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Effective Management of High
Effective Management of High

... In 2009, the top five percent of Medicare’s highest spending beneficiaries represented 39 percent of the program’s annual total Fee-for-Service (FFS) costs.i These beneficiaries are typically vulnerable older adults with multiple chronic conditions and functional impairment. A perfect storm of event ...
Introduction to Long
Introduction to Long

... features must be carefully planned to compensate for people’s disabilities to the maximum extent possible in order to promote independence. Some simple examples include access ramps that enable people to go outdoors, wide doorways and corridors that allow adequate room to navigate wheelchairs, raili ...
Procedure on the implementation of direction of choice of
Procedure on the implementation of direction of choice of

... Your individualised care / treatment plan will include your discharge plan and Estimated Date of Discharge. This will be regularly discussed with you and any person you have nominated to be involved with your discharge planning. It is very important that, as soon as possible following your admission ...
Infection Control v5 - College of Psychologists of Ontario
Infection Control v5 - College of Psychologists of Ontario

... tool to guide infection control practices. In most cases, it provides a summary and overview of important issues and links to appropriate clinical guidelines and resources that permit the reader to pick and choose the level of information that is most appropriate to his or her practice. The health p ...
Blue Choice - Florida Institute of Technology
Blue Choice - Florida Institute of Technology

... Co-pays (Co-payments): The fixed dollar amount you are required to pay each time a particular service is used. The co-pay does not apply to out-of-pocket, and does not reduce amounts applied to the deductible or coinsurance. A co-pay may be $20 for an office visit. Annual Out-of-Pocket Maximum: The ...
Journal of Managed Care Medicine
Journal of Managed Care Medicine

... outbreaks have been on the rise.3 The CDC defines an outbreak as 10 or more cases of the same strain per 100,000 people occurring within a three-month period. Between 1991 and 1997, the number of cases of bacterial meningitis among young adults ages 15 to 24 nearly doubled from 308 to 600 cases, 4,5 ...
Guideline for oral healthcare of adults with - Mun-H
Guideline for oral healthcare of adults with - Mun-H

... dentistry may present real problems for dentists and caregivers. This may be a difficult issue for patients and/or caregivers to accept will depend upon each individual clinical situation. The use of intravenous conscious sedation is an extremely valuable tool for dentists when treating people in th ...
Note: Faculty instructions will be in italics - Web Services
Note: Faculty instructions will be in italics - Web Services

... 1. Learners in online courses must post at least one substantive online message per course week to be considered in attendance. 2. Failure to log in and post at least once a week will result in an unexcused absence. Grade reductions according to the Attendance Policy in this handbook will be applied ...
The Patient-Centered Medical Home—A Purchaser Guide
The Patient-Centered Medical Home—A Purchaser Guide

... There are some who believe that the definition of the Patient-Centered Medical Home as defined by the Joint Principles, and as further defined by the NCQA PPC-PCMH standards, is in need of further refinement. For example, some believe that these documents do not adequately address behavioral and psy ...
THE  IHS PRIMARY CARE PROVIDER STD Screening and Treatment in Pregnancy
THE IHS PRIMARY CARE PROVIDER STD Screening and Treatment in Pregnancy

... gonorrhea in prior two years, more than one sex partner in past year, partner with other partners, commercial sex work, and drug use) or women living in an area with high gonorrhea prevalence (certain geographic regions). African American women are also at higher risk for gonorrhea. February 2008  ...
Diabetes Care in Bolton
Diabetes Care in Bolton

... Personal Learning • As healthcare professionals we try and manage disease rather than trying to enable people with long term conditions to live their lives as fully as possible. • There are well described models and approaches to improving care, that it can’t be achieved by education and planning ...
Accountable care - OHSU Digital Commons
Accountable care - OHSU Digital Commons

... pursuit of a single high-value practice . . . to reduce health care costs and improve quality.”7 Kaiser has long had a system of accountable care through the Permanente medical groups’ exclusive relationship with the Kaiser Foundation Health Plan and its hospitals, and by having the quality of care ...
Draft – Not for Distribution
Draft – Not for Distribution

... Draft – Not for Distribution ...
how we die: a view from palliative care
how we die: a view from palliative care

... be personal, clinical and societal recognition of death and the process of dying. There are barriers in all these domains despite many years of work by specialists in palliative care and many other disciplines, and by concerned politicians and citizens, especially those who have experienced the ‘bad ...
File
File

