Unnecessary Care in Canada
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Mayo Clinic Alix School of Medicine
Transforming Medical Education through the Science of Health Care Delivery Learning Environment Science of Health Care Delivery Faculty Development Mayo Clinic Alix School of Medicine Consortium projects Curricular Framework Need/Gap Addressed Learning environment Mayo Clinic Alix School of Medicine - ASU framework for the Science of Learning environment Health Care Delivery, longitudinal, four-year medical student curriculum: Brief description: Develop a robust learning environment evaluation A supportive learning environment is critical to achieving desired learning program that incorporates measures relevant to health systems science, outcomes. Existing measures of the learning environment (such as those triangulates feedback from multiple stakeholders, is feasible to track over included in the Association of American Medical Colleges Year Two and time, and enables continuous improvement. Graduation Questionnaires) provide valuable and important data, but incompletely assess aspects of the learning environment relevant to Integration of health systems science into clinical settings SHCD competencies. Furthermore, combining feedback from medical students with the perspectives of other stakeholders may provide valuable Brief description: Develop and pilot new models for integrating health insights and help galvanize improvement efforts. systems science into clinical practice settings to demonstrate the relevance of SHCD to practice, engage students in authentic, workplace- Integration of health systems science into clinical settings based SHCD skill development, and support the development of a team- based, systems-oriented professional identity. This will require faculty Our SHCD curriculum exists in all four years of the Mayo Clinic Alix development to achieve desired student outcomes. School of Medicine (MCASOM) curriculum, but current learning experiences are primarily in non-clinical settings (blended learning with classroom and simulation activities). -
2019 Abstract Book
2019 NATIONAL MEETING / ÉDITION 2019 DU CONGRÈS ANNUEL: TAKING ACTION LE SURDIAGNOSTIC : PASSEZ À L’ACTION ABSTRACT BOOK CAHIER DES RÉSUMÉS Dear National Meeting Attendees, We are excited to be hosting the National Meeting in Montreal, Quebec and for the first time featuring both English and French sessions. I would like to thank our co-host, the Quebec Medical Association and our partner, the Canadian Medical Association for their contributions to this year’s event. The 2019 National Meeting includes a special celebration marking the fifth anniversary of the Choosing Wisely Canada campaign. I am thrilled to celebrate this important milestone with the Choosing Wisely Canada community and recognize our collective efforts in reducing unnecessary tests and treatments. In the past five years, Choosing Wisely Canada has evolved from a conversation between clinicians and patients to the national voice for reducing unnecessary tests and treatments in health care. There has been unparalleled engagement and dedication from clinicians, administrators, researchers and systems leaders. There are close to 350 quality improvement projects related to the campaign taking root across the country and 12 active provincial and territorial campaigns to help accelerate the pace of change locally. As Chair of Choosing Wisely Canada, I am proud of the sizable impact our community has had in Canada and the momentum the campaign has gained. This year’s theme Taking Action is reflective of our next chapter of the campaign. The abstracts featured in this book are a testament to the breadth of projects taking place from coast-to-coast and showcase the energy of our community in putting campaign recommendations into practice. -
COVID-19 and Your Mental Health Worries and Anxiety About COVID-19 and Its Impact Can Be Overwhelming. Social Distancing Makes I
COVID-19 and your mental health Worries and anxiety about COVID-19 and its impact can be overwhelming. Social distancing makes it even more challenging. Learn ways to cope during this pandemic. By Mayo Clinic Staff The COVID-19 pandemic has likely brought many changes to how you live your life, and with it uncertainty, altered daily routines, financial pressures and social isolation. You may worry about getting sick, how long the pandemic will last and what the future will bring. Information overload, rumors and misinformation can make your life feel out of control and make it unclear what to do. During the COVID-19 pandemic, you may experience stress, anxiety, fear, sadness and loneliness. And mental health disorders, including anxiety and depression, can worsen. Learn self-care strategies and get the care you need to help you cope. Self-care strategies are good for your mental and physical health and can help you take charge of your life. Take care of your body and your mind and connect with others to benefit your mental health. Take care of your body Be mindful about your physical health: Get enough sleep. Go to bed and get up at the same times each day. Stick close to your typical schedule, even if you're staying at home. Participate in regular physical activity. Regular physical activity and exercise can help reduce anxiety and improve mood. Find an activity that includes movement, such as dance or exercise apps. Get outside in an area that makes it easy to maintain distance from people — as recommended by the U.S. -
