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Nurse Practitioners and Physicians Behind the 8-Ball
On June 8, 2019, an article was published in the New York Times that clearly stated something I ' ve been thinking about for quite some time. The article was titled, "The Business of Health Care Depends on Exploiting Doctors and Nurses" , and the subtitle was "One resource seems infinite and free: the professionalism of caregivers" . It was written by Dr. Danielle Ofri, a physician at Bellevue Hospital in New York City.The article outlines the ways in which healthcare providers are exploited for their compassion and dedication to patients in terms of being asked to see more patients and do more work than is humanly possibl...
Source: Digital Doorway - December 30, 2019 Category: Nursing Tags: burnout doctors family nurse practitioners hospitals medical care medical ethics nurses nursing Source Type: blogs

Fight Aging! Newsletter, December 23rd 2019
In this study, by adenovirus-mediated delivery and inducible transgenic mouse models, we demonstrate the proliferation of both HCs and SCs by combined Notch1 and Myc activation in in vitro and in vivo inner ear adult mouse models. These proliferating mature SCs and HCs maintain their respective identities. Moreover, when presented with HC induction signals, reprogrammed adult SCs transdifferentiate into HC-like cells both in vitro and in vivo. Finally, our data suggest that regenerated HC-like cells likely possess functional transduction channels and are able to form connections with adult auditory neurons. Epige...
Source: Fight Aging! - December 22, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Podcast: Medicaid ’ s Dark Secret
For many participants, Medicaid — the program that provides health care to millions of low-income Americans — isn’t free. It’s a loan. And the government expects to be repaid. Are you surprised to hear that? So was today’s guest. Rachel Corbett recently wrote an article explaining in what circumstances you could be at risk. Join us to find out if this could happen to you, how you can protect yourself and what is next for the healthcare program. SUBSCRIBE & REVIEW Guest information for ‘Rachel Corbett Medicaid’ Podcast Episode Rachel Corbett is the author of You Must Change Your Life: The Story...
Source: World of Psychology - December 12, 2019 Category: Psychiatry & Psychology Authors: The Psych Central Podcast Tags: Aging General Health-related Interview Mental Health and Wellness Podcast Policy and Advocacy The Psych Central Show Treatment Source Type: blogs

Outcomes-Based Pharmaceutical Contracts Can Shape the Future of Healthcare
I think that it would be a very good idea if drug costs, particularly for the most expensive ones, were based on outcomes for patients under treatment. This is to say, payment for the drug would be based on evidence that the drug is both efficacious and safe. Outcomes-based drug contracts were the basis for a recent article (see:Outcomes-Based Contracts Can Shape the Future of Health Care) and an excerpt is presented below: Over the past decade, much of the health care economy has shifted from rewarding quantity (fee-for-service) to instead rewarding quality (outcome- and value-based payments). And yet, pharmac...
Source: Lab Soft News - November 26, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Electronic Health Record (EHR) Healthcare Information Technology Hospital Financial Pharmaceutical Industry Quality of Care Source Type: blogs

Mandated Queries of the Florida Prescription Drug Monitoring Program: A Three-Month Experience from a Cancer Center-Based Outpatient Palliative Medicine Clinic
This article represents the findings from the queries over the first three months ’ queries and brings further clarity to our initial findings.Methods This quality improvement (QI) project was reviewed and approved by the Orlando Health/UFHealth Cancer Center Joint Oncology Committee for 2018-19. We began recording results of all E-FORSCE queries occurring after the law ’s implementation of July 1, 2018 through September 30, 2018. We informed each patient that the PDMP query had become mandatory in Florida, and we discussed the results of each query with each patient. Each query examined the last 12 months of the patie...
Source: Pallimed: A Hospice and Palliative Medicine Blog - November 18, 2019 Category: Palliative Care Tags: kollas opioid pain quality improvement statte Source Type: blogs

How are hospitals supposed to reduce readmissions? Part III
By KIP SULLIVAN, JD The Medicare Payment Advisory Commission (MedPAC) and other proponents of the Hospital Readmissions Reduction Program (HRRP) justified their support for the HRRP with the claim that research had already demonstrated how hospitals could reduce readmissions for all Medicare fee-for-service patients, not just for groups of carefully selected patients. In this three-part series, I am reviewing the evidence for that claim. We saw in Part I and Part II that the research MedPAC cited in its 2007 report to Congress (the report Congress relied on in authorizing the HRRP) contained no studies supporting tha...
Source: The Health Care Blog - October 14, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Medicare health reform Hospital Readmissions Reduction Program HRRP Kip Sullivan MedPAC Source Type: blogs

New Hearing Aid Apps Stream Sound, Translate Calls, Sync With Your House
Manufacturers are stepping up efforts to integrate hearing assistive technology with smart phones and Bluetooth technology, according to a recent article from NextAvenue—a PBS media outlet for older adults. The article describes apps that work directly with hearing aids from Audibel, NuEar, Oticon, Phonak, Starkey, and others. The apps allow users to stream sound directly to their hearing aids, translate calls into text, and sync with smart home systems. Others automatically turn off the lights when you turn off your hearing aid at night, alert you when someone rings the doorbell, or use your phone as a microphone to bet...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - September 13, 2019 Category: Speech-Language Pathology Authors: Shelley D. Hutchins Tags: Academia & Research Audiology Health Care News Private Practice Schools Slider Hearing Assistive Technology hearing loss Source Type: blogs

