lunes, 30 de junio de 2025
Viewpoints: Top Medical Journals Are Not ‘Corrupt,’ Despite RFK Jr.’s Claims; Unhealthy US Is About To Get Worse
https://kffhealthnews.org/morning-breakout/viewpoints-top-medical-journals-are-not-corrupt-despite-rfk-jr-s-claims-unhealthy-us-is-about-to-get-worse/
Viewpoints: Top Medical Journals Are Not 'Corrupt,' Despite RFK Jr.'s Claims; Unhealthy US Is About To Get Worse
Opinion writers weigh in on these topics and others.
Stat: RFK Jr.’s Misguided Attacks On NEJM, JAMA, And The Lancet
After decades as a physician studying the factors that determine our risks of getting sick and how long we live, I am convinced that the actions of the Trump administration will cost lives. Researchers like me know the data. For years we have warned that Americans have shorter life expectancies and higher disease rates than people in other high-income countries. Now, the poor health of Americans is about to get worse. (Steven H. Woolf, 6/30)
The New York Times: How To Wreck The Nation’s Health, By The Numbers
After decades as a physician studying the factors that determine our risks of getting sick and how long we live, I am convinced that the actions of the Trump administration will cost lives. Researchers like me know the data. For years we have warned that Americans have shorter life expectancies and higher disease rates than people in other high-income countries. Now, the poor health of Americans is about to get worse. (Steven H. Woolf, 6/30)
St. Louis Post-Dispatch: Medicaid Saved Our Son’s Life. Don't Put The Program At Risk.
We’re not political activists. We’re not wealthy. We’re just parents from Salem, Missouri, who did what anyone would do when their child needed help. Without Medicaid, we would have lost far more than our family farm. (Suzie and Richard Wilson, 6/27)
The Washington Post: I Got An Ambulance Ride, CT Scan And ER Care In Brazil. My Bill: $0.
Even after six years in Brazil as The Washington Post’s Rio de Janeiro bureau chief, I confess one of my first thoughts was stubbornly American. Out of the murkiness, it came with sudden clarity: How much is this going to cost me? Six hours later — after an ambulance ride, CT scan, X-ray cranial imaging and six stitches in my head — I had my answer: $0. (Terrence McCoy, 6/29)
The Washington Post: Rick Perry: I’m Dedicating My Life To Fighting For A Psychedelic Drug
Clinical data shows that ibogaine has the potential to interrupt substance dependence, reduce trauma symptoms and promote neurological repair. I first heard about the drug from Morgan Luttrell, a Navy SEAL and combat veteran who was elected to Congress in 2022. He learned about other SEALs traveling to Mexico to undergo an alternative treatment for trauma and addiction — something called ibogaine. (Former Texas Gov. Rick Perry, 6/27)
AI Offers New Hope To Couples Suffering With Male Infertility
https://kffhealthnews.org/morning-breakout/ai-offers-new-hope-to-couples-suffering-with-male-infertility/
9. AI Offers New Hope To Couples Suffering With Male Infertility
The Columbia University Fertility Center used a tiny camera to find viable sperm within hours in a man who had almost no detectable sperm. In other lifestyle news: the cognitive consequences of chatbots; a new AI test shows 87.9% accuracy at detecting Parkinson's; and more.
The Washington Post: Finding Viable Sperm In Infertile Men Can Take Days. AI Did It In Hours.
After 18 years of infertility, a couple could finally have a baby thanks to artificial intelligence. The father had a rare condition that left him with almost no detectable sperm. Then fertility specialists found a novel path to the mother’s pregnancy. A tiny camera captured millions of images in a semen sample. AI scoured them for viable sperm in hours — a process that might have otherwise taken days. The result was a speedy extraction of the sperm that could at last fertilize an egg. Researchers at the Columbia University Fertility Center say this procedure, conducted in March, amounts to the first-known use of AI-enabled conception using this particular technology. (Malhi, 6/27)
The Washington Post: Is AI Rewiring Our Minds? Scientists Probe Cognitive Cost Of Chatbots.
In our daily lives, the use of artificial intelligence programs such as ChatGPT is obvious. Students employ them to churn out term papers. Office workers ask them to organize calendars and help write reports. Parents prompt them to create personalized bedtime stories for toddlers. Inside our brains, how the persistent use of AI molds the mind remains unclear. (Ovalle, 6/29)
Newsweek: This New Test Could Diagnose Parkinson's With AI
A new artificial intelligence (AI) tool analyzing short smile videos achieved high accuracy in screening for Parkinson's disease (PD), according to research published by Tariq Adnan, M.Sc., and colleagues in the New England Journal of Medicine (NEJM) Thursday. The model was trained on the largest known video dataset of facial expressions to date, enrolling 1,452 participants, including 391 living with PD. (Silverman, 6/28)
On food additives —
AP: J.M. Smucker Plans To Remove Artificial Colors From Its Jams And Other Products By The End Of 2027
J.M. Smucker Co. plans to remove artificial colors from its products by the end of 2027. Orrville, Ohio-based Smucker said Thursday it will also remove synthetic dyes from foods sold to K-12 schools by the 2026-2027 school year. Smucker said the majority of its products – including its Uncrustables sandwiches – are already free of synthetic dyes. But some products still have them, including sugar-free jams and ice cream toppings. (Durbin, 6/27)
The New York Times: How Might Jell-O Look And Taste When Artificial Dyes Are Removed?
Turning wobbly blobs of clear gelatin red or orange using natural ingredients takes beet juice and a touch of annatto from the seeds of a tropical tree. But making gelatin green? That one is difficult for Simple Mixes, a company that makes naturally flavored and colored gelatin. Its founder, Malathy Nair, uses a blend of yellow turmeric extract with spirulina, an extract from algae that produces shades of green and blue. (Creswell, 6/29)
On parenting —
The Washington Post: Most Working Dads In Study Took Less Than Two Weeks’ Parental Leave
Research points to paternal leave as good for both dads and babies — yet just 36 percent of fathers reported taking more than two weeks of leave when their child was born, and 64 percent said they took two weeks or less, according to a new analysis. Published in Pediatrics, the study is part of a first-of-its kind initiative that measured fathers’ behavior and health in the months before and after their children’s birth. (Blakemore, 6/28)
Second WHO Probe Into Covid’s Origins Ends Just As The First: Inconclusively
https://kffhealthnews.org/morning-breakout/second-who-probe-into-covids-origins-ends-just-as-the-first-inconclusively/
8. Second WHO Probe Into Covid's Origins Ends Just As The First: Inconclusively
It likely jumped from animals to humans, the experts said in their final report Friday. However, a critical component of the investigation was missing: Despite repeated requests, the group was not given access to Chinese data and therefore could not evaluate claims of a lab leak, AP reports.
