The Journal of Arthroplasty, Vol. In Press, Corrected Proof
Periprosthetic joint infection is one of the most challenging complications of total joint arthroplasty. We evaluated the incidence of early-onset (less than 2 years) and late-onset (greater than 2 years) periprosthetic joint infection after primary total hip arthroplasty (THA). The Medicare 5% national sample data set (1997-2006) was used to longitudinally follow primary THA patients. Deep infections were identified with the International Classification of Diseases, Ninth Revision, Clinical Modification code 996.66. Kaplan-Meier survivorship curves were compiled with infection as the end point. Cox regression was used to evaluate patient and hospital characteristics. Eight hundred eighty-seven THA infections were identified from 39[four-per-em space]929 THA patients. The incidence of infection was 1.63% within 2 years and 0.59% between 2 and 10 years. Comorbidities, sex, procedure duration, and socioeconomic status were found to be significant risk factors. This is the first study to establish the incidence and risk factors associated with early onset and delayed periprosthetic joint infection in the Medicare patient population.
Kevin Ong, Steven Kurtz, Edmund Lau, Kevin Bozic, Daniel Berry, Javad Parvizi
Prosthetic Joint Infection Risk After Total Hip Arthroplasty in the Medicare Population
Medicare News, Syndicated
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Jun 232009
The Journal of Arthroplasty, Vol. In Press, Corrected ProofDocumentation and Billing for Services Provided by Midwives Teaching Obstetrics and Gynecology Residents and Medical Students
Medicaid News, Syndicated
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Jun 232009
Journal of Midwifery & Women's Health, Vol. 54, No. 4. (August 2009), pp. 282-286.
Certified nurse-midwives are teaching obstetrics and gynecology residents and medical students in major academic institutions across the United States. In these instances, the ability to appropriately document services rendered to support a billable service is paramount. This article explains the difference in requirements for midwives' documentation when working with residents compared with documentation required of an attending obstetrician-gynecologist. It also reviews the teaching physician guidelines developed by the Centers for Medicare and Medicaid Services (CMS) as well as current evaluation and management documentation requirements. Several examples of documentation are provided, as are suggestions for enhancement and simplification of the guidelines to include midwives. An important point to remember is that the CMS rules do not prohibit a certified nurse-midwife from teaching a resident.
Angela Wilson-Liverman, Joan Slager, Deborah Wage
Certified nurse-midwives are teaching obstetrics and gynecology residents and medical students in major academic institutions across the United States. In these instances, the ability to appropriately document services rendered to support a billable service is paramount. This article explains the difference in requirements for midwives' documentation when working with residents compared with documentation required of an attending obstetrician-gynecologist. It also reviews the teaching physician guidelines developed by the Centers for Medicare and Medicaid Services (CMS) as well as current evaluation and management documentation requirements. Several examples of documentation are provided, as are suggestions for enhancement and simplification of the guidelines to include midwives. An important point to remember is that the CMS rules do not prohibit a certified nurse-midwife from teaching a resident.
Angela Wilson-Liverman, Joan Slager, Deborah Wage
Longitudinal Optical Imaging Study for Locomotor Recovery After Stroke
Stroke, Syndicated
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Jun 182009
Stroke, Vol. 34, No. 12. (1 December 2003), pp. 2866-2870.
Background and Purpose-- We sought to investigate cerebral mechanisms underlying locomotor recovery after stroke. Methods-- We measured cortical activities during hemiparetic gait on the treadmill before and after 2 months of inpatient rehabilitation in 8 patients with initial stroke (5 men, 3 women; 4 with right and 4 with left hemiparesis; aged 57 years; 3 months after stroke on average), using an optical imaging system. Results-- On the initial evaluation, hemiparetic gait was associated with increased oxygenated hemoglobin levels in the medial primary sensorimotor cortex (SMC) that were greater in the unaffected hemisphere than in the affected hemisphere as well as in the premotor cortex (PMC) and supplementary motor area. On the second examination, the asymmetry in SMC activation significantly improved, and there was enhanced PMC activation in the affected hemisphere. Improvement of the asymmetrical SMC activation significantly correlated with improvement of gait parameters. Conclusions-- Locomotor recovery after stroke may be associated with improvement of asymmetry in SMC activation and enhanced PMC activation in the affected hemisphere. 10.1161/01.STR.0000100166.81077.8A
Ichiro Miyai, Hajime Yagura, Megumi Hatakenaka, Ichiro Oda, Ichiro Konishi, Kisou Kubota
Background and Purpose-- We sought to investigate cerebral mechanisms underlying locomotor recovery after stroke. Methods-- We measured cortical activities during hemiparetic gait on the treadmill before and after 2 months of inpatient rehabilitation in 8 patients with initial stroke (5 men, 3 women; 4 with right and 4 with left hemiparesis; aged 57 years; 3 months after stroke on average), using an optical imaging system. Results-- On the initial evaluation, hemiparetic gait was associated with increased oxygenated hemoglobin levels in the medial primary sensorimotor cortex (SMC) that were greater in the unaffected hemisphere than in the affected hemisphere as well as in the premotor cortex (PMC) and supplementary motor area. On the second examination, the asymmetry in SMC activation significantly improved, and there was enhanced PMC activation in the affected hemisphere. Improvement of the asymmetrical SMC activation significantly correlated with improvement of gait parameters. Conclusions-- Locomotor recovery after stroke may be associated with improvement of asymmetry in SMC activation and enhanced PMC activation in the affected hemisphere. 10.1161/01.STR.0000100166.81077.8A
Ichiro Miyai, Hajime Yagura, Megumi Hatakenaka, Ichiro Oda, Ichiro Konishi, Kisou Kubota
Jun 142009
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Follow us at: twitter.com/verumserum. While President Bush was in office, the Democrats spoke out vehemently against any proposed cuts in Medicare & Medicaid. Now that President Obama has proposed $622B in Medicare/Medicaid cuts to help pay for his healthcare plan, where are the Democrats now? |
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Jun 142009
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Follow us at: twitter.com/verumserum. While President Bush was in office, the Democrats spoke out vehemently against any proposed cuts in Medicare & Medicaid. Now that President Obama has proposed $622B in Medicare/Medicaid cuts to help pay for his healthcare plan, where are the Democrats now? |
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morgenr
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41
ratings |
| Time: 02:33 | More in News & Politics |
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