This large retrospective cohort of medicare beneficiaries >age 65 found that utilization of LTACs (long term acute care hospitals) after a critical illness increased from 39 to 100 (per 100,000) from 1997 to 2006 (and the number of LTAC facilities increased 9% per year). Annual cost of this care increased from $484 million to $1.325 billion. The 1 year mortality was relatively unchanged throughout the study period, ranging 51-52%. LTAC utilization and cost has dramatically increased in elderly patients post critical illness, and these patients have >50% mortality at 1 year. These patients have a poor prognosis and should be identified and treated as such (abstract).
The question of appropriate ward garb is a problem for the ages. Compared to photo stills and films from the 1960s, the doctors of today appear like vagabonds. No ties, no lab coats, and scrub tops have become the norm for a number (a majority ?) of hospital-based docs—and even more so on the surgical […]
Prices from a chargemaster are “what a drunken billionaire would pay a hospital if his wife were not around to control the bastard.” — Uwe Reinhardt You might be asking why such an outlandish quote? Last week CMS proposed* to change the way patients see the costs of hospital bills. So what you might utter. […]
“Membership in the American Academy of Professional Coders has risen to more than 170,000 today from roughly 70,000 in 2008.” “The AMA owns the copyright to CPT, the code used by doctors. It publishes coding books and dictionaries. It also creates new codes when doctors want to charge for a new procedure. It levies a […]