Difference between revisions of "Medical Intervention Treatments"

Latest revision as of 19:21, 18 February 2019

Medical Interventions Treatments are health determinants that impact patients health.

Acute Care

Observation Stays

• 1 in 5 Medicare patients return to hospital after an observation stay (6/21/17)

Behavioral Health Treatments

• 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)

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)

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)

Physician Office Visit

Advanced Care Planning

• In 2016, the first year advance-care planning session Medicare paid health care providers for this service, nearly 575,000 Medicare beneficiaries took part in the conversations (8/14/18)

Frequency

• CDC report: 34% of American adults did not see, talk to a physician last year (5/5/16)

Preventitive Care and Screenings

• A study found that only 4% of adults were screened for depression during primary care visits. (2/23/17)
• Why Depression Screenings Should Be Part of Routine Check-Ups (2/16/16)
• US task force recommends physicians screen all adult patients for depression (1/26/16)
• Annual Wellness Visit - It is now more a conversation about wellness and prevention then trying to find evidence of disease as it was in the past (4/1/15)
• Only 10% of Medicaid smokers received cessation medications in 2013. (1/2016)
• Walgreens hopes to screen 3 million on mental health by next year (5/10/16)

Post-Acute Care

Post-Acute Care

• IOM finds regional health spending differences linked to post-hospital care, provider charges (8/5/13)

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)

Retail Clinics

• Retail clinics reduce unnecessary ER visits by up to 12% (7/17/17)
• While valuable, retail clinics haven’t resulted in lower ER visits (11/14/16)

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)

Virtual Visits

• Telehealth Visits Are 83% Effective, Less Than Half as Costly (12/16/14)
• 12 virtual visit services that connect patients at home to doctors or nurses (6/12/14)
• Telehealth for chronic disease patients improves satisfaction (5/12/14)
• Virtual Visits: Cutting Healthcare Costs (1/2/15)