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Managing Care: The Crucial Nursing–Case Management Partnership
Readmissions, throughput, capacity, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores'laser-like focal points for every hospital. Enter Recovery Audit Contractor (RAC), Medicare Administrative Contractors (MAC), Comprehensive Error Rate Testing (CERT), Medicare Integrity Program (MIP), and other auditing entities, and the incentives grow larger while the penalties become more draconian. Medicare's Recovery Audit Contractor program provides an example. It retracted $828.3 million from acute care hospitals in California, Florida, and New York during a 3-year demonstration program. It has since ...
Source: Nurse Leader - December 1, 2012 Category: Nursing Authors: Kathleen A. Bower Tags: Features Source Type: research

Factors related to burnout among Chinese female hospital nurses: cross‐sectional survey in Liaoning Province of China
ConclusionThe findings suggest that occupational stress was strongly related to burnout among female hospital nurses in China. Implications for nursing managementOccupational stress was identified as the most robust predictor of burnout among Chinese female hospital nurses. Reducing burnout among nurses working in China may require health education, health promotion and occupational training programmes aimed at improving work situations and reducing occupational stress.
Source: Journal of Nursing Management - December 1, 2012 Category: Nursing Authors: Hui Wu, Li Liu, Wei Sun, Xue Zhao, Jiana Wang, Lie Wang Tags: Original Article Source Type: research

Organisational values and organisational commitment: do nurses’ ethno‐cultural differences matter?
ConclusionFindings confirm the role of culture and ethnicity in the perception of organisational values and the level of organisational commitment among nurses. Implications for nursing managementAssessing ethno‐cultural differences in organisational values and organisational commitment provides a fuller understanding of nurses' ability to adjust to their work environment and helps nurse managers devise means to increase nurses' commitment.
Source: Journal of Nursing Management - December 1, 2012 Category: Nursing Authors: Tova Hendel, Ilya Kagan Tags: Original Article Source Type: research

Arrhythmia management: Advances and new perspectives in pharmacotherapy in congenital heart disease
Abstract: Patients with congenital heart disease and particularly those with previous surgical repair are potentially at risk of brady- and tachy-arrhythmias over the course of their lifetime. Arrhythmias can be associated with significant morbidity and potential mortality in the patient with congenital heart disease and account for a substantial proportion of all hospital admissions in this cohort. The selection of appropriate anti-arrhythmic therapy for these patients presents unique challenges and aspects of care such as ventricular dysfunction, risk of bradyarrhythmia etc. must be taken into consideration. Commonly use...
Source: Progress in Pediatric Cardiology - December 1, 2012 Category: Cardiology Authors: Louise Harris, Krishnakumar Nair Source Type: research

Hyper-K and Shades of Grey
Good morning all… It's a beautiful fall Sunday morning, and you and your partner are enjoying an nice cup of coffee. But of course, the tones go off, and you are called to the residence of a 52 year old female, "sick". You recognize the address, you've been there before.  Upon your arrival, you find your patient sitting in a chair in the living room. You remember her. She is a dialysis patient. She does not look well.  She complains of not feeling well. She says she is weak, and has slight shortness of breath. You don't see any labored breathing or accessory muscle use, and she is able...
Source: EMS 12-Lead - November 30, 2012 Category: Cardiology Authors: David Baumrind Tags: ems-topics patient-management Training training-development 12-Lead ECG David Baumrind ems12lead.com hyperkalemia Paramedic Source Type: research

Management of the Hospitalized Diabetes Patient with an Insulin Pump
This article discusses the benefits of intensive insulin therapy, how the insulin pump works, initial insulin-pump dosing, candidate selection, advantages and disadvantages of using an insulin pump, troubleshooting the pump, nursing care of the hospitalized patient wearing an insulin pump, and development of hospital protocols for the care of such patients.
Source: Critical Care Nursing Clinics of North America - November 30, 2012 Category: Nursing Authors: Deborah McCrea Source Type: research

