Latest Hospital & Healthcare News

Dr. Mark Edwin Mckenzie was Nevada’s Only Physician to Discharge More than 100 GI Hemorrhage Medicare Inpatients

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By: Saparja Nag  Apr. 25, 2018

According to a recent analysis performed by Dexur, Dr. Mark Edwin Mckenzie of Valley Hospital Medical Center led Nevada physicians in gastrointestinal hemorrhage discharge volume with 103 discharges between January 2013 and December 2016. He was one of only five physicians in state to discharge more than 50 GI hemorrhage Medicare inpatients during the four year time period. Dr. Craig Steven Rau and Dr. Ricardo Ramirez Almaguer, both of Carson Tahoe Regional Medical Center, ranked 2nd with 85 discharges and 3rd with 67 discharges, respectively. Ranking 4th was Dr. Lamont Ellis who practiced primarily at Sunrise Hospital & Medical Center and discharged 55 Medicare inpatients with GI hemorrhages, followed by Dr. Murray M. Rosenberg with 53 discharges to rank 5th.

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Medicare Pulmonary Embolism Discharges in Alabama: Inpatients at Cullman Regional Medical Center Spend the Fewest Days in the Hospital

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By: Jeffrey Maser  Apr. 25, 2018

According to Dexur analysts, Cullman Regional Medical Center in Cullman had a 3.57 day average length of stay (LOS) for a 30-day episode of care with unplanned readmissions for Medicare inpatient pulmonary embolism discharges, the lowest rate of any Alabama hospital between 2013-2016. Baptist Medical Center South in Montgomery ranked 2nd at 3.96 days and joined Cullman Regional as one of only two hospitals in the state with an average LOS under 4 days for a 30-day episode of care. UAB Hospital in Birmingham ranked 3rd at 4.11 days while Decatur Morgan Hospital - Decatur Campus ranked 4th at 4.2 days. Princeton Baptist Medical Center in Birmingham rounded out the top five with a 4.29 day average LOS.

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Ekos System May Impact Mortality Rates of Infectious Disease Patients with VTE

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By: Saparja Nag  Apr. 24, 2018

The EkoSonic™ Endovascular system, produced by EKOS of BTG Interventional Medicine, is an innovative treatment for venous thromboembolism (VTE). It combines ultrasound technology and traditional thrombolytic medicines to more efficiently dissolve blood clots. More information as to how this unique system works can be found in a previous article about EKOS. One of the most prevalent comorbidities of VTE is infectious disease, as they share similar pathways of coagulation, inflammatory processes, and fibrinolysis processes. In infectious disease, these biological responses are caused both by the pathogens themselves and by the immune system’s response. Inflammation’s effects on hemostasis can often lead to thrombosis, presenting a serious risk for patients with infections.

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SSM DePaul Health Center had Missouri’s Lowest Unplanned Readmission Rate for Alcohol and Drug Abuse Patients at 5.14%

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By: Saparja Nag  Apr. 24, 2018

Dexur analysts studied CMS Medicare claims for alcohol and drug abuse inpatients at Missouri hospitals to determine that SSM DePaul Health Center led the state with the lowest unplanned readmission rate of 5.14% and the 4th lowest average LOS for a 30-day episode of care with unplanned readmissions at 3.78 days. Truman Medical Center Lakewood was another high-performing Missouri hospital for alcohol and drug abuse patients with the 2nd lowest unplanned readmission rate in the state of 10.38% and the 5th lowest average 30-day episode of care LOS with unplanned readmissions at 4.15 days. Ranking 3rd by readmission rate was Research Medical Center at 11.54%, which also ranked 6th for average LOS for a 30-day episode of care including unplanned readmissions at 4.54 days. Twin Rivers Regional Medical Center followed with an unplanned readmission rate of 12.28% to rank 4th and an average LOS of 4.61 days to rank 7th. The last hospital to have an unplanned readmission rate below the national average of 13.33% was Poplar Bluff Regional Medical Center - Oak Grove at 12.36%.

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Nash General Hospital’s Dr. Shandal S. Emanuel and Dr. Daniel L. Crocker are North Carolina’s Highest Volume Physicians for Nutritional & Metabolic Disorders

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By: Jeffrey Maser  Apr. 24, 2018

A Dexur study of Medicare inpatient nutritional and metabolic disorder discharges shows that Dr. Shandal S. Emanuel of Nash General Hospital in Rocky Mount accounted for more nutritional and metabolic disorder discharges than any other North Carolina physician with 109 discharges between 2013-2016. She was the only physician in the state with more than 100 such discharges during the timeframe. Dr. Daniel L. Crocker, who practiced at Nash General Hospital along with Dr. Emanuel, ranked 2nd with 98 discharges. Dr. Crocker also practiced at Rocky Mount's LifeCare Hospitals of North Carolina. Dr. Emanuel and Dr. Crocker were the only two physicians in North Carolina with more than 60 discharges for these conditions during the four year period.

