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Journal articles on the topic 'Federal aid to hospitals'

Author: Grafiati

Published: 4 June 2021

Last updated: 27 July 2025

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1

Li, Kate, Mona Al-Amin, and Michael D. Rosko. "Early Financial Impact of the COVID-19 Pandemic on U.S. Hospitals." Journal of Healthcare Management 68, no. 4 (2023): 268–83. http://dx.doi.org/10.1097/jhm-d-22-00175.

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Goal: The COVID-19 pandemic has left a significant impact on hospitals' operations, expenses, and revenues. However, little is known about the pandemic's financial impact on rural and urban hospitals. Our main objective was to analyze how hospital profitability changed during the first year of the pandemic. We specifically studied the association between COVID-19 infections and hospitalizations and county-level variables with operating margins (OMs) and total margins (TMs). Methods: We obtained data from Medicare Cost Reports, the American Hospital Association Annual Survey Database, and the C

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2

Olayisade, Oluyemi Ayodeji, Olusola Esther Igbekoyi, Kolawole Mohammed Akande, and Bukola Elizabeth Abiola. "Internal Control System and Financial Management in Federal Government Hospitals." International Journal of Research and Innovation in Social Science VII, no. IX (2023): 1648–64. http://dx.doi.org/10.47772/ijriss.2023.71033.

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Literatures on internal control system in the public sector are quite numerous, with just a few studies assessing how financial management in Federal hospitals in Southwest, Nigeria could be enhanced by the components of internal control system. This study covered this gap by examining internal control system and financial management if Federal government hospitals in Southwest, Nigeria. Descriptive research was adopted and the population covered six Federal government hospital in Southwest. 91 respondents were selected across the sampled Federal government hospitals in Southwest, Nigeria. A c

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Ashish Raj, Vijay Kumar, Satish Kumar Alaria, Vivek Sharma,. "Design Simulation and Assessment of Prediction of Mortality in Intensive Care Unit Using Intelligent Algorithms." Mathematical Statistician and Engineering Applications 71, no. 2 (2022): 355–67. http://dx.doi.org/10.17762/msea.v71i2.97.

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Big data in healthcare refers to vast amounts of data generated by the adoption of digital technology that collect patient records and aid in the management of hospital performance, which would otherwise be too large and complex for traditional technologies. We have chosen Mortality Prediction in Hospital ICU for this paper. In recent years, there has been a determined push in hospitals to implement digital health record systems. Between 2008 and 2014, the number of non-federal acute care hospitals in the United States using basic digital systems climbed from 9.4 percent to 75.5 percent. In th

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Nikpay, Sayeh, Caitlin Carroll, Ezra Golberstein, and Jean Marie Abraham. "Playing by the Rules? Tracking U.S. Hospitals' Responses to Federal Price Transparency Regulation." Journal of Healthcare Management 69, no. 1 (2024): 45–58. http://dx.doi.org/10.1097/jhm-d-23-00014.

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SUMMARY Goal: As of January 1, 2021, the Centers for Medicare & Medicaid Services requires most U.S. hospitals to publish pricing information on their website to help consumers make decisions regarding services and to transform negotiations with health insurers. For this study, we evaluated changes in hospitals' compliance with the federal price transparency rule after the first year of enactment, during which the Centers for Medicare & Medicaid Services increased the penalty for noncompliance. Methods: Using a nationally representative random sample of 470 hospitals, we assessed compl

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Harrison, Jeffrey P., and Sean Meyer. "Measuring Efficiency Among US Federal Hospitals." Health Care Manager 33, no. 2 (2014): 117–27. http://dx.doi.org/10.1097/hcm.0000000000000005.

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6

Hines, Emmanuelle, and Colleen E. Reid. "Hurricane Harvey Hospital Flood Impacts: Accuracy of Federal Emergency Management Agency Flood Hazard Areas in Harris County, Texas." American Journal of Public Health 110, no. 4 (2020): 574–79. http://dx.doi.org/10.2105/ajph.2019.305520.

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Objectives. To compare the flood impacts experienced by Harris County, Texas, hospitals with Federal Emergency Management Agency (FEMA) flood hazard areas and Hurricane Harvey’s inundation boundary. Methods. One year following Hurricane Harvey, we created a novel data set of Hurricane Harvey’s flood impacts in Harris County hospitals. We then mapped the hospital flood impact data in ArcGIS alongside FEMA flood hazard areas and Hurricane Harvey’s inundation boundary to classify each hospital’s location in high flood-risk areas and in areas purportedly affected by Hurricane Harvey. Results. Of t

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Alrawashdeh, Mohammad, Chanu Rhee, Heather Hsu, and Grace Lee. "Association Between Federal Value-Based Incentive Program Implementation and Hospital-Onset C. difficile Infection Rates." Infection Control & Hospital Epidemiology 41, S1 (2020): s133. http://dx.doi.org/10.1017/ice.2020.645.