Surgical Management of Subaortic Stenosis.
Abstract A 63-year-old male patient with subaortic stenosis (Pmax 105 mmHg, Pmean 55 mmHg) and an aneurysm of the ascending aorta was referred to our hospital due to progressive angina pectoris. Transesophageal echocardiography demonstrated high and turbulent subaortic flow velocities. A calcified subaortic membrane was identified. The membrane was removed and the aneurysm was treated with a Bentall procedure. The patient recovered smoothly from surgery and was doing well 6 months after discharge. PMID: 23196660 [PubMed - as supplied by publisher]
Source: Annals of Thoracic and Cardiovascular Surgery - November 30, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Weymann A, Schmack B, Rosendal C, Karck M, Szabó G Tags: Ann Thorac Cardiovasc Surg Source Type: research

Clinical dietetic practice in the treatment of severe acute malnutrition in a high HIV setting
ConclusionsThe dietetic practices for infants with SAM followed current expert opinion closely rather than the WHO protocol. The omission of cautious refeeding follows neither current expert opinion, nor the WHO protocol, and may predispose to the refeeding syndrome. Limited evidence indicates that partially hydrolysed formulas are less effective than low lactose low osmolality feeds in the treatment of SAM.
Source: Journal of Human Nutrition and Dietetics - November 30, 2012 Category: Nutrition Authors: C. Biggs Tags: Research Paper Source Type: research

Validation of the functional assessment of cancer therapy-gastric module for the Chinese population
Conclusions: Given the excellent reliability and good construct validity, FACT-Ga scores are able to distinguish patient groups with different clinical characteristics in the expected direction. Therefore FACT-Ga can be used as a discriminative instrument for measuring QoL of Chinese patients with GC.
Source: Health and Quality of Life Outcomes - November 30, 2012 Category: Global & Universal Authors: Hui ZhouJimmy SoWei YongNan LuoFeng ZhuNasheen NaidooShu LiKhay Yeoh Source Type: research

COURAGE 5 years on: the message grows stronger
Since the advent of percutaneous coronary intervention (PCI) 35 years ago,1 a remarkable and sustained evolution of this catheter-based technology has shifted the treatment of patients with coronary artery disease (CAD) largely away from an initial pharmacological approach to one that emphasises an anatomically-driven management strategy. We now know that non-flow-limiting coronary stenoses are the principal progenitors of most ‘hard’ clinical events, and that total or subtotal coronary occlusion following plaque rupture or fissuring is a cardiovascular emergency that cannot be optimally managed with medic...
Source: Heart - November 30, 2012 Category: Cardiology Authors: Boden, W. E. Tags: Drugs: cardiovascular system, Interventional cardiology, Acute coronary syndromes, Percutaneous intervention, Clinical diagnostic tests, Epidemiology Editorials Source Type: research

Pregnancy Outcomes of Women With Physical Disabilities: A Matched Cohort Study
Conclusion: Our study describes a cohort of women who had moderate-to-severe physical disabilities who historically have been discouraged from pregnancy. Women with physical disabilities experienced higher rates of preterm deliveries, low birthweight infants, and pregnancy complications. The pregnancy complications in most cases were not severe and were readily managed. Although it was common to experience functional changes during pregnancy, these changes had largely resolved by 6 weeks postpartum. Larger observational studies are needed to better understand the etiology and prevention of preterm labor and low-birthweigh...
Source: PM and R - November 29, 2012 Category: Rehabilitation Authors: Christina Morton, Joan T. Le, Lena Shahbandar, Cassing Hammond, Eileen A. Murphy, Kristi L. Kirschner Tags: Original Research Source Type: research

Moderate glucose control is associated with increased mortality compared to tight glucose control in critically ill non-diabetics.
CONCLUSIONS: Moderate glucose control (90-140mg/dL) may confer greater mortality in non-diabetic, critically ill patients compared to tight glucose control (80-110mg/dL). A single glucose target does not appear optimal for all critically ill patients. These data have important implications for the design of future interventional trials as well as for the glycemic management of critically ill patients. PMID: 23238456 [PubMed - as supplied by publisher]
Source: Chest - November 29, 2012 Category: Respiratory Medicine Authors: Lanspa MJ, Hirshberg EL, Phillips GD, Holmen J, Stoddard G, Orme J Tags: Chest Source Type: research

