Urinary tract infections (UTIs) are one of the most common hospital-acquired infections in the U.S. UTIs can be quite painful, and since it usually it takes a lab about two to three days to identify the specific bacteria causing a patient’s infection, most doctors don’t want to wait that long to treat it. Instead, they make an educated guess as to which antibiotic to administer. Given that approximately 80 percent of UTIs are caused by E. coli bacteria, there’s a good chance the physician will choose an appropriate antibiotic. But that means that 20 percent of those patients may receive an ineffective or non-optimal antibiotic. And even if E. coli is the culprit, an increasing number of E....
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Category Archives: Efficiency
28 February 2017
An alarming new study from the Harvard T.H. Chan School of Public Health and the Broad Institute of MIT and Harvard suggests that carbapenem-resistant Enterobacteriaceae (CRE)—a new class of superbug referred to as “nightmare bacteria” by former CDC director Dr. Tom Frieden—may be spreading more widely and more stealthily than was previously thought. The researchers found that CREs are growing in numbers and strength, are far more diverse than expected, and have many more mechanisms for not only resisting antibiotics but also spreading that resistance to other bacteria than have been identified to date. The study’s findings were published in January in the Proceedings of the National Academy of...
23 February 2017
“Just listen to your patient; he is telling you the diagnosis.”
This medical maxim is attributed to Sir William Osler (1849–1919), widely considered to be one of the greatest physicians and diagnosticians of all time. Although Osler’s advice might seem impractical in today’s healthcare environment in which clinicians face increasing pressure to deliver care faster and more efficiently, a recent experiment by a New York City physician suggests that letting patients speak about their health problems without interruption can be both practical and beneficial for both parties.
Studies have shown that doctors interrupt or redirect patients within the first 30 seconds after they begin...
21 February 2017
New research about the appropriate age limit for breast cancer mammography screenings, presented at the Radiological Society of North America’s annual meeting late last year, challenges current conventional recommendations. While the U.S. Preventive Services Task Force (USPSTF) recommends that women undergo screenings every two years until age 74, researchers from the University of California at San Francisco assert this age limit may be arbitrary after finding that the precision of breast cancer mammography screening, and thus the rate of cancer detection, increases significantly as women age.
Pulling from the American College of Radiology National Mammography Database, the research team examined 5.7 million...
14 February 2017
A recent study published in the American Journal of Managed Care found that patients who used “virtual health coach” (VHC) technology while waiting for their physicians in the exam room were encouraged to engage in conversation with their physicians about a healthy lifestyle topic that was not discussed during previous appointments.
Eighty-nine patients who agreed to test out “new technology” during their exam room downtime were given handheld tablet computers equipped with virtual health coaches driven by artificial intelligence (AI) and natural language understanding (NLU) technologies, similar to Apple’s Siri or Google’s Alexa. The patients interacted with an...
9 February 2017
Healthcare’s increasing complexity in this country and the growing emphasis on patient-centered care and efficiency in delivering clinical outcomes are forcing clinicians get better at balancing the competing imperatives of cost versus quality and technology versus humanity. Those challenges are preparing them to take on leadership roles—a good thing, say the authors of a recent op-ed published in the Harvard Business Review, who make a strong case that the best hospitals are led by physicians.Many of the Top-Ranked Hospitals Are Led by Doctors
James K. Stoller, MD, a pulmonary/critical care physician at the Cleveland Clinic and chairman of the Education Institute; Amanda Goodall, PhD, senior...
31 January 2017
Researchers from Nationwide Children's Hospital and The Ohio State University (OSU) found that a learning health system (LHS) pilot program at Nationwide combining tailored electronic health records system entry, care coordinators and evidence-based clinical data and research reduced total inpatient days by 43%, reduced inpatient admission by 27%, reduced ER visits by 30% and reduced urgent care visits by 29% during the first year. Per a recent article in HealthLeaders Media, those reductions generated an impressive $1.36 million savings in health care costs during the 12-month period in 2010 and 2011.
The National Academy of Medicine’s Learning Health System Series defines a learning health system...
24 January 2017
Neuroprotection for preterm infants can be one of the most important aspects of care provided to preterm neonates, yet it is sometimes overlooked because the providers are focused on other health issues. It is also essential that neuroprotection for preterm infants be done correctly to avoid causing lifelong struggles for both the babies and their families. A recent article in Neonatal Network, “Neuroprotection of the Preterm Infant,” co-authored by Sheridan Doctor of Nursing Practice (DNP) and Neonatal Nurse Practitioner (NNP) Abby Kaspar, offers simple strategies that providers and nurses can use to provide effective neuroprotection for premature infants.
The article defines neuroprotection as...
19 January 2017
Providers and patients alike view telemedicine as an increasingly important healthcare delivery modality. Per a recent article in Medical Economics, “How to balance telemedicine advances with ethics,” the American Telemedicine Association (ATA) reports that more than half of all U.S. hospitals use some form of telemedicine; and IHS Technology predicts the number of patients using telehealth services will jump from fewer than 350,000 in 2013 to 7 million in 2018.
But this modality can also be challenging to implement responsibly.Telehealth Benefits
The dramatic growth of telemedicine is driven by its ability to further the goals of the “quadruple aim” framework for...
22 December 2016
A new Physicians Practice article, “7 Predictions for Practice Management in 2017,” features several respected healthcare experts including Sheridan’s Chief Quality Officer, Gerald A. Maccioli, MD, MBA, FCCM. Their predictions addressed seven areas of anticipated change:The Affordable Care Act and congressional action New data and deadlines Shifting payments Added regulation Changing insurance scene Technology demands Patient communication
Dr. Maccioli spoke about the modifications to the phase-in year of MACRA made by CMS to address the physician community’s “angst” about the program’s implementation, including technology and operational issues such...
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