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December 2013 Briefing - Infectious Disease

December 2013 Briefing - Infectious Disease

Here are what the editors at HealthDay consider to be the most important developments in Infectious Disease for December 2013. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Troubled Launch of ACA Tops Health News for 2013

TUESDAY, Dec. 31, 2013 (HealthDay News) -- As 2013 nears to a close, the year's top health news story -- the fumbled debut of the Affordable Care Act continues to grab headlines. President Barack Obama, in November, said he was "sorry" to hear that some Americans were being dropped from their health plans due to the advent of reforms -- even though he had repeatedly promised that this would not happen.

CDC: More Than One in 10 Kids Diagnosed With ADHD (http://www.physiciansbriefing.com/Article.asp?AID=682484 )FDA Urges Tighter Controls on Certain Prescription Painkillers (http://www.physiciansbriefing.com/Article.asp?AID=681474 )CDC: Evocative Campaign Motivates Smokers to Quit (http://www.physiciansbriefing.com/Article.asp?AID=680336 )Lower Microbial Diversity for Infants Who Develop Colic (http://www.physiciansbriefing.com/Article.asp?AID=672411 )Low Gut Bacterial Richness Linked to Obesity (http://www.physiciansbriefing.com/Article.asp?AID=679607 )Donor Fecal Infusion Effective for C. difficile Infection (http://www.physiciansbriefing.com/Article.asp?AID=672491 )Full Article - 2013 Top Health News (http://consumer.healthday.com/public-health-information-30/misc-insurance-news-424/troubled-launch-of-obamacare-tops-health-news-for-2013-683282.html )

Extra Steps Urged for Regulating Compounding Pharmacies

MONDAY, Dec. 30, 2013 (HealthDay News) -- Additional steps are needed for regulating compounding pharmacies, according to a perspective piece published online Dec. 25 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1314691 )

Bacterial Infections During Pregnancy May Up Risk of Autism

MONDAY, Dec. 30, 2013 (HealthDay News) -- Pregnant women who are diagnosed with infections, particularly bacterial infections, during a hospital admission have an increased risk of delivering a child with autism spectrum disorder (ASD), according to research published online Dec. 23 in the Journal of Autism and Developmental Disorders.

Abstract (http://link.springer.com/article/10.1007/s10803-013-2016-3 )Full Text (subscription or payment may be required) (http://link.springer.com/article/10.1007/s10803-013-2016-3 )

Uncertainty Noted in Seemingly Stable Medical Liability Climate

MONDAY, Dec. 30, 2013 (HealthDay News) -- Although the medical liability climate seems stable, the impact of health care reform on the market is uncertain, according to an article based on two reports published by the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a5e3230d6-51ea-454a-b883-e26b18bf22a9&plckScript=blogScript&plckElementId=blogDest#.Ur_RHv35E_s )

Surge in Federal Health Insurance Exchange Enrollments

MONDAY, Dec. 30, 2013 (HealthDay News) -- More than 1.1 million people enrolled in a qualified health plan through the federally operated marketplace, or exchange, from Oct. 1 through Dec. 24, government officials said Sunday. More than 975,000 of those enrollments came in December, Marilyn Tavenner, administrator for the Centers for Medicare & Medicaid Services, said in a blog post.

Full Article (http://consumer.healthday.com/health-technology-information-18/misc-computer-health-news-150/white-house-extends-insurance-enrollment-deadline-for-second-time-683423.html )

Fewer Opioid Treatment Centers Offering HIV, STI Testing

FRIDAY, Dec. 27, 2013 (HealthDay News) -- Fewer U.S. opioid treatment programs are offering on-site testing for HIV and sexually transmitted infections (STIs), according to a research letter published in the Dec. 25 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1793783 )

AMA IDs Five Issues Relating to Progress in SGR Repeal

FRIDAY, Dec. 27, 2013 (HealthDay News) -- The implications of progress toward repeal of the Medicare sustained growth rate (SGR) formula are discussed in a report published by the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a6e5ad51b-807b-484a-a2de-39152eed6a35&plckScript=blogScript&plckElementId=blogDest#.Ur19JMXnbrc )

CDC: Chikungunya Virus Now in the Western Hemisphere

FRIDAY, Dec. 27, 2013 (HealthDay News) -- The mosquito-borne chikungunya virus has been identified for the first time among non-travelers in the Western Hemisphere, according to the U.S. Centers for Disease Control and Prevention.

