Study: Rural communities see steep increase in babies born with opioid withdrawal

The number of babies born with drug withdrawal symptoms from opioids grew substantially faster in rural communities than in cities, a new study suggests.

The study, published in JAMA Pediatrics, highlights a dramatic and disproportional rise in opioid-related complications among rural pregnant women and their infants.

More complications, less satisfaction in breast cancer patients who have radiation and implants

Many breast cancer patients who have a mastectomy will consider breast reconstruction. But for a portion of these women, radiation therapy is also recommended ---- and that can alter the tissue around the breast, impacting reconstruction efforts.

A new U-M study finds that women who have implant reconstruction following radiation therapy had more complications from the surgery and were less satisfied with the result than women who had implants but no radiation.

Some parents forego car seats, other safety measures while traveling

Parents' to-do lists before traveling with toddlers this holiday season may include packing an emergency stock of snacks, activities and wardrobe changes. But what some may not plan for ahead of vacation: accidental poisoning risks, gun safety and Uber rides.

A new report from the U-M C.S. Mott Children's Hospital National Poll suggests that some parents may overlook safety risks to kids during travel, including car-seat use during taxi rides or rideshares and preventing easy access to medications, cleaning supplies and even weapons at a place they're staying.

Beyond Obamacare: What the ACA has meant for Michigan

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The Institute brings great minds together to address healthcare's biggest challenges. More than 490 investigators come to IHPI from U-M's top-ranked schools of medicine, nursing, public health, engineering, social work, law, business, and public policy, among others, as well as members of affiliated local research organizations.
Military health system, Medicare Advantage to test V-BID concept developed at U-M

This week, President Obama is expected to sign into law the national defense budget for fiscal year 2017, and set in motion an effort to give active-duty and retired military personnel and dependents access to a health insurance concept developed at U-M by Mark Fendrick, M.D., professor of internal medicine.

Called Value-Based Insurance Design, or V-BID, the approach departs from the traditional "one size fits all" approach to health insurance out-of-pocket costs. V-BID lowers cost-sharing to encourage the use of high-value services and providers. Under the provision in the FY17 National Defense Authorization Act, the TRICARE health insurance program will test V-BID in a pilot program.

Meanwhile, on December 6, 2016 the bipartisan Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 was introduced in the Senate. The legislation includes an expansion of the CMS Medicare Advantage V-BID demonstration to all states by January 1, 2019, and requires the Secretary to allocate funds to design, implement, and evaluate the expansion of the model.
Kidney disease hospitalization and mortality rates continue to decline in the U.S.

According to an annual data report from the United States Renal Data System (USRDS), hospitalization and mortality rates for patients with chronic kidney disease continue to decline in the U.S.
Along with those rates, the report highlights several current trends in kidney disease in the U.S., including Medicare spending in the patient population and number of kidney transplants. This year's report provides data from 2014 and is released by the USRDS coordinating center based at the University of Michigan Kidney Epidemiology and Cost Center, in partnership with Arbor Research Collaborative for Health.


See all upcoming events on our Events page
Pandemic! Contagious Crises From AIDS to Zika

Date: April 7, 2017
Time: 1:00 --- 6:30 p.m.
Location: University of Michigan, Biomedical Science Research Building,
Kahn Auditorium, 109 Zina Pitcher Place, Ann Arbor, MI 48109

Mark your calendars for this national conference on pandemics, co-sponsored by the U-M Center for the History of Medicine and the Institute for Healthcare Policy and Innovation.

Speakers include Dr. Paul Farmer, co-founder, Partners In Health, Dr. Anthony Fauci, director, National Institute of Allergy and Infectious Diseases, and Dr. Sanjay Gupta, CNN medical correspondent.

Center Spotlight: Patient Safety Enhancement Program

This Ann Arbor VA Medical Center/University of Michigan program aims to improve the quality of patient care by conducting research that focuses on methods of avoiding or preventing adverse patient outcomes or injuries that stem from the processes of healthcare.

Check out more historic milestones in U-M health professional education, health services research, and health policy through IHPI's interactive timeline.
The Institute for Healthcare Policy and Innovation is committed to improving the quality, safety, equity, and affordability of healthcare services.

To carry out our ambitious mission, our efforts are focused in four areas:
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IHPI Informs is published monthly by the University of Michigan Institute for Healthcare Policy & Innovation.
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