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1. Durable medical equipment and home health among the largest contributors to area variations in use of Medicare services. Full Text available with Trip Pro

Durable medical equipment and home health among the largest contributors to area variations in use of Medicare services. Most analyses of geographic variation in Medicare spending have focused on total spending. However, focusing on the volume and intensity of specific categories of services delivered to patients could help identify ways to lower costs without having a negative impact on care. We investigated how utilization in thirteen medical service categories in Medicare Parts A and B (...) (for hospital and physician insurance, respectively) varied across sixty communities nationwide. We found considerable geographic variation in the use of some service categories, although not all. We also found that local communities used very different combinations of types of services to produce medical care, that some service categories were substituted for others, and that the mix of service categories differed even among sites with high or low total medical utilization levels. Home health and durable

2012 Health affairs

2. Patient-centered Outcomes Research in Pulmonary, Critical Care, and Sleep Medicine: A Workshop Report

Maker: Director of Clinical Research for leading CPAP device company Patient/Public-Advocacy: Executive Director of American Sleep Apnea association Clinicians: Community Sleep Physician; Behavioral Therapist; Primary Care Physician; Nurses; Durable Medical Equipment Company; Sleep Technicians; Respiratory Therapists Policy Makers: American Sleep Apnea association (develop practice guidelines & accreditation standards Researchers (Principal Investigators (PIs)): Funded health services and education (...) Patient-centered Outcomes Research in Pulmonary, Critical Care, and Sleep Medicine: A Workshop Report AMERICANTHORACICSOCIETY DOCUMENTS Patient-centeredOutcomesResearchinPulmonary,CriticalCare,and Sleep Medicine An Of?cial American Thoracic Society Workshop Report Laura C. Feemster*, Howard L. Saft*, Susan J. Bartlett, Sairam Parthasarathy, Teresa Barnes, Peter Calverley, J. Randall Curtis, David H. Hickam, Richard A. Mularski, David H. Au, Linda L. Chlan, Lynn F. Reinke, Colin R. Cooke

2019 American Thoracic Society

3. Chronic pain disorder medical treatment guideline.

Chronic pain disorder medical treatment guideline. Chronic pain disorder medical treatment guideline. | National Guideline Clearinghouse success fail May JUN 09 2017 2018 2019 08 Jun 2018 - 12 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team) is a rogue archivist collective dedicated to saving copies of rapidly dying or deleted websites for the sake of history and digital heritage. The group is 100% composed (...) In Username or Email * Password * Remember Me Don't have an account? The AHRQ National Guideline Clearinghouse (NGC, guideline.gov) Web site will not be available after July 16, 2018 because federal funding through AHRQ will no longer be available to support the NGC as of that date. For additional information, read our . Guideline Summary NGC:011313 2017 Nov 30 NEATS Assessment Chronic pain disorder medical treatment guideline. Colorado Division of Workers' Compensation. Chronic pain disorder medical

2017 National Guideline Clearinghouse (partial archive)

4. Complex regional pain syndrome/reflex sympathetic dystrophy medical treatment guideline.

medications, and it should generally be used in conjunction with manipulative and physical therapy/rehabilitation. Refer to the Division's for indications, evidence, and time frames. Biofeedback Biofeedback is a form of behavioral medicine that helps patients learn self-awareness and self-regulation skills for the purpose of gaining greater control of their physiology, such as muscle activity, brain waves, and measures of autonomic nervous system activity. Stress-related psycho-physiological reactions may (...) Complex regional pain syndrome/reflex sympathetic dystrophy medical treatment guideline. Complex regional pain syndrome/reflex sympathetic dystrophy medical treatment guideline. | National Guideline Clearinghouse success fail May JUN Jul 09 2017 2018 2019 08 Jun 2018 - 09 Jun 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team) is a rogue archivist collective dedicated to saving copies of rapidly dying or deleted websites

2017 National Guideline Clearinghouse (partial archive)

5. Safe Medication Use in the ICU Full Text available with Trip Pro

Safe Medication Use in the ICU Clinical Practice Guideline: Safe Medication Use in the ICU : Critical Care Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer Register for a free account Registered users can save articles, searches, and manage email alerts. All (...) Practice Guideline: Safe Medication Use in the ICU Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Critical Care Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Article Tools Share this article on: Email to a Colleague

2017 Society of Critical Care Medicine

6. DURABLE-I Study: Dielectric Unravelling of Radiofrequency ABLation Effectiveness

DURABLE-I Study: Dielectric Unravelling of Radiofrequency ABLation Effectiveness DURABLE-I Study: Dielectric Unravelling of Radiofrequency ABLation Effectiveness - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding (...) more. DURABLE-I Study: Dielectric Unravelling of Radiofrequency ABLation Effectiveness (DURABLE-I) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02878213 Recruitment Status : Completed First Posted : August 25, 2016 Last Update Posted : May 11, 2018 Sponsor: EP Dynamics Research Ltd Information

