value of gathering information on body mass on patients or clients is the focus
of a new podcast in the recently launched series titled Extracting Hidden Gems
from Simple Clinical Measures: The Why, How, and Then What?
Excess body mass or obesity has been identified as a critical health
issue in the United States and around the world. Learn what data physical therapists should gather
and what to do with it, and find additional resources on body mass index, in
this prerecorded podcast that discusses the anthropometric characteristic of
Extracting Hidden Gems from Simple Clinical Measures series can be found on
APTA's recently enhanced vital signs and other patient screenings webpage. This quality-focused web
resource provides information on why and when vital signs and other patient
information should be gathered.
research shows that age, race, employment status, living situation, and education
and income levels are just some of the factors that may play a role in hospital
readmissions. However, the Centers for Medicare and Medicaid Services (CMS) is
not taking these causes into account in its readmissions reduction program,
which started penalizing hospitals October 1 for excessive readmissions, says
an article by Reuters News.
In the study,
published in Journal of General Internal
Medicine, researchers analyzed data from 20 studies on pneumonia and 52 on
For pneumonia patients, among the factors linked to the risk of being
readmitted to the hospital were being older and not white. Having a low level
of education, low income, and being unemployed also were tied to a higher risk
of going back into the hospital.
For heart failure patients, the risk of being readmitted to a hospital was associated
with being elderly, African American, or Hispanic.
The researchers cannot say for certain that the risk factors identified are
what cause a patient to be readmitted to the hospital. But they note in their
report that this kind of information could be used by physicians, case
managers, and discharge planners "to flag patients at high risk of
readmission because of certain nonmedical vulnerabilities," says Reuters.
Visit APTA's hospital readmissions webpage for information
about how physical therapists can help reduce readmissions by providing recommendations for the most appropriate level of care to the health
care team prior to and during care transitions.
Board of Director member Dianne Jewell,
PT, DPT, PhD, CCS, recently was appointed to the National Quality Forum's
(NQF) Ad-hoc Planned Readmissions Committee. NQF readmissions panels have primarily
been staffed with physicians, which makes Jewell's appointment particularly significant
for the physical therapy profession.
hoc review may be conducted on an endorsed measure at any time if 1 or more of
the following criteria are met:
reviews can be requested at any time by any party, as long as there is adequate
evidence to justify the review.
conduct an ad hoc review requested by the Centers for Medicare and Medicaid
Services for the endorsed measures: 1551, hospital-level 30-day all-cause
risk-standardized readmission rate following elective primary total hip
arthroplasty and total knee arthroplasty; 0330, hospital 30-day all-cause
risk-standardized readmission rate following heart failure hospitalization for
patients 18 and older; and 0505, hospital 30-day all-cause risk-standardized
readmission rate following acute myocardial infarction hospitalization.
review is being completed due to material changes to a currently endorsed
measure (eg, expansion of a measure to a different population or setting). This
is intended as a focused review of the planned readmission algorithms that have
been incorporated into each of the condition/procedure specific readmission
Centers for Disease Control and Prevention (CDC) has updated its clinician guidance webpage to reflect the most current
information based on the investigating into the multistate fungal meningitis
outbreak among patients who received contaminated steroid injections.
contains updates to FAQs, case definitions, and information on diagnostic
testing. Three interim treatment guidance documents also have been updated.
CDC urges clinicians to contact patients who
have received medicines associated with 3 lots of preservative-free
methylprednisolone acetate from the New England Compounding Center that were recalled on September 26. The potentially contaminated injections
were given starting May 21.