Anica Law
@anicalaw.bsky.social
Pulm/crit care MD and health services researcher @BUMedicine @The_BMC @BUPulmonary @SmithBIDMC, formerly @harvardpulm @brighammedres
So (after the above texts), we:
(a) wrote about how an ICD-10 code would help measure/improve quality of care and
(b) applied for a new ICD-10 code and I testified before @CMSGov in Sept 2022
(got @atscommunity, @accpchest, @SCCM, and @aarc_tweets multi-society endorsement🙏)
(a) wrote about how an ICD-10 code would help measure/improve quality of care and
(b) applied for a new ICD-10 code and I testified before @CMSGov in Sept 2022
(got @atscommunity, @accpchest, @SCCM, and @aarc_tweets multi-society endorsement🙏)
November 23, 2024 at 5:34 AM
So (after the above texts), we:
(a) wrote about how an ICD-10 code would help measure/improve quality of care and
(b) applied for a new ICD-10 code and I testified before @CMSGov in Sept 2022
(got @atscommunity, @accpchest, @SCCM, and @aarc_tweets multi-society endorsement🙏)
(a) wrote about how an ICD-10 code would help measure/improve quality of care and
(b) applied for a new ICD-10 code and I testified before @CMSGov in Sept 2022
(got @atscommunity, @accpchest, @SCCM, and @aarc_tweets multi-society endorsement🙏)
🧵Prone positioning saves lives in severe #ARDS but it's hard to measure how often it actually happens. In 2019, we had to resort to surveying hospitals just to see if it was even an option (pre-covid, it wasn't, at most MA hospitals)...
November 23, 2024 at 5:20 AM
🧵Prone positioning saves lives in severe #ARDS but it's hard to measure how often it actually happens. In 2019, we had to resort to surveying hospitals just to see if it was even an option (pre-covid, it wasn't, at most MA hospitals)...
HOW IT'S GOING:
August 1, 2023: Our brand new ICD-10 procedure codes for prone positioning in #ARDS are finalized, to be used nationwide starting October 1, 2023. @CMSGov
https://www.cms.gov/medicare/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
August 1, 2023: Our brand new ICD-10 procedure codes for prone positioning in #ARDS are finalized, to be used nationwide starting October 1, 2023. @CMSGov
https://www.cms.gov/medicare/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
November 23, 2024 at 5:13 AM
HOW IT'S GOING:
August 1, 2023: Our brand new ICD-10 procedure codes for prone positioning in #ARDS are finalized, to be used nationwide starting October 1, 2023. @CMSGov
https://www.cms.gov/medicare/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
August 1, 2023: Our brand new ICD-10 procedure codes for prone positioning in #ARDS are finalized, to be used nationwide starting October 1, 2023. @CMSGov
https://www.cms.gov/medicare/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
HOW IT STARTED: 🧵
@atscommunity @accpchest @SCCM @aarc_tweets
@atscommunity @accpchest @SCCM @aarc_tweets
November 23, 2024 at 5:06 AM
HOW IT STARTED: 🧵
@atscommunity @accpchest @SCCM @aarc_tweets
@atscommunity @accpchest @SCCM @aarc_tweets
3/ Our societies should ensure the safety of all attendees, regardless of race, religion, ethnicity, gender, sexual orientation, or any other aspect of their identity. @atscommunity @accpchest @SCCM
Let's show our support: DM or email or find me in DC to get your ribbon!
/end
Let's show our support: DM or email or find me in DC to get your ribbon!
/end
November 23, 2024 at 5:27 AM
3/ Our societies should ensure the safety of all attendees, regardless of race, religion, ethnicity, gender, sexual orientation, or any other aspect of their identity. @atscommunity @accpchest @SCCM
Let's show our support: DM or email or find me in DC to get your ribbon!
/end
Let's show our support: DM or email or find me in DC to get your ribbon!
/end
1/ I will be at #ATS2023 celebrating all that the strong, vibrant, diverse
@atscommunity
has to offer. I also want #ATSSafe4All in the future! Join me in committing to safety and equity for all. Show your support: DM or email or find me in DC to get your ribbon!