AP: COVID Origins Remain A Mystery After WHO Expert Investigation
An expert group charged by the World Health Organization to investigate how the COVID-19 pandemic started released its final report Friday, reaching an unsatisfying conclusion: Scientists still aren’t sure how the worst health emergency in a century began. At a press briefing on Friday, Marietjie Venter, the group’s chair, said that most scientific data supports the hypothesis that the new coronavirus jumped to humans from animals. (Cheng, 6/27)
CIDRAP: WHO Adds XFG To SARS-CoV-2 Variants Under Monitoring
The World Health Organization (WHO) Technical Advisory Group on Virus Evolution (TAG-VE) on June 25 added the XFG to its SARS-CoV-2 variants under monitoring (VUM) list, as global proportions increase rapidly. In its initial risk assessment, the experts said the public health risk is currently low. XFG is one of many offshoots of the JN.1 subvariant, and the earliest sample was collected at the end of January. (Schnirring, 6/27)
On vaccines and measles —
Axios: New Docs Get Schooled In Old Diseases As Vaccine Rates Fall
They may also have to brush up on best practices for spinal taps in infants and toddlers, an invasive diagnostic tool that is seldom used today but can quickly turn up telltale signs such as inflamed membranes, said Adrianna Cadilla, a pediatric infectious diseases specialist at Nemours Children's Health in Orlando. "When I trained, I would hear my attendings tell us about how often they had to do lumbar punctures because that was when Hemophilus influenza type B was running rampant," Cadilla said. "I only got to do probably one every ER shift, but that was a lot in comparison to now." (Reed, 6/30)
CNN: What The First Meeting Of Kennedy’s CDC Advisers Reveals About The Future Of Vaccines In America
A startling new vision of vaccination in America is becoming clearer — one likely to involve fresh scrutiny of established science and practices, and limits on vaccines that have been studied for decades. (Goodman, Koda, Dillinger and Gumbrecht, 6/27)
CIDRAP: World Leaders Pledge $9 Billion To Support Gavi's Vaccine Initiatives
In the wake of US defunding of Gavi, the Vaccine Alliance, world leaders this week at the "Health and Prosperity through Immunisation" global summit in Brussels pledged €7.7 billion ($9 billion US) to support the group, according to a joint press release posted by the European Commission (EC). Gavi's target budget for 2026 through 2030 is €10.2 billion ($12 billion). (Wappes, 6/27)
KFF Health News: A Texas Boy Needed Protection From Measles. The Vaccine Cost $1,400
In the early days of the West Texas measles outbreak, Thang Nguyen eyed the rising number of cases and worried. His 4-year-old son was at risk because he had received only the first of the vaccine’s two doses. So, in mid-March, he took his family to a primary care clinic at the University of Texas Medical Branch in Galveston. By the end of the visit, his son, Anh Hoang, had received one shot protecting against four illnesses — measles, mumps, rubella, and chickenpox. (Appleby, 6/30)
AP: Measles Outbreaks: Updates On Case Counts Across The US
Michigan has its second measles outbreak of the year, Utah has seven cases and health workers in New Mexico are rushing to contain an outbreak in a county jail. But for the first time in months, Texas confirmed no additional measles cases this week tied to a major outbreak that raged through the late winter and spring. There have been 1,227 confirmed measles cases this year, the Centers for Disease Control and Prevention said Wednesday. (Shastri, 6/27)
AP: Families Share Their Stories Of Damage Done By Vaccine-Preventable Diseases Like Measles And Rubella
In the time before widespread vaccination, death often came early. Devastating infectious diseases ran rampant in America, killing millions of children and leaving others with lifelong health problems. These illnesses were the main reason why nearly one in five children in 1900 never made it to their fifth birthday. Over the next century, vaccines virtually wiped out long-feared scourges like polio and measles and drastically reduced the toll of many others. Today, however, some preventable, contagious diseases are making a comeback as vaccine hesitancy pushes immunization rates down. (Ungar, 6/28)
Also —
Politico: Can ‘Ohio’s Anthony Fauci’ Beat Vivek Ramaswamy?
Amy Acton oversaw public health for Ohio during Covid. Can she become governor? (Skalka, 6/28)
New Hampshire Lawmakers Pass Bill Banning Transgender Care For Minors
https://kffhealthnews.org/morning-breakout/new-hampshire-lawmakers-pass-bill-banning-transgender-care-for-minors/?utm_campaign=KHN%3A%20Daily%20Health%20Policy%20Report&utm_medium=email&_hsenc=p2ANqtz--ldipu7pnV-t9f65M8ZLY6geSpmfMU4nqO5-KVbFxGvhlusbxxpWbX3HKSjgKorm155FA8gqMrKoxwbFfx-TpxHUu1iw&_hsmi=369159649&utm_content=369159649&utm_source=hs_email
7. New Hampshire Lawmakers Pass Bill Banning Transgender Care For Minors
The measure includes a "grandfather clause" that would allow youths who are already receiving care to continue to get it. Meanwhile, hospitals that provide gender-affirming care to children might be on the cusp of losing federal funds.
