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Home Health - Adult and Child
Home Health - Adult and Child

... client’s functional status and the client’s prescribing practitioner must be notified, the MedAdmin visit may become a skilled nursing visit. If the MedAdmin visit is being performed by a Home Health Aide and a change in condition is observed, then the Aide will notify the delegating nurse who may p ...
State of Telehealth - New England Journal of Medicine
State of Telehealth - New England Journal of Medicine

... Three trends, all linked, are currently shaping telehealth. The first is the transformation of the application of telehealth from increasing access to health care to providing convenience and eventually reducing cost. The second is the expansion of telehealth from addressing acute conditions to also ...
Advanced Illness