STEPHEN P. NONN OFFICE OF THE CORONER MADISON COUNTY, ILLINOIS 157 MAIN STREET SUITE 354 EDWARDSVILLE, IL

Size: px
Start display at page:

Download "STEPHEN P. NONN OFFICE OF THE CORONER MADISON COUNTY, ILLINOIS 157 MAIN STREET SUITE 354 EDWARDSVILLE, IL"

Transcription

1 MAIN OFFICE: (618) MORGUE: (618) FAX: (618) FAX: (618) STEPHEN P. NONN OFFICE OF THE CORONER MADISON COUNTY, ILLINOIS 157 MAIN STREET SUITE 354 EDWARDSVILLE, IL December 1, 2010 The following statistics are submitted for review by members of the Public Safety Committee of the Madison County Board. This is the summary for November Detailed statistics are attached for further information and review. Coroner s Office Statistics for November 2010 CORONER 31 HOSPICE 83 MEDICAL 56 BONE 2 OTHER 2 TOTAL Coroner s Inquest Verdicts 14 Administrative Review Verdicts HOMICIDE 1 SUICIDE 1 ACCIDENT 6 NATURAL 0 UNKNOWN 0 HOMICIDE 0 SUICIDE 1 ACCIDENT 13 NATURAL 0 UNKNOWN 0 10 Autopsy Cases 57 Cremation Permits Issued Respectfully submitted, Stephen P. Nonn Madison County Coroner

2 Madison County Coroner s Inquest Docket Conducted by Stephen P. Nonn Date of Inquest: November 10, 2010 Time of Hearing: Case Name Police / Inv. NOTICE: All case hearing times are an approximation only. Individual case hearings may deviate from the schedule as much as one-half hour earlier or later than posted time. 9:00 A.M Myrtle Bailey (52) GCPD / KRR OD- Accident Det. Lt. Nordstrom 9:30 A.M Keelan Garrett () ISP / DBV GSW-Homicide S/A Tyson Melvin 10:00 A.M Jerald Jaynes (52) ISP / SPL William Burleson (23) Burns to 90% of body-accident Trooper Kris Gebke 10:30 A.M Lisa Daech (32) EAPD / KRR Drowning- Accident Sgt. Wells 11:00 A.M Jennifer Eubanks (43) APD / STH Matthew Eubanks (47) APD / STH GSW - Homicide / Suicide Det. O Neal 11:30 A.M Herbert Braundmeier (50) MCSD/TRB Farm Incident - Accident Det. Marconi

3 Madison County Coroner s Office Administrative Review Report November, 2010 Date Reviewed Case Name Manner/Cause 11/02/2010 Roberta M. Grable (95) Accident/Fall Case Number: /02/2010 Cletus H. Stempel (82) Accident/Fall Case Number: /02/2010 Jason A. Pomerantz (22) Suicide/Hanging Case Number: /02/2010 Bernard Gower (42) Accident/MVC Case Number: /04/2010 Ronald Goldman (67) Accident/Fall Case Number: /04/2010 Cecil Tomlin (2Mo) Accident/Suffocation Case Number: /04/2010 Rodi Littlefield (32) Accident/OD Case Number: /04/2010 Charles Rose (26) Accident/MVC Case Number: /19/2010 Kaliope V. Liadakis (35) Accident/OD Case Number: /22/2010 Richard C. Wallace (81) Accident/Fall Case Number: /29/2010 Carl L. Boner (83) Accident/Fall Case Number: /29/2010 Roger D. Renfrow (55) Accident/OD Case Number: /29/2010 Anthony J. Gary (24) Accident/OD Case Number:

4 11/29/2010 Jacob D. Deppe (32) Accident/OD Case Number: Administrative Review Verdicts HOMICIDE 0 SUICIDE 1 ACCIDENT 13 NATURAL 0 UNKNOWN 0

5 166 NATURAL DEATHS NOVEMBER 2010 MALE FEMALE TOTAL Abdominal Aneurysm 0 Abdominal Cancer 0 Adenocarcinoma 1 1 AIDS 0 ALS 0 Alzheimer's Disease Anemia 0 Aneurysm 1 1 Aortic Stenosis 0 Appendix Cancer 0 Arteriosclerotic Heart Disease 1 1 Asbestosis 0 Aspiration 0 Asthma 0 Bacteremia 0 Biliary Cancer 0 Bladder Cancer 2 2 Bone Cancer 0 Bowel Obstruction 0 Brain Cancer 1 1 Breast Cancer 2 2 Cancer of Head & Neck 0 Cancer of Spine 0 Cardiac Arrhythmia Cardiomyopathy Cerebral Vascular Hemorrhage Chronic Obstructive Pulmonary Disease Cirrhosis 1 1 Colon Cancer Congestive Heart Failure Coronary Artery Disease 2 2 Cystic Fibrosis 0 Debility 1 1 DVT (Deep Vein Thrombosis) 0 Dehydration 0 Dementia Diabetes Mellitus 0 Diabetes Type II 0 Disecting Duodenal Ulcer 0 Emphysema 0 Endocarditis 1 1 Esophageal Cancer 0 Failure to Thrive Gastric Cancer 0 G.I. Bleeding 2 2 Gleoblastoma 0

6 Gynecological Cancer 0 Heart Disease Heart Failure 0 Hepatitis 0 Hodgkin's Disease 0 Hypoxia 1 1 Influenza 0 Intracerebral Bleed 1 1 Kidney Disease 0 Kidney Failure 3 3 Larynx Cancer 0 Leukemia 1 1 Liver Cancer 2 2 Liver Disease 1 1 Lung Cancer Lymphoma 2 2 Malignant Melanoma 0 Malignant Neoplasm Endometrium 0 Meningitis 1 1 Metabolic Acidosis 0 Metastatic Cancer 0 Metastatic Melanoma 1 1 Metastatic Lymphoma 0 Mouth Cancer 1 1 Multiple Sclerosis 0 Myelodioplasia 0 Myeloma 0 Myocardial Infarction Myocarditis 0 Neck Cancer 1 1 Organic Brain Syndrome 0 Oropharyngeal Dysphagia 0 Ovarian Cancer 1 1 Pancreatic Cancer 0 Pancreatitis 0 Parkinson's Disease Peritonitis 0 Pituitary Disorders 0 Pneumonia 4 4 Progressive Systemic Sclerosis 0 Prostate Cancer 3 3 Pulmonary Embolism 1 1 Pulmonary Fibrosis 1 1 Rectal Cancer 1 1 Renal Cancer 0 Respiratory Arrest 0 Respiratory Distress 1 1 Respiratory Failure 2 2 Septic Shock 2 2 Sepsis 6 6 Sinus Cancer 0 Skin Cancer 0