The Hill: NH Passes Bill Banning Trans Care For Minors
New Hampshire lawmakers on Thursday gave final approval to bills that would ban gender-affirming care for transgender minors in the state, sending the measures to Republican Gov. Kelly Ayotte, who has not yet said whether she will sign them. State lawmakers voted to pass House Bill 377, which would prohibit doctors from administering puberty blockers and hormones to transgender youth beginning next year. The measure includes a “grandfather clause” that would allow minors already receiving care to continue doing so even after the law takes effect. (Migdon, 6/27)
The Wall Street Journal: Trump Administration Weighs Cutting Off Funding For Hospitals That Offer Gender Treatments For Minors
The Trump administration is weighing cutting off funds to hospitals that it says provide gender-related treatments for children and teenagers, a move that would sharply escalate officials’ scrutiny of such programs. The potential for increased federal scrutiny on gender-related healthcare comes after a 30-day deadline passed Saturday for nine children’s hospitals to respond to letters from Mehmet Oz, the Centers for Medicare and Medicaid Services administrator and celebrity physician known as Dr. Oz. The former heart surgeon and television host demanded data related to sex-reassignment surgeries, hormone therapy and puberty blockers. (Essley Whyte, 6/30)
Reproductive health care news from Illinois and Texas —
Chicago Tribune: Evanston To Protect Privacy Of Abortion, Gender-Care Patients By Limiting License Plate Reader Tech
In response to reports of Texas officials using Mount Prospect’s automatic license plate reading (ALPR) technology to track a woman who traveled to Illinois for an abortion, Evanston officials passed an ordinance that would limit data sharing in similar cases to protect the privacy of individuals seeking sensitive healthcare procedures. (Requena, 6/27)
The Texas Tribune: Texas Murder Case Raises Questions About Fetal Personhood
A North Texas man charged with capital murder this month after he allegedly slipped his girlfriend abortion-inducing medication and caused a miscarriage marks the first time a murder charge has been brought in an abortion-related case in Texas. The case tests a new method for reining in abortion pills — by threatening to prosecute individuals who provide them with the most severe criminal charge — while advancing the longstanding legal provision that defines an embryo as a person, legal experts say. The latter could raise serious implications about the legality of fertility treatments and in other legal realms such as criminal and immigration issues. (Yu and Betts, 6/30)
More health news from across the U.S. —
Central Florida Public Media: Florida Is The First State To Require That High School Student-Athletes Get Life-Saving EKGs
A new Florida law taking effect Tuesday will mandate that all high school student-athletes take an electrocardiogram (EKG) before they can compete on school sports teams. The Second Chance Act is the first of its kind – Florida is the first and only state to require high school student-athletes to get at least one EKG. (Prieur, 6/29)
AP: California Legislature Approves Budget And Cuts Immigrant Health Access
California Gov. Gavin Newsom signed on Friday a budget that pares back a number of progressive priorities, including a landmark health care expansion for low-income adult immigrants without legal status, to close a $12 billion deficit. It’s the third year in a row the nation’s most populous state has been forced to slash funding or stop some of the programs championed by Democratic leaders. Lawmakers passed the budget earlier in the day following an agreement of a $321 billion spending plan between Newsom and Democratic leaders. But the whole budget will be void if lawmakers don’t send him legislation to make it easier to build housing by Monday. (Nguyễn, 6/28)
AP: Arizona Governor Caps Off Quarrelsome Legislative Session With Budget Approval
Arizona Gov. Katie Hobbs signed on Friday a bipartisan budget that boosts pay for first responders and increases spending on social services, capping a quarrelsome session of the Republican-led Legislature that brought the state to the brink of a government shutdown. (Govindarao, 6/28)
ProPublica: A Doctor Challenged the Opinion of a Powerful Child Abuse Specialist. Then He Lost His Job.
A Minneapolis pediatrician said he felt pressured to “fall in line” with child abuse specialist Dr. Nancy Harper and her team. Then he was given a choice: resign or be fired. (Lussenhop, 6/30)
CMS Launches Prior Authorization Trial For Some Medicare Services
https://kffhealthnews.org/morning-breakout/cms-launches-prior-authorization-trial-for-some-medicare-services/?utm_campaign=KHN%3A%20Daily%20Health%20Policy%20Report&utm_medium=email&_hsenc=p2ANqtz--HzlXZ9KZw1gvJFWwE1WFqUNTaP7DKGBVEDqJ6DCkzaexYg4b2e1fhwG-CzRKC-eenb3PudXZyWgMRgam0AOzWPA1SfQ&_hsmi=369159649&utm_content=369159649&utm_source=hs_email
6. CMS Launches Prior Authorization Trial For Some Medicare Services
Health care service companies are being asked to join a program that relies on technology to review certain fee-for-service Medicare requests. A program-affiliated medical professional will give the final ruling on a claim. Plus, Social Security Administration payment changes start in July.
Modern Healthcare: CMMI To Add Prior Authorizations To Some Medicare
The Centers for Medicare and Medicaid Services will test a new model that adds prior authorization requirements to some services for traditional Medicare. The Center for Medicare and Medicaid Innovation unveiled the Wasteful and Inappropriate Service Reduction, or WISeR, demonstration Friday. (Tepper, 6/27)
In other Medicare news —
Modern Healthcare: Blue Shield Of CA Cuts Some Medicare Advantage Commissions
Blue Shield of California will end commissions for new enrollments in some of its wider network Medicare Advantage plans next week. The nonprofit insurer will cease paying brokers who sign up new members in its preferred provider organization, or PPO, plans in Alameda, Orange and San Diego counties effective July 1, the company wrote in a notice to third-party sellers Thursday. “This was a difficult business decision but one we believe is necessary in the current climate,” the insurer said in the notice. (Tepper, 6/27)
North Carolina Health News: NC Senate Budget Slashes Senior Insurance Counseling Program
The North Carolina Senate proposed budget released in April would cut state funds for a popular program that helps seniors make better choices for their Medicare plans. For now, the program stands, as state lawmakers are at a standstill on budget negotiations and don’t expect to come to an agreement before the new fiscal year starts on July 1. (Vitaglione, 6/30)
On Social Security payments —
USA Today: Social Security Change Coming In July: Agency Begins Taking Back 50% Of Overpayments
The Social Security Administration, which overpays billions in benefits annually, will start withholding some benefits sent to overpaid recipients. (Snider, 6/29)6. CMS Launches Prior Authorization Trial For Some Medicare Services
Health care service companies are being asked to join a program that relies on technology to review certain fee-for-service Medicare requests. A program-affiliated medical professional will give the final ruling on a claim. Plus, Social Security Administration payment changes start in July.
Modern Healthcare: CMMI To Add Prior Authorizations To Some Medicare
The Centers for Medicare and Medicaid Services will test a new model that adds prior authorization requirements to some services for traditional Medicare. The Center for Medicare and Medicaid Innovation unveiled the Wasteful and Inappropriate Service Reduction, or WISeR, demonstration Friday. (Tepper, 6/27)
In other Medicare news —
Modern Healthcare: Blue Shield Of CA Cuts Some Medicare Advantage Commissions
Blue Shield of California will end commissions for new enrollments in some of its wider network Medicare Advantage plans next week. The nonprofit insurer will cease paying brokers who sign up new members in its preferred provider organization, or PPO, plans in Alameda, Orange and San Diego counties effective July 1, the company wrote in a notice to third-party sellers Thursday. “This was a difficult business decision but one we believe is necessary in the current climate,” the insurer said in the notice. (Tepper, 6/27)
North Carolina Health News: NC Senate Budget Slashes Senior Insurance Counseling Program
The North Carolina Senate proposed budget released in April would cut state funds for a popular program that helps seniors make better choices for their Medicare plans. For now, the program stands, as state lawmakers are at a standstill on budget negotiations and don’t expect to come to an agreement before the new fiscal year starts on July 1. (Vitaglione, 6/30)
On Social Security payments —
USA Today: Social Security Change Coming In July: Agency Begins Taking Back 50% Of Overpayments
The Social Security Administration, which overpays billions in benefits annually, will start withholding some benefits sent to overpaid recipients. (Snider, 6/29)
DOGE No Longer In Charge Of Awarding Billions In Federal Grants
https://kffhealthnews.org/morning-breakout/doge-no-longer-in-charge-of-awarding-billions-in-federal-grants/
5. DOGE No Longer In Charge Of Awarding Billions In Federal Grants
DOGE has been overseeing the grants.gov site for the past three months, giving it control of more than $500 billion in annual awards. On Thursday, departments were advised to return to "standard procedures." More than $14 million in health care grants had been stalled under DOGE's control, The Washington Post reports.