2016 Clinical Trials

7. A Brief History of Early Medical Photography

A Brief History of Early Medical Photography A Brief History of Early Medical Photography – Clinical Correlations Search A Brief History of Early Medical Photography September 30, 2016 5 min read By Emily Milam, MD Peer reviewed The history of medical photography is rich and tracks the evolution of both technology and medicine. Photography’s application to medicine has become increasingly multifaceted with the advent of digital photography, smartphones, telemedicine, and the ease of photo (...) department in the United States (US) was established by Oscar G. Mason in the mid 1860s at Bellevue Hospital in New York City, the nation’s oldest public hospital. 11 Mason encouraged physicians to have landmark medical cases photographed rather than illustrated by hand. 12 He also helped to uphold photography’s legitimacy and reliability, by instigating and testifying in lawsuits against “ . 13 Upon the discovery of x-ray photography in 1896, Bellevue was the first US hospitals to procure the equipment

2016 Clinical Correlations

8. American Association of Clinical Endocrinologists and American College of Endocrinology Clinical Practice Guidelines for Comprehensive Medical Care of Patients with Obesity

. The presented recommendations may not be appropriate in all situations. Any decision by practitioners to apply these guidelines must be made in light of local resources and individual patient circumstances. From 1 Professor and Chair, Department of Nutrition Sciences, University of Alabama at Birmingham, Director, UAB Diabetes Research Center, GRECC Investigator & Staff Physician, Birmingham VA Medical Center, Birmingham, Alabama; 2 Director, Metabolic Support, Clinical Professor of Medicine, Division (...) School of Medicine, Internal Medicine, Endocrinology, Pediatrics, Pediatric Endocrinology, New Haven, Connecticut; 7 Walter Reed National Military Medical Center, Diabetes Obesity & Metabolic Institute, Bethesda, Maryland; 8 Assistant Clinical Professor, Mount Sinai School of Medicine, NY, ProHealth Care Associates, Division of Endocrinology, Lake Success, New York; 9 Center for Weight Management, Division of Endocrinology, Diabetes and Metabolism, Scripps Clinic, San Diego, California. Address

2016 American Association of Clinical Endocrinologists

9. Systematic review of needs for medical devices for ageing populations

Systematic review of needs for medical devices for ageing populations Systematic review of needs for medical devices for ageing populations Commissioned to the Australian Safety and Ef? cacy Register of New Interventional Procedures – Surgical (ASERNIP-S) by the World Health Organization (WHO) Department of Essential Medicines and Health Products World Health Organization 20 Avenue Appia CH-1211 Geneva 27 Switzerland Tel: +41 22 791 21 11 E-mail: medicaldevices@who.int http://www.who.int (...) /medical_devices/en/ ISBN 978 92 4 150922 0 Systematic review of needs for medical devices for ageing populationsWHO Library Cataloguing-in-Publication Data Systematic review of needs for medical devices for ageing populations: commissioned to the Australian Safety and Efficacy Register of New Interventional Procedures – Surgical (ASERNIP-S) by the World Health Organization (WHO). 1.Equipment and Supplies – supply and distribution. 2.Health Services for the Aged. 3.Self-Help Devices – supply and distribution

2015 ASERNIP-S

10. American Academy of Sleep Medicine (AASM) Position Paper for the Use of Telemedicine for the Diagnosis and Treatment of Sleep Disorders

and affiliated durable medical equipment companies (DME) to monitor and improve PAP adherence as well as be available for follow-up visits as per current clinical standards. Providers should perform key elements of the follow-up evaluation as if the visit were in person. The Taskforce expects that live interactive telemedicine visits, coordinated with PAP download data, are most often sufficient to meet the standards for PAP troubleshooting and adherence in lieu of face-to-face visits. The Taskforce (...) , there is currently a substantial shortage of board-certified sleep medicine providers and other specialists, and parts of the United States are grossly underserved or not served at all. The specialist gap is expected to widen with such measures as the Affordable Care Act. According to the American Association of Medical Colleges (AAMC), there will be 46,000 fewer physician specialists available than needed by 2020, based on currently projected residency graduates. As the number of those seeking health care

