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Article ; Online: A Primary Care Answer to a Pandemic: Keeping a Population of Patients Safe at Home through Chronic Care Management and Remote Patient Monitoring.

Donohue, David

2020 Volume 14, Issue 6, Page(s) 595–601

Abstract: The pandemic caused by the coronavirus disease of 2019 (COVID-19) challenged primary care providers (PCPs) to continue to deliver care for their patients, while also remaining financially stable. Most practices have experienced declining revenue due to ... ...

Abstract	The pandemic caused by the coronavirus disease of 2019 (COVID-19) challenged primary care providers (PCPs) to continue to deliver care for their patients, while also remaining financially stable. Most practices have experienced declining revenue due to fewer in-person patient visits. To help offset this and to continue to provide safe patient care, practices have shifted toward using remote options. Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) are benefits available to Medicare fee-for-service patients, which allow a medical practice to deliver expanded care and generate much-needed revenue. These services can be delivered by clinical staff called care managers. A top health priority for most seniors is to effectively self-isolate to reduce risk of COVID-19, while maintaining mental and physical health. We developed a Safe at Home program, designed to be run by care managers through CCM and RPM, with the use of a remote monitoring technology. Safe at Home tracks signs and symptoms of COVID-19, mental and physical health, and lifestyle behaviors that can affect immune function. We project that this service can complement regular telehealth PCP visits and deliver population health monitoring services, while generating substantial revenue for the practice.
Keywords	covid19
Language	English
Publishing date	2020-06-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	2265653-4
ISSN	1559-8284 ; 1559-8276
ISSN (online)	1559-8284
ISSN	1559-8276
DOI	10.1177/1559827620935382
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: A Primary Care Answer to a Pandemic: Keeping a Population of Patients Safe at Home through Chronic Care Management and Remote Patient Monitoring

Donohue, David

Am. J. Lifestyle Med.

Abstract	The pandemic caused by the coronavirus disease of 2019 (COVID-19) challenged primary care providers (PCPs) to continue to deliver care for their patients, while also remaining financially stable. Most practices have experienced declining revenue due to fewer in-person patient visits. To help offset this and to continue to provide safe patient care, practices have shifted toward using remote options. Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) are benefits available to Medicare fee-for-service patients, which allow a medical practice to deliver expanded care and generate much-needed revenue. These services can be delivered by clinical staff called care managers. A top health priority for most seniors is to effectively self-isolate to reduce risk of COVID-19, while maintaining mental and physical health. We developed a Safe at Home program, designed to be run by care managers through CCM and RPM, with the use of a remote monitoring technology. Safe at Home tracks signs and symptoms of COVID-19, mental and physical health, and lifestyle behaviors that can affect immune function. We project that this service can complement regular telehealth PCP visits and deliver population health monitoring services, while generating substantial revenue for the practice.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #634737
Database	COVID19

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Article ; Online: A Primary Care Answer to a Pandemic

Donohue, David

American Journal of Lifestyle Medicine

Keeping a Population of Patients Safe at Home through Chronic Care Management and Remote Patient Monitoring

2020 Volume 14, Issue 6, Page(s) 595–601

Abstract	The pandemic caused by the coronavirus disease of 2019 (COVID-19) challenged primary care providers (PCPs) to continue to deliver care for their patients, while also remaining financially stable. Most practices have experienced declining revenue due to fewer in-person patient visits. To help offset this and to continue to provide safe patient care, practices have shifted toward using remote options. Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) are benefits available to Medicare fee-for-service patients, which allow a medical practice to deliver expanded care and generate much-needed revenue. These services can be delivered by clinical staff called care managers. A top health priority for most seniors is to effectively self-isolate to reduce risk of COVID-19, while maintaining mental and physical health. We developed a Safe at Home program, designed to be run by care managers through CCM and RPM, with the use of a remote monitoring technology. Safe at Home tracks signs and symptoms of COVID-19, mental and physical health, and lifestyle behaviors that can affect immune function. We project that this service can complement regular telehealth PCP visits and deliver population health monitoring services, while generating substantial revenue for the practice.
Keywords	Public Health, Environmental and Occupational Health ; Health Policy ; Medicine (miscellaneous) ; covid19
Language	English
Publisher	SAGE Publications
Publishing country	us
Document type	Article ; Online
ZDB-ID	2265653-4
ISSN	1559-8284 ; 1559-8276
ISSN (online)	1559-8284
ISSN	1559-8276
DOI	10.1177/1559827620935382
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Reimbursement as a Catalyst for Advancing Lifestyle Medicine Practices.