The Washington Post: DOGE Loses Control Of Process For Awarding Billions In Federal Funds
The U.S. DOGE Service has lost the power to control the government’s process for awarding billions of dollars in federal funds, the latest sign of the team’s declining influence following Elon Musk’s high-profile exit from Washington, according to two people familiar with the situation and emails obtained by The Washington Post. Three months ago, DOGE employees wrested control of a key federal grants website, grants.gov, which serves as a clearinghouse for more than $500 billion in annual awards, The Post reported. For most of the program’s existence, federal agencies including the Defense Department posted their funding opportunities directly to the site, where thousands of outside organizations could see and apply for them — until April, when DOGE staffers changed the website’s permissions to give themselves power to review and approve all grants across the government. (Diamond and Natanson, 6/27)
The Boston Globe: Food For Starving Children Worldwide Is Still Sitting In A Rhode Island Warehouse. It’s A Case Study In DOGE Aftermath.
A nonprofit in North Kingstown is an example not only in how DOGE disrupted the federal government, but how long it is taking to undo its mistakes. (Kopan, 6/28)
The Washington Post: In Sudan, Where Children Clung To Life, Doctors Say USAID Cuts Have Been Fatal
The 3-year-old boy darted among the mourners, his giggles rising above the soft cadence of condolences. Women with somber faces and bright scarves hugged his weeping mother, patting her shoulders as she stooped to pick up her remaining son. Marwan didn’t yet know that his twin brother was dead. Omran shouldn’t have died, doctors said. The physician at his clinic outside the Sudanese capital said basic antibiotics probably would have cured his chest infection. The International Rescue Committee, which received a large amount of its funding from the United States, had been scheduled to deliver the medicines in February. Then the new U.S. administration froze foreign aid programs, and a stop-work order came down from Washington. (Houreld and Haroun, 6/29)
AP: Nations Are Meeting To Drum Up Trillions To Fight Poverty — But Not The US
Many of the world’s nations are gathering starting Monday in Spain for a high-level conference to tackle the growing gap between rich and poor nations and try to drum up trillions of dollars needed to close it. The United States, previously a major contributor, pulled its participation, so finding funding will be tough. The four-day Financing for Development meeting in the southern city of Seville is taking place as many countries face escalating debt burdens, declining investments, decreasing international aid and increasing trade barriers. (Wilson and Lederer, 6/30)
Stat: France Woos U.S. Scientists Trying To Escape Funding Cuts
When this city’s largest university launched a program earlier this year to offer U.S. scientists three-year postings, it didn’t take long for the applications to roll in. Within weeks, there were nearly 300. Those applications detailed researchers’ grants and publication records, but in the view of the president of the school, they also brought to life the very real fears American academics are facing as the Trump administration axes funding for scientific research in the United States. (Joseph, 6/30)
In other Trump administration news —
Bloomberg: Trump Officials Met Walmart, Amazon On Direct Drug Sales
US health officials met with with Walmart Inc., Amazon.com Inc. and other retailers [last] week as part of an effort to help Americans get their medicines more directly from companies that make them, according to people familiar with the talks. The conversations between the Trump administration and experts from the nascent straight-to-consumer drug industry are intended to explore streamlining the way Americans get their medicines and therefore lower costs, said the people, who weren’t authorized to speak publicly on the matter. (Cohrs Zhang and Kang, 6/27)
Military.com: New Army Shaving Policy Will Allow Soldiers With Skin Condition That Affects Mostly Black Men To Be Kicked Out
The Army is preparing to roll out a new policy that could lead to soldiers diagnosed with a chronic skin condition that causes painful razor bumps and scarring to be kicked out of the service -- an issue that disproportionately affects Black men. The new guidance, expected to take effect in the coming weeks, would bar permanent shaving waivers and require medical personnel to craft formal treatment plans for affected troops, according to multiple service officials and internal documents reviewed by Military.com. (Beynon, 6/27)
Senate Republicans Forge Ahead With Vote-A-Rama On Medicaid-Cutting Bill
https://kffhealthnews.org/morning-breakout/senate-republicans-forge-ahead-with-vote-a-rama-on-medicaid-cutting-bill/
4. Senate Republicans Forge Ahead With Vote-A-Rama On Medicaid-Cutting Bill
The Senate is set to begin the process 9 a.m. today, giving members of both parties an opportunity to introduce and vote on an unlimited number of amendments to the package, The Hill reported. The Congressional Budget Office now estimates the megabill would reduce spending on Medicaid, Medicare, and Obamacare by more than $1.1 trillion by 2034.
