Mindful mentorship
Publication date: Available online 18 November 2019Source: HealthcareAuthor(s): Vineet Chopra, Sanjay Saint (Source: Healthcare)
Source: Healthcare - November 19, 2019 Category: Middle East Health Source Type: research
S2HS- A blockchain based approach for smart healthcare system
Publication date: Available online 19 November 2019Source: HealthcareAuthor(s): Gautami Tripathi, Mohd Abdul Ahad, Sara PaivaAbstractHealthcare domain has emerged as one of the most preferred use cases of IoT and its related technologies. However, its widespread adoption is still a distant dream. The primary reason behind this is the security and privacy of the data and the participating entities. To overcome this, blockchain technology has emerged as a convenient means to improve the security and privacy of the data and its users. With the deluge of medical data generated through electronic medical records and other ICT b...
Source: Healthcare - November 19, 2019 Category: Middle East Health Source Type: research
Healthy Days at home: A novel population-based outcome measure
ConclusionsHDAH is a population-based quality measure with substantial market-level variation.ImplicationsHDAH recognizes the multidimensional nature of healthcare and may afford providers greater flexibility to tailor quality-improvement initiatives to the unique needs of their patients.Level of evidenceLevel II. (Source: Healthcare)
Source: Healthcare - November 9, 2019 Category: Middle East Health Source Type: research
Centers of excellence: Are there standards?
ConclusionsThe lack of standardization for designating CoEs not only prevents CoEs from fully achieving their intended effects of signaling “excellent” hospitals, but also causes confusion for patients, employers and payers, which dilutes the meaning of the CoE label.ImplicationsWe suggest that the designation and implementation of CoEs should be standardized in healthcare. (Source: Healthcare)
Source: Healthcare - October 29, 2019 Category: Middle East Health Source Type: research
Delivering family planning and preconception care to women with diabetes: Implementation challenges and promising strategies
Publication date: Available online 23 October 2019Source: HealthcareAuthor(s): Cassondra Marshall, Laura BrittonAbstractDiabetes is increasingly prevalent among women of reproductive age and during pregnancy. The American Diabetes Association, which has called for improvements in the patient-centeredness of care, recommends preconception counseling and care for women of reproductive age with diabetes. However, data suggests this care is not sufficiently delivered. In this article, we describe demographic shifts in the need for preconception care and outline several changes at the clinical encounter as well as the health sy...
Source: Healthcare - October 25, 2019 Category: Middle East Health Source Type: research
Why quality improvement efforts depend on healthy cultures
Publication date: Available online 23 October 2019Source: HealthcareAuthor(s): Amitha Kalaichandran, Javeed Sukhera (Source: Healthcare)
Source: Healthcare - October 23, 2019 Category: Middle East Health Source Type: research
Implementing an electronic system to screen and actively refer to community based agencies for food insecurity in primary care
Publication date: Available online 12 October 2019Source: HealthcareAuthor(s): Amy M. Smith, Leah Zallman, Kathy Betts, Lisa Brukilacchio, Fiona McCaughan, Erin McAleer, Noreen Kelly, David Elvin, Lisa Trumble (Source: Healthcare)
Source: Healthcare - October 13, 2019 Category: Middle East Health Source Type: research
A delicate balance: Accountability for very high-cost patients in new payment models
Publication date: Available online 24 September 2019Source: HealthcareAuthor(s): Samyukta Mullangi, Matthew J. Press, Andrew M. RyanAbstractDesigning alternative payment models (APMs) to encourage providers to manage the needs of very complex patients while limiting providers' financial risk is a major challenge. Most APMs limit providers’ financial risk for complex patients through an annual per-patient expenditure cap, above which medical expenses are excluded from financial performance calculations. We consider three strategies to better strengthen the balance between motivation and risk mitigation. First, risk adjust...
Source: Healthcare - September 24, 2019 Category: Middle East Health Source Type: research
Stakeholder engagement to initiate lung cancer screening in an urban safety-net health system
Publication date: Available online 31 August 2019Source: HealthcareAuthor(s): Simon J.Craddock Lee, Heidi A. Hamann, Travis Browning, Noel O. Santini, Suhny Abbara, David S. Balis, Hsienchang Chiu, Brett A. Moran, Molly McGuire, David E. GerberAbstract•Health systems, especially those caring for medically underserved populations, should consider a multi-level approach to patient and stakeholder engagement to advance adoption of population screening as guideline-based care.•Iterative engagement should inform design and activation of an electronic order set to (1) capture socio-demographic data to establish screening eli...
Source: Healthcare - September 1, 2019 Category: Middle East Health Source Type: research
Hospital adoption of API-enabled patient data access
Publication date: Available online 27 August 2019Source: HealthcareAuthor(s): A. Jay Holmgren, Nate C. Apathy (Source: Healthcare)
Source: Healthcare - August 28, 2019 Category: Middle East Health Source Type: research
Incorporating patient-generated contextual data into care: Clinician perspectives using the Consolidated Framework for Implementation Science
Publication date: Available online 21 August 2019Source: HealthcareAuthor(s): Jeana M. Holt, Rachel Cusatis, Onur Asan, Joni Williams, Sandile Nukuna, Kathryn E. Flynn, Jennifer Moore, Bradley H. CrottyAbstractPatient contextual data (PCD), defined as patient's values, environment, or behavior influencing health, are essential to the proper care of patients, yet often are missing in the electronic health record (EHR). The current EHR structures and practice demands produce barriers to document PCD systemically. We sought to understand clinicians' perceived facilitators and barriers to use PCD using a consumer informatics t...
Source: Healthcare - August 22, 2019 Category: Middle East Health Source Type: research
Roots Community Birth Center: A culturally-centered care model for improving value and equity in childbirth
Publication date: Available online 29 July 2019Source: HealthcareAuthor(s): Rachel R. Hardeman, J'Mag Karbeah, Jennifer Almanza, Katy B. KozhimannilAbstractPernicious racial disparities in birth outcomes in the United States have their roots in structural racism—the systematic allocation of opportunities and resources based on race. These inequities, caused by systemic factors which contribute to lower quality of care, negatively impact the lives of Blacks/African Americans. The development of new maternity care models hold potential to reduce disparities and costs by focusing on the root cause of racism. Roots Community...
Source: Healthcare - July 30, 2019 Category: Middle East Health Source Type: research
Invisibility and modern medicine
Publication date: Available online 26 July 2019Source: HealthcareAuthor(s): Sachin H. Jain (Source: Healthcare)
Source: Healthcare - July 28, 2019 Category: Middle East Health Source Type: research
Improving health determinants outside of the clinic does not mean outside of clinical science
Publication date: Available online 27 June 2019Source: HealthcareAuthor(s): Ted Smith, T. Joseph Mattingly, Lane SlabaughAbstractThere has been steady and growing interest in addressing patient health beyond the traditional interactions with clinicians. Much attention has been given to the social determinants of health which are associated with many non-communicable diseases. A challenge to the healthcare delivery system is to incorporate these environmental circumstances into a coherent diagnosis and treatment framework. As clinicians are expected to help transform the healthcare delivery systems to consider these extra-c...
Source: Healthcare - June 28, 2019 Category: Middle East Health Source Type: research
Care continuity impacts medicare expenditures of older adults: Fact or fiction?
Conclusions and implicationsThese results provide some evidence that older adults with multiple prescribers also have modestly higher Medicare utilization than those with a single prescriber; thus care continuity may impact patient utilization.Level of evidenceLevel III (retrospective cohort analysis) (Source: Healthcare)
Source: Healthcare - May 31, 2019 Category: Middle East Health Source Type: research
