Base de dados : MEDLINE
Pesquisa : N03.219.521.710.305.500 [Categoria DeCS]
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[PMID]:29231695
[Au] Autor:Centers for Medicare & Medicaid Services (CMS), HHS.
[Ti] Título:Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2018; Medicare Shared Savings Program Requirements; and Medicare Diabetes Prevention Program. Final rule.
[So] Source:Fed Regist;82(219):52976-3371, 2017 Nov 15.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This major final rule addresses changes to the Medicare physician fee schedule (PFS) and other Medicare Part B payment policies such as changes to the Medicare Shared Savings Program, to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. In addition, this final rule includes policies necessary to begin offering the expanded Medicare Diabetes Prevention Program model.
[Mh] Termos MeSH primário: Redução de Custos/economia
Tabela de Remuneração de Serviços/economia
Reembolso de Seguro de Saúde/economia
Medicare Part B/economia
Medicare/economia
Sistema de Pagamento Prospectivo/economia
[Mh] Termos MeSH secundário: Redução de Custos/legislação & jurisprudência
Current Procedural Terminology
Diabetes Mellitus/economia
Diabetes Mellitus/prevenção & controle
Tabela de Remuneração de Serviços/legislação & jurisprudência
Seres Humanos
Reembolso de Seguro de Saúde/legislação & jurisprudência
Medicare/legislação & jurisprudência
Medicare Part B/legislação & jurisprudência
Sistema de Pagamento Prospectivo/legislação & jurisprudência
Sistemas de Informação em Radiologia/economia
Sistemas de Informação em Radiologia/legislação & jurisprudência
Escalas de Valor Relativo
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE


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[PMID]:29028757
[Au] Autor:Pickard AS; Hung YT; Lin FJ; Lee TA
[Ad] Endereço:*Department of Pharmacy Systems, Outcomes and Policy, and Center for Pharmacoepidemiology Pharmacoeconomic Research, College of Pharmacy, University of Illinois at Chicago †Department of Medical Research, China Medical University Hospital, Taichung, Taiwan ‡Department of Pharmacy Systems, Outcomes and Policy, College of Pharmacy, University of Illinois at Chicago §Graduate Institute of Clinical Pharmacy, College of Medicine ∥Department of Pharmacy, National Taiwan University Hospital, Taipei, Taiwan.
[Ti] Título:Patient Experience-based Value Sets: Are They Stable?
[So] Source:Med Care;55(11):979-984, 2017 Nov.
[Is] ISSN:1537-1948
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although societal preference weights are desirable to inform resource-allocation decision-making, patient experienced health state-based value sets can be useful for clinical decision-making, but context may matter. OBJECTIVE: To estimate EQ-5D value sets using visual analog scale (VAS) ratings for patients undergoing knee replacement surgery and compare the estimates before and after surgery. METHODS: We used the Patient Reported Outcome Measures data collected by the UK National Health Service on patients undergoing knee replacement from 2009 to 2012. Generalized least squares regression models were used to derive value sets based on the EQ-5D-3 level using a development sample before and after surgery, and model performance was examined using a validation sample. RESULTS: A total of 90,450 preoperative and postoperative valuations were included. For preoperative valuations, the largest decrement in VAS values was associated with the dimension of anxiety/depression, followed by self-care, mobility, usual activities, and pain/discomfort. However, pain/discomfort had a greater impact on VAS value decrement in postoperative valuations. Compared with preoperative health problems, postsurgical health problems were associated with larger value decrements, with significant differences in several levels and dimensions, including level 2 of mobility, level 2/3 of usual activities, level 3 of pain/discomfort, and level 3 of anxiety/depression. Similar results were observed across subgroups stratified by age and sex. CONCLUSIONS: Findings suggest patient experience-based value sets are not stable (ie, context such as timing matters). However, the knowledge that lower values are assigned to health states postsurgery compared with presurgery may be useful for the patient-doctor decision-making process.
[Mh] Termos MeSH primário: Artroplastia do Joelho/psicologia
Tomada de Decisão Clínica/métodos
Medidas de Resultados Relatados pelo Paciente
Escalas de Valor Relativo
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Análise dos Mínimos Quadrados
Masculino
Meia-Idade
Período Pós-Operatório
Período Pré-Operatório
Análise de Regressão
Escala Visual Analógica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171014
[St] Status:MEDLINE
[do] DOI:10.1097/MLR.0000000000000802


