Paul Lange, MD

➡️ Whether you’ve determined now is the time for you to begin the process toward FACHE or you’re still deciding, the next stop on your journey is our FACHE Overview Webinar. This webinar is free for you to attend but it requires registration. Learn more and register here: https://bit.ly/4fVBYRC

27

Download this white paper to learn how Sg2 member Bon Secours Mercy Health achieved innovative success in their approach to patient monitoring across their delivery network. via Becker's Healthcare https://bit.ly/3V6go4i

3

🌟 Whether you’ve determined now is the time for you to begin the process toward FACHE or you’re still deciding, the next stop on your journey is our FACHE Overview Webinar. This webinar is free for you to attend but it requires registration. Learn more and save your place here: https://bit.ly/3MkxxT8

35

This special supplemental issue of the ASA Monitor highlights some of the most urgent priorities for patient safety in 2024 and beyond. Don’t miss articles that cover safety culture, the role of an anesthesia patient safety officer, the concept of vigilance, and more. https://ow.ly/GPrx50SyTTM #anesthesiology #PatientSafety #anesthesiologist #anesthesia

14

1 Comment

Quick summary of the latest CDC updates to its opioid prescribing guidelines, including 12 key recommendations and 5 guiding principles to aid in implementation, from The PcMED Project, our sister site for primary care https://lnkd.in/eXMdQTHt #opioids #primarycare #painmanagement #primarycare #medication

2

This article highlights the persistent challenges and opportunities surrounding the impact of value-based care (VBC) arrangements on patient safety, despite the widespread adoption of VBC models. In the context of recent declines in patient safety, the authors contend that this crucial component of health care value has not received sufficient attention in most VBC contracts. The authors propose strategies for how payers can integrate patient safety measures into VBC contracts and align financial incentives with quality performance, drawing on the example of Elevance Health’s initiative, the Quality-In-Sights: Hospital Incentive Program. In this program, patient safety measures comprise 80% of the overall score. The program suggests that a sustained and productive collaboration between payers and providers offers potential for integrating patient safety measures into VBC models to drive clinical improvements and financial efficiencies, but it requires commitment from all stakeholders in the health care ecosystem: https://nej.md/3VrQkQy

6

Understanding Primary Care: Your First Line of Defense in Health Recently, a friend who happens to be a specialist asked us ‘what is the big deal with this primary care thing?’ Here is our attempt to answer that question with a description of our approach to primary care at Santa Fe Mobile MD. What is Primary Care? The way we see it, your primary care provider is a handyman (or woman) for your body and mind. Primary care is your go-to resource for maintaining your overall health, as well as your first point of contact in the healthcare system. Your primary care provider provides continuous and comprehensive care for you and your loved ones, keeping your body systems running smoothly and helping fix problems that arise unexpectedly. U Why is Primary Care Important? We believe primary care prioritizes four important aspects of healthcare that other medical specialties often don’t. Preventive Care: We encourage regular (annual, semiannual, quarterly) visits to fine-tune management of chronic problems, examine new issues, and check progress on healthy habits. A preventive visit typically includes recommendations for personalized screenings, labs and vaccinations, as well as a deep dive into healthier living and how to feel better and stronger. Chronic Disease Management: If you have a chronic health condition like diabetes, hypertension, heart problems, etc., your primary care provider, or PCP, will work with you on a comprehensive treatment plan. Often with a chronic condition, the goal might not be to cure, but rather to manage, with the goal of minimizing a condition’s negative impact on your quality of life. Personalized Care: Each person has different ideas and goals regarding personal health, longevity, and what it means to live well. We respect your unique perspective and will take the time to understand your situation and help you reach your goals. Coordination of Care: At times, there are conditions we feel require additional expertise. Finding the right specialist, especially in Santa Fe, can be challenging. With many years of experience in this community, we help ensure you see the most appropriate and qualified professional and coordinate with these providers in Santa Fe or, as needed, out-of-state, providing you with comprehensive care and follow-up. Your Health, Our Priority The physicians at Santa Fe Mobile MD believe in the power of great primary care. We do house calls rather than seeing patients in a traditional medical office, so we bring healthcare right to your doorstep, ensuring you receive top-notch care without the hassle of travel, waiting rooms, and the constant “run-around.” More importantly, we take the time to get to know you and to do our job well. Finally, we have an immense amount of experience practicing medicine in Santa Fe, so we know how to get things done. We’re committed to keeping you and your family feel healthy, happy, and well-cared for. Let Us Join You on Your Health Journey https://lnkd.in/ggVN6ZrY

1

A significant decline in the number of hospitalized Medicare beneficiaries receiving recommended home health care services 📉 could lead to poorer health outcomes and increased readmission rates 🔄, highlighting a critical gap in post-hospitalization care 🏥. Addressing this issue is essential for improving overall patient recovery and ensuring equitable access to necessary services.

