Medicare, Nursing and Stroke - Cardiovascular Update

Bridging the Gap: Enhancing Stroke Recovery Through Digital Health Solutions

DAIC

JUNE 4, 2024

Stroke recovery is a challenging process that extends for months after hospital discharge. Navigating Post-Stroke Recovery at Home: One Patient's Experience A ”mildly impaired” stroke patient with atrial fibrillation who was discharged reported, “I knew my local pharmacist, and they knew my prescriptions.

Stroke

Stroke Strokes Innovation Research

Hypoglycemic Events May Trigger Acute Ischemic Stroke Within 30 Days in Those With Diabetes: A Case-Crossover Study

Stroke Journal

NOVEMBER 22, 2024

Stroke, Ahead of Print. BACKGROUND:Stroke triggers are factors that may precipitate a stroke within a given time interval and can predict the timing of a stroke. More research is needed to assess the link between the severity of hypoglycemia and stroke occurrence, as well as the severity of the stroke.

Diabetes

Diabetes Stroke Strokes Medicare

Abstract TP80: Differences in Access to Post Acute Care Services Between Traditional Medicare and Medicare Advantage Beneficiaries in Michigan

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP80-ATP80, February 1, 2024. Introduction:In recent years, Medicare Advantage (MA) enrollment in the US has increased dramatically relative to traditional Medicare (TM). of the 16,231 stroke discharges, respectively. Compared with TM, MA beneficiaries were older (77.4

Medicare

Medicare COVID-19 Inpatient Nursing

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

Abstract WP114: Impact of Readmission on the Continuity of Rehabilitation Care Among Acute Stroke Patients Discharged to Inpatient Rehabilitation and Skilled Nursing Facilities

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP114-AWP114, February 1, 2025. Introduction:Two-thirds of US stroke patients undergo rehabilitation post-discharge with about 20% and 25% receiving care at an inpatient rehabilitation facility (IRF) and skilled nursing facility (SNF), respectively.

Inpatient

Inpatient Nursing Stroke Strokes

Abstract NS8: Enhancing Post-Stroke Care: Implementing the Transitional Care Model

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ANS8-ANS8, February 1, 2025. Background and Purpose:Patients discharged home after a stroke are particularly vulnerable during the immediate post-discharge period. Patients were seen by the outpatient stroke NP within 7 to 14 days, either in clinic or via telemedicine.

CMS

CMS Stroke Strokes Reimbursement

Abstract WMP82: Stroke Transitional Care Model: An Advanced Practice Provider Led Initiative

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWMP82-AWMP82, February 1, 2025. Our Comprehensive Stroke Center identified critical gaps in post-discharge care, including inconsistent follow-up timing and a high rate of missed appointments.

CMS

CMS Reimbursement Stroke Strokes

Abstract WMP45: Home Time May Not be a Suitable Measure of Functional Recovery to Compare Rehabilitation Outcomes in Stroke Patients

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWMP45-AWMP45, February 1, 2025. Introduction:There has been an ongoing debate regarding the effectiveness of inpatient rehabilitation facility (IRF) and skilled nursing facility (SNF) in promoting functional recovery. The unadjusted 90-day and 1-year mean home time were 15.6

Stroke

Stroke Strokes Inpatient Outcomes

Abstract WP122: Readmission to Acute Care from Inpatient Rehabilitation Among Patients with Acute Ischemic Stroke

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP122-AWP122, February 1, 2025. Introduction:Inpatient rehabilitation (IR) for patients with Acute Ischemic Stroke (AIS) offers improved functional recovery and quality of life. Medicare, 1.17 [1.08-1.26]; Adjusted odds ratios (aOR) and 95% confidence intervals (CI) are reported.

Inpatient

Inpatient Stroke Strokes Atrial Fibrillation

Abstract WP109: Framework for Evaluating Sequential Patterns in Post-Acute Transitions of Care Among Ischemic and Hemorrhagic Stroke Survivors: Analysis of Medicare Beneficiaries in the State of Texas

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP109-AWP109, February 1, 2024. Background:Utilizing medical claims derived information, we evaluated temporal trends in post-acute care utilization pathways among patients with acute ischemic stroke (AIS) or intracerebral hemorrhage (ICH).Methods:Data and 82.3% (Panel D).Conclusion:Post

Medicare

Medicare Hemorrhage Inpatient Nursing

Abstract 280: Risk Factors in 90day Ischemic Stroke Readmissions

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Study Population includes all patients with an ischemic stroke inpatient admission in 2018 and were continuously enrolled with Medicare FFS for 1 year prior to and following their initial 2018 stroke admission. female and 83.1%

Risk Factors

Risk Factors Stroke Strokes Medicare

Risk of Recurrent Stroke and Mortality Among Black and White Patients With Poststroke Depression

Stroke Journal

APRIL 3, 2024

Stroke, Ahead of Print. BACKGROUND:Poststroke depression (PSD) is a treatable and common complication of stroke that is underdiagnosed and undertreated in minority populations.