More Information (http://www.cdc.gov/media/releases/2013/p1218-chikungunyas.html )

ACA Success Hinges on Young Adult Enrollment

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Enrollment of young adults is a crucial component of the viability of the Affordable Care Act (ACA), according to a health policy brief published Dec. 16 in Health Affairs.

Full Text (http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=105 )

Impact of Planned Medicaid Expansion Discussed

THURSDAY, Dec. 26, 2013 (HealthDay News) -- The planned expansion of Medicaid will offer benefits to those in participating states, according to an article published online Dec. 24 in the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1791502 )

HIV Life Expectancy Similar to General Population

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Life expectancy among HIV-positive adults in the United States and Canada treated with combination antiretroviral therapy (ART) has greatly improved since 2000, with 20-year-olds now expected to live into their 70s, according to a study published online Dec. 18 in PLOS ONE.

Full Text (http://www.plosone.org/article/info:doi%2F10.1371%2Fjournal.pone.0081355 )

Testosterone May Undermine Flu Vaccine Effectiveness for Men

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Differences in expression of genes involved in lipid metabolism regulated by testosterone may explain why men have less robust immune responses than women, according to a study published online Dec. 23 in the Proceedings of the National Academy of Sciences.

Abstract (http://www.pnas.org/content/early/2013/12/20/1321060111 )Full Text (http://www.pnas.org/content/early/2013/12/20/1321060111.full.pdf+html )

Toxic Employees Are Damaging to Medical Practices

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Toxic behavior can harm medical practices and should not be tolerated, according to an article published Dec. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/how-keep-toxic-employees-harming-your-practice )

Public Tends to Follow Celebrities Even on Medical Issues

MONDAY, Dec. 23, 2013 (HealthDay News) -- Celebrities have credibility as sources of medical advice, even if they are ill-informed or are spreading potentially harmful information, according to research published online Dec. 17 in BMJ.

Full Text (http://www.bmj.com/content/347/bmj.f7151 )

New Rule May Exempt Many From Health Plan Penalty

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Consumers whose individual health insurance policies have been cancelled for failing to meet the minimum requirements of the Affordable Care Act may now apply for a "hardship exemption," Obama administration officials announced late Thursday.

Full Article (http://consumer.healthday.com/public-health-information-30/misc-insurance-news-424/new-rule-may-exempt-millions-from-health-plan-penalty-683276.html )

High Patient Satisfaction With Patient-Centered Medical Homes

FRIDAY, Dec. 20, 2013 (HealthDay News) -- A significant majority of patients report experiencing a high quality of care at federally-supported health centers, according to a study published in the November/December issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/6/508.abstract )Full Text (http://www.annfammed.org/content/11/6/508.full )

Docs Must Help Patients Take Responsibility for Medical Costs

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Given that increasing numbers of patients have high-deductible health insurance, doctors and practice staff need to help patients assume financial responsibility for costs relating to medical services and procedures, according to an article published Dec. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/do-high-deductibles-mean-high-risk-physicians )

Physicians Must Be Proactive in Risk Management

THURSDAY, Dec. 19, 2013 (HealthDay News) -- Risk is inherent in the practice of medicine, but physicians can take steps to prevent patient injury and avoid lawsuits, according to an article published Dec. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/six-ways-physicians-can-prevent-patient-injury-and-avoid-lawsuits )

Antiviral Treatment Benefits Patients With Diabetes

THURSDAY, Dec. 19, 2013 (HealthDay News) -- Patients with diabetes have a lower risk of end-stage renal disease, stroke, and acute coronary syndrome after antiviral treatment for hepatitis C virus (HCV), according to a study published online in Hepatology.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/hep.26892/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/hep.26892/pdf )

Few Residency Programs Teach Cost-Conscious Medicine

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- Few residency programs have a formal cost-conscious care curriculum, according to a research letter published online Dec. 16 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1787692 )

CDC Highlights Achievements of 2013, Goals for 2014

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- The top five gains made in improving health security at home and around the world in 2013, and the top five areas for improvement in 2014 have been highlighted in an end-of-year report from the U.S. Centers for Disease Control and Prevention.

