collection
https://read.qxmd.com/read/37962423/association-between-icd-10-codes-for-social-needs-and-subsequent-emergency-and-inpatient-use
#1
JOURNAL ARTICLE
David T Liss, Raymond H Kang, Manisha Cherupally, Andrew J Cooper, Paula-Natalia Barreto-Parra, Cassandra Aikman, Matthew J O'Brien
BACKGROUND: International Classification of Diseases, 10th revision Z codes capture social needs related to health care encounters and may identify elevated risk of acute care use. OBJECTIVES: To examine associations between Z code assignment and subsequent acute care use and explore associations between social need category and acute care use. RESEARCH DESIGN: Retrospective cohort study. SUBJECTS: Adults continuously enrolled in a commercial or Medicare Advantage plan for ≥15 months (12-month baseline, 3-48 month follow-up)...
January 1, 2024: Medical Care
https://read.qxmd.com/read/34097513/changes-in-non-covid-19-emergency-department-visits-by-acuity-and-insurance-status-during-the-covid-19-pandemic
#2
JOURNAL ARTICLE
Jonathan Yu, Gmerice Hammond, R J Waken, Daniel Fox, Karen E Joynt Maddox
Prior studies suggest that the COVID-19 pandemic was associated with decreases in emergency department (ED) volumes, but it is not known whether these decreases varied by visit acuity or by demographic and socioeconomic risk factors. In this study of more than one million non-COVID-19 visits to thirteen EDs in a large St. Louis, Missouri, health system, we observed an overall 35 percent decline in ED visits. The decrease in medical and surgical visits ranged from 40 percent to 52 percent across acuity levels, with no statistically significant differences between higher- and lower-acuity visits after correction for multiple comparisons...
June 2021: Health Affairs
https://read.qxmd.com/read/34802772/naloxone-and-buprenorphine-prescribing-following-us-emergency-department-visits-for-suspected-opioid-overdose-august-2019-to-april-2021
#3
JOURNAL ARTICLE
Kao-Ping Chua, Chin Hwa Y Dahlem, Thuy D Nguyen, Chad M Brummett, Rena M Conti, Amy S Bohnert, Aaron D Dora-Laskey, Keith E Kocher
STUDY OBJECTIVE: Nonfatal emergency department (ED) visits for opioid overdose are important opportunities to prescribe naloxone and buprenorphine, both of which can prevent future overdose-related mortality. We assessed the rate of this prescribing using national data from August 2019 to April 2021, a period during which US opioid overdose deaths reached record levels. METHODS: We conducted a retrospective cohort analysis using Symphony Health's Integrated Dataverse, which includes data from 5,800 hospitals and 70,000 pharmacies...
March 2022: Annals of Emergency Medicine
https://read.qxmd.com/read/35914204/state-mandatory-paid-sick-leave-associated-with-a-decline-in-emergency-department-use-in-the-us-2011-19
#4
JOURNAL ARTICLE
Yanlei Ma, Kenton J Johnston, Hao Yu, J Frank Wharam, Hefei Wen
Paid sick leave provides workers with job-protected paid time off to address short-term illnesses or seek preventive care for themselves and their family members. We studied the impact of mandatory paid sick leave at the state level on emergency department (ED) visit rates, using all-payer, longitudinal ED data from the Healthcare Cost and Utilization Project for the period 2011-19. We found that state implementation of paid sick leave mandates was associated with a 5.6 percent reduction in the total ED visit rate relative to the baseline, equivalent to 23 fewer visits per 1,000 population per year...
August 2022: Health Affairs
https://read.qxmd.com/read/35699958/association-of-medicaid-expansion-with-emergency-department-visits-by-medical-urgency
#5
JOURNAL ARTICLE
Theodoros V Giannouchos, Benjamin Ukert, Christina Andrews
Importance: Relatively little is known about the association of the Medicaid eligibility expansion under the Patient Protection and Affordable Care Act with emergency department (ED) visits categorized by medical urgency. Objective: To estimate the association between state Medicaid expansions and ED visits by the urgency of presenting conditions. Design, Setting, and Participants: This cross-sectional study used the Healthcare Cost and Utilization Project State Emergency Department Databases from January 2011 to December 2017 for 2 states that expanded Medicaid in 2014 (New York and Massachusetts) and 2 states that did not (Florida and Georgia)...
