After more than 10 years, ICD-11 has been released by the World Health Organization and will be presented for adoption by member states at the World Health Assembly in May 2019. ICD-11 is fully electronic, contains 55,000 codes and will come into effect on Jan. 1, 2022, and also moves gender incongruence out of the mental health chapter.
Value-based reimbursement models are reducing unnecessary medical spending in the US by an average of 5.6% while improving care quality and patient engagement, according to a study by ORC International for Change Healthcare. However, many payers surveyed said they have struggled to attract health care providers to value-based models and launch new episodic care bundles.
Pediatricians should diagnose preterm infants with gastroesophageal reflux using GER-associated symptoms -- such as feeding intolerance, apnea, arching, inadequate growth, desaturation, pulmonary condition exacerbations, irritability and perceived feeding discomfort -- and the disorder is normal and often self-resolving among premature babies, according to an American Academy of Pediatrics clinical report in Pediatrics. The report does not recommend pharmacologic treatments.
The Oncology Nursing Society is preparing to update Chemotherapy and Biotherapy Guidelines and Recommendations for Practice this fall. The new book will be titled "Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice" and will contain a chapter on immunotherapeutics, including checkpoint inhibitors, chimeric antigen receptor T-cell therapy, cytokines, immunomodulators, monoclonal antibodies and oncolytic viral therapy.
Babies with neonatal abstinence syndrome who received methadone stopped medication nearly two days sooner and left the hospital about three days earlier, compared with those given morphine, researchers reported in JAMA Pediatrics. Treatment was less frequent with methadone as well.
Recommended treatment regimens for uncomplicated Plasmodium falciparum malaria were insufficient for children and women in the second and third trimesters of pregnancy, according to an analysis based on data for 4,546 patients in PLOS Medicine. "From a pharmacological perspective, a dose extension -- twice-daily dosing at the current dosage for 5 days -- for children 25 kg or less and pregnant women during the second and third trimester probably has the greatest advantages for therapeutic efficacy," researchers wrote.
The Lung Transplant Foundation has agreed to support Paragonix Technologies' development of the SherpaLung organ-transport device. The specialized cooler maintains temperatures and lung inflation, and it allows monitoring while in transit.
A Department of Veterans Affairs telemedicine program implemented at 52 ICUs led to a reduction in interhospital patient transfers from 3.46% to 1.99%, compared with a decrease in patient transfers from 2.03% to 1.68% in 94 facilities that did not have a telemedicine program. The study published in the journal Chest found the ICU telemedicine program did not increase 30-day mortality rates.
Only three in 10 people revived in an emergency department or by an emergency medical technician after overdosing were given medication avoid another life-threatening event, researchers report in the Annals of Internal Medicine. Of those who did receive medication, those who took buprenorphine experienced 40% lower mortality after one year than those who did not take medication, and those who took methadone experienced 60% lower mortality than those who did not get treatment.
Town Hall Ventures, Socially Determined and Amazon are among the organizations using analytics and other tools to help stakeholders in health care improve outcomes and reduce costs for the Medicaid population by addressing social determinants of health. Socially Determined founder and CEO Dr. Trenor Williams will discuss the importance of investing in social determinants of health at AHIP's Institute and Expo this week.