Hospital Clinic Visits by Cindy C
PROFESSIONAL OPPORTUNITIES PROFESSIONAL OPPORTUNITY | Billing and Coding | T Hospital Clinic Visits by Cindy C. Parman,T CPC, CPC-H, RCC hen a physician performs a three years prior to the current visit, be based on hospital facil- patient visit in an office or or an established patient visit (codes ity resources. The guidelines Wfreestanding center where 99211-99215) for an individual who should not be based on physician the doctor ownsACCC and/or rents the has been registered as an inpatient or resources (67 FR 66792). space, employsMember and/or contracts with outpatient within the past three years. 3. The coding guidelines should Pall staff,R andO bears allF operatingILE costs, According to the Medicare be clear to facilitate accurate payers make a single payment for Claims Processing Manual, Chapter payments and be usable for this encounter. This physician pay- 2: “The term ‘encounter’ means a compliance purposes and audits ment includes both the professional direct personal contact in the hos- (67 FR 66792). service and the technical service (in pital between a patient and a physi- 4. The coding guidelines should other words, the practice expenseACCC cian, or other person who is autho- meet the HIPAA requirements component). When the patient visit is rized by State law and, if applicable, (67 FR 66792). AperformedC in theT hospitalI ONoutpatient by hospital staff bylaws to order 5. The coding guidelines should department setting, however, the phy- or furnish services for diagnosis or only require documentation that sician bills and receives reimbursement treatment of the patient…When a is clinically necessary for patient for only the professional service. -
Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18
Response to an Ontario Ministry of Health and Long-Term Care Applied Health Research Question Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 Prepared By Sue Schultz, Rick Glazier, Erin Graves, Michael Schull and Rinku Sutradhar Submission Date May 3, 2019 Submitted To Negotiations Branch Negotiations and Accountability Management Division Ontario Ministry of Health and Long-Term Care ICES Project No. 2018 0866 010 004 Corresponding Authors Dr. Michael Schull ICES 2075 Bayview Avenue, G-Wing Toronto, ON M4N 3M5 Tel: 416-480-4055, ext. 4297 [email protected] Sue Schultz, Senior Epidemiologist [email protected] Note: This file replaces the 2017 update which contained results to 2015/16. Acknowledgement This study was supported by ICES (formerly the Institute for Clinical Evaluative Sciences), which is funded by the Ontario Ministry of Health and Long-Term Care (MOHLTC). The opinions, results and conclusions are those of the authors and are independent from the funding source. No endorsement by ICES or the Ontario MOHLTC is intended or should be inferred. © ICES. All rights reserved. Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 Study Population All active Ontario physicians. Time Frame The study reports physician payments for Ontario and by specialty for the years 2005/06 to 2017/18. Although previous reports have included payment estimates for 2000/01 to 2004/05 as well, the data for these years are known to be incomplete. The decision was made to exclude these early years to ensure comparable data across all years with respect to trends over time. -
Telepharmacy: How One Wyoming Pharmacy Makes It Work
Telepharmacy: How One Wyoming Pharmacy Makes it Work Panel: Scot Schmidt, PharmD with Kevin Smith, Telehealth Cord. Wyoming Telehealth Network November 29, 2017 cheyenneregional.org Telepharmacy: How One Wyoming Pharmacy Makes it Work Why Telepharmacy? Increase access and extend availability. We may have clinics with providers and/or utilize telemedicine – then how do those being treated obtain any prescribed medicines timely and conveniently. In this case study, CRMC’s Foundation helped raise funding for building the new clinic, which included carrying forward the telepharmacy available in the original clinic in Pine Bluffs. The facility was built with floor plan to accommodate a dispensing area; adjoined by a private, secure consultation room - both with real-time data, video and audio communications. As part of CRMC’s CMS Healthcare Innovation Award, through its division, The Wyoming Institute of Population Health, the parent pharmacies, currently NorthStar Pharmacy & Infusion have been assisted with Polycom desktop software, webcams and networking via an encrypted videoconferencing bridge. cheyenneregional.org Telepharmacy in Pine Bluffs The current Pine Bluffs Health Clinic providers and management is with Kimball Health Services, Kimball, NE. Entering the Clinic, the Telepharmacy is in the front area, exam rooms and offices in the rear area of the building. To the right of the shelving is the door to the consultation room (behind dispensing). Consultation room, equipped with real-time encrypted (military grade) videoconferencing to the pharmacist in the parent pharmacy. This view is from the consultation room door out to the back counter of the dispensing area. (*Interior photos taken during ribbon cutting, used so as not display actual inventory.) cheyenneregional.org Wyoming Pharmacy Act Wyo. -
