Letter to the Editor: A Conversation with … Natasha Parekh MD, MS—Expert on Waste and Fraud in the US Healthcare System

2021 ◽  
Vol 479 (4) ◽  
pp. 860-861
Author(s):  
Qiang Wang ◽  
Chaoran Yu
Keyword(s):  
Healthcare System ◽  
Letter To The Editor ◽  
The Us

Treatment of venous leg ulcers using bilayered living cellular construct

2020 ◽  
Vol 9 (13) ◽  
pp. 907-918
Author(s):  
Aseel Bin Sawad ◽  
Fatema Turkistani
Keyword(s):  
Healthcare System ◽  
Cost Savings ◽  
Standard Of Care ◽  
Healthcare Resource Utilization ◽  
Psychological Status ◽  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Time Period ◽  
The Us ◽  
Economic Analyses

Background: Venous leg ulcers (VLUs) present a significant economic burden on the US healthcare system and payers (US$14.9 billion). Aim: To evaluate the quality of life (QoL) of patients with VLUs; to analyze the limitations of standard of care (SOC) for VLUs; and to explain how using bilayered living cellular construct (BLCC) with SOC for treatment of VLUs can help heal more VLUs faster (than using SOC alone) as well as help improve QoL and help reduce the burden on the US healthcare system and payers. Materials & methods: This is a review study. The search was conducted in February 2020 by way of electronic databases to find relevant articles that provided information related to QoL of patients with VLUs, limitations of SOC for VLUs and economic analyses of using BLCC for treatment of VLUs. Results: VLUs impact patients’ physical, functional and psychological status and reduce QoL. A total 75% of VLU patients who used SOC alone failed to achieve healing in a timely fashion, which led to increased healthcare costs and healthcare resource utilization. Although the upfront cost is high, the greater effectiveness of BLCC offsets the added cost of the product during the time period of the studies. Therefore, BLCC helps to improve the QoL of VLU patients. As an example, for every 100 VLU patients in a healthcare plan, the use of BLCC can create cost savings of US$1,349,829.51. Conclusion: Payers’ coverage of BLCC results in reduction of the overall medical cost for treating VLU patients.

A HIPAA Security and Privacy Compliance Audit and Risk Assessment Mitigation Approach

2021 ◽  
Vol 3 (2) ◽  
pp. 28-45
Author(s):  
Young B. Choi ◽  
Christopher E. Williams
Keyword(s):  
Healthcare System ◽  
Information Assurance ◽  
Healthcare Providers ◽  
Security And Privacy ◽  
Privacy Requirements ◽  
Security Controls ◽  
The Us ◽  
Compliance Audit ◽  
And Control ◽  
Health Laws

Data breaches have a profound effect on businesses associated with industries like the US healthcare system. This task extends more pressure on healthcare providers as they continue to gain unprecedented access to patient data, as the US healthcare system integrates further into the digital realm. Pressure has also led to the creation of the Health Insurance Portability and Accountability Act, Omnibus Rule, and Health Information Technology for Economic and Clinical Health laws. The Defense Information Systems Agency also develops and maintains security technical implementation guides that are consistent with DoD cybersecurity policies, standards, architectures, security controls, and validation procedures. The objective is to design a network (physician's office) in order to meet the complexity standards and unpredictable measures posed by attackers. Additionally, the network must adhere to HIPAA security and privacy requirements required by law. Successful implantation of network design will articulate comprehension requirements of information assurance security and control.

scholarly journals Private in-patient psychiatry in the USA

2014 ◽  
Vol 38 (5) ◽  
pp. 230-235 ◽  
Author(s):  
L. Mark Russakoff
Keyword(s):  
Managed Care ◽  
Healthcare System ◽  
Affordable Care Act ◽  
Private Practice ◽  
Psychiatric Care ◽  
Current System ◽  
Baby Boomer Generation ◽  
Current State ◽  
The Us ◽  
The Usa

SummaryThe US healthcare system is in the midst of major changes driven by four forces: the growing consensus in the country that the current system is financially unsustainable; managed care and parity legislation; the Affordable Care Act 2010; and the ageing of the ‘baby boomer’ generation. How these forces will combine and interact is unclear. The current state of in-patient psychiatric care and trends affecting the private practice of in-patient psychiatry over the next few years will be described.

scholarly journals Real-world effectiveness of elbasvir/grazoprevir In HCV-infected patients in the US veterans affairs healthcare system

2018 ◽  
Vol 25 (11) ◽  
pp. 1270-1279 ◽  
Author(s):  
J. R. Kramer ◽  
A. Puenpatom ◽  
K. F. Erickson ◽  
Y. Cao ◽  
D. Smith ◽  
...  
Keyword(s):  
Healthcare System ◽  
Real World ◽  
Veterans Affairs ◽  
The Us ◽  
Us Veterans

Big Data

2020 ◽  
pp. 82-99
Author(s):  
Shannon Wai Yi Yee ◽  
Carolina Gutierrez ◽  
Caroline Narae Park ◽  
Danny Lee ◽  
Scott Lee
Keyword(s):  
Big Data ◽  
Patient Care ◽  
International Development ◽  
Healthcare System ◽  
Security Breaches ◽  
Preventative Measures ◽  
The Us ◽  
Precautionary Measures ◽  
The Government

In the last three decades, big data has been applied to diverse fields, such as the government, international development, and education. It is only now that the US healthcare system has begun to explore its under-utilized data. Big data is not only referencing the quantity, but also the complexity, diversity, and relativity of the information. This information may be analyzed to reveal patterns, trends, and associations that may be applicable to the healthcare field. This information can be gathered through sources, such as EHRs, IRIS registry, and MIPS. Recognizing patterns would aid in predicting preventative measures for an increased holistic and personalized patient care. Although big data proves to have endless beneficial applications, it can bring into question the ownership of this information. Additionally, big data poses a risk for security breaches, and thus, precautionary measures will also be discussed. Ultimately, the emergence of big data creates an exhilarating frontier for healthcare with its unlimited possibilities.