Gobble, John / Donohue, David / Grega, Meagan

The Journal of family practice

2022 Volume 71, Issue Suppl 1 Lifestyle, Page(s) eS105–eS109

MeSH term(s)	Humans ; Insurance, Health, Reimbursement ; Life Style ; Reimbursement Mechanisms
Language	English
Publishing date	2022-04-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	197883-4
ISSN	1533-7294 ; 0094-3509
ISSN (online)	1533-7294
ISSN	0094-3509
DOI	10.12788/jfp.0255
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 1274: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Do Long-Segment Blocking Screws Increase the Stability of Intramedullary Nail Fixation in Proximal Tibia Fractures, Eliminating the "Bell-Clapper Effect?"

Stenquist, Derek S / McCaskey, Meghan / Diaz, Miguel / Munassi, Steven D / Ayala, Giovanni / Donohue, David / Mir, Hassan R

Journal of orthopaedic trauma

2023 Volume 38, Issue 1, Page(s) e4–e8

Abstract: Objectives: To determine change in stiffness and horizontal translation of a geriatric extra-articular proximal tibia fracture model after intramedullary nailing with distal (long)-segment blocking screws versus proximal (short)-segment blocking screws.! ...

Abstract	Objectives: To determine change in stiffness and horizontal translation of a geriatric extra-articular proximal tibia fracture model after intramedullary nailing with distal (long)-segment blocking screws versus proximal (short)-segment blocking screws. Methods: Unstable extra-articular proximal tibia fractures (OTA/AO 41-A3) were created in 12 geriatric cadaveric tibias. Intramedullary nails were locked with a standard construct (4 proximal screws and 2 distal screws). Specimens were then divided into 2 groups (6 matched pairs per group). Group 1 had a blocking screw placed lateral to the nail in the proximal segment (short segment). Group 2 had a blocking screw placed 1 cm distal to the fracture and medial to the nail (long segment). Specimens were then axially loaded and cycled to failure or cycle completion (50,000 cycles). Results: Long-segment blocking screws significantly decreased the amount of horizontal translation at the fracture site compared with short-segment screws (0.77 vs. 2.0 mm, P = 0.039). They also resulted in a greater trend towards greater baseline stiffness, (807.32 ± 216.95 N/mm vs. 583.12 ± 130.1 N/mm, P = 0.072). There was no difference in stiffness after cyclic loading or survival through 50,000 cycles between the long-segment and short-segment groups. Conclusion: Long-segment blocking screws added to an intramedullary nail construct resulted in decreased horizontal translation at the fracture site compared with short-segment screws in this model of a geriatric proximal tibia fracture. Clinical relevance: Blocking screws are commonly used to aid in fracture alignment during intramedullary nailing of proximal tibia fractures. Even when not required to attain or maintain alignment, the addition of a blocking screw in either the proximal or the distal (long) segment may help mitigate the "Bell-Clapper Effect" in geriatric patients.
MeSH term(s)	Humans ; Aged ; Tibia ; Bone Screws ; Internal Fixators ; Tibial Fractures/surgery ; Fracture Fixation, Intramedullary/methods ; Bone Nails ; Biomechanical Phenomena
Language	English
Publishing date	2023-08-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	639099-7
ISSN	1531-2291 ; 0890-5339
ISSN (online)	1531-2291
ISSN	0890-5339
DOI	10.1097/BOT.0000000000002683
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 2234: Show issues

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Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Formation of a National Lifestyle Medicine Network to Benefit Patients and Lifestyle Medicine Providers.

Donohue, David / Dysinger, Wayne / Benigas, Susan

American journal of lifestyle medicine

2019 Volume 13, Issue 6, Page(s) 548–551

Abstract: The American College of Lifestyle Medicine (ACLM) is forming a Lifestyle Medicine Provider Network (LMPN). The goal of this network is 2-fold: (1) to provide significant benefits to patients by focusing on the adoption of intensive evidence-based ... ...

