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Standardized Clinical Infectious Diseases Pharmacy Care Delivery and Antimicrobial Stewardship Program Management Within a Large, Integrated Healthcare System.
J Pharm Pract
December 2024
Department of Pharmacy, Aurora St Luke's Medical Center, Milwaukee, WI, USA.
Purpose: Infectious Diseases (ID) pharmacy expertise is crucial for the success of antimicrobial stewardship (AMS) efforts. As health systems expand due to mergers and acquisitions, ID pharmacy teams strive to deliver consistent care across the enterprise. This report describes the fusion of multiple AMS practice models during the integration of health systems to optimize and standardize care delivery.
View Article and Find Full Text PDFClinical outcomes and profitability following rural hospital mergers and acquisitions.
J Rural Health
November 2024
Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Purpose: As US hospital markets become increasingly consolidated, empirical evidence is needed on the clinical and financial impacts of mergers on care provided by rural hospitals. We identified characteristics of rural hospitals that underwent mergers or acquisitions and examined changes in profitability, clinical outcomes, and patient experience at acquired versus non-acquired rural hospitals.
Methods: We identified 145 rural US hospitals that underwent merger or acquisition between 2009 and 2014 and 906 rural non-acquired control hospitals.
A risk prediction stratification for non-mass breast lesions, combining clinical characteristics and imaging features on ultrasound, mammography, and MRI.
Front Oncol
October 2024
Department of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Objectives: Given the inevitable trend of domestic imaging center mergers and the current lack of comprehensive imaging evaluation guidelines for non-mass breast lesions, we have developed a novel BI-RADS risk prediction and stratification system for non-mass breast lesions that integrates clinical characteristics with imaging features from ultrasound, mammography, and MRI, with the aim of assisting clinicians in interpreting imaging reports.
Methods: This study enrolled 350 patients with non-mass breast lesions (NMLs), randomly assigning them to a training set of 245 cases (70%) and a test set of 105 cases (30%). Radiologists conducted comprehensive evaluations of the lesions using ultrasound, mammography, and MRI.
The Role of the Lawyer as Deal Maker in Health Care Acquisitions: From Amoral to Immoral?
J Law Med Ethics
October 2024
DREXEL UNIVERSITY, PHILADELPHIA, PENNSYLVANIA, USA.
This article proposes ethical - and legal - accountability for lawyers representing clients such as private equity (PE) firms who create ownership structures for nursing home systems. Using PE ownership as a case study, I will show that nursing home residents are often harmed and Medicaid costs inflated. I propose private law provides tools to compel such accountability, through (1) aiding and abetting doctrines and (2) fiduciary doctrines that require that the fiduciary be responsible for its vulnerable beneficiaries, not just ethically but for damages and equitable relief.
View Article and Find Full Text PDFQuality of care after a horizontal merger between two large academic hospitals.
Heliyon
October 2024
Department of Medicine, Division of Infectious Diseases, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Background: Hospital mergers remain common, but their influence on healthcare quality varies. Data on effects of European hospital mergers are ill defined, and academic hospitals in particular. This case study assesses early quality of care changes in two formerly competing Dutch academic hospitals that merged on June 6, 2018.
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