Physicians who want to sell their practice should first take some time to address their accounts receivable and should craft an A/R plan, writes Cheyenne Brinson, MBA, CPA. This should include assessing A/R, going after any "low-hanging fruit" and breaking the work up into manageable daily and weekly time slots.
CDC researchers reported that 36.4% of the 13,508 pool chemical injury-related emergency department visits between 2015 and 2017 involved youths younger than 18, with most injuries caused by chemical fume or dust inhalation. The findings in the agency's Morbidity and Mortality Weekly Report also showed that 64.5% of injuries happened between Memorial Day weekend and Labor Day.
Adolescents who owned promotional items from alternative tobacco manufacturers had a 2.1 times increased likelihood of using alternative tobacco products, such as e-cigarettes, compared with those who didn't, after adjusting for age, ethnicity/race, gender, baseline alcohol and cigarette use, and maternal educational attainment, according to a study in JAMA Network Open. Researcher Bonnie Halpern-Felsher said the findings should prompt the FDA to prohibit tobacco product companies from providing any marketing materials to youths.
Registered dietitian Carolyn Williams says people often ask her what they need to eat, and while there is no perfect diet and nutrition needs will vary, she says eating more whole grains, unsaturated fats and unprocessed foods are good ideas for improving a diet. RD Lisa Valente says she gets questions about protein needs, although most people get enough protein from the foods they eat and do not need a dietary supplement.
A study presented at Digestive Disease Week found 97.5% of children with Crohn's disease who followed the Crohn's Disease Exclusion Diet tolerated the therapy, compared with 73.7% of children on exclusive enteral nutrition. Outcomes for disease activity, inflammation reduction and sustained steroid-free remission were similar in both groups.
Physical therapy can treat constipation and pelvic floor dysfunction effectively without medication, writes Dr. Judy Nee. Physical therapists using biofeedback to track results for constipation improvement showed an almost 80% improvement rate compared with 22% of those who used laxatives, one study found.
The specialty medical home model can improve outcomes and reduce costs for people with inflammatory bowel and rheumatic diseases, says Dr. Miguel Regueiro, chairman of the department of gastroenterology, hepatology and nutrition at the Cleveland Clinic. Gastroenterologists have been slow to adopt the medical home model, but support from payers and medical schools are changing the culture, Regueiro said.
Smartphone and computer apps have become ubiquitous in daily life, providing the potential to bridge EHR interoperability gaps, and rules proposed by the Office of the National Coordinator for Health IT aim to facilitate the connection of EHRs with third-party apps through application programming interfaces, says National Coordinator Donald Rucker. If the initiative succeeds, clinicians would no longer have to report quality data because insurers could extract data through APIs and apply machine learning technology to rate quality, Rucker says.
A lack of standards for capturing and reporting data on social determinants of health and behavioral health impede the electronic exchange and use of such data, according to a survey of health information exchange leaders. The survey also found that managing risk and delivering on the promise of value-based care are among HIE leaders' top priorities.
Research presented at the American Academy of Neurology's annual meeting found 17.5% of patients with atrial fibrillation treated and discharged from an emergency department were prescribed an anticoagulant, compared with 80% admitted to the hospital for inpatient care and 73% admitted for observation. "So it seems that anticoagulants are vastly underutilized in patients that would significantly benefit from their use," said lead author Hope Hua.
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