INITIAL EXPERIENCE WITH DRUG ELUDING STENTS IN A VETERANS AFFAIRS HOSPITAL: COST EFFECTIVE OR UNNECESSARY EXPENSE?

2004 ◽  
Vol 52 ◽  
pp. S307-S308
Author(s):  
J K Bissett
Keyword(s):  
Hospital Cost ◽  
Cost Effective ◽  
Veterans Affairs ◽  
Initial Experience

Program Review of Community Residential Care

2000 ◽  
Vol 86 (1) ◽  
pp. 21-24
Author(s):  
Annie R. Pope ◽  
Daniel E. Rodell ◽  
Ron L. Evans
Keyword(s):  
Residential Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Care Program ◽  
Cost Effective ◽  
The United States ◽  
Veterans Affairs ◽  
Program Review ◽  
Department Of Veterans Affairs ◽  
Client Characteristics

This article provides an overview of the Department of Veterans Affairs Community Residential Care Program and summarizes key literature about programs developed in the United States Descriptive data for 1995 and 1996 are provided to assist program planners in comparing and contrasting client characteristics and services. The authors conclude that, in addition to being cost effective, the residential care program strengthens relationships between the health care facility and the community it serves.

Medication Refill Clinics: The Veterans Administration Medical Center Experience

1992 ◽  
Vol 5 (1) ◽  
pp. 12-21 ◽  
Author(s):  
David Lee Cram ◽  
Ann T. Maesner ◽  
Douglas M. Witmore
Keyword(s):  
Quality Assurance ◽  
Pharmaceutical Care ◽  
Medical Center ◽  
Cost Effective ◽  
Veterans Affairs ◽  
Veterans Administration ◽  
High Quality ◽  
Administration Medical ◽  
Medication Refill ◽  
Policies And Procedures

Medication refill clinics have been operating for about two decades. These clinics provide cost-effective and high-quality pharmaceutical care to patients who require refills on their medications. The following article describes one Veterans Affairs Medical Center's experience with a medication refill clinic. Guidelines for setting up a refill clinic are presented, including clinic development and justification, training of the practitioner, policies and procedures, and quality assurance management. Benefits of the clinic also will be discussed.

Cost effective endoscopic anal surgery – Initial experience

2015 ◽  
Vol 12 ◽  
pp. S21-S22
Author(s):  
Ramraj Vemala Nagendra Gupta ◽  
Govind Nandakumar
Keyword(s):  
Cost Effective ◽  
Initial Experience ◽  
Anal Surgery

scholarly journals Assessing hospital cost data quality in the quest for a cost-effective health care

2020 ◽  
Author(s):  
Margit Malmmose ◽  
Jogvan Pauli Lydersen
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Hospital Cost ◽  
Large Scale ◽  
Indirect Costs ◽  
Cost Effective ◽  
Cost Data ◽  
Integrated Cost ◽  
Cost Efficient ◽  
Account System

Abstract Background: The objective is to examine hospital cost accounts in order to understand the foundation upon which large-scale health care decisions are based. More specifically, the aim is to add insights to accounting practices and their applicability towards a newly establish value-based agenda with a focus on patient-level cost data. Methods: We apply a cost accounting framework developed to position and understand hospital cost practices in relation to government requirements. Allocated cost account data from 2015 from all Danish hospitals were collected and analysed. Results: We find exceedingly aggregated department-level data that are not tied to patient information. We further observe variations in integrated cost centre definitions and allocation methods, as well as a melding of both overhead and indirect costs with direct costs at the department level. Additionally, we find large structural variances within hospitals. Conclusions: The findings raise concern about the cost accounts’ ability to provide valid information in health care decision-making due to a lack of transparency. Additionally, standardisation of costs stemming from hospitals with large organisational differences has significant implications on the fairness of resource allocation and decision-making at large. Thus, for hospitals to become more cost efficient, a substantially more detailed cost account system is essential.

scholarly journals Reaching Those At Risk for Psychiatric Disorders and Suicidal Ideation: Facebook Advertisements to Recruit Military Veterans