Non‐obstetric vulval trauma
ConclusionsNon‐obstetric vulval injuries are uncommon (incidence 3.7%). All cases require assessment for vaginal, urethral, anal and bony pelvis injuries. This might require examination under anaesthesia. Conservative management of haematomas in the absence of acute haematoma expansion is favoured. The need to screen for sexually transmissible infections and pregnancy is important. Social worker and psychological support is important to reduce the incidence of long‐term psychological problems.
Source: Emergency Medicine Australasia - November 29, 2012 Category: Emergency Medicine Authors: Ian SC Jones, Alan O'Connor Tags: Original Research Source Type: research

Eight-step method to build the clinical content of an evidence-based care pathway: the case for COPD exacerbation
Conclusions: The set of 38 key interventions and the set of process and outcome indicators were found to be appropriate for the development and standardization of the clinical content of the COPD care pathway in the context of a cRCT on pathway effectiveness. The developed eight-step method may facilitate multidisciplinary teams caring for other patient populations in designing the clinical content of their future care pathways.
Source: Trials - November 29, 2012 Category: Journals (General) Authors: Cathy LodewijckxMarc DecramerWalter SermeusMassimiliano PanellaSvin DeneckereKris Vanhaecht Source Type: research

Knowledge of prescribed medication information among patients with limited English proficiency in Sri Lanka
Conclusion: In a resource-poor setting in patients with Limited English Proficiency, lower level of education and misperception of illness severity resulted in reduced knowledge on prescribed medications. Furthermore, being educated by a doctor significantly improved knowledge. However the doctors' contribution at present to deliver quality health information to their patients was at an unsatisfactory level.
Source: BMC Research Notes - November 29, 2012 Category: Research Authors: Thisara PereraPriyanga RanasingheUdeshika PereraSherin PereraMadura AdikariSaroj JayasingheGodwin Constantine Source Type: research

Study protocol: systematic review of the burden of heart failure in low- and middle-income countries
DiscussionCurrently, there are important gaps in our knowledge on the burden of heart failure in LMIC and this systematic review aims to provide useful information that improves our knowledge in this field. Results are expected to be publicly available in early 2013.
Source: BioMed Central - November 28, 2012 Category: Journals (General) Authors: Derrick A BennettThomas K EliaszAnna ForbesAlastair KiszelyRajit KhoslaTatjana PetrinicDevarsetty PraveenRoohi ShrivastavaDu XinAnushka PatelStephen MacMahonKazem Rahimi Source Type: research

Perioperative increase in global blood flow to explicit defined goals and outcomes following surgery.
CONCLUSIONS: It remains uncertain whether increasing blood flow using fluids, with or without inotropes or vasoactive drugs, reduces mortality in adults undergoing surgery. The primary analysis in this review (mortality at longest follow-up) showed no difference between the intervention and control, but this result was sensitive to the method of analysis, the withdrawal of studies with methodological limitations, and is dominated by a single large RCT. Overall, for every 100 patients in whom blood flow is increased perioperatively to defined goals, one can expect 13 in 100 patients (from 40/100 to 27/100) to avoid a compli...
Source: Cochrane Database of Systematic Reviews - November 28, 2012 Category: Journals (General) Authors: Grocott MP, Dushianthan A, Hamilton MA, Mythen MG, Harrison D, Rowan K, Optimisation Systematic Review Steering Group Tags: Cochrane Database Syst Rev Source Type: research

Drug therapy for delirium in terminally ill adult patients.
CONCLUSIONS: There remains insufficient evidence to draw conclusions about the role of drug therapy in the treatment of delirium in terminally ill patients. Thus, practitioners should continue to follow current clinical guidelines. Further research is essential. PMID: 23152226 [PubMed - in process]
Source: Cochrane Database of Systematic Reviews - November 28, 2012 Category: Journals (General) Authors: Candy B, Jackson KC, Jones L, Leurent B, Tookman A, King M Tags: Cochrane Database Syst Rev Source Type: research

Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months.
CONCLUSIONS: The results based on the three included studies in this review did not support the use of nebulised rhDNase in children under 24 months of age hospitalised with acute bronchiolitis. In these patients, treatment did not shorten the length of hospitalisation or improve clinical outcomes. It might have a role in severe bronchiolitis complicated by atelectasis, but further clinical studies would need to be performed. PMID: 23152257 [PubMed - in process]
Source: Cochrane Database of Systematic Reviews - November 28, 2012 Category: Journals (General) Authors: Enriquez A, Chu IW, Mellis C, Lin WY Tags: Cochrane Database Syst Rev Source Type: research

Pre-operative Nutrition Support in Patients Undergoing Gastrointestinal Surgery.
CONCLUSIONS: There have been significant benefits demonstrated with pre-operative administration of IE nutrition in some high quality trials. However, bias was identified which may limit the generalizability of these results to all GI surgical candidates and the data needs to be placed in context with other recent innovations in surgical management (eg-ERAS). Some unwanted effects have also been reported with components of IE nutrition in critical care patients and it is unknown whether there would be detrimental effects by administering IE nutrition to patients who could require critical care support after their surgery. ...
Source: Cochrane Database of Systematic Reviews - November 28, 2012 Category: Journals (General) Authors: Burden S, Todd C, Hill J, Lal S Tags: Cochrane Database Syst Rev Source Type: research

Ketamine for management of acute exacerbations of asthma in children.
CONCLUSIONS: The single study on non-intubated children with severe acute asthma did not show significant benefit and does not support the case studies and observational reports showing benefits of ketamine in both non-ventilated and ventilated children. There were no significant side effects of ketamine. We could not find any trials on ventilated children. To prove that ketamine is an effective treatment for acute asthma in children, there is need for sufficiently powered randomised trials of high methodological quality with objective outcome measures of clinical importance. Future trials should also explore different do...
Source: Cochrane Database of Systematic Reviews - November 28, 2012 Category: Journals (General) Authors: Jat KR, Chawla D Tags: Cochrane Database Syst Rev Source Type: research

Hypnosis for pain management during labour and childbirth.
CONCLUSIONS: There are still only a small number of studies assessing the use of hypnosis for labour and childbirth. Although the intervention shows some promise, further research is needed before recommendations can be made regarding its clinical usefulness for pain management in maternity care. PMID: 23152275 [PubMed - in process]
Source: Cochrane Database of Systematic Reviews - November 28, 2012 Category: Journals (General) Authors: Madden K, Middleton P, Cyna AM, Matthewson M, Jones L Tags: Cochrane Database Syst Rev Source Type: research

Preoperative physical therapy for elective cardiac surgery patients.
CONCLUSIONS: Evidence derived from small trials suggests that preoperative physical therapy reduces postoperative pulmonary complications (atelectasis and pneumonia) and length of hospital stay in patients undergoing elective cardiac surgery. There is a lack of evidence that preoperative physical therapy reduces postoperative pneumothorax, prolonged mechanical ventilation or all-cause deaths. PMID: 23152283 [PubMed - in process]
Source: Cochrane Database of Systematic Reviews - November 28, 2012 Category: Journals (General) Authors: Hulzebos EH, Smit Y, Helders PP, van Meeteren NL Tags: Cochrane Database Syst Rev Source Type: research

GE Healthcare, UW cooperate on reducing CT doses
GE Healthcare said Wednesday it reached an agreement with the University of Wisconsin School of Medicine and Public Health to provide physicians with more tools to optimize radiation dosages and potentially reduce the frequency of repeat CT, or computed tomography, scans. Clinical professionals at the UW School of Medicine and Public Health will develop a suite of protocols that will be regularly updated and improved. GE Healthcare and the University of Wisconsin also plan to make the protocols…
Source: bizjournals.com Health Care:Hospitals headlines - November 28, 2012 Category: Hospital Management Authors: Rich Kirchen Source Type: research

