In recent years, hospitals and health systems have reported increasing rates of screening for patients' individual community social needs, but few studies explored the national landscape interventions directed at addressing health-related needs (HRSNs) determinants (SDOH).To evaluate associations hospital characteristics area-level socioeconomic indicators to quantify presence intensity hospitals' practices, interventions, collaborative external partnerships that seek measure ameliorate...

This study assessed the impact of individual social risk factor variables and determinants health (SDOH) measures on hospital readmission rates penalties used in Centers for Medicare Medicaid Services (CMS) Hospital Readmissions Reduction Program (HRRP). Using 2012–16 discharge data from New York City, we projected HRRP by augmenting CMS's model heart attack, failure, pneumonia with SDOH scores constructed at each four geographic levels a measure individual-level risk. Including additional...

To analyze the determinants and effects of hospital entry, we compare entrants’ quality care to incumbent hospitals. Using national hospital-level patient mortality measures from July 2005 June 2019 for Medicare patients with common medical conditions (heart attack, heart failure, pneumonia), establish that entrant hospitals experience 0.27 0.76 fewer deaths per 100 than in same markets. We further show new enter markets where they can provide higher

Attention to 10th Revision of the International Classification Disease (ICD-10)-CM Z-codes as a mechanism for capturing social risk has grown over years. However, it remains unclear whether use changed time. This study sought examine trends in Z-code between their introduction 2015 and end 2019 across 2 markedly different states. Using Healthcare Cost Utilization Project, all emergency department visits or hospitalizations at short-term general hospitals Florida Maryland from Q4 through were...

Value-based care (VBC) payment models are becoming increasingly prevalent as alternatives to the traditional fee-for-service paradigm. This research quantifies relationship between physician characteristics and participation in VBC using Association of American Medical Colleges' 2022 National Sample Survey Physicians. We specified logistic regressions physician-level variables assess associations with current new Accountable Care Organizations, Primary First model, capitation, bundled...

CMS recently decided to produce private "healthcare disparities reports" that include dual eligibility (DE) as the sole stratifying variable used assess pneumonia readmission disparities.We measure relationship between DE status and readmissions, both with without conceptually relevant social risk factors, including air pollution, severe housing problems, food insecurity, using data from county- hospital-level rates, status, factors.At county level, readmissions is partially confounded by at...

Purpose The authors examined the “hub-and-spoke” health care system in United States for patients transferred from one hospital (“spoke”) to a major teaching (“hub”) and assessed financial clinical impact of this on hospitals. Method surveyed Council Teaching Hospitals Health Systems members collect detailed data fiscal year 2015 transfer cases nontransfer (cases directly admitted hospital). Data included computed margins (the difference between revenue received direct indirect facility...

Introduction: Although early adopters of telehealth have built and sustained programs over long periods, little research has been conducted differentiating the characteristics health systems at different stages maturation. Methods: This study surveyed 165 major teaching hospitals from fiscal year 2015 through 2018 about stage their services. Respondents reported (i) progression level program, (ii) which six services they provide, (iii) greatest barriers motivators to implementing telehealth,...

To evaluate certificate-of-need (CON) laws in rural areas and their relationship with selected healthcare outcomes common measures of potentially avoidable spending, we regress county-level Medicare data state-level all-patient spending utilization to compare wasteful states without CON laws. Results show that patients residing counties restricted by spend more per beneficiary have higher rates ambulance services, emergency departments, readmissions, both before after controlling for social...

The number of commercial beneficiaries cared for by accountable care organizations (ACOs) is growing, but the literature examining their trends nascent.

Theological Librarianship is an open access journal publishing peer-reviewed articles, as well essays and reviews, on subjects at the intersection of librarianship religious theological studies that potentially impact libraries.

Purpose – To provide a practical look at the Alternative Investment Fund Managers Directive 2011/61/EU (AIFMD) and other regulatory requirements as they pertain to marketing funds in Europe. Design/methodology/approach A series of questions answers exploring some principal issues be aware when raising fund AIFMD is key focus, but we also examine financial regulation that may apply alongside AIFMD, well cross-border implications any initiative. Findings One original aims was harmonise...

Aviation is one of the most important industries in United States and around world, as it a major driving force maintaining good economy. Every year becomes an increasingly essential mode transportation for people various high-value, lightweight goods, that increase expected to continue. Runways are "bottleneck" air process source flight delays. To meet demand more traffic, especially airports, capacity runways needs be increased while Target Levels Safety. The focus this work arrival...

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