... Mayo Clinic Health System was founded in 1992, it is a family of clinics, hospitals and healthcare facilities serving over 70 communities in Iowa, Georgia, Wisconsin and Minnesota, patients can get quality care close to home. Being part of Mayo Clinic, it is a leading caregiver with nearly 150 years ...
Primary care, the backbone of the nation`s health care system, is at
Primary care, the backbone of the nation`s health care system, is at

... of defined care coordination/care management services, and/or provide specific codes for those activities that facilitate care coordination/care management services (e.g. care coordination across treatment settings, intensive care follow-up, use of patient registries and population-based treatment p ...
healthcare integration in the era of the affordable care act
healthcare integration in the era of the affordable care act

... coordination, complex care management, or wellness support. This alliance has produced powerful results: behavioral health inpatient utilization dropped 16%; psychiatric readmissions decreased 8%; and there was a 40% improvement in follow-up treatment within seven days following a hospitalization. T ...
Challenges in Access to Hepatitis C Care
Challenges in Access to Hepatitis C Care

... Challenges in HCV Care and Treatment Delivery  Lack of adequate support services for persons with hepatitis C undergoing treatment, including food, housing, and case management ...
Permission for Use Granted to HANYS by Intermountain (Spuhler)
Permission for Use Granted to HANYS by Intermountain (Spuhler)

... hospital course. Initially, the average time from hospital admission to RICU admission was 7 to 10 days [19]. Currently the average time to RICU admission is 2 to 3 days. One obstacle to patient activity in the ICU is coordination of care. Ensuring twice-daily activity for patients, without increasi ...
Benefit Highlights Out-of-Pocket Maximums Per Calendar Year
Benefit Highlights Out-of-Pocket Maximums Per Calendar Year

... The following Benefit Highlights summarizes the coverage available under the offered HMO Plan. The Evidence of Coverage (EOC) documents You will receive after You enroll will provide more detailed information about this plan. This summary should be reviewed along with the Limitations and Exclusions. ...
Drug utilization and medication costs at the end of
Drug utilization and medication costs at the end of

... Increasing expenditure on medications represents an ongoing challenge to many health systems [1]. The U.S. annual expenditure on medications was estimated at over $440 billion in the year 2015 and is expected to reach over $700 billion by 2020 [2]. Understanding current patterns in medication use an ...
Determination of required knowledge and skills for primary care of
Determination of required knowledge and skills for primary care of

... also been shown to be more cost-effective compared to hospital care (1). Numerous guidelines have been established for different diseases like asthma, anaphylaxis urticaria, atopic dermatitis, and rhinitis (2, 3, 4, 5, 6). The value of the guidelines is mainly dependent on how the recommendation can ...
Integration of Palliative Care in the Context of Rapid Response
Integration of Palliative Care in the Context of Rapid Response

... Even if the patient has capacity or the family is available, it can still be difficult to make medical decisions in the midst of a crisis. Few patients and families can fully absorb and integrate information about serious illness in a short time, depending instead on a longer process of “cultivation ...
PSIS 2008-A Clinical Storyboards v1.0
PSIS 2008-A Clinical Storyboards v1.0

... The delivery of the NHS Care Records Service (NHS CRS) is a central part of the National Programme for IT (NPfIT) and is being delivered by NHS Connecting for Health, an agency of the Department of Health. The NHS CRS’s primary role is to deliver integrated IT systems and services to help modernise ...
Inpatient Nurse Competency
Inpatient Nurse Competency

... -How to complete all intake forms & processes -How to complete assessment to identify primary needs of patient -How to distinguish abnormal from normal signs and symptoms -How to address age specific needs -Immunization policies (Review vaccination database--VAK TRAK or other) -Policy for treatment ...
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Managed care

The term managed care or managed health care is used in the United States to describe a variety of techniques intended to reduce the cost of providing health benefits and improve the quality of care (""managed care techniques""), for organizations that use those techniques or provide them as services to other organizations (""managed care organization"" or ""MCO""), or to describe systems of financing and delivering health care to enrollees organized around managed care techniques and concepts (""managed care delivery systems"")....intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations.The growth of managed care in the U.S. was spurred by the enactment of the Health Maintenance Organization Act of 1973. While managed care techniques were pioneered by health maintenance organizations, they are now used by a variety of private health benefit programs. Managed care is now nearly ubiquitous in the U.S, but has attracted controversy because it has had mixed results in its overall goal of controlling medical costs. Proponents and critics are also sharply divided on managed care's overall impact on the quality of U.S. health care delivery.
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