Abstract	The American College of Lifestyle Medicine (ACLM) is forming a Lifestyle Medicine Provider Network (LMPN). The goal of this network is 2-fold: (1) to provide significant benefits to patients by focusing on the adoption of intensive evidence-based lifestyle medicine (LM) therapies to treat and reverse chronic disease and (2) to benefit LM providers by supporting their practice operations and optimizing contracting and reimbursement opportunities. The 2 phases of the network development will include (1) network formation and practice standardization and (2) deployment for group contracting. LMPN will be organized as a special project of the ACLM, with leadership provided through the ACLM LMPN Task Force. As part of this first phase, ACLM will devote the necessary resources to establish the network and promote LM training, certification, and sharing of best practices across the network. The second phase will necessitate the establishment of a separate corporate entity, enabling the acquisition of the required capital and expertise to fully realize the potential of LMPN deployment. Strategic direction will be provided by a LMPN Board of Advisors, consisting of select network members as well as select members of ACLM's Board of Directors. The first priority of the LMPN will be to recruit interested and qualifying LM practitioners and standardize the LM approach and process of care delivery, starting with high-value services, such as chronic care management. The focus on maximizing existing provider program incentives avails the LMPN the fastest and most efficient path to demonstrating value to its members and to its client base.
Language	English
Publishing date	2019-09-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	2265653-4
ISSN	1559-8284 ; 1559-8276
ISSN (online)	1559-8284
ISSN	1559-8276
DOI	10.1177/1559827619874297
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Outcomes After Acute Versus Staged Fixation of Complete Articular Tibial Plafond Fractures.

Flanagan, Christopher D / Lufrano, Reuben C / Mesa, Lazaro / Watson, David / Shah, Anjan R / Maxson, Benjamin J / Infante, Anthony / Donohue, David / Downes, Katheryne / Sanders, Roy W / Mir, Hassan R

Journal of orthopaedic trauma

2023 Volume 37, Issue 6, Page(s) 294–298

Abstract: Objective: To determine the outcomes after acute versus staged fixation of complete articular tibial plafond fractures.: Design: Retrospective cohort study.: Setting: Single Level 1 Trauma center.: Participants: 98 skeletally mature patients ... ...

Abstract	Objective: To determine the outcomes after acute versus staged fixation of complete articular tibial plafond fractures. Design: Retrospective cohort study. Setting: Single Level 1 Trauma center. Participants: 98 skeletally mature patients with OTA/AO 43C type fractures who underwent definitive fixation with plate and screw constructs and had a minimum 6 months of follow-up. Intervention: Acute open reduction internal fixation (aORIF) versus staged (sORIF) definitive fixation. Main outcome measurement: Rates of wound dehiscence/necrosis and deep infection. Results: Acute (N = 40) versus staged (N = 58) ORIF groups had comparable rates of vascular disease, renal disease, and substance/nicotine use, but aORIF patients had higher rates of diabetes mellitus (10% vs. 0%, P < 0.001), which correlated with higher American Society of Anaesthesiologist scores (>American Society of Anaesthesiologist 3: 37.5% vs. 13.8%, P = 0.02). Both groups achieved anatomic/good reductions, as determined by postoperative CT scans, at rates greater than 90%; however, the sORIF group required modestly longer operative times to achieve this outcome (aORIF vs. sORIF: 121 vs. 146 minutes, P = 0.02). Postoperatively, both groups had similar rates of wound dehiscence (2.5% vs. 6.9%, P = 0.65), superficial infections (10% vs. 17.2%, P = 0.39), and deep infections (10% vs. 8.6%, P = 0.99). While the injury pattern itself required free flap coverage in 1 patient in each group, unplanned free flap coverage occurred in 10.0% and 10.3% of aORIF and sORIF groups, respectively. Overall, rates of unplanned reoperations, excluding ankle arthrodesis, did not differ between groups (aORIF vs. sORIF:12.5% vs. 25.9%, P = 0.13). Conclusions: In select patients managed by fellowship-trained orthopaedic traumatologists, acute definitive pilon fixation can produce acceptable outcomes. Level of evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
MeSH term(s)	Humans ; Retrospective Studies ; Treatment Outcome ; Fracture Fixation, Internal/adverse effects ; Tibial Fractures/diagnostic imaging ; Tibial Fractures/surgery ; Tibial Fractures/etiology ; Ankle Fractures/diagnostic imaging ; Ankle Fractures/surgery ; Ankle Fractures/etiology ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology
Language	English
Publishing date	2023-01-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	639099-7
ISSN	1531-2291 ; 0890-5339
ISSN (online)	1531-2291
ISSN	0890-5339
DOI	10.1097/BOT.0000000000002572
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 2234: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

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Article ; Online: High- Versus Low-Energy Intertrochanteric Hip Fractures in Young Patients: Injury Characteristics and Factors Associated With Complications.

