Difference between revisions of "Medical Interventions"
From Patient Determinants
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See [http://www.patientdeterminants.org/index.php?title=Health_Determinants#Medical_Interventions_Determinants Medical Intervention Determinants] | See [http://www.patientdeterminants.org/index.php?title=Health_Determinants#Medical_Interventions_Determinants Medical Intervention Determinants] | ||
+ | ====Medical Interventions Activities ''Insight''==== | ||
+ | Insights into [http://www.patientdeterminants.org/index.php?title=Health_Determinants#Medical_Interventions_Determinants Medical Interventions Determinants] that can decisively affect a patient's overall health and well-being. | ||
+ | |||
+ | Access to Medical Care <br> | ||
+ | * [http://www.commonwealthfund.org/publications/issue-briefs/2017/aug/state-variation-high-need-adults High-need adults faced significant barriers accessing needed care in many states. In Alabama, Georgia, Idaho, North Carolina, and South Carolina, for example, 40 percent or more of high-need adults reported not seeing a doctor when needed or not filling a prescription because of cost. (8/7/17)] | ||
+ | * [http://www.beckershospitalreview.com/patient-engagement/10-statistics-about-treating-patients-with-complex-needs.html In a survey of high-need patients (2 or more major chronic conditions like heart failure, stroke or diabetes requiring insulin, among other factors), 19% used the ED instead of a physician's office or a clinic, 44% delayed care in the past year because of inhibited access. 22% reported a lack of transportation as a reason for delaying care. 95% have a regular physician or place of care, only 35% said it was somewhat or very easy to get medical care after hours without visiting an ED, compared to 53% of other adults (12/9/16)] | ||
+ | * [http://www.forbes.com/sites/robertpearl/2016/07/07/how-the-immense-gap-between-physicians-and-patients-threatens-all-of-us/#1f7cd3ca67f8 Access to medical care in the evenings and on weekends. 32% of doctors say they see patients in person and only 58% say they provide advice by telephone 24/7. Only 38% of patients say they can obtain medical advice by telephone during off-hours. 2% of patients are able to engage in a video visit with their physicians. (7/7/16)] | ||
+ | |||
+ | Behavioral Health Access <br> | ||
+ | * [http://kcur.org/post/shortage-psychiatrists-leads-patients-costly-er-hospitalization#stream/0 Shortage of Psychiatrists Leads Patients to Costly ER, Hospitalization (5/23/17)] | ||
+ | * [http://blog.acphospitalist.org/2016/12/suicide-psychiatric-care-and-inadequate.html Suicide rate in America has risen by 24% in the last 15 years associated with a significant reduction in the numbers of psychiatric beds available. (12/28/16)] | ||
+ | * [http://khn.org/news/scarcity-of-mental-health-care-means-patients-especially-kids-land-in-er/amp/ Scarcity Of Mental Health Care Means Patients — Especially Kids — Land In ER (10/17/16)] | ||
+ | * [http://www.beckershospitalreview.com/patient-flow/suicidal-patients-often-wait-hours-for-hospital-beds.html Suicidal patients often wait hours for hospital beds (9/20/16)] | ||
+ | * [http://www.beckershospitalreview.com/patient-flow/amid-shortage-number-of-psychiatric-beds-in-us-down-13-from-2010.html Number of psychiatric beds in US down 13% from 2010. (8/2/16)] | ||
+ | * [http://content.healthaffairs.org/content/35/7/1271.abstract Population Of US Practicing Psychiatrists Declined, 2003–13, Which May Help Explain Poor Access To Mental Health Care (7/2016)] | ||
+ | * [http://www.kevinmd.com/blog/2014/07/troubling-deficiencies-mental-health-system.html The troubling deficiencies in our mental health system (7/4/14)] | ||
+ | * [http://mashable.com/2014/05/01/get-help-anonymously/#XcWpnilo6uq7 4 Ways to Reach Out for Mental Health Help Anonymously (5/1/14)] | ||
+ | |||
+ | Behavioral Health Treatment <br> | ||
+ | * [https://www.washingtonpost.com/news/to-your-health/wp/2016/10/19/report-more-than-half-of-mentally-ill-u-s-adults-get-no-treatment/ More than half of mentally ill U.S. adults get no treatment (10/19/16)] | ||
+ | * [http://khn.org/news/screening-positive-for-depression-doesnt-mean-youll-get-treatment-study-finds/amp/ Most Americans who screen positive for depression don’t receive treatment — while most who did receive treatment don’t actually have the condition. (8/29/16)] | ||