@atscommunity
has to offer. I also want #ATSSafe4All in the future! Join me in committing to safety and equity for all. Show your support: DM or email or find me in DC to get your ribbon!
November 23, 2024 at 5:06 AM
1/ I will be at #ATS2023 celebrating all that the strong, vibrant, diverse
@atscommunity
has to offer. I also want #ATSSafe4All in the future! Join me in committing to safety and equity for all. Show your support: DM or email or find me in DC to get your ribbon!
@atscommunity
has to offer. I also want #ATSSafe4All in the future! Join me in committing to safety and equity for all. Show your support: DM or email or find me in DC to get your ribbon!
Among those with MV >96 hrs: tracheostomies⬇️, DNR rates, palliative care, and hospice use all⬆️. Despite limitations in care, 1-yr mortality and institution-free days 1 yr after ICU admission remained constant.
November 23, 2024 at 5:54 AM
Among those with MV >96 hrs: tracheostomies⬇️, DNR rates, palliative care, and hospice use all⬆️. Despite limitations in care, 1-yr mortality and institution-free days 1 yr after ICU admission remained constant.
Team ECHO from @BUMedicine illuminating challenges around studying ARDS practice patterns, adoption/deimplementation. Strong work from Mallory Lesieur @xaudhya_
November 23, 2024 at 5:41 AM
Team ECHO from @BUMedicine illuminating challenges around studying ARDS practice patterns, adoption/deimplementation. Strong work from Mallory Lesieur @xaudhya_
Proud of @divya_shankar19 for her ATS Abstract award from @ATSCritCare looking at how Covid impacted practice patterns in nonCOVID pts. Come to D104 on Wed to hear more from this rising star! #ATS2022 coauthors @WalkeyAllan @NickABosch
November 23, 2024 at 5:47 AM
Proud of @divya_shankar19 for her ATS Abstract award from @ATSCritCare looking at how Covid impacted practice patterns in nonCOVID pts. Come to D104 on Wed to hear more from this rising star! #ATS2022 coauthors @WalkeyAllan @NickABosch
Thank you @emilyvailmd and @lkvandev for your making the ATS CC ECPWG a fantastic, supportive home base for so many early career folk. 👏👏👏@ATSCritCare
November 23, 2024 at 5:47 AM
Thank you @emilyvailmd and @lkvandev for your making the ATS CC ECPWG a fantastic, supportive home base for so many early career folk. 👏👏👏@ATSCritCare
Proud of @xaudhya_ , MS2 at @BUMedicine, for making his ATS debut, presenting changes in #pronepositioning availability at hospitals across MA before and after the pandemic. He nailed it! Coauthors @NickABosch @WalkeyAllan #ATS2022
November 23, 2024 at 5:54 AM
Proud of @xaudhya_ , MS2 at @BUMedicine, for making his ATS debut, presenting changes in #pronepositioning availability at hospitals across MA before and after the pandemic. He nailed it! Coauthors @NickABosch @WalkeyAllan #ATS2022
So proud of @NavinKumarMD for winning the Bernard Lown Award for Excellence in teaching at @harvardmed - so well deserved!
November 23, 2024 at 6:01 AM
So proud of @NavinKumarMD for winning the Bernard Lown Award for Excellence in teaching at @harvardmed - so well deserved!
We also found that patients spend very few DAOI after trach/PEG/both. Patients receiving a trach spend a median 3 days out of an institution, while patients receiving a trach and a PEG spend 0 days out of an institution within the first 90 days.
November 23, 2024 at 9:28 AM
We also found that patients spend very few DAOI after trach/PEG/both. Patients receiving a trach spend a median 3 days out of an institution, while patients receiving a trach and a PEG spend 0 days out of an institution within the first 90 days.
