Medicare Cost Report Data: Structure
Medicare Cost reports have a huge amount of hospital related data
Medicare Cost Report Data: Structure
Medicare Cost reports have a huge amount of hospital related data
Located in Riyadh, Dallah Hospital Al Nakheel is renowned for its comprehensive healthcare services and patient-centric approach. The hospital has integrated advanced Electronic Medical Records (EMR) systems, facilitating seamless communication between departments and enhancing patient care. The adoption of LIS has streamlined laboratory operations, ensuring timely and accurate diagnostic results. Dallah Hospital Al Nakheel’s commitment to excellence is further evidenced by its accreditation from Global Healthcare Accreditation (GHA) for Medical Travel Services.
In recent years, the healthcare industry in Dubai has witnessed rapid advancements, especially in the integration of technology to improve patient care and operational efficiency. At the heart of this transformation lies the HIS Hospital Information System , a powerful solution designed to streamline healthcare processes and deliver superior services. As a leading global hub for medical tourism and innovation, Dubai continues to embrace cutting-edge technologies like hospital information systems to ensure healthcare excellence.
We will maintain “non-harassment” and “no tolerance” policies addressing workplace violence.
Looks like their tolerance for workplace violence is actually somewhat greater than zero.
Maria Kozhevnikov, a neuroscientist at the National University of Singapore and Massachusetts General Hospital
!- reference : Maria Kozhevnikov - neuroscientist at National University of Singapore, Massachusetts General Hospital - Nangchen tow, Amdo region of Tibet - testing if g-tummo vase breathing technique could raise core body temperature. One monk raised body temp to that normally associated with a fever - published results in PLOS One
Macdonald, V. (2022, January 27). Covid: Plan B measures lifted in England, despite health leaders’ warnings. Channel 4 News. https://www.channel4.com/news/covid-plan-b-measures-lifted-in-england-despite-health-leaders-warnings
Weaver, M. (2022, January 4). Omicron infections may have plateaued in London, Neil Ferguson says. The Guardian. https://www.theguardian.com/world/2022/jan/04/omicron-infections-may-have-plateaued-in-london-neil-ferguson-says
Summers, D. (2021, September 24). I Am So Tired. https://www.arcdigital.media/p/i-am-so-tired
Hunderte Menschen protestierten gegen Corona-Maßnahmen. (2021, November 28). www.t-online.de. https://www.t-online.de/-/91225726
Kadambari, S., Goldacre, R., Morris, E., Goldacre, M. J., & Pollard, A. J. (2022). Indirect effects of the covid-19 pandemic on childhood infection in England: Population based observational study. BMJ, 376, e067519. https://doi.org/10.1136/bmj-2021-067519
(((Howard Forman))). (2022, January 30). New York City Update Cases down 67%. Positive rate down to 3.8%, lowest since 12/12. Hospital census down 33%, lowest since 12/28. New admits lowest since 12/21. Getting closer and closer to pre-Omicron levels. Https://t.co/c6H98PUA0E [Tweet]. @thehowie. https://twitter.com/thehowie/status/1487582265551077387
Govedarica, S. (2022, March 19). Österreich führt wieder Maskenpflicht in Innenräumen ein. tagesschau.de. https://www.tagesschau.de/ausland/europa/oesterreich-corona-129.html
Campbell, D., Sabbagh, D., & Devlin, H. (2022, January 7). Military deployed at London hospitals due to Omicron staff shortages. The Guardian. https://www.theguardian.com/world/2022/jan/07/military-deployed-at-london-hospitals-due-to-omicron-staff-shortages
ReconfigBehSci [@SciBeh]. (2022, January 18). RT @TornPacific: @united_oz @MarcTennant https://t.co/9AgqRZSjAc [Tweet]. Twitter. https://twitter.com/SciBeh/status/1483345375666872322
Mahan Ghafari | ماهان غفاری on Twitter. (n.d.). Twitter. Retrieved April 29, 2022, from https://twitter.com/Mahan_Ghafari/status/1446196548904366092
Charting the COVID-19 spread: How Australia is faring. (2020, March 16). ABC News. https://www.abc.net.au/news/2020-03-17/coronavirus-cases-data-reveals-how-covid-19-spreads-in-australia/12060704
Dr Dominic Pimenta [@DrDomPimenta]. (2021, December 15). An illustration of communicating risk with “less severe” variants: [Thread] Assume Omicron is 4x more transmissible than Delta. [1] Assume Omicron leads to 1/3 less admissions than Delta. [Figure below] Assume 1 in 100 cases of Delta are admitted to hospital. Https://t.co/XtnVwoOrUo [Tweet]. Twitter. https://twitter.com/DrDomPimenta/status/1471094002808242177
ReconfigBehSci on Twitter: ‘@STWorg @PhilippMSchmid @CorneliaBetsch and every now and then we have to watch a clip like this to be reminded what all of this is really about. This pain and suffering is happening in one of the richest countries in the world at a time in the pandemic when we know exactly what to do to avoid it’ / Twitter. (n.d.). Retrieved 22 April 2022, from https://twitter.com/SciBeh/status/1464662622440144896
Prof Peter Hotez MD PhD [@PeterHotez]. (2021, December 14). 6. I was really hoping we would get the holidays in before the omicron wall hit. Doesn’t look like it https://t.co/X3Kud2ybdQ [Tweet]. Twitter. https://twitter.com/PeterHotez/status/1470895433518133252