3

1 Comment

New study in #HSR Wiley from Evan Michael Shannon MD MPH et al evaluates racial and ethnic differences in patient experience among VA primary care users at the Veterans Integrated Service Network (VISN) level. FULL ARTICLE: https://lnkd.in/dFRzQ6u9 WHAT IS KNOWN: There are documented racial and ethnic disparities in patient experience, including in the Veterans Health Administration (VA). WHAT THIS STUDY ADDS: This study identified regional variation in racial and ethnic disparities in patient experience among VA users across the United States. CONCLUSION: In our study, we found VISN-level variation in racial and ethnic differences in patient experience, with unique patterns for minoritized groups, including groups with lower representation in the VA.

3

A scoping review in Nursing Outlook explores literature on the preparedness of the primary healthcare (PHC) nursing workforce for extreme weather events and identifies gaps in knowledge and practice. "Enhancing primary healthcare nurses’ preparedness for climate-induced extreme weather events" finds that strengthening PHC nurses' resilience against extreme weather requires targeted professional development, mental health support, comprehensive planning, and collaborative efforts. Future strategies should enhance PHC nurses' capacity through training, support, and policy development. Read the full review in Nursing Outlook: https://lnkd.in/gwtn_x9w

10

1 Comment

Don’t miss your chance to take 30% off the “Certification and Core Review for Neonatal Intensive Care Nursing, 5th Edition”. Updated with the latest review questions, rationales, literature, and evidence-based guidelines, this is the ultimate guide to prepare you for your upcoming CCRN-Neonatal and RNC-NIC exams. Backed by noteworthy neonatal intensive care nursing associations and developed in collaboration with leading nursing organizations, it's sure to drive your future exam success. Take advantage of the discount on NANN’s iLearn before it's gone https://bit.ly/4a0fQSf. #neonatalnursing #CCRNneonatalexam #RNCNICexam

2

Research Article | Do mid-level providers enhance hospital cost per discharge or triple aim performance efficiency? An exploratory analysis Aaron W. Bonnett, Gregory R. Heim https://lnkd.in/gAhVNpgT Hospital administrators are shifting care delivery models toward an approach that uses more caregivers in the form of mid-level providers (MLPs), such as nurse practitioners, physician assistants, and clinical nurse specialists. To date, however, healthcare operations management (OM) literature remains ambiguous about longitudinal empirical associations between mid-level providers and hospital costs, quality, and other performance measures. We analyze how the extent of MLP employment used by a hospital is associated with hospital operational outcomes, as reflected by hospital cost per discharge and Triple Aim Performance (TAP) efficiency metrics. Our findings indicate percent MLP usage is positively associated with efficiency metrics for hospital clinical quality, technical efficiency, and patient experience, but not associated with hospital costs. We also find percent MLP usage is associated with the likelihood that hospitals excel on all TAP metrics simultaneously. Post-hoc exploratory analyses suggest the associations exhibit differential outcomes across hospital efficiency quantiles, while sub-sample analyses motivate boundary conditions for some hypothesized MLP associations. We contribute to healthcare OM research by providing one of the first panel data analyses of MLPs, improving insights relative to extant work. By giving key stakeholders useful findings about outcomes associated with hospital staffing trends, our managerial contribution helps hospital administrators understand empirical consequences of the increasing use of MLPs.

20

3 Comments

🏥 Colorado’s recently passed SB24-168 bill mandates that the Colorado Department of Health Care Policy and Financing reimburse specific Medicaid members for using telehealth remote monitoring for outpatient services. Read more here: https://buff.ly/3XjquRg+ #Healthcare #HomeHealthcare #PatientSupport #DigitalHealthcare #PatientCare #Telehealth #HealthcareTechnology #CardiacDisease

1

Did you Know...Ah, ha, ha ha  “Stayin Alive” …AHA updated the ACLS guidelines in 2020? In general, every 5 years the American Heart Association (AHA) Advanced Cardiac Life Support (ACLS) algorithms undergo updates. In 2020 some significant changes occurred. See some of the updates that are most pertinent to the ambulatory anesthesiologist (member log in): https://lnkd.in/gRV8kFrY

2

Have you heard of the Health Care Providers’ Pain and Impairment Relationship Scale (HC-PAIRS)? This scoping review recently published in PM&R and co-authored by Scientific Commission members Alec Schielke and Jordan Gliedt explores the extent of research involving the HC-PAIRS, an instrument that assesses providers’ attitudes and beliefs about patients with persistent back pain. Link to access the article: https://lnkd.in/gzSRjZG5 #ClinicalCompass #research #PMR #painmanagement #Scopingreview #chiropractic #HCPAIRS

1

We are excited to share that the Centers for Medicare & Medicaid Services (CMS) has approved a new quality measure focused on #AgeFriendly care principles. This is a significant step towards ensuring that hospitals deliver care that aligns with the goals and preferences of #OlderAdults. Hospitals in the Medicare Inpatient Quality Reporting Program will now need to report on the delivery of 4Ms care and assess social vulnerability. This measure, developed with the leadership of the American College of Surgeons and support from JAHF, IHI, and the American College of Emergency Physicians, will drive better, more person-centered care. Learn more about this important advancement: https://ow.ly/Px6V50SPzJx . . . #GeriatricCare #HealthcareQuality #ElderCare #PatientCenteredCare

1