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Background: The Hospital-Acquired Conditions Reduction Program (HACRP) and Hospital Value-Based Purchasing (HVBP) are federal value-based incentive programs that financially reward or penalize hospitals based on quality metrics. Hospital-onset C. difficile infection (HO-CDI) rates reported to the CDC NHSN became a target quality metric for both HACRP and HVBP in October 2016, but the impact of these programs on HO-CDI rates is unknown. Methods: We used an interrupted time-series design to examine the association between HACRP/HVBP implementation in October 2016 and quarterly rates of HO-CDI pe

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Rozinov, V. M., D. A. Morozov, S. A. Rumyantsev, N. N. Vaganov, A. K. Fedorov, and O. S. Gorbachev. "INTERREGIONAL CENTERS FOR SPECIALIZED PEDIATRIC SURGICAL AID IN RUSSIA – PROFILE AND DISLOCATION." Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care 9, no. 1 (2019): 8–16. http://dx.doi.org/10.30946/2219-4061-2019-9-1-8-16.

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Introduction. Russia needs to reform the stepwise model for delivering medical aid to children with surgical diseases and traumas mobilizing patients and those injured at specialized Interregional Centers (IRC). Purpose. To substantiate profiles and dislocation of IRC providing surgical aid to children in Russia. Material and methods. 103 specialists from 85 territorial entities of the Russian Federation presented their expert reviews concerning profiles and dislocation of IRC that provide surgical aid to children in accordance with the nomenclature of professions and administrative structure

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Avramov, A. A., E. V. Ivanov, A. V. Melekhov, R. S. Menzulin, and A. I. Nikiforchin. "Risk Factors for COVID-19 Adverse Outcomes in ICU Settings of Various Types Repurposed Hospitals." General Reanimatology 19, no. 3 (2023): 20–27. http://dx.doi.org/10.15360/1813-9779-2023-3-20-27.

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Objective: to study the risk factors for COVID-19 adverse outcomes in repurposed hospitals of various types.Material and methods. A retrospective study was conducted in the ICUs of three repurposed hospitals: a municipal hospital, a federal center and a private clinic. Data of 369 patients were analyzed for the period from April to December 2020. Gender, age, BMI, NEWS score, severity of lung damage based on CT quantification, blood gases and pH, patterns of antibiotic administration during hospital stay (all classes and number of antimicrobials, regardless the sequence of administration), pat

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10

Plante, Catherine, and Linda Ragland. "Do hospitals earn their nonprofit status? Evidence from New Hampshire in 2012." Journal of Public Budgeting, Accounting & Financial Management 30, no. 1 (2018): 69–85. http://dx.doi.org/10.1108/jpbafm-03-2018-007.

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Purpose The purpose of this paper is to add to the stream of research examining the difference between the amount of taxes waived for nonprofit hospitals and the amount of charity care they provide. Design/methodology/approach The study is an archival study. Findings Almost all nonprofit hospitals in the sample provide enough charity care to cover their waived taxes. Almost none provide enough charity care at the level that has been proposed to the federal government for hospitals to maintain their nonprofit status. Research limitations/implications As with most hospital research, a limitation

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11

Richter, Wolfram F. "Über neue und alte (Fehl)Anreize in der Reform der Vergütung von Krankenhausleistungen." Wirtschaftsdienst 104, no. 2 (2024): 106–11. http://dx.doi.org/10.2478/wd-2024-0033.

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Abstract By international standards, Germany maintains oversized bed capacities that are spread across too many hospitals that are often also too small. It is the job of the federal states to adjust the current structure. However, they shy away from the political resistance of those directly affected, believing it is easier to let things run their course. In order to cover the costs of maintenance, hospitals often provide more treatment than is medically necessary. Federal Minister Lauterbach seeks to remedy this shortcoming, which has its true roots in inadequate planning incentives, by refor

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Baranov, A. V. "Organization of First Aid in the Arkhangelsk Region." Russian Sklifosovsky Journal "Emergency Medical Care" 9, no. 2 (2020): 259–63. http://dx.doi.org/10.23934/2223-9022-2020-9-2-259-263.

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Background The development and implementation of widespread training for rules, techniques and methods of providing first aid to the widest possible range of people will significantly reduce the level of disability and mortality among victims of road traffic accidents (RTAs).Aim of study To study the organization of first aid for the victims in the Arkhangelsk region.Material and methods Part 1. The journals of registration of attendance at classes with a trained contingent in the educational-methodical department of the School of Disaster Medicine of the Territorial Center for Disaster Medici

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Maningas, Peter A., Mark Robison, and Sue Mallonee. "The EMS Response to the Oklahoma City Bombing." Prehospital and Disaster Medicine 12, no. 2 (1997): 9–14. http://dx.doi.org/10.1017/s1049023x0003733x.

