The “Focus 4” threshold tips for surviving an OSHA inspection

BY Travis Vance, Regional Managing Partner, and Kevin Troutman, Senior Counsel, Fisher Phillips Part One: Don’t Allow Supervisor Interviews on Inspection Day With maximum limits for Occupational Safety and Health Administration (OSHA) penalties increasing every year – currently over $15,000 for serious/other than serious citations and more than $150,000 foa repeat and willful – knowing what to do when OSHA arrives at your door is more important than ever. That’s why we’re providing this four-part series...

A no surprise “No Surprises Act” ruling

BY Blinn E. Combs and Beth Anne Jackson, Brown & Fortunato In a virtual replay of last year’s action (TMA I), on February 6, the United States District Court for the Eastern District of Texas, Tyler Division (Court) overturned portions of the August 26, 2022 final rule (Final Rule) relating to certain arbitration procedures outlined in the No Surprises Act (NSA). As reported here in October, plaintiffs Texas Medical Associates and an independent physician (TMA)...

A Six Sigma approach to fine-tune processes and mitigate rising costs

BY Catherine Lightfoot, CPA, CHBC, Director of Healthcare at EEPB Overview of recent Medicare-Medicaid legislation On January 5, 2023, the Centers for Medicare & Medicaid Services (CMS) announced an updated CY 2023 physician conversion factor (CF) of $33.8872. This update reflects a 2.5% positive adjustment from the initial quote of $33.0607 announced last November. That initial physician CF represented a 4.47% cut from the prior year. The Consolidated Appropriations Act (CAA), signed into law on...

Managing myths: the facts about Texas hospitals

BY John Hawkins, CEO, THA   An unfortunate reality in today’s world of fast-spreading information is, well, misinformation. With the internet and social media affording a potentially unvetted voice to just about everyone, misinformation is – ironically enough – a fact of life. While it can’t be stopped, it can be refuted. And these days, hospitals need the truth out there as much as any industry does. They are sites of life-saving care, and it’s...

What is non-sleep deep rest and how to practice it?

BY Samuel Mathis, MD, UTMB Recently, I listened to a physician’s podcast about Non-Sleep Deep Rest (NSDR). This practice, also called Yoga Nidra, is a way to help the body relax and replenish dopamine levels. The underlying theory of this activity is based on the dopamine depletion theory. As we go throughout the day, our dopamine levels naturally fall during the day and with activities that bring excitement and happiness. Lower levels of dopamine lead...

“Hidden” proteins from long noncoding RNAs might play functional role in cancer

The GENCODE project showed that roughly 70% of the human genome is transcribed into RNA, including many long noncoding RNAs (lncRNAs), defined as RNA molecules longer than 200 nucleotides that lack protein-coding potential. However, recent evidence suggests some lncRNAs may produce “hidden” proteins whose potential role in cancer remains unknown. To investigate this, researchers led by Yiwen Chen, Ph.D., used an integrative genomic strategy combining CRISPR/Cas9 knockout screens with data from The Cancer Genome Atlas....

Inhibiting specific neuronal cells improves responses in pancreatic cancer in vivo

Pancreatic cancer is notoriously difficult to treat, partly due to a tumor microenvironment that is highly resistant to immunotherapy. Data for nonmyelinating Schwann cells, which wrap around small neuronal axons to provide support and to promote new sprouting, suggests these cells may facilitate pancreatic tumor invasion into the nervous system. To further understand the role of these cells, researchers led by Liuqing Yang, Ph.D., and Chunru Lin, Ph.D., characterized the gene signature of tumor-associated nonmyelinating...

Study finds novel biomarker for ovarian and endometrial origins of metastatic cancer

To determine the appropriate treatment approach for metastatic cancer, it is critical to identify a tumor’s primary site of origin. Specific biomarkers to assist with proper diagnosis could benefit clinicians and patients. PAX8 is commonly used to determine if a tumor is of gynecologic origin, but it also is highly expressed in other cancers such as thyroid and renal carcinomas, making it difficult to reliably diagnose tumors with ovarian and endometrial origin. To identify a...

Brain research critical for Texas economy, says new report

According to Rice University’s Baker Institute for Public Policy, Texas needs to establish a state research institute to tackle a growing brain health crisis – which will contribute to healthier and more productive communities. Brain diseases have profound impacts on public health, according to author Harris Eyre, fellow in brain health at the Baker Institute’s Center for Health and Biosciences. These diseases can cause tremendous pain and suffering for individuals of all ages and their...

Study examines pediatric firearm injury and death in the United States: “It’s worse than we think”

With firearm injury now the leading cause of death in children and adolescents in the U.S., researchers at the University of Texas Medical Branch are working to fully define the spectrum of fatal and non-fatal firearm injuries to guide efforts to address this public health crisis. A UTMB study found that nearly 5,000 children and adolescents were injured or killed by firearms every year from 2008 to 2019 – 1.4 times higher than what was...

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