Tag: indicators

Putin health update: ‘Something is off’ – The indicators Putin is seriously ill | World | News

Inspite of Moscow officers repeatedly denying the swirling rumours of Putin’s ill health and fitness, the Russian chief, who’s pushing 70, stays beneath speculation simply because of footage exhibiting he could be critically unwell. Most a short while ago, it’s been claimed but not confirmed the president did not show up at engagements in Could as he was recovering from “cancer surgery”. What is main individuals to believe that Putin is severely sick?

Footage of the president in excess of the past couple months, paired with his behaviour towards diplomats and politicians, has induced all people from medical professionals to body language professionals to carry out analyses on Putin’s actual physical and psychological state.

Problems have only increased as the seemly sick-imagined-out invasion of Ukraine has continued, as Putin’s approach to get above Kyiv “in days” has stretched over two months, a faltering system that would be specifically out of character for a man the moment considered a “master strategist”.

However, the Kremlin continues to deny speculation the Russian president is ill.

In an interview with French Television set, Russian Foreign Minister Sergei Lavrov stated: “I never assume that sane persons can see in this human being indicators of some form of sickness or ailment.

Immediately after stating the president can make general public appearances “every day”, Mr Lavrov claimed: “You can look at him on screens, go through and pay attention to his speeches.”

Read through Additional: Putin ‘could by now be Dead with system double using his place’

“I depart it to the conscience of individuals who unfold these kinds of rumours.”

While speculation remains regular as various navy intelligence officials have been stoking the fireplace.

Ukraine’s army intelligence main, Key Normal Kyrylo Budanov informed Sky Information the president had most cancers and a coup to supplant the Russian leader was in movement.

Senator Marco Rubio of Florida, the best Republican on the Senate Intelligence Committee, chimed in with a tweet in late February stating: “I desire I could share more, but for now I can say it truly is rather evident to several that something is off with Putin.”

What are the indications foremost men and women to speculate?

Bodily physical appearance

Putin’s actual physical appearance bears a distinct influence on the general public theorising about his intended sick-health.

The president has appeared to be looking extra bloated about the encounter and neck not long ago.

Fiona Hill, the previous senior White Dwelling skilled on Russia, informed Politico: “He’s been somewhat puffy-confronted. We know that he has complained about getting back again problems.

“Even if it’s not a little something worse than that, it could be that he’s using high doses of steroids, or there may possibly be anything else.

“There looks to be an urgency for this [invasion] that may well be also driven by personal elements.”

The Day-to-day Star quoted an “ex-armed service intelligence officer now performing at the Pentagon” as expressing they imagine Putin is living in suffering.

They say this could be thanks to most cancers – with his encounter becoming a sign he is taking chemotherapy medications or steroids.

Really don’t Pass up:
Ailing Putin’s bid to put in DAUGHTER into energy just after death [INSIGHT]
Putin well being newest: New images exhibit despot searching pale [PICTURES]
Putin’s longshot at profitable from Ukraine – How Russia hopes to win [ANALYSIS]

The resource claimed: “In the previous, we have observed him smile, but in 2022 there are several shots of him wanting pleased.

“His glance implies he is in suffering and our people today recommend his indignant seem is most probably a end result of him becoming in agony.

“Our persons are self-assured he is unwell – he is involved about Covid as he keeps his team at a distance.”

Footage of the president suffering from uncontrollable hand tremors, going for walks unsteadily, and wheezing his way through speeches has peppered further indicators he might be suffering from a ailment like Parkinson’s or dementia.

Lengthy tables and blankets

Putin has recently been noticed holding conferences with overseas leaders and officers at a notably extended desk.

Soon in advance of the invasion was declared, the president sat French President Emmanuel Macron 13ft away from him at the much finish of the table.

Some have advised the reason is Putin is immunocompromised and could be at significant possibility if he were to catch Covid or another ailment.

The president was famous to have been specifically cautious through the Covid outbreak, having specific disinfectant tunnels manufactured for his official residence.

Those people wanting to fulfill with the president had to be sprayed down in advance of getting into, endure a two-week quarantine, as effectively as current a damaging Covid examination.

The Russian chief was photographed bundled up in a blanket through the Victory Working day Parade in Moscow.

