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Patient navigators cut ER visits, hospitalization for high risk health care users

A study by TTUHSC investigators found that an interprofessional patient navigation program reduced emergency room visits and hospital admissions among high-risk patients. The program, which used DSRIP guidelines, resulted in a significant decrease in hospital utilization, with participants experiencing 1.13 ER visits per year compared ...

SourceTexas Tech University Health Sciences Center·JournalJournal of Healthcare Management·DateMar 18, 2020

Healthcare innovators focus on 'quality as a business strategy' -- update from Journal of Healthcare Quality

The Journal for Healthcare Quality has published a special issue on quality as a business strategy, featuring six innovative approaches to improving healthcare. These programs include improving clinical documentation, assessing the costs of pressure injuries, and implementing bundled payments for joint replacement.

SourceWolters Kluwer Health·JournalJournal for Healthcare Quality·DateMar 6, 2020

Better planning could save millions in health care costs

A new study from Michigan State University and Rutgers University reveals that five to 10 minutes are added to each surgery due to unplanned supplies, resulting in nearly $28 million annually in unnecessary costs. Implementing standardized planning processes for medical supplies can significantly reduce these waste costs.

SourceMichigan State University·JournalJournal of Operations Management·DateMar 4, 2020

Value transformation framework model seeks to guide transition to value-based healthcare

The Value Transformation Framework (VTF) provides a step-by-step guide for healthcare organizations to shift to value-based care, focusing on improving quality of care and outcomes. The framework addresses three domains: Infrastructure, Care Delivery, and People, with 15 Change Areas offering flexible steps toward improvement.

SourceWolters Kluwer Health·JournalJournal for Healthcare Quality·DateFeb 3, 2020

Unmet need for physicians, services among US adults

A 20-year study found that insured US adults faced worsening access to healthcare due to cost constraints, with increases in unmet needs for physician visits and services. Meanwhile, some preventive services showed improvements, such as increased guideline-recommended cholesterol tests and flu shots.

SourceJAMA Network·JournalJAMA Internal Medicine·DateJan 27, 2020

Helping patients prep mind and body for surgery pays off, study suggests

A prehabilitation program that encourages patients to move more, eat healthier, cut back on tobacco, breathe deeper, reduce stress, and focus on their goals after surgery has been shown to reduce hospital length of stay and total costs. The study involved hundreds of patients in 21 hospitals across Michigan and found that prehab patien...

SourceMichigan Medicine - University of Michigan·JournalJournal of the American College of Surgeons·DateJan 16, 2020

Virtual physical therapy after knee replacement brings similar outcomes, lower costs

A study published in The Journal of Bone & Joint Surgery found that virtual physical therapy after knee replacement surgery is safe and effective, with similar outcomes to traditional in-person PT. Virtual PT also resulted in lower healthcare costs, with patients completing more exercises and having fewer hospital readmissions.

SourceWolters Kluwer Health·JournalJournal of Bone and Joint Surgery·DateJan 16, 2020

New health insurance insights

A new study analyzes the value of Medicaid for low-income adults in Oregon, finding they value it at a fraction of their medical costs. The study suggests that Medicaid effectively acts as a subsidy for healthcare providers and state programs covering uninsured patients.

SourceMassachusetts Institute of Technology·JournalJournal of Political Economy·DateDec 16, 2019

Infant morbidity decreases with incentive-based prenatal tobacco interventions

A new study from the University of Colorado Anschutz Medical Campus reveals that incentive-based smoking cessation programs can significantly reduce infant morbidity and mortality. The Baby & Me Tobacco Free program provided financial incentives to pregnant women, resulting in a 24-28% reduction in preterm birth and neonatal ICU admiss...

SourceUniversity of Colorado Anschutz Medical Campus·JournalPublic Health Nursing·DateDec 6, 2019

Patient's place of residence matters when choosing cost-effective anticoagulation therapy

A Finnish study uses GIS data to compare the costs of warfarin and direct oral anticoagulant therapies, finding that DOACs are more cost-effective for patients living far from INR sample collection points or requiring frequent monitoring. The researchers developed a geospatial model to determine market areas and costs for each therapy.

SourceUniversity of Eastern Finland·JournalGeospatial health·DateNov 27, 2019

Drug discount cards could actually cost patients more

A new study published in the Canadian Medical Association Journal found that brand-name drug discount cards lead to higher health care spending in Canada, increasing private insurer costs by 46% and public insurer costs by 1.3%. Despite offering some savings, these cards financially disadvantage patients who fill prescriptions with them.

SourceUniversity of British Columbia·JournalCanadian Medical Association Journal·DateNov 11, 2019

The cost of waiting in emergency departments

A new study published in Economic Inquiry reveals that prolonging emergency department wait times increases hospital costs, with moderate and severe cases bearing the brunt of the expenses. The study found a 3-6% cost increase for moderately severe cases and 6% for serious cases.

SourceWiley·JournalEconomic Inquiry·DateNov 6, 2019

Teens who visit the emergency department for self-harm at increased risk of suicide, repeated self harm

A recent study found that teens who visit emergency departments for self-harm are five times more likely to have repeat visits and three times more likely to die from any cause compared to non-self-harming youth. The study also reveals that these adolescents incur significantly higher health costs over the following five years.

When a freestanding emergency department comes to town, costs go up

A new study by Rice University experts found that freestanding emergency departments increased average emergency department spending by 3.6% per insured beneficiary in Texas, Florida, and North Carolina. In contrast, entry of a freestanding emergency department resulted in higher out-of-pocket payments for emergency care in three states.

SourceRice University·JournalAcademic Emergency Medicine·DateOct 22, 2019