Resources Authored by: Cynthia Tang

Demand Ischemia

Case:  A 70 year old female multiple myeloma is admitted with rapid atrial fibrillation, substernal chest pressure and mild dyspnea. EKG shows non-specific changes. Hemoglobin is 7.5 gm/dl. Stool occult blood is negative. Atrial fib is converted with cardizem and...

Excisional Debridement

Case:  A patient is taken to operating room for I&D (incision and drainage) of abscess. Operative report states: “I&D performed using #16 scalpel, large amount purulent drainage, some necrotic tissue, wound cleaned and irrigated, drain placed.”  Is a...

Functional Quadriplegia

Functional quadriplegia is a bona fide clinical condition comparable to physical quadriplegia in its consequences, yet rarely diagnosed. The impact of functional quadriplegia on intensity and complexity of care, severity of illness, and cost of care is equivalent in...

HIV Disease

A 47 year old female with a past medical history of “HIV” was admitted with abscess and cellulitis of the thighs which were treated with IV Vancomycin, Ceftaz and Clindamycin. She had been recently hospitalized for disseminated herpes zoster with cervical...

Hospital Value Based Purchasing Program

This is the third of a series of articles on how CDI Programs can contribute to their organization’s success under CMS P4P metrics.   The Hospital Value Based Purchasing (HVBP) Program In fiscal year (FY) 2013, Medicare began withholding 1% of all hospital...
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