Public Reporting of Cardiovascular Data: Benefits, Pitfalls, and Vision for the Future

2016 ◽  
Vol 10 (1) ◽  
pp. 36
Author(s):  
Gregory J Dehmer ◽  
Keyword(s):  
Clinical Data ◽  
Clinical Status ◽  
Public Reporting ◽  
Professional Organizations ◽  
Healthcare Data ◽  
Outcomes Of Care ◽  
The Future ◽  
Policy Statements ◽  
Quality And Outcomes ◽  
Reporting Programs

Public reporting of healthcare data is not a new concept. This initiative continues to proliferate as consumers and other stakeholders seek information on the quality and outcomes of care. Furthermore, mandates for the development of additional public reporting efforts are included in several new healthcare legislations such as the Affordable Care Act. Many current reporting programs rely heavily on administrative data as a surrogate for true clinical data, but this approach has well-defined limitations. Clinical data are traditionally more difficult and costly to collect, but more accurately reflect the clinical status of the patient, thus enhancing validity of the quality metrics and the reporting program. Several professional organizations have published policy statements articulating the main principles that should establish the foundation for public reporting programs in the future.

scholarly journals The National Neurosurgery Quality and Outcomes Database Qualified Clinical Data Registry: 2015 measure specifications and rationale

2015 ◽  
Vol 39 (6) ◽  
pp. E4 ◽  
Author(s):  
Scott L. Parker ◽  
Matthew J. McGirt ◽  
Kimon Bekelis ◽  
Christopher M. Holland ◽  
Jason Davies ◽  
...  
Keyword(s):  
Clinical Data ◽  
Health Care Quality ◽  
Quality Measurement ◽  
Quality Measures ◽  
Care Quality ◽  
Quality Reporting ◽  
Data Registry ◽  
National Quality ◽  
Quality And Outcomes ◽  
Reporting Programs

Meaningful quality measurement and public reporting have the potential to facilitate targeted outcome improvement, practice-based learning, shared decision making, and effective resource utilization. Recent developments in national quality reporting programs, such as the Centers for Medicare & Medicaid Services Qualified Clinical Data Registry (QCDR) reporting option, have enhanced the ability of specialty groups to develop relevant quality measures of the care they deliver. QCDRs will complete the collection and submission of Physician Quality Reporting System (PQRS) quality measures data on behalf of individual eligible professionals. The National Neurosurgery Quality and Outcomes Database (N2QOD) offers 21 non-PQRS measures, initially focused on spine procedures, which are the first specialty-specific measures for neurosurgery. Securing QCDR status for N2QOD is a tremendously important accomplishment for our specialty. This program will ensure that data collected through our registries and used for PQRS is meaningful for neurosurgeons, related spine care practitioners, their patients, and other stakeholders. The 2015 N2QOD QCDR is further evidence of neurosurgery’s commitment to substantively advancing the health care quality paradigm. The following manuscript outlines the measures now approved for use in the 2015 N2QOD QCDR. Measure specifications (measure type and descriptions, related measures, if any, as well as relevant National Quality Strategy domain[s]) along with rationale are provided for each measure.

Effects of the CMS’ Public Reporting Program for Inpatient Psychiatric Facilities on Targeted and Nontargeted Safety: Differences Between For-Profits and Nonprofits

2021 ◽  
pp. 107755872199892
Author(s):  
Morgan C. Shields
Keyword(s):  
Spillover Effect ◽  
Public Reporting ◽  
Unintended Consequences ◽  
Psychiatric Facility ◽  
Quality Reporting ◽  
Performance Reporting ◽  
Reporting Programs ◽  
Using Data ◽  
Inpatient Psychiatric Facility ◽  
Psychiatric Facilities