Hospitalizations Due to Lymphedema in the US: A One Billion Dollar Burden on Healthcare System Each Year

2020 ◽  
Vol 231 (4) ◽  
pp. e45-e46
Author(s):  
Mya L. Roberson ◽  
Paula D. Strassle ◽  
Adeyemi A. Ogunleye
Keyword(s):  
Healthcare System ◽  
The Us

Payment source and provider type in the US healthcare system

2015 ◽  
Vol 28 (3) ◽  
pp. 46-53 ◽  
Author(s):  
Joseph Benitez ◽  
Bettie Coplan ◽  
Richard W. Dehn ◽  
Roderick S. Hooker
Keyword(s):  
Healthcare System ◽  
Provider Type ◽  
The Us

scholarly journals Nowe technologie w systemie ochrony zdrowia na przykładzie Stanów Zjednoczonych i Polski

Ekonomia ◽  
2019 ◽  
Vol 24 (4) ◽  
pp. 83-92 ◽  
Author(s):  
Anna Cuda
Keyword(s):  
Healthcare System ◽  
New Technologies ◽  
Healthcare Systems ◽  
Medical Documentation ◽  
Easy Access ◽  
Healthcare Information Systems ◽  
It Systems ◽  
The Us ◽  
American Society ◽  
Effective Use

New technologies in healthcare systems based on the examples of the US and PolandThe main purpose of this paper is to present the level of new technologies implementation in the healthcare systems in US and Poland. New technologies play a crucial role in everyday life, including healthcare. Medical documentation and easy access to potentially life-changing or lifesaving information are extremely important for all the stakeholders in the healthcare system — its preparation, archiving and effective use in real time upon request may be supported by advanced systems. IT systems may improve security, medical services quality and efficiency of medical treatment, regardless of the type of healthcare system — private in the US and public in Poland. The results of surveys conducted by the American Society of Health-System Pharmacists and the Polish Centrum Systemów Informacyjnych Ochrony Zdrowia [Center of Healthcare Information Systems] have been used in this paper.

scholarly journals The Cross-national Applicability of Lean Implementation Measures and Hospital Performance Measures: A Case Study of Finland and the United States

2021 ◽  
Author(s):  
Elina Reponen ◽  
Thomas G Rundall ◽  
Stephen M Shortell ◽  
Janet C Blodgett ◽  
Ritva Jokela ◽  
...  
Keyword(s):  
United States ◽  
Healthcare System ◽  
Performance Measures ◽  
Service Provision ◽  
The United States ◽  
Hospital Performance ◽  
Lean Implementation ◽  
The Us ◽  
Cross National

Abstract Background Healthcare organizations around the world are striving to achieve transformational performance improvement, often through adopting process improvement methodologies such as Lean management. Indeed, Lean management has been implemented in hospitals in many countries. But despite a shared methodology and the potential benefit of benchmarking lean implementation and its effects on hospital performance, cross-national Lean benchmarking is rare. Healthcare organisations in different countries operate in very different contexts, including different healthcare system models, and these differences may be perceived as limiting the ability of improvers to benchmark Lean implementation and related organisational performance. However, there is no empirical research available on the international relevance and applicability of Lean implementation and hospital performance measures. To begin to understand the opportunities and limitations related to cross-national benchmarking of Lean in hospitals, we conducted a cross-national case study of the relevance and applicability of measures of Lean implementation in hospitals and hospital performance. Methods We report an exploratory case study of the relevance of Lean implementation measures and the applicability of hospital performance measures using quantitative comparisons of data from Hospital District of XX XX University Hospital in Finland and a sample of 75 large academic hospitals in the United States. Results The relevance of Lean-related measures was high across the two countries: almost 90% of the items developed for a US survey were relevant and available from XX. A majority of the US-based measures for financial performance (66.7%), service provision/utilisation (100.0%), and service provision/care processes (60.0%) were available from XX. Differences in patient satisfaction measures prevented comparisons between XX and the US. Of 18 clinical outcome measures, only four (22%) were not comparable. Clinical outcome measures were less affected by the differences in healthcare system models than measures related to service provision and financial performance. Conclusions Lean implementation measures are highly relevant in healthcare organisations operating in the United States and Finland, as is the applicability of a variety of performance improvement measures. Cross-national benchmarking in Lean healthcare is feasible, but a careful assessment of contextual factors, including the healthcare system model, and their impact on the applicability and relevance of chosen benchmarking measures is necessary. The differences between the US and Finnish healthcare system models is most clearly reflected in financial performance measures and care process measures.

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