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AbstractThis is a descriptive study of the Emergency Medical Services response to a bombing of a United States Federal Building in Oklahoma City, Oklahoma on 19 April 1995. The explosion emanated from a rented truck parked in the front of the building. The force of the explosion destroyed three of the four support columns in the front of the building and resulted in a pancaking effect of the upper floors onto the lower floors.There were three distinct phases of the medical response: 1) Immediately available local EMS ambulances and staff; 2) Additional ambulances staffed by recalled, off-duty

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Gfroerer, J. C., E. H. Adams, and M. Moien. "Drug abuse discharges from non-federal short-stay hospitals." American Journal of Public Health 78, no. 12 (1988): 1559–62. http://dx.doi.org/10.2105/ajph.78.12.1559.

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15

Resnick, Michael B., Mario Ariet, Randy L. Carter, et al. "Prospective Pricing System for Tertiary Neonatal Intensive Care." Pediatrics 78, no. 5 (1986): 820–28. http://dx.doi.org/10.1542/peds.78.5.820.

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This study assessed the potential impact of the federal neonatal diagnosis-related group (DRG) pricing system upon reimbursement to a state neonatal intensive care program. Data for length of intensive care unit stay, procedures, hospital charges, and audited cost reports from the state of Florida's ten regional neonatal intensive care centers were analyzed for 8,492 neonates whose charges totaled $118 million. Mean lengths of stay in these tertiary care centers were substantially longer than those reported for the federal DRGs, which were based on community hospital data. If federal DRG-based

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Persson, Erik, and Luís Moretto Neto. "Ideology and discourse in the public sphere: A critical discourse analysis of public debates at a Brazilian public university." Discourse & Communication 12, no. 3 (2018): 278–306. http://dx.doi.org/10.1177/1750481318757765.

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Since 2013, several social actors of the Federal University of Santa Catarina (UFSC) community have formed a public sphere in order to deliberate and decide on the University Hospital’s (UH/UFSC) affiliation to the Brazilian Hospital Services Company (EBSERH), a public company set up in accordance with a private law which has been created by the Brazilian federal government in order to set up a management body for public university hospitals. Underpinned by critical discourse analysis, our purpose is to analyze the embedded ideologies in discursive practices within the UFSC/EBSERH public spher

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Gowrisankaran, Gautam, Aviv Nevo, and Robert Town. "Mergers When Prices Are Negotiated: Evidence from the Hospital Industry." American Economic Review 105, no. 1 (2015): 172–203. http://dx.doi.org/10.1257/aer.20130223.

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We estimate a bargaining model of competition between hospitals and managed care organizations (MCOs) and use the estimates to evaluate the effects of hospital mergers. We find that MCO bargaining restrains hospital prices significantly. The model demonstrates the potential impact of coinsurance rates, which allow MCOs to partly steer patients toward cheaper hospitals. We show that increasing patient coinsurance tenfold would reduce prices by 16 percent. We find that a proposed hospital acquisition in Northern Virginia that was challenged by the Federal Trade Commission would have significantl

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Tan, Amy CW, Lynne M. Emmerton, H. Laetitia Hattingh, and Adam La Caze. "Funding issues and options for pharmacists providing sessional services to rural hospitals in Australia." Australian Health Review 39, no. 3 (2015): 351. http://dx.doi.org/10.1071/ah14081.

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Objective Many of Australia’s rural hospitals operate without an on-site pharmacist. In some, community pharmacists have sessional contracts to provide medication management services to inpatients. This paper discusses the funding arrangements of identified sessional employment models to raise awareness of options for other rural hospitals. Methods Semistructured one-on-one interviews were conducted with rural pharmacists with experience in a sessional employment role (n = 8) or who were seeking sessional arrangements (n = 4). Participants were identified via publicity and referrals. Interview

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19

Abolyan, Liubov V., Laura N. Haiek, Irina M. Pastbina, and Ragnhild Maastrup. "Compliance With the “Baby-Friendly Hospital Initiative for Neonatal Wards” in Russian Hospitals." Journal of Human Lactation 37, no. 3 (2021): 521–31. http://dx.doi.org/10.1177/08903344211002754.