7 Stomach Cancer 0 Stroke 1 1 Sudden Cardiac Death 0 Testicular Cancer 0 Throat Cancer 1 1 Thyroid Disorders 0 Ulcers 0 Uterine Cancer 0 Vulva Cancer 0 Open Cases TOTAL

8 4 ACCIDENTAL DEATHS NOVEMBER 2010 MALE FEMALE TOTAL Asphyxiation/Suffocation 0 Carbon Monoxide 0 Crushing 0 Drowning 0 Electrocution 0 Fall 1 1 Fire 0 Gunshot 0 Hanging 0 Heat Stroke 0 Complications of a Hip Fracture 1 1 Overdose/Intoxication (Alcohol) 0 Overdose/Intoxication (Drugs) 0 Positional Asphyxia 0 Post-Operative Complications 0 Stabbing 0 Vehicular Environmental (Heat) 0 Environmental (Cold) 0 TOTAL 2 2 4

9 1 INFANT DEATHS NOVEMBER 2010 MALE FEMALE TOTAL Congenital Disorder 0 Fetal Death 0 Overlay 0 Premature 1 1 SIDS 0 Stillborn 0 TOTAL 1 0 1

STEPHEN P. NONN OFFICE OF THE CORONER MADISON COUNTY, ILLINOIS 157 MAIN STREET SUITE 354 EDWARDSVILLE, IL

STEPHEN P. NONN OFFICE OF THE CORONER MADISON COUNTY, ILLINOIS 157 MAIN STREET SUITE 354 EDWARDSVILLE, IL MAIN OFFICE: (618) 692-7478 MORGUE: (618) 296-4525 FAX: (618) 692-6042 FAX: (618) 692-9304 STEPHEN P. NONN OFFICE OF THE CORONER MADISON COUNTY, ILLINOIS 157 MAIN STREET SUITE 354 EDWARDSVILLE, IL. 62025-1962

More information

STEPHEN P. NONN OFFICE OF THE CORONER MADISON COUNTY, ILLINOIS 157 MAIN STREET SUITE 354 EDWARDSVILLE, IL

STEPHEN P. NONN OFFICE OF THE CORONER MADISON COUNTY, ILLINOIS 157 MAIN STREET SUITE 354 EDWARDSVILLE, IL MAIN OFFICE: (618) 692-7478 MORGUE: (618) 296-4525 FAX: (618) 692-6042 FAX: (618) 692-9304 STEPHEN P. NONN OFFICE OF THE CORONER MADISON COUNTY, ILLINOIS 157 MAIN STREET SUITE 354 EDWARDSVILLE, IL. 62025-1962

More information

List of Qualifying Conditions

List of Qualifying Conditions List of Qualifying Conditions Cancer Conditions 1) Adrenal cancer 2) Bladder cancer 3) Bone cancer all forms 4) Brain cancer 5) Breast cancer 6) Cervical cancer 7) Colon cancer 8) Colorectal cancer 9)

More information

5.2 Main causes of death Brighton & Hove JSNA 2013

5.2 Main causes of death Brighton & Hove JSNA 2013 Why is this issue important? We need to know how many people are born and die each year and the main causes of their deaths in order to have well-functioning health s. 1 Key outcomes Mortality rate from

More information

S2 File. Clinical Classifications Software (CCS). The CCS is a

S2 File. Clinical Classifications Software (CCS). The CCS is a S2 File. Clinical Classifications Software (CCS). The CCS is a diagnosis categorization scheme based on the ICD-9-CM that aggregates all diagnosis codes into 262 mutually exclusive, clinically homogeneous

More information

Selected tables standardised to Segi population

Selected tables standardised to Segi population Selected tables standardised to Segi population LIST OF TABLES Table 4.2S: Selected causes of death, all-ages, 2000 2004 (Segi Standard) Table 5.3S: Public hospitalisations by major cause of admission

More information

APPENDIX A. Comparability Ratios for the Major Causes of Death in North Carolina Vital Statistics, Volume 2

APPENDIX A. Comparability Ratios for the Major Causes of Death in North Carolina Vital Statistics, Volume 2 APPENDIX A Comparability Ratios for the Major Causes of Death in North Carolina Vital Statistics, Volume 2 The comparability ratio is an adjustment factor that is applied to the number of deaths coded

More information

SUPPLEMENTARY MATERIAL

SUPPLEMENTARY MATERIAL SUPPLEMENTARY MATERIAL Deep Patient: An Unsupervised Representation to Predict the Future of Patients from the Electronic Health Records Riccardo Miotto 1,2, Li Li 1,2, Brian A. Kidd 1,2, and Joel T. Dudley

More information

All Discovered Death Outcome Detail (Form 124/120)

All Discovered Death Outcome Detail (Form 124/120) This file includes all reported deaths regardless of consent. ID WHI Common ID Col#1 DEATHALL All Discovered Death Col#2 Any report of death, regardless of consent status. 0 No 106,931 66.1 1 Yes 54,877

More information

TABLE I-1: RESIDENT INFANT DEATHS PER 1,000 LIVE BIRTHS, BY RACE AND ETHNICITY, FLORIDA AND UNITED STATES, CENSUS YEARS AND

TABLE I-1: RESIDENT INFANT DEATHS PER 1,000 LIVE BIRTHS, BY RACE AND ETHNICITY, FLORIDA AND UNITED STATES, CENSUS YEARS AND TABLE I-1: RESIDENT INFANT DEATHS PER 1,000 LIVE BIRTHS, BY RACE AND ETHNICITY, FLORIDA AND UNITED STATES, CENSUS YEARS 1970-2000 AND 2004-2014 FLORIDA 1 UNITED STATES 1 YEAR WHITE2 BLACK2 HISPANIC3 WHITE2

More information

Archived SECTION 18 - DIAGNOSIS CODES. Section 18 - Diagnosis Codes 18.1 GENERAL INFORMATION PRIOR CONTENTS NO LONGER APPLICABLE...

