Lessons From New York State’s Preparedness Efforts for Ebola

2016 ◽  
Vol 11 (3) ◽  
pp. 383-388 ◽  
Author(s):  
Howard A. Zucker ◽  
Dennis Whalen ◽  
Kenneth E. Raske
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Health Care ◽  
New York ◽  
West Africa ◽  
Health Care System ◽  
Clinical Consequence ◽  
Public Health Preparedness ◽  
Communications Management ◽  
Care System

AbstractPreparing an entire health care system for an outbreak of a deadly infectious disease is an intensive, time-consuming process that requires collaboration and cooperation at all levels. New York achieved this goal when it became apparent that the Ebola outbreak in West Africa had the potential to spread beyond the 3 most heavily impacted countries. We discuss New York’s work with health care associations to prepare the multiple tiers of the state’s health care system to successfully transport, identify, diagnose, and treat the disease, while also handling clinical, consequence, and communications management of the outbreak. The massive statewide efforts laid the groundwork for managing future outbreaks and emergencies and provide a model for other states to follow. (Disaster Med Public Health Preparedness. 2017;11:383–388).

Value-Based Emergency Management

2016 ◽  
Vol 10 (1) ◽  
pp. 158-160
Author(s):  
Zachary Corrigan ◽  
Walter Winslow ◽  
Charlie Miramonti ◽  
Tim Stephens
Keyword(s):  
Public Health ◽  
Health Care ◽  
Emergency Management ◽  
Health Care System ◽  
Health Care Organizations ◽  
Public Health Preparedness ◽  
Value Based Purchasing ◽  
Compensation Systems ◽  
The Us ◽  
Care System

ABSTRACTThis article touches on the complex and decentralized network that is the US health care system and how important it is to include emergency management in this network. By aligning the overarching incentives of opposing health care organizations, emergency management can become resilient to up-and-coming changes in reimbursement, staffing, and network ownership. Coalitions must grasp the opportunity created by changes in value-based purchasing and impending Centers for Medicare and Medicaid Services emergency management rules to engage payers, physicians, and executives. Hope and faith in doing good is no longer enough for preparedness and health care coalitions; understanding how physicians are employed and health care is delivered and paid for is now necessary. Incentivizing preparedness through value-based compensation systems will become the new standard for emergency management. (Disaster Med Public Health Preparedness. 2016;10:158–160)

scholarly journals COVID‐19 outcomes in hospitalized patients with active cancer: Experiences from a major New York City health care system

Cancer ◽  
2021 ◽  
Author(s):  
Chen Fu ◽  
James H. Stoeckle ◽  
Lena Masri ◽  
Abhishek Pandey ◽  
Meng Cao ◽  
...  
Keyword(s):  
Health Care ◽  
New York ◽  
New York City ◽  
Health Care System ◽  
York City ◽  
Hospitalized Patients ◽  
Active Cancer ◽  
Care System

scholarly journals An Economic Evaluation of Disallowing Body Checking in 11- to 12-Year-Old Ice Hockey Leagues

2021 ◽  
pp. 194173812110215
Author(s):  
Gillian R. Currie ◽  
Raymond Lee ◽  
Amanda M. Black ◽  
Luz Palacios-Derflingher ◽  
Brent E. Hagel ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care System ◽  
Policy Change ◽  
National Policy ◽  
Ice Hockey ◽  
Public Health Care ◽  
Public Health Care System ◽  
Body Checking ◽  
Care System

Background: After a national policy change in 2013 disallowing body checking in Pee Wee ice hockey games, the rate of injury was reduced by 50% in Alberta. However, the effect on associated health care costs has not been examined previously. Hypothesis: A national policy removing body checking in Pee Wee (ages 11-12 years) ice hockey games will reduce injury rates, as well as costs. Study Design: Cost-effectiveness analysis alongside cohort study. Level of Evidence: Level 3. Methods: A cost-effectiveness analysis was conducted alongside a cohort study comparing rates of game injuries in Pee Wee hockey games in Alberta in a season when body checking was allowed (2011-2012) with a season when it was disallowed after a national policy change (2013-2014). The effectiveness measure was the rate of game injuries per 1000 player-hours. Costs were estimated based on associated health care use from both the publicly funded health care system and privately paid health care cost perspectives. Probabilistic sensitivity analysis was conducted using bootstrapping. Results: Disallowing body checking significantly reduced the rate of game injuries (−2.21; 95% CI [−3.12, −1.31] injuries per 1000 player-hours). We found no statistically significant difference in public health care system (−$83; 95% CI [−$386, $220]) or private health care costs (−$70; 95% CI [−$198, $57]) per 1000 player-hours. The probability that the policy of disallowing body checking was dominant (with both fewer injuries and lower costs) from the perspective of the public health care system and privately paid health care was 78% and 92%, respectively. Conclusion: Given the significant reduction in injuries, combined with lower public health care system and private costs in the large majority of iterations in the probabilistic sensitivity analysis, our findings support the policy change disallowing body checking in ice hockey in 11- and 12-year-old ice hockey leagues.

scholarly journals Modelling the dynamics of a public health care system: evidence from time-series data

2011 ◽  
Vol 44 (23) ◽  
pp. 2955-2968 ◽  
Author(s):  
Fabrizio Iacone ◽  
Steve Martin ◽  
Luigi Siciliani ◽  
Peter C. Smith
Keyword(s):  
Public Health ◽  
Health Care ◽  
Time Series ◽  
Health Care System ◽  
Time Series Data ◽  
Public Health Care ◽  
Series Data ◽  
Public Health Care System ◽  
Care System
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