Registered dietitian Toby Amidor's biggest concern is a well-balanced diet, and she says including foods that are organic or do not contain genetically modified organisms is a personal decision. Studies have found no nutritional differences between organic and regular foods, Amidor says, and it is beneficial to eat more fruits and vegetables regardless of whether they are organic or non-GMO.
A Health Catalyst report found that in 2017 almost three dozen health care organizations documented 125 improvements in quality, cost and efficiency using data and analytics to guide interventions. The report found 42% of the improvements involved clinical outcomes, 18% were related to financial outcomes and 35% involved operational improvements.
A CMS sepsis quality performance measure for hospitals lacks evidence showing it improves patient survival, according to a review published in the Annals of Internal Medicine. The Severe Sepsis and Septic Shock Early Management Bundle includes up to 141 tasks physicians have to perform for each patient, and an accompanying editorial said the findings should prompt talks with the CMS about the bundle.
A George Mason University working paper said a growing physician shortage requires the US to find more ways for doctors to join the workforce. The paper suggested embracing innovative technology solutions, removing barriers to opening more medical schools, hiring foreign-trained physicians and using more nonphysician providers.
The current crackdown on undocumented immigrants threatens to swell foster care rolls as deportations of parents increase, the Immigrant Legal Resource Center reports. Additionally, "if immigrants are fearful of cooperating with child welfare workers, children may be exposed to increased risk, and situations may escalate unnecessarily," the report says.
Mercy Hospital in Folsom, Calif., is coordinating efforts from an array of local agencies and groups to assist victims of human trafficking. "Oftentimes, we have a feeling something is going on, so we ask questions like, 'Has anyone ever asked you exchange sex for food, clothing, shelter or drugs?' and that's kind of how it starts," said social worker Cristina Barajas.
Children are sleeping in foster care contractors' offices throughout Kansas because of a worsening shortage of available placements. Observers have cited the opioid epidemic and cuts in psychiatric services and welfare policies as factors.
Computerization of public assistance systems has often failed those in need by sacrificing individual attention to perceived efficiency, an author contends. Virginia Eubanks cites examples from several states in "Automating Inequality: How High-Tech Tools Profile, Police and Punish the Poor."
Tribal governments in Alaska have begun taking over some child welfare services for Native American children under an agreement with government that officials call the first of its kind in the US. The Alaska Tribal Child Welfare Compact seeks to reduce the disproportionate number of Native American children in foster care.
Pharmacy benefit managers are taking steps to ensure that forthcoming drugs for migraines and nonalcoholic steatohepatitis remain affordable. PBMs say they will harness market forces to negotiate discounts as they did when a new generation of drugs for hepatitis C hit the market.