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[PMID]:28655413
[Au] Autor:Turner TB; Dilley SE; Smith HJ; Huh WK; Modesitt SC; Rose SL; Rice LW; Fowler JM; Straughn JM
[Ad] Endereço:Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, United States. Electronic address: taylorturner@uabmc.edu.
[Ti] Título:The impact of physician burnout on clinical and academic productivity of gynecologic oncologists: A decision analysis.
[So] Source:Gynecol Oncol;146(3):642-646, 2017 Sep.
[Is] ISSN:1095-6859
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Physician burnout is associated with mental illness, alcohol abuse, and job dissatisfaction. Our objective was to estimate the impact of burnout on productivity of gynecologic oncologists during the first half of their career. METHODS: A decision model evaluated the impact of burnout on total relative value (RVU) production during the first 15years of practice for gynecologic oncologists entering the workforce from 2011 to 2015. The SGO practice survey provided physician demographics and mean annual RVUs. Published data were used to estimate probability of burnout for male and female gynecologic oncologists, and the impact of depression, alcohol abuse, and early retirement. Academic productivity was defined as annual PubMed publications since finishing fellowship. RESULTS: Without burnout, RVU production for the cohort of 250 gynecologic oncologists was 26.2 million (M) RVUs over 15years. With burnout, RVU production decreased by 1.6 M (5.9% decrease). Disproportionate rates of burnout among females resulted in 1.1 M lost RVUs for females vs. 488 K for males. Academic production without burnout was estimated at 9277 publications for the cohort. Burnout resulted in 1383 estimated fewer publications over 15years (14.9%). CONCLUSIONS: The impact of burnout on clinical and academic productivity is substantial across all specialties. As health care systems struggle with human resource shortages, this study highlights the need for effective burnout prevention and wellness programs for gynecologic oncologists. Unless significant resources are designated to wellness programs, burnout will increasingly affect the care of our patients and the advancement of our field.
[Mh] Termos MeSH primário: Esgotamento Profissional/psicologia
Eficiência
Ginecologia
Modelos Estatísticos
Oncologistas/estatística & dados numéricos
Publicações Seriadas/estatística & dados numéricos
[Mh] Termos MeSH secundário: Alcoolismo/psicologia
Técnicas de Apoio para a Decisão
Depressão/psicologia
Feminino
Seres Humanos
Masculino
Oncologistas/psicologia
Probabilidade
Escalas de Valor Relativo
Aposentadoria
Fatores Sexuais
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170629
[St] Status:MEDLINE


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[PMID]:28502549
[Au] Autor:Perri JL; Zwolak RM; Goodney PP; Rutherford GA; Powell RJ
[Ad] Endereço:Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH. Electronic address: Jennifer.l.perri@hitchcock.org.
[Ti] Título:Reimbursement in hospital-based vascular surgery: Physician and practice perspective.
[So] Source:J Vasc Surg;66(1):317-322, 2017 Jul.
[Is] ISSN:1097-6809
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this study was to determine change in value of a vascular surgery division to the health care system during 6 years at a hospital-based academic practice and to compare physician vs hospital revenue earned during this period. METHODS: Total revenue generated by the vascular surgery service line at an academic medical center from 2010 through 2015 was evaluated. Total revenue was measured as the sum of physician (professional) and hospital (technical) net revenue for all vascular-related patient care. Adjustments were made for work performed, case complexity, and inflation. To reflect the effect of these variables, net revenue was indexed to work relative value units (wRVUs), case mix index, and consumer price index, which adjusted for work, case complexity, and inflation, respectively. Differences in physician and hospital net revenue were compared over time. RESULTS: Physician work, measured in RVUs per year, increased by 4%; case complexity, assessed with case mix index, increased by 10% for the 6-year measurement period. Despite stability in payer mix at 64% to 69% Medicare, both physician and hospital vascular-related revenue/wRVU decreased during this period. Unadjusted professional revenue/wRVU declined by 14.1% (P = .09); when considering case complexity, physician revenue/wRVU declined by 20.6% (P = .09). Taking into account both case complexity and inflation, physician revenue declined by 27.0% (P = .04). Comparatively, hospital revenue for vascular surgery services decreased by 13.8% (P = .07) when adjusting for unit work, complexity, and inflation. CONCLUSIONS: At medical centers where vascular surgeons are hospital based, vascular care reimbursement decreased substantially from 2010 to 2015 when case complexity and inflation were considered. Physician reimbursement (professional fees) decreased at a significantly greater rate than hospital reimbursement for vascular care. This trend has significant implications for salaried vascular surgeons in hospital-based settings, where the majority of revenue generated by vascular surgery care is the technical component received by the facility. Appropriate care for patients with vascular disease is increasingly resource intensive, and as a corollary, reimbursement levels must reflect this situation if high-quality care is to be maintained.
[Mh] Termos MeSH primário: Centros Médicos Acadêmicos/economia
Economia Hospitalar
Gastos em Saúde
Renda
Reembolso de Seguro de Saúde/economia
Administração da Prática Médica/economia
Cirurgiões/economia
Procedimentos Cirúrgicos Vasculares/economia
[Mh] Termos MeSH secundário: Preços Hospitalares
Custos Hospitalares
Seres Humanos
Inflação
Medicare/economia
Qualidade da Assistência à Saúde/economia
Escalas de Valor Relativo
Estudos Retrospectivos
Fatores de Tempo
Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170516
[St] Status:MEDLINE


