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Author (up) openurl 
  Title INTRASURGICAL DYNAMICS OF MACULAR HOLE SURGERY: An Assessment of Surgery-Induced Ultrastructural Alterations with Intraoperative Optical Coherence Tomography Type Journal Article
  Year 2013 Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords  
  Abstract To evaluate the intrasurgical retinal architectural and macular hole (MH) geometric alterations that occur during surgical MH repair using intraoperative optical coherence tomography.  
  Address  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1539-2864 ISBN Medium  
  Area Expedition Conference  
  Notes Approved no  
  Call Number refbase @ user @ ref3 Serial 25465  
Permanent link to this record
 

 
Author (up) url  openurl
  Title Comparison of intermittent positive pressure breathing (IPPB) and temporary positive expiratory pressure (TPEP) in patients with severe chronic obstructive pulmonary disease Type Journal Article
  Year 2013 Publication Chest Abbreviated Journal  
  Volume 144 Issue 4 Meeting Abstract Pages Conference-Start:  
  Keywords  
  Abstract  
  Address  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN ISBN Medium  
  Area Expedition Conference  
  Notes Nicolini A, Grecchi B Approved no  
  Call Number ref @ user @ ref154 Serial 87601  
Permanent link to this record
 

 
Author (up) url  openurl
  Title As CMS makes another policy change, policy makers distinguish between different forms of care Type Journal Article
  Year 2013 Publication ED Management : the Monthly Update on Emergency Department Management Abbreviated Journal ED Manag  
  Volume 25 Issue 10 Pages 109-114  
  Keywords *Centers for Medicare and Medicaid Services (U.S.); Emergency Service, Hospital; *Government Regulation; Length of Stay; Patient Care/*methods; United States; *Watchful Waiting  
  Abstract As observation care continues to draw fire from critics who charge that the designation ends up costing hospitals money while also sticking patients with exorbitant fees, the medical directors of dedicated observation units counter that the kind of care delivered by their specialized units actually saves money and gets patients out of the hospital sooner. They note that the problem is that only about one-third of hospitals actually have dedicated observation units, so patients placed on observation typically wind up in inpatient beds, where they may only be evaluated once a day. CMS has just released a new policy rule on observation that should help patients avoid excessive charges, but many experts would like to see the agency take steps to incentivize the kind of quality care that is delivered in dedicated units. The new CMS rule for 2014 caps observation stays at 48 hours. Patients who remain in the hospital beyond this point become inpatients, as long as they meet inpatient criteria. Proponents of observation care contend that the average length-of-stay in a dedicated observation unit is just 15 hours--typically much shorter than the LOS of patients who are placed on observation in inpatient beds. Care in a dedicated observation unit is generally driven by protocol in an emergency medicine environment where there is continuous rounding. Discharges can occur at any time of the day or night. Experts note that observation patients account for the largest portion of both misdiagnoses and malpractice lawsuits stemming from emergency settings.  
  Address  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1044-9167 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:24195138 Approved no  
  Call Number refbase @ user @ Serial 27369  
Permanent link to this record
 

 
Author (up) url  openurl
  Title As CMS makes another policy change, policy makers distinguish between different forms of care Type Journal Article
  Year 2013 Publication ED Management : the Monthly Update on Emergency Department Management Abbreviated Journal ED Manag  
  Volume 25 Issue 10 Pages 109-114  
  Keywords *Centers for Medicare and Medicaid Services (U.S.); Emergency Service, Hospital; *Government Regulation; Length of Stay; Patient Care/*methods; United States; *Watchful Waiting  
  Abstract As observation care continues to draw fire from critics who charge that the designation ends up costing hospitals money while also sticking patients with exorbitant fees, the medical directors of dedicated observation units counter that the kind of care delivered by their specialized units actually saves money and gets patients out of the hospital sooner. They note that the problem is that only about one-third of hospitals actually have dedicated observation units, so patients placed on observation typically wind up in inpatient beds, where they may only be evaluated once a day. CMS has just released a new policy rule on observation that should help patients avoid excessive charges, but many experts would like to see the agency take steps to incentivize the kind of quality care that is delivered in dedicated units. The new CMS rule for 2014 caps observation stays at 48 hours. Patients who remain in the hospital beyond this point become inpatients, as long as they meet inpatient criteria. Proponents of observation care contend that the average length-of-stay in a dedicated observation unit is just 15 hours--typically much shorter than the LOS of patients who are placed on observation in inpatient beds. Care in a dedicated observation unit is generally driven by protocol in an emergency medicine environment where there is continuous rounding. Discharges can occur at any time of the day or night. Experts note that observation patients account for the largest portion of both misdiagnoses and malpractice lawsuits stemming from emergency settings.  
  Address  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1044-9167 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:24195138 Approved no  
  Call Number refbase @ user @ Serial 27823  
Permanent link to this record
 

 
Author (up) url  openurl
  Title Patient Protection and Affordable Care Act; Exchange functions: standards for Navigators and non-Navigator assistance personnel; consumer assistance tools and programs of an Exchange and certified application counselors. Final rule Type Journal Article
  Year 2013 Publication Federal Register Abbreviated Journal Fed Regist  
  Volume 78 Issue 137 Pages 42823-42862  
  Keywords Certification/legislation & jurisprudence/standards; Community-Institutional Relations/*legislation & jurisprudence/standards; Consumer Participation/*legislation & jurisprudence; Counseling/*legislation & jurisprudence/standards; Health Care Reform/legislation & jurisprudence/standards; Health Insurance Exchanges/*legislation & jurisprudence/standards; Humans; Patient Protection and Affordable Care Act/*legislation & jurisprudence; United States  
  Abstract This final rule addresses various requirements applicable to Navigators and non-Navigator assistance personnel in Federally-facilitated Exchanges, including State Partnership Exchanges, and to non-Navigator assistance personnel in State Exchanges that are funded through federal Exchange Establishment grants. It finalizes the requirement that Exchanges must have a certified application counselor program. It creates conflict-of-interest, training and certification, and meaningful access standards; clarifies that any licensing, certification, or other standards prescribed by a state or Exchange must not prevent application of the provisions of title I of the Affordable Care Act; adds entities with relationships to issuers of stop loss insurance to the list of entities that are ineligible to become Navigators; and clarifies that the same ineligibility criteria that apply to Navigators apply to certain non-Navigator assistance personnel. The final rule also directs that each Exchange designate organizations which will then certify their staff members and volunteers to be application counselors that assist consumers and facilitate enrollment in qualified health plans and insurance affordability programs, and provides standards for that designation.  
  Address  
  Corporate Author Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS) Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0097-6326 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:23866380 Approved no  
  Call Number refbase @ user @ Serial 27835  
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