CBS News: Senate To Begin Marathon Vote Series On Trump's "Big, Beautiful Bill" As GOP Eyes July 4 Deadline
The Senate is set to kick off what's expected to be a marathon session Monday, after the chamber debated President Trump's massive tax package into the wee hours of the morning as Republicans work to pass the centerpiece legislation of Mr. Trump's second term agenda. (Hubbard, 6/30)
The Hill: House To Vote On GOP Spending Bill As Soon As Wednesday
The House could vote on the GOP’s “big, beautiful bill” as early as Wednesday morning, House Majority Whip Tom Emmer’s (R-Minn.) office announced Sunday, officially notifying members that they will have to return to Washington, D.C., to vote on the megabill. (Schnell, 6/29)
The New York Times: Senate Version Of Trump’s Policy Bill Would Slash Medicaid Spending Even More
Republicans’ marquee domestic policy bill that is making its way through the Senate would result in deeper cuts and more Americans losing health insurance coverage than the original measure that passed the House last month, according to new estimates from the Congressional Budget Office. According to a report published late Saturday night, the legislation would mean 11.8 million more Americans would become uninsured by 2034. Federal spending on Medicaid, Medicare and Obamacare would be reduced by more than $1.1 trillion over that period — with more than $1 trillion of those cuts coming from Medicaid alone. (Sanger-Katz, 6/29)
The Hill: Senate Proposal Boosts Rural Hospital Funding, Changes Medicaid Language
Senate Republican leaders substantially increased the size of a rural hospital relief fund and rewrote controversial language freezing health care provider taxes in a late-night bid to keep President Trump’s “big, beautiful bill” on track for a vote Saturday afternoon. Republican leaders increased the size of the proposed rural hospital relief fund from $15 billion to $25 billion, with the money to be distributed over five years. (Bolton, 6/28)
Politico: Thom Tillis Denounces GOP Megabill's Medicaid Cuts In Fiery Speech
Hours after announcing his retirement, Republican Sen. Thom Tillis went to the Senate floor and slammed the GOP’s plans for drastic Medicaid cuts — warning Republicans they are about to “make a mistake on health care and betray a promise” if their sprawling domestic policy bill passes.“ It is inescapable this bill will betray the promise Donald Trump made,” Tillis said. “I’m telling the president that you have been misinformed. You supporting the Senate mark will hurt people who are eligible and qualified for Medicaid.” (McCarthy and Carney, 6/29)
Politico: 'We Don't Pay People In This Country To Be Lazy,' Mullin Says Of Medicaid Work Requirements
Sen. Markwayne Mullin is insisting President Donald Trump’s sweeping domestic megabill doesn’t break his promise not to cut Medicaid, even as the Congressional Budget Office estimates 7.8 million people would lose access if it passes. Instead, Mullin (R-Okla.) told NBC’s Kristen Welker on Sunday, the “Big Beautiful Bill” is eliminating fraud, waste and abuse that Republicans say is rampant in the program. “What is so hard about having a work requirement there with someone that has no medical conditions and no dependents?” he said on “Meet the Press.” (Svirnovskiy, 6/29)
KFF Health News: In A First, Trump And GOP-Led Congress Prepare To Swell Ranks Of U.S. Uninsured
Last September, Alton Fry went to the doctor concerned he had high blood pressure. The trip would result in a prostate cancer diagnosis. So began the stress of trying to pay for tens of thousands of dollars in treatment — without health insurance. “I’ve never been sick in my life, so I’ve never needed insurance before,” said Fry, a 54-year-old self-employed masonry contractor who restores old buildings in the rural Appalachian community he’s called home nearly all his life. (Rayasam and Whitehead, 6/30)
KFF Health News: KFF Health News’ ‘On Air’: Journalists Break Down Reconciliation Bill, Vaccine Panel Meeting, And 'Dobbs' Anniversary
KFF Health News senior correspondent Phil Galewitz discussed Medicaid and Supplemental Nutrition Assistance Program cuts on “CBS Morning News” on June 26. ... KFF Health News senior correspondent Arthur Allen discussed the first Centers for Disease Control and Prevention vaccine advisory panel meeting under Health and Human Services Secretary Robert F. Kennedy Jr. on “CBS News 24/7” on June 25. (6/28)
In related news about the Affordable Care Act —
CBS News: Supreme Court Upholds Federal Health Task Force That Sets No-Cost Coverage For Preventive Services
The Supreme Court on Friday upheld the structure of a federal health task force that recommends preventive medical services that must be provided to patients at no cost under the Affordable Care Act. The ruling from the Supreme Court in the case known as Kennedy v. Braidwood Management, Inc. leaves intact the 16-member U.S. Preventive Services Task Force. The task force is part of the Department of Health and Human Service and has for decades been making recommendations on preventive medical services to avoid serious health conditions. (Quinn, 6/27)
Modern Healthcare: Health Industry Reacts To SCOTUS' ACA Preventive Care Ruling
Healthcare advocates, trade group leaders and elected government officials are applauding the Supreme Court’s decision to uphold preventive services coverage requirements under the Affordable Care Act. In a 6-3 vote, the court ruled Friday that insurers will still be required to cover preventive care, such as cancer screenings, at no cost to enrollees. (DeSilva, 6/27)
Europe, with ambitions to poach American scientists, faces pressures of its own Recruitment programs draw praise but may also mask other tensions over funding
https://www.statnews.com/2025/06/30/france-woos-american-researchers-worried-over-trump-nih-cuts/
As the Trump administration axes funding for scientific research in the U.S., the situation has become a poaching opportunity for other countries, particularly in Europe. France has been among the most aggressive countries aiming to woo American researchers — last month, French President Emmanuel Macron said the government would set aside 100 million euros to attract international researchers.
Despite these ambitions, it’s unclear exactly how things will play out, both for Americans who choose to make the move and for European science writ large, STAT’s Andrew Joseph reports. Some European researchers have argued that institutions wooing American scientists should instead be focused on addressing neglected issues in local science, like lower salaries and historically less public funding than the U.S. Read more from Drew about how people across the pond feel about these recruitment initiatives.
11.8 million to lose health insurance under Senate Republican tax bill, CBO projects The estimate comes amid concerns from some Republicans that the health spending cuts are too deep
https://www.statnews.com/2025/06/29/11-8-million-to-lose-health-insurance-under-senate-republican-tax-bill-cbo-projects/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-8MIh7UxyMGJetZlLEw-Pu6ofpvd7YLSK0-mt_Q07ECqKBGeRx1eDk3RNS25350Pa4Dsw-wCHnPOJ7hS9emKZ4uujro6g&_hsmi=369078713&utm_content=369078713&utm_source=hs_email
11.8 million
That’s how many people would lose health insurance over the next decade under Senate Republicans’ version of President Trump’s tax bill, according to a new report from the Congressional Budget Office released Saturday night. That projection also suggests the bill would leave nearly 1 million more people without insurance than the House’s version of the bill, underscoring concerns that the Senate GOP version cuts health programs too aggressively. Read more from STAT’s Daniel Payne.