June 1, 2022: JAMA Network Open
https://read.qxmd.com/read/34406840/vaccinations-against-covid-19-may-have-averted-up-to-140-000-deaths-in-the-united-states
#6
JOURNAL ARTICLE
Sumedha Gupta, Jonathan Cantor, Kosali I Simon, Ana I Bento, Coady Wing, Christopher M Whaley
COVID-19 vaccination campaigns continue in the United States, with the expectation that vaccines will slow transmission of the virus, save lives, and enable a return to normal life in due course. However, the extent to which faster vaccine administration has affected COVID-19-related deaths is unknown. We assessed the association between US state-level vaccination rates and COVID-19 deaths during the first five months of vaccine availability. We estimated that by May 9, 2021, the US vaccination campaign was associated with a reduction of 139,393 COVID-19 deaths...
September 2021: Health Affairs
https://read.qxmd.com/read/35619335/algorithms-identifying-low-acuity-emergency-department-visits-a-review-and-validation-study
#7
JOURNAL ARTICLE
Angela T Chen, Madhavi Muralidharan, Ari B Friedman
OBJECTIVE: To characterize and validate the landscape of algorithms that use International Classification of Disease (ICD) codes to identify low-acuity emergency department (ED) visits. DATA SOURCES: Publicly available ED data from the National Hospital Ambulatory Medical Care Survey (NHAMCS). STUDY DESIGN: We systematically searched for studies that specify algorithms consisting of ICD codes that identify preventable or low-acuity ED visits...
August 2022: Health Services Research
https://read.qxmd.com/read/34550804/firearm-relinquishment-laws-associated-with-substantial-reduction-in-homicide-of-pregnant-and-postpartum-women
#8
JOURNAL ARTICLE
Maeve E Wallace, Dovile Vilda, Katherine P Theall, Charles Stoecker
Homicide is a leading cause of death among women who are pregnant and up to one year postpartum in the United States. Most incidents are perpetrated by an intimate partner with a firearm. Some states have implemented laws that prohibit firearm possession by perpetrators of domestic violence and, in some instances, include explicit statutory language mandating relinquishment of firearms once a person has become prohibited from possessing them. We examined the impact of these policies on state-level rates of homicide among pregnant and postpartum women during the period 2011-19...
October 2021: Health Affairs
https://read.qxmd.com/read/34120751/the-effect-of-the-covid-19-pandemic-on-the-economics-of-united-states-emergency-care
#9
JOURNAL ARTICLE
Jesse M Pines, Mark S Zocchi, Bernard S Black, Rebecca Kornas, Pablo Celedon, Ali Moghtaderi, Arvind Venkat
STUDY OBJECTIVE: We describe how the coronavirus disease 2019 (COVID-19) pandemic affected the economics of emergency department care (ED). METHODS: We conducted an observational study of 136 EDs from January 2019 to September 2020, using 2020-to-2019 3-week moving ratios for ED visits, complexity, revenue, and staffing expenses. We tabulated 2020-to-2019 staffing ratios and calculated hour and full-time-equivalent changes. RESULTS: Following the COVID-19 pandemic's onset, geriatric (age ≥65), adult (age 18 to 64), and pediatric (age <18) ED visits declined by 43%, 40%, and 73%, respectively, compared to 2019 visits and rose thereafter but remained below 2019 levels through September...