More Information (http://www.cdc.gov/features/endofyear/graphic.html )

GlaxoSmithKline to End Payments to Prescribing Doctors

TUESDAY, Dec. 17, 2013 (HealthDay News) -- GlaxoSmithKline (GSK) says it will stop paying doctors to market its drugs at conferences and will no longer reward sales agents whose physician customers write the most prescriptions. Monday's announcement is apparently a first for a major drug company. But other companies may be considering similar moves, The New York Times reported.

Full Article (http://consumer.healthday.com/general-health-information-16/doctor-news-206/glaxco-to-end-payments-to-prescribing-doctors-683144.html )

Funding for Medical Communication Firms Analyzed

TUESDAY, Dec. 17, 2013 (HealthDay News) -- Medical communication companies (MCCs), responsible for medical education programs, may receive substantial financial support from pharmaceutical and medical device companies, according to research published in the Dec. 18 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1790870#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1790870 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1790876 )

Many Physicians Will Stop Practicing Due to ACA

TUESDAY, Dec. 17, 2013 (HealthDay News) -- About half of physicians say that they plan to practice medicine for a shorter time or leave as soon as feasibly possible due to the Affordable Care Act (ACA), according to an article published Nov. 29 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/nearly-half-physicians-believe-obamacare-will-impact-their-career-time-lines- )

Exposure to Pertussis Common in Peds Health Care Workers

TUESDAY, Dec. 17, 2013 (HealthDay News) -- Health care workers are frequently exposed to pertussis in a pediatric health care setting, according to a study published online Dec. 16 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/12/10/peds.2013-0745.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/12/10/peds.2013-0745.full.pdf+html )

FDA Questions Effectiveness, Safety of Antibacterial Soap

TUESDAY, Dec. 17, 2013 (HealthDay News) -- The U.S. Food and Drug Administration has issued a proposed rule requiring antibacterial soap manufacturers to demonstrate that their products are both effective at preventing illness and safe for long-term daily use.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm378542.htm )

Physician Access Challenges Up for Those With Public Insurance

TUESDAY, Dec. 17, 2013 (HealthDay News) -- Adverse experiences with physician availability are more likely among those with public insurance, and almost 15 percent of people in the United States were uninsured in the first half of 2013, according to two December data briefs issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

Report - Gindi (http://www.cdc.gov/nchs/data/databriefs/db138.htm )Report - Martinez and Cohen (http://www.cdc.gov/nchs/data/nhis/earlyrelease/Insur201303.pdf )

Bills for SGR Repeal Pass Senate, House Committees

MONDAY, Dec. 16, 2013 (HealthDay News) -- The U.S. House Ways and Means Committee and the U.S. Senate Finance Committee have passed their versions of the bill to repeal Medicare's failed sustainable growth rate (SGR) formula, according to a report from the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a1859ea84-fee5-4878-9e96-1fa97af5abc0&plckScript=blogScript&plckElementId=blogDest#.Uq9RnsXnZLM )

Word of Mouth Still Tops Ways People Find Physicians

MONDAY, Dec. 16, 2013 (HealthDay News) -- Roughly three-quarters of young adults use personal recommendations to select a physician, according to an article published in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/how-do-young-adults-choose-physician )

Medicare's Graduate Medical Education Spending Imbalanced

MONDAY, Dec. 16, 2013 (HealthDay News) -- There is an "imbalance" in how Medicare distributes its $10 billion a year for graduate medical education (GME), according to a study published in the November issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/11/1914.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/11/1914.full )

Urine-Based Assay Diagnoses Chlamydia in 20 Minutes

MONDAY, Dec. 16, 2013 (HealthDay News) -- A rapid and sensitive assay requiring no special equipment can detect Chlamydia trachomatis directly from urine samples with high accuracy, according to a study published in the January issue of the Journal of Molecular Diagnostics.