+ | * [http://healthaffairs.org/blog/2016/08/10/suicide-prevention-access-to-behavioral-health-services-lacking/ Over 80% of individuals who had an emergency department visit for self-harm did not receive treatment from a specialty behavioral health provider in the 90 days before their emergency department visit. (8/10/16)] | ||
+ | * [http://content.healthaffairs.org/content/35/6/1052.full In fighting an opiod epidemic, medication-assisted treatment is effective but underused (6/2016)] | ||
+ | * [http://www.samhsa.gov/sites/default/files/samhsa-fy2016-congressional-justification.pdf More than half of people with mental illnesses and 90 percent of people with substance use disorders do not get specialty care services. (2016)] | ||
+ | * [http://www.theatlantic.com/health/archive/2015/10/why-80-percent-of-addicts-cant-get-treatment/410269/ 80% of people who are dependent on heroin or painkillers are not getting treatment (10/13/15)] | ||
+ | * [http://healthaffairs.org/blog/2015/10/01/the-forgotten-chronic-disease-mental-health-among-teens-and-young-adults/ Approximately one in five Americans—including children, teens, college youth, and adults—has a mental health problem. Majority of children with mental health conditions are not identified and lack access to treatment. Barriers include: Stigma, Inadequate screening by primary care providers, Trouble finding treatment, Failure to implement evidence-based therapies, Slow implementation of research findings (10/1/15)] | ||
+ | |||
+ | Emergency Room <br> | ||
+ | * [http://www.beckershospitalreview.com/quality/10k-patients-die-each-year-within-7-days-of-leaving-a-hospital-er-study-finds.html 10k patients die each year within 7 days of leaving a hospital ER, study finds. (2/1/17)] | ||
+ | * [https://www.excellusbcbs.com/wps/portal/xl/!ut/p/b0/04_Sj9CPykssy0xPLMnMz0vMAfGjzOJDQoNMfMw9jAzcPQPMDTxNwnyCLc0DjAyCjfQLsh0VAfw_Qe0!/?WCM_PORTLET=PC_Z7_TUR4L7H20GIP70I4VLS97P2020000199_WCM&WCM_GLOBAL_CONTEXT=/wps/wcm/connect/default/excellus/our+company/news+room/news+releases/excellus+corporate+news/corpnr-06apr2016-alternatives+for+potentially+preventable+nys+hospital+er+visits+examined 10 common conditions represent more than 2 million annual visits to NY State hospital ERs at an estimated cost of about $1.3 billion, and 9 out of 10 of them could have been avoided or treated elsewhere (4/6/16).] | ||
+ | * [http://www.fiercehealthcare.com/healthcare/most-2012-minnesota-ed-visits-were-unnecessary Most 2012 Minnesota ED visits were unnecessary. The more than 1 million ED visits may have been prevented (7/23/15)] | ||
+ | * [http://www.forbes.com/sites/robertglatter/2015/06/01/er-revisit-rates-higher-than-previously-thought-often-more-costly-than-initial-visits/#2669acb66893 ER Revisit Rates Higher Than Previously Thought, Often More Costly Than Initial Visits (6/1/15)] | ||
+ | |||
+ | Medications <br> | ||
+ | * [https://www.beckershospitalreview.com/supply-chain/10-most-popular-prescription-drugs-for-2017.html 10 most popular prescription drugs for 2017 (7/24/17)] | ||
+ | * [http://www.beckershospitalreview.com/opioids/study-prolonged-opioid-use-is-the-most-common-postsurgical-complication.html Study: Prolonged opioid use is the most common postsurgical complication (4/12/17)] | ||
+ | * [http://www.npr.org/sections/health-shots/2016/12/20/502470255/opioids-can-derail-the-lives-of-older-people-too Study of Medicare recipients found about 15% were prescribed an opioid when they were discharged from the hospital; three months later, 42% were still taking the pain medicine. (12/20/16)] | ||
+ | * [http://cardiology.jamanetwork.com/article.aspx?articleid=2521453 Study found a failure by cardiologists to correctly recognize which of their patients were nonadherent with medications (7/2016)] | ||
+ | * [http://www.reuters.com/article/us-usa-pharmaceuticals-costs-idUSKBN0NY08H20150513 575,000 Americans used at least $50,000 in prescription medicines last year, about 139,000 used at least $100,000 worth of medication (5/13/15)] | ||
+ | * [http://khn.org/news/americas-other-drug-problem-copious-prescriptions-for-hospitalized-elderly/amp/ ‘America’s other drug problem’: Giving the elderly too many prescriptions. 74-year-old woman with a long history of health problems was in the hospital with pneumonia and difficulty breathing. Her medical records showed she was on 36 medications. (8/15/16)] | ||
