DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
SEARCH
Current Location:
>
> This Story


Log in or Register to rate this News Story
Forward Printable StoryPrint Comment
advertisement

 

advertisement

 

Emergency Medicine Homepage

Philips to acquire Remote Diagnostic Technologies The latest in a string of acquisitions for the healthcare company

BrainScope One could reduce head CTs by one-third in ED setting May become part of standard of care

New portable device can detect severe stroke with 92 percent accuracy Provides results within 30 seconds

Enhancing the front lines of emergency care through analytics How McLeod Health Clarendon Hospital reinvented its approach to ED operations

Northwell Health touts Philips collab for ICU and ED improvements at HIMSS Experienced 20 percent drop in ICU mortality rate

Study suggests most emergency CT exams for head trauma may be unnecessary Not in line with current medical criteria

Dilon Technologies acquires the CoPilot VL video laryngoscope Sells for $2,999

GE and Lifespan partner to drive $182 million in organizational efficiencies Six year plan is based on a risk-sharing model

New radio wave technology could one day replace stethoscopes Measures vital signs via microchip tags

REMSA and Flirtey to launch first US emergency drone delivery program Getting AEDs to patients ASAP

Just three percent of adult patients account for 30 percent of hospital charges

by John W. Mitchell , Senior Correspondent
A new comprehensive study across the Denver Health integrated health network yielded findings sure to come as surprise to both clinicians and policymakers alike.

“Most patients who return to the hospital frequently do so for short periods of time. The patients who were hospitalized multiple times last year tend not to be the same people who will be hospitalized frequently this year,” Dr. Tracy Johnson, director of health care reform at Denver Health told HCB News.

Story Continues Below Advertisement

RaySafe helps you avoid unnecessary radiation

RaySafe solutions are designed to minimize the need for user interaction, bringing unprecedented simplicity & usability to the X-ray room. We're committed to establishing a radiation safety culture wherever technicians & medical staff encounter radiation.



She is lead author of a just-published study on super-utilizers — patients with repeated hospitalizations, often dubbed “frequent flyers” by hospital staff — in the August issue of Health Affairs.

Johnson said there is a lot of good intent around developing primary care services to keep chronic users out of the hospital, but gaps in the existing literature on the topic prompted the study.

According to Johnson, it’s difficult to devise good health care policy to get super-utilizers into primary care medical homes if misunderstandings persist about the needs, both medical and social, of such patients. Population health strategies, like medical homes, are integral to the ACA's health reform objectives.

The study of nearly 5,000 publicly insured and uninsured adults with a history of repeated hospitalizations from mid-2011 through mid-2013 found that just three percent of patients account for 30 percent of charges in any given month. But nearly 75 percent of such patients dropped out of the super-utilizer category after 12 months. That number declined further to 86 percent after two years.

The needs of these patients tended to be short lived and caused by a cascade of events linked to chronic conditions, unmet behavioral health needs, and social issues. Johnson said that their study was consistent with prior research that has observed that many super-utilizers have multiple chronic conditions. However, medical complexity alone does not explain why these patients end up repeatedly hospitalized.

Examples of such patients include stroke or schizophrenic patients discharged from the hospital without a support network to assist at home. Such patients need help with basic functions (dressing, bathing, eating), getting medications and travel to doctors’ appointments. Of course, it's worth noting that some super-utilizers do not fit this profile at all — such as those receiving inpatient chemotherapy or those recovering from traumatic injury or orthopedic complications.
  Pages: 1 - 2 >>

Emergency Medicine Homepage


You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2018 DOTmed.com, Inc.
ALL RIGHTS RESERVED