Abstract (http://jmd.amjpathol.org/article/S1525-1578(13)00215-8/abstract )Full Text (subscription or payment may be required) (http://jmd.amjpathol.org/article/S1525-1578(13)00215-8/fulltext )

Determinants of Patient Loyalty to Provider Identified

MONDAY, Dec. 16, 2013 (HealthDay News) -- Determinants of patient loyalty have been identified and include confidence in care provider and coordination of care, according to a report published by Press Ganey.

More Information (http://www.pressganey.com/pressroom/13-12-10/Press_Ganey_Identifies_Key_Drivers_of_Patient_Loyalty_in_Medical_Practices.aspx )

CDC: Flu Vaccine Reduced Adverse Outcomes by 17 Percent

MONDAY, Dec. 16, 2013 (HealthDay News) -- About 17 percent of adverse health outcomes associated with influenza were prevented in the most recent flu season, with a greater number of serious outcomes averted compared with previous flu seasons, according to a report published in the Dec. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6249a2.htm?s_cid=mm6249a2_w )

AAP Advises Pregnant Women and Children to Avoid Raw Milk

MONDAY, Dec. 16, 2013 (HealthDay News) -- The American Academy of Pediatrics (AAP) advises against the consumption of raw milk, especially among pregnant women, infants, and children, because of the risk of bacterial infections, according to a policy statement published online Dec. 16 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/12/10/peds.2013-3502.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/12/10/peds.2013-3502.full.pdf+html )

New Rule Tweaks Affordable Care Act Deadline

FRIDAY, Dec. 13, 2013 (HealthDay News) -- The Obama administration is taking steps to prevent consumers who buy health plans sold through state and federal exchanges from experiencing any gap in coverage this January. Under new rules, health insurers must accept payment up until Dec. 31 for coverage that begins the following day. Earlier guidance did not establish a payment deadline, allowing insurers to set their own dates. "And we're recommending that insurers extend this deadline further," U.S. Health and Human Services (HHS) Secretary Kathleen Sebelius said during a Thursday news conference to announce the changes.

Full Article (http://consumer.healthday.com/public-health-information-30/misc-insurance-news-424/new-rule-tweaks-obamacare-deadline-683048.html )

Study Quantifies Male Dominance in Scientific Production

FRIDAY, Dec. 13, 2013 (HealthDay News) -- Men dominate scientific production worldwide, accounting for a higher percentage of authorships and greater impact, according to research published in the Dec. 12 issue of Nature.

Full Text (http://www.nature.com/news/bibliometrics-global-gender-disparities-in-science-1.14321 )

Injunction Stops Insurer From Dropping Physicians

THURSDAY, Dec. 12, 2013 (HealthDay News) -- United Healthcare has been given a last-minute temporary restraining order preventing it from removing thousands of physicians from its Medicare Advantage networks in Connecticut, according to an article published Dec. 6 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/federal-judge-grants-temporary-injunction-against-unitedhealthcare )

FDA Issues Plan to Phase Out Antimicrobial Use in Animals

THURSDAY, Dec. 12, 2013 (HealthDay News) -- A plan is being implemented to help phase out the use of medically important antimicrobials in food animals for food production purposes, according to a report from the U.S. Food and Drug Administration.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm378193.htm )

New Inactivated Quadrivalent Flu Vaccine Found Efficacious in Kids

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- A candidate inactivated quadrivalent influenza vaccine (QIV) is efficacious for preventing influenza in young children, according to a study published online Dec. 11 in the New England Journal of Medicine.

Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1215817?query=featured_home#t=abstract )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1215817?query=featured_home#t=article )Editorial (http://www.nejm.org/doi/full/10.1056/NEJMe1315317?query=featured_home )

Physician Practices Often Do Not Plan for Future

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Most physician practices do not treat their practices as businesses and plan for the future, but they should develop and follow a strategic plan, according to an article published Nov. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/building-future-art-strategic-planning )

Peds Bronchiolitis Guideline Can Cut Resource Use, Costs

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Implementation of a bronchiolitis guideline can reduce unnecessary resource utilization and reduce costs in a pediatric emergency department setting, according to research published online Dec. 9 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/12/03/peds.2013-1991.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/12/03/peds.2013-1991.full.pdf+html )

CDC: Health Insurance Among Young Increased After ACA

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Since the Affordable Care Act extended dependent health coverage to young adults up to 26 years old, the percentage of this age group with private health insurance has increased and the percentage with gaps in insurance coverage has decreased, according to a December data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

