Using PICOT framework, analyze the abstract provided below and formulate the research question.  *Note: ‘T’ is optional; but ‘PICO’ parts are necessary.    **This is an example of an answer for this type of question: Population: Bariatric adolescents considering or undergoing gastric bypass surgery. Intervention: The nurse’s role as a primary member of the multidisciplinary team regarding perioperative care of the bariatric adolescent patient. Comparison: The nurse’s role as a secondary member of the multidisciplinary team without any specialized training and is only involved in perioperative care of the bariatric adolescent patient. Outcome: When the nurse is involved as one of the primary members in the multidisciplinary team approach, the bariatric adolescent patient has better continuity of care. Time: perioperative including the 6 weeks post-recovery. PICOT Question: Does the bariatric adolescent patient undergoing gastric bypass have better continuity of care perioperatively and postoperatively when the nurse is a primary member of the multidisciplinary team versus when the nurse is a secondary member whose only role is in providing perioperative care during 6 weeks post-recovery?   ——————————————————– AbstractImportance:  State decisions not to expand Medicaid under the Patient Protection and Affordable Care Act could reduce emergency access to acute care hospitals. Objective:  To determine the relationship between state Medicaid expansion and emergency access to acute care hospitals in the United States. Design, Setting, and Participants:  This cross-sectional study linked hospital-level data from the Centers for Medicare & Medicaid Services from 2007 to 2017 to US Census data for all 50 US states and the District of Columbia. Geospatial analyses and difference-in-differences regression models were used to compare temporal changes in the size of the population without 30-minute access to acute care hospitals between 32 states that expanded Medicaid with the population without access in 19 that did not, before and after expansion. Analyses focused on the total population and those with low incomes; secondary analyses examined emergency access to safety-net hospitals. Exposures:  State-level Medicaid expansion. Main Outcomes and Measures:  Population without emergency access to an acute care hospital, defined as living outside a 30-minute drive of any hospital. Results:  States that did not expand Medicaid experienced an increase in the population without access to hospitals overall (without expansion: 6.76% to 6.79% ; vs with expansion: 5.65% to 5.35% ; difference-in-differences, 0.33%; 95% CI, 0.33%-0.34%; P 

What is the first step in constructing an outcome measurement?

A/an ________________ occurs when a patient has been discharged from a healthcare facility but later has to be admitted again for the same condition.

Which of the following best describes the traditional healthcare paradigm emphasizing “heads in beds” and a “more is better” philosophy?

Which type of review is used to identify the strengths and weaknesses of the existing designs for a particular topic?

Extra Credit Question (no word limit) What 1 or 2 topics do you think the most important (or interesting) in this course? And what 1 or 2 topics (related to HSR) would you like to be covered in the rest of the semester? 

Table 1 shows the cost per QALY figures for a number of interventions. Imagine that you must decide how many of these interventions to introduce in a health authority. The Interventions listed are independent, which means that more than one can be implemented.  *Note: This is for illustrative purposes only, the figures presented are not valid and reliable.     Table 1. Cost and cost per QALY gained for a set of independent interventions. Interventions Cost per QALY gained (USD $) Number of individuals who would receive the intervention  Intervention cost per person per annum (USD $) Hip replacement 1,677 94 30,000 Kidney transplant 6,706 612 78,000 Haemodialysis at home 24,590 105 35,000 Breast cancer screening 7,397 2,890 300 Beta-interferon 809,900 5 20,200 Smoking cessation 890 1,100 240 Social media campaign for physical activity 81,537 5,000 11   Suppose that your health authority has an annual budget constraint of $52 million. Which interventions would you introduce? (Multiple answers; select all that apply) *Hint: Work out the annual cost of implementing each intervention and rank the interventions from lowest to highest QALY per gained.  

In class, we argue that value should define performance in healthcare; this value should be structured around the patient and based on outcomes. 

Which of the following best describes an accountable care organization (ACO)?

Which of the following is not identified in the class discussion as a key element of clinical innovations to eliminate waste?