Allyson Pollock [@AllysonPollock]. (2022, January 4). The health care crisis is of governments making over three decades. Closing half general and acute beds, closing acute hospitals and community services,eviscerating public health, no service planning. Plus unevidenced policies on testing and self isolation of contacts. @dthroat [Tweet]. Twitter. https://twitter.com/AllysonPollock/status/1478326352516460544
Wallis, C. (n.d.). COVID Has Pushed Medical Research into Remote Trials, Benefiting Patients and Scientists. Scientific American. https://doi.org/10.1038/scientificamerican0521-24
(20) Prof. Christina Pagel on Twitter: “THREAD (a bit delayed) on UK & covid: TLDR: flattish cases overall are masking differences between nations, regions & age groups. And we’re still out of whack with Europe. 1/20” / Twitter. (n.d.). Retrieved October 4, 2021, from https://twitter.com/chrischirp/status/1443261013911085056
David Fisman. (2021, December 15). HEPA air cleaners in hospital...lets compare cost to ECMO. ECMO course in the US costs around $93,000 CDN; US cost:charge ratio is around 0.2, so let’s say that’s $20,000 CDN. That’s the cost of 50 high end hepa air cleaners! Or you could do 250 CR boxes at around $80 a pop. [Tweet]. @DFisman. https://twitter.com/DFisman/status/1471259305961828355
(((Howard Forman))). (2021, June 28). There are few more compelling graphics to demonstrate how effective vaccines are: 80+% reduction in hospital admissions for the group most vaccinated. <40% reduction in admissions for the group least likely to be vaccinated. [Tweet]. @thehowie. https://twitter.com/thehowie/status/1409492774009847810
ReconfigBehSci on Twitter: ‘@Holdmypint @ollysmithtravel @AllysonPollock Omicron might be changing things- the measure has to be evaluated relative to the situation in Austria at the time, not Ireland 3 months later with a different variant’ / Twitter. (n.d.). Retrieved 25 March 2022, from https://twitter.com/SciBeh/status/1487130621696741388
Prof. Christina Pagel 🇺🇦. (2022, March 8). What could be causing it? Likely combo of: 1—Dominant BA.2 causing more infections (we await ONS!) 2—Reduction in masks, self-isolation & testing enabling more infections 3—Waning boosters in older people esp I worry that we will be stuck at high levels for long time. 2/2 https://t.co/xZ2SLFNVkS [Tweet]. @chrischirp. https://twitter.com/chrischirp/status/1501250081693048838
ReconfigBehSci. (2022, January 26). RT @chrischirp: One consequence of the Omicron epidemic moving from.older people into children is dropping hospital admissions. Fewer adm… [Tweet]. @SciBeh. https://twitter.com/SciBeh/status/1486618430182731776
Eric Feigl-Ding on Twitter. (n.d.). Twitter. Retrieved 21 March 2022, from https://twitter.com/DrEricDing/status/1501778936942010370
Lock, S., Otte, J., Gayle, D., & Ambrose, T. (2022, January 11). Record numbers admitted to US hospitals with coronavirus; Sweden to introduce stricter curbs – as it happened. The Guardian. https://www.theguardian.com/world/live/2022/jan/10/covid-live-news-40-of-israel-could-be-infected-in-current-wave-germany-to-study-rapid-antigen-test-reliability-for-omicron
Barnes, O., & Burn-Murdoch, J. (2022, January 7). Covid hospital admissions in Greater Manchester surpass last winter’s peak. Financial Times. https://www.ft.com/content/6a8a52f3-d940-4d70-a30b-111a3a646089
ReconfigBehSci on Twitter: ‘RT @swe_homegirl: An entire maternity ward has Covid in Gothenburg, Sweden. 🥲 https://t.co/ZmlSxDWeYZ’ / Twitter. (n.d.). Retrieved 29 March 2022, from https://twitter.com/SciBeh/status/1478984105018765314
ReconfigBehSci. (2022, January 6). RT @GidMK: Perhaps unsurprisingly, this is an absolutely awful study filled with issues and numeric mistakes https://t.co/hvEv5gMMn2 [Tweet]. @SciBeh. https://twitter.com/SciBeh/status/1478987492552589314
Health sector facing ‘challenges not seen in a century’ as Victoria issues rare Code Brown. (2022, January 17). ABC News. https://www.abc.net.au/news/2022-01-18/victoria-records-more-covid-19-deaths-hospitalisations-and-cases/100762978
Ben Bradshaw. (2021, October 19). Very disappointing non-answer from the Health Secretary to my question why the U.K. has the highest #Covid19 infection, hospitalisation & death rates in Western Europe. Https://t.co/jrxb872YpB [Tweet]. @BenPBradshaw. https://twitter.com/BenPBradshaw/status/1450426408614993923
Carl Baker. (2022, February 11). When I last updated this chart in September, the maximum y-axis value was ~120. Https://t.co/Fhywj3xweI [Tweet]. @carlbaker. https://twitter.com/carlbaker/status/1492096944390475798
Jorge A. Caballero, MD (jorgecaballero.eth). (2022, January 10). 🧵/ I just spoke with two journalists about data that shows how the U.S. healthcare system is collapsing before our eyes. The million dollar question during both interviews was, “What else could we be doing right now?” The answer: Flatten the hospitalization curve. Now. [Tweet]. @DataDrivenMD. https://twitter.com/DataDrivenMD/status/1480607009867132928
Seth Trueger. (2022, February 4). “Many drivers are complaining they have to use brakes despite wearing their seatbelts at all times” https://t.co/gXWiiaJrN9 [Tweet]. @MDaware. https://twitter.com/MDaware/status/1489491410990546950
Berger, Eric. ‘As Omicron Peaks, the US Healthcare System Is Left “Broken beyond Repair”’. The Guardian, 4 February 2022, sec. Society. https://www.theguardian.com/society/2022/feb/03/us-coronavirus-healthcare-system-providers.