Archived SECTION 18 - DIAGNOSIS CODES. Section 18 - Diagnosis Codes 18.1 GENERAL INFORMATION PRIOR CONTENTS NO LONGER APPLICABLE... SECTION 18 - DIAGNOSIS CODES 18.1 GENERAL INFORMATION... 2 18.2 PRIOR CONTENTS NO LONGER APPLICABLE... 2 18.3 DIAGNOSIS CODE LISTING... 2 Ambulance Manual 1 SECTION 18 DIAGNOSIS CODES 18.1 GENERAL INFORMATION

More information

Palm Beach County Medical Examiner Office 3126 Gun Club Road West Palm Beach, Florida (561) YEAR END STATISTICS

Palm Beach County Medical Examiner Office 3126 Gun Club Road West Palm Beach, Florida (561) YEAR END STATISTICS 3126 Gun Club Road West Palm Beach, Florida 33406-3005 (561) 688-4575 2002 - YEAR END STATISTICS ACCIDENT: YTD MOTOR VEHICLE RELATED......215 NON MOTOR VEHICLE RELATED... 380 TOTAL ACCIDENTS.... 595 HOMICIDE......44

More information

Supplementary materials for:

Supplementary materials for: Supplementary materials for: Cecil E, Bottle A, Sharland M, Saxena S. Impact of UK primary care policy reforms on short-stay unplanned hospital admissions for children with primary care-sensitive conditions.

More information

CUMULATIVE ILLNESS RATING SCALE (CIRS)

CUMULATIVE ILLNESS RATING SCALE (CIRS) CUMULATIVE ILLNESS RATING SCALE (CIRS) The CIRS used in this protocol is designed to provide an assessment of recurrent or ongoing chronic comorbid conditions, classified by 14 organ systems. Using the

More information

Disease Control & Epidemiology Division

Disease Control & Epidemiology Division Disease Control & Epidemiology Division Morbidity and Mortality Report Data 26 and 27 Data was contributed by Luis Castillo, Manuel Sanchez, Keila Castillo, Veronica Cardenas, and Cande Maldonado Report

More information

How much do you know about illnesses or health problems for your parents, grandparents, brothers, sisters, and/or children? 1 A lot Some None at all

How much do you know about illnesses or health problems for your parents, grandparents, brothers, sisters, and/or children? 1 A lot Some None at all Family Health History Please answer each question as honestly as possible. There are no right or wrong answers to nay of the questions. It is important that you answer as many questions as you can. We

More information

Table E1. Standardized Mortality Ratios for Total and Specific Causes of Death Parameter Radiologists Psychiatrists No. of Deaths

Table E1. Standardized Mortality Ratios for Total and Specific Causes of Death Parameter Radiologists Psychiatrists No. of Deaths RSNA, 2016 10.1148/radiol.2016152472 Table E1. Standardized Mortality Ratios for Total and Specific Causes of Death Parameter Radiologists Psychiatrists No. of Deaths Observed/Expected No. of Deaths Observed/Expected

More information

Premium Specialty: Pediatrics

Premium Specialty: Pediatrics Premium Specialty: Pediatrics Credentialed Specialties include: Adolescent Medicine, Pediatric Adolescent, and Pediatrics This document is designed to be used in conjunction with the UnitedHealth Premium

More information

County of Orange Health Care Agency. Orange County Mortality Data, 2002

County of Orange Health Care Agency. Orange County Mortality Data, 2002 County of Orange Health Care Agency Orange County Mortality Data, 2002 October 2005 Prepared by: County of Orange Health Care Agency Disease Control & Epidemiology Division Epidemiology & Assessment Juliette

More information

USMLE STEP 2 CK REVIEW STUDY GUIDE

USMLE STEP 2 CK REVIEW STUDY GUIDE USMLE STEP 2 CK REVIEW STUDY GUIDE 2014 edition Brian Jenkins, MD Although you have the flexibility to view the videos in any order, we strongly recommend that you watch the videos in the order in which

More information

PHO: Metadata for Mortality from Avoidable Causes

PHO: Metadata for Mortality from Avoidable Causes Snapshots @ PHO: Metadata for Mortality from Avoidable Causes This indicator captures individuals under 75 years of age who have died with a condition considered as avoidable recorded as the primary cause

More information

In your own words, please write the reason you are here. Please be specific, putting in dates as necessary. Use the back of the form if needed.

In your own words, please write the reason you are here. Please be specific, putting in dates as necessary. Use the back of the form if needed. Name: SS# In your own words, please write the reason you are here. Please be specific, putting in dates as necessary. Use the back of the form if needed. Patient Medical, Surgical and Family History Review

More information

Supplemental Appendix. 1. Protocol Definition of Sustained Virologic Response. A patient has a sustained virologic response if:

Supplemental Appendix. 1. Protocol Definition of Sustained Virologic Response. A patient has a sustained virologic response if: Supplemental Appendix 1. Protocol Definition of Sustained Virologic Response A patient has a sustained virologic response if: 1. The patient is a responder at the end of treatment and all subsequent planned

More information

Episodes of Care Risk Adjustment

Episodes of Care Risk Adjustment Episodes of Care Risk Adjustment Episode Types Wave 1 Asthma Acute Exacerbation Perinatal Total Joint Replacement Wave 2 Acute Percutaneous Coronary Intervention COPD Acute Exacerbation Non-acute Percutaneous