Missouri will benefit from expanding Medicaid, study says
Missouri will reap economic benefits if it participates in a federal plan to expand Medicaid, according to a new study. Gov. Jay Nixon has scheduled a news conference Thursday morning at Truman Medical Center, where he is expected to announce that the state will take part in the expansion. A study the University of Missouri School of Medicine released Wednesday says the expansion would create 24,000 jobs in the state, including more than 4,200 in the Kansas City area. The value added to the state’s…
Source: bizjournals.com Health Care:Hospitals headlines - November 28, 2012 Category: Hospital Management Authors: Paul Koepp Source Type: research

Casey seeks VA water supply fix
Sen. Bob Casey is demanding action from the Department of Veterans Affairs after five Pittsburgh veterans were sickened with Legionnaires’ disease at the VA facility in Oakland. In a letter to Department of Veterans Affairs Secretary Eric K. Shinseki, Casey said on Wednesday that the outbreak could have been prevented if the hospital’s water system had been properly monitored. VA spokesman Dave Cowgill was not immediately available for comment. Some 270,000 Pennsylvania veterans receive care…
Source: bizjournals.com Health Care:Hospitals headlines - November 28, 2012 Category: Hospital Management Authors: Kris B. Mamula Source Type: research

St. Jude Memphis Marathon expects huge turnout this weekend
Festivities surrounding the St. Jude Memphis Marathon begin Thursday and organizers expect more than 18,000 runners and walkers to participate in the weekend's events. The participants will take part in one of five events: the St. Jude Memphis Marathon, Half Marathon, Marathon Relay, Memphis Grizzlies House 5K and the St. Jude Memphis Kids Marathon and Family Fun Run. The five-member marathon relay event was added this year and has become an immediate hit with runners, selling out in a single day. There…
Source: bizjournals.com Health Care:Hospitals headlines - November 28, 2012 Category: Hospital Management Authors: Ed Arnold Source Type: research

$2.2 million in federal funds aimed at East Bay med device, bioscience innovation
A consortium that includes the University of California, Berkeley, Lawrence Berkeley National Laboratory and East Bay job-training and economic development groups will tap $2.2 million in federal funding to spur medical device and bioscience manufacturing jobs along the I-80/880 corridor. The Advanced Manufacturing Medical/Biosciences Pipeline for Economic Development -- or AM2PED -- is aimed at technology transfer, economic development and workforce development, according to UC Berkeley. The funding…
Source: bizjournals.com Health Care:Hospitals headlines - November 28, 2012 Category: Hospital Management Authors: Ron Leuty Source Type: research

Pennsylvania hospital infections falling, state says
The Pennsylvania Department of Health issued a report this week showing hospitals in the state are continuing to make progress in reducing health-care–associated infections. The report found central line-associated bloodstream infections dropped by 44 percent between 2008 and 2011 and catheter-associated urinary tract infections declined 32.3 percent during the same time period. The health department study also found surgical-site infections per 100 surgeries for certain benchmarked procedures…
Source: bizjournals.com Health Care:Hospitals headlines - November 28, 2012 Category: Hospital Management Authors: John George Source Type: research

Study: Alabama has least competitive health insurance market
A new report from the American Medical Association says Alabama has the nation's least competitive health insurance markets. The report said Blue Cross and Blue Shield of Alabama has an overall market share of 88 percent in the state, making it the nation's least competitive. The dominance of Blue Cross, which is the subject of multiple antitrust lawsuits filed in Alabama, also made Alabama the least competitive preferred provider organization market. Alabama was also deemed to have the second…
Source: bizjournals.com Health Care:Hospitals headlines - November 28, 2012 Category: Hospital Management Source Type: research