Elaine Maxwell. (2022, February 3). In the latest @ONS estimates of #LongCovid (up to 2nd Jan 2022), only 87 thousand of the 1.33 million cases were admitted to hospital with their acute Covid19 infection. [Tweet]. @maxwele2. https://twitter.com/maxwele2/status/1489179055412989953
US government moves to end daily COVID-19 death reporting by hospitals. (n.d.). World Socialist Web Site. Retrieved February 2, 2022, from https://www.wsws.org/en/articles/2022/01/15/hhhs-j15.html
ReconfigBehSci. (2022, January 28). We’ve had at least 4 months of European governments tailoring policy to hospital capacity, not cases per se—So why are we still seeing arguments against the effectiveness of those policies based solely on cases, and not the actual target function? @AllysonPollock [Tweet]. @SciBeh. https://twitter.com/SciBeh/status/1487038050899222528
French, G. (2021). Impact of Hospital Strain on Excess Deaths During the COVID-19 Pandemic—United States, July 2020–July 2021. MMWR. Morbidity and Mortality Weekly Report, 70. https://doi.org/10.15585/mmwr.mm7046a5
Infectious Diseases. (2022, January 26). In France, a recent rise in hospitalizations raises the concern that BA.2 may not just be the harmless wake of BA.1’s powerboat Yellow line—Hospital admission Black line—Death in hospital Red line—ICU admission [Tweet]. @InfectiousDz. https://twitter.com/InfectiousDz/status/1486306246823391237
Backed By Science: Here’s How We Can Eliminate COVID-19 - Health Policy Watch. (2022, January 23). https://healthpolicy-watch.news/93258-2/
casey briggs. (2022, January 22). Both Victoria and New South Wales are seeing continued improvement in COVID-19 hospitalisation https://t.co/O9rB6rqeIV [Tweet]. @CaseyBriggs. https://twitter.com/CaseyBriggs/status/1485013320336052227
Murray, J. (2022, January 21). ‘Care hotel’ set up in Norwich to relieve ‘unprecedented’ pressure on hospitals. The Guardian. https://www.theguardian.com/society/2022/jan/21/care-hotel-set-up-in-norwich-to-relieve-unprecedented-pressure-on-hospitals
Halliday, J., & correspondent, J. H. N. of E. (2022, January 17). ‘Christmas was awful’: On the Omicron frontline at the Royal Preston hospital. The Guardian. https://www.theguardian.com/world/2022/jan/17/christmas-was-awful-on-the-omicron-frontline-at-the-royal-preston-hospital
Yong, E. (2021, December 16). America Is Not Ready for Omicron. The Atlantic. https://www.theatlantic.com/health/archive/2021/12/america-omicron-variant-surge-booster/621027/
Connolly, K. (2021, December 28). German court rules disabled people must be protected in Covid triage cases. The Guardian. https://www.theguardian.com/world/2021/dec/28/german-court-disabled-people-covid-triage
Jorge A. Caballero, MD. (2021, December 30). 544 children with #COVID19 were admitted to U.S. hospitals yesterday—This shattered the previous single-day record that was set 2 days ago (421) source: HHS (https://healthdata.gov/Hospital/COVID-19-Reported-Patient-Impact-and-Hospital-Capa/g62h-syeh) https://t.co/bOUylcyZlV [Tweet]. @DataDrivenMD. https://twitter.com/DataDrivenMD/status/1476357620550148100
David Spiegelhalter. (2022, January 6). Good news: Admissions for flu not quite as tiny as last year, but close. Https://gov.uk/government/statistics/national-flu-and-covid-19-surveillance-reports-2021-to-2022-season https://t.co/YILvkQ4Vqu [Tweet]. @d_spiegel. https://twitter.com/d_spiegel/status/1479139047515856901
Prof. Christina Pagel. (2022, January 10). I agree with pretty much all of this @FT article https://ft.com/content/e200156f-2e5a-4165-8aa2-28c24fe3c036 https://t.co/zhqPpqdyn7 [Tweet]. @chrischirp. https://twitter.com/chrischirp/status/1480568139947692041
ReconfigBehSci on Twitter: ‘RT @TravellingTabby: Https://t.co/pFl7I2Bufy Today is the first time in almost three weeks that the positivity rate has been under 20%! A…’ / Twitter. (n.d.). Retrieved 12 January 2022, from https://twitter.com/SciBeh/status/1481297611562827776
Ibbitson, J. (2022, January 11). Refusing the COVID-19 vaccine comes with a price. The Globe and Mail. https://www.theglobeandmail.com/politics/article-refusing-the-covid-19-vaccine-comes-with-a-price/
Nardi, C. (2022, January 11). Quebec plans to hit unvaccinated with a ‘significant’ tax. National Post. https://nationalpost.com/news/politics/quebec-working-on-new-significant-health-tax-for-the-unvaccinated