+ | |||
+ | Observation Stays <br> | ||
+ | * [http://www.fiercehealthcare.com/healthcare/1-5-medicare-patients-return-to-hospital-after-observation-stay 1 in 5 Medicare patients return to hospital after an observation stay (6/21/17)] | ||
+ | |||
+ | Opioid Treatment <br> | ||
+ | * [https://www.statnews.com/2017/08/11/opioid-overdose-costs/ Between 2009 and 2015, the average cost of care per opioid admission increased from $58,500 to $92,400 (8/11/17)] | ||
+ | * [http://www.usatoday.com/story/news/2015/05/24/addiction-treatment-shortage/27181773/ Addiction treatment hard to find, even as overdose deaths soar (5/24/15)] | ||
+ | |||
+ | Physician Visit <br> | ||
+ | * [http://www.beckershospitalreview.com/population-health/34-of-american-adults-did-not-see-talk-to-a-physician-last-year-3-report-findings-to-know.html CDC report: 34% of American adults did not see, talk to a physician last year (5/5/16)] | ||
+ | |||
+ | Post-Acute Care<br> | ||
+ | * [http://medcitynews.com/2013/08/iom-finds-regional-health-spending-differences-linked-to-post-hospital-care-provider-charges/ IOM finds regional health spending differences linked to post-hospital care, provider charges (8/5/13)] | ||
+ | |||
+ | Readmission to Hospitals | ||
+ | * [http://khn.org/news/some-seniors-just-want-to-be-left-alone-which-can-lead-to-problems/ 28% of patients offered home health care when they’re being discharged from a hospital — mostly older adults — say “no” to those service. (6/15/17)] | ||
+ | * [http://www.mcolblog.com/kcblog/2017/6/9/centura-health-shares-strategies-for-reducing-readmissions-i.html Centura Health Shares Strategies for Reducing Readmissions in Bundled Payment Arrangementsfor total hip arthroplasty (THA) and total knee arthroplasty (TKA) (6/9/17)] | ||
+ | * [http://www.fiercehealthcare.com/healthcare/one-5-hospital-discharges-has-vital-sign-red-flags 1 in 5 hospital patients discharged with unstable vital signs--a likely cause of deaths, readmissions (8/10/16)] | ||
+ | * [http://khn.org/news/more-than-half-of-hospitals-to-be-penalized-for-excess-readmissions/amp/ The government will punish more than half of the nation’s hospitals — a total of 2,597 — having more patients than expected return within a month. (8/2/16)] | ||
+ | * [http://www.rwjf.org/content/dam/farm/reports/reports/2013/rwjf404178 One in five elderly patients is back in the hospital within 30 days of leaving (11/2013)] | ||
+ | |||
+ | Virtual Visits <br> | ||
+ | * [http://www.healthcareitnews.com/news/study-shows-telehealth-increased-office-visits-had-minimal-health-benefits Study shows telehealth increased office visits, had minimal health benefits (8/16/17)] | ||
+ | * [https://www.fiercehealthcare.com/mobile/survey-more-than-half-patients-prefer-telehealth-to-person-care Survey: More than half of patients prefer telehealth visits to in-person care (7/17/17)] | ||
+ | * [http://www.beckershospitalreview.com/telehealth/rural-telehealth-use-for-mental-illness-sees-uptick-of-45-yearly-10-study-insights.html Rural telehealth use for mental illness sees uptick of 45% yearly (5/2/17)] | ||
+ | * [http://www.npr.org/sections/health-shots/2014/06/30/325488110/online-psychotherapy-gains-fans-and-raises-privacy-concerns Online Psychotherapy Gains Fans And Raises Privacy Concerns (6/30/14)] | ||
+ | * [https://ehrintelligence.com/news/41-organizations-reimbursed-telehealth-services/ 41% of Organizations Are Not Reimbursed for Telehealth Services (11/13/14)] |
Revision as of 17:44, 18 February 2019
Medical Interventions are treatments and services that are typically reimbursed by healthcare insurance companies.
- See more on how Medical Interventions impact Health Status
- See more on how Medical Interventions impact Health Outcomes
Most health plans are based on Medicare fee schedules, so they typically reimburse for the same or similar services.
- Part A (hospital/facility interventions),
- Part B (physician interventions),
- Part C (Medicare Advantage Health Plans),
- Part D (medication interventions).
See Medical Intervention Determinants
Medical Interventions Activities Insight
Insights into Medical Interventions Determinants that can decisively affect a patient's overall health and well-being.