Trial success with rare disease drug nets bonuses for two BioMarin execs
BioMarin Pharmaceutical Inc.'s solid Phase III trial of an experimental treatment for a rare crippling disease netted two of its executives hefty cash bonuses. Dr. Henry Fuchs, chief medical officer of the Novato company (NASDAQ: BMRN), received a $100,000 bonus, the company said Wednesday in a Securities and Exchange Commission filing. Robert Baffi, the executive vice president of technical operations, scored a $50,000 bonus. BioMarin said that its board of directors' compensation committee awarded…
Source: bizjournals.com Health Care:Hospitals headlines - November 28, 2012 Category: Hospital Management Authors: Ron Leuty Source Type: research

CryoLife opens biotech manufacturing plant at Georgia Tech
Kennesaw-based CryoLife Inc. is expanding its high tech manufacturing capacity in Midtown. The implantable biological medical device and cardiovascular tissue processing firm has signed a lease for 10,000 square feet of space at Georgia Tech, said Ashley Lee, CryoLife’s chief financial officer and chief operating officer. The space, at 387 Technology Circle NW, was formerly occupied by an Altea Therapeutics, a life sciences company that raised more than $60 million in venture capital and closed…
Source: bizjournals.com Health Care:Hospitals headlines - November 28, 2012 Category: Hospital Management Authors: Urvaksh Karkaria Source Type: research

D.C. launches new health-data exchange; will doctors join?
Four weeks after the D.C. Regional Health Information Organization shut down, the District government has launched a system meant to be a replacement. Will it actually replace the RHIO? According to federal definitions, yes. In reality, it may take more developing. Tuesday night, Mayor Vincent Gray's administration announced the "go live" for Direct Secure Messaging, a platform that enables doctors and other health care providers to directly share sensitive patient information. The step is a major…
Source: bizjournals.com Health Care:Hospitals headlines - November 28, 2012 Category: Hospital Management Authors: Ben Fischer Source Type: research

Chronic Renal Failure Complications and Management in Kidney Transplanted and Nontransplanted Patients
Conclusion: Most complications of CKD were better managed among NT.
Source: Transplantation Proceedings - November 28, 2012 Category: Transplant Surgery Authors: S. Kaysi, M. Hadj Abdelkader, J. Aniort, C. Garrouste, C. Philipponnet, P. Deteix, A. Elizabeth Heng Tags: Complications Source Type: research

Diagnosis of malignant pericarditis: a single centre experience.
Conclusions: 1. Malignancy was found in 58% of patients undergoing invasive treatment due to large pericardial effusion. 2. Cytological examination of the pericardial fluid and histological examination of a pericardial specimen showed high specificity (100%) but low sensitivity (46%) in the diagnosis of malignant pericarditis. 3. The most important predictors of malignant pericarditis included tachycardia of 〉 100 bpm as revealed by the physical examination and ECG, echocardiographic evidence of cardiac tamponade, presence of enlarged mediastinal lymph nodes (〉 1 cm) and thickened pericardium (〉 8 mm) by chest CT, bl...
Source: Polish Heart Journal - November 28, 2012 Category: Cardiology Authors: Pawlak Cieślik A, Szturmowicz M, Fijałkowska A, Gątarek J, Gralec R, Błasińska Przerwa K, Szczepulska Wójcik E, Skoczylas A, Bilska A, Tomkowski W Tags: Kardiol Pol Source Type: research

The Johns Hopkins Hospital template for urologic cytology samples
CONCLUSIONS:The authors concluded that their template is effective in targeting those patients who need to undergo cystoscopy. Cancer (Cancer Cytopathol) 2012. © 2012 American Cancer Society.
Source: Cancer Cytopathology - November 28, 2012 Category: Pathology Authors: Dorothy L. Rosenthal, Christopher J. VandenBussche, Frances H. Burroughs, Srividya Sathiyamoorthy, Hui Guan, Christopher Owens Tags: Original Article Source Type: research

