Policy. Health care hits a speed bump.
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Biomedical subjects
Publications and source records attributed to Dagmara Scalise.
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As U.S. medical care relies more heavily on prescription drugs, hospitals are caught in an increasingly painful situation. Shortages of critical pharmaceuticals often leave hospitals empty-handed and, according to clinicians, endanger patient safety. Soaring drug costs account for a huge proportion of burgeoning health care spending, and strategies to control costs, including pharmacy benefit managers and drug discount cards for seniors, so far have had limited or negligible success. Direct-to-consumer advertising has increased demand for expensive--and according to some experts, unnecessary or inappropriate--prescription drugs. In this special report H&HN examines the pressures that these factors put on hospitals.
Cardiovascular services are one of the few remaining profit centers for hospitals, and as baby boomers age, the need for such care is skyrocketing. A good cardiology program enhances a hospital's reputation and patient volume. However, the pressures to expand and the cost of swiftly changing technology put hospitals that are trying to keep up in a tight squeeze, which raises the question: is the pulse of change in cardiology too rapid?
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Along with tight reimbursement and confounding regulations, any list of big headaches for health care leaders includes information technology. We've been promised so much from IT for so long, and have been disappointed so many times, who can blame us for being skeptical, if not downright cynical? When is the last time an investment in information technology actually improved your bottom line? But we know we can't dismiss IT altogether. At the end of the rainbow there really is efficiency, security and better care for patients. So how close are we? In this issue, H&HN takes a hard look at technology--what it can do for us today and tomorrow. We look at return on investment, examining whether hospitals are measuring what they get back against what they put in; a budding effort to bring a common platform to health care IT; handheld computers; electronic medical records; and computerized physician order entry. The technology is out there, but it's fair to ask: is it really clicking yet?
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Physicians are angry, that that's bad news for hospitals. Increasingly, doctors are unable to pay soaring liability insurance premiuyms, are refusing to accept new Medicaid and Medicare patients, and are balking at taking ED calls. What's more, many physicians are setting up niche facilities that compete directly with hospitals in the most lucrative service lines.
Innovative health care organizations are leading the way in taking medication safety from concept to reality. This month's fold-out section looks at those programs and provides tools for you to implement a medication safety program at your hospital.
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Computerized physician order entry is controversial. Backers say it helps reduce medication errors significantly. Critics note that it's expensive, as well as complex to design and implement. This guide considers the advantages and costs of CPOE.
A new generation of clinical IT systems has hit the market all at once. Is this vigorous competition vendor driven, or has health care--and the technology needed to support it--fundamentally changed? And what does it all mean for hospitals struggling to decide where to spend the big bucks it takes to remain technologically viable?
Specialty centers that focus on lucrative services such as cardiology and orthopedics pose a challenge to full-service hospitals in already crowded health care markets. We examine how hospitals in three markets have responded, from aggressively working to keep niche facilities from gaining a foothold to partnering with physicians on their own centers.