More information

Annual High Claims Survey. Year Ending 31 December 2016

Annual High Claims Survey. Year Ending 31 December 2016 Annual High Claims Survey Year Ending 31 December 2016 Released July 2017 Summary The Private Healthcare Australia Annual High Claims Survey Report analyses the nature and magnitude of high claims met

More information

ICD-9-CM CODING FUNDAMENTALS CODING EXERCISES

ICD-9-CM CODING FUNDAMENTALS CODING EXERCISES Steps to Accurate Coding Underline the main term, then locate code: Stenosis of Carotid Artery Transient Ischemic Attack Gastrointestinal hemorrhage Degenerative Joint Disease Coronary Artery Disease Alcoholic

More information

DRG Code DRG Description FY18 Average Charge

DRG Code DRG Description FY18 Average Charge DRG Code DRG Description FY18 Average Charge 3 ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O $ 665,511 4 TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. $ 422,497 37 EXTRACRANIAL

More information

Present-on-Admission (POA) Coding

Present-on-Admission (POA) Coding 1 Present-on-Admission (POA) Coding Michael Pine, MD, MBA Michael Pine and Associates, Inc 2 POA and Coding Guidelines (1) Unless otherwise specified, a POA modifier must be assigned to each principal

More information

Orange County Mortality Data, 1999

Orange County Mortality Data, 1999 Orange County Mortality Data, 1999 Prepared by: County of Orange, Health Care Agency Communicable Disease Control and Epidemiology February 22 Prepared by: Public Health Services Epidemiology and Assessment

More information

PHA Annual High Claims Report 2018

PHA Annual High Claims Report 2018 24 October 2018 Medical device costs, increasing complexity and growing numbers of long hospital stays for mental health problems drive high health insurance claims PHA s Annual High Claims 2018 Report

More information

TEXAS VASCULAR ASSOCIATES, P.A. PATIENT CLINICAL INTAKE FORM

TEXAS VASCULAR ASSOCIATES, P.A. PATIENT CLINICAL INTAKE FORM TEXAS VASCULAR ASSOCIATES, P.A. PATIENT CLINICAL INTAKE FORM PATIENT NAME: DATE OF BIRTH: TVA Physician being seen: Date of Visit: PAST MEDICAL HISTORY HEART PROBLEMS NEUROLOGICAL Congestive Heart Failure

More information

Role and Function of ME

Role and Function of ME Mortality State of the State The Interface of Forensic Medicine and Public Health Role and Function of ME ME as public health officer Proper certification of death Repository of important epidemiological

More information

PLEASE LET US KNOW YOUR REASON FOR TODAY S VISIT : CURRENT MEDICATIONS (WITH DOSAGE) PLEASE INCLUDE VITAMINS AND HERBAL MEDICATIONS:

PLEASE LET US KNOW YOUR REASON FOR TODAY S VISIT : CURRENT MEDICATIONS (WITH DOSAGE) PLEASE INCLUDE VITAMINS AND HERBAL MEDICATIONS: 1 NAME: DATE OF BIRTH PLEASE LET US KNOW YOUR REASON FOR TODAY S VISIT : CURRENT MEDICATIONS (WITH DOSAGE) PLEASE INCLUDE VITAMINS AND HERBAL MEDICATIONS: PAST MEDICAL HISTORY (YOUR MEDICAL HISTORY) :

More information

RECOMMENDED COURSE ORDER

RECOMMENDED COURSE ORDER Although you have the flexibility to view the videos in any order, we strongly recommend that you watch the videos in the order in which your dashboard presents them regardless of how many videos you view

More information

APR-DRG Description Ave Charge

APR-DRG Description Ave Charge Abdominal Pain 16,500.25 2.8 6,000.09 Acute & Subacute Endocarditis 15,339.30 3.0 5,113.10 Acute Myocardial Infarction 17,687.46 2.6 6,802.87 Alcohol Abuse & Dependence 19,126.64 4.2 4,553.96 Alcoholic

More information

Leading Causes of Death, Tarrant County, 2008

Leading Causes of Death, Tarrant County, 2008 Tarrant County Public Health Division of Epidemiology and Health Information Leading Causes of Death, Tarrant County, 00 Table 1. deaths by gender, Tarrant County, 00 Male,7. 70. Female,7 0.1 7. Total,7

More information

Hu J, Gonsahn MD, Nerenz DR. Socioeconomic status and readmissions: evidence from an urban teaching hospital. Health Aff (Millwood). 2014;33(5).

Hu J, Gonsahn MD, Nerenz DR. Socioeconomic status and readmissions: evidence from an urban teaching hospital. Health Aff (Millwood). 2014;33(5). Appendix Definitions of Index Admission and Readmission Definitions of index admission and readmission follow CMS hospital-wide all-cause unplanned readmission (HWR) measure as far as data are available.

More information

Heart Failure Transitions of Care SJMH - Ann Arbor

Heart Failure Transitions of Care SJMH - Ann Arbor Heart Failure Transitions of Care SJMH - Ann Arbor March 4, 2013 Cecelia Montoye, RN, MSN Reducing 30 Day Heart Failure Readmissions: SJMH Ann Arbor See you in 7 Measures Process Measure #4: Identify and

More information

2001-YEAR END STATISTICS

2001-YEAR END STATISTICS 3126 Gun Club Road West Palm Beach, Florida 33406-3005 (561) 688-4575 2001-YEAR END STATISTICS YTD ACCIDENT: MOTOR VEHICLE RELATED.........211 NON MOTOR VEHICLE RELATED......... 354 TOTAL ACCIDENTS 565

More information

Leading Causes of Death, Tarrant County, 2007

Leading Causes of Death, Tarrant County, 2007 Tarrant County Public Health Division of Epidemiology and Health Information Leading Causes of Death, Tarrant County, 007 Table 1. deaths by gender, Tarrant County, 007 Males,1 4. 70. Females,7 0. 741.