We found that short-term mortality is very high in pts receiving a trach/PEG/both. Although in-hospital mortality is relatively low (10-17%), most of these patients are sent to SNF/LTCHs, where mortality is very high. Over 40% are dead within 90 days of trach/PEG/both
November 23, 2024 at 9:20 AM
We found that short-term mortality is very high in pts receiving a trach/PEG/both. Although in-hospital mortality is relatively low (10-17%), most of these patients are sent to SNF/LTCHs, where mortality is very high. Over 40% are dead within 90 days of trach/PEG/both
How come we are this far into the pandemic and it still takes 24-48 hrs for an outpatient #covid test to turnaround??
[2kids + 1 parent]x 2 days of missed work/school waiting for 1 covid test = so much unnecessary lost productivity
[2kids + 1 parent]x 2 days of missed work/school waiting for 1 covid test = so much unnecessary lost productivity
November 23, 2024 at 6:08 AM
How come we are this far into the pandemic and it still takes 24-48 hrs for an outpatient #covid test to turnaround??
[2kids + 1 parent]x 2 days of missed work/school waiting for 1 covid test = so much unnecessary lost productivity
[2kids + 1 parent]x 2 days of missed work/school waiting for 1 covid test = so much unnecessary lost productivity
(and yes, we now fall under the category of people who have birds for pets, #badpulmonolgist). Here's the fam: Tutti Frutti, Suburban (like the SUV), Celera, Tula, Giannis (#gobucks), Nala, and now...Rocky, our underdog.
November 23, 2024 at 9:04 AM
(and yes, we now fall under the category of people who have birds for pets, #badpulmonolgist). Here's the fam: Tutti Frutti, Suburban (like the SUV), Celera, Tula, Giannis (#gobucks), Nala, and now...Rocky, our underdog.
Here it is this morning:
November 23, 2024 at 8:48 AM
Here it is this morning:
And here's the remains of my neonatal chick ICU. It doesn't look like the ICU I usually work in
November 23, 2024 at 8:00 AM
And here's the remains of my neonatal chick ICU. It doesn't look like the ICU I usually work in
And this is what it looked like after - initially stressed out and kicking, then listless and weak
November 23, 2024 at 7:52 AM
And this is what it looked like after - initially stressed out and kicking, then listless and weak
Then on Wednesday of this week, they started to hatch. Here's a "pipped" egg
November 23, 2024 at 6:51 AM
Then on Wednesday of this week, they started to hatch. Here's a "pipped" egg
PNGs of the article in case you can't access it!
November 23, 2024 at 8:08 AM
PNGs of the article in case you can't access it!
So – EDUCATE people. Some people may just need the facts, others may be using this myth to excuse the use of excessive, fatal force. Nurses, doctors, RTs, first-responders – don’t let this be an excuse anymore. Spread, disseminate, educate. 5/
November 23, 2024 at 7:37 AM
So – EDUCATE people. Some people may just need the facts, others may be using this myth to excuse the use of excessive, fatal force. Nurses, doctors, RTs, first-responders – don’t let this be an excuse anymore. Spread, disseminate, educate. 5/
Here at @BIDMChealth we were thrilled to have booked a spot on @iwashyna's national (international?) tour, "Dirty Dozen of Common Errors on Discharging MV Patients." I always learn key pearls every time I hear from him! Book your tour date now!
November 23, 2024 at 7:44 AM
Here at @BIDMChealth we were thrilled to have booked a spot on @iwashyna's national (international?) tour, "Dirty Dozen of Common Errors on Discharging MV Patients." I always learn key pearls every time I hear from him! Book your tour date now!
.@BIDMChealth leading the pack in #COVID19 enrollment in @covid19registry! Proud of our hardworking team including @somnathbose07, Valerie Banner-Goodspeed, Elias Baedorf-Kassis, and an army of incredibly dedicated research assistants from @BIDMCAnesthesia
November 23, 2024 at 7:52 AM
.@BIDMChealth leading the pack in #COVID19 enrollment in @covid19registry! Proud of our hardworking team including @somnathbose07, Valerie Banner-Goodspeed, Elias Baedorf-Kassis, and an army of incredibly dedicated research assistants from @BIDMCAnesthesia