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Background The expansion of the Baby-Friendly Hospital Initiative to neonatal wards, known as the Neo-BFHI, provides recommendations to support breastfeeding, as outlined in the Three Guiding Principles, the expanded Ten Steps, and the International Code for Marketing of Breast-Milk Substitutes. In 2017, Russia participated in an international survey about compliance with the Neo-BFHI. Research Aim To assess breastfeeding support policies and practices in Russian neonatal wards at the country and federal district level in accordance with the Neo-BFHI recommendations. Methods This study was a p

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Rzeznik, Thomas F. "Master Plans, Medical Centers, and Medicare: The Struggle to Restructure Catholic Health Care in the Diocese of Brooklyn in the 1960s." U.S. Catholic Historian 42, no. 1 (2024): 45–69. http://dx.doi.org/10.1353/cht.2024.a919704.

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Abstract: This article examines the effort to restructure Catholic health care in the Diocese of Brooklyn during the 1960s. It looks specifically at the formation of the Catholic Medical Center of Brooklyn and Queens (CMC), an ambitious plan to unite diocesan-owned hospitals and forge the nation's first multi-institutional Catholic hospital system. Formally announced just two days before the federal government's new Medicare program launched, the plan reflected the optimism of the moment and reveals the enormous faith that Catholic health care providers placed in the promise of federal funding

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Amahalu, Nestor Ndubuisi, Francis Abumchukwu Ezenwaka, Juliet Chinyere Obi, and Chijioke Louis Okudo. "EFFECT OF TREASURY SINGLE ACCOUNT ON ACCOUNTABILITY IN NIGERIA PUBLIC SECTOR." International Journal of Management Studies and Social Science Research 04, no. 05 (2022): 66–76. http://dx.doi.org/10.56293/ijmsssr.2022.4509.

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This study ascertained the relationship between Treasury Single Account and Accountability in Nigeria Public Sector with a focus on South-East and South-South Nigeria. This study adopted field survey research design. The population was 1250 staff of the five Federal Universities Teaching Hospitals and five Federal Medical Centers in South-East and South-South Nigeria drawn from Account Departments. Taro Yamane formula was employed to determine the sample size of 303. Of the 303 copies of administered questionnaire, 218 copies were collected. Validity and reliability of the instrument were test

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Rebelatto, José Rubens, and Jeanne Liliane Marlene Michel. "Residencies in federal hospitals: incorporation of physical therapy in the system." Brazilian Journal of Physical Therapy 16, no. 3 (2012): v—vi. http://dx.doi.org/10.1590/s1413-35552012000300001.

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23

Gupta, Atul. "Impacts of Performance Pay for Hospitals: The Readmissions Reduction Program." American Economic Review 111, no. 4 (2021): 1241–83. http://dx.doi.org/10.1257/aer.20171825.

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US policy increasingly ties payments for providers to performance on quality measures, though little empirical evidence guides the design of such incentives. I deploy administrative data to study a large federal program that penalizes hospitals with high readmissions rates. Using policy-driven variation in the penalty incentive across hospitals for identification, I find that hospital responses to the penalty account for two-thirds of the observed decrease in readmissions over this period, as well as a decrease in heart attack mortality. Quality improvement accounts for about one-half of the d

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Adler-Milstein, Julia. "A NATIONAL SNAPSHOT OF INFORMATION SHARING DURING CARE TRANSITIONS BETWEEN HOSPITALS AND SNFS." Innovation in Aging 6, Supplement_1 (2022): 64. http://dx.doi.org/10.1093/geroni/igac059.254.

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Abstract Prof. Adler-Milstein will present national survey results about skilled nursing facilities (SNFs) information sharing with referring hospitals. The survey, which garnered a 53% response rate, found significant gaps in information sharing. Of 471 hospital-SNF pairs, 64 (13.5%) reported excellent performance on 3 dimensions of information sharing (completeness, timeliness, and usability), whereas 141 (30.0%) were at or below the mean performance. Having a hospital clinician on site at the SNF was associated with more complete (odds ratio, 1.72; P = .03), timely (odds ratio, 1.76; P = .0

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Oyebode, O. J., C. C. Okpala, S. M. Ajibade, et al. "Comparative Assessment of Medical Waste Management in Multi-System and Selected Teaching Hospitals in Ekiti State, Nigeria." Nature Environment and Pollution Technology 22, no. 2 (2023): 653–69. http://dx.doi.org/10.46488/nept.2023.v22i02.009.

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Medical facilities, such as hospitals, clinics, and locations where diagnosis and treatment are administered, create dangerous waste that predisposes individuals to deadly infections. Medical waste management aims to improve health and prevent public health and environmental threats. Questionnaires, interviews, site visitations, and observations were utilized to determine the management strategies implemented in the three hospitals and evaluate the efficacy of waste management. The hospitals under review are Afe Babalola University Multi-system Hospital (AMSH), Ekiti State University Teaching

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Eiland, Edward H., and Derek Gatlin. "Forecast of Antibiotic Development in an Era of Increasing Bacterial Resistance." Journal of Pharmacy Practice 21, no. 5 (2008): 313–18. http://dx.doi.org/10.1177/0897190008318499.