https://www.statnews.com/2025/06/28/senate-gop-tweaks-big-beautiful-bill-health-care-measures-win-holdouts/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-81lrr3cZNmYiW8gk8Q4mFKLz3eVjkoWmA3WxK81d8WTgwY13iOMfFkekU89DjIEWGh6HTgN7EJ_L2FoLyDdfTRucOUWA&_hsmi=369078713&utm_content=369078713&utm_source=hs_email
domingo, 29 de junio de 2025
Medicare Advantage Dental Benefits: Steady Improvement Is More Of The Same Michael Adelberg Mark Jurkovich ++
https://www.healthaffairs.org/content/forefront/medicare-advantage-dental-benefits-steady-improvement-more-same
The Dental Divide: Addressing The South’s Oral Health Crisis As A Health Equity Imperative
Zachary W. Schulz
June 24, 2025
https://www.healthaffairs.org/content/forefront/dental-divide-addressing-south-s-oral-health-crisis-health-equity-imperative
sábado, 28 de junio de 2025
Kennedy v. Braidwood: The Supreme Court Upheld ACA Preventive Services but That’s Not the End of the Story Laurie Sobel, Lindsey Dawson, and Alina Salganicoff Published: Jun 27, 2025
https://www.kff.org/policy-watch/kennedy-v-braidwood-the-supreme-court-upheld-aca-preventive-services-but-thats-not-the-end-of-the-story/?utm_campaign=KFF-Womens-Health-Policy&utm_medium=email&_hsenc=p2ANqtz--5xbtcksTtTPSbEPtKJ3y198n_38kvGq4pnH_VkBoVsF2NH7fWIzO9N3YFuMvAocFwH2KNkbCwEij72axcmYCrAa1UuA&_hsmi=368913835&utm_content=368913835&utm_source=hs_email
The Supreme Court Case Examining ACA Preventive Service Requirements: Coverage Preserved for Now but More Challenges May Come
In a new policy watch, KFF looks at the details of the Supreme Court’s ruling on Kennedy v. Braidwood Management, ruling the Affordable Care Act’s (ACA) coverage requirement for preventive services is constitutional. The ruling means that the services recommended by the U.S. Preventive Services Task Force (USPSTF) — such as cancer screening and pre-exposure prophylaxis (PrEP) — remain available without cost-sharing for most people with private insurance or eligible through Medicaid expansion programs.
The Supreme Court decision has broad implications. The ruling clarifies authority given to the Trump administration to transform USPSTF membership and its recommendations moving forward. Given this and continuing litigation in the lower court, access to ACA preventive services is preserved for now but questions remain. The full case, which included challenges on religious grounds, is still moving through the lower courts and the Trump administration’s recent actions on vaccine recommendations issued by the newly appointed Advisory Committee on Immunization Practices could signal that more changes on preventive services could be coming. The Braidwood case is not likely to be the last word on the ACA preventive services coverage requirements.
CONTACT:
Mikhaila Richards | 202.654.1328 | MRichards@kff.org
viernes, 27 de junio de 2025
miércoles, 25 de junio de 2025
The Lancet's lens on transplantation Tues, Jul 1, 2025 17:45 - 18:45 BST
https://esot-apps.m-anage.com/esot2025/en-GB/pag/session/91122?utm_campaign=conferencealerts&utm_medium=email&_hsenc=p2ANqtz-_tALJFRG1E9RFzuYwMzXir1oW5_jlDMs5s7VTFBkNfKqjtbAqKqcLupd1T3zlO41HLmc2AEB8Gfr-xYrjJzUVigsBoIQ&_hsmi=367695241&utm_content=367695241&utm_source=hs_email
We are pleased to invite you to our launch session for the Lancet Series on solid organ transplantation. The Series addresses technological advances that will increase the number of transplants, including organ preservation, repair, and genetic engineering for xenotransplantation. The Series also outlines advances in precision immunosuppression and multimodal approaches to diagnosing causes of allograft injury. Finally, the Series summarises global disparities in access to transplantation.
Kennedy paves way for flood of wellness companies in white coats Seizing on MAHA ethos, medical entrepreneurs are offering pricey new products, including some unproven to help
https://www.statnews.com/2025/06/25/wellness-startups-ride-maha-medical-skepticism-to-empower-patients-boost-sales/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_uxoksd53EUiODHnJjdQAd0wZensntVrjEoZFX9dOiTn5rU8Tp2djXDmaLuMK4ZFQmV7CxfYeQPPVJKwlC8LKWVuGoGA&_hsmi=368356199&utm_content=368356199&utm_source=hs_email
As health secretary, Robert F. Kennedy Jr. has surrounded himself with wellness entrepreneurs, providing a national stage to the growing class of companies aligned with the Make America Healthy Again movement. These companies tend to sidestep the traditional health care system — charging patients cash rates for visits, lab tests, and imaging instead of taking insurance, for example. At the same time, they can leverage trust in medical expertise by writing prescriptions from licensed providers, or offering collected “insights” from doctors on test results.
The treatments and tests on offer, already familiar to bodybuilders and biohackers, are now gaining mainstream awareness. (Think peptides, full-body MRI scans, stem cells, chelating drugs.) And thanks to telehealth platforms, they’re more easily accessible, too. But health policy and safety experts worry that patients are being upsold on unproven products with a veneer of medical legitimacy. Read more from STAT’s Katie Palmer, who breaks down the claims these companies make and the risks they may pose to patients.
Morning Briefing: Today's News Summaries Wednesday, Jun 25 2025 8:55 AM ++++++
Morning Briefing: Today's News Summaries
Wednesday, Jun 25 2025 8:55 AM
At Fiery House Hearing, RFK Jr. Denies He Made False Promises Over Vaccines
https://kffhealthnews.org/morning-breakout/at-fiery-house-hearing-rfk-jr-denies-he-made-false-promises-over-vaccines/
Slashing Medicaid Would Force States To Cut Provider Pay, Analysis Finds
https://kffhealthnews.org/morning-breakout/slashing-medicaid-would-force-states-to-cut-provider-pay-analysis-finds/
International Doctors Can't Start Medical Residencies Due To Visa Woes
https://kffhealthnews.org/morning-breakout/international-doctors-cant-start-medical-residencies-due-to-visa-woes/
Oz Signals Administration Looking To End Complicated Drug Rebate System
https://kffhealthnews.org/morning-breakout/oz-signals-administration-looking-to-end-complicated-drug-rebate-system/
Texas Led Nation In 2024 For Women Seeking Out-Of-State Abortions
https://kffhealthnews.org/morning-breakout/texas-led-nation-in-2024-for-women-seeking-out-of-state-abortions/
USDA Giving States $12M To Fight CWD In Animals, Prevent Spillover To People
https://kffhealthnews.org/morning-breakout/usda-giving-states-12m-to-fight-cwd-in-animals-prevent-spillover-to-people/
martes, 24 de junio de 2025
Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results
https://www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
Now Available—AHRQ 2025 Surveys on Patient Safety Culture® (SOPS®) Nursing Home Workplace Safety Updated Results
The SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results and Appendixes are now available. The updated report includes data from 72 nursing homes representing 3,683 nursing home staff. Key findings include:
Areas for Improvement:
Overall Rating on Workplace Safety for Staff: Only 55 percent of respondents rated workplace safety for staff as excellent or very good.