Reflections on the implementation of governance structures for early‐stage clinical innovation
ConclusionsThe views of committee members and clinical innovators help us to understand the practical issues of implementing governance structures for novel clinical procedures. The data illustrate those factors that must be taken into account if governance is to support innovation rather than act as an inhibiting factor in the development of new clinical procedures.
Source: Journal of Evaluation in Clinical Practice - November 28, 2012 Category: Journals (General) Authors: Luke Cowie, Jane Sandall, Kathryn Ehrich Tags: Original Article Source Type: research

Validation of a novel multibiomarker test to assess rheumatoid arthritis disease activity
ConclusionOur findings establish the criterion and discriminant validity of a novel multibiomarker test as an objective measure of RA disease activity to aid in the management of RA in patients with this condition.
Source: Arthritis Care and Research - November 28, 2012 Category: Rheumatology Authors: Jeffrey R. Curtis, Annette H. van der Helm‐van Mil, Rachel Knevel, Tom W. Huizinga, Douglas J. Haney, Yijing Shen, Saroja Ramanujan, Guy Cavet, Michael Centola, Lyndal K. Hesterberg, David Chernoff, Kerri Ford, Nancy A. Shadick, Max Hamburger, Roy Fleis Tags: Rheumatoid Arthritis Source Type: research

Labor law violations in Japanese public hospitals from March 2002 to March 2011
ConclusionsMany public hospitals in Japan did not always pay workers including physicians for increased workload because they do not regard night and holiday duties as work hours.
Source: Pediatrics International - November 28, 2012 Category: Pediatrics Authors: Akira Ehara Tags: Original Article Source Type: research

Emergency department visits in children with hemophilia
ConclusionThe pediatric ED is an indispensable component of the overall hemophilia care, because: (1) patients with potentially lethal problems such as ICH or CVC‐related infection may present to the ED for their initial management; (2) previously undiagnosed patients with hemophilia may also present to the ED for their first bleeding episodes, initiating the diagnostic investigations; (3) the ED provides after‐hours treatment service for many episodes of injury or bleeding, and also for clotting factor infusion. Pediatr Blood Cancer © 2012 Wiley Periodicals, Inc.
Source: Pediatric Blood and Cancer - November 28, 2012 Category: Cancer & Oncology Authors: Bülent Özgönenel, Ayesha Zia, Michael U. Callaghan, Meera Chitlur, Madhvi Rajpurkar, Jeanne M. Lusher Tags: Research Article Source Type: research

Newsmakers — Kevin Conlin, Via Christi Health
Via Christi Health at the start of 2010 looked a lot different from the Via Christi Health of today. The organization has gained a hospital and sold an insurance company. It’s taken over operations of a hospital in McPherson. It’s acquired a Wichita-area-wide system of health clinics and has lost a CEO. That CEO, Kevin Conlin, has been a driving force behind Via Christi’s strategy since he joined the health system in 2004. In an interview before he headed to Maryland for his new job at Coventry…
Source: bizjournals.com Health Care:Hospitals headlines - November 27, 2012 Category: Hospital Management Authors: Emily Behlmann Source Type: research

Newsmakers — Hugh Tappan, Wesley Medical Center
For years, Wesley Medical Center’s operations have been focused on its main hospital at Central and Hillside. But that has changed as hospital executives have looked for ways to expand Wesley’s footprint in the Wichita area with the additions of a west-Wichita emergency room, physical therapy clinics and an outpatient surgical center. Perhaps the most notable of Wesley’s recent expansions started in December 2010 when plans to purchase Galichia Heart Hospital were announced. Throughout 2011,…
Source: bizjournals.com Health Care:Hospitals headlines - November 27, 2012 Category: Hospital Management Authors: Josh Heck Source Type: research

Newsmakers — Fred Hermes, Dr. Greg Lakin, Matt Lillie, Physicians Development Group
When those involved with Physicians Development Group started thinking about their next senior living project, they wanted to create something more like a destination and less like an institution. Company leaders traveled all over the country looking for examples of the type of senior living complex they hoped to incorporate into their campus on Maize Road near Kellogg. What PDG came up with used various components of other facilities around the country, including senior living projects in Colorado,…
Source: bizjournals.com Health Care:Hospitals headlines - November 27, 2012 Category: Hospital Management Authors: Josh Heck Source Type: research

