Michael J. Howley

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OBJECTIVE To investigate the effectiveness of acupuncture and acupressure as supplements to standard treatment for postoperative vomiting in children undergoing tonsillectomy and/or adenoidectomy. METHODS A pragmatic, open, block-randomised controlled trial. The results were analysed according to the intention-to-treat principle. The study was conducted(More)
OBJECTIVE To test the feasibility of research on acupuncture and acupressure for children undergoing tonsillectomy and/or adenoidectomy. METHODS During January and February 2008, 20 patients from the ordinary waiting list at Lovisenberg Diakonale Hospital in Oslo were randomised to either acupuncture while under anaesthesia or standard care as control.(More)
OBJECTIVE To examine the financial impact of electronic health record (EHR) implementation on ambulatory practices. METHODS We tracked the practice productivity (ie, number of patient visits) and reimbursement of 30 ambulatory practices for 2 years after EHR implementation and compared each practice to their pre-EHR implementation baseline. RESULTS(More)
BACKGROUND Total joint arthroplasty is a large and growing part of the U.S. Medicare budget, drawing attention to how much providers are paid for their services. The purpose of this study was to examine the variables that affect total joint arthroplasty reimbursement. Along with standard economic variables, we include unique health-care variables. Given the(More)
STUDY DESIGN Retrospective observational OBJECTIVE.: The purpose of this study is to examine the variation in Thoracolumbar Fusion (TLF) payment and determine the drivers of this variation. SUMMARY OF BACKGROUND DATA As healthcare spending continues to increase, variation in surgical procedures reimbursements has come under more scrutiny. TLF is an(More)
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