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Over the last decade there has been a decreased number of novel antimicrobial agents introduced to the market due to multiple factors including reduced governmental funding, marginal research and development interest by the pharmaceutical industry, lack of return on investment relative to medications used for chronic illnesses, and spiking microbial resistance trends. In an effort to most judiciously use the available armamentarium of anti-infectives available, many hospitals are implementing stewardship programs to re-direct inappropriate antibiotic use, which is estimated to account for up t

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Rowes, Jeffey. "EMTALA: OIG/HCFA Special Advisory Bulletin Clarifies EMTALA, American College of Emergency Physicians Criticizes it." Journal of Law, Medicine & Ethics 28, no. 1 (2000): 90–92. http://dx.doi.org/10.1111/j.1748-720x.2000.tb00324.x.

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In December 1998, the Office of Inspector General (OIG) and the Health Care Financing Administration (HCFA) solicited comments from health care providers regarding the federal anti-patient dumping statute, the Emergency Medical Treatment and Active Labor Act (EMTALA) (42 USCA §1395dd). EMTALA is a federal health care law of unprecedented breadth—the first universal benefit guaranteed by the federal government. It requires Medicare-participating hospitals with public emergency rooms, emergency physicians, and ancillary surgical and medical specialists to render adequate stabilizing treatment to

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Miroshnichenko, Yuri V., Alexander B. Perfiliev, Dmitry V. Ovchinnikov, and Natalya L. Kostenko. "Functioning of the medical supply system of the troops (force) during operation to restore the constitutional order in the Chechen Republic (1994–1996): lessons and conclusions." Bulletin of the Russian Military Medical Academy 24, no. 4 (2023): 707–18. http://dx.doi.org/10.17816/brmma112165.

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The study presents the medical service activities in organizing the provision of troops (forces) with medical equipment during the operation to restore constitutional order in the Chechen Republic. To provide medical support to federal troops (forces), appropriate groupings of forces and medical services were created, functioning in three isolated areas. Thanks to the operational and professional work of military pharmaceutical specialists, a medical supply system was formed, involving the three main medical warehouses of the North Caucasus Military District. The paper also showed the work of

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Kisacky, Jeanne. "Consequences of Migrating U.S. Contagious Facilities Into General Hospitals, 1900–1950." HERD: Health Environments Research & Design Journal 15, no. 1 (2021): 75–96. http://dx.doi.org/10.1177/19375867211049818.

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Until the 1880s, hospitals excluded contagious disease patients from admission because of the danger they posed to other patients; by the 1950s, contagious disease care had literally moved into the general hospital. This article correlates the changing isolation facility designs with changing disease incidence and prevention strategies. It argues that isolation moved into the hospital in stages that have consequence for isolation facility design today. Between the 1890s and 1940s, contagious disease care shifted from remote isolation hospitals (commonly known as pest houses) to separate contag

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Rosenbaum, Kathleen E. Fitzpatrick, Karen B. Lasater, Mathew D. McHugh, and Eileen T. Lake. "Hospital Performance on Hospital Consumer Assessment of Healthcare Providers and System Ratings." Medical Care 62, no. 5 (2024): 288–95. http://dx.doi.org/10.1097/mlr.0000000000001966.

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Objective: To determine which hospital nursing resources (staffing, skill mix, nurse education, and nurse work environment) are most predictive of hospital Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) performance. Background: HCAHPS surveying is designed to quantify patient experience, a measure of patient-centered care. Hospitals are financially incentivized through the Centers for Medicare and Medicaid Services to achieve high HCAHPS ratings, but little is known about what modifiable hospital factors are associated with higher HCAHPS ratings. Patients and Methods:

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Resnick, Michael B., Mario Ariet, Randolph L. Carter, et al. "Prospective Pricing Model for Neonatologists and Obstetricians in Tertiary Care Centers." Pediatrics 82, no. 3 (1988): 442–46. http://dx.doi.org/10.1542/peds.82.3.442.

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According to the new federal diagnosis-related group (DRG) system, hospitals are reimbursed fixed sums based on discharge diagnoses, rather than variable sums that depend on specific goods and services consumed and number of days hospitalized. The government is now exploring DRGs as a potential mechanism for reimbursing physicians. In Florida, two DRG-type reimbursement systems were developed for neonatal and obstetrical hospitalizations in tertiary care settings, as departures from the federal DRG system. Called neonatal care groups (NCGs) and obstetrical care groups (OBCGs), both classificat

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Koslowski, L. "Emergency and Disaster Medicine: Assignments and Perspectives." Prehospital and Disaster Medicine 1, no. 3 (1985): 255–57. http://dx.doi.org/10.1017/s1049023x00065778.

