolidated retrospective payment system that addresses services within a 90-day period following discharge or outpatient procedures. Collaborating with community-based resources allows hospitals participating in the BPCI to more adeptly aid those who are most at risk.
The most reliable source of information about allopathic medical schools is the Medical School Admission Requirements ( MSAR ) website, offered by the AAMC (Association of American Medical Colleges). Follow these steps: Step #1: Calculate your stats and be kind to yourself. Step #2: Address a decreasing trend in your GPA. We can help!
Some solutions are cropping up to pave the way. But one-size-fits-all solutions centered on medication as a silver bullet to obesity are only setting up patients and payers for failure. Similarly, those whose sole promise is to deprescribe, don’t follow the evidence. They’re itching for an easy off-ramp.
Its Director of Admissions, Dr. Mike Woodson, is our guest today, and he’ll tell you what it takes to get in. Show Notes Welcome to the 569th episode of Admissions Straight Talk. Accepted’s med school admissions quiz can give you a quick reality check. In 2019, he became the Director of Admissions.
Early warning scores are another example, which are used in hospitals to predict clinical deterioration based on a patient’s vital signs [2]. The costs and consequences of false negatives and positives need to be carefully weighed up [7]. The recent rise of big data has propelled the pursuit of personalized medicine.
With several documents related to the contract being released on Thursday (28th April) afternoon, we've taken a look at the contract updates to give you a head start on the requirements of the contract so you're up and running quickly. CHOL002 is replaced by CHOL004 with wording as follows: CHOL004. mmol/L or lower.
The 2025 ERAS (Electronic Residency Application Service) application follows on last year’s restructured application, with a few changes. The AAMC site describes the various Primary Focus Areas as follows: Basic science (e.g., positions in retail, restaurant, sales, hospitality, and technical support) Health care administration (e.g.,
This ensures that their skills remain up to date with growing knowledge and evolving practices. OB/GYN medical assistants can be found in physician offices, family planning centers, hospital outpatient clinics, urgent care, health maintenance organizations (HMOs), and more. Where Do OB/GYN Medical Assistants Work?
In this study, Drane and Shah analyze the input of 386 health care executives, physicians, and clinical leaders working across provider organizations (hospitals, clinics, health systems, physician groups), assessing their perceptions of caregivers’ role with the patients they love and interactions with the health system.
Spending on mental health apps, in particular, spiked up in the COVID-19 pandemic reaching at least $500 million according to Deloitte’s analysis. Avoiding recommended follow-up care such as diagnostic tests and labs, or visits to specialists. Value will be in the eye of that beholder.
As a graduate of medical school in Europe, but having grown up in the United States, I have a little knowledge about both: let’s start with Europe first, which I know a lot of my American readers are rather unfamiliar with. This surprised a lot of my American followers. Wow, right? is a lot less than in the States.
billion has been provided to safety net hospitals and federally qualified health centers that serve high-risk patients and communities. The Washington State Hospital Association ( WSHA ) has also been contacted by its members who have expressed concern about the notification requirements after reading OCR’s letter. 40% of the $3.3
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