The Centers for Medicare and Medicaid Services implemented the Inpatient Psychiatric Facility Quality Reporting Program in 2012, which publicly reports facilities’ performance on restraint and seclusion (R-S) measures. Using data from Massachusetts, we examined whether nonprofits and for-profits responded differently to the program on targeted indicators, and if the program had a differential spillover effect on nontargeted indicators of quality by ownership. Episodes of R-S (targeted), complaints (nontargeted), and discharges were obtained for 2008-2017 through public records requests to the Commonwealth of Massachusetts. Using difference-in-differences estimators, we found no differential changes in R-S between for-profits and nonprofits. However, for-profits had larger increases in overall complaints, safety-related complaints, abuse-related complaints, and R-S-related complaints compared with nonprofits. This is the first study to examine the effects of a national public reporting program among psychiatric facilities on nontargeted measures. Researchers and policymakers should further scrutinize intended and unintended consequences of performance-reporting programs.

Rivigo

2017 ◽  
pp. 1-35
Author(s):  
G. Raghuram ◽  
Pooja Sanghani
Keyword(s):  
Quality Of Service ◽  
Professional Organizations ◽  
New Paradigm ◽  
Market Segments ◽  
Logistics Industry ◽  
Iot Platform ◽  
The Future

Rivigo, a new entrant in the trucking business in India, believed that a new paradigm in the trucking/logistics industry could be brought about that would not only improve the quality of service dramatically, but also upgrade a truck driver's lifestyle. While the industry faced driver shortage largely due to long stays away from home, Rivigo hoped to attract drivers by offering them roles which would bring them back home in 24 hours. Drivers would be part of a relay, handing over the truck at pit stops. Further, they leveraged an IT-enabled IoT platform on a fleet of owned trucks. All this revolutionized most of the traditions then followed in the industry. The entrepreneur and his core team comprised professionals from premium institutes of the country, with experience in professional organizations in related domains. By offering services like assured delivery at half the time and full shipment visibility, Rivigo had to charge a premium to market segments that would value this. The case raises the question of sustainability in the future.

scholarly journals Nutrigenomic Information in the openEHR Data Set

2018 ◽  
Vol 09 (01) ◽  
pp. 221-231 ◽  
Author(s):  
Priscila Maranhão ◽  
Gustavo Bacelar-Silva ◽  
Duarte Ferreira ◽  
Conceição Calhau ◽  
Pedro Vieira-Marques ◽  
...  
Keyword(s):  
Human Genome ◽  
Clinical Data ◽  
Literature Search ◽  
Systemic Review ◽  
Personalized Nutrition ◽  
Clinical Practices ◽  
Modeling Tools ◽  
Data Set ◽  
Traditional Concept ◽  
The Future

Background The traditional concept of personalized nutrition is based on adapting diets according to individual needs and preferences. Discussions about personalized nutrition have been on since the Human Genome Project, which has sequenced the human genome. Thenceforth, topics such as nutrigenomics have been assessed to help in better understanding the genetic variation influence on the dietary response and association between nutrients and gene expression. Hence, some challenges impaired the understanding about the nowadays important clinical data and about clinical data assumed to be important in the future. Objective Finding the main clinical statements in the personalized nutrition field (nutrigenomics) to create the future-proof health information system to the openEHR server based on archetypes, as well as a specific nutrigenomic template. Methods A systematic literature search was conducted in electronic databases such as PubMed. The aim of this systemic review was to list the chief clinical statements and create archetype and templates for openEHR modeling tools, namely, Ocean Archetype Editor and Ocean Template Design. Results The literature search led to 51 articles; however, just 26 articles were analyzed after all the herein adopted inclusion criteria were assessed. Of these total, 117 clinical statements were identified, as well as 27 archetype-friendly concepts. Our group modeled four new archetypes (waist-to-height ratio, genetic test results, genetic summary, and diet plan) and finally created the specific nutrigenomic template for nutrition care. Conclusion The archetypes and the specific openEHR template developed in this study gave dieticians and other health professionals an important tool to their nutrigenomic clinical practices, besides a set of nutrigenomic data to clinical research.

