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New York Health Insurance Mandates
New York Health Insurance Mandates

... outpatient services provided by the hospice, including drugs and medical supplies. It must also include five visits for bereavement counseling services, either before or after the insured's death, provided to the family of the terminally ill insured. The hospice care benefit may be subject to annual ...
Primary Care Interventions for Dementia Caregivers
Primary Care Interventions for Dementia Caregivers

... compared to those who also received the stress/coping component, had significantly worse outcomes for general well-being (GWB) and a trend toward increased risk of depression (CES-D >16). There was a study wide improvement with time for bother associated with care recipient behaviors (RMBPC). Implic ...
Culturally Competent Care: Some Examples of What Works
Culturally Competent Care: Some Examples of What Works

... specific attributes of each of the providers is also described. The providers described in this report may not be the only ones who are culturally and linguistically competent in the services they provide, but they are excellent examples of how services can be organized to meet the needs of the comm ...
The Patient Protection and Affordable Care Act
The Patient Protection and Affordable Care Act

... subject of criticism, though that criticism has recently waned.24 For instance, the AMA, whose secretary once referred to chiropractors as “rabid dogs[,] . . . playful and cute, but killers,”25 has recently recommended seeking chiropractic care before pursuing more invasive measures to cure back pai ...
Presentations for Healthcare Professionals Decriptions
Presentations for Healthcare Professionals Decriptions

... Customer Service Standards & Dealing with Difficult People - (1) Contact Hour Companies are faced with the challenge of providing good customer service, and we all have encountered “difficult” people. All healthcare personnel need reminders of what our customers really want. Sometimes even the most ...
Adapting Standards of Care Under Extreme Conditions
Adapting Standards of Care Under Extreme Conditions

... of that panel, informed by feedback received from participants in a national meeting on care during disasters and a review of state and national guidelines for standards of care in other settings and professions. Terminology becomes extremely important in any document such as this. One of the most v ...
2013 CPT Coding Update
2013 CPT Coding Update

... services and none or one face-to-face office or other outpatient, home or domiciliary E/M visit related to care for the patient’s chronic condition(s). } 99487 C omplex chronic care coordination services; first hour of clinical staff time directed by a physician or other qualified health-care profe ...
Document
Document

... have transported potentially infectious patients for evidence of fever, rash or respiratory illness. EMT personnel who transport SARS patients should be assessed at least daily for 10 days after transporting a SARS patient (directly or by telephone). If the EMT was exposed to Smallpox, it is importa ...
Patients and Health Care Teams - National Partnership for Women
Patients and Health Care Teams - National Partnership for Women

... It’s important to be familiar with your condition and the kind of care that is most appropriate for it. Equally important is to know how well your doctors and hospitals provide care. Did you know these sources of information are available? Have you ever used any? Will you use any in the future? Why ...
ncsbn analysis - Board of Regents State of Iowa
ncsbn analysis - Board of Regents State of Iowa

... The National Council of State Boards of Nursing (NCSBN®) provides education, service and research through collaborative leadership to promote evidencebased regulatory excellence for patient safety and public protection. Copyright ©2013 National Council of State Boards of Nursing, Inc. (NCSBN®) All r ...
Infection Control Policy
Infection Control Policy

... and Social Care Act 2008 Code of Practice for healthcare, including primary care and adult social care on the prevention and control of infections and related guidance 2010 (to be known hereafter as the Code). The Code consists of ten criteria; this policy will incorporate criteria 1; 3; 4; 5; 6; 8; ...


