- Facebook advertising for recruitment of midlife women with bothersome vaginal symptoms: A pilot study. [Journal Article]
- CTClin Trials 2019 May 06; :1740774519846862
- CONCLUSIONS: Recruitment to a clinical trial testing interventions for postmenopausal vaginal symptoms is feasible through social media advertising. Variability in observed effectiveness and costs may reflect the small sample sizes and limited budget of the pilot recruitment study.
- Drug costs in long-term care facilities under a per diem bundled payment scheme in Japan. [Journal Article]
- GGGeriatr Gerontol Int 2019 Apr 09
- CONCLUSIONS: These findings might suggest that implementation of the bundled payment scheme would be effective for the reduction of medication costs in institutional long-term care. Geriatr Gerontol Int 2019; ••: ••-••.
- Per Diem Paid to States for Care of Eligible Veterans in State Homes. Final rule. [Journal Article]
- FRFed Regist 2018 Nov 28; 83(229):61250-86
- This rulemaking adopts as final, with changes, proposed amendments to VA's regulations governing payment of per diem to States for nursing home care, domiciliary care, and adult day health care for e…
This rulemaking adopts as final, with changes, proposed amendments to VA's regulations governing payment of per diem to States for nursing home care, domiciliary care, and adult day health care for eligible veterans in State homes. This rulemaking reorganizes, updates, and clarifies State home regulations, authorizes greater flexibility in adult day health care programs, and establishes regulations regarding domiciliary care, with clarificationsregarding the care that State homes must provide to veterans in domiciliaries.
- Economic Impact of Aging on the Initial Spine Care of Patients With Acute Spine Trauma: From Bedside to Teller. [Journal Article]
- NNeurosurgery 2018 May 22
- CONCLUSIONS: Given the escalating demand for surgical and nonsurgical spine treatment in the age of aging population, the timely results of this study underline key aspects of the economic impact of the spine care of the elderly. Further investigations are needed to fulfill significant knowledge gaps on the economics of caring for elderly with AST.
- Management of Animal Care and Use Programs in Research, Education, and Testing: Fiscal Management [BOOK]
- BOOKCRC Press/Taylor & Francis: Boca Raton (FL)
- A sound financial footing is essential for a well-run animal care program, and it is important that program directors and managers have a working knowledge of program finances. Animal care programs a…
A sound financial footing is essential for a well-run animal care program, and it is important that program directors and managers have a working knowledge of program finances. Animal care programs are being forced to do more with less while operational expenses continue to climb or remain flat at best. Given this new reality, informed and relentless financial management is more important than ever to ensure that programs meet their various stakeholders’ needs. Innovative programs are adapting a proactive budgeting and tracking process in which every cost is challenged with the intent to reduce or eliminate it eventually, and embedding this process in a general management culture that is committed to unyielding continuous improvement through eliminating unnecessary work while providing researchers and animals with faster, better, cheaper, safer services. Effective and inventive fiscal management is of interest to many other laboratory animal constituencies, including: The parent organization, be it a university, governmental agency, or company looking for a quality program whose cost is reasonable and competitive. In addition, internal institutional groups (internal audit, budget offices, etc.) evaluate whether the program is fiscally sound. Researchers want a well-run program that is affordable. Most universities and some private companies charge daily housing (also known as per diems) and other fees”“researchers pay attention to these rates and “comparison shop””“often without appreciating that variances between institutions’ per diem rates are due to differential institutional subsidies rather than operating costs. Daily housing fees may not be as prevalent at governmental agencies or companies, but researchers still want to ensure that the animal care program provides necessary resources. Attractive wages and employee benefits are critical to maintaining animal care program staff. It is also important that fiscal managers embrace change and prepare for constant improvement and updating of resources needed by the animal program staff, such as supplies, equipment, and repairs and renovations. Funding agencies, such as the National Institutes of Health (NIH) and foundations, require the animal care program to properly charge expenses according to funding agency guidelines. Billing rates should be based on actual costs. Inspection and accrediting agencies (e.g., the U.S. Department of Agriculture [USDA] and Association for Assessment and Accreditation of Laboratory Animal Care [AAALAC]), although not interested in program finances, focus on whether necessary staffing, equipment, repairs and renovations, and so forth, have been funded and provided. These agencies help assure private and funding sources that animal use is justified and humane, and can have a favorable impact on an investigator’s proposal review. It is critical that animal program management ensure adequate financial resources to support these needs. Sound financial management should tell the financial story in clear terms. It should meet the needs and format of the institution being served, and include acceptable accounting practices, sound budget planning, and frequent monitoring and adjustments. It should constantly examine practices and expenses, striving to reduce or eliminate wasteful spending and practices. It is very important to remember that unlike most supplies and services used by the investigators, animal care and maintenance is usually a monopoly and therefore will be viewed critically. The more transparent and fiscally sound the accounting practices, the easier it will be for the manager to tell the program’s story. Financial management comprises four processes: planning, budgeting, monitoring, and cost accounting (Alford 2001). Each of the four steps should be performed on a regular (monthly is recommended) basis for both short-term and long-term management. To ignore any steps truly jeopardizes fiscal management in any organization.
