Chapter 1: Understanding and Managing Complex Healthcare Systems
Chapter 2: Determinants of Utilization of Healthcare Services
Update: Sign up on this website for the Population Health Assessment Engine [PHATE™], which has elements of Social Determinants of Health by geographic location on an interactive map.
Study question: Association Between Maternal Fluoride Exposure During Pregnancy and IQ Scores in Offspring in Canada [August 19, 2019]: This study found that “maternal exposure to higher levels of fluoride during pregnancy was associated with lower IQ scores in children aged 3 to 4 years. These findings indicate the possible need to reduce fluoride intake during pregnancy.” What kind of study was it? What are the major criticisms of this type of study? Lowering fluoride concentrations in the water can have profound effects on the incidence of dental caries (cavities). Would you recommend the change be made based on this study?
Hospitals and Healthcare Systems
Update: See August 27, 2019 blog post for research on Medicare patients discharged to LTACHs.
Update August 1, 2019: After careful consideration, the Centers for Medicare & Medicaid Services (CMS) is discontinuing the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration because of the rates of low participation. CMS will not be accepting applications for MAQI for 2019.”