Stroke

Stroke Strokes Medicare Outpatient

Abstract WP129: Disparities in the utilization of inpatient rehabilitation facilities for stroke patients in the United States

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP129-AWP129, February 1, 2025. Results:Overall, 335,521 stroke discharges (88.4% Results:Overall, 335,521 stroke discharges (88.4% Medicare) insured (1.73, 1.66-1.79), Stroke patients with higher comorbidity burden, as measured by Charlson Comorbidity Index (aOR, CI: 0.88, 0.87-0.89),

Inpatient

Inpatient Stroke Strokes Hemorrhage

Abstract WP140: Early Post Acute Care Pathways are Predictive of 1-Year Home Time among Patients with Acute Ischemic Stroke: Analysis of Clinical and Claims Linked Data

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP140-AWP140, February 1, 2025. Background:Maximizing long-term home time (HT) for acute ischemic stroke (AIS) patients has patient-centered and health-system benefits. All claims within 1 year of hospitalization were collated and grouped into corresponding care pathways. One-year HT (i.e.,

Stroke

Stroke Strokes Medicare CMS

New Guidelines on Peripheral Artery Disease Issued by American Heart Association, American College of Cardiology and Leading Medical Societies

DAIC

MAY 16, 2024

A new joint guideline from the American Heart Association (AHA), the American College of Cardiology (ACC) and nine other medical societies reports early diagnosis and treatment of peripheral artery disease is essential to improve outcomes and reduce amputation risk, heart attack, stroke and death for people with Peripheral Artery Disease (PAD).

Peripheral Arterial Disease

Peripheral Arterial Disease Exercise Ischemia Quality of Life

Association of Mobile Stroke Unit Care and Spending, Utilization, and Death in New York City

Journal of the American Heart Association

JANUARY 16, 2025

BackgroundTransport by mobile stroke units (MSUs), which provide access to computed tomography scanning and intravenous blood pressure medications and thrombolytics, reduces time to treatment and may improve shortterm functional outcomes for patients with acute stroke. women) transported by an MSU for suspected acute stroke, 61.1%

Stroke

Stroke Strokes Medicare Blood Pressure

Bridging the Gap: Enhancing Stroke Recovery Through Digital Health Solutions

Hypoglycemic Events May Trigger Acute Ischemic Stroke Within 30 Days in Those With Diabetes: A Case-Crossover Study

Abstract TP80: Differences in Access to Post Acute Care Services Between Traditional Medicare and Medicare Advantage Beneficiaries in Michigan

Webinars

Abstract WP114: Impact of Readmission on the Continuity of Rehabilitation Care Among Acute Stroke Patients Discharged to Inpatient Rehabilitation and Skilled Nursing Facilities

Abstract NS8: Enhancing Post-Stroke Care: Implementing the Transitional Care Model

Abstract WMP82: Stroke Transitional Care Model: An Advanced Practice Provider Led Initiative

Abstract WMP45: Home Time May Not be a Suitable Measure of Functional Recovery to Compare Rehabilitation Outcomes in Stroke Patients

Abstract WP122: Readmission to Acute Care from Inpatient Rehabilitation Among Patients with Acute Ischemic Stroke

Abstract WP109: Framework for Evaluating Sequential Patterns in Post-Acute Transitions of Care Among Ischemic and Hemorrhagic Stroke Survivors: Analysis of Medicare Beneficiaries in the State of Texas

Abstract 280: Risk Factors in 90day Ischemic Stroke Readmissions

Risk of Recurrent Stroke and Mortality Among Black and White Patients With Poststroke Depression

Abstract WP129: Disparities in the utilization of inpatient rehabilitation facilities for stroke patients in the United States

Abstract WP140: Early Post Acute Care Pathways are Predictive of 1-Year Home Time among Patients with Acute Ischemic Stroke: Analysis of Clinical and Claims Linked Data

New Guidelines on Peripheral Artery Disease Issued by American Heart Association, American College of Cardiology and Leading Medical Societies

Association of Mobile Stroke Unit Care and Spending, Utilization, and Death in New York City

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