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Lower SBP linked to worse outcomes in older HF patients with reduced ejection fraction and hypertension

Clinicians should focus on preventing heart failure (HF) in patients with hypertension and providing optimal therapy in those with symptomatic disease, rather than on a specific blood pressure target, an editorial said.
https://immattersacp.org/weekly/archives/2019/06/25/2.htm
25 Jun 2019

Unique state of payments as Maryland uses uniform prices

Hospital charges in Maryland have been set by the state for 4 decades, and more reforms are on the way. The effort has led to all insurers paying the same price for the same services in the same hospitals, and now, the state is looking to improve facilities' readmission rates and other quality metrics.
https://immattersacp.org/archives/2014/04/hospital.htm
1 Apr 2014

Quality reporting offers ‘pick your pace’ participation

A “pick your pace” option for quality reporting under the Medicare Access and CHIP Reauthorization Act of 2015 will give internists a chance to ease into the new payment system by choosing their levels of participation.
https://immattersacp.org/archives/2017/03/tips.htm
1 Mar 2017

COVID-19 research covers taste and smell alterations, incidence in nursing homes and shelters, resource allocation policies

Other topics of note this week include guidance from the Infectious Diseases Society of America (IDSA) on personal protective equipment, plus information from the FDA and IDSA on serum antibody tests.
https://immattersacp.org/weekly/archives/2020/04/28/1.htm
28 Apr 2020

COVID-19 news on monoclonal antibodies, psychiatric drug and complications

A monoclonal antibody received emergency use authorization, but experts described implementation challenges with this therapeutic class. New research found potential benefit from a psychiatric drug in COVID-19 outpatients and associations of COVID-19 with psychiatric disorders.
https://immattersacp.org/weekly/archives/2020/11/17/1.htm
17 Nov 2020

In the News

Clinical updates from the reports compiled by ACP IntenristWeekly.
https://immattersacp.org/archives/2009/05/in-the-news.htm
1 May 2009

Transportation doesn't fix all no-show woes

Health care systems are creating transportation programs to shuttle patients not only to appointments, but to pharmacies and locations to help with treatment.
https://immattersacp.org/archives/2018/11/transportation-doesnt-fix-all-no-show-woes.htm
1 Nov 2018

GASTROENTEROLOGY “Probably the biggest negative is that it car-ries ...

had relativelyfewer ER visits and hospital readmissions.WESTMED doctors also met almost all ofthe 10 goals targeting cancer screenings andproactive management of diabetes andheart disease.
https://immattersacp.org/archives/2014/09/acpi-201409-puzzle_t2.pdf
20 Aug 2014

MKSAP Quiz: 3-year history of dyspnea, cough

A 69-year-old man is evaluated for a three-year history of dyspnea and chronic productive cough. He was diagnosed with chronic obstructive pulmonary disease (COPD) two years ago and has been treated for three exacerbations in the past year. He is taking tiotropium, fluticasone/salmeterol, and albuterol inhalers. Which long-term treatment is most likely to reduce exacerbations?
https://immattersacp.org/weekly/archives/2019/03/05/3.htm
5 Mar 2019

IDSA issues new clinical practice guideline for outpatient parenteral antimicrobial therapy

The new guideline updates 2004 recommendations from the Infectious Diseases Society of America (IDSA) with evidence from recent research, particularly on the safety of outpatient parenteral therapy.
https://immattersacp.org/weekly/archives/2018/11/20/5.htm
20 Nov 2018

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