More Information (http://www.cdc.gov/nchs/data/databriefs/db137.htm )

Outpatient Docs Report More Burnout Than Inpatient Docs

TUESDAY, Dec. 10, 2013 (HealthDay News) -- Outpatient physicians report more emotional exhaustion than inpatient physicians, according to a review published in the November issue of the Journal of Hospital Medicine.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/jhm.2093/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/jhm.2093/full )

Support for Narrow-Spectrum Antibiotics in Pediatric Pneumonia

TUESDAY, Dec. 10, 2013 (HealthDay News) -- Narrow-spectrum antibiotics, which are recommended as first-line therapy for children hospitalized with community-acquired pneumonia (CAP), show similar outcomes compared with broad-spectrum antibiotics, according to research published online Dec. 9 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/12/03/peds.2013-1773.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/12/03/peds.2013-1773.full.pdf+html )

FDA Approves Sovaldi for Chronic Hepatitis C

MONDAY, Dec. 9, 2013 (HealthDay News) -- Sovaldi (sofosbuvir) has been approved by the U.S. Food and Drug Administration to treat chronic infection with hepatitis C. It's considered a breakthrough medication since it's the first such drug that does not require same-time administration of interferon, the agency said in a news release.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm377888.htm )

Health Information Technology May Cut Demand for Physicians

MONDAY, Dec. 9, 2013 (HealthDay News) -- Health information technology (IT) may cut demand for physicians in the future, according to a review published in the November issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/11/1998.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/11/1998.full )

With Looming ACA Uncertainty, Budget Exercise Necessary

MONDAY, Dec. 9, 2013 (HealthDay News) -- Constructing a budget for 2014 is critical for physicians even with the uncertainties surrounding the Affordable Care Act, according to an article published Nov. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/how-build-budget-your-practice-2014 )

CMS Finalizes 2014 Physician Payment Rates, Policies

MONDAY, Dec. 9, 2013 (HealthDay News) -- The final payment rules for 2014 include a proposal to support care management outside the routine office interaction and policies to promote high quality care and efficiency, according to a report from the Centers for Medicare & Medicaid Services (CMS).

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2013-Press-Releases-Items/2013-11-27-2.html )

Medical Students Find Mind-Body Regulation Training Helpful

FRIDAY, Dec. 6, 2013 (HealthDay News) -- A practical approach may be used to offer mind-body regulation training to medical students, according to research published in the Fall issue of the Annals of Behavioral Science and Medical Education.

Abstract (http://www.absame.org/annals/ojs/index.php/annals/article/view/178 )Full Text (http://www.absame.org/annals/ojs/index.php/annals/article/viewFile/178/172 )

Issues Surround Hospital Readmissions Reduction Program

FRIDAY, Dec. 6, 2013 (HealthDay News) -- Concerns surround implementation of the Medicare Hospital Readmissions Reduction Program (HRRP), according to a policy brief published online Nov. 12 in Health Affairs.

Full Text (http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=102 )

Elimination of Measles, Rubella Sustained in the United States

FRIDAY, Dec. 6, 2013 (HealthDay News) -- Sustained elimination of measles, rubella, and congenital rubella syndrome (CRS) has continued through 2011 in the United States, with most of the few cases seen linked to importation, according to a study published online Dec. 5 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1787786#Abstract )Full Text (http://archpedi.jamanetwork.com/article.aspx?articleid=1787786 )Editorial (http://archpedi.jamanetwork.com/article.aspx?articleid=1787785 )

Final Rule Aims to Lower Costs, Simplify Outpatient Payments

FRIDAY, Dec. 6, 2013 (HealthDay News) -- The final hospital outpatient and ambulatory surgical center (ASC) payment rule will give hospitals and ASCs the ability to lower costs, according to a report from the Centers for Medicare & Medicaid Services (CMS).