Reguly, E. (2022, January 10). Support growing among European governments for COVID-19 vaccine mandates as Omicron cases surge. The Globe and Mail. https://www.theglobeandmail.com/world/article-compulsory-covid-vaccine-mandates-are-coming-to-europe/
Cowper, A. (2022). Omicron: Who needs action when you’ve got Plan B? BMJ, 376, o15. https://doi.org/10.1136/bmj.o15
Meaghan Kall. (2022, January 3). ⚠️ Warning on death data on https://coronavirus.data.gov.uk NHS England has not reported hospital deaths since 1 January. The backlog will be reported Wednesday. Data are incomplete yesterday, today and tomorrow. Expect a bigger number reported on Wednesday. [Tweet]. @kallmemeg. https://twitter.com/kallmemeg/status/1478049788159569929
Stephen Reicher. (2022, January 3). NHS Chiefs: “Hospitals in Crisis” Head Teachers: “Schools in Crisis” Prime Minister: “Crisis? What Crisis?” (i.e. You will have to sort it out without any support from us) https://t.co/OWDdGFrWl2 [Tweet]. @ReicherStephen. https://twitter.com/ReicherStephen/status/1478124355431419904
Jewett, C. (2021, November 4). Patients Went Into the Hospital for Care. After Testing Positive There for Covid, Some Never Came Out. Kaiser Health News. https://khn.org/news/article/hospital-acquired-covid-nosocomial-cases-data-analysis/
Davis, Nicola, and Nicola Davis Science correspondent. ‘England Reports Record 113,638 New Covid Cases on Christmas Day’. The Guardian, 27 December 2021, sec. World news. https://www.theguardian.com/world/2021/dec/27/uk-reports-daily-figure-of-98515-new-covid-cases.
Baig, Abdul Mannan. ‘Counting the Neurological Cost of COVID-19’. Nature Reviews Neurology 18, no. 1 (January 2022): 5–6. https://doi.org/10.1038/s41582-021-00593-7.
ReconfigBehSci. (2021, December 22). RT @Rebeccasmt: Exclusive: Hospitals plan for ‘mass casualty’ event with up to one-third of staff sick https://t.co/bwA1s80SgZ [Tweet]. @SciBeh. https://twitter.com/SciBeh/status/1473604922910380032
Facebook, Twitter, options, S. more sharing, Facebook, Twitter, LinkedIn, Email, URLCopied!, C. L., & Print. (2021, December 17). Op-Ed: How can we prevent a second winter of despair with Omicron? Los Angeles Times. https://www.latimes.com/opinion/story/2021-12-17/op-ed-averting-a-second-winter-of-despair-with-omicron
Iacobucci, G. (2021). Covid-19 and pregnancy: Vaccine hesitancy and how to overcome it. BMJ, 375, n2862. https://doi.org/10.1136/bmj.n2862
Jeffrey-Wilensky, Jaclyn, and Caroline Lewis. ‘NY Nursing Homes See Overnight Surge In Employee COVID Vaccinations Thanks To State Mandate’. Gothamist, 1 October 2021. https://gothamist.com.
West Country Bylines. ‘Covid-19: 2 Months since “Freedom Day”, but Where Are We Now?’, 1 October 2021. https://westcountrybylines.co.uk/covid-19-2-months-since-freedom-day-but-where-are-we-now/.
John Roberts on Twitter. (n.d.). Twitter. Retrieved 31 October 2021, from https://twitter.com/john_actuary/status/1453289464441233422
Kenneth Baillie. (2021, October 27). When a healthcare system fails, increasing numbers of people suffer and die needlessly. That’s all. If you aren’t a patient or staff, you don’t see it. But this is happening, now, all over the UK. 2/n [Tweet]. @kennethbaillie. https://twitter.com/kennethbaillie/status/1453422360795680769
Sonabend, R., Whittles, L. K., Imai, N., Perez-Guzman, P. N., Knock, E. S., Rawson, T., Gaythorpe, K. A. M., Djaafara, B. A., Hinsley, W., FitzJohn, R. G., Lees, J. A., Kanapram, D. T., Volz, E. M., Ghani, A. C., Ferguson, N. M., Baguelin, M., & Cori, A. (2021). Non-pharmaceutical interventions, vaccination, and the SARS-CoV-2 delta variant in England: A mathematical modelling study. The Lancet, 0(0). https://doi.org/10.1016/S0140-6736(21)02276-5
Tartof, S. Y., Slezak, J. M., Fischer, H., Hong, V., Ackerson, B. K., Ranasinghe, O. N., Frankland, T. B., Ogun, O. A., Zamparo, J. M., Gray, S., Valluri, S. R., Pan, K., Angulo, F. J., Jodar, L., & McLaughlin, J. M. (2021). Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA: A retrospective cohort study. The Lancet, 398(10309), 1407–1416. https://doi.org/10.1016/S0140-6736(21)02183-8
Sah, P., Moghadas, S. M., Vilches, T. N., Shoukat, A., Singer, B. H., Hotez, P. J., Schneider, E. C., & Galvani, A. P. (2021). Implications of suboptimal COVID-19 vaccination coverage in Florida and Texas. The Lancet Infectious Diseases, 0(0). https://doi.org/10.1016/S1473-3099(21)00620-4
Gurdasani, Deepti. ‘Vaccinating Adolescents in England: A Risk-Benefit Analysis’. OSF Preprints, 4 August 2021. https://doi.org/10.31219/osf.io/grzma.
