White paper analyzes consumer priorities in value-based care | Increasing evidence shows Zika induces microcephaly | The AAFP can help family physicians stay current on the latest information related to the Zika virus outbreak.
A white paper released by the Health Care Transformation Task Force, which AAFP joined last September, looks at consumer priorities and value-based health care and has outlined a framework based on six principles. The white paper is also summarized in a Health Affairs Blog post.
Preliminary results of new Brazilian research shows Zika is most likely responsible for microcephaly in 13 of the 32 infants who were diagnosed with the infection, in comparison to all of the 62 newborns in the control group that did not show any signs of Zika infection, according to a study published in The Lancet Infectious Diseases. Researchers also found that 41% of the infants with microcephaly had the Zika infection in their blood or cerebrospinal fluid, and 84% of those with microcephaly had low birthweights.
A study of 215,193 patients ages 40 to 75 years with diabetes and no overt cardiovascular disease found that only 61.6% were prescribed a statin by a cardiologist. The findings in the Journal of the American College of Cardiology showed those who received statins were more likely to receive non-statin cholesterol-lowering therapy and had CV risk factors and lower mean low-density lipoprotein cholesterol than patients who didn't receive a statin.
A Dutch study in JAMA Cardiology found women who started menopause before the age of 45 had a 50% higher risk of coronary heart disease, a 20% increased risk of cardiovascular disease-related mortality and a 12% greater risk of all-cause mortality, compared with those who entered menopause at an older age. A second study found women who began menopause between 50 and 54 had a lower risk of fatal coronary heart disease, compared with those who began menopause before age 50.
Thirty-one million US adults ages 50 and older don't engage in any physical activity, including almost 26% of men and more than 29% of women, which increases their risk for diabetes, cancer and heart disease, according to the CDC's Morbidity and Mortality Weekly Report. Researchers evaluated the results of a 2014 national health survey and found that adults become more physically inactive as they age.
The experimental shingles vaccine Shingrix was 90% effective in patients over age 70 after four years, researchers reported in the New England Journal of Medicine. Data from a separate Kaiser Permanente study showed the Zostavax vaccine had reduced efficacy as people aged, decreasing to around 18% for adults older than 79.
Data showed similar racial disparities in preventive care before and after the CMS Quality Bonus Payment Demonstration program in Medicare Advantage, which was introduced in 2012, researchers reported in the journal Preventing Chronic Disease. Researchers studied whether program incentives affected preventive care in the areas of improving bladder control, reducing risks of falls, and physical activity monitoring.
The CMS reported an average 8% decrease in hospital readmission rates from 2010 to 2015. Agency officials credited much of the improvement to the Hospital Readmissions Reduction Program that cuts Medicare reimbursements for hospitals with 30-day readmission rates that are higher than expected for targeted clinical conditions including heart failure, acute myocardial infarction and pneumonia.
The CMS has modified its Accountable Health Communities Model and created a new funding opportunity to reduce required Medicare and Medicaid beneficiary screenings from 75,000 to 53,000 and increase grants from $1 million to $1.17 million during the next five years to boost the model's adoption among health care and community-based organizations.
Good Samaritan Health Services in Tulsa, Okla., is increasing the number of sites for its mobile clinics, which are staffed by 30 volunteer physicians who treat more than 600 patients each month. Good Samaritan administrator Ben Dodwell said the mobile clinics provide complete primary care to the poor and uninsured.
Online registration has closed, but you can still register on-site for the 2016 AAFP Family Medicine Experience (FMX) in Orlando, Fla., Sept. 20-24. Gain best practices for conditions you see every day. Hear thought leaders such as renowned surgeon, researcher and best-selling author Atul Gawande, M.D.
A failure is not always a mistake. It may simply be the best one can do under the circumstances. The real mistake is to stop trying.
B.F. Skinner, psychologist
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