More information

UnitedHealth Premium Physician Designation Program Episode Treatment Groups (ETG ) Description and Specialty

UnitedHealth Premium Physician Designation Program Episode Treatment Groups (ETG ) Description and Specialty UnitedHealth Premium Physician Designation Program Episode Treatment Groups (ETG ) Description and Specialty 666700 Acne Family Medicine, Internal Medicine, Pediatrics 438300 Acute Bronchitis Allergy,

More information

Figure 1: Consort diagram; the status of participants in the study

Figure 1: Consort diagram; the status of participants in the study Figure : Consort diagram; the status of participants in the study Figure a. Time to first colorectal cancer in those randomized to aspirin compared with those randomized to aspirin placebo (AP). Kaplan-Meier

More information

Leading Causes of Death, Tarrant County, 2009

Leading Causes of Death, Tarrant County, 2009 Tarrant County Public Health Division of Epidemiology and Health Information Leading Causes of Death, Tarrant County, 009 Table. deaths by gender, Tarrant County, 009 Male 5,5 9. 90. Female 5, 50. 70.

More information

ENROLLMENT : Line of Business Summary

ENROLLMENT : Line of Business Summary ENROLLMENT : Line of Business Summary Date Range : JAN 2017 through DEC 2017 COMPREHENSIVE MAJOR MEDICAL Print Date : 1/19/2018 9:43:49AM Page 1 of 1 Month Year Single 2 Person : Emp/Spouse 2 Person :

More information

New Patient Paperwork

New Patient Paperwork New Patient Paperwork Date: Phone: Patient: Last Name First Name Initial Street Address: City/State/Zip Code: Sex: M F Age: Birthdate: Single Married Widowed Separated Divorced Email: Newsletter? Y N Insured

More information

Study No.: Title: Rationale: Phase: Study Period: Study Design: Centres: Indication: Treatment: Objectives: Primary Outcome/Efficacy Variable:

Study No.: Title: Rationale: Phase: Study Period: Study Design: Centres: Indication: Treatment: Objectives: Primary Outcome/Efficacy Variable: The study listed may include approved and non-approved uses, formulations or treatment regimens. The results reported in any single study may not reflect the overall results obtained on studies of a product.

More information

PREAMBLE GENERAL DIAGNOSTIC RADIOLOGY

PREAMBLE GENERAL DIAGNOSTIC RADIOLOGY PREAMBLE The General Diagnostic Radiology category is intended to cover the body of knowledge a practicing board certified Diagnostic Radiologist should know. Since the range of content relevant to the

More information

Kent County Medical Examiner

Kent County Medical Examiner Kent County Medical Examiner 26 Annual Report Office of the Medical Examiner 7 Fuller N.E. Grand Rapids, Michigan 4953 26 Kent County Medical Examiner Annual Report To the Kent County Board of Commissioners,

More information

SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs. January 2018 WALK INS ARE ACCEPTED BUT WE ADVISE STUDENTS TO PRE-REGISTER BEFORE THURSDAY

SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs. January 2018 WALK INS ARE ACCEPTED BUT WE ADVISE STUDENTS TO PRE-REGISTER BEFORE THURSDAY SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs January 201 DATE DAY TIME TOPICS January 04 January 11 January 1 January 25 9:00AM 9:00AM 9:00AM 9:00AM 1. Understanding Fibromyalagia 2. Diabetes

More information

SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs. January 2018

SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs. January 2018 January 201 DATE DAY TIME TOPICS TOTAL January 04 1. Understanding Fibromyalagia 2. Diabetes and Cardiovascular Disease 3. Prostate Cancer 4. Hepatitis C 5. Understanding Hepatitis B January 11 1. Dysphagia

More information

4. Which survey program does your facility use to get your program designated by the state?

4. Which survey program does your facility use to get your program designated by the state? TRAUMA SURVEY Please complete one survey for each TCD designation you have in your facility. There would be a maximum of three surveys completed if your facility was designated as a trauma, stroke and

More information

SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs. January 2019

SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs. January 2019 January 2019 DATE DAY TIME TOPICS TOTAL January 03 1. Alcoholism 2. Nutrition for the Elderly 3. Uterine Fibroids 4. HIPAA 5.Arthritis 6. Childhood Obesity January 10 1. Understanding Epilepsy: Latest

More information

KNOWING YOUR FAMILY HEALTH HISTORY COULD SAVE YOUR LIFE!

KNOWING YOUR FAMILY HEALTH HISTORY COULD SAVE YOUR LIFE! KNOWING YOUR FAMILY HEALTH HISTORY COULD SAVE YOUR LIFE! Why is my family health history so important? Several important reasons to know your family health history! Because some conditions run in families

More information

Diagnosis-specific morbidity - European shortlist

Diagnosis-specific morbidity - European shortlist I Certain infectious and parasitic diseases 1 Tuberculosis A15-A19 X X Z 2 Sexually transmitted diseases (STD) A50-A64 Y Z 3 Viral hepatitis (incl. hepatitis B) B15-B19 X Z 4 Human immunodeficiency virus

More information

Specialty Mapping Guides ICD-9 to ICD-10

Specialty Mapping Guides ICD-9 to ICD-10 Specialty Mapping Guides ICD-9 to ICD-10 The conversions contained within this crosswalk were the most current version at the time of development. All efforts should be made by the attendee to stay current

More information

Palm Beach County Medical Examiner Office 3126 Gun Club Road West Palm Beach, Florida (561) END OF YEAR STATISTICS

Palm Beach County Medical Examiner Office 3126 Gun Club Road West Palm Beach, Florida (561) END OF YEAR STATISTICS 3126 Gun Club Road West Palm Beach, Florida 33406-3005 (561) 688-4575 2004 END OF YEAR STATISTICS ACCIDENT: YTD MOTOR VEHICLE.....207 NON MOTOR VEHICLE... 433 TOTAL ACCIDENTS.......640 HOMICIDE. 92 NATURAL.....434

More information

0301 Anemia Others. Endocrine nutritional and metabolic disorders Others Vascular dementia and unspecified dementia

0301 Anemia Others. Endocrine nutritional and metabolic disorders Others Vascular dementia and unspecified dementia Certain infectious and parasitic diseases 0101 Intestinal infectious diseases 0102 Tuberculosis 0103 Infections with a predominantly sexual mode of transmission 0104 Viral infections characterized by skin