Schreiber, M. (2021, September 24). ‘It’s awful. It’s exhausting’: Alaska rations care as it hits Covid nadir. The Guardian. https://www.theguardian.com/us-news/2021/sep/24/alaska-covid-coronavirus-rations-care-hospitals
Covid: Royal Bolton Hospital taking “urgent action” over virus. (2021, May 25). BBC News. https://www.bbc.com/news/uk-england-manchester-57242368
Blomberg, B., Mohn, K. G.-I., Brokstad, K. A., Zhou, F., Linchausen, D. W., Hansen, B.-A., Lartey, S., Onyango, T. B., Kuwelker, K., Sævik, M., Bartsch, H., Tøndel, C., Kittang, B. R., Cox, R. J., & Langeland, N. (2021). Long COVID in a prospective cohort of home-isolated patients. Nature Medicine, 1–7. https://doi.org/10.1038/s41591-021-01433-3
Miller, A. (2021, August 27). States Pull Back on Covid Data Even Amid Delta Surge. Kaiser Health News. https://khn.org/news/article/states-pull-back-on-covid-data-even-amid-delta-surge/
Currin, G. (n.d.). YouTube’s Plan to Showcase Credible Health Information Is Flawed, Experts Warn. Scientific American. Retrieved September 3, 2021, from https://www.scientificamerican.com/article/youtubes-plan-to-showcase-credible-health-information-is-flawed-experts-warn/
How many employees have hospitals lost to vaccine mandates? Here are the numbers so far. (n.d.). FierceHealthcare. Retrieved 27 September 2021, from https://www.fiercehealthcare.com/hospitals/how-many-employees-have-hospitals-lost-to-vaccine-mandates-numbers-so-far
Hippisley-Cox, J., Coupland, C. A., Mehta, N., Keogh, R. H., Diaz-Ordaz, K., Khunti, K., Lyons, R. A., Kee, F., Sheikh, A., Rahman, S., Valabhji, J., Harrison, E. M., Sellen, P., Haq, N., Semple, M. G., Johnson, P. W. M., Hayward, A., & Nguyen-Van-Tam, J. S. (2021). Risk prediction of covid-19 related death and hospital admission in adults after covid-19 vaccination: National prospective cohort study. BMJ, 374, n2244. https://doi.org/10.1136/bmj.n2244
John Middleton: Is the NHS prepared for the coming winter? (2021, September 9). The BMJ. https://blogs.bmj.com/bmj/2021/09/09/john-middleton-is-the-nhs-prepared-for-the-coming-winter/
Ohio judge reverses court order forcing hospital to treat Covid patient with ivermectin. (2021, September 7). The Guardian. https://www.theguardian.com/us-news/2021/sep/07/ivermectin-ohio-judge-reverses-court-order-covid-patient
Morris, S. (2021, August 26). ‘It’s really hit us now’: Newquay becomes England’s Covid capital. The Guardian. http://www.theguardian.com/uk-news/2021/aug/26/newquay-cornwall-becomes-england-covid-capital
Pham, Q. T., Le, X. T. T., Phan, T. C., Nguyen, Q. N., Ta, N. K. T., Nguyen, A. N., Nguyen, T. T., Nguyen, Q. T., Le, H. T., Luong, A. M., Koh, D., Hoang, M. T., Pham, H. Q., Vu, L. G., Nguyen, T. H., Tran, B. X., Latkin, C. A., Ho, C. S. H., & Ho, R. C. M. (2021). Impacts of COVID-19 on the Life and Work of Healthcare Workers During the Nationwide Partial Lockdown in Vietnam. Frontiers in Psychology, 12, 563193. https://doi.org/10.3389/fpsyg.2021.563193
ReconfigBehSci. (2021, July 28). RT @thehowie: This is what happens when your hospitals are over-run with cases. It affects everyone. Https://t.co/KFoVrgfJpc [Tweet]. @SciBeh. https://twitter.com/SciBeh/status/1420440225822609410
Bellafante, Ginia. “How to Survive a Plague, Part 2.” The New York Times, July 23, 2021, sec. New York. https://www.nytimes.com/2021/07/23/nyregion/Covid-Delta-Vaccination-AIDS.html.
the Guardian. “Rates of Double-Jabbed People in Hospital Will Grow – but That Does Not Mean Covid Vaccines Are Failing,” July 22, 2021. http://www.theguardian.com/world/2021/jul/22/rates-of-double-jabbed-people-in-hospital-will-grow-but-that-does-not-mean-covid-vaccines-are-failing.
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Cheng, Y., Ma, N., Witt, C., Rapp, S., Wild, P. S., Andreae, M. O., Pöschl, U., & Su, H. (2021). Face masks effectively limit the probability of SARS-CoV-2 transmission. Science. https://doi.org/10.1126/science.abg6296
Service, Tribune News. “Govt Caps Cost of Covid Vaccines in Private Hospitals.” Tribuneindia News Service. Accessed June 10, 2021. https://www.tribuneindia.com/news/nation/govt-caps-cost-of-covid-vaccines-in-private-hospitals-265483.
