Refining Accountability in Patient Care

According to a new report, while half of providers believe that value-based reimbursement will eventually foster population health, reduce costs, and improve the patient experience, 80% of providers have found a need for more staff, more time, and more investments in order to make it work.
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HMS CSTE Conference Presentation Reminder

Visualizing Spatio-Temporal Patterns of Emergency Department Utilization during a Polar Vortex

Dr. Andrew Walsh will present a poster on his abstract, Visualizing Spatio-Temporal Patterns of Emergency Department Utilization during a Polar Vortex, at next week’s annual CSTE conference in Nashville on Monday, June 23, 2014 from 3:30 PM-4:00 PM. Look for poster 239.
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Readmissions & Demographics

Working with public health departments, Health Monitoring Systems’ staff has worked with over 700 hospitals to collect emergency department registrations and admissions data from them. The question we always strive to answer is, “What else can we do?” Public health is intrinsically data-driven, attempting to understand both health trends and events in an effort to anticipate and plan intervention to monitor and protect the community’s health.
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Pool Poison: Preventable Injuries in the Thousands

With scorching temperatures right around the corner, many people will be readying their pools, which can be a surprisingly dangerous business. According to a recent study by the CDC, 4,900 people visited the emergency department for preventable pool chemical injuries in 2012. Commonly, the diagnosis of these injuries was poisoning, which would stem from things such as inhalation of vapors, fumes and gases. Fortunately, there were no deaths relating to pool chemicals at the time of the study.
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Heartbleed Update

Everyone who follows the news is aware of the now-notorious Heartbleed bug, which is thought to have affected up to two-thirds of all websites. Users received notices from websites like Gmail and Pinterest advising them to change their passwords, and an estimated 39% of us actually took the step of updating our login credentials. But why was it an issue in the first place? Was EpiCenter affected?
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Pilot Project: Ambulatory Care Data & Syndromic Surveillance

Although they make up only a small portion of the overall requirements, the Public Health-related set of Meaningful Use requirements has still managed to generate a considerable amount of debate and confusion. One of the primary sources of this confusion relates to ambulatory care providers and the submission of syndromic surveillance data.
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Outbreak Preparedness & Ebola in Guinea

An Ebola outbreak has been brewing in West Africa since February. According to the CDC, on April 29, 2014, Guinea’s Ministry of Health reported 221 suspected and confirmed cases of Ebola hemorrhagic fever, including 146 deaths. Of these suspected cases, 126 have been laboratory confirmed as Ebola. At the time of writing, there were 25 suspected or confirmed cases reported among healthcare workers, and that number included 16 deaths.
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Whooping Cough, Measles, and Mumps, Oh My!

Childhood diseases can be a frightening topic, especially when we are seeing the re-emergence of vaccine-preventable diseases such as measles and whooping-cough. There have been at least 129 measles cases from 13 states that have been reported in the U.S. in 2014, the highest number since 1996, according to the CDC. In recent years, many studies have sought to find a link between these re-emerging diseases and an increased prevalence of parents “opting out” of vaccinating their children.
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The Affordable Care Act Goes to the Emergency Department

The Affordable Care Act (ACA) has been promoted with two major goals: expanding health insurance coverage and reducing healthcare costs. Part of the cost reduction is expected to be achieved through the expanded coverage. The proposal is that uninsured patients make use of the emergency department of their local hospital as a primary healthcare option more often than an insured patient with a comparable condition. The insured patient will visit a primary care physician for certain ailments because that visit will be covered. By contrast, the uninsured patient will go the emergency department knowing that they legally cannot be denied treatment because of their insurance status.
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The HIE: Part 2

For 2013, healthcare spending in the United States was estimated at about $3 trillion and is projected to grow to $5 trillion by 2020.

Those numbers are mind-bogglingly large.

By comparison, the annual U.S. GDP was about $16 trillion in 2013. Healthcare represents about 18% of the total. Only China, Japan, and Germany have a national GDP greater than U.S. spending on healthcare. The U.S. is far in the lead in per capita healthcare spending as well, 30% ahead of comparable wealthy, developed nations.
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