Monthly Archives: April 2014

National Sexual Assault TeleNursing Center Pilot Project – Office for Victims of Crime

KS97457(200x137)Massachusetts Sexual Assault Nurse Examiners (SANEs) and the National Sexual Assault TeleNursing Center (NTC) are seeking rural communities to provide a community of support for clinicians who may conduct sexual assault examinations in rural facilities. The goal is to increase their confidence, competence, and retention and to support quality care for adult and adolescent SA patients. The NTC will use telemedicine technology to provide 24/7 remote clinician to clinician assistance from the Massachusetts SANEs.

Read more: National Sexual Assault TeleNursing Center Pilot Project – Office for Victims of Crime (Apr 21, 2014)

10 children’s hospitals made the U.S. News Best Hospitals 2013-14 Honor Roll

U.S. News surveyed 179 pediatric centers to obtain clinical data in 10 specialties and asked 150 pediatric specialists in each specialty where they would send the sickest children. Eighty-seven hospitals ranked in at least one specialty.

Pediatric Specialties:

  • Cancer
  • Cardiology & Heart Surgery
  • Diabetes & Endocrinology
  • Gastroenterology & GI Surgery
  • Neonatology
  • Nephrology
  • Neurology & Neurosurgery
  • Orthopedics
  • Pulmonology
  • Urology

10 hospitals, with high scores in three or more specialties,  were named to the Honor Roll.

Best Children’s Hospitals Honor Roll
Rank Hospital Specialties
1 Children’s Hospital of Philadelphia  10
2 Boston Children’s Hospital  10
3 Cincinnati Children’s Hospital Medical Center  9
4 Texas Children’s Hospital, Houston  6
5 Children’s Hospital Los Angeles  6
6 St. Louis Children’s Hospital-Washington University  4
7 Children’s Hospital Colorado, Aurora  5
8 Ann and Robert H. Lurie Children’s Hospital of Chicago  4
8 Johns Hopkins Children’s Center, Baltimore  4
10 Children’s Hospital of Pittsburgh of UPMC   3

Read more: U.S. News Best Hospitals 2013-14 in U.S. by children’s specialty

18 adult hospitals made the U.S. News Best Hospitals 2013-14 Honor Roll

U.S. News surveyed nearly 10,000 specialists and sifted through data for approximately 5,000 hospitals to rank the best in 16 adult specialties, from cancer to urology. Death rates, patient safety, and hospital reputation were a few of the factors considered.

16 Adult Specialties
Cancer Neurology & Neurosurgery
Cardiology & Heart Surgery Ophthalmology
Diabetes & Endocrinology Orthopedics
Ear, Nose & Throat Psychiatry
Gastroenterology & GI Surgery Pulmonology
Geriatrics Rehabilitation
Gynecology Rheumatology
Nephrology Urology

Hospitals that rank near the top of at least 6 specialties earn a spot on the Honor Roll.
18 distinguished hospitals made this year’s list.

Best Hospitals Honor Roll
Rank Hospital Specialties
1 Johns Hopkins Hospital, Baltimore 15
2 Massachusetts General Hospital, Boston 16
3 Mayo Clinic, Rochester, Minn. 15
4 Cleveland Clinic 14
5 UCLA Medical Center, Los Angeles 13
6 Northwestern Memorial Hospital, Chicago 12
7 New York-Presbyterian University Hospital of Columbia and Cornell, N.Y. 10
7 UCSF Medical Center, San Francisco 10
9 Brigham and Women’s Hospital, Boston 10
10 UPMC-University of Pittsburgh Medical Center 10
11 Hospital of the University of Pennsylvania, Philadelphia 11
12 Duke University Medical Center, Durham, N.C. 9
13 Cedars-Sinai Medical Center, Los Angeles 8
14 NYU Langone Medical Center, New York 8
15 Barnes-Jewish Hospital/Washington University, St. Louis 9
16 IU Health Academic Health Center, Indianapolis 7
17 Thomas Jefferson University Hospital, Philadelphia 6
18 University Hospitals Case Medical Center, Cleveland 6

Read more: U.S. News Best Hospitals 2013-14 in U.S. by adult specialty

Why can’t direct primary care get more traction?

KS97453smThe Affordable Care Act (ACA) allows Direct Primary Care (DPC) providers to compete with traditional health insurance options when combined with a low cost high deductible plan in the health insurance exchange.

The DPC provider may only see 50 patients, allowing thorough conversations and building trust, which helps identify problems earlier and avoid illnesses. The traditional primary care provider could have 2,500 patients and 10-12 minute visits. The DPC also cuts 10-20% off the cost of healthcare simply by not billing insurance companies.

A monthly fee covers your primary healthcare needs, including the extended office visits, follow-ups on treatment plans, and in-house services such as basic lab work, x-rays, splints and vaccinations. Providers are a mix of physicians, nurse practitioners and physician assistants. The DPC will also recommend and coordinate services with specialists and acute care providers when applicable.

Direct Primary Care (DPC) has had many names, including direct care, direct practice medicine, concierge medicine, concierge health care, boutique medicine, retainer-based medicine, innovative medical practice design, membership medicine, and cash-only practice.  With the ACA penalizing readmissions, and unnecessary admissions, you would think DPCs would be very popular in Washington, DC.  The Direct M.D. Care Act (H.R. 3315) had many sponsors last year, but it’s currently stuck in committee. Reimbursements for Medicare patients, and particularly those who are dual eligible in Medicare and Medicaid are, once again, part of the problem.

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