- Cost Analysis of a High Support Housing Initiative for Persons with Severe Mental Illness and Long-Term Psychiatric Hospitalization. [Journal Article]
- CJCan J Psychiatry 2018; 63(7):492-500
- CONCLUSIONS: This study suggests the High Support Housing Initiative is potentially cost saving relative to inpatient hospitalization at the Centre for Addiction and Mental Health.
- Implementation of a Total Hip Arthroplasty Care Pathway at a High-Volume Health System: Effect on Length of Stay, Discharge Disposition, and 90-Day Complications. [Multicenter Study]
- JAJ Arthroplasty 2018; 33(6):1675-1680
- CONCLUSIONS: The THA care pathway implementation was successful in reducing LOS and increasing discharges to home. The care pathway was not associated with a change in 90-day complications; further targeted interventions in this area are needed. Despite care standardization efforts, high-volume hospitals and surgeons had higher performance. Extrapolation of theoretical cost savings indicates that widespread THA care pathway adoption could lead to national healthcare savings of $1.2 billion annually.
- Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements. [Journal Article]
- ICInfect Control Hosp Epidemiol 2018; 39(5):509-515
- CONCLUSIONS: Hospital incentives for investing in patient safety vary by payer and payment configuration. Higher payments provide resources to improve patient safety, but current payment structures may also reduce the willingness of hospitals to invest in patient safety.Infect Control Hosp Epidemiol 2018;39:509-515.
- Use of Western Medicine and Traditional Korean Medicine for Joint Disorders: A Retrospective Comparative Analysis Based on Korean Nationwide Insurance Data. [Journal Article]
- EBEvid Based Complement Alternat Med 2017; 2017:2038095
- This study aimed to compare the usage of Western medicine and traditional Korean medicine for treating joint disorders in Korea. Data of claims from all medical institutions with billing statements f…
This study aimed to compare the usage of Western medicine and traditional Korean medicine for treating joint disorders in Korea. Data of claims from all medical institutions with billing statements filed to HIRA from 2011 to 2014 for the four most frequent joint disorders were used for the analysis. Data from a total of 1,100,018 patients who received medical services from 2011 to 2014 were analyzed. Descriptive statistics are presented as type of care and hospital type. All statistical analyses were performed using IBM SPSS for Windows version 21. Of the 1,100,018 patients with joint disorders, 456,642 (41.5%) were males and 643,376 (58.5%) were females. Per diem costs of hospitalization in Western medicine clinics and traditional Korean medicine clinics were approximately 160,000 KRW and 50,000 KRW, respectively. Among costs associated with Western medicine, physiotherapy cost had the largest proportion (28.78%). Among costs associated with traditional Korean medicine, procedural costs and treatment accounted for more than 70%, followed by doctors' fees (21.54%). There were distinct differences in patterns of medical care use and cost of joint disorders at the national level in Korea. This study is expected to contribute to management decisions for musculoskeletal disease involving joint disorders.
New Search Next
- Will Changes to Medicare Payment Rates Alter Hospice's Cost-Saving Ability? [Journal Article]
- JPJ Palliat Med 2018; 21(5):645-651
- CONCLUSIONS: Medicare savings could continue with the 2016 payment rate change. Cost savings were found for all primary diagnoses analyzed except dementia.