The Effect of Contact Precautions on Healthcare Worker Activity in Acute Care Hospitals Author(S): Daniel J
The Effect of Contact Precautions on Healthcare Worker Activity in Acute Care Hospitals Author(s): Daniel J. Morgan, MD, MS; Lisa Pineles, MA; Michelle Shardell, PhD; Margaret M. Graham, MPH; Shahrzad Mohammadi, BS, MPH; Graeme N. Forrest, MBBS; Heather S. Reisinger, PhD; Marin L. Schweizer, PhD; Eli N. Perencevich, MD, MS Reviewed work(s): Source: Infection Control and Hospital Epidemiology, Vol. 34, No. 1 (January 2013), pp. 69-73 Published by: The University of Chicago Press on behalf of The Society for Healthcare Epidemiology of America Stable URL: http://www.jstor.org/stable/10.1086/668775 . Accessed: 17/12/2012 01:25 Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp . JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact [email protected]. The University of Chicago Press and The Society for Healthcare Epidemiology of America are collaborating with JSTOR to digitize, preserve and extend access to Infection Control and Hospital Epidemiology. http://www.jstor.org This content downloaded on Mon, 17 Dec 2012 01:25:08 AM All use subject to JSTOR Terms and Conditions infection control and hospital epidemiology january 2013, vol. 34, no. 1 original article The Effect of Contact Precautions on Healthcare Worker Activity in Acute Care Hospitals Daniel J. -
ELECTRICAL GUIDE for HEALTH FACILITIES REVIEW
ELECTRICAL GUIDE for HEALTH FACILITIES REVIEW HOSPITALS SKILLED NURSING FACILITIES AND CLINICS 2016 Office of Statewide Health Planning and Development Facilities Development Division Revised 3/1/2017 OSHPD 2016 Electrical Guide for Health Facilities Review Forward The Office of Statewide Health Planning and Development (OSHPD) is responsible for enforcing all building standards, codes, and regulations pertaining to hospitals, skilled nursing facilities, and under specific circumstances, clinics in the State of California. The following document was compiled by the OSHPD electrical engineering staff as a guide for plan review to verify compliance and is intended for OSHPD use. All others who use this information for any other purpose do so with the full knowledge that it may not contain every requirement or change in policy and that the requirements are as interpreted by OSHPD. Title 24, Part 3, California Electrical Code, as well as other parts of Title 24, apply in the design and construction of health care facilities. This guide highlights and summarizes the most common requirements encountered in the review of hospitals, skilled nursing facilities, and clinics. This document may not contain every requirement or change in policy and the requirements are as interpreted by OSHPD. All projects submitted on or after January 1, 2016, are subject to the 2016 California Electrical Code (CEC) which is based on the 2014 National Electrical Code (NEC) with the 2016 California amendments. Office of Statewide Health Planning and Development Facilities Development Division www.oshpd.ca.gov 2 | Page Revised 3/1/17 OSHPD 2016 Electrical Guide for Health Facilities Review Table of Contents Plan Submittal Check List ................................................................................................................ -
Health System Use by Frail Ontario Seniors an In-Depth Examination of Four Vulnerable Cohorts
Health System Use by Frail Ontario Seniors An in-depth examination of four vulnerable cohorts November 2011 Health System Use by Frail Ontario Seniors An in-depth examination of four vulnerable cohorts Editors Susan E. Bronskill, PhD Ximena Camacho, MMath Andrea Gruneir, PhD Minnie M. Ho, MHSc November 2011 Health System Use by Frail Ontario Seniors ICES II PUBLICATION INFORMATION Canadian Cataloguing in Publication Data How to Cite This Publication Published by the Institute for Clinical Evaluative Health System Use by Frail Ontario Seniors: An The production of Health System Use by Frail Ontario Sciences (ICES) In-Depth Examination of Four Vulnerable Cohorts. Seniors was a collaborative venture. Accordingly, to give credit to individual authors, please cite individual © 2011 Institute for Clinical Evaluative Sciences ISBN: 978-1-926850-21-4 (Online) chapters and title, in addition to editors and book title. All rights reserved. No part of this publication may be Institute for Clinical Evaluative Sciences (ICES) Bronskill SE, Corbett L, Gruneir A, Stevenson, reproduced, stored in a retrieval system or transmitted G1 06, 2075 Bayview Avenue JE. Introduction. In: Bronskill SE, Camacho X, Gruneir A, in any format or by any means, electronic, mechanical, Toronto, ON M4N 3M5 Ho MM, editors. Health System Use by Frail Ontario photocopying, recording or otherwise, without the Telephone: 416-480-4055 Seniors: An In-Depth Examination of Four Vulnerable proper written permission of the publisher. www.ices.on.ca Cohorts. Toronto, ON: Institute for Clinical Evaluative The opinions, results and conclusions included in this Sciences; 2011. report are those of the authors and are independent from the funding sources. -