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Eugene Ionesco once remarked that an excess of politics and an exaggeration of sports are characteristics of our contemporary civilization. The excess of politization affects all parts of our public life, including medicine and its specialty Disaster Medicine. Political ideologies try to usurp a field that has solely humanitarian objectives, that depends on providing for and applying relief to many people in acute distress. There are already many relief organizations and ambulance services, physician staffed emergency medical services systems and first aid trained laymen. There are state and f

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Röttgers, Hanns Rüdiger, and Peter Lepping. "Treatment of the mentally ill in the Federal Republic of Germany." Psychiatric Bulletin 23, no. 10 (1999): 601–3. http://dx.doi.org/10.1192/pb.23.10.601.

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Aims and methodThe legal provisions concerning the admission to hospital, holding powers and compulsory treatment of the mentally ill in Germany are illustrated. The essential legal concepts are compared to the situation in Great Britain.ResultsWhereas British law gives key powers to multi-professional decision-making and relatives, German law requests formal court decisions even in routine cases. This reflects a different understanding of individual rights and their protection. German mental health law is motivated by the experiences of the totalitarian national socialist regime. It tries to

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L., J. F. "THE ASSAULT ON TEACHING HOSPITALS." Pediatrics 96, no. 2 (1995): 378. http://dx.doi.org/10.1542/peds.96.2.378a.

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The quality of American health care—unarguably the best in the world—is under siege. Republicans released budget plans last week that would cut subsidies to teaching hospitals that train doctors and perform clinical research. Meanwhile, the private market, whose reform Congress bungled last year, has been doing the same. The two-pronged assault is alarming. American physicians provide innovative, technically advanced care whose quality can be traced in part to generous subsidies for basic research that Congress has provided through the National Institutes for Health (NIH). The NIH estimates th

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Upadhyay, Soumya, and William Opoku-Agyeman. "Factors that Determine Comprehensive Categorical Classification of EHR Implementation Levels." Health Services Insights 14 (January 2021): 117863292110247. http://dx.doi.org/10.1177/11786329211024788.

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Electronic Health Records (EHRs) have the potential to alleviate patient safety mistakes. Of the various levels of EHR, advanced or higher-level functionalities of EHR are designed to improve patient safety. Certain organizational and environmental factors may pose as barriers toward implementing all of the functionalities, leaving certain hospitals intermediate between basic and comprehensive levels of implementation. This study identifies a comprehensive categorical classification that includes hospitals that have functionalities between basic and comprehensive levels of EHR and determines t

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Odes, Rachel, Susan Chapman, Sara Ackerman, Robert Harrison, and OiSaeng Hong. "Differences in Hospitals’ Workplace Violence Incident Reporting Practices: A Mixed Methods Study." Policy, Politics, & Nursing Practice 23, no. 2 (2022): 98–108. http://dx.doi.org/10.1177/15271544221088248.

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Workplace violence (WV) is a significant and growing problem for health care workers. Increased recognition of the need for improved protections has led to policy initiatives at the state and federal levels, including national Joint Commission requirements that went into effect January 2022. California’s WV prevention legislation was phased in during 2017-2018 and requires hospitals to use a new incident reporting system, the Workplace Violent Incident Reporting System (WVIRS) for Hospitals. We analyzed WVIRS data collected during the first three years of its implementation, July 1, 2017 – Jun

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Wolff, J., G. Hefner, C. Normann, et al. "Predicting the risk of drug-drug interactions in psychiatric hospitals." European Psychiatry 64, S1 (2021): S150. http://dx.doi.org/10.1192/j.eurpsy.2021.409.

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IntroductionThe most common medical decision is the prescription of medicines. More than 130 different drugs with proven efficacy are currently available for the treatment of patients with mental disorders.ObjectivesThe aim was to use routine data available at a patient’s admission to the hospital to predict polypharmacy and drug-drug interactions (DDI).MethodsThe study used data obtained from a large clinical pharmacovigilance study sponsored by the Innovations Funds of the German Federal Joint Committee. It included all inpatient episodes admitted to eight psychiatric hospitals in Hesse, Ger

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Temple, Jonathan, and Paul Sherman. "Wireless Medical Telemetry Service Is Changing, Not Going Away." Biomedical Instrumentation & Technology 50, s6 (2016): 52–53. http://dx.doi.org/10.2345/0899-8205-50.s6.52.

