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Biomedical subjects

S H Laramee

Publications and source records attributed to S H Laramee.

7 recordsLinked to original sources
PubMed1996

Nutrition services in managed care: new paradigms for dietitians.

Managed care systems are transforming the health care system in the United States. Dietitians will need to review practice opportunities in new and different settings, and develop additional skills to make a successful transition to the transformed health care environment. The shift in health care financing from a fee-for-service model to a capitated system will have the most dramatic impact on the profession. Not all the answers are available, but the focus for the future is clear--customer satisfaction, outcomes research, and cost-effective nutrition services.

Cost-Benefit Analysis↗
PubMed1989

Implications of malnutrition and diagnosis-related groups (DRGs).

The implications of malnutrition on the Medicare Prospective Payment System of diagnosis-related groups (DRGs) were examined in 185 Medicare patients, aged 65 to 69 years, admitted to an acute-care tertiary hospital. Upon admission, patients were classified as malnourished if they were below the acceptable level in at least two of four parameters: serum albumin concentration, total lymphocyte count, percent ideal body weight, and percent weight loss. On the basis of that criterion, 8.6% (no. = 16) of the 185 patients were classified as malnourished. Although patients were classified as malnourished, malnutrition was among several comorbidity and complication (CC) factors, and, therefore, coding for malnutrition in any of these cases would not have increased hospital reimbursement. If malnutrition had been the only CC factor, hospital reimbursement would have been enhanced.

Aged↗
PubMed1989

Entry-level practice: challenges, obligations, and opportunities.

Each of us has a unique and varied set of experiences, ideas, and skills that we bring to dietetic practice. This diversity is the strength of the profession. With a strong commitment to provide nutrition services to the public, entry-level practitioners can successfully meet the challenges, fulfill the obligations, and maximize opportunities in a way that will make the vision of the future a reality for the profession of dietetics.

Dietetics↗