Summers, C. (2021, June 8). Oxygen shortages are killing thousands. Why aren’t we doing more about this? | Charlotte Summers. The Guardian. http://www.theguardian.com/commentisfree/2021/jun/08/oxygen-shortages-killing-vaccines-drugs
Amitava Banerjee: Covid-19 in India—lockdown and vaccination drive only way forward. (2021, May 6). The BMJ. https://blogs.bmj.com/bmj/2021/05/06/amitava-banerjee-covid-19-in-india-lockdown-and-vaccination-drive-only-way-forward/
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Ashish K. Jha, MD, MPH. (2020, December 1). There is something funny happening with COVID hospitalizations Proportion of COVID pts getting hospitalized falling A lot Just recently My theory? As hospitals fill up, bar for admission rising A patient who might have been admitted 4 weeks ago may get sent home now Thread [Tweet]. @ashishkjha. https://twitter.com/ashishkjha/status/1333636841271078912
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Implementation of a hospital information system in Limpopo Province
failure of hospital information systems have affected people in Limpopo province as they still have to use the old school method for data collection about their patients. these will make it harder for leadership to monitor the progress of the strategies that they are using.
Dr Kamna Kakkar. (2021, April 20). If things come down to this, doctors are going to be at the recieving end of all patient wrath. As much as I pray for Delhi patients’ lives, I pray for the safety of my colleagues. #DelhiLockdown https://t.co/Q7RaIj68RB [Tweet]. @drkamnakakkar. https://twitter.com/drkamnakakkar/status/1384535301243109380
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Christina Pagel. (2021, February 23). 1. LONG THREAD ON COVID, LOCKDOWN & THE ROADMAP: TLDR: There’s a lot to like about the roadmap – but it could be & should be made much more effective. Because this will be tying current situation to the roadmap, I’m concentrating on English data Read on… (22 tweets—Sorry) [Tweet]. @chrischirp. https://twitter.com/chrischirp/status/1364019581971558401
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Mondelli, Mario U., Marta Colaneri, Elena M. Seminari, Fausto Baldanti, and Raffaele Bruno. ‘Low Risk of SARS-CoV-2 Transmission by Fomites in Real-Life Conditions’. The Lancet Infectious Diseases 0, no. 0 (29 September 2020). https://doi.org/10.1016/S1473-3099(20)30678-2.
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(((Howard Forman))) on Twitter: “Hospitalized pts w/Covid in #Texas growing by almost 6% per day. In some regions, already near capacity. In < 2 weeks, entire state will be challenged (as NY, CT, MA, & NJ were) to maintain normal hospital operations (already suspended elective surgeries in many regions). https://t.co/lwW1nLHhZR” / Twitter. (n.d.). Twitter. Retrieved July 10, 2020, from https://twitter.com/thehowie/status/1280855254217547780
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EBM Data Lab - Risk Factors Research
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Research from Chelsea and Westminster Hospital has found that placing art in the NHS trust has helped to improve patient wellbeing, decrease hospital stays and reduce anxiety, depression and pain.
The hospitalist movement mirrors the health care trend toward ever-increasing specialization. However, hospitalists are fundamentally generalist physicians who provide and coordinate inpatient care, often aided by myriad subspecialists. How can a generalist be a specialist? Specialties in medicine are traditionally defined by organ (eg, cardiology), disease (oncology), population (pediatrics), or procedure/technology (surgery or radiology). The hospitalist, on the other hand, is a "site-defined generalist specialist" (similar to emergency medicine physicians or critical care specialists), caring for patients with a wide array of organ derangements, illnesses, and ages within a specific location.45 Accordingly, the hospitalist should not be seen as a retreat from generalism and its emphasis on coordination and integration9,77 but rather as an affirmation of these values and as a surrogate for the primary care physician in the hospital. The competing pressures resulting from the distance between office and hospital as well as the requirement of around-the-clock availability make the hospital-based generalist a logical evolution. Hospital medicine has already satisfied many of the requirements of a specialty. A large and enthusiastic group of practitioners identify themselves not according to their training background but as hospitalists. The NAIP is almost certainly the fastest growing physician society in the United States. The field hosts several successful meetings each year and has its own clinical textbook.78 To establish themselves as members of a recognized medical specialty, hospitalists must identify a core skill set or body of knowledge and obtain the approval of credentialing organizations. Advocates of specialty status for hospitalists should be encouraged by the history of 2 other site-defined inpatient specialties: emergency medicine and critical care medicine. Like these relatively young fields, it seems probable that hospitalists will ultimately define a unique set of skills and competencies that will distinguish their field. The identification of practice-training mismatches (Table 2) represents an important first step. Credentialing organizations deliver the final stamp of approval on new specialties by creating a board certification or added qualification. Most new fields quickly agitate for such status, their motivation both practical and visceral. However, for unique reasons, few hospitalists are pressing this point. Many physicians—hospitalists and nonhospitalists—worry that if a credentialing body (such as the American Boards of Internal Medicine or Pediatrics) created a hospital medicine credential, health maintenance organizations might require that physicians possess this credential to care for inpatients. This would be unacceptable to many primary care physicians, who would be excluded from the hospital despite their desire and competence to continue practicing there. For this reason, we expect neither NAIP nor the relevant boards to promote separate credentials in the near future. Nevertheless, as evolutionary forces lead to specialized training, some formal specialty designation may emerge.79
And earlier this year, CMS announced that by this time next year hospitalists would be assigned their own specialty designation code. SHM’s Public Policy Committee lobbied for the move for more than two years.
