Often patients undergo sleep studies in a sleep lab, where they are observed by a researcher in a controlled environment. However, some sleep studies can be conducted in a patient’s own home. Cell phone apps and wearable tracking devices may also be used to provide data to researchers and doctors as an aide in diagnosing sleep disorders. … [Read more...] about Do Concussions Affect Sleep?
How can environment affect your health
The view of both sets of guidance is that it will only be on the rarest occasions when OH or the GP will be willing to say that an employee is too sick mentally to understand what the difficult meeting is about. Cynics might say that sometimes it is precisely because he does understand it that he has gone off sick. The FOM Guidance reminds OH practitioners in particular that in addition to consideration of the employee’s health, they also need to bear in mind the “needs of the employer to reach a conclusion in the interests of the organisation and the other workers“. It notes too that the Acas Code of Practice accepts that “a meeting may eventually be held in the worker’s absence if all reasonable attempts to facilitate attendance have failed“. How soon you can do this will depend on the facts of the case – if there is some material financial cost or distress caused to others by the delay, you may reasonably … [Read more...] about Mental health and difficult meetings – how far can the employer insist?
As with the post-payment audits, CMS intends to conduct pre-payment audits of approximately 5 percent to 10 percent of Eligible Providers submitting attestations for meaningful use; according to the CMS Audit Publication, some Eligible Providers will be selected at random, while others will be audited based on submission of “suspicious or anomalous data.” Given the unrelated process for selecting Eligible Providers for pre- and post-payment audits, it is possible that CMS may audit up to 20 percent of Eligible Providers submitting attestations for meaningful use in a given year. … [Read more...] about What Have We Learned from Audits under the Medicare Electronic Health Record (EHR) Incentive Program?
Patient FlowLeadership Standard LD.04.03.11, known as the “the patient flow standard” addresses how leadership uses data and measurements to identify, mitigate, and manage issues affecting patient flow through the hospital. Despite recent efforts to improve efficiencies, TJC noted that problems with ED patient flow pose a persistent systemic risk to the safety and quality of patient care. Effective January 1, 2013, the revised standard requires hospitals to measure, set, and review results, and take correction action for goals regarding: … [Read more...] about The Joint Commission Approves Standards Revisions Addressing Patient Flow, Boarding, Behavioral Health Emergencies
University of Texas at Austin researcher Mark Hayward tells WebMD "that long-term stress before, during, and after a divorce may accelerate the biologic processes that lead to cardiovascular disease and possibly other chronic diseases." In his study on the impact of divorce on heart disease, he showed that divorced, middle-aged women were more likely to develop heart disease than other non-divorced, married women. Although Hayward's study focused on women, the health consequences of divorce are not specific to gender. In a 2010 article on marriage and men's health, the Harvard Medical School cited a MFRIT study of 10,904 American married men which revealed that men who divorced were 37 percent more likely to die during the nine-year study than men who remained married. This may be due to the biological effects stress is having on men and women alike. The Harvard Medical School notes that stress triggers inflammation, which is a newly recognized cardiac risk factor. Thus, it may come as … [Read more...] about The Health Effects of Divorce can be both Detrimental and Beneficial