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[PMID]:28301213
[Au] Autor:Rosenkrantz AB; Wang W; Hughes DR; Ginocchio LA; Rosman DA; Duszak R
[Ad] Endereço:1 Department of Radiology, Center for Biomedical Imaging, NYU School of Medicine, NYU Langone Medical Center, 660 First Ave, 3rd Fl, New York, NY 10016.
[Ti] Título:Academic Radiologist Subspecialty Identification Using a Novel Claims-Based Classification System.
[So] Source:AJR Am J Roentgenol;208(6):1249-1255, 2017 Jun.
[Is] ISSN:1546-3141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The objective of the present study is to assess the feasibility of a novel claims-based classification system for payer identification of academic radiologist subspecialties. MATERIALS AND METHODS: Using a categorization scheme based on the Neiman Imaging Types of Service (NITOS) system, we mapped the Medicare Part B services billed by all radiologists from 2012 to 2014, assigning them to the following subspecialty categories: abdominal imaging, breast imaging, cardiothoracic imaging, musculoskeletal imaging, nuclear medicine, interventional radiology, and neuroradiology. The percentage of subspecialty work relative value units (RVUs) to total billed work RVUs was calculated for each radiologist nationwide. For radiologists at the top 20 academic departments funded by the National Institutes of Health, those percentages were compared with subspecialties designated on faculty websites. NITOS-based subspecialty assignments were also compared with the only radiologist subspecialty classifications currently recognized by Medicare (i.e., nuclear medicine and interventional radiology). RESULTS: Of 1012 academic radiologists studied, the median percentage of Medicare-billed NITOS-based subspecialty work RVUs matching the subspecialty designated on radiologists' own websites ranged from 71.3% (for nuclear medicine) to 98.9% (for neuroradiology). A NITOS-based work RVU threshold of 50% correctly classified 89.8% of radiologists (5.9% were not mapped to any subspecialty; subspecialty error rate, 4.2%). In contrast, existing Medicare provider codes identified only 46.7% of nuclear medicine physicians and 39.4% of interventional radiologists. CONCLUSION: Using a framework based on a recently established imaging health services research tool that maps service codes based on imaging modality and body region, Medicare claims data can be used to consistently identify academic radiologists by subspecialty in a manner not possible with the use of existing Medicare physician specialty identifiers. This method may facilitate more appropriate performance metrics for subspecialty academic physicians under emerging value-based payment models.
[Mh] Termos MeSH primário: Centros Médicos Acadêmicos/utilização
Diagnóstico por Imagem/utilização
Revisão da Utilização de Seguros/estatística & dados numéricos
Medicare/utilização
Radiologia/estatística & dados numéricos
Escalas de Valor Relativo
Carga de Trabalho/estatística & dados numéricos
[Mh] Termos MeSH secundário: Radiologistas/utilização
Radiologia/recursos humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE
[do] DOI:10.2214/AJR.16.17323


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[PMID]:28112537
[Au] Autor:Babashahy S; Baghbanian A
[Ad] Endereço:Department of Economics, Otago Business School, The University of Otago, Dunedin, New Zealand.
[Ti] Título:Letter to the Editor.
[So] Source:Arch Iran Med;20(1):71-72, 2017 Jan.
[Is] ISSN:1735-3947
[Cp] País de publicação:Iran
[La] Idioma:eng
[Mh] Termos MeSH primário: Planos de Pagamento por Serviço Prestado/economia
Padrões de Prática Médica/normas
Escalas de Valor Relativo
Desempenho Profissional/normas
[Mh] Termos MeSH secundário: Seres Humanos
Irã (Geográfico)
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170124
[St] Status:MEDLINE
[do] DOI:0172001/AIM.0016