October 2021: Annals of Emergency Medicine
https://read.qxmd.com/read/34797370/association-of-rural-and-critical-access-hospital-status-with-patient-outcomes-after-emergency-department-visits-among-medicare-beneficiaries
#10
JOURNAL ARTICLE
Margaret Greenwood-Ericksen, Neil Kamdar, Paul Lin, Naomi George, Larissa Myaskovsky, Cameron Crandall, Nicholas M Mohr, Keith E Kocher
Importance: Rural US residents disproportionately rely on emergency departments (ED), yet little is known about patient outcomes after ED visits to rural hospitals or critical access hospitals (CAHs). Objective: To compare 30-day outcomes after rural vs urban ED visits and in CAHs, a subset of rural hospitals. Design, Setting, and Participants: This propensity-matched, retrospective cohort study used a 20% sample of national Medicare fee-for-service beneficiaries from January 1, 2011, to October 31, 2015...
November 1, 2021: JAMA Network Open
https://read.qxmd.com/read/34636421/the-impact-of-medicaid-expansion-on-emergency-department-wait-times
#11
JOURNAL ARTICLE
Lindsay Allen, Cong T Gian, Kosali Simon
OBJECTIVE: To estimate the impact of Medicaid expansion on emergency department (ED) wait times. DATA SOURCES: We used 2012-2017 hospital-level secondary data from the CMS Hospital Compare data warehouse. STUDY DESIGN: We used a state-level difference-in-differences approach to identify the impact of Medicaid expansion on four measures of ED wait times: time before being seen by a provider; time before being sent home after being seen by a provider; boarding time spent in the ED waiting to be discharged to an inpatient room; and the percentage of patients who left without being seen...
April 2022: Health Services Research
https://read.qxmd.com/read/34654021/telehealth-availability-and-usage-among-medicare-beneficiaries-during-the-covid-19-pandemic-october-and-november-2020
#12
JOURNAL ARTICLE
Man-Huei Chang, Ramal Moonesinghe, Benedict I Truman
CONTEXT: During the COVID-19 pandemic, demand for telehealth services increased to reduce disease exposure for patients and providers and to meet preexisting demand for physician services in health resource shortage areas. OBJECTIVE: To estimate self-reported telehealth availability, equipment for accessing telehealth, and telehealth usage among Medicare beneficiaries during the COVID-19 pandemic. DESIGN: We used data from the 2020 Medicare Current Beneficiary Survey (MCBS) COVID-19 Fall Supplement Public Use File to estimate the weighted percentages of beneficiaries who had (a) access to telehealth before or during COVID-19; (b) equipment for accessing telehealth; and (c) telehealth visits during COVID-19...
January 2022: Journal of Public Health Management and Practice: JPHMP
https://read.qxmd.com/read/33819095/urgent-care-centers-deter-some-emergency-department-visits-but-on-net-increase-spending
#13
JOURNAL ARTICLE
Bill Wang, Ateev Mehrotra, Ari B Friedman
There is substantial interest in using urgent care centers to decrease lower-acuity emergency department (ED) visits. Using 2008-19 insurance claims and enrollment data from a national managed care plan, we examined the association within ZIP codes between changes in rates of urgent care center visits and rates of lower-acuity ED visits. We found that although the entry of urgent care deterred lower-acuity ED visits, the impact was small. We estimate that thirty-seven additional urgent care center visits were associated with a reduction of a single lower-acuity ED visit...
April 2021: Health Affairs
https://read.qxmd.com/read/32955556/pandemic-politics-timing-state-level-social-distancing-responses-to-covid-19
#14
JOURNAL ARTICLE
Christopher Adolph, Kenya Amano, Bree Bang-Jensen, Nancy Fullman, John Wilkerson
CONTEXT: Social distancing is an essential but economically painful measure to flatten the curve of emergent infectious diseases. As the novel coronavirus that causes COVID-19 spread throughout the United States in early 2020, the federal government left to the states the difficult and consequential decisions about when to cancel events, close schools and businesses, and issue stay-at-home orders. METHODS: We present an original, detailed dataset of state-level social distancing policy responses to the epidemic, then apply event history analysis to study the timing of implementation of five social distancing policies across all fifty states...
