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QuorumEDU

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So far QuorumEDU has created 19 blog entries.

SUGGESTED READING FOR HEALTHCARE PROFESSIONALS

Abrahm JL, Advances in Palliative Medicine and End-of-Life Care Annu Rev Med. 2011;62:187-99            doi:10.1146/annurev-med-050509-163946.

SUMMARY: Palliative care improves the quality and cost-effectiveness of adult and pediatric patient care, and it decreases unwanted hospitalizations and aggressive care at the end of life. National palliative care quality standards and preferred practices can be used for benchmarking by institutions, health care systems, and accrediting bodies. Pain and symptom management and the management of delirium for patients is now possible for the vast majority of patients, even those with advanced disease. However, because of shortages of specialists providing “tertiary” palliative care, significant improvements are needed […]

A Randomized Clinical Trial of Outpatient Geriatric Evaluation and Management

Boult C, Boult LB, Morishita L, Dowd B, Kane RL, Urdangarin CF, A Randomized Clinical Trial of Outpatient Geriatric Evaluation and Management, Journal of American Geriatrics Society 49 (2001): 351-359. www.ncbi.nlm.nih.gov/pubmed/11347776

SUMMARY: To measure the effects of outpatient geriatric evaluation and management (GEM) on high-risk older persons’ functional ability and use of health services. Targeted outpatient GEM slows functional decline was the conclusion of the study. In 2015 only 300 physicians will complete geriatrics training in the U.S. That doesn’t keep up with the retirement rates or cover the expanding aging population. Geriatric psychiatrists, nurses and social workers are also needed.

End-of-Life Care Consensus Panel: A Consensus-Based Approach to Providing Palliative Care to Patients Who Lack Decision-making Capacity

Karlawish, JH, Quill T, Meier DE, End-of-Life Care Consensus Panel: A Consensus-Based Approach to Providing Palliative Care to Patients Who Lack Decision-making Capacity. Ann Intern Med. 1999 May 18;130(10):835-40.            www.ncbi.nlm.nih.gov/pubmed/10366374

ABSTRACT: Making palliative care decisions for a patient who lacks decision-making capacity presents several challenges. Other people, such as family and caregivers, must choose for the patient. The goals and values of these decision makers may conflict with those of each other and with those of the patient, who now lacks the capacity to participate in the decision. This paper presents a case study of a patient with severe Alzheimer disease […]

Fetal Alcohol Syndrome Treatment for Children

Behavior and Education Therapy
Behavior and education therapy can be an important part of treatment for children with FASDs. Although there are many different types of therapy for children with developmental disabilities, only a few have been scientifically tested specifically for children with FASDs.

Following are behavior and education therapies that have been shown to be effective for some children with FASDs:

Friendship training Many children with FASDs have a hard time making friends, keeping friends, and socializing with others. Friendship training teaches children with FASDs how to interact with friends, how to enter a group of children already playing, how to arrange […]

Medicare aims to improve coordinating seniors’ chronic care

Adjusting medications before someone gets sick enough to visit the doctor. Updating outside specialists so one doctor’s prescription doesn’t interfere with another’s.

Starting this month, Medicare will pay primary care doctors a monthly fee to better coordinate care for the most vulnerable seniors—those with multiple chronic illnesses—even if they don’t have a face-to-face exam.

The goal is to help patients stay healthier between doctor visits, and avoid pricey hospitals and nursing homes.
“We all need care coordination. Medicare patients need it more than ever,” said Sean Cavanaugh, deputy administrator at the Centers for Medicare and Medicaid Services.
About two-thirds of Medicare beneficiaries have two […]

Provider demographics affect pain treatment decision

(HealthDay)—Pain management treatment decisions may be impacted by a health care provider’s demographic characteristics, according to a study published in the January issue of Pain Medicine.

Emily J. Bartley, Ph.D., from the University of Florida in Gainesville, and colleagues evaluated health care provider characteristics among 154 practitioners (77 physicians, 77 dentists) who viewed video vignettes of virtual human (VH) patients whose sex, race, and age varied. VH patients’ pain intensity and unpleasantness were rated by practitioners, who also reported their willingness to prescribe non-opioid and opioid analgesics for each patient.

The researchers found that practitioner sex, race, age, and duration of experience […]

Communication is key to Emergency Department success, new study says

The high-risk, rapidly changing nature of hospital Emergency Departments creates an environment where stress levels and staff burnout rates are high, but researchers at St. Michael’s Hospital have identified the secret sauce that helps many emergency clinicians flourish – communication.

Communication lapses can negatively affect patient health, especially in the first hour of trauma cases – known as the golden hour.
“Many health-care professionals who gravitate to the ED have similar personality traits that draw them to this chaotic and stimulating environment but we’ve found the clinicians who succeed at providing the best care for their patients seem to also possess strong […]

721 Hospitals Penalized For Patient Safety

Medicare is penalizing 721 hospitals with high rates of potentially avoidable mistakes that can harm patients, known as “hospital-acquired conditions.” Penalized hospitals will have their Medicare payments reduced by 1 percent over the fiscal year that runs from October 2014 through September 2015. To determine penalties, Medicare evaluated three types of HACs. One is central-line associated bloodstream infections, or CLABSIs. The second is catheter-associated urinary tract infections, or CAUTIs. The final one, Serious Complications, is based on eight types of injuries, including blood clots, bed sores and falls. Here are the hospitals that are being penalized:

See the list of hospitals […]

American Academy of Private Physicians

American Academy of Psychotherapists