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[PMID]:28024653
[Au] Autor:Benoit MF; Ma JF; Upperman BA
[Ad] Endereço:Division of Gynecologic Oncology, 11511 NE 10th St, Bellevue WA 98004, United States. Electronic address: benoit.m@ghc.org.
[Ti] Título:Comparison of 2015 Medicare relative value units for gender-specific procedures: Gynecologic and gynecologic-oncologic versus urologic CPT coding. Has time healed gender-worth?
[So] Source:Gynecol Oncol;144(2):336-342, 2017 Feb.
[Is] ISSN:1095-6859
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In 1992, Congress implemented a relative value unit (RVU) payment system to set reimbursement for all procedures covered by Medicare. In 1997, data supported that a significant gender bias existed in reimbursement for gynecologic compared to urologic procedures. The present study was performed to compare work and total RVU's for gender specific procedures effective January 2015 and to evaluate if time has healed the gender-based RVU worth. METHODS: Using the 2015 CPT codes, we compared work and total RVU's for 50 pairs of gender specific procedures. We also evaluated 2015 procedure related provider compensation. The groups were matched so that the procedures were anatomically similar. We also compared 2015 to 1997 RVU and fee schedules. RESULTS: Evaluation of work RVU's for the paired procedures revealed that in 36 cases (72%), male vs female procedures had a higher wRVU and tRVU. For total fee/reimbursement, 42 (84%) male based procedures were compensated at a higher rate than the paired female procedures. On average, male specific surgeries were reimbursed at an amount that was 27.67% higher for male procedures than for female-specific surgeries. Female procedure based work RVU's have increased minimally from 1997 to 2015. CONCLUSION: Time and effort have trended towards resolution of some gender-related procedure worth discrepancies but there are still significant RVU and compensation differences that should be further reviewed and modified as surgical time and effort highly correlate.
[Mh] Termos MeSH primário: Current Procedural Terminology
Doenças dos Genitais Masculinos/cirurgia
Procedimentos Cirúrgicos em Ginecologia/economia
Oncologia/economia
Medicare/economia
Escalas de Valor Relativo
[Mh] Termos MeSH secundário: Feminino
Doenças dos Genitais Masculinos/economia
Seres Humanos
Masculino
Sexismo
Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170625
[Lr] Data última revisão:
170625
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161228
[St] Status:MEDLINE


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[PMID]:27876522
[Au] Autor:Awad N; Caputo FJ; Carpenter JP; Alexander JB; Trani JL; Lombardi JV
[Ad] Endereço:Division of Vascular Surgery, Department of Surgery, Cooper University Hospital, Camden, NJ.
[Ti] Título:Relative value unit-based compensation incentivization in an academic vascular practice improves productivity with no early adverse impact on quality.
[So] Source:J Vasc Surg;65(2):579-582, 2017 Feb.
[Is] ISSN:1097-6809
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Given the increased pressure from governmental programs to restructure reimbursements to reflect quality metrics achieved by physicians, review of current reimbursement schemes is necessary to ensure sustainability of the physician's performance while maintaining and ultimately improving patient outcomes. This study reviewed the impact of reimbursement incentives on evidence-based care outcomes within a vascular surgical program at an academic tertiary care center. METHODS: Data for patients with a confirmed 30-day follow-up for the vascular surgery subset of our institution's National Surgical Quality Improvement Program submission for the years 2013 and 2014 were reviewed. The outcomes reviewed included 30-day mortality, readmission, unplanned returns to the operating room, and all major morbidities. A comparison of both total charges and work relative value units (RVUs) generated was performed before and after changes were made from a salary-based to a productivity-based compensation model. P value analysis was used to determine if there were any statistically significant differences in patient outcomes between the two study years. RESULTS: No statistically significant difference in outcomes of the core measures studied was identified between the two periods. There was a trend toward a lower incidence of respiratory complications, largely driven by a lower incidence in pneumonia between 2013 and 2014. The vascular division had a net increase of 8.2% in total charges and 5.7% in work RVUs after the RVU-based incentivization program was instituted. CONCLUSIONS: Revenue-improving measures can improve sustainability of a vascular program without negatively affecting patient care as evidenced by the lack of difference in evidence-based core outcome measures in our study period. Further studies are needed to elucidate the long-term effects of incentivization programs on both patient care and program viability.
[Mh] Termos MeSH primário: Assistência à Saúde/economia
Eficiência
Administração da Prática Médica/economia
Avaliação de Processos (Cuidados de Saúde)/economia
Indicadores de Qualidade em Assistência à Saúde/economia
Reembolso de Incentivo/economia
Escalas de Valor Relativo
Procedimentos Cirúrgicos Vasculares/economia
[Mh] Termos MeSH secundário: Redução de Custos
Análise Custo-Benefício
Bases de Dados Factuais
Seres Humanos
New Jersey
Avaliação de Programas e Projetos de Saúde
Centros de Atenção Terciária/economia
Fatores de Tempo
Resultado do Tratamento
Procedimentos Cirúrgicos Vasculares/efeitos adversos
Procedimentos Cirúrgicos Vasculares/mortalidade
Fluxo de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170516
[Lr] Data última revisão:
170516
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161124
[St] Status:MEDLINE


