User talk:Anmontoya/sandbox

Latest comment: 7 years ago by Ksundaramurthy in topic Peer Review - Keerthi

Article Evaluations Anmontoya (talk) 21:57, 28 September 2017 (UTC)Reply

Added some sources for the Sector Portion of research. Anmontoya (talk) 04:08, 5 October 2017 (UTC)Reply

Peer Review - Keerthi

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Hey Alexis!!

I think it's a really cool idea to add information on patient demographics to this page. I would consider it's place in context of the rest of the page-- it seems more relevant to mention Medicare/ Medicaid use, which you do talk about. Maybe add a little more of an introduction to the race stats to fit it into the rest of the page.

The Measure A edit is also really cool, I had no idea about the program! The last sentence seems like a little bit of a run-on. Maybe here would be a good place to add information about demographics... something to consider!

Safety Net Hospitals paragraph: - First sentence is a little hard to read. - Who are the experts (that say this majority increases the chances...) - Trump* typo in third sentence - Hypothetically speaking, less money allocated to federal programs and the simultaneous repeals to Obamacare will lead to less patients receiving financial help and qualifying for insurance programs, which means they will have to pay more money out of pocket. --- Not sure if hypothetical statements fit in to the rest of the article - Lots of good points in this paragraph, but I feel like it feels almost like a narrative-- maybe shorten sentences and simplify the facts. But lots of good information! — Preceding unsigned comment added by Ksundaramurthy (talkcontribs) 06:25, 3 November 2017 (UTC)Reply

Peer Review

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Area

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I agree that elaborating on what an integrated health system is could be very useful! I think adding some information clarifying how a public hospital differs from a private hospital could be useful. In the case of the Alameda Health System, that could be in terms of how the hospital is funded and reimbursed (including DSH payments), or even the demographic of patients it serves. Expanding patient demographics into its own section is also a great way to go about that! I really like the idea of including graphs. I would suggest making "Patient Demographics" its own section, instead of as a subheading under "Location."

For the section title, "it's" does not need an apostrophe. Is Measure A specific to Alameda County? If so, maybe the title of the section could be "Impact of Local Policy," rather than making the section a subheading under "Location." There is a sentence in the "History" section about Measure A that does not have a citation, so it could be useful to add a source there.

As for the "Location" section, it could be very cool to include a map of all of the clinic locations if you are able to find one! It would be interesting to see how all the clinics and hospitals are geographically spread out across the county.

I am wondering if there are any reviews of the AHS available or even a list of services that each location is able to provide? I think this could be interesting to add, along with information about how the AHS compares to other health systems in terms of quality measures. Ktmodi (talk) 08:10, 2 November 2017 (UTC)Reply

Sector

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In the lead paragraph of the article, a specific source is cited but there is no citation. It could be a good idea to add a citation and check as to whether or not the phrase that follows is properly paraphrased or directly quoted. The entire article could use more citations, as there are only two listed references for the whole page.

In the financial section, I would be interested to hear what the current debates are in terms of how to fund such safety hospitals. The last sentence of the section states that $30 billion of public dollars is used to cover uncompensated costs, so I would love to learn more about how that cost-shifting challenge is being dealt with in our current political arena. I think here it is also worth mentioning EMTALA and how that affects costs at safety net hospitals. For all of the funding mechanisms mentioned, there may be additional Wikipedia pages that you could link to.

Adding information about the Trump administration and the current status of safety net hospitals is a great idea and very relevant! I think there is enough information available to make it its own section, rather a subsection under Obamacare changes. Also, I would consider changing the "Obamacare" section title to "Affordable Care Act."

For the following sentence, "Donald Trump was elected into the U.S. presidency in 2017, many of his campaign platforms revolving around making changes to the existing health care system in the United States, particular advocating for the repeal of the Patient Protection and Affordable Care Act (Obamacare)," consider changing to "During the 2016 election campaign, many of Donald Trump's platforms revolved around making changes..., IN particular ..."

In the following sentence, perhaps rephrasing "currently" to something like "after the 2016 election" so that the article can remain factual even if the majority changes in the future. For your sentence about experts, I would add a source there. In the sentence including information on the Cadillac tax, consider linking the Wikipedia page on it so readers can get more information if needed.

In detailing current events and how they pertain to safety net hospitals, I would be careful to ensure you are remaining neutral. Are there any advantages to the current administration's policies?

I would also love to see the section on patient experience expanded further! It would also be great to add information on quality of care at safety net hospitals. Ktmodi (talk) 08:10, 2 November 2017 (UTC)Reply