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2013-Press-Releases-Items/2013-11-27.html )

CDC: More People With Asthma Getting Flu Shots

THURSDAY, Dec. 5, 2013 (HealthDay News) -- Influenza vaccination has increased substantially among people with asthma since the Advisory Committee on Immunization Practices (ACIP) expanded recommendations for annual vaccinations, though all age groups fall short of Healthy People 2020 targets, according to a report published in the Dec. 6 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6248a1.htm?s_cid=mm6248a1_w )

Handoff Program Cuts Medical Errors, Adverse Events

THURSDAY, Dec. 5, 2013 (HealthDay News) -- Implementation of a multifaceted handoff program can reduce medical errors and preventable adverse events, according to a study published in the Dec. 4 issue of the Journal of the American Medical Association, a theme issue on medical education.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1787406#Abstract )Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1787406 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1787393 )

AMA's RUC Committee to Work on Improving Transparency

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- The 31-member Relative Value Scale Update Committee (RUC) of the American Medical Association will begin publishing minutes, dates and locations of meetings, and votes for individual current procedural codes, according to an article published Nov. 11 in Medical Economics.

Full Article (http://medicaleconomics.modernmedicine.com/medical-economics/news/ruc-committee-takes-steps-toward-transparency )

Health Reform in Mass. Didn't Change ICU Utilization

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Initiation of health care reform in Massachusetts correlated with a reduction in intensive care unit (ICU) patients without insurance but did not significantly change ICU use or mortality among ICU patients, according to a study published online Nov. 22 in Critical Care Medicine.

Abstract (http://journals.lww.com/ccmjournal/Abstract/publishahead/Use_of_Intensive_Care_Services_and_Associated.97654.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/ccmjournal/Abstract/publishahead/Use_of_Intensive_Care_Services_and_Associated.97654.aspx )

Investment Program Can Cut Global Health Disparities by 2035

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Global health disparities could be reduced considerably by 2035 using an investment framework, according to a report published Dec. 3 in The Lancet.

Report (http://www.thelancet.com/commissions/global-health-2035 )More Information (http://www.globalhealth2035.org )

Recombinant HIV Strain Progresses to AIDS, Death Faster

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Individuals infected with a recombinant strain of HIV have a higher risk of developing and dying of AIDS, and developing and dying from AIDS sooner than individuals infected with either parent strain, according to a study published in the Journal of Infectious Diseases.

Abstract (http://jid.oxfordjournals.org/content/early/2013/08/30/infdis.jit416.abstract )Full Text (subscription or payment may be required) (http://jid.oxfordjournals.org/content/early/2013/08/30/infdis.jit416.full )

Varicella Vaccination Program Has Not Increased Herpes Zoster

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Introduction of a universal varicella vaccine program for U.S. children in 1996 has not correlated with a significant increase in herpes zoster incidence in older U.S. adults, according to a study published in the Dec. 3 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1784289 )

Modest Increases in Minority Faculty Seen at Med Schools

TUESDAY, Dec. 3, 2013 (HealthDay News) -- Underrepresented minority faculty made only modest gains in increasing their presence at U.S. medical schools from 2000 to 2010, according to a study published in the Journal of the American Medical Association, a theme issue on medical education.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1787408#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1787408 )

Physician Texting While 'Doctoring' May Be Hazardous

TUESDAY, Dec. 3, 2013 (HealthDay News) -- Physician texting while doctoring could be hazardous, according to an ideas and opinions piece published in the Dec. 3 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1784295 )

FDA Starts Regulating Compounding Pharmacies

TUESDAY, Dec. 3, 2013 (HealthDay News) -- The U.S. Food and Drug Administration on Monday began the process of regulating compounding pharmacies. Under the Drug Quality and Security Act, signed into law Nov. 27 by President Barack Obama, these pharmacies are being encouraged to register with the FDA. The agency will then classify them as outsourcing pharmacies, enabling them to sell bulk drugs to hospitals and other health care facilities.

Full Article (http://consumer.healthday.com/general-health-information-16/misc-drugs-news-218/fda-starts-regulating-compounding-pharmacies-682688.html )More Information (http://www.fda.gov/drugs/GuidanceComplianceRegulatoryInformation/PharmacyCompounding/ )

Volunteering Overseas Revives Physicians' Outlooks

MONDAY, Dec. 2, 2013 (HealthDay News) -- Physician volunteer programs can revive doctors' passion for medicine, according to an article published Nov. 11 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/physician-volunteer-programs-can-revive-your-passion-medicine-while-boosting- )