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[PMID]:27556630
[Au] Autor:Drolet BC; Tandon VJ; Sargent R; Loor K; Schmidt ST; Liu PY
[Ad] Endereço:Providence, R.I. From the Department of Plastic Surgery, Rhode Island Hospital and the Warren Alpert Medical School of Brown University.
[Ti] Título:Revenue Generation and Plastic Surgery Training Programs: 1-Year Evaluation of a Plastic Surgery Consultation Service.
[So] Source:Plast Reconstr Surg;138(3):539e-42e, 2016 Sep.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In academic institutions, residents make substantial contributions to clinical productivity. However, billing cannot be generated unless there is direct attending physician supervision of these services. The purpose of this study was to quantify clinical services provided by residents at a large academic medical center. METHODS: The authors performed a review of all consultations to the plastic surgery service between January 1 and December 31, 2014. Documentation was reviewed and hypothetical billing for services was generated using American Medical Association Current Procedural Terminology and evaluation and management codes. RESULTS: A total of 2367 consultations were reviewed during the 1-year study period. Residents provided services under indirect supervision for the majority of consultations [n = 1940 (81.9 percent)]. If these services had been billed, evaluation and management would have resulted in 6970 physician work relative value units. More than half of the encounters (52.0 percent) involved at least one procedure, resulting in an additional 3316 work relative value units from 1339 Current Procedural Terminology codes. Using a conservative estimate (2014 Medicare reimbursement rates), charges from these services would total $368,496. CONCLUSIONS: The plastic surgery consultation service is a potential source of uncaptured revenue for training programs using indirect supervision of residents. Greater than 10,000 work relative value units could have been generated from resident clinical services, which is considerably more than the national average productivity of a full-time, academic plastic surgeon. Capturing a portion of this revenue stream could improve the fiscal balance of training programs and improve the cost-effective use of resident productivity.
[Mh] Termos MeSH primário: Internato e Residência/economia
Encaminhamento e Consulta/economia
Mecanismo de Reembolso/economia
Cirurgia Plástica/educação
Apoio ao Desenvolvimento de Recursos Humanos/economia
[Mh] Termos MeSH secundário: Seres Humanos
Estudos Prospectivos
Escalas de Valor Relativo
Estados Unidos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160825
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000002485


  10 / 1531 MEDLINE  
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[PMID]:27332163
[Au] Autor:Welton JM; Harper EM
[Ad] Endereço:University of Colorado College of Nursing, Aurora, CO.
[Ti] Título:Measuring Nursing Value from the Electronic Health Record.
[So] Source:Stud Health Technol Inform;225:63-7, 2016.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:We report the findings of a big data nursing value expert group made up of 14 members of the nursing informatics, leadership, academic and research communities within the United States tasked with 1. Defining nursing value, 2. Developing a common data model and metrics for nursing care value, and 3. Developing nursing business intelligence tools using the nursing value data set. This work is a component of the Big Data and Nursing Knowledge Development conference series sponsored by the University Of Minnesota School Of Nursing. The panel met by conference calls for fourteen 1.5 hour sessions for a total of 21 total hours of interaction from August 2014 through May 2015. Primary deliverables from the bit data expert group were: development and publication of definitions and metrics for nursing value; construction of a common data model to extract key data from electronic health records; and measures of nursing costs and finance to provide a basis for developing nursing business intelligence and analysis systems.
[Mh] Termos MeSH primário: Economia da Enfermagem/estatística & dados numéricos
Registros Eletrônicos de Saúde/economia
Custos de Cuidados de Saúde/estatística & dados numéricos
Modelos Econômicos
Modelos de Enfermagem
Enfermeiras e Enfermeiros/economia
[Mh] Termos MeSH secundário: Registros Eletrônicos de Saúde/estatística & dados numéricos
Enfermeiras e Enfermeiros/estatística & dados numéricos
Escalas de Valor Relativo
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170414
[Lr] Data última revisão:
170414
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:160623
[St] Status:MEDLINE



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde