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News Article | February 15, 2017
Site: www.prweb.com

Intalere, the healthcare industry leader in delivering optimal cost, quality and clinical outcomes, today announced Jim Wilson has joined the company as Chief Strategy Officer. Wilson’s role as head of strategy will be to lead the company’s strategic growth while assisting the organization with its transformation into a world-class supply chain provider. He will also lead Intalere’s efforts in creating a single entity that is responsible for the gathering, consolidation and delivery of solutions to the company’s constituents. “Jim brings an incredible wealth of broad-based experience to Intalere, having been involved in startup operations from ideation through commercialization of both consulting opportunities as well as software and services,” said Julius Heil, Intalere president and CEO. With more than 45 years of experience in all aspects of healthcare information technology (HIT), Wilson has served as CEO, president and other executive positions with Cerner, Electronic Data Systems, McAuto, Craneware, Bell Atlantic, Health Outcomes Sciences and others. Wilson’s expertise includes contract development and negotiation, clinical and business workflow analysis, revenue cycle management, process improvement, solution pricing and packaging. As a 16 year member of the Health Management Academy, he has served as a trusted executive advisor to the academy executives as well as many of the nation’s largest health systems. Since 2013, Wilson has focused on providing individual consulting services to startup companies and early stage companies, as well as large international EMR providers and hospitals. He has provided training on contract negotiation, sales process and improvement, organizational performance modifications, pricing/packaging and go-to-market strategies for new solutions. He has domestic as well as international experience in countries including Saudi Arabia, Bahrain, England, Scotland and Malaysia. About Intalere Intalere’s mission focuses on elevating the operational health of America’s healthcare providers by designing tailored, smart solutions that deliver optimal cost, quality and clinical outcomes. We strive to be the essential partner for operational excellence in healthcare through customized solutions that address customers’ individual needs. We assist our customers in managing their entire spend, providing innovative technologies, products and services, and leveraging the best practices of a provider-led model. As Intalere draws on the power of our owner Intermountain Healthcare’s nationally-recognized supply chain expertise and leadership in technology, process improvement, and evidence-based clinical and business best practices, we are uniquely positioned to be the innovation leader in the healthcare industry. Visit http://www.intalere.com to learn more.


News Article | February 21, 2017
Site: www.eurekalert.org

Hospitals can improve patient care and reduce costs associated with coronary angioplasty if cardiologists perform more of these procedures through an artery in the wrist and if they take steps to discharge such patients on the same day, according to a new study led by Washington University School of Medicine in St. Louis. Coronary angioplasty is a procedure in which arteries are opened to increase blood flow to the heart. The research, published Feb. 20 in JACC: Cardiovascular Interventions, suggests that the lower costs of the wrist approach largely are due to the fact that patients experience fewer complications and can be discharged earlier, compared with procedures that access the heart through the larger, deeper artery in the groin. The researchers estimated that shifting standard practice by 30 percent to the wrist approach, along with same-day discharge, could save the United States $300 million per year. "We have unequivocal evidence and data that show better outcomes when we access the heart's coronary arteries and perform angioplasty through a blood vessel in the wrist rather than through the femoral artery in the groin," said first author Amit P. Amin, MD, an assistant professor of medicine. "The femoral artery is the traditional route, but when we go in through a vessel in the wrist, we see less bleeding, fewer complications, less pain and discomfort, higher patient satisfaction, shorter hospital stays, and lower costs." Patients may undergo coronary angioplasty -- also called percutaneous coronary intervention (PCI) -- to alleviate chest pain or shortness of breath. Such symptoms suggest the coronary arteries that deliver blood to the heart are blocked or narrowed and oxygen delivery to the heart muscle is reduced. Interventional cardiologists insert a small tube into an artery in the wrist or the groin, which can be used to view the narrowed heart artery, deliver an inflatable balloon to open up the narrowed section, and possibly deliver a stent to hold the vessel open. Using the National Cardiovascular Data Registry CathPCI Registry, the researchers analyzed data from almost 280,000 Medicare patients who underwent PCI and were eligible for same-day discharge. Despite the fact that all of these patients were capable of leaving the hospital the same day as their procedures, only about 5 percent of these patients actually were discharged without having stayed overnight. "We have seen that it is very safe to send these patients home the same day," said Amin, who treats patients at Barnes-Jewish Hospital. "We use risk-prediction models to predict their risks ahead of time, and we plan ahead to mitigate any issues so we can facilitate a same-day discharge. This is really about patient care. We want to outline health-care pathways that provide the best care for patients." The analysis demonstrated an average cost of $13,389 for the wrist approach with same-day discharge, compared with $17,076 for the groin approach with at least one night of hospitalization, resulting in a cost savings of about $3,700 for outpatients who get the wrist-access procedure. Independent of the length of stay, the wrist approach costs about $900 less than the groin approach, on average. The investigators estimated that if a hospital performing 1,000 of these procedures annually shifted 30 percent of these patients to the wrist-access with same-day discharge approach, the hospital would save $1 million over that period. Expanding that practice to hospitals nationwide might save the United States $300 million in health-care spending per year. Health-care costs for the 600,000 patients who receive PCI each year in the U.S. are estimated to be $10 billion. Of the study's patient population receiving PCI, 9 percent received the procedure in which doctors used wrist access. According to Amin, improved technology has allowed wrist access to become a viable route to the coronary arteries, even for complex cases, and should be considered for more patients. "The traditional way has been to go through the bigger femoral artery that is a straight pathway to the heart," Amin said. "Unfortunately, that artery is also deep. It's associated with more bleeding complications. In contrast, the wrist artery is small and is associated with fewer complications. The minor challenge is in the difficulty of navigating a smaller, more twisting path of an artery through the wrist. But with advances we have in technology and equipment, those challenges are rapidly decreasing." This work was supported by a grant from Vita Solutions, a subsidiary of The Medicines Company, for whom Amin has provided consultation; and by the National Institutes of Health (NIH), grant numbers UL1TR000448, KL2TR000450, TL1TR000449 and 1KM1CA156708-01. Amin also reported consulting for Terumo. Co-authors from other institutions reported receiving grant funding from or providing consultations to the National Institutes of Health; the American College of Cardiology Foundation; Eli Lilly; Amorcyte; Gilead; Genentech; UnitedHealthcare; Amgen; Janssen; Health Outcomes Sciences; Blue Cross Blue Shield of Kansas City; Edwards Lifesciences; Medtronic; St. Jude Medical; Abbott Vascular; Saint Luke's Hospital Foundation of Kansas City, partially funded by Merck; Boston Scientific; Biomet; Daiichi Sankyo; AstraZeneca; and Bellerophon. Amin AP, Patterson M, House JA, Giersiefen H, Spertus JA, Baklanov DV, Chhatriwalla AK, Safley DM, Cohen DJ, Rao SV, Marso SP. Costs associated with access site and same-day discharge among Medicare beneficiaries undergoing percutaneous coronary intervention. JACC: Cardiovascular Interventions. Feb. 20, 2017. Washington University School of Medicine's 2,100 employed and volunteer faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Children's hospitals. The School of Medicine is one of the leading medical research, teaching and patient-care institutions in the nation, currently ranked sixth in the nation by U.S. News & World Report. Through its affiliations with Barnes-Jewish and St. Louis Children's hospitals, the School of Medicine is linked to BJC HealthCare.


Patent
Health Outcomes Sciences | Date: 2010-12-10

A statistical processing system includes a server operably configured with program instructions implementing a plurality of statistical models to at least one of (a) predict a health outcome based on questionnaire responses, (b) assist a patients choice of therapeutic modality based on questionnaire responses, and (c) assess a health risk or status based on questionnaire responses. Also provided is a research agency communicating with the server and contracted to provide the statistical models using a visual interface communicated by the server. The server is configured to analyze requests received from users relating to a plurality of said statistical models to reduce redundancy in requests for patient data.


Patent
Health Outcomes Sciences | Date: 2014-05-29

A method for providing decision support includes using a programmed computer to input a regression model specification, and to repeat the input a plurality of times to obtain and store a plurality of regression model specifications. The method further includes using the programmed computer to analyze selected regression model specifications to determine at least one of common variables and functions of common variables, to thereby determine a reduced-redundancy request for input of variables, when a plurality of the stored regression model specifications are selected for use.


The invention discloses a method by which the health care professional or patient may draw upon historical medical data concerning patients similarly situated in medical condition, to assist him/her in deciding on a clinical intervention procedure to select. This method is specifically tailored to the patient, as data is provided and evaluated from only similarly situated patients, and provides an expectation of potential outcome of the patient should one or the other of the options be selected. The invention further provides a database that may be used in order to provide this comparison based evaluation method. A computer based software system is further disclosed that implements the method. The invention more specifically provides a method by which a post-coronary event patient may make an informed decision of which post-coronary revascularization procedure to undergo in the future management of his disease. This method employs the patients health status date (symptoms, function and quality of life), and provides projections of the patients expected survival, risk, and 1-year health status outcome from the selection of revascularization procedure, such as Coronary Artery Bypass Grafting (CABG) or Percutaneous Coronary Intervention (PCI).


Patent
Health Outcomes Sciences | Date: 2013-10-09

A method for providing decision support includes using a programmed computer to input a regression model specification, and to repeat the input a plurality of times to obtain and store a plurality of regression model specifications. The method further includes using the programmed computer to analyze selected regression model specifications to determine at least one of common variables and functions of common variables, to thereby determine a reduced-redundancy request for input of variables, when a plurality of the stored regression model specifications are selected for use.


Patent
Health Outcomes Sciences | Date: 2016-06-27

Physiological sensors may be utilized to obtain physiological data for a user. The sensor data may be utilized in predicting a users outcome to a medical intervention using one or more models. The models may be automatically executed in response to receiving certain types and/or amount of data, such as data received from one or more physiological remote sensors, such as Internet of Things sensors. The sensors may include heart rate sensors, arterial pressure sensors, glucose sensors, temperature sensors, weight sensors, blood oxygen sensors, urine sensors, saliva sensors, skin conduction sensors, muscle sensors, brain signal sensors, and/or other sensors. A sensor may communicate over the 2360-2400 MHz and/or the 30-37.5 MHz radio frequency (RF) band. The data may be received from a networked data store. Execution of the models may identify health issues in substantially real time, and the operation of one or more medical devices may be modified and/or a communication may be generated.


Patent
Health Outcomes Sciences | Date: 2012-11-09

A statistical processing system includes a server operably configured with program instructions implementing a plurality of statistical models to at least one of (a) predict a health outcome based on questionnaire responses, (b) assist a patients choice of therapeutic modality based on questionnaire responses, and (c) assess a health risk or status based on questionnaire responses. Also provided is a research agency communicating with the server and contracted to provide the statistical models using a visual interface communicated by the server. The server is configured to analyze requests received from users relating to a plurality of said statistical models to reduce redundancy in requests for patient data.


Patent
Health Outcomes Sciences | Date: 2013-08-16

A statistical processing system includes a server operably configured with program instructions implementing a plurality of statistical models to at least one of (a) predict a health outcome based on questionnaire responses, (b) assist a patients choice of therapeutic modality based on questionnaire responses, and (c) assess a health risk or status based on questionnaire responses. Also provided is a research agency communicating with the server and contracted to provide the statistical models using a visual interface communicated by the server. The server is configured to analyze requests received from users relating to a plurality of said statistical models to reduce redundancy in requests for patient data.


OBJECTIVE:: We aimed to evaluate variations in patient experience measures across different surgical specialties and to assess the impact of further case-mix adjustment. BACKGROUND:: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a publicly reported survey of patients’ hospital experiences that directly influence Medicare reimbursement. METHODS:: All adult surgical inpatients meeting criteria for HCAHPS sampling from 2013 to 2014 at a single academic center were identified. HCAHPS measures were analyzed according to published top-box and Star-rating methodologies, and were dichotomized (“high” vs “low”). Multivariable logistic regression was used to identify independent associations of high patient scores on various HCAHPS measures with specialty, diagnosis-related group complexity, cancer diagnosis, sex, and emergency admission after adjusting for HCAHPS case-mix adjusters (education, overall health status, language, and age). RESULTS:: We identified 36,551 eligible patients, of which 30.8% (n = 11,273) completed HCAHPS. Women [odds ratio (OR) 0.78, 95% confidence interval (CI) 0.72–0.85, P < 0.001], complex cases (OR 0.90, 95% CI 0.82–0.99, P = 0.02), and emergency admissions (OR 0.67, 95% CI 0.55–0.82, P < 0.001) had lesser Star scores on adjusted analysis, whereas patients with a cancer diagnosis had greater Star scores (OR 1.15, 95% CI 1.03–1.29, P = 0.01). Using general surgery as the reference, the Star scores varied significantly across 12 specialties (range OR 0.65 for plastics to 1.29 for transplant surgery). Patient responses to individual composite scores (pain, care transition, physician, and nurse) varied by specialty. CONCLUSIONS:: HCAHPS case-mix adjustment does not include adjustment for specialty or diagnosis, which may result in artificially lower scores for centers that provide a high level of complex care. Further research is needed to ensure that the HCAHPS is an unbiased comparison tool. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.

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