More information

79 HCCs CMS-HCC Risk Adjustment Model. ICD-10-CM to CMS-HCC Crosswalk. Over 9,500 ICD-10-CM codes map to one or more.

79 HCCs CMS-HCC Risk Adjustment Model. ICD-10-CM to CMS-HCC Crosswalk. Over 9,500 ICD-10-CM codes map to one or more. 2017 CMS-HCC Risk Adjustment Model Over 9,500 ICD-10-CM codes map to one or more 79 HCCs ICD-10-CM to CMS-HCC Crosswalk CMS-HCC Model On April 4, 2016, the Centers for Medicare & Medicaid Services (CMS)

More information

PLEASE COMPLETE ALL SECTIONS OF THIS FORM

PLEASE COMPLETE ALL SECTIONS OF THIS FORM PLEASE COMPLETE ALL SECTIONS OF THIS FORM Patient Name: Date of Birth: Referring Doctor? (Name, telephone number and address) Chief Complaint: Why have you come here? How did it start? What are the symptoms?

More information

Patient Name Date of Birth Age. Other phone ( ) . Other

Patient Name Date of Birth Age. Other phone ( )  . Other GASTROINTESTINAL & MINIMALLY INVASIVE SURGERY HEALTH HISTORY QUESTIONNAIRE Date Patient Name _ Date of Birth Age Daytime phone ( ) Other phone ( ) Email How did you hear about us? My doctor Yellow pages

More information

InterQual Level of Care 2018 Index

InterQual Level of Care 2018 Index InterQual Level of Care 2018 Index Long-Term Acute Care (LTAC) Criteria The Index is an alphabetical listing of conditions and/or diagnoses designed to guide the user to the criteria subset where a specific

More information

County of Orange Health Care Agency. Orange County Mortality Data 2000

County of Orange Health Care Agency. Orange County Mortality Data 2000 County of Orange Health Care Agency Orange County Mortality Data 2000 November 2002 Prepared by: Public Health Services Epidemiology & Assessment Stephen Klish, MPH Epidemiologist Michael Carson, MS Senior

More information

A Closer Look at Leading Causes of Death in Guilford County

A Closer Look at Leading Causes of Death in Guilford County 2015 GCDHHS Division of Public Health Data Brief A Closer Look at Leading Causes of Death in Guilford County Highlights Heart disease mortality rates declined 43% from 244.8 deaths per 100,000 in 1995

More information

All-Cause Mortality, Waterloo Region and Ontario, 2010, 2011 and 2012

All-Cause Mortality, Waterloo Region and Ontario, 2010, 2011 and 2012 All-Cause Mortality, Waterloo Region and Ontario, 2010, 2011 and 2012 Table 1. Number of deaths and age-standardized mortality rate per 100,000 population, by place of residence, Waterloo Region and Ontario,

More information

This appendix was part of the submitted manuscript and has been peer. Pre-existing cardiovascular disease was defined by the presence of any of the

This appendix was part of the submitted manuscript and has been peer. Pre-existing cardiovascular disease was defined by the presence of any of the Appendix This appendix was part of the submitted manuscript and has been peer reviewed. It is posted as supplied by the authors Additional methods Defining comorbidities Pre-existing cardiovascular disease

More information

Kent County Medical Examiner

Kent County Medical Examiner Kent County Medical Examiner 22 Annual Report Office of the Medical Examiner 7 Fuller N.E. Grand Rapids, Michigan 4953 22 Kent County Medical Examiner Annual Report To the Kent County Board of Commissioners,

More information

Medical Reference Library Table of Contents

Medical Reference Library Table of Contents Medical Reference Library Table of Contents Alcoholism Anemia Anxiety Abdominal Aortic Aneurysm Asthma Atrial Fibrillation Attention Deficit Hyperactivity Disorder (ADHD) Barrett s Esophagus Bipolar Disorder

More information

Prioritized ShortList MORBIDITY

Prioritized ShortList MORBIDITY Report on in-depth analysis of pilot studies in 16 Member States on diagnosis-specific morbidity statistics Annex 2 (Rev 11_11_13) Prioritized ShortList MORBIDITY Legend: X recommended for collection Y

More information

University Gynecologic Oncology Associates

University Gynecologic Oncology Associates University Gynecologic Oncology Associates Medical History Form Date: Name: Date of Birth: / / GYNE HISTORY Age of first period? If you no longer have periods, at what age did they stop? Are you pregnant

More information

January Intravenous Nurse Day ALL MONTH LONG SUN MON TUE WED THU FRI SAT. Blood Donor Month. Glaucoma Awareness Month

January Intravenous Nurse Day ALL MONTH LONG SUN MON TUE WED THU FRI SAT. Blood Donor Month. Glaucoma Awareness Month January 1 2 3 4 5 6 Blood Donor Month 7 8 9 10 11 12 13 Glaucoma Awareness Month Volunteer Blood Donor Month Cervical Health Awareness Month 14 15 16 17 18 19 20 Thyroid Awareness Month Birth Defects Prevention

More information

Natural Deaths 61 Investigated/PND 14 Accidental Deaths 123 Suicides 37 Homicides 8 Stillborn 2 SUIDS 1 Cannot Be Determined 4 Pending 0

Natural Deaths 61 Investigated/PND 14 Accidental Deaths 123 Suicides 37 Homicides 8 Stillborn 2 SUIDS 1 Cannot Be Determined 4 Pending 0 2016 Report for the Coroner's Office S. Timothy Warco Washington County, Pennsylvania Population Served, 2015 Estimate: 208,261 Area Served, Mi 2 861 Total cases reported to the Coroner's Office 2137 View

More information

Online Supplementary Data. Country Number of centers Number of patients randomized

Online Supplementary Data. Country Number of centers Number of patients randomized A Randomized, Double-Blind, -Controlled, Phase-2B Study to Evaluate the Safety and Efficacy of Recombinant Human Soluble Thrombomodulin, ART-123, in Patients with Sepsis and Suspected Disseminated Intravascular

