As controversy swirls around the government's failure to keep track of nearly 1,500 children who crossed the US border last year, a news investigation finds that states have closed their files on at least 61,000 children in foster care listed as missing. The figure, covering the past 18 years, excludes 53,000 classified as runaways.
The opioid epidemic has led to a rise in the number of traumatized and impoverished students at a time when budgets already are overstretched for other needs. Battles over teacher pay have taken place in some of the states hardest hit by addiction.
The latest of a series of negative reviews of Indiana's child welfare system will get action, Gov. Eric Holcomb promised to put $25 million toward raises for DCS workers and pledged to start implementing the report's recommendations. The review cited high caseloads, high turnover and "a culture of fear," among other problems.
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.
HealtheConnect Alaska has implemented an updated enterprise master patient index solution to improve the accuracy of patient EHR matching and the health data exchange services of the health information exchange. The EMPI solution will also allow the HIE to access prescription-drug monitoring programs, enabling providers to search for patient EHRs and access a patient's prescription and controlled-substance history.
The Medicare Payment Advisory Commission voted to recommend a 30% payment cut for some off-campus emergency departments in urban areas to slow their growth. It also endorsed a Medicare payment model that would allow payments for emergency services at certain rural hospitals that switch from full-service to outpatient-only care.
Getting credentialed to accept insurance reimbursement can take months and begins with providing information to the Council for Affordable Quality Healthcare for insurer review, said registered dietitian nutritionist Krista Ulatowski. The contracting process will include setting reimbursement rates and outlining policies for filing claims, and Ulatowski said it is recommended that dietitians apply to more than one insurer to help ensure acceptance.
To counter the misinformation around healthy eating, registered dietitian nutritionist Michelle Caravella started Normalizing Nutrition to provide personalized dietary advice. Caravella says there are many generic nutrition programs and services that lack individuality and may come up short on safety and efficacy.
Based on data from the athenahealth network for 1.5 million appointments with primary care providers from 2014 to 2017, nurse practitioners were 4.8% less likely to inappropriately prescribe antibiotics, compared with physicians. AANP President Joyce Knestrick said training differences may be behind the variation.
Florida Atlantic University has launched a program to prepare more nursing students and registered nurses to practice to the full scope of their license as part of community-based primary care teams. The goal is to help fill a gap in access to primary care, especially among veterans and vulnerable populations, said College of Nursing Dean Marlaine Smith.