As the largest single payer for health care in the United States, the Centers for Medicare and Medicaid Services (CMS) generates enormous amounts of data. Historically, CMS has faced technological challenges in storing, analyzing, and disseminating this information because of its volume and privacy concerns. However, rapid progress in the fields of data architecture, storage, and analysis--the big-data revolution--over the past several years has given CMS the capabilities to use data in new and innovative ways. We describe the different types of CMS data being used both internally and externally, and we highlight a selection of innovative ways in which big-data techniques are being used to generate actionable information from CMS data more effectively. These include the use of real-time analytics for program monitoring and detecting fraud and abuse and the increased provision of data to providers, researchers, beneficiaries, and other stakeholders.
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http://dx.doi.org/10.1377/hlthaff.2014.0130 | DOI Listing |
Ann Thorac Surg Short Rep
September 2024
Division of Thoracic Surgery, Mayo Clinic, Rochester, Minnesota.
Pleural extension of pseudomyxoma peritonei is rare, and treatment demands multidisciplinary care. Perioperative management during cytoreductive surgery and hyperthermic intrathoracic chemotherapy challenges anesthesiology and surgical teams in unique ways. Hemodynamic, arrhythmogenic, ventilatory, fluid balance, acid-base, and nephroprotection issues are important considerations.
View Article and Find Full Text PDFBMC Nurs
January 2025
Nursing Department, School of Medicine, Shanghai Tenth People's Hospital, Tongji University, Shanghai, 200072, China.
Objective: A growing body of research shows that the organizational silence among nurses not only affects their job satisfaction and performance but also exacerbates their intention to leave their jobs, posing a threat to the long-term stability of the nursing team. Therefore, the aim of this study was to synthesize existing qualitative research to explore the real experiences of nurses' organizational silence behavior and gain insight into the motivations and feelings behind it.
Design: A qualitative review.
Sci Rep
January 2025
Faculty of Innovation and Design, City University of Macau, Macau, China.
The city's rapid development would lead to irreversible changes in architectural heritage. As one of the ways to promote sustainable development, world heritage tourism has opened up a new perspective for the protection, inheritance and development of architectural heritage. Taking the study of architectural heritage in the Historic Centre of Macau as an example, employing eye-tracking experiment and semantic differential method (SD method) to explore the relationship between tourists' perceptions of visual elements of architectural heritage, positive emotions, and behavioral intentions.
View Article and Find Full Text PDFSurgeon
January 2025
UCD Centre for Precision Surgery, University College Dublin, Dublin, Ireland.
Introduction: Surgery is a cognitive discipline whose practitioners characteristically use technology during operations for patients. With accelerating technological innovation throughout society and healthcare, we sought to develop a shared position for Irish surgery via a commissioned work programme by the Royal College of Surgeons in Ireland.
Methods: Using Stanford design principles, representative clinical specialty and academic leads and higher trainee representatives across 15 specialties were surveyed regarding sentiments, perspectives and concerns regarding now and near future technology in clinical practice, career considerations and training/education.
Women Birth
January 2025
School of Nursing and Midwifery, Griffith University, Meadowbrook, QLD, Australia.
Background: Aboriginal and Torres Strait Islander (hereafter referred to as First Nations) childbearing women report negative experiences from a lack of culturally safe maternity care. Evidence supports improved health outcomes for First Nations women and infants when cared for by First Nations midwives. There are barriers to First Nations students accessing university, particularly nursing and midwifery students, with a lack of evidence exploring the experiences of First Nations midwifery students.
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