2015 American Academy of Sleep Medicine

11. Beyond Medications and Diet: Alternative Approaches to Lowering Blood Pressure Full Text available with Trip Pro

Beyond Medications and Diet: Alternative Approaches to Lowering Blood Pressure Beyond Medications and Diet: Alternative Approaches to Lowering Blood Pressure | Hypertension Search Hello Guest! Login to your account Email Password Keep me logged in Search April 2019 March 2019 February 2019 January 2019 Free Access article Share on Jump to Free Access article Beyond Medications and Diet: Alternative Approaches to Lowering Blood Pressure A Scientific Statement From the American Heart Association (...) the most recent version of this article. Previous versions: Abstract Many antihypertensive medications and lifestyle changes are proven to reduce blood pressure. Over the past few decades, numerous additional modalities have been evaluated in regard to their potential blood pressure–lowering abilities. However, these nondietary, nondrug treatments, collectively called alternative approaches, have generally undergone fewer and less rigorous trials. This American Heart Association scientific statement

2013 American Heart Association

12. Medical clinicians are being stress fractured

prescribed drugs, and the patient paperwork involving durable medical equipment re-authorization — in effect, questioning and changing every medical decision made — are now so intrusive as to demand an ever increasing amount of the doctor’s time away from direct patient care; doctors are spending just as much time (or even more!) filling out the paper and computer work involved in the office visit as in taking to the patient. And this is just part of it. According to a 2009 analysis quoted by Medical (...) to their overall success. Nonetheless, this meant that each man had to carry over 70 lbs of equipment on their backs. It was too much. Literally, their leaders broke their soldiers’ feet! As the delivery of quality health care continues to move forward in this nation, whether or not it be through patient-centered medical homes or accountable care organizations, and as our governmental and health care insurance leaders continue to issue collective proclamations and increasing documentation requirements

2018 KevinMD blog

13. Collaborative Medical Engagement and Needs Assessment in the Democratic Republic of the Congo: A Preliminary Report from Muanda. Full Text available with Trip Pro

. In June 2013, a CME was conducted in the western town of Muanda. Twenty-two hours of didactic sessions were collaboratively presented, and 158 patients were collaboratively evaluated. Durable dental and respiratory equipment, infrastructure improvements, and training opportunities were the top needs identified by the providers. Whether the regional referral hospital received sustainable benefit remains under investigation. However, the approach and needs assessment described herein provide a framework (...) Collaborative Medical Engagement and Needs Assessment in the Democratic Republic of the Congo: A Preliminary Report from Muanda. The Democratic Republic of the Congo is the second largest and fourth most populous country in Africa. More than two decades of ongoing conflicts have degraded its healthcare system. A broad range of tropical diseases, along with opportunities for collaborative medical engagements (CMEs), are prevalent. However, reports from such events in this country are sparse

2014 American Journal of Tropical Medicine & Hygiene

14. Insurance companies cannot dictate which medical devices we prescribe

Insurance companies cannot dictate which medical devices we prescribe Insurance companies cannot dictate which medical devices we prescribe Insurance companies cannot dictate which medical devices we prescribe | | May 27, 2016 636 Shares The diabetes community has been set ablaze after UnitedHealthcare an agreement for Medtronic devices to be the “preferred” in-network, durable medical equipment (DME) provider of insulin pumps. Starting July 1, 2016, UnitedHealthcare patients will be funneled (...) the controversy is that it highlights the distinction between medication and medical technology . I rarely blink an eye when my patient has to switch brands of insulin , so why is it such a big deal when they have to switch brands of insulin pumps ? Technology is intensely personal Whether it’s Apple vs. Samsung, Xbox vs. Playstation, Nikon vs. Canon, or BMW vs. Mercedes, fierce loyalties are found among their users. Beautiful photos of phones and smartwatches adorn billboards across the city, evoking

2016 KevinMD blog

15. Use It or Lose It: Medicare's New Paradigm for Durable Medical Equipment Coverage? (Abstract)

Use It or Lose It: Medicare's New Paradigm for Durable Medical Equipment Coverage? The 2008 National Coverage Determination by the US Centers for Medicare and Medicaid Services (CMS) authorizing coverage of positive airway pressure (PAP) treatment of obstructive sleep apnea on the basis of diagnosis by portable monitoring was seen by some as a major advance in reimbursement policy for sleep medicine services. However, along with the national coverage decision came additional rules (local (...) , durable medical equipment (DME) companies, and patients in complying with these rules is unknown. What has become abundantly clear to many is the burden that these rules impose on clinicians and DME providers and, more importantly, that indiscriminate enforcement may well result in adverse consequences for some patients. The latter include not only the inconvenience and added expense for patients of complying with the rules, but those resulting from failure by CMS to recognize that a dose-response