Work Stress/Burnout: 31 percent of respondents indicated they experienced one or more symptoms of burnout. Staff who indicated they intended to leave their nursing home were more likely to experience symptoms of burnout.
Area of Strength:
Moving, Transferring, or Lifting Residents: 89 percent of respondents agreed that equipment or assistive devices are available, in good working condition, and that staff use them when needed.
https://www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_infographic.pdf
New Toolkit Helps Primary Care Teams Screen for Urinary Incontinence
https://www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-screening-toolkit.pdf
The loss of bladder control—called urinary incontinence (UI)—is a common chronic condition that affects more than 50 percent of women aged 20 and older in the United States, yet fewer than 30 percent of women over 40 receive treatment. Primary care practices and providers can help close this gap, and a new AHRQ toolkit offers them the tools to do so. Steps for Increasing Urinary Incontinence Screening: A Guide for Primary Care Practices is designed to help primary care teams implement routine UI screening and followup care with minimal disruption to existing workflows. Developed as part of AHRQ’s EvidenceNOW Managing Urinary Incontinence initiative, in partnership with the Patient-Centered Outcomes Research Institute, the toolkit includes practical strategies to prepare the clinic, build staff and leadership buy-in, select screening tools, assign team roles, and sustain the practice over time. It also offers scripting tips, workflow examples, and access to evidence-based, nonsurgical treatment options such as bladder training, pelvic floor therapy, and behavior change strategies. By proactively addressing UI, practices can improve quality of life for patients, reduce stigma, and enhance satisfaction with care.
Estimated Burden of Metabolic Dysfunction-Associated Steatotic Liver Disease in US Adults, 2020 to 2050
https://pubmed.ncbi.nlm.nih.gov/39821400/
Metabolic dysfunction-associated steatotic liver disease (MASLD), the most common cause of chronic liver disease, could affect 41.4 percent of U.S. adults by 2050, up from 33.7 percent in 2020, according to an AHRQ-supported study in JAMA Network Open. To project the rates of MASLD through 2050, researchers used national health data and a long-term health simulation model of nearly 3 million individuals, incorporating factors like age, sex, obesity, and diabetes. Their projections indicate that nearly 122 million people could be affected by this serious liver condition, which can lead to fibrosis, hepatocellular carcinoma, liver transplant, or death. According to the authors, these findings should inform health systems’ decisions and planning to prevent and treat liver disease in the coming years.
Resources by the CMS Patient Safety Structural Measure Domains
Resources by the CMS Patient Safety Structural Measure Domains: The Patient Safety Structural Measure is an attestation-based measure to assess whether hospitals demonstrate having a structure and culture that prioritizes patient safety. The Patient Safety Structural Measure is informed by the National Action Plan and includes five domains that contain multiple statements aiming to capture the most salient structural and cultural elements of patient safety. The five domains and illustrative elements are presented below.
Implementing the Patient Safety Structural Measure: Webinar Recording Now Available
TeamSTEPPS®, daily safety briefs, just culture policies, and the incorporation of patient-reported safety events are a few of the strategies that support implementation of the five Patient Safety Structural Measure (PSSM) domains. In a May 13 webinar, AHRQ’s National Action Alliance for Patient and Workforce Safety hosted presenters from Patients for Patient Safety US, ECRI, and Barton Health. Speakers showcased resources and practical approaches that align with the Centers for Medicare and Medicaid Services’ five PSSM domains: Leadership Commitment, Strategic Planning and Organizational Policy, Culture of Safety and Learning Health System, Accountability and Transparency, and Patient and Family Engagement. A curated library of tools and resources that support PSSM implementation by domain can be found on the National Action Alliance’s tools and resources page. Access the recording and presenter materials from this session.
https://www.ahrq.gov/action-alliance/webinars/implementing-cms-measure.html
AHRQ in the Professional Literature ++++ ++++
AHRQ in the Professional Literature
Characteristics, clinical care, and outcomes of sepsis among patients boarding in the emergency department. Blank JA, King JE, Grant JF, et al. J Hosp Med. 2025 Apr;20(4):368-73. Epub 2024 Oct 27. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39462682/
Overcoming inertia: provider perspectives on de-implementation strategies in preoperative testing. Kim E, Antunez AG, Nanua D, et al. Am J Surg. 2025 Apr;242:116228. Epub 2025 Jan 30. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39903984/
The combined and comparative impacts of financial incentives versus practice facilitation implementation support for social risk screening in community health centers. Hessler D, Marino M, Kaufmann J, et al. Health Serv Res. 2025 May;60(suppl 3):e14448. Epub 2025 Feb 10. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39925319/
Proposing design evaluation metrics for anesthesia providers' workspace in ambulatory surgical settings. Soman DA, Shokrollahi Ardekani M, Joseph A, et al. HERD. 2025 Apr;18(2):319-42. Epub 2025 Feb 25. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/40007110/
Weight stigma in adolescents with obesity from low-income backgrounds: qualitative perspectives from adolescents and caregivers. Darling KE, Panza E, Warnick J, et al. J Adolesc Health. 2025 May;76(5):928-34. Epub 2025 Feb 18. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39969473/
Emerging models of care using IT in long-term/post-acute care: a comparative analysis of human and AI-driven qualitative insights. Alexander GL, Livingstone A, Han S, et al. J Gerontol Nurs. 2025 Apr;51(4):6-11. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/40163614/
Practical design considerations for cluster randomized controlled trials: lessons learned in community oncology research. Dressler EV, Pugh SL, Gunn HJ, et al. J Natl Cancer Inst Monogr. 2025 Mar 1;2025(68):56-64. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39989035/
Achieving RoutIne Screening for Emotional health (ARISE) in pediatric subspecialty clinics. Al Zahidy M, Montori V, Gionfriddo MR, et al. J Pediatr Psychol. 2025 Jan;50(1):141-9. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39441705/
Empowering Patients to Change Behavior Using Digital Healthcare Tools Event Date: July 17, 2025 | 12:30pm – 2:00pm ET
https://digital.ahrq.gov/national-webinars/empowering-patients-change-behavior-using-digital-healthcare-tools
Webinar on Empowering Patients to Change Behavior Using Digital Healthcare Tools
AHRQ will host a webinar on July 17th, 2025, from 12:30 – 2:00 p.m. ET that covers how empowering patients to take an active role in their health is key to driving meaningful and sustainable behavior change. By using tools like clinical decision support systems, artificial intelligence (AI)-powered platforms, and mobile health apps, healthcare providers can engage patients in managing chronic conditions and making informed decisions about their health. Our expert panel will discuss the critical role digital healthcare technologies play in driving healthier lifestyles and improving patient outcomes.
