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Guidelines

Concussions – They’re All in Your Head

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Rich Greene, PA-C Head injury and concussion are common outpatient complaints. This case-based approach will help you differentiate the types of concussion and their common management. Patient 1 A 3 year-old male, presenting to the Emergency Department (ED) after falling off the bed while jumping on it.  Patient hit their head on a tile floor …

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Sepsis – What’s the Best Approach?

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Rob Beatty, MD FACEP Sepsis is a serious and potentially life-threatening condition that is unfortunately all too common in hospitals. Healthcare providers must recognize the signs and symptoms of sepsis early and initiate prompt treatment to improve patient outcomes. But what is the best therapy for sepsis? Is it the CLOVERS treatment, or is it …

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Comparative Analysis of Pneumonia Scoring Guidelines: Choosing the Best for Hospital Use

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Rob Beatty, MD FACEP Introduction Pneumonia is a significant cause of morbidity and mortality worldwide, making accurate assessment and also management crucial for healthcare providers. Various scoring systems have been developed to aid in the assessment and also risk stratification of patients with pneumonia. This article aims to analyze and compare different pneumonia scoring guidelines …

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Current Cholesterol and Hyperlipidemia Management

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Brandon Geer, APRN Current cholesterol and hyperlipidemia management can have a significant effect on the body. If not properly managed or maintained, high cholesterol or hyperlipidemia can cause an increase of fat deposits in arteries, and can increase the risk of arterial blockages causing conditions such as strokes or cardiac ischemia (American Heart Association, 2020). …

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Osteoporosis Workup and Treatment

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Osteoporosis workup and treatment is a common procedure in family and internal medicine. This disease is one of the most common bone diseases in the United States. Osteoporosis is a skeletal bone disease, and characterized by low bone mass. This conditions is the result of deterioration of the bone tissue with an increase in fragility …

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Part 3: How do PA’s and NP’s fit into healthcare reform

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And so the rest of this blog post comes to you – the biggest investment in healthcare.

MIP’s

Physicians, Physician Assistants, Nurse Practitioners – anyone who is considered a provider in healthcare, is now having their own quality measures applied to their care delivery.  As part of the permanent “Doc Fix” the Medicare Access and CHIP Reauthorization Act (MACRA) was passed in 2015. CHIP is the Children’s Health Insurance Plan that provides matching federal payments to state-funded children’s insurance programs.  MACRA is designed to shift the healthcare fee-for-service model of payments to the value-based payment (quality) payment model through Merit-based Incentive Programs (MIPs), which are designed to focus on quality measures at the provider level. Each specialty will have different requirements.  The intent of these quality measures is aimed at reducing cost, but their application to current medical standards is debatable.

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