Difference between revisions of "Medical Interventions"

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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]
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====Medical Interventions Activities ''Insight''====
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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.
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Access to Medical Care <br>
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* [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)]
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* [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)]
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* [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)]
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Behavioral Health Access <br>
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* [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)]
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* [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)]
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* [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)]
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* [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)]
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* [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)]
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* [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)]
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* [http://www.kevinmd.com/blog/2014/07/troubling-deficiencies-mental-health-system.html The troubling deficiencies in our mental health system (7/4/14)]
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* [http://mashable.com/2014/05/01/get-help-anonymously/#XcWpnilo6uq7  4 Ways to Reach Out for Mental Health Help Anonymously (5/1/14)]
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Behavioral Health Treatment <br>
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* [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)]
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* [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)]
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* [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)]
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* [http://content.healthaffairs.org/content/35/6/1052.full In fighting an opiod epidemic, medication-assisted treatment is effective but underused (6/2016)]
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* [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)]
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* [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)]
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* [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)]
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Emergency Room <br>
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* [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)]
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* [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).]
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* [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)]
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* [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)]
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Medications <br>
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* [https://www.beckershospitalreview.com/supply-chain/10-most-popular-prescription-drugs-for-2017.html 10 most popular prescription drugs for 2017 (7/24/17)]
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* [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)]
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* [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)]
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* [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)]
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* [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)]
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* [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)]
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Observation Stays <br>
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* [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)]
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Opioid Treatment <br>
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* [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)]
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* [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)]
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Physician Visit <br>
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* [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)]
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Post-Acute Care<br>
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* [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)]
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Readmission to Hospitals
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* [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)]
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* [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)]
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* [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)]
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* [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)]
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* [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)]
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Virtual Visits <br>
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* [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)]
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* [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)]
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* [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)]
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* [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)]
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* [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.

Most health plans are based on Medicare fee schedules, so they typically reimburse for the same or similar services.

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

Behavioral Health Access

Behavioral Health Treatment

Emergency Room

Medications

Observation Stays

Opioid Treatment

Physician Visit

Post-Acute Care

Readmission to Hospitals

Virtual Visits