Guidance: Discontinuing Additional Precautions Related to COVID- 19 for Admitted Patients in Acute Care and in High-Risk Outpatient Areas
Interim Guidance: Discontinuing Additional Precautions Related to COVID- 19 for Admitted Patients in Acute Care and in High-Risk Outpatient Areas May 21, 2021 This guidance is intended for health-care providers working in acute care settings including infection prevention and control; workplace health and safety and public health teams; direct care providers (e.g., physicians, nurse practitioners, nurses); patient access and flow teams; and unit and site leadership. Contents Scope ..............................................................................................................................................................2 Purpose ...........................................................................................................................................................2 How to Use This Document ................................................................................................................................2 Considerations for Determining Duration of Additional Precautions ..................................................................3 Use of a Test-Based Strategy........................................................................................................................4 Definitions of Key Concepts ................................................................................................................................5 General ....................................................................................................................................................5 -
Long-Term MI Outcomes at Hospitals with Or Without On-Site Revascularization
ORIGINAL CONTRIBUTION Long-term MI Outcomes at Hospitals With or Without On-site Revascularization David A. Alter, MD, PhD Context Many studies have found that patients with acute myocardial infarction (AMI) C. David Naylor, MD, DPhil who are admitted to hospitals with on-site revascularization facilities have higher rates Peter C. Austin, PhD of invasive cardiac procedures and better outcomes than patients in hospitals without such facilities. Whether such differences are due to invasive procedure rates alone or Jack V. Tu, MD, PhD to other patient, physician, and hospital characteristics is unknown. Objective To determine whether invasive procedural rate variations alone account ARK TWAIN REPUTEDLY for outcome differences in patients with AMI admitted to hospitals with or without said: “To a man with a on-site revascularization facilities. hammer, every nail looks Design Retrospective, observational cohort study using linked population-based ad- like it needs driving.” ministrative data from a universal health insurance system. MThis aphorism is reflected in the oft- Setting One hundred ninety acute care hospitals in Ontario, 9 of which offered in- replicated finding that, when patients vasive procedures. with acute myocardial infarction (AMI) Patients A total of 25697 patients hospitalized with AMI between April 1, 1992, are admitted to hospitals with on-site re- and December 31, 1993, of whom 2832 (11%) were in invasive hospitals. vascularization facilities, they undergo Main Outcome Measures Mortality, recurrent cardiac hospitalizations, -
United States Ex Rel. Integra Med Analytics, LLC V
Case 5:17-cv-00886-DAE Document 29 Filed 08/05/19 Page 1 of 17 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF TEXAS SAN ANTONIO DIVISION UNITED STATES OF AMERICA ex § No. 5:17-CV-886-DAE rel. INTEGRA MED ANALYTICS, § LLC, § § Plaintiff, § § vs. § § BAYLOR SCOTT & WHITE § HEALTH, BAYLOR UNIVERSITY § MEDICAL CENTER-DALLAS, § HILLCREST BAPTIST MEDICAL § CENTER, SCOTT & WHITE § HOSPITAL-ROUND ROCK, § SCOTT & WHITE HOSPITAL § TEMPLE, § § Defendants. § ORDER GRANTING DEFENDANTS’ MOTION TO DISMISS (DKT. # 21) Before the Court is a Motion to Dismiss filed by Defendants Baylor Scott & White Health, Baylor University Medical Center-Dallas, Hillcrest Baptist Medical Center, Scott & White Hospital-Round Rock, and Scott & White Hospital Temple (collectively “Defendants”). (Dkt. # 21.) Pursuant to Local Rule CV-7(h), the Court finds these matters suitable for disposition without a hearing. After careful consideration of the memoranda filed in support of and in opposition to the 1 Case 5:17-cv-00886-DAE Document 29 Filed 08/05/19 Page 2 of 17 motion, the Court—for the reasons that follow—GRANTS Defendants’ Motion to Dismiss. (Id.) BACKGROUND I. Factual Background Defendants in this qui tam action are the operator of a network of inpatient short-term acute care hospitals and four of its affiliated hospitals. (Dkt. # 151 at 3.) Part of the services Defendants perform are for patients covered by Medicare, and therefore Defendants regularly submit requests to Medicare for reimbursement for these services. (Id.) As such, these request for reimbursement are subject to the False Claims Act (“FCA”), and knowingly presenting false or fraudulent claims to the Government for reimbursement is illegal and incurs civil liability.2 31 U.S.C.