10.2196/10078 ◽  
2018 ◽  
Vol 5 (3) ◽  
pp. e10078 ◽  
Author(s):  
Alan R Teo ◽  
Samuel BL Liebow ◽  
Benjamin Chan ◽  
Steven K Dobscha ◽  
Amanda L Graham
Keyword(s):  
Mental Health ◽  
Health Care ◽  
At Risk ◽  
Suicidal Ideation ◽  
Psychiatric Disorders ◽  
Mental Health Problems ◽  
Military Veterans ◽  
Cost Effective ◽  
Health Problems ◽  
Veterans Affairs

Background Younger military veterans are at high risk for psychiatric disorders and suicide. Reaching and engaging veterans in mental health care and research is challenging. Social media platforms may be an effective channel to connect with veterans. Objective This study tested the effectiveness of Facebook advertisements in reaching and recruiting Iraq and Afghanistan-era military veterans in a research study focused on mental health. Methods Facebook ads requesting participation in an online health survey ran for six weeks in 2017. Ads varied imagery and headlines. Validated instruments were used to screen for psychiatric disorders and suicidality. Outcomes included impressions, click-through rate, survey completion, and cost per survey completed. Results Advertisements produced 827,918 impressions, 9,527 clicks, and 587 survey completions. Lack of enrollment in Veterans Affairs health care (193/587, 33%) and positive screens for current mental health problems were common, including posttraumatic stress disorder (266/585, 45%), problematic drinking (243/584, 42%), major depression (164/586, 28%), and suicidality (132/585, 23%). Approximately half of the survey participants (285/587, 49%) were recruited with just 2 of the 15 ads, which showed soldiers marching tied to an “incentive” or “sharing” headline. These 2 ads were also the most cost-effective, at US $4.88 and US $5.90 per participant, respectively. Among veterans with current suicidal ideation, the survey-taking image resulted in higher survey completion than the soldiers marching image (P=.007). Conclusions Facebook advertisements are effective in rapidly and inexpensively reaching military veterans, including those at risk for mental health problems and suicidality, and those not receiving Veterans Affairs health care. Advertisement image and headlines may help optimize the effectiveness of advertisements for specific subgroups.

scholarly journals ReStNeuMap: a tool for automatic extraction of resting-state functional MRI networks in neurosurgical practice

2019 ◽  
Vol 131 (3) ◽  
pp. 764-771 ◽  
Author(s):  
Domenico Zacà ◽  
Jorge Jovicich ◽  
Francesco Corsini ◽  
Umberto Rozzanigo ◽  
Franco Chioffi ◽  
...  
Keyword(s):  
Network Analysis ◽  
Functional Mri ◽  
Resting State ◽  
Cost Effective ◽  
Awake Surgery ◽  
Spatial Proximity ◽  
Initial Experience ◽  
Analysis Tools ◽  
Presurgical Mapping ◽  
Fmri Analysis

OBJECTIVEResting-state functional MRI (rs-fMRI) represents a promising and cost-effective alternative to task-based fMRI for presurgical mapping. However, the lack of clinically streamlined and reliable rs-fMRI analysis tools has prevented wide adoption of this technique. In this work, the authors introduce an rs-fMRI processing pipeline (ReStNeuMap) for automatic single-patient rs-fMRI network analysis.METHODSThe authors provide a description of the rs-fMRI network analysis steps implemented in ReStNeuMap and report their initial experience with this tool after performing presurgical mapping in 6 patients. They verified the spatial agreement between rs-fMRI networks derived by ReStNeuMap and localization of activation with intraoperative direct electrical stimulation (DES).RESULTSThe authors automatically extracted rs-fMRI networks including eloquent cortex in spatial proximity with the resected lesion in all patients. The distance between DES points and corresponding rs-fMRI networks was less than 1 cm in 78% of cases for motor, 100% of cases for visual, 87.5% of cases for language, and 100% of cases for speech articulation mapping.CONCLUSIONSThe authors’ initial experience with ReStNeuMap showed good spatial agreement between presurgical rs-fMRI predictions and DES findings during awake surgery. The availability of the rs-fMRI analysis tools for clinicians aiming to perform noninvasive mapping of brain functional networks may extend its application beyond surgical practice.

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