Access to Medical Care
- High-need adults faced significant barriers accessing needed care in many states. In Alabama, Georgia, Idaho, North Carolina, and South Carolina, for example, 40 percent or more of high-need adults reported not seeing a doctor when needed or not filling a prescription because of cost. (8/7/17)
- In a survey of high-need patients (2 or more major chronic conditions like heart failure, stroke or diabetes requiring insulin, among other factors), 19% used the ED instead of a physician's office or a clinic, 44% delayed care in the past year because of inhibited access. 22% reported a lack of transportation as a reason for delaying care. 95% have a regular physician or place of care, only 35% said it was somewhat or very easy to get medical care after hours without visiting an ED, compared to 53% of other adults (12/9/16)
- Access to medical care in the evenings and on weekends. 32% of doctors say they see patients in person and only 58% say they provide advice by telephone 24/7. Only 38% of patients say they can obtain medical advice by telephone during off-hours. 2% of patients are able to engage in a video visit with their physicians. (7/7/16)
Behavioral Health Access
- Shortage of Psychiatrists Leads Patients to Costly ER, Hospitalization (5/23/17)
- Suicide rate in America has risen by 24% in the last 15 years associated with a significant reduction in the numbers of psychiatric beds available. (12/28/16)
- Scarcity Of Mental Health Care Means Patients — Especially Kids — Land In ER (10/17/16)
- Suicidal patients often wait hours for hospital beds (9/20/16)
- Number of psychiatric beds in US down 13% from 2010. (8/2/16)
- Population Of US Practicing Psychiatrists Declined, 2003–13, Which May Help Explain Poor Access To Mental Health Care (7/2016)
- The troubling deficiencies in our mental health system (7/4/14)
- 4 Ways to Reach Out for Mental Health Help Anonymously (5/1/14)
Behavioral Health Treatment
- More than half of mentally ill U.S. adults get no treatment (10/19/16)
- Most Americans who screen positive for depression don’t receive treatment — while most who did receive treatment don’t actually have the condition. (8/29/16)
- Over 80% of individuals who had an emergency department visit for self-harm did not receive treatment from a specialty behavioral health provider in the 90 days before their emergency department visit. (8/10/16)
- In fighting an opiod epidemic, medication-assisted treatment is effective but underused (6/2016)
- More than half of people with mental illnesses and 90 percent of people with substance use disorders do not get specialty care services. (2016)
- 80% of people who are dependent on heroin or painkillers are not getting treatment (10/13/15)
- Approximately one in five Americans—including children, teens, college youth, and adults—has a mental health problem. Majority of children with mental health conditions are not identified and lack access to treatment. Barriers include: Stigma, Inadequate screening by primary care providers, Trouble finding treatment, Failure to implement evidence-based therapies, Slow implementation of research findings (10/1/15)
Emergency Room
- 10k patients die each year within 7 days of leaving a hospital ER, study finds. (2/1/17)
- 10 common conditions represent more than 2 million annual visits to NY State hospital ERs at an estimated cost of about $1.3 billion, and 9 out of 10 of them could have been avoided or treated elsewhere (4/6/16).
- Most 2012 Minnesota ED visits were unnecessary. The more than 1 million ED visits may have been prevented (7/23/15)
- ER Revisit Rates Higher Than Previously Thought, Often More Costly Than Initial Visits (6/1/15)
Medications
- 10 most popular prescription drugs for 2017 (7/24/17)
- Study: Prolonged opioid use is the most common postsurgical complication (4/12/17)
- Study of Medicare recipients found about 15% were prescribed an opioid when they were discharged from the hospital; three months later, 42% were still taking the pain medicine. (12/20/16)
- Study found a failure by cardiologists to correctly recognize which of their patients were nonadherent with medications (7/2016)
- 575,000 Americans used at least $50,000 in prescription medicines last year, about 139,000 used at least $100,000 worth of medication (5/13/15)
- ‘America’s other drug problem’: Giving the elderly too many prescriptions. 74-year-old woman with a long history of health problems was in the hospital with pneumonia and difficulty breathing. Her medical records showed she was on 36 medications. (8/15/16)
Observation Stays
Opioid Treatment
- Between 2009 and 2015, the average cost of care per opioid admission increased from $58,500 to $92,400 (8/11/17)
- Addiction treatment hard to find, even as overdose deaths soar (5/24/15)
Physician Visit
Post-Acute Care
Readmission to Hospitals
- 28% of patients offered home health care when they’re being discharged from a hospital — mostly older adults — say “no” to those service. (6/15/17)
- Centura Health Shares Strategies for Reducing Readmissions in Bundled Payment Arrangementsfor total hip arthroplasty (THA) and total knee arthroplasty (TKA) (6/9/17)
- 1 in 5 hospital patients discharged with unstable vital signs--a likely cause of deaths, readmissions (8/10/16)
- The government will punish more than half of the nation’s hospitals — a total of 2,597 — having more patients than expected return within a month. (8/2/16)
- One in five elderly patients is back in the hospital within 30 days of leaving (11/2013)
Virtual Visits
- Study shows telehealth increased office visits, had minimal health benefits (8/16/17)
- Survey: More than half of patients prefer telehealth visits to in-person care (7/17/17)
- Rural telehealth use for mental illness sees uptick of 45% yearly (5/2/17)
- Online Psychotherapy Gains Fans And Raises Privacy Concerns (6/30/14)
- 41% of Organizations Are Not Reimbursed for Telehealth Services (11/13/14)