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Abstract The Wireless Medical Telemetry Service (WMTS) was established in 1999 by the Federal Communications Commission (FCC) to protect the use of licensed medical telemetry for physiological and fetal monitoring. The WMTS space has three frequency bands: 608–614 MHz (over-the-air [OTA] television channel 37), 1,395–1,400 MHz, and 1,427–1,432 MHz. This article addresses the recent FCC rule affecting the OTA channel 37 WMTS band. We also will address the potential impact on WMTS use in the hospital, the potential risks, and what hospitals need to do to mitigate those risks.

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Jones, M. Douglas, Thomas Boat, Robert Adler, et al. "Final Report of the FOPE II Financing of Pediatric Education Workgroup." Pediatrics 106, Supplement_E1 (2000): 1256–70. http://dx.doi.org/10.1542/peds.106.se1.1256.

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Some of the challenges of financing pediatric medical education are shared with all medical education; others are specific to pediatrics. The general disadvantage that funding of graduate medical education (GME) is linked to reimbursement for clinical care has uniquely negative consequences for freestanding children's hospitals because they therefore receive little Medicare GME support. This represents both a competitive disadvantage for such hospitals and an aggregate federal underinvestment in children's health care that now amounts to billions of dollars. The need to subsidize medical stude

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Andreev, Dmitry A., and Aleksander A. Zavyalov. "Composite quality assessment and survival rates in patients after surgical treatment of esophageal and colon cancer." City Healthcare 2, no. 4 (2021): 35–41. http://dx.doi.org/10.47619/2713-2617.zm.2021.v2i4;35-41.

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Quality assurance in county clinics plays a key role in the successful realization of the Federal project named "Battle with cancer" across the country. Comparisons between healthcare organizations demonstrate that certain hospitals perform superiorly while characterized by one quality measure, but inferiorly by another. There is a need for the introduction of integrated cancer care quality criteria in real practice. In recent years, the composite quality criteria called “textbook outcomes” were developed to better reflect the entity of cancer care. This paper provides clear examples of compos

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Wexner, Steven D., Frank Opelka, Patrick V. Bailey, and Delia Cortés-Guiral. "The American College of Surgeons Response to the COVID-19 Pandemic (Part II)." American Surgeon 86, no. 7 (2020): 757–61. http://dx.doi.org/10.1177/0003134820936614.

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From the onset of the COVID-19 global pandemic of 2020, the American College of Surgeons (ACS) has been a leader in disseminating credible information on the clinical and scientific aspects of the disease. As governmental regulations enforced the closure of hospitals and operating rooms to elective surgical cases as part of its “shelter-in-place” public lockdown policies, the ACS brought specialty societies together to create guidelines to protect patients and preserve surgical quality. Federal agencies made available financial aid programs to mitigate the economic impact of the outbreak. The

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Poland, Ronald L., Robert O. Bollinger, Mary P. Bedard, and Sanford N. Cohen. "Analysis of the Effects of Applying Federal Diagnosis-Related Grouping (DRG) Guidelines to a Population of High-Risk Newborn Infants." Pediatrics 76, no. 1 (1985): 104–9. http://dx.doi.org/10.1542/peds.76.1.104.

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Length of stay data collected for high-risk newborn infants admitted to a tertiary care children's hospital neonatal unit over a 6-year period were compared with mean and outlier lengths of stay published in the Federal Register as part of a proposed system for prospective payment of hospital cost by diagnosis-related groupings (DRGs). We found that the classification system for newborns markedly underestimated the number of days required for the treatment of these infants. The use of the geometric mean instead of the arithmetic mean as the measure of central tendency was a significant contrib

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Martchenke, Julie, Jeff Rusteen, and James E. Pointer. "Prehospital Communications During the Loma Prieta Earthquake." Prehospital and Disaster Medicine 10, no. 4 (1995): 225–31. http://dx.doi.org/10.1017/s1049023x00042084.

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AbstractIntroduction:On 17 October 1989, the Loma Prieta Earthquake shook the San Francisco Bay area, home to more than 6 million people. This study examined the effectiveness and function of emergency medical services (EMS) communications after this event.Methods:The six Bay area counties most affected by the Loma Prieta Earthquake were surveyed using a 156-part questionnaire. This study examined the functioning of the primary 9-1-1 county dispatch centers. Paramedics involved in a set of defined activities during the period after the earthquake also were surveyed. Emergency medical services

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Hofmann, Paul B. "Decisions Near the End of Life: Resources Allocation Implications for Hospitals." Cambridge Quarterly of Healthcare Ethics 1, no. 3 (1992): 229–37. http://dx.doi.org/10.1017/s0963180100000426.

