June 2014 Briefing - Anesthesiology
Here are what the editors at HealthDay consider to be the most important developments in Anesthesiology for June 2014. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
New Plan Would Permit Doctors to Treat Patients in Other States
MONDAY, June 30, 2014 (HealthDay News) -- A proposal to make it much easier for doctors licensed in one state to treat patients in other states in person, online, or by videoconference has been prepared by the Federation of State Medical Boards, which includes the agencies that license and discipline doctors.
Court: Patients Responsible for Outcomes of Risky Behavior
FRIDAY, June 27, 2014 (HealthDay News) -- The Colorado Supreme Court has ruled that patients can be at least partially responsible for their health outcomes resulting from their own unhealthy behavior, according to the American Medical Association (AMA), which supported the physicians in the case.
PCP Follow-Up Cuts Readmission After High-Risk Surgery
THURSDAY, June 26, 2014 (HealthDay News) -- For surgical patients at high risk of readmission, especially those with surgical complications, early primary care provider (PCP) follow-up reduces the rate of readmission, according to a study published online June 25 in JAMA Surgery.
Wikipedia Drug Entries Often Not Up-to-Date
THURSDAY, June 26, 2014 (HealthDay News) -- Patients frequently turn to digital media for drug information; however, many Wikipedia entries about medications aren't up-to-date and accurate, according to a perspective piece published in the June 26 issue of the New England Journal of Medicine.
Standardized Instructions Improve Preop Med Compliance
WEDNESDAY, June 25, 2014 (HealthDay News) -- A standardized, pictorial "Preoperative Patient Medication Instruction Sheet" can improve patient medication compliance on the day of surgery, according to a study published in the July issue of Anesthesiology.
No Mortality Benefit for Epidural During Hip Repair
TUESDAY, June 24, 2014 (HealthDay News) -- Regional anesthesia does not offer a mortality benefit among hospitalized patients undergoing repair for a hip fracture, according to a study published June 25 in the Journal of the American Medical Association.
Medicaid Backlog May Have Financial Ramifications
TUESDAY, June 24, 2014 (HealthDay News) -- There is a considerable backlog in Medicaid enrollment applications, which may have financial ramifications on physicians and practices, according to an article published online June 10 in Medical Economics.
CMS Launches Initiative to Assist Newly Insured
MONDAY, June 23, 2014 (HealthDay News) -- A national initiative has been launched to help answer questions that people may have about their new health coverage and to offer health providers the tools needed to promote patient engagement, according to a press release from the Centers for Medicare and Medicaid Services (CMS).
14.4% of Kids' Scoliosis Surgeries Have In-Hospital Complications
MONDAY, June 23, 2014 (HealthDay News) -- From 2000 to 2009, the overall in-hospital complication rate for pediatric patients with idiopathic scoliosis who underwent spinal fusion was 14.4 percent, with respiratory complications having the highest rate, according to a study published June 15 in Spine.
Complex Electronic Record Safety Issues Surface Long After Launch
MONDAY, June 23, 2014 (HealthDay News) -- Electronic health record-related safety concerns involving both unsafe technology and unsafe use of technology persist long after "go-live," according to a study published online June 20 in the Journal of the American Medical Informatics Association.
Guidance Offered for Protection When Firing Employees
FRIDAY, June 20, 2014 (HealthDay News) -- Steps can be taken to protect employers in the case of termination of an employee, according to an article published online June 10 in Medical Economics.
Significant Risk for Major Surgery in Low-Weight Infants
FRIDAY, June 20, 2014 (HealthDay News) -- In very low-birth-weight infants, major surgery is independently associated with more than a 50 percent increased risk of death or neurodevelopmental impairment at 18 to 22 months' corrected age, according to a study published online June 16 in JAMA Pediatrics.
NCHS: Insurance Coverage Expands, Gaps Remain
THURSDAY, June 19, 2014 (HealthDay News) -- Two new U.S. government reports provide a statistical snapshot of health and health insurance coverage in 2013, before new coverage options took effect under the Affordable Care Act.
Anesthesiologists Issue Choosing Wisely Recommendations
THURSDAY, June 19, 2014 (HealthDay News) -- A list of the top five unnecessary medical services in anesthesiology has been developed as part of the Choosing Wisely campaign, according to a study published online June 16 in JAMA Internal Medicine.
Cost of Prostate Cancer Surgery Varies Widely in the U.S.
WEDNESDAY, June 18, 2014 (HealthDay News) -- The open market cost of a radical prostatectomy (RP) varies widely in U.S. hospitals, according to research published in the March issue of Urology.
Obstetric Safety Program Improves Liability Exposure
WEDNESDAY, June 18, 2014 (HealthDay News) -- A comprehensive obstetric safety program can improve liability claims exposure, according to a study published online June 10 in the American Journal of Obstetrics & Gynecology.
