AAFP's 5 principles address social determinants of health in APMs | Study finds rising improper pediatric ADHD drug exposures | Read clinical practice guidelines for the diagnosis, evaluation and treatment of ADHD that were developed by the American Academy of Pediatrics and endorsed by the AAFP.
The AAFP released a document, "Advancing Health Equity: Principles to Address the Social Determinants of Health in Alternative Payment Models," that says physician practices need adequate support to improve patient quality and outcomes, reduce costs and eliminate disparities. The AAFP noted the federal government has starting looking at how social risk factors affect physician performance in value-based payment programs.
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Calls to US poison control centers for youths younger than 20 who were exposed to attention-deficit/hyperactivity disorder drugs totaled 156,365 from 2000 to 2014, with call volume rising by 60% during the same period, researchers reported in Pediatrics. Three-quarters of exposures involved children aged 12 or younger, while nearly 50% of exposures among teens involved intentional misuse of the drugs or possible suicide attempts.
Researchers found that women who received labor induction at or beyond 41 weeks of gestation had fewer cesarean sections, perinatal deaths and stillbirths, compared with those who waited for labor to begin. However, the findings in the Cochrane Library, based on a review of 30 studies involving 12,000 women, showed similar prevalence of postpartum bleeding, perineal trauma, duration of maternal hospital stays and infant NICU admission in both groups.
A study presented at the American Association of Clinical Endocrinologists' annual meeting found type 1 diabetes was associated with a significantly increased risk of systemic collagen vascular diseases among women in comparison with men. The findings, based on medical chart reviews and patient questionnaire responses for 1,167 patients with type 1 diabetes, showed that those who also had an SCVD were at a greater risk of celiac disease, hyperthyroidism, hypothyroidism and other autoimmune diseases.
The number of people with an ideal cardiovascular health score, based on seven lifestyle and biological measures, decreased from 8.5% to 5.9% from 1991 to 2008, according to a study in the Journal of the American Heart Association. Researchers said the decrease was due mainly to poorer scores for body mass index, blood pressure, blood glucose and cholesterol.
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The Illinois Department of Public Health said there have been 164 cases of severe bleeding related to contaminated synthetic cannabinoids in the state, including four deaths. Family physician and Illinois AFP President Asim Jaffer, M.D., who teaches in a residency program at the University of Illinois College of Medicine, said Peoria Family Medicine Residency staff treated cases using an interdisciplinary approach and follow-up care.
President Donald Trump has nominated Robert Wilkie, the acting Veterans Affairs secretary, to serve as the agency's next leader. Wilkie, who is undersecretary of defense for personnel and readiness, has been the agency's acting secretary since the dismissal of David Shulkin in March.
A report from the Robert Wood Johnson Foundation and the Urban Institute estimates that 4.5 million people would gain health care coverage if the 19 states that have not fully expanded Medicaid did so next year. The move would raise federal health care spending as much as $37.8 billion, while state Medicaid spending would grow as much as $3.0 billion, but the additional spending would be completely or mostly offset by savings in other areas, the report indicates.
Smaller accountable care organizations that follow protocols and achieve relevant measures still may not meet benchmarks that qualify them for shared savings revenues, experts say. Caravan Health hopes to increase the odds of receiving shared revenues by organizing smaller ACOs into larger regional ACOs, says CEO Lynn Barr.
The greatest of faults, I should say, is to be conscious of none.
Thomas Carlyle, philosopher and historian
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