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Heathcare spending, which was almost 13% of the gross national product last year, is estimated to jump to 14% in 1992. For the first time, hosital expenditures are projected to exceed $300 biilion, representing over 38% of the nation's total healthcare bill. In an effort to reduce federal and state budget deficits and to stimulate institutional cost containment, Medicare and Medicaid officials are becoming even more parsimonious in negotitation reimbursement levels.

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Schönborn, Linda, Kerstin Weitmann, Andreas Greinacher, and Wolfgang Hoffmann. "Characteristics of Recipients of Red Blood Cell Concentrates in a German Federal State." Transfusion Medicine and Hemotherapy 47, no. 5 (2020): 370–78. http://dx.doi.org/10.1159/000510207.

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Background: Annual transfusion rates in many European countries range between 25 and 35 red blood cell concentrates (RBCs)/1,000 population.It is unclear why transfusion rates in Germany are considerably higher (approx. 50–55 RBCs/1,000 population). Methods: We assessed the characteristics of transfusion recipients at all hospitals of the German federal state Mecklenburg-Western Pomerania during a 10-year longitudinal study. Results: Although 75% of patients received ≤4 RBCs/patient in 2015 (1 RBC: 11.3%; 2 RBCs: 42.6%; 3 RBCs: 6.3%; 4 RBCs: 15.0%), the mean transfusion index was 4.6 RBCs due

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Corsini, C. M. M., V. O. Silva, O. V. Carvalho, et al. "Emergence of multidrug-resistant bacteria isolated from surgical site infection in dogs and cats." Arquivo Brasileiro de Medicina Veterinária e Zootecnia 72, no. 4 (2020): 1213–20. http://dx.doi.org/10.1590/1678-4162-10978.

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ABSTRACT Surgical site infections (SSIs) and antimicrobial resistance among pathogens causing SSI are a growing concern in veterinary hospitals. One major reason, the widespread use of antimicrobials, has led to increased incidence of SSIs. This study identified bacteria and resistance profiles to antimicrobials in the SSI cases diagnosed at the Surgical Clinic of Small Animals in the Veterinary Hospital, Federal University of Viçosa, Brazil. The main genus identified was Staphylococcus, followed by Escherichia, Enterococcus, Bacillus, Shigella, Citrobacter, Proteus, Morganella, Serratia, Ente

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Baranov, A. V. "The system of organizing the provision of medical care to victims in traffic accidents on federal highways in regions of Russia with low population density." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 2 (August 3, 2022): 22–28. http://dx.doi.org/10.25016/2541-7487-2022-0-2-22-28.

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Relevance. Road traffic injuries are one of the leading non-natural causes of death in the world. The principles of organizing the provision of medical care to victims of road traffic accidents (RTA) should be adapted to the resource capabilities of regional health care systems, as well as the distribution of the resident population across the territory.Intention: To develop and substantiate the principles of a system for organizing the provision of medical care to RTA victims on federal highways in Russian regions with a low average population density.Methodology. The results of our own, dome

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Santana, Heiko T., Marise R. de Freitas, Edmundo M. Ferraz, and Maria S. N. Evangelista. "WHO Safety Surgical Checklist implementation evaluation in public hospitals in the Brazilian Federal District." Journal of Infection and Public Health 9, no. 5 (2016): 586–99. http://dx.doi.org/10.1016/j.jiph.2015.12.019.

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Nijhawan, Neil A. "An Update on the State of Palliative Care Development in the United Arab Emirates." Palliative Medicine and Hospice Care – Open Journal 8, no. 2 (2022): 27–29. http://dx.doi.org/10.17140/pmhcoj-8-149.

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The United Arab Emirates (UAE) has recently celebrated its 50th birthday since its inception as an independent sovereign federal state in 1971. Over the past 5 decades, the UAE’s healthcare sector has grown exponentially to include over 140 hospitals in both the public and private sectors

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Evdakov, Valeryan Alekseevich, Marina Nikolaevna Banteva, Elena Mihailovna Manoshkina, Yuriy Yurevich Melnikov, and Liudmila Valentinovna Rugol. "Status and dynamics of parameters of use of bed capacity of oncological profile in Russian Federation." I.P. Pavlov Russian Medical Biological Herald 28, no. 4 (2020): 462–78. http://dx.doi.org/10.23888/pavlovj2020284462-478.

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In the Russian Federation (RF) a steady growth of morbidity with oncologic diseases is observed. An important factor of reduction of negative influence of oncopathology on the parameters of public health is provision of the population with specialists and beds of oncological profile, as well as their effective use. Aim. To determine the status and identify dynamics of the main parameters of use of beds of oncological profile of the state healthcare system of RF, federal districts and constituent entities of RF in comparison with tendencies of parameters of morbidity with malignant neopla

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