2010 Chest

16. DuraGraft for preserving vascular grafts

information Regulatory information DuraGraft was CE marked as a class IIa medical device in October 2014. A search of the Medicines and Healthcare products Regulatory Agency website revealed that no manufacturer field safety notices or medical device alerts have been issued for this technology. Equality consider Equality considerations ations NICE is committed to promoting equality, eliminating unlawful discrimination and fostering good relations between people with particular protected characteristics (...) guideline on stable angina: management provides guidance on treating people with stable angina and revascularisation for people whose symptoms are not satisfactorily controlled with optimal medical treatment. There are 2 main revascularisation procedures used to treat CABG or percutaneous coronary intervention. The choice of revascularisation strategy will depend on many factors including the results of angiography, a patient's preferences, age, and whether they have diabetes or other comorbidities

2019 National Institute for Health and Clinical Excellence - Advice

17. Extracorporeal Membrane Oxygenation for Cardiac Indications in Adults

Extracorporeal Membrane Oxygenation for Cardiac Indications in Adults Published March 2020 Volume 20, Number 8 ONTARIO HEALTH TECHNOLOGY ASSESSMENT SERIES Extracorporeal Membrane Oxygenation for Cardiac Indications in Adults: A Health Technology Assessment KEY MESSAGES What Is This Health Technology Assessment About? Cardiac arrest and cardiogenic shock are medical emergencies in which the heart suddenly stops beating properly and/or cannot pump enough oxygen-rich blood to other vital organs (...) and family members we spoke with had limited ability to assess the impact of ECMO, due to the serious medical situations in which they experienced the procedure. Overall, participants were grateful this life-saving device was available and able to stabilize their or their loved one’s acute condition. March 2020 Ontario Health Technology Assessment Series; Vol. 20: No. 8, pp. 1–121, March 2020 2 ACKNOWLEDGMENTS This report was developed by a multidisciplinary team from Ontario Health (Quality

2020 Health Quality Ontario

18. Canadian guideline for Parkinson disease

sleep behaviour disorder can pre-date the diagnosis of Parkinson disease. PALLIATIVE CARE n The palliative care needs of people with Parkinson disease should be considered throughout all phases of the disease. n If the patient asks, the option of medical assistance in dying should be discussed. TREATMENT n Levodopa is the most eective medication and may be used early. n A regular exercise regimen begun early has proven benet. n Patients with possible diagnosis of Parkinson disease may benet from (...) the diagnosis of Parkinson disease. PALLIATIVE CARE n The palliative care needs of people with Parkinson disease should be considered throughout all phases of the disease. n If the patient asks, the option of medical assistance in dying should be discussed. TREATMENT n Levodopa is the most eective medication and may be used early. n A regular exercise regimen begun early has proven benet. n Patients with possible diagnosis of Parkinson disease may benet from a trial of dopamine replacement therapy to help

2019 CPG Infobase

19. Optimisation of RIZIV – INAMI lump sums for incontinence

FOR INCONTINENCE IN BELGIUM 81 3.1 OVERVIEW OF RIZIV – INAMI REIMBURSEMENT/PAYMENTS FOR PATIENTS WITH INCONTINENCE 81 3.1.1 Reimbursement of physiotherapy sessions for pelvic re-education 81 3.1.2 Reimbursement of continence nurse consultation 82 3.1.3 Reimbursement of medication for incontinence 82 3.1.4 Reimbursement of technical medical interventions, implants and other invasive medical devices 85 3.1.5 Reimbursement/payments for incontinence materials 85 3.2 REIMBURSEMENT/PAYMENTS BY FEDERATED INSTANCES (...) incontinence 76 Table 22 – Overview of reimbursement of incontinence medication 83 Table 23 – Katz evaluation scale (for French version see appendix) 90 KCE Report 304 Incontinence 11 Table 24 – Scores 1 to 4 for incontinence on the Katz scale 91 Table 25 – Conditions for home nursing lump sum A, B and C 92 Table 26 – Reimbursement per catheter for self-catheterisation 95 Table 27 – VAPH lump sums for incontinence material 97 Table 28 – AWIPH grants for incontinence material 99 Table 29 – PHARE lump sums

2020 Belgian Health Care Knowledge Centre

20. Transcatheter Mitral Valve Intervention: Operator and Institutional Requirements

of the medical professionals necessary to deliver optimal patient-centered care. Composition of the MDT may continue to evolve in response to the introduction of novel MV technologies. The MDT is typically led by medical (interventional cardiology) and surgical (cardiac surgery) codirectors. An MDT delivering full-service care to patients with MV disease should include individuals with the following knowledge, experience, and skill sets: • Interventional cardiology with American Board of Internal Medicine (...) by a cardiologist who is experienced in caring for patients with HF and can supervise extended optimization of treatment, including the use of cardiac resynchronization therapy when indicated, in collaboration with an electrophysiologist. The transcatheter operator must be experienced and able to select patients for whom there is a high likelihood of a safe and durable repair with this technique. A cardiac surgeon expert in MV repair and replacement techniques should be available for patient consultation

2020 American College of Cardiology

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