The American Academy of Ophthalmology's IRIS ® Registry (Intelligent Research in Sight Clinical Data): A Look Back and a Look to the Future

Ophthalmology ◽  
2017 ◽  
Vol 124 (11) ◽  
pp. 1572-1574 ◽  
Author(s):  
David W. Parke ◽  
William L. Rich ◽  
Alfred Sommer ◽  
Flora Lum
Keyword(s):  
American Academy ◽  
Clinical Data ◽  
Look Back ◽  
The Future

Transcriptomics is a rapidly growing field that generates new data that may be used on its own or in combination with existing clinical data for development of new therapeutics, including gene therapy

2021 ◽  
Author(s):  
Moataz Dowaidar
Keyword(s):  
Gene Therapy ◽  
General Practice ◽  
Clinical Data ◽  
Trial Design ◽  
Therapeutic Options ◽  
Blood Samples ◽  
The Future ◽  
The Creation ◽  
Personalized Medicines

Transcriptomics is a rapidly growing field that generates new data that may be used on its own or in combination with existing clinical data to widen and affect the future of healthcare. While the majority of current applications are limited to research, a growing number of studies suggest that transcriptomics has applications in diagnostics, genomics-driven trial design, and the creation of personalized medicines. Blood samples can be collected in general practice and submitted to a central lab for analysis and interpretation before being provided to the doctor, allowing for greater clinical acceptance of experimental hypotheses. The transcriptome's immense complexity has been revealed by transcriptomics, and we're just beginning to understand how this translates to function, disease, and therapeutic options.

THE DIAGNOSTIC USEFULNESS OF SKELETAL MATURATION IN AN ENDOCRINE CLINIC

PEDIATRICS ◽  
1959 ◽  
Vol 23 (3) ◽  
pp. 530-544
Author(s):  
William J. Mellman ◽  
Alfred M. Bongiovanni ◽  
John W. Hope
Keyword(s):  
Clinical Data ◽  
Thyroid Disease ◽  
Clinical Status ◽  
Endocrine System ◽  
Bone Age ◽  
Skeletal Maturation ◽  
Moderate Degree ◽  
Adrenal Hyperplasia ◽  
Diagnostic Usefulness

Correlation of bone age and clinical status of 146 children referred to an endocrine clinic has been presented. Ninety-five subjects were retarded with respect to height, bone age, or both. In only 30% of this group was a true endocrinologic disorder present, and the majority were attributable to hypothyroidism. Retarda-of skeletal maturation alone, however, is not indicative of thyroid disease. The majority of the group with retardation had a "constitutional" disorder. Fifty-one children exhibited acceleration of the bone age, stature, or both. In 20 it could be attributed to constitutional precocity. Such advancement, of a moderate degree, was associated with simple exogenous obesity. The most extreme alterations were seen in conjunction with adrenal hyperplasia or adenoma. The importance of employing several centers for the estimation of bone age has been stressed, and the significant diversity which may occur between the hand and wrist and other regions, has been detailed in several instances. A summary of concepts relating the endocrine system to maturation, in terms of the clinical data described herein, has been presented.

Computer-aided homœopathy

1991 ◽  
Vol 80 (01) ◽  
pp. 34-38 ◽  
Author(s):  
J. Fichefet
Keyword(s):  
Expert Systems ◽  
Knowledge Base ◽  
Clinical Data ◽  
Turning Point ◽  
Computer Aided ◽  
The Future

AbstractHomœopathy has now come to a turning point. Thanks to Knowledge Base Expert Systems, which appeared recently and are orientated towards drug diagnosis, homœopaths have been made aware of the enormous possibilities that computers can offer them. This applies particularly to the gathering of clinical data and analysis of a collection of clinical files. The purpose of this paper is to summarize what has already been done and suggest what can be done in the future.

Use, Quality, and Outcomes of Care for Mental Health: The Rural Perspective

2002 ◽  
Vol 59 (3) ◽  
pp. 231-265 ◽  
Author(s):  
Kathryn Rost ◽  
John Fortney ◽  
Ellen Fischer ◽  
Jeffrey Smith
Keyword(s):  
Mental Health ◽  
Outcomes Of Care ◽  
Quality And Outcomes
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