The panel includes:
May May Leung, Ph.D., R.D.N.
Associate Professor, Chair, Division of Nutrition Interventions, Communication and Behavior Change, Tufts University
Antoinette Schoenthaler Ed.D.
Professor of Population Health and Medicine, New York University Langone Health
David Dorr, M.D., M.S.
Chief Research Information Officer, Co-Director Center for AI-Enabled Learning Health Science, Oregon Health & Science University
Moderator:
Kevin Chaney, M.G.S.
Senior Advisor for Dissemination and Innovation, Division of Digital Healthcare Research, Center for Evidence and Practice Improvement, AHRQ
lunes, 23 de junio de 2025
Morning Briefing Summaries of health policy coverage from major news organizations ++++
Perspectives: Tariff War Ignores Impact Of Health Care Costs On Manufacturing Firms; How HIV Drug Came To Fruition
https://kffhealthnews.org/morning-breakout/perspectives-tariff-war-ignores-impact-of-health-care-costs-on-manufacturing-firms-how-hiv-drug-came-to-fruition/
A Dose Of Upbeat And Inspiring News
Today's stories are on type 1 diabetes, lupus, breast cancer, hearing aids, and more.
https://kffhealthnews.org/morning-breakout/a-dose-of-upbeat-and-inspiring-news-12/
Many Older People Embrace Vaccines. Research Is Proving Them Right.
By Paula Span
June 23, 2025
https://kffhealthnews.org/news/article/vaccines-perceptions-benefits-older-people-aging-column/
Trump Team’s Reworking Delays Billions in Broadband Build-Out
By Sarah Jane Tribble
Updated June 20, 2025
Originally Published June 20, 2025
https://kffhealthnews.org/news/article/broadband-rural-west-virginia-bead-commerce-department-new-rules-delay-telehealth/
SAMHSA's Office of Recovery: Older Adult Recovery Virtual Meeting July 16–17, 10:30 a.m.–4 p.m. ET
https://event.capconcorp.com/form/view.php?id=223580&utm_source=SAMHSA&utm_campaign=913509f1e7-EMAIL_CAMPAIGN_2025_06_23_01_49&utm_medium=email&utm_term=0_-913509f1e7-167840245
SAMHSA's Office of Recovery: Older Adult Recovery Virtual Meeting
July 16–17, 10:30 a.m.–4 p.m. ET
The purpose of this meeting is to provide presentations and discussions on the foremost issues on helping older adults achieve or sustain recovery from behavioral health conditions by:
Identifying best practices for older adults, family members, and/or other caregivers.
Exploring approaches to adopt person centered planning that support self-directed recovery.
Identifying ways that effectively integrate a spectrum of recovery-oriented services and supports with behavioral health clinical, medical and social support programs.
Please register no later than Friday, July 11, 2025.
domingo, 22 de junio de 2025
Making Healthcare Safer IV: Summary of Findings on Patient Safety Practices and Ratings by a Technical Expert Panel, 2024-2025
Making Healthcare Safer IV: Summary of Findings on Patient Safety Practices and Ratings by a Technical Expert Panel, 2024-2025: We used the same process as used for Option Year 1 topics. Led by the Johns Hopkins University (JHU) Evidence-based Practice Center (EPC), we used a modified Delphi technique to obtain Technical Expert Panel (TEP) feedback on which patient safety practices (PSPs) have sufficient evidence to support widespread implementation, and the rationale based on the findings of the reports.
A National Emergency Airway Registry for children: landscape of tracheal intubation in 15 PICUs
https://pubmed.ncbi.nlm.nih.gov/23328260/
Smart checklist implementation for pediatric tracheal intubations in the ICU- multicenter study: SMART PICU
https://reporter.nih.gov/search/kUT5X1FdwEy1THilMXTlxg/project-details/10736244
Akira Nishisaki, M.D., a pediatric critical care physician in the Department of Anesthesiology and Critical Care Medicine at the Children’s Hospital of Philadelphia, has dedicated his career to improving the quality of care and outcomes for critically ill or injured children experiencing respiratory failure, the leading cause of death in infants and children. With funding from AHRQ, Dr. Nishisaki has designed and implemented easily modifiable quality improvement processes that make pediatric airway management safer during tracheal intubation—a common but high-risk procedure that helps with breathing when the airway is blocked or damaged.
Dr. Nishisaki’s AHRQ research began with the National Emergency Airway Registry for Children (NEAR4KIDS), a quality improvement database that documents outcomes of tracheal intubations based on patient, provider and practice factors. Findings from the NEAR4KIDS database served as the foundation for his future research. Using NEAR4KIDS registry data, Dr. Nishisaki’s team created the airway bundle checklist, a tool medical teams could easily use at the patient’s bedside before, during and after tracheal intubation. Later projects focused on specific quality improvement interventions for procedures that occur during tracheal intubation, including video laryngoscope, apneic oxygenation and bag mask ventilation. All three interventions reduced adverse events and continue to be used throughout the NEAR4KIDS network of pediatric intensive care units (ICUs).
Dr. Nishisaki’s current grant, Smart Checklist Implementation for Pediatric Tracheal Intubations in the ICU-Multicenter Study: SMART PICU, aims to update and digitize the airway bundle checklist developed with his second AHRQ grant.
Dr. Nishisaki serves as chair of the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network, the largest nonprofit pediatric ICU clinical research network. He accredits his successful track record and ability to lead the PALISI network to the support he has received from AHRQ.
https://pmc.ncbi.nlm.nih.gov/articles/PMC5628113/
AHRQ Public Listening Session on Opportunities to Update the Patient Safety Indicators Webinar on PSI Gap Analysis Findings May 7, 2025, 1:00 p.m. - 2:30 p.m. EDT
https://qualityindicators.ahrq.gov/announcements/2025/05
On May 7, AHRQ hosted the Public Listening Session on Opportunities to Update the Patient Safety Indicators, a virtual meeting that gathered more than 700 attendees. Patient Safety Indicators (PSIs) are quality indicators that provide information on potentially avoidable safety events that represent opportunities for improvement in the delivery of care. Speakers from AHRQ, MITRE and UC Davis discussed the history of PSIs and shared interim findings from a gap analysis that aims to identify opportunities for future PSI measurement. Anneliese Schleyer, M.D., M.H.A., a practicing hospitalist and chief medical officer at UW Medicine in Seattle, shared a provider’s perspective on PSI gaps and opportunities. Throughout the session, attendees submitted comments on future PSIs.
Interested stakeholders still have the opportunity to send in feedback through June 27. Visit the website to submit your comments and access the recording and materials for this event.
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