By 2003, the term “hospitalist” had become ubiquitous enough that NAIP was renamed the Society of Hospital Medicine
John Nelson, MD, MHM, and Winthrop Whitcomb, MD, MHM, founded the National Association of Inpatient Physicians (NAIP) a year after the NEJM paper, they promoted and held a special session at UCSF’s first “Management of the Hospitalized Patient” conference in April 1997
Hospitalists are often referred to as the quarterbacks of the hospital. But even the best QB needs a good team to succeed. For HMGs, that roster increasingly includes nurse practitioners (NPs) and physician assistants (PAs).
Aside from NPs and PAs, another extension of HM has been the gravitation in recent years of hospitalists into post-acute-care settings, including skilled-nursing facilities (SNFs), long-term care facilities, post-discharge clinics, and patient-centered homes.
Hospitalists were seen as people to lead the charge for safety because they were already taking care of patients, already focused on reducing LOS and improving care delivery—and never to be underestimated, they were omnipresent, Dr. Gandhi says of her experience with hospitalists around 2000 at Brigham and Women’s Hospital in Boston. “At least where I was, hospitalists truly were leaders in the quality and safety space, and it was just a really good fit for the kind of mindset and personality of a hospitalist because they’re very much … integrators of care across hospitals,” she says. “They interface with so many different areas of the hospital and then try to make all of that work better.”
role of hospitalists in safety and quality
“When the IOM report came out, it gave us a focus and a language that we didn’t have before,” says Dr. Wachter, who served as president of SHM’s Board of Directors and to this day lectures at SHM annual meetings. “But I think the general sensibility that hospitalists are about improving quality and safety and patients’ experience and efficiency—I think that was baked in from the start.”
“The role of the hospitalist often is to take recommendations from a lot of different specialties and come up with the best plan for the patient,” says Tejal Gandhi, MD, MPH, CPPS, president and CEO of the National Patient Safety Foundation. “They’re the true patient advocate who is getting the cardiologist’s opinion, the rheumatologist’s opinion, and the surgeon’s opinion, and they come up with the best plan for the patient.”
Dr. Merlino says he’s proud of the specialists who rotated through the hospital rooms of AIDS patients. But so many disparate doctors with no “quarterback” to manage the process holistically meant consistency in treatment was generally lacking
Two major complaints emerged early on, Dr. Gorman says. Number one was the notion that hospitalists were enablers, allowing PCPs to shirk their long-established duty of shepherding their patients’ care through the walls of their local hospital. Number two, ironically, was the opposite: PCPs who didn’t want to cede control of their patients also moonlit taking ED calls that could generate patients for their own practice.
Dr. Wachter and other early leaders also worried that patients, used to continuity of care with their primary-care doctors, would not take well to hospitalists. Would patients revolt against the idea of a new doctor seeing them every day?
Some “specialists worried that if hospitalists were more knowledgeable than once-a-month-a-year attendings, and knew more about what was going on, they would be less likely to consult a specialist,” Dr. Goldman explains, adding he and Dr. Wachter thought that would be an unintended consequence of HM. “If there was a reduction in requested consults, that expertise would somehow be lost.”
Perhaps the biggest concerns to hospital medicine in the beginning came from the residents at UCSF. Initially, residents worried—some aloud—that hospitalists would become too controlling and “take away their delegated and graduated autonomy,” Dr. Goldman recalls
But those efforts were few and far between. And they were nearly all in the community setting. No one had tried to staff inpatient services with committed generalists in an academic setting.
The model Dr. Wachter settled on—internal medicine physicians who practice solely in the hospital—wasn’t entirely novel. He recalled an American College of Physicians (ACP) presentation at 7 a.m. on a Sunday in 1995, the sort of session most conventioneers choose sleep over. Also, some doctors nationwide, in Minnesota and Arizona, for instance, were hospital-based as healthcare maintenance organizations (HMOs) struggled to make care more efficient and less costly to provide.
Others are implementing bedside ultra-sonography for procedures and diagnosis, pioneering methods of making rounds more patient- and family-centric, implementing unit-based leadership teams, or applying process-improvement ap-proaches such as the Toyota Pro-duction System to inpatient care.
Many are developing early-warning pro-tocols in which electronic health record data are used to identify patients who are at risk for prob-lems such as sepsis or falls.
mentation of quality- and systems-related initiatives. Hospitalists have been slow to pursue sub-stantial inquiry into discovery re-lated to the common inpatient diseases they see or to lead multi-center trials of new diagnostic or therapeutic approaches. This defi-ciency limits hospitalists’ credibil-ity in academia and the advance-ment of the field.
Finally, the few academic hospitalist groups that have developed substantial research programs generally emphasize the implementation of quality- and systems-related initiatives.
