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Doctors Who Care For Very Sick May Benefit From Pay-For-Performance
Physicians who treat patients with multiple health problems will fare well under pay-for-performance, which bases physician reimbursement on the quality of care provided, said researchers at Baylor College of Medicine and the Michael E. DeBakey Veterans Affairs Medical Center in Houston in a report in the current issue of the journal Circulation.

DrugScope Welcomes National Treatment Agency Announcment Of Increased Funding For Drug Treatment
DrugScope has welcomed the National Treatment Agency for Substance Misuse"s announcement of an extra ÷£11.8m government investment in drug treatment.
News of the day
Oncologic Drugs Advisory Committee Meeting Set By FDA
Medical Industry E-Mail News Service™ -- July 07 2009 -- The US Food & Drug Administration (FDA) has announced that its Oncologic Drugs Advisory Committee will meet on July 15 2009, in Gaithersburg MD, to discuss (1) new drug application (NDA) 022-447, proposed trade name Yondelis (trabectedin) powder, for concentrate for solution for intravenous infusion, Centocor Ortho Biotech Products, L.P., proposed indication in combination with Doxcil (doxorubicin HCl liposome injection), for treating patients with relapsed ovarian cancer; and (2) supplemental new drug application (sNDA) 050-718/S-039, Doxil (doxorubicin HCl liposome injection), for intravenous infusion, Centocor Ortho Biotech Products, L.P., proposed indication in combination with docetaxel for treating patients with locally advanced or metasatic breast cancer who have received prior anthracycline treatment. There is no charge to attend.
Nutrition

Ambulance Diversion Studied

When a hospital"s emergency department is overcrowded with seriously sick and injured patients, it may "go on diversion," re-routing ambulances to other emergency departments. But the benefits of "diversion" are largely unproven. Often those emergency departments are just as crowded, and the greater distance to that other hospital can worsen the condition of some patients. In 2006, a group of teaching hospitals in Boston agreed to stop going on diversion for two weeks, to see if eliminating diversion would cause any problems. A team of researchers led by Dr. Franklin Friedman at Tufts Medical Center examined what happened during these two weeks, as compared to the two weeks right before the "no diversion" experiment. The researchers found that no significant problems arose. There were no changes in the numbers of patients seen in the emergency departments, or in the amount of time the ambulances crews had to wait at the hospital for emergency department staff to take over patient care - and the amount of time that admitted patients had to wait in the emergency department for a hospital bed actually decreased by about 18 minutes. The state of Massachusetts, noting the findings from this study, has now ended the practice of ambulance diversion state-wide as of 1/1/09, in part due to the results of this study. The presentation, entitled "A Trial To End Ambulance Diversion In Boston," was given by Dr. Franklin Friedman in the Emergency Medical Services / Out-of-Hospital forum at the 2009 SAEM Annual Meeting at the Sheraton New Orleans on May 16 at 9:30 AM. Abstracts are published in Vol. 16, No. 4, Supplement 1, April 2009 of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. Sean Wagner Wiley-Blackwell


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