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Michigan’s Oaklawn Hospital had Lowest Average Index Hospitalization LOS for COPD Patients in the State at 2.81 Days and 2nd Lowest Readmission Rate at 13.97%

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By: Saparja Nag  Apr. 23, 2018

Dexur analysts performed a correlational analysis on Michigan hospitals treating Medicare inpatients with COPD and found a moderate positive relationship between average index hospitalization LOS and readmission rate. This correlation can be evidenced by hospitals that have both low average index length of stay and low readmission rates, such as Oaklawn Hospital and St. Joseph Mercy Livingston Hospital. Oaklawn Hospital in Marshall had the state's lowest index LOS at just 2.81 days as well as the state's 2nd lowest readmission rate, seeing only 13.97% of COPD Medicare discharges had readmissions within 30 days. St. Joseph Mercy Livingston Hospital led the state with the lowest COPD readmission rate at just 11.4% and had the 5th lowest average LOS for the index hospital stay at 3.29 days.

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Respiratory Failure Average LOS for a 30-Day Episode of Care: Sparks Medical Center - Van Buren’s 3.38 Day Rate is Lowest in Arkansas and Under Half the State Average

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By: Jeffrey Maser  Apr. 23, 2018

Dexur analysts recently studied pulmonary edema and respiratory failure claims data from CMS between 2013-2016 and found that Sparks Medical Center - Van Buren in Van Buren had the lowest 30-day episode of care average length of stay (LOS) among Arkansas hospitals at only 3.38 days. This was less than half the 6.84 day rate for Arkansas Medicare enrollees and four and a half days lower than the national average of 7.88 days. Baptist Health Medical Center-Heber Springs, located in Heber Springs, ranked 2nd at 3.52 days while North Arkansas Regional Medical Center in Harrison ranked 3rd at 3.86 days. Great River Medical Center in Blytheville ranked 4th at 3.88 days and Mercy Hospital Northwest Arkansas in Rogers placed 5th at 3.89 days. The 6th ranked hospital had a rate of 4.67 days, 0.78 days higher than Mercy Hospital Northwest Arkansas and over a full day higher than Sparks Medical Center - Van Buren.

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Analysis of Medicare Pneumonia Discharges Shows that Margaret Mary Health is the Only Indiana Hospital with an Average LOS for a 30-Day Episode of Care Below 4 Days

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By: Jeffrey Maser  Apr. 20, 2018

A Dexur analysis of Medicare inpatient discharge data from CMS indicates that Margaret Mary Health in Batesville had a 3.62 day average length of stay (LOS) for a 30-day episode of care with unplanned readmissions for pneumonia, the lowest rate of any hospital in Indiana between 2013-2016. This made Margaret Mary Health the only hospital in the state with a rate below 4 days. Witham Hospital in Lebanon ranked 2nd at 4.06 days while Plymouth Medical Center in Plymouth and Hancock Regional Hospital in Greenfield tied for 3rd at 4.13 days. Fayette Regional Hospital was just behind in 5th with a 4.14 day rate.

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Samsca May be Particularly Beneficial for Heart Failure Patients Readmitted with Hyponatremia

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By: Saparja Nag  Apr. 19, 2018

Samsca was developed by Otsuka Pharmaceutical to treat hyponatremia as a selective vasopressin V2-receptor antagonist. It is only suitable for cases of euvolemic and hypervolemic hyponatremia; an explanation of the condition can be found in a previous article. Hyponatremia can be caused by a number of conditions including Syndrome of Inappropriate Antidiuretic Hormone (SIADH) and heart failure. The specific relationship between hyponatremia and heart failure has been studied extensively. Hyponatremia patients with heart failure often present with an increased circulating neurohormones such as angiotensin II, renin, catecholamines, and vasopressin. When a patient has heart failure, their cardiac output and circulating blood volume decrease causing the body to compensate in order to preserve blood pressure, thus increasing water and sodium retention.

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Baxdela’s Potential Impact on Readmissions for Patients with ABSSSI: An Analysis of Beaumont Hospital, Royal Oak Data

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By: James Pitt  Apr. 19, 2018

Baxdela (delafloxacin), by Melinta Pharmaceuticals, is a fluoroquinolone antibiotic recently approved for treatment of acute bacterial skin and skin structure infections (ABSSSI). Dexur previously examined Baxdela’s potential for readmissions in Florida. Clinical trials in March 2018 and December 2017 found lower rates of treatment discontinuation with Baxdela than with vancomycin plus aztreonam. This is significant because initial treatment failure is common in serious skin infections. According to a 2011 retrospective study, initial antibiotic therapy failed in 22.4% of patients with ABSSSI.

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