Temperatures in the Russian funds had been mentioned to have attained highs of 9C that early morning and when the president did not use a blanket assumed-out the parade, couple of of his colleagues were observed applying one particular.

May 30, 2022
Three indicators that may predict a rural hospital closure
By Clarissa Donnelly-DeRoven

Since 2005, 181 rural hospitals across the country have shut their doors permanently — 56 of those between 2017 and 2020.

Scholars at the North Carolina Rural Health Research Program and the Cecil G. Sheps Center for Health Services Research at UNC Chapel Hill watch the issue closely. Two researchers recently decided to investigate: did the most recent closures have anything in common financially?

The answer they found was a resounding yes. In the year before their closure, most of the now-closed rural hospitals nationwide had low cash on hand, negative operating margins, and negative total margins, compared to rural hospitals that stayed open.

George Pink, one of the authors, says the study is the first he’s seen to analyze a hospital’s finances in the immediate years before its closure.

“We just wanted to get a handle on the hospitals that did close, compared to hospitals that did not close,” he said. “How were they different?”

Of the 56 hospitals that closed, 47 had less than a month’s cash on hand in the year before it closed. “Cash on hand” is a critical financial indicator that measures how many days a hospital could pay for its operating expenses with the money it has immediately available. Having little or no cash on hand indicates that an organization can’t really absorb some unexpected financial shock, in the case of a hospital that could be a surge of patients or an essential repair.

The other two measures — operating margin and total margin — can be a bit more complicated.

“When we talk sources of revenue to hospitals, we generally talk about two pots of money: operating revenue and non-operating revenue,” Pink said. “Operating revenue is revenue received for patient care — inpatient, outpatient, whatever the source. Whatever payers give you for patient care, that is called operating revenue.

Researchers at the Sheps Center keep the most comprehensive nationwide data on rural hospital closures. The bottom graph shows the numbers of rural hospitals that have closed each year since 2005. Credit: UNC — Cecil G. Sheps Center for Health Services Research.

“Non-operating revenue is revenue for activities that are not related to patient care, so, for example, the largest source of non-operating revenue is typically investment income.”

Among the hospitals that closed, 49 had negative operating margins in their final year of operation and 50 had negative total margins (which includes both operating and non-operating revenue).

“There’s a lot of commentary out there as to why these rural hospitals are closing,” Pink said. Many pin the blame for closures on large health systems, which buy up these smaller facilities and then close the hospitals when they consolidate services.

Something like that could be to blame for the closure in those facilities that are outliers in the data, the researchers didn’t look at those facilities specifically.

But, “By far, those are very small numbers,” Pink said. “The overwhelming percentage of the majority of them closed for financial reasons.”

The hope is that officials from state rural health offices could make it a practice to look at these financial indicators, which would enable them to identify hospitals that are at high risk of closure and implement measures to prevent the closure.

This particular study didn’t examine the role Medicaid expansion might play in preventing rural hospital closures, but a 2018 Health Affairs study by Colorado researchers — which relies on data from the Sheps Center — found that the program makes a significant difference.

Because Medicaid expansion increases the number of people with insurance coverage — thereby decreasing the amount of uncompensated care hospitals provide — those institutions perform better financially and are less likely to close, “especially in rural markets and counties with large numbers of uninsured adults before Medicaid expansion,” the authors wrote.

North Carolina remains one of 12 states to not expand Medicaid, though the state budget created a new 18-member committee in the general assembly to study health care access and Medicaid expansion.

Some federal relief could be coming for rural hospitals in states such as North Carolina. In December 2020, Congress passed the Consolidated Appropriations Act of 2021. The law creates the “Rural Emergency Hospital,” a new type of facility that will not provide inpatient services but will offer 24-hour emergency care. The law passed in response to the rate of rural hospital closures, and the negative impacts the closures have had on the health of communities.

“During the past decade, policymakers have recognized that rural communities need options other than full-service hospitals, to ensure access to essential services,” wrote staff members from the National Advisory Committee on Rural Health and Human Services in an October 2021 policy brief on the new designation of care facility. “The [new law] created the [rural emergency hospital] provider type to give rural communities with struggling rural hospitals an option between a traditional acute-care hospital and complete closure.”

The details of the new system are still being worked out. The federal Centers for Medicare and Medicaid Services are expected to have finalized the model by 2023, which is when hospitals can begin converting.

