Those results are consistent with data from the most successful care coordination demonstration projects funded by the Centers for Medicare and Medicaid

Services. Specifically, Gundersen’s program has been associated with reduced hospital stays, lower costs for inpatients, less use of inpatient services, and increased GSK690693 concentration patient satisfaction. Gundersen’s success is rooted in its team-based approach to coordinated care. Teams, led by a subspecialty-trained nurse, have regular, face-to-face contact with patients and their physicians in both inpatient and outpatient settings; involve patients deeply in care-related decisions; access a system-wide electronic medical record database

that tracks patients’ care; and take a macrolevel view of care-related factors and costs. Gundersen’s model offers specific take-home lessons for institutions Z-VAD-FMK nmr interested in coordinated care as they design programs aimed at improving quality and lowering costs. This institutional case study provides a window into well-executed care coordination at a large health care system in an era when major changes in health care provision and reimbursement mechanisms are on the horizon. (C) 2013 Mayo Foundation for Medical Education and Research square Mayo Clin Proc. 2013;88(2):184-194″
“Methods: A consecutive series of patients with AMI without a previous history of HF (n = 569) were followed up for 8 years. At baseline, the patients had a blood sample for determination of BNP, a 24-hour Holter recording for evaluating heart rate variability (HRV) and heart rate turbulence (HRT), and an assessment GSK923295 datasheet of baroreflex sensitivity (BRS) using phenylephrine test.\n\nResults: During the follow-up, 79 (14%)

patients were hospitalized due to HF. Increased baseline BNP, decreased HRV, HRT, and BRS had a significant association with HF hospitalization in univariate comparisons (P < 0.001 for all). After adjusting with all the relevant clinical parameters, BNP, HRV, and HRT still significantly predicted HF hospitalization (P < 0.001 for BNP and for the short-term scaling exponent alpha(1), P < 0.01 for turbulence slope). In the receiver operator characteristics curve analysis, the area under the curve for BNP was 0.77, for the short-term scaling exponent alpha(1) 0.69, for turbulence slope 0.71, and for BNP/standard deviation of all N-N intervals ratio 0.80.\n\nConclusion: Baseline increased BNP and impaired autonomic function after AMI yield significant information on the long-term risk for HF hospitalization.\n\nAnn Noninvasive Electrocardiol 2010;15(3):250-258.”
“Background: Osteoarthritis patients may exhibit different kinematics according to the disease stage. However, changes in the frontal and horizontal planes in each stage remain unclear.