Prior Authorization Delays Increase Patient Death Risk

How much does prior myocardial infarction increase risk of sudden cardiac death in the young?

Sudden cardiac death (SCD) is a major public health problem in western countries and is particularly devastating in young subjects. Clearly, understanding the causes of SCD is paramount to design preventive strategies. Importantly, causes of SCD may vary between age groups. While most SCD cases in patients .35 years occur in the setting of coronary artery disease, the role of coronary artery di...

Transforming Prior Authorization to Decision Support.

PURPOSE To evaluate a computer-based prior authorization system that was designed to include and test two new concepts for physician review: (1) the tool would minimize denials by providing real-time decision support with alternative options if the original request was noncompliant, and (2) the tool would collect sufficient information to create a patient registry. METHODS A new prior authori...

Does prior PCI increase the risk of subsequent CABG?

Chocron and colleagues have reported that prior percutaneous coronary intervention (PCI) leads to a worse outcome in patients subsequently undergoing coronary artery bypass graft (CABG). In view of the fact that around one-third of patients with multivessel disease treated with bare metal stents will require re-intervention within a few years, this conclusion is potentially worrying and raises ...

Risk management for distributed authorization

Distributed authorization takes into account several elements, including certificates that may be provided by non-local actors. While most trust management systems treat all assertions as equally valid up to certificate authentication, realistic considerations may associate risk with some of these elements, for example some actors may be less trusted than others. Furthermore, practical online a...

Risk factors for cot death increase danger from infection.