ACA May Mean Healthier Young Adults, Study Suggests
WEDNESDAY, June 18, 2014 (HealthDay News) -- A popular provision of the Affordable Care Act that allows young adults to stay on a parent's health insurance plan up to age 26 may be good for their health and financial security, a new study suggests. The study was published as a research letter in the June 18 issue of the Journal of the American Medical Association.
U.S. Health Care System Ranked Last Again: Report
MONDAY, June 16, 2014 (HealthDay News) -- The United States' health system once again comes in last when compared to 10 other rich nations, according to the latest Commonwealth Fund report on the issue.
Clinicians Often Fail to Empathize After Adverse Event
MONDAY, June 16, 2014 (HealthDay News) -- The health care industry is recognizing the benefits of prompt and transparent physician communication with patients and families about bad outcomes, according to an article published June 10 in Medical Economics.
Physician Leadership, Ownership Dominates ACOs
MONDAY, June 16, 2014 (HealthDay News) -- Physicians are playing strong leadership and ownership roles in accountable care organizations (ACOs), according to research published in the June issue of Health Affairs.
HHS Inspector General Finds Big Problem With Medicare Coding
FRIDAY, June 13, 2014 (HealthDay News) -- Nearly 42 percent of Medicare claims for evaluation and management (E/M) services are incorrectly coded, according to an article published June 2 in Medical Economics.
Frailty Index Predicts Adverse Outcomes in Geriatric Trauma
FRIDAY, June 13, 2014 (HealthDay News) -- Frailty index is an independent predictor of in-hospital complications and adverse discharge disposition among geriatric trauma patients, according to a study published online June 11 in JAMA Surgery.
Researchers Hesitant to Use Social Media to Show Findings
FRIDAY, June 13, 2014 (HealthDay News) -- Researchers remain uncertain about the use of social media to communicate their findings to policy makers, according to research published online June 6 in Health Affairs.
Data From EHRs Should Be Used to Improve Patient Care
THURSDAY, June 12, 2014 (HealthDay News) -- The data from electronic health records (EHRs) should be utilized to improve the quality of patient care, according to an article published online June 10 in Medical Economics.
Millions Will Not Have to Pay ACA Tax Penalties: Report
TUESDAY, June 10, 2014 (HealthDay News) -- Although an estimated 30 million people will still be uninsured in 2016, only four million are expected to pay penalties, according to the latest report from the nonpartisan Congressional Budget Office (CBO).
Incentives May Lead to Greater Support for Practice Goals
MONDAY, June 9, 2014 (HealthDay News) -- Incentives may aid employees in meeting practice goals, according to an article published May 23 in Medical Economics.
Veterans Affected by Scandal May Seek Private Care
FRIDAY, June 6, 2014 (HealthDay News) -- The recent scandal at the U.S. Department of Veterans Affairs (VA) may lead to more veteran visits to private physicians and community health centers, according to an article published June 2 in Medical Economics.
Physician Political Contributions Are Increasing, Shifting
FRIDAY, June 6, 2014 (HealthDay News) -- The political alignment of physicians in the United States has shifted from predominantly Republican to predominantly Democrat, based in part on the larger number of women physicians and smaller percentage of physicians practicing solo or in small practices, according to research published online June 2 in JAMA Internal Medicine.
Many 'Inconsistencies' in ACA Sign-Ups: Report
THURSDAY, June 5, 2014 (HealthDay News) -- A new government document finds that more than a quarter of the eight million people who signed up for coverage under the Obama Administration's new health care law have "inconsistencies" in the data they supplied.
Claim Denials Expected to Increase
WEDNESDAY, June 4, 2014 (HealthDay News) -- Even with good office procedures, most practices are plagued by claim denials, a hassle that is expected to increase in the coming years, according to an article published May 8 in Medical Economics.
Most Physicians Would Forgo Aggressive Treatment
WEDNESDAY, June 4, 2014 (HealthDay News) -- Although physicians regularly recommend high-intensity, aggressive, life-prolonging care for their terminally ill patients, the vast majority would choose to forgo such care for themselves at the end of life, according to a study published online May 28 in PLOS ONE.
EHRs Can Be Used to Boost Practice Revenue
TUESDAY, June 3, 2014 (HealthDay News) -- Practices can achieve return on investment (ROI) for implementation of electronic health record (EHR) systems if they participate in alternative delivery models, according to an article published May 8 in Medical Economics.
Surgical Checklists Cut Post-Op Complications
MONDAY, June 2, 2014 (HealthDay News) -- Surgical checklists reduce postoperative complications but have no significant effect on mortality, according to a review published in the June issue of Anesthesiology.