September 16, 2020: Journal of Health Politics, Policy and Law
https://read.qxmd.com/read/33136495/getting-the-price-right-how-some-countries-control-spending-in-a-fee-for-service-system
#15
JOURNAL ARTICLE
Michael K Gusmano, Miriam Laugesen, Victor G Rodwin, Lawrence D Brown
Although the US has the highest health care prices in the world, the specific mechanisms commonly used by other countries to set and update prices are often overlooked, with a tendency to favor strategies such as reducing the use of fee-for-service reimbursement. Comparing policies in three high-income countries (France, Germany, and Japan), we describe how payers and physicians engage in structured fee negotiations and standardize prices in systems where fee-for-service is the main model of outpatient physician reimbursement...
November 2020: Health Affairs
https://read.qxmd.com/read/32543923/community-use-of-face-masks-and-covid-19-evidence-from-a-natural-experiment-of-state-mandates-in-the-us
#16
REVIEW
Wei Lyu, George L Wehby
State policies mandating public or community use of face masks or covers in mitigating the spread of coronavirus disease 2019 (COVID-19) are hotly contested. This study provides evidence from a natural experiment on the effects of state government mandates for face mask use in public issued by fifteen states plus Washington, D.C., between April 8 and May 15, 2020. The research design is an event study examining changes in the daily county-level COVID-19 growth rates between March 31 and May 22, 2020. Mandating face mask use in public is associated with a decline in the daily COVID-19 growth rate by 0...
August 2020: Health Affairs
https://read.qxmd.com/read/31984503/accounting-for-the-burden-and-redistribution-of-health-care-costs-who-uses-care-and-who-pays-for-it
#17
JOURNAL ARTICLE
Katherine Grace Carman, Jodi Liu, Chapin White
OBJECTIVE: To measure the burden of financing health care costs and quantify redistribution among population groups. DATA SOURCES: A synthetic population using data combined from multiple sources, including the Survey of Income and Program Participation (SIPP), Medical Expenditure Panel Survey (MEPS), Kaiser Family Foundation (KFF)/Health Research Educational Trust (HRET) Employer Health Benefits Survey, American Community Survey (ACS), and National Health Expenditure Accounts (NHEA)...
April 2020: Health Services Research
https://read.qxmd.com/read/33008651/an-analysis-of-changes-in-emergency-department-visits-after-a-state-declaration-during-the-time-of-covid-19
#18
COMPARATIVE STUDY
Bjorn C Westgard, Matthew W Morgan, Gabriela Vazquez-Benitez, Lauren O Erickson, Michael D Zwank
STUDY OBJECTIVE: In the initial period of the coronavirus disease 2019 (COVID-19) pandemic, there has been a substantial decrease in the number of patients seeking care in the emergency department. A first step in estimating the impact of these changes is to characterize the patients, visits, and diagnoses for whom care is being delayed or deferred. METHODS: We conducted an observational study, examining demographics, visit characteristics, and diagnoses for all ED patient visits to an urban level 1 trauma center before and after a state emergency declaration and comparing them with a similar period in 2019...
November 2020: Annals of Emergency Medicine
https://read.qxmd.com/read/33145560/limiting-the-number-of-open-charts-does-not-impact-wrong-patient-order-entry-in-the-emergency-department
#19
JOURNAL ARTICLE
Christina Canfield, Chiedozie Udeh, Heather Blonsky, Aaron C Hamilton, Baruch S Fertel
OBJECTIVE: We sought to examine the impact of limiting the number of open active charts on wrong patient order entry events among 13 emergency departments (EDs) in a large integrated health system. METHODS: A retrospective chart review of all orders placed between September 2017 and September 2019 was conducted. The rate of retract and reorder events was analyzed with no overlap in both the period pre- and post-intervention period. Secondary analysis of error rate by clinician type, clinician patient load, and time of day was performed...
October 2020: Journal of the American College of Emergency Physicians open
https://read.qxmd.com/read/16179678/the-japanese-healthcare-system
#20
EDITORIAL
Hideki Nomura, Takeo Nakayama
No abstract text is available yet for this article.
September 24, 2005: BMJ: British Medical Journal
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