Stenquist, Derek S / Albertson, Spencer / Bailey, Daniel / Paladino, Lucas / Flanagan, Christopher D / Stang, Thomas / Watson, David T / Shah, Anjan R / Maxson, Benjamin J / Infante, Anthony F / Donohue, David / Sanders, Roy W / Mir, Hassan R

Journal of orthopaedic trauma

2023 Volume 37, Issue 5, Page(s) 222–229

Abstract: Objective: To compare fracture patterns and associated injuries for young patients with high- versus low-energy intertrochanteric hip fractures and to report on factors associated with complications after surgical fixation of high-energy fractures.: ... ...

Abstract	Objective: To compare fracture patterns and associated injuries for young patients with high- versus low-energy intertrochanteric hip fractures and to report on factors associated with complications after surgical fixation of high-energy fractures. Design: Retrospective comparative study. Setting: Academic Level 1 Trauma Center. Patients: A total of 103 patients 50 years of age or younger were included: 80 high-energy fractures and 23 low-energy fractures. Intervention: Cephalomedullary nailing (N = 92) or a sliding hip screw (N = 11). Main outcome measures: Radiographic characteristics of fracture morphology, implant position, and reduction quality and postoperative complications were the main outcome measures. Results: Compared with young patients with low-energy fractures, those with high-energy fractures had more fracture comminution ( P = 0.013) and higher ISS scores ( P < 0.003) and were more likely to require open reduction ( P < 0.001). Patients with low-energy fractures from a ground-level fall had higher rates of alcohol abuse (0.032), cirrhosis (0.010), and chronic steroid use (0.048). Overall reoperation rate for high-energy fractures was 7%, including 2 IT fracture nonunions (5%) and 1 deep infection (2%). For high-energy fractures, ASA class ( P = 0.026), anterior lag screw position ( P = 0.001), and varus malreduction ( P < 0.001) were associated with malunion. Four-part fracture (OTA/AO 31A2.3/Jensen 5) ( P = 0.028) and residual calcar gap >3 mm ( P = 0.03) were associated with reoperation. Conclusions: Surgical treatment of high-energy IT fractures in young patients is technically demanding with potential untoward outcomes. Injury characteristics and severity are significantly different for young patients with high-energy IT fractures compared with low-energy fractures. For young patients with a high-energy IT fracture, surgeons can anticipate a high rate of associated injuries and complex fracture patterns requiring open reduction. For young patients with a low-energy IT fracture, comanagement with a hospitalist or a geriatrician should be considered because they may be physiologically older. Level of evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
MeSH term(s)	Humans ; Bone Nails ; Bone Screws/adverse effects ; Fracture Fixation, Intramedullary/adverse effects ; Hip Fractures/diagnostic imaging ; Hip Fractures/epidemiology ; Hip Fractures/surgery ; Retrospective Studies ; Treatment Outcome
Language	English
Publishing date	2023-02-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	639099-7
ISSN	1531-2291 ; 0890-5339
ISSN (online)	1531-2291
ISSN	0890-5339
DOI	10.1097/BOT.0000000000002587
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Race as a Social Determinant of Health:: Lessons from the Coronavirus Pandemic in Delaware.

Atkins, Daniel G / Donohue, David P / Hayman, Robert L / Ware, Leland / Woodruff, Maija

Delaware journal of public health

2020 Volume 6, Issue 2, Page(s) 80–86

Language	English
Publishing date	2020-07-01
Publishing country	United States
Document type	Journal Article
ISSN	2639-6378
ISSN (online)	2639-6378
DOI	10.32481/djph.2020.07.020
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Disability as a Determinant of Health:: Lessons from the Pandemic.

Ashford, Elizabeth / Atkins, Michael / Band, Marissa / Donohue, David P / Hayman, Robert L / Mace, Shannon / Woodruff, Maija

Delaware journal of public health

2021 Volume 7, Issue 2, Page(s) 10–15

Language	English
Publishing date	2021-03-13
Publishing country	United States
Document type	Journal Article
ISSN	2639-6378
ISSN (online)	2639-6378
DOI	10.32481/djph.2021.03.005
Database	MEDical Literature Analysis and Retrieval System OnLINE

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