Edison Miyawaki’s Pali Corp. secures $21.5M in financing from Oxford Finance
Hawaii-based Pali Corp. has secured $21.5 million in financing from Oxford Finance LLC to refinance existing debt and fund the operations of its two skilled-nursing facilities in Honolulu. The financing includes a $20 million senior secured term loan and a $1.5 million revolving line of credit, Alexandria, Va.-based Oxford Finance said. Dr. Edison H. Miyawaki, president of Pali Corp., as well as the Nuuanu Hale and Liliha Healthcare Center facilities, said in a statement that he was “grateful…
Source: bizjournals.com Health Care:Hospitals headlines - November 27, 2012 Category: Hospital Management Source Type: research

Gilead wins European approval of Viread for children infected with HIV, hepatitis B
Gilead Sciences Inc.'s antiretroviral drug Viread got a two-fer Tuesday from the European Commission. The commission approved Viread for two new indications -- for HIV-infected children, in combination with other antiretrovrial drugs, and as a traditional tablet for chronically infected hepatitis B patients aged 12-17 -- in the 27 countries in the European Union. The HIV approval included an OK for a new oral granule version for children aged 2-5 and for children 6 and older where a solid dosage…
Source: bizjournals.com Health Care:Hospitals headlines - November 27, 2012 Category: Hospital Management Authors: Ron Leuty Source Type: research

Kaiser Permanente still tangled in legal and regulatory scuffle with tiny Indio vendor
You may or may not remember the odd David vs. Goliath battle between Stephan Dean, who runs a tiny data storage company in Indio, and giant Kaiser Permanente, which for reasons that are unclear has used Dean's Sure File Filing Systems to electronically store hundreds of thousands of patient records for much of the last four years, originally without a written agreement. As many as 1 million of those electronic records — many covered by state and federal health privacy regulations — still reside…
Source: bizjournals.com Health Care:Hospitals headlines - November 27, 2012 Category: Hospital Management Authors: Chris Rauber Source Type: research

Will there be enough doctors to care for newly insured Americans?
An estimated 50 million uninsured Americans soon will be eligible for health insurance coverage — most through Medicaid expansion or state health insurance exchanges — but a recent study to be published in the American Journal of Medical Quality finds there may not be enough doctors willing to care for them. Researchers from Mongan Institute for Health Policy at Massachusetts General Hospital found a significant percentage of the primary care physicians who are most likely to care for those…
Source: bizjournals.com Health Care:Hospitals headlines - November 27, 2012 Category: Hospital Management Authors: Bayan Raji Source Type: research

Small biz owners show support for ending tax cuts for wealthy
More than 600 small business owners and executives, including six from Wisconsin, have signaled support for a call to end Bush-era tax cuts for the top 2 percent. The business owners signed a letter sent by the American Sustainable Business Council and Business for Shared Prosperity that called on Congress to end the tax cuts and "reinvest in America" as part of efforts to avert the so-called "fiscal cliff." President Barack Obama met with 15 small business owners Tuesday to discuss the impact…
Source: bizjournals.com Health Care:Hospitals headlines - November 27, 2012 Category: Hospital Management Authors: Wendy Strong Source Type: research

Complete Genomics rejects Illumnia acquisition offer
In the battle for Complete Genomics, BGI-Shenzhen is emerging as the front-runner. Mountain View’s Complete Genomics Inc. rejected a $123.5 million acquisition bid from Illumnia. Complete Genomics said its board “unanimously concluded” that the $3.30 per share offer was “inadequate.” In September, Complete Genomics, a human genome sequencing company, and BGI entered into a merger agreement, in which BGI would pay $117.6 million, or $3.15 per share. Related: BGI-Shenzhen to acquire…
Source: bizjournals.com Health Care:Hospitals headlines - November 27, 2012 Category: Hospital Management Authors: Shana Lynch Source Type: research