Many hospitalists have added value as local leaders in quality improvement, safety, and innova-tion, but some have functioned more as shift workers. For exam-ple, many community hospital-ists have a 7-days-on, 7-days-off schedule that focuses mainly on high-volume clinical work and sends an unspoken but clear mes-sage that, at the end of an inten-sive clinical “on” stint, one is “off ” and uninvolved. Our impression is that hospitalist programs pro-vide more value when hospital-ists’ inpatient assignments (clini-cal “systole”) are complemented by a systems-oriented “diastole,” dur-ing which clinical activity is limit-ed but they contribute to key in-stitutional programs. Productive diastole is more likely when hos-pitalists have strong leadership, a robust professional-development curriculum, and a mutual hospi-tal–hospitalist commitment to adding value during specified and structured nonclinical time.
The hospitalists patient is the hospital
The field’s rapid growth has both ref lected and contributed to the evolution of clinical practice over the past two decades.
Conversely, some traditional programs may develophospitalist tracks that emphasize acquisition of theskills most relevant to inpatient practice. If suchtracks are developed, it will be important not to re-duce training in ambulatory care too aggressively,since the competent hospitalist will need a full un-derstanding of what can — and cannot — be donein the outpatient setting
As a result, we anticipate the rapid growth of anew breed of physicians we call “hospitalists” — spe-cialists in inpatient medicine — who will be respon-sible for managing the care of hospitalized patientsin the same way that primary care physicians are re-sponsible for managing the care of outpatients.
Unfortunately, this approach collides with the re-alities of managed care and its emphasis on efficien-cy.
Strict visiting hours and visitor restrictions are a thing of the past in a patient-centered care model. Patients are given the authority to identify who can visit and when. Family members (as defined by the patient and not limited to blood relations) are invited to visit during rounding and shift changes so they can be part of the care team, participating in discussions and care decisions. When not in the room with the patient, they are kept informed of their loved one’s progress through direct and timely updates. A patient-centered care hospital’s infrastructure encourages family collaboration through a home-like environment that not only meets the needs of the patient, but also meets the needs of family members. For example, maternity wards are being redesigned with family-friendly postpartum rooms that can accommodate the mom, new baby, and family members, who are encouraged to spend up to 24 hours a day together in the room to foster family bonding.
Patient-centered care in the hospital
Poor health literacy is a silent and ubiquitous health care issue, and the field of neurosurgery is particularly prone to the consequent adverse effects. Failure to address low health literacy has several detrimental health and economic consequences, and numerous policies have been initiated to address these. Better facilitating patient understanding of neurosurgical disease, treatment options, and care surrounding the operative period may have a positive impact on the health care economy and ultimately achieve improved outcomes for patients.
Certain disciplines are particularly prone to consequent adverse effects of poor health literacy.
and like most alternative medicines there is zero evidence that it works
In all fairness there is zero credible, good quality evidence that it works. There's heaps of "evidence" that it works, it's just that is it crap research.
Fort Simpson
Fort Simpson was originally established by the Hudson’s Bay Company at a location on the north shore of the Nass River estuary. In the summer of 1834, the Hudson’s Bay Company moved its fort to a site on the Tsimshian peninsula at McLoughlin Bay, which is now called Port Simpson, British Columbia (Patterson 1994). In 1858 and 1894, Roman Catholic missionaries reached Fort Simpson and permanently resided there. The Roman Catholic Mission provided many resources for the community, such as St. Margaret’s Hospital built in 1916 and a school in St. Margaret’s Hall built in 1917. St. Margaret’s Hall was replaced by the Federal Day School in 1974 and was run by the Federal Government. Fort Simpson is still inhabited today and is a quite popular tourist destination. It is the only village in the Northwest Territories with a population of approximately 1,250. Some people of Fort Simpson still identify as Dene. Fort Simpson is accessible via airplane or highway. The Liard Trail Highway leads to Fort Simpson from British Columbia and the Mackenzie Highway reaches Fort Simpson from Alberta. Since both of these highways pass through expanses of nature, it is possible to see black bear, moose, woodland caribou, lynx, wolves, and bison alongside the highways (Fort Simpson Chamber of Commerce n.d.).
References
Fort Simpson Chamber of Commerce. n.d. Fort Simpson Nortwest Territories Canada. Accessed May 8, 2017. http://www.fortsimpson.com.
Patterson, E. Palmer. 1994. ""The Indians Stationary Here": Continuity and Change in the Origins of the Fort Simpson Tsimshian." Anthropologica 181-203.
Proteus Vulgaris Characteristics – Biofield Treatment Analysis Biofield energy treatment is an alternative therapy approach that is studied in this research to bring the positive alternations in the characteristics of Proteus Vulgaris.
Proteus Vulgaris - Hospital Acquired Infections Proteus Vulgaris is a gram-negative bacterium that is ranked third as the cause of hospital-acquired infections. The present study was undertaken to study the impact of an alternative energy treatment on properties of Proteus Vulgaris.
Study of Proteus Vulgaris Antimicrobials Susceptibility Proteus Vulgaris antimicrobials susceptibility analysis shows changes in minimum inhibitory concentration and susceptibility patterns as compared to control sample after biofield energy treatment.
Proteus Vulgaris - Impact of Human Energy Treatment Biochemical test results shows the impact of human energy treatment on phenotyping and genotyping characteristics of Proteus Vulgaris. Read here to know about this study.