Weekend Reading

first_img ShareEmailPrint To learn more, read: Posted on July 1, 2011November 13, 2014Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to email this to a friend (Opens in new window)Click to print (Opens in new window)This week on the MHTF blog:We received the final posts from the Young Champions of Maternal HealthWe introduced a series of posts on cash transfersKG Santhya from the Pop Council wrote about her research on JSY in IndiaThe deadline for abstract submissions for the MHealth Summit is next weekFrance Donnay from the Gates Foundation reflected on her experience at the 29th Congress of the ICMCIESAS is moving along with their evaluation of Mexico’s ALSO programSome reading for the weekend:Evaluating the evidence: post partum hemorrhageMisoprostol use in MozambiqueNew data from the OECDPrioritizing family planning in UgandaShare this:last_img read more

We are in the early stages of the streaming wars

first_imgWe are in the early stages of the streaming wars, the point in television history in which we begin to regret the whole idea of “cutting the cord.” Sure, many of us are giving up cable, but in order to maintain a steady diet of television #content, we must pay for a growing number of streaming platforms. Right now Hulu, Netflix, HBO, and Amazon Prime Video dominate the streaming market, and much of the television we want to watch is available in one of those four platforms. Unfortunately, that’s going to change soon, as additional streaming options flood the market and, in doing so, take their properties away from Hulu, Netflix, and Amazon. Disney Plus will be the first to arrive this December, and Disney is already pulling its content library from Netflix. Meanwhile, Disney now wholly controls Hulu, and since Disney already owns ABC and recently bought Fox/FX that means that ABC and Fox/FX programming will continue to air on Hulu. In three years, however, Hulu will lose NBC programming while Warner Brothers will also take its library away from Hulu and Netflix for its WarnerMedia streaming service. Got it? In other words, in a few years time, cable will be largely a thing of the past, but consumers will have to choose among a variety of streaming services to fulfill all their content needs: Netflix, Hulu, Disney Plus, Amazon, HBO, NBCUniversal, WarnerMedia, CBS All Access, and don’t forget Apple’s forthcoming streaming service, which will be loaded with original content plus there are rumors that Apple may buy Sony at some point.last_img read more

Study shows that clinical diagnosis is not best predictor of avoidable hospitalization

first_imgReviewed by James Ives, M.Psych. (Editor)Aug 29 2018The care of long-term nursing home patients can be fragmented by hospitalizations and re-hospitalizations, which are especially burdensome for frail older adults. There is a significant likelihood of reduced functioning and overall negative impact on their health after discharge from the hospital. Preventing transfers of long-stay nursing home patients to hospitals improves continuity of care and decreases costs to the healthcare system.Traditionally, clinical diagnosis is used to judge whether the hospital transfer of a nursing home patient is potentially avoidable or unnecessary. However, a recent study from the Regenstrief Institute and Indiana University Center for Aging Research, reports that a patient’s diagnosis is not the best predictor of whether that individual will be transferred to a hospital or remain in place.”Our data show that preventing avoidable hospitalization is less about clinical diagnosis and more about having coordinated systems in place,” said Kathleen Unroe, M.D., M.H.A. of Regenstrief and IU. “These systems can prevent potentially harmful events that result from unnecessary transfers to the hospital.”We need to be asking and answering a lot of questions in order to determine if a nursing home patient should be transported to the hospital.”Dr. Unroe, who led the new study, co-directed Phase I of OPTIMISTIC, short for Optimizing Patient Transfers, Impacting Medical quality and Improving Symptoms: Transforming Institutional Care, and is directing Phase II of OPTIMISTIC. She is the interim director of the Regenstrief and IU Center for Aging Research.OPTIMISTIC nurses, embedded in 19 nursing homes, reviewed hundreds of transfers to the hospital. The nurses looked at whether patients had one of six diagnoses commonly associated with potentially avoidable hospitalizations: pneumonia, urinary tract infections, dehydration, pressure ulcers, cellulitis, heart failure and chronic obstructive pulmonary disease/asthma. The nurses determined that 25 percent of acute transfers of patients had a diagnosis commonly associated with potentially avoidable hospitalizations versus 22 percent of transfers associated with other diagnoses.Related StoriesHow to find and use new federal ratings for rehab services at nursing homesExperts explain what happens after hip fracture in older adultsStudy examines potential advantages and disadvantages of blister packaging for nursing homesThe most common quality improvement opportunities associated with potentially avoidable transfers were a lack of nursing home resources, resources not available at the time of transfer or that the condition might actually have been managed safely with available resources. Improved communications; earlier detection of a change in condition, sign, or symptom; earlier palliative care services and the need for earlier discussion of preferences for care were also reported as opportunities for improvement.”A long-stay nursing home resident shouldn’t be sent to the hospital just because of miscommunication between doctors and nursing facility staff – we can do better than that,” said Dr. Unroe. “Keeping complex patients in the nursing facility is often the right choice. A nursing facility setting – a familiar place with staff and clinicians who know the patient – may be the patient’s best option in many circumstances. We need to address this issue and improve care. Our findings highlight quality improvement opportunities and strongly reflect the need for multi-targeted solutions like OPTIMISTIC.””Investigating the Avoidability of Hospitalizations of Long Stay Nursing Home Residents – Opportunities for Improvement” is published in Innovation in Aging, a peer-reviewed, open access journal of The Gerontological Society of America.Source: https://www.regenstrief.org/last_img read more