Readmission rates in not-for-profit vs. proprietary hospitals before and after the hospital readmission reduction program implementation.

BACKGROUND: The Patient Protection and Affordable Care Act established the Hospital Readmission Reduction Program (HRRP) to penalize hospitals with excessive 30-day hospital readmissions of Medicare enrollees for specific conditions. This policy was aimed at increasing the quality of care delivered to patients and decreasing the amount of money paid for potentially preventable hospital readmissions. While it has been established that the number of 30-day hospital readmissions decreased after program implementation, it is unknown whether this effect occurred equally between not-for-profit and proprietary hospitals. The aim of this study was to determine whether or not the HRRP decreased readmission rates equally between not-for-profit and proprietary hospitals between 2010 and 2012. METHODS: Data on readmissions came from the Dartmouth Atlas and hospital ownership data came from the Centers for Medicare and Medicaid Services. Data were joined using the Medicare provider number. Using a difference-in-differences approach, bivariate and regression analyses were conducted to compare readmission rates between not-for-profit and proprietary hospitals between 2010 and 2012 and were adjusted for hospital characteristics. RESULTS: In 2010, prior to program implementation, unadjusted readmission rates for proprietary and not-for-profit hospitals were 16.16% and 15.78%, respectively. In 2012, following program implementation, 30-day readmission rates dropped to 15.76% and 15.29% for proprietary and not-for-profit hospitals. The data suggest that the implementation of the Hospital Readmission Reduction Program had similar effects on not-for-profit and proprietary hospitals with respect to readmission rates, even after adjusting for confounders. CONCLUSIONS: Although not-for-profit hospitals had lower 30-day readmission rates than proprietary hospitals in both 2010 and 2012, they both decreased after the implementation of the HRRP and the decreases were not statistically significantly different. Thus, this study suggests that the Hospital Readmission Reduction Program was equally effective in reducing readmission rates, despite ownership status

Barr, Willie

Service Co. 365th Infantry; Fort Huachuca, Arizonahttps://dh.howard.edu/prom_members/1006/thumbnail.jp

Alien Registration- Slocum, Willie H. (Houlton, Aroostook County)

https://digitalmaine.com/alien_docs/34753/thumbnail.jp

NAACP et al v. Tillman et al., Civil Action 83-108 VAL, April 17, 1984

1 electronic document, PDF, 2 scanned imagesThe letter, dated April 17, 1984, is addressed to the participants of the NAACP et al v. Tillman et al., Civil Action 83-108 VAL. The topic of the letter is to update negotiations in the Voting Rights Suit and on depositions form January 1984 through April 1984

Letters to Mr. Earnest Nijem from Georgia Legal Services: Todd Johnson, Kenneth Jones, Robert W. Cullen, June 17, 1983

1 electronic document, PDF, 2 scanned images.The letter, dated June 14, 1983, is addressed to Major Nijem, Mayor of the City of Valdosta. Willie Houseal is writing in regards to voting rights issues in Valdosta and Black underrepresentation in voting and elections. The letter includes topics like: Valdosta's At-Large Voting, Valdosta City Council, Single Member District, and Black representation in City Council

On Benchmarking SRc α\alpha Ori using Period-Luminosity Relationship

We conducted a benchmarking analysis of the semi-regular pulsator and red supergiant $\alpha$ Ori. In its dimming episode last 2020, our observational results include the binned measurements from the space-based telescope SMEI collated. We report a long secondary period of $P_{\text{LSP}}$ = 2350 $\pm$ 10 d and a fundamental pulse of $P_0$ = 415 d $\pm$ 30 d for the interest. Meanwhile, we also detected the first overtone component of $P_1$ = 185 d which supports the current literature's standing for this newly acquired pulse. At $~$2.20 $\pm$ 0.10 $\mu$m, we acquired Near-Infrared $K$-band photometric measurements from several catalogues and surveys in accordance of the calibration. Our assigned inherent color plays at the middle of the extremes from the existing literature. Likewise, we attained a weighted excess color index of $E_{(B-V)}$ = 0.340 and using a $K$-extinction factor of $R_K$ = 0.382 yields an extinction of $A_K$ = 0.130. By subtracting extinction to all $K$-band photometry, using the linearity, and newly derived distance from previous literatures, our effort results to a $\log(L/L_\odot) = 5.00 \pm 0.15_{(-0.45)}^{(+0.48)}$ for $\alpha$ Ori. In turn, this allowed us to conduct the benchmarking scheme alongside the data from existing reports that are stitched together using Period-Luminosity Relationship. This results to a best-fit of $\log(L/L_\odot) = 7.26 \pm 0.10 \times \log P + (-14.10 \pm 0.25)$ and reveals that $\alpha$ Ori can be situated in the lower bound 18 $M_\odot$ regime caused by current pulsation trends.Comment: Brief Research Report; 8 pages, 3 figures, 1 tabl

Preparing South Africa for Information Society 'E-Services': The Significance of the VANS Sector

New Value-Added Network Services (VANS) provide the foundation for the wide variety of applications (e-commerce, e-government, e-education, etc.,) that will make-up the e-economy in new information societies. Internet services are only a part of the VANS sector. The development of VANS is influenced primarily by three factors – technological improvements, government policies/ regulations, and the market structure of the VANS sector. South Africa has announced clear information society policies, but has not yet implemented them. Although the national fixed telecom network has experienced declining coverage in recent years, for those connected, the network is fully digitalised and makes increasing use of Internet Protocol. Technologically, South Africa is well prepared to be a leader in VANS development. However, its policy and regulation arena has been a site of continuous conflict and indecision, which has resulted in VANS development being restricted rather than promoted by government policy. Telkom’s aggressive activity in attempting to maximise its service exclusivities has restricted VANS development even further. Telkom’s exclusivity period under the government’s “managed liberalisation” policy ended 7 May 2002. If South Africa is to see its information society and e-economy policies implemented, it will have to establish, and implement through strong regulation, a commitment to promoting an innovative VANS sector. The forthcoming convergence legislation provides an opportunity to do so