More information

New Patient Form. Patient Demographics. Emergency Information. Employment Information. Page 1 of 7. Family Health Chiropractic Care

New Patient Form. Patient Demographics. Emergency Information. Employment Information. Page 1 of 7. Family Health Chiropractic Care Page 1 of 7 Patient Demographics First Name* Last Name* Date Of Birth* Home Phone* Mobile Phone Phone Gender* Email Preferred Communication Street Address 1* Street Addresss 2 Zip* City* State* Emergency

More information

TABLE C-1 RESIDENT DEATHS, LIVE BIRTHS, FETAL, INFANT, NEONATAL, AND MATERNAL DEATHS: PENNSYLVANIA,

TABLE C-1 RESIDENT DEATHS, LIVE BIRTHS, FETAL, INFANT, NEONATAL, AND MATERNAL DEATHS: PENNSYLVANIA, TABLE C-1 RESIDENT DEATHS, LIVE BIRTHS, FETAL, INFANT, NEONATAL, AND MATERNAL DEATHS: PENNSYLVANIA, 1950-1997 - TOTAL LIVE FETAL INFANT NEONATAL MATERNAL DEATHS BIRTHS DEATHS DEATHS DEATHS DEATHS ----------------------------------------------------------------------------------

More information

CHAPTER 3 DEATHS. Stephen McDonald Leonie Excell Brian Livingston

CHAPTER 3 DEATHS. Stephen McDonald Leonie Excell Brian Livingston CHAPTER 3 DEATHS Stephen McDonald Leonie Excell Brian Livingston DEATHS ANZDATA Registry 2008 Report INTRODUCTION AUSTRALIA NEW ZEALAND The total number of deaths was 1,452 (15.4 deaths per 100 patient

More information

WASHINGTON UNIVERSITY SCHOOL OF MEDICINE. Cranial Health History Form

WASHINGTON UNIVERSITY SCHOOL OF MEDICINE. Cranial Health History Form WASHINGTON UNIVERSITY SCHOOL OF MEDICINE Cranial Health History Form Welcome to the Neurosurgery Department at Washington University. To help us treat you, please fill this form out completely. Your Name:

More information

NurseAchieve. CHAPTERS INCLUDED IN THE NURSEACHIEVE COMPREHENSIVE NCLEX REVIEW NURSING SKILLS AND FUNDAMENTALS:

NurseAchieve.   CHAPTERS INCLUDED IN THE NURSEACHIEVE COMPREHENSIVE NCLEX REVIEW NURSING SKILLS AND FUNDAMENTALS: NurseAchieve www.nurseachieve.com CHAPTERS INCLUDED IN THE NURSEACHIEVE COMPREHENSIVE NCLEX REVIEW NCLEX TEST STRATEGIES: NCLEX EXAM OVERVIEW TEST TAKING STRATEGIES NURSING SKILLS AND FUNDAMENTALS: ADMINISTRATION

More information

Arkansas Health Care Payment Improvement Initiative Percutaneous Coronary Intervention Algorithm Summary

Arkansas Health Care Payment Improvement Initiative Percutaneous Coronary Intervention Algorithm Summary Arkansas Health Care Payment Improvement Initiative Percutaneous Coronary Intervention Algorithm Summary Percutaneous Coronary Intervention (PCI) Algorithm Summary v1.0 Page 2 of 8 Triggers PAP assignment

More information

Patient #1 A Spouse $534,946.73

Patient #1 A Spouse $534,946.73 Shock Loss Report MM & RX Combined PUNBR: 002 GRNBR: 248 Warning Amount: 100000 Over Amount: 200000 Incurred MM 1/1/2014 through 12/31/2016 PaidMM 1/1/2016 through 12/31/2016 Incurred RX 12/16/2015 through

More information

TECHNICAL NOTES APPENDIX SUMMER

TECHNICAL NOTES APPENDIX SUMMER TECHNICAL NOTES APPENDIX SUMMER Hospital Performance Report Summer Update INCLUDES PENNSYLVANIA INPATIENT HOSPITAL DISCHARGES FROM JULY 1, 2006 THROUGH JUNE 30, 2007 The Pennsylvania Health Care Cost Containment

More information

Peel Health Facts. Population Projections 2004, Region of Peel and Municipalities

Peel Health Facts. Population Projections 2004, Region of Peel and Municipalities Peel Health Facts Population Population Projections 2004, Region of Peel and Municipalities Mississauga Brampton Caledon Peel Male 318,004 188,688 27,476 534,084 Female 326,991 191,315 27,524 545,922 Total

More information

WHATCOM COUNTY MEDICAL EXAMINER 1500 NORTH STATE STREET BELLINGHAM, WA ANNUAL REPORT

WHATCOM COUNTY MEDICAL EXAMINER 1500 NORTH STATE STREET BELLINGHAM, WA ANNUAL REPORT WHATCOM COUNTY MEDICAL EXAMINER 1500 NORTH STATE STREET BELLINGHAM, WA 98225 2005 ANNUAL REPORT During 2005 the Whatcom County Medical Examiner s office assumed jurisdiction in 113 death investigations

More information

Average Gross Charges ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC ,254 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC - 280

Average Gross Charges ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC ,254 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC - 280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC - 281 15,254 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC - 280 24,827 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC - 282 11,575 AFTERCARE,

More information

Palm Beach County Medical Examiner Office 3126 Gun Club Road West Palm Beach, Florida (561) END OF THE YEAR STATISTICS

Palm Beach County Medical Examiner Office 3126 Gun Club Road West Palm Beach, Florida (561) END OF THE YEAR STATISTICS 3126 Gun Club Road West Palm Beach, Florida 33406-3005 (561) 688-4575 2009 END OF THE YEAR STATISTICS ACCIDENT: YTD MOTOR VEHICLE....191 NON MOTOR VEHICLE....542 TOTAL ACCIDENTS.......733 HOMICIDE...96

More information

WHATCOM COUNTY MEDICAL EXAMINER 1500 NORTH STATE STREET BELLINGHAM, WA ANNUAL REPORT

WHATCOM COUNTY MEDICAL EXAMINER 1500 NORTH STATE STREET BELLINGHAM, WA ANNUAL REPORT WHATCOM COUNTY MEDICAL EXAMINER 1500 NORTH STATE STREET BELLINGHAM, WA 98225 2006 ANNUAL REPORT During 2006 the Whatcom County Medical Examiner s office assumed jurisdiction in 116 death investigations

More information

ACUTE KIDNEY INJURY (AKI) ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) ADVANCED DIRECTIVE LIMITING CARE...91 AGE...9 AGE UNITS...