... through the reimbursement methodology outlined in the PHA. BCBSM has not sufficiently demonstrated to the Commissioner that it has equitably compensated hospitals in accordance with Sections 509(4)(b) and 516(2)(b) of the Act to assure that BCBSM participating hospitals’ reasonable financial require ...
The Rise of Managed Care - Trace: Tennessee Research and
The Rise of Managed Care - Trace: Tennessee Research and

... medicine. Managed care can be traced back as early as the beginning of the 20 th century, but it really first made an impact on health care with the HMO Act of 1973. Managed care organizations attempted to be very cost -efficient and coordinated using a variety of techniques. Among these tools was t ...
Palliative Care - University of Pittsburgh
Palliative Care - University of Pittsburgh

... have an established system (“approaching integration”) for palliative care that encompasses the entire country or have services typically in large cities or highly populated regions ...
How Do We Get From Here to There
How Do We Get From Here to There

... limitation. Typically, people with functional limitations have difficulty performing activities of daily living (ADLs) such as a bathing, dressing, eating, toileting, and mobility and instrumental activities of daily living (IADLs): preparing meals, doing housework, using the telephone, managing med ...
Annual Rights and Resource Disclosure  M53719   ASO 11/14
Annual Rights and Resource Disclosure M53719 ASO 11/14

... Getting the Right Care at the Right Place UnitedHealthcare has one of the largest single proprietary networks with over 774,000 doctors and health care professionals and over 5,600 hospitals. Our pharmacy network includes all the major national and regional pharmacy chains and most independent loca ...
Care management
Care management

... other health care professionals and their staff. Programs Learn more about the following programs in the Medical Management section of our website under Programs: Case Management The Regence case management program provides easy access to important one-on-one patient support. Members facing a seriou ...
Government response End of Life Choices Inquiry
Government response End of Life Choices Inquiry

...  Providing access to training for health interpreters on end of life and palliative care so they can better support those from culturally diverse backgrounds in their interactions with healthcare providers, including advance care planning.  Ensuring information about end of life and palliative ca ...
ICD-10-CM Other Coding Hot Spots: Part 2 Hospice Case Studies
ICD-10-CM Other Coding Hot Spots: Part 2 Hospice Case Studies

... medication teaching, lab draws, and close monitoring of the effect of his new high-risk anticoagulant therapy. • In ICD-9, there is an instructional note at V58.83 to use an ...
7: Evaluation of Physicians' Performance: Care for Hypertension
7: Evaluation of Physicians' Performance: Care for Hypertension

... Patients whose diagnosis of hypertension is confirmed represent the target population for management, which involves treatment and followup. Although details may vary among clinicians, treatment typically consists of behavioral modifications coupled with drug therapy. The former include diet modific ...
NCHA Guide to Healthcare Terms and Acronyms_rev11/2016
NCHA Guide to Healthcare Terms and Acronyms_rev11/2016

... A stipulated dollar amount established to cover the cost of health care delivered for a person or group of persons. The term usually refers to a negotiated per capita rate to be paid periodically, usually monthly, to a health care provider. The provider is responsible for delivering or arranging for ...
Will California`s Supply of Services Meet Senior Demand?
Will California`s Supply of Services Meet Senior Demand?

... • Seniors use long term care, home health, and hospice services at much higher rates than younger Californians. As the state’s population ages, the demand for all of these services is expected to grow dramatically. At current rates of use, demand could exceed supply of skilled nursing facility beds ...
mood and behavior policy
mood and behavior policy

... c. The facility will report any changes as identified via the screen to the state mental health authority or state intellectual disability authority promptly. The below circumstances, while not an exhaustive list, may determine the need for a referral for a Level II Resident Review Evaluation:  A r ...
Better Outcomes for People with Chronic and Complex Health
Better Outcomes for People with Chronic and Complex Health

... ongoing coordination with other primary health services is the most effective way to ensure that the best possible patient outcomes are achieved. However, patients should be provided with adequate information to enable them to make informed decisions regarding enrolment and there should be provision ...
Collaborative health care teams in Canada and the USA
Collaborative health care teams in Canada and the USA

... to teamwork (Besrour 2002:16). In Ontario, for example, the Regulated Health Professions Act (RHPA) controls the activities of 23 health professions by setting out 13 ‘controlled acts’ which can only be performed by certain regulated health professionals. Physicians can perform 12 of the acts and ma ...
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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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