University of Michigan–Ann Arbor

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    Still Separate? Still Unequal? Brown V. Board of Education, Fifty Years Later..., January 19, 2004

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    Lecture by Lani Guinier, Professor of Law, Harvard Law School, for the 17th Annual Martin Luther King Jr. Symposium

    Improved Comorbidity Capture Using a Standardized 1-Step Quality Improvement Documentation Tool

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    Objective: To assess the impact of implementation of a “1-step” documentation query system on comorbidity capture and quality outcomes within the Department of Otolaryngology–Head and Neck Surgery. Methods: Implementation of the 1-step documentation query system was instituted for all otolaryngology–head and neck surgery faculty at a single institution. Individual query responses and impact metrics were analyzed. Departmental case-mix index (CMI), risk of mortality (ROM), and severity of illness (SOI) were collated over a 14-month implementation period and compared to a 12-month preimplementation period. Results: A total of 226 documentation queries occurred during the program pilot period, with an 86.7% response rate. Of queries with a response, 91.0% resulted in a significant impact for the hospitalization diagnoses-related group, ROM, or SOI. Departmental CMI increased from 2.73 to 2.91 over the implementation period, and observed/expected mortality ratio decreased from 0.50 to 0.42 pre- to postimplementation. Discussion: With increasing emphasis on quality metrics outcomes within the United States health care system, there is a need for institutions to accurately capture the complexity and acuity of the patients they care for. There was a positive change in quality outcomes metrics, including ROM, SOI, and CMI over the first year of deployment of the 1-step documentation query process. Implications for Practice: Clinical severity metrics are becoming increasingly important to otolaryngologists, as insurers move to severity-adjusted profiles. The 1-step documentation query process provides a reproducible and effective way for clinical documentation specialists and physicians to collaborate on improving departmental clinical severity metrics.http://deepblue.lib.umich.edu/bitstream/2027.42/191975/2/2018_Oto-HNS_1-Step Documentation QI Tool.pdfPublished versionDescription of 2018_Oto-HNS_1-Step Documentation QI Tool.pdf : Published versio

    High resolution computed tomography of the chest in infants with cystic fibrosis.

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    http://deepblue.lib.umich.edu/bitstream/2027.42/192034/2/Pediatric Pulmonology - 1999 - - Abstracts 390 to 439.pdfPublished versionDescription of Pediatric Pulmonology - 1999 - - Abstracts 390 to 439.pdf : Published versio

    WHO Smallpox Images, 1953-1988 (with gaps)

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    included is a spreadsheet of captions for the image

    Function-Preserving Tailored Open Partial Laryngectomy for Chondrosarcoma of the Thyroid Ala: A Case Report

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    http://deepblue.lib.umich.edu/bitstream/2027.42/191965/2/Function-Preserving Tailored Open Partial Laryngectomy for Chondrosarcoma of the Thyroid Ala A Case Report.pdfPublished versionDescription of Function-Preserving Tailored Open Partial Laryngectomy for Chondrosarcoma of the Thyroid Ala A Case Report.pdf : Published versio

    Cereblon ligands and uses thereof

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    http://deepblue.lib.umich.edu/bitstream/2027.42/192158/2/WO2024015340A1_Original_document_20240124172503.pd

    Pelvic Floor Dissection after removal of the Internal Obturator Muscle

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    This images shows a dissection of the pelvic floor after removal of the internal obturator muscle.This images shows a dissection of the pelvic floor after removal of the internal obturator muscle.http://deepblue.lib.umich.edu/bitstream/2027.42/192157/1/Pelvic Floor Dissection for Letter to Editor Figure.pptxDescription of Pelvic Floor Dissection for Letter to Editor Figure.pptx : Dissection of Pelvic Floor after removal of Obturator Internus MuscleSEL

    Mouse Model of Human Coronavirus (HCOV)-NLL63: Comparison With Rhinovirus-(RV)-A1B and Effects of Prior RV Infection

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    http://deepblue.lib.umich.edu/bitstream/2027.42/192074/2/Mouse model of human coronavirus (HCoV)-NL63 for ATS final v2.pdfPublished versio

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