ACUTE KIDNEY INJURY (AKI) ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) ADVANCED DIRECTIVE LIMITING CARE...91 AGE...9 AGE UNITS... ACUTE KIDNEY INJURY (AKI)...122 ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS)...124 ADVANCED DIRECTIVE LIMITING CARE...91 AGE...9 AGE UNITS...10 AIRBAG DEPLOYMENT...30 AIS PREDOT CODE...118 AIS SEVERITY...119

More information

Supplementary Online Content

Supplementary Online Content Supplementary Online Content Dharmarajan K, Wang Y, Lin Z, et al. Association of changing hospital readmission rates with mortality rates after hospital discharge. JAMA. doi:10.1001/jama.2017.8444 etable

More information

Leading causes of death among Minneapolis residents,

Leading causes of death among Minneapolis residents, Leading causes of death among Minneapolis residents, 2005-2014 Leading causes of death in Minneapolis and the U.S. March 2016 Final Report (Revised May 2016) T he five leading causes of death among Minneapolis

More information

InterQual Level of Care 2018 Index

InterQual Level of Care 2018 Index InterQual Level of Care 2018 Index Rehabilitation Criteria Index Words by Subset The Index is an alphabetical listing of conditions and/or diagnoses designed to guide the user to the criteria subset where

More information

SmartVA Analyze Outputs Interpretation Sheet

SmartVA Analyze Outputs Interpretation Sheet SmartVA Analyze Outputs Interpretation Sheet SmartVA-Analyze uses an algorithm called Tariff 2.0 to assign the cause of death based on the details of the verbal autopsy (VA) interview. The output from

More information

Pathophysiology. Tutorial 3 Hemodynamic Disorders

Pathophysiology. Tutorial 3 Hemodynamic Disorders Pathophysiology Tutorial 3 Hemodynamic Disorders ILOs Recall different causes of thrombosis. Explain different types of embolism and their predisposing factors. Differentiate between hemorrhage types.

More information

Patient Interview Form

Patient Interview Form Patient Interview Form Patient Information First Name: MRN: Age: Last Name: Date Of Birth: tes: Contact Preference Email Telephone call/leave message Patient declines to specify Email Please check one

More information

Attending Physician s Statement

Attending Physician s Statement ( Form A A This form is used for claiming the social insurance benefit. This form should be completed and signed by the attending physician outpatient and One form for each month, one form for hospitalization

More information

EMERGENCY MEDICAL SERVICES ONLINE COURSE CATALOG. TargetSolutions. Technology with a Purpose

EMERGENCY MEDICAL SERVICES ONLINE COURSE CATALOG. TargetSolutions. Technology with a Purpose EMERGENCY MEDICAL SERVICES ONLINE COURSE CATALOG 1 Technology with a Purpose TargetSolutions delivers employee training that helps organizations achieve compliance, mitigate We risk, believe reduce a well-trained

More information

J. Van Lier Ribbink, M.D., F.A.C.S. Center for Endocrine and Pancreas Surgery at Honor Health

J. Van Lier Ribbink, M.D., F.A.C.S. Center for Endocrine and Pancreas Surgery at Honor Health J. Van Lier Ribbink, M.D., F.A.C.S. Center for Endocrine and Pancreas Surgery at Honor Health Patient Clinical Information Questionnaire 1.0 Date of Questionnaire Completion; / / 2.0 Patient Data 2.1 Name:

More information

Southwest Service Life Insurance Company

Southwest Service Life Insurance Company Southwest Service Life Insurance Company UNDERWRITING GUIDE 2/2012 95587v1Proof.indd 1 95587v1Proof.indd 2 95587v1Proof.indd 3 Acne A A A ADD A A A Addison s Disease D A D AIDS, ARC, HIV Infection D D

More information

Covered Critical Illness Conditions Appendix

Covered Critical Illness Conditions Appendix Covered Critical Illness Conditions Appendix Effective Date: February 1, 2010 This Appendix contains definitions for those Conditions that are covered under the Manulife Financial Group Critical Illness

More information

COMPLETING THE MEDICAL CERTIFICATE OF DEATH

COMPLETING THE MEDICAL CERTIFICATE OF DEATH COMPLETING THE MEDICAL CERTIFICATE OF DEATH This is an information bulletin for physicians. A Handbook is available on the BC Vital Statistics website http://www.vs.gov.bc.ca located in Service Information

More information

Cancer in Ontario. 1 in 2. Ontarians will develop cancer in their lifetime. 1 in 4. Ontarians will die from cancer

Cancer in Ontario. 1 in 2. Ontarians will develop cancer in their lifetime. 1 in 4. Ontarians will die from cancer Cancer in Ontario 1 in 2 Ontarians will develop cancer in their lifetime 1 in 4 Ontarians will die from cancer 14 ONTARIO CANCER STATISTICS 2016 1 Cancer in Ontario An overview Cancer is a group of more

More information

WHATCOM COUNTY MEDICAL EXAMINER 1500 NORTH STATE STREET BELLINGHAM, WA ANNUAL REPORT

WHATCOM COUNTY MEDICAL EXAMINER 1500 NORTH STATE STREET BELLINGHAM, WA ANNUAL REPORT WHATCOM COUNTY MEDICAL EXAMINER NORTH STATE STREET BELLINGHAM, WA 9 ANNUAL REPORT During the Whatcom County Medical Examiner s office assumed jurisdiction in death investigations that involved forensic

More information