Pink, who provided his expertise to the committee, argues that his study “reinforces the need for a new model of rural health care, such as the proposed rural emergency hospital.”

“It’s just an example of a new model that probably is long overdue,” he said.

Republish our articles for free, online or in print, under a Creative Commons license.
X

Republish this article

As of late 2019, we’re changing our policy about reprinting our content.

You are free to use NC Health News content under the following conditions:

You can copy and paste this html tracking code into articles of ours that you use, this little snippet of code allows us to track how many people read our story.

Please do not reprint our stories without our bylines, and please include a live link to NC Health News under the byline, like this:

By Jane Doe

North Carolina Health News

Finally, at the bottom of the story (whether web or print), please include the text:

North Carolina Health News is an independent, non-partisan, not-for-profit, statewide news organization dedicated to covering all things health care in North Carolina. Visit NCHN at northcarolinahealthnews.org. (on the web, this can be hyperlinked)

by Clarissa Donnelly-DeRoven, North Carolina Health News
January 24, 2022

<h1>NC study finds three financial indicators that could predict the closure of a rural hospital</h1> by Clarissa Donnelly-DeRoven, North Carolina Health News January 24, 2022 <h4 id=”h-by-clarissa-donnelly-deroven”>By Clarissa Donnelly-DeRoven</h4> Since 2005, 181 rural hospitals across the country have <a href=”https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/”>shut their doors permanently</a> — 56 of those between 2017 and 2020. Scholars at the <a href=”https://www.shepscenter.unc.edu/programs-projects/rural-health/”>North Carolina Rural Health Research Program</a> and the <a href=”https://www.shepscenter.unc.edu/”>Cecil G. Sheps Center for Health Services Research</a> at UNC Chapel Hill watch the issue closely. Two researchers recently decided to investigate: did the most recent closures <a href=”https://www.shepscenter.unc.edu/product/rural-hospitals-that-closed-between-2017{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}e2{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}80{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}9020-profitability-and-liquidity-in-the-year-before-closure/”>have anything in common financially</a>? <div class=”wp-block-image”> <figure class=”aligncenter size-full”><a href=”https://www.northcarolinahealthnews.org/donate/”><img src=”https://www.northcarolinahealthnews.org/wp-content/uploads/2021/04/COVID-Donate-Ad-NEW-April-2021.png” alt=”” class=”wp-image-33559″ /></a></figure> </div> The answer they found was a resounding yes. In the year before their closure, most of the now-closed rural hospitals nationwide had low cash on hand, negative operating margins, and negative total margins, compared to rural hospitals that stayed open.  <a href=”https://sph.unc.edu/adv_profile/george-pink-phd/”>George Pink</a>, one of the authors, says the study is the first he’s seen to analyze a hospital’s finances in the immediate years before its closure. “We just wanted to get a handle on the hospitals that did close, compared to hospitals that did not close,” he said. “How were they different?”  Of the 56 hospitals that closed, 47 had less than a month’s cash on hand in the year before it closed. “Cash on hand” is a critical financial indicator that measures how many days a hospital could pay for its operating expenses with the money it has immediately available. Having little or no cash on hand indicates that an organization can’t really absorb some unexpected financial shock, in the case of a hospital that could be a surge of patients or an essential repair.  The other two measures — operating margin and total margin — can be a bit more complicated.  “When we talk sources of revenue to hospitals, we generally talk about two pots of money: operating revenue and non-operating revenue,” Pink said. “Operating revenue is revenue received for patient care — inpatient, outpatient, whatever the source. Whatever payers give you for patient care, that is called operating revenue.  <div class=”wp-block-image”> <figure class=”aligncenter size-full”><img src=”https://www.northcarolinahealthnews.org/wp-content/uploads/2022/01/Screen-Shot-2022-01-20-at-1.43.38-PM.png” alt=”” class=”wp-image-37336″ /><figcaption>Researchers at the Sheps Center keep the most comprehensive nationwide data on rural hospital closures. The bottom graph shows the numbers of rural hospitals that have closed each year since 2005. Credit: UNC — Cecil G. Sheps Center for Health Services Research.</figcaption></figure> </div> “Non-operating revenue is revenue for activities that are not related to patient care, so, for example, the largest source of non-operating revenue is typically investment income.” Among the hospitals that closed, 49 had negative operating margins in their final year of operation and 50 had negative total margins (which includes both operating and non-operating revenue).  “There’s a lot of commentary out there as to why these rural hospitals are closing,” Pink said. Many pin the blame for closures on large health systems, which buy up these smaller facilities and then close the hospitals when they consolidate services.  Something like that could be to blame for the closure in those facilities that are outliers in the data, the researchers didn’t look at those facilities specifically.  But, “By far, those are very small numbers,” Pink said. “The overwhelming percentage of the majority of them closed for financial reasons.” The hope is that officials from state rural health offices could make it a practice to look at these financial indicators, which would enable them to identify hospitals that are at high risk of closure and implement measures to prevent the closure.  This particular study didn’t examine the role Medicaid expansion might play in preventing rural hospital closures, but a <a href=”https://www.healthaffairs.org/doi/10.1377/hlthaff.2017.0976″>2018 Health Affairs study by Colorado researchers</a> — which relies on data from the Sheps Center — found that the program makes a significant difference.  Because Medicaid expansion increases the number of people with insurance coverage — thereby decreasing the amount of uncompensated care hospitals provide — those institutions perform better financially and are less likely to close, “especially in rural markets and counties with large numbers of uninsured adults before Medicaid expansion,” the authors wrote. North Carolina remains one of 12 states to not expand Medicaid, though the state budget created a new <a href=”https://www.northcarolinahealthnews.org/2021/11/17/covid-funds-beef-up-health-care-spending-in-proposed-state-budget-still-lacks-medicaid-expansion/”>18-member committee</a> in the general assembly to study health care access and Medicaid expansion. Some federal relief could be coming for rural hospitals in states such as North Carolina. In December 2020, Congress passed the Consolidated Appropriations Act of 2021. The law creates the “Rural Emergency Hospital,” a new type of facility that will not provide inpatient services but will offer 24-hour emergency care. The law passed in response to the rate of rural hospital closures, and the negative impacts the closures have had on the health of communities.  “During the past decade, policymakers have recognized that rural communities need options other than full-service hospitals, to ensure access to essential services,” wrote staff members from <a href=”https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/rural/publications/2021-rural-emergency-hospital-policy-brief.pdf”>the National Advisory Committee on Rural Health and Human Services in an October 2021 policy brief </a>on the new designation of care facility. “The [new law] created the [rural emergency hospital] provider type to give rural communities with struggling rural hospitals an option between a traditional acute-care hospital and complete closure.” The details of the new system are still being worked out. The federal Centers for <a href=”https://www.cms.gov/newsroom/fact-sheets/cy-2022-medicare-hospital-outpatient-prospective-payment-system-and-ambulatory-surgical-center”>Medicare and Medicaid Services</a> are expected to have finalized the model by 2023, which is when hospitals can begin converting. Pink, who provided his expertise to the committee, argues that his study “reinforces the need for <a href=”https://www.northcarolinahealthnews.org/2015/07/31/re-envisioning-the-rural-hospital/”>a new model of rural health care</a>, such as the proposed rural emergency hospital.”  “It’s just an example of a new model that probably is long overdue,” he said. <div class=”wp-block-group has-secondary-background-color has-background”> </div> This <a target=”_blank” href=”https://www.northcarolinahealthnews.org/2022/01/24/nc-study-finds-three-financial-indicators-that-could-predict-the-closure-of-a-rural-hospital/”>article</a> first appeared on <a target=”_blank” href=”https://www.northcarolinahealthnews.org”>North Carolina Health News</a> and is republished here under a Creative Commons license.<img src=”https://i0.wp.com/www.northcarolinahealthnews.org/wp-content/uploads/2021/10/cropped-favicon02.jpg?fit=150{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}2C150&ssl=1″ style=”width:1em;height:1em;margin-left:10px;”><img id=”republication-tracker-tool-source” src=”https://www.northcarolinahealthnews.org/?republication-pixel=true&post=37334&ga=UA-28368570-1″ style=”width:1px;height:1px;”> 
1
January 24, 2022

Tag: indicators

Putin health update: ‘Something is off’ – The indicators Putin is seriously ill | World | News

What are the indications foremost men and women to speculate?

Three indicators that may predict a rural hospital closure

By Clarissa Donnelly-DeRoven

Republish this article