Impending RF: Intubate Without Delay
A small minority of Asthma patients will show signs of worsening ventilation, whether from worsening airflow obstruction, worsening respiratory muscle fatigue, or a combination of the two. Signs of impending respiratory failure include a declining mental clarity, worsening fatigue, and a PCO2 of ≥ 42 mm Hg. Because respiratory failure can progress rapidly and can be difficult to reverse, early recognition and treatment are critical. The Expert Panel Report 2 recommends that intubation not be delayed once it is deemed necessary.
Asthma: Module B, Complications
Pain Assessment Intervals
Failure to assess pain is a critical factor leading to under-treatment. Assessment involves both the clinician and the patient. Assessment should occur at:
- Regular intervals after initiation of treatment.
- Each new report of pain.
- A suitable interval after pharmacologic or non-pharmacologic intervention, e.g., 15 to 30 minutes after parenteral drug therapy and 1 hour after oral administration.
Identifying the etiology of pain is important to its management. Clinicians treating patients with cancer should recognize common cancer pain syndromes, since prompt diagnosis and treatment reduces the morbidity associated with unrelieved pain.
Pain Management: Module E, Cancer Pain
|Commercial Payers Use Predictive Modeling
Predictive modeling applies a statistical methodology to clinical and administrative data to forecast medical outcomes and costs for a given population. Commercial payers use predictive modeling extensively to price their premiums and to budget for hospital costs. Commercial payers can improve disease management and care management programs through predictive modeling and thus can improve health quality and control utilization.
[Reference: Hospital Revenue Cycle: Module A, Industry Cash Flow]
CAD hospitalizations drop 32%
Over the last decade, the number of Medicare patients hospitalized for cardiac issues dropped more quickly than those attributed to other causes. Among heart health issues coronary artery disease hospitalizations dropped 32 percent, followed by heart attacks down about 22 percent. Heart failure hospitalizations also fell by nearly 17 percent, according to a study at New York University School of Medicine. Conversely, hospitalizations because of an irregular heartbeat (cardiac arrhythmia) bucked the trend, going up by more than 10 percent. (HealthDay News, May 11, 2011)
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CM Excellence® Series:
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» Hospital Revenue Cycle
» Behavioral Health
» Colorectal Cancer
» CV Risk: Stroke & MI
» EOL & Palliative
» GI Disorders
» Heart Failure
» Multiple Sclerosis
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» Rheumatoid Arthritis
» Women’s Health
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