VHA Doc ' s 3,000 Errors, DHS Docs ' ' Dual Loyalties '
It has been a rough news day for government-run health care. But not nearly so rough as government-run health care has been to its victims.First,  The Washington Post reports on the matter of Robert Morris Levy, a former pathologist at the Veterans Health Admininstration hospital in Fayetteville, Arkansas who repeatedly showed up for work intoxicated and who “VA officials say…made 3,000 errors or misdiagnoses dating to 2005.” Levy showed up for work one day with a blood alcohol level of 0.4 percent, five times Arkansas’ legal limit. He misdiagnosed patients who actually had cancer and whose cancers spread untreat...
Source: Cato-at-liberty - September 3, 2019 Category: American Health Authors: Michael F. Cannon Source Type: blogs

Why Medicare for All Will Not Cure What Ails the Hahnemann
By ASEEM R. SHUKLA, MD The impending closure of Hahnemann University Hospital is a local tragedy.  Eliminating a 170-year old institution is certain to exaggerate the daily travails of the economically disadvantaged inner-city population that Hahnemann serves as a safety-net hospital.  The closure is also a national tragedy. Hospitals are the towering, visible monuments of our healthcare system, and closings imply that something insidious ails that very system—that all is not well.   Hospitals are complex entities with varied financial drivers, and the solution is never simple.  And the mo...
Source: The Health Care Blog - August 20, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Hospitals Medicare Aseem Shukla Hahnemann University Hospital Medicare For All Source Type: blogs

Everyone Is Having the Wrong Healthcare Debate
By STEVEN MERAHN, MD In 1807, in an effort to spite the British and French for shipping interference (and forced recruitment of American citizens into military service), the United States Congress passed an Embargo Act, effectively shutting down trade with these two countries. Britain and France quickly found other trading partners; the US, then limited in our capacity to sell products outside our borders, was left with a devastated economy and a gaping hole in our face. It took only weeks before Congress passed a loophole; they repealed the act within 15 months of its passing. It was a great lesson in unintended co...
Source: The Health Care Blog - August 16, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Politics Uncategorized Health care debate Health Care Reform Steven Merahn universal healthcare Source Type: blogs

How a Value Focus Could Change Health Care
By BRIAN KLEPPER, PhD How will the drive to health care value affect health care’s structure? We tend to assume that the health care structure we’re become accustomed to is the one we’ll always have, but that’s probably far from the truth. If we pull levers that incentivize the right care at the right time, it’s likely that many of the problems we think we’re stuck with, like overtreatment and a lack of accountability, will disappear. A large part of getting the right results is making sure that health care vendors have the right incentives. All forms of reimbursement carry incentives, so it’s important...
Source: The Health Care Blog - August 14, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Value-Based Care Brian Klepper Health Care Reform Validation Institute Source Type: blogs

Podcast: How Money Impacts Mental Illness
In this episode, our hosts discuss how the amount of money and resources a person has influences their mental health care. Listen now to hear how Gabe and Michelle tackle this difficult social discussion — and have a couple laughs along the way.  SUBSCRIBE & REVIEW “It’s so hard to get help with mental illness if you have no money, and that’s not ok.” – Michelle Hammer Highlights from ‘Money and Mental Illness’ Episode [1:00] How does money impact people with mental illness? [3:00] Michelle’s epiphany on the subway. [5:30] The difference between mental health and physical health. [9:3...
Source: World of Psychology - August 12, 2019 Category: Psychiatry & Psychology Authors: Gabe Howard Tags: A Bipolar, A Schizophrenic, and a Podcast Personal Policy and Advocacy Source Type: blogs

How Do You Tell Someone With Dementia When a Loved One Has Died?
Photo credit Christian Newman ...My friend can be forgiven for dragging her feet. Her mother has been told often that the brother was ill. It was new information to the mother each time. There was no reason for the daughter to think that the telling of her uncle's death was not going to shock her mother all over again. She seriously thought of not mentioning it. It's not as if a visit was expected. She asked me what I thought. Read the full article on HealthCentral to learn more about how (or if) to tell someone that their spouse or other loved one has died: Carol Bradley Bursack is the Candid Caregiver MedicareFAQ – Med...
Source: Minding Our Elders - August 7, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

How We Approach Caring for Aging Parents Who Didn ’t Care for You
Photo credit Richard Jaimes ...As we talked, Nancy described the inner turmoil she was facing as her parents got older. She grew up with a physically and emotionally abusive mother, and her father was gone much of the time, doing what most men of that generation did: making a living to support his family. Therefore, he wasn’t around to “interfere” with the raising of the children. Nancy had spent years in therapy learning to cope with her childhood issues.  Read the full article on Agingcare to learn more about how to approach caring for parents who never cared for you: Carol Bradley Bursack is the Candid Careg...
Source: Minding Our Elders - August 6, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

A Proposal to Improve Healthcare and Make It More Affordable
By STEVE ZECOLA Americans spend about $3 trillion per year on healthcare, or about $10,000 per person per year. Despite these expenditures, Americans are worse off than their international counterparts with respect to infant mortality, life expectancy and the prevalence of chronic conditions. In policy debates, Republicans mostly prefer to let the marketplace devise the appropriate outcomes, but this approach ignores the market failures that plague the industry. On the other hand, Democrats propose a variety of solutions such as “Medicare for All” which nationalizes all healthcare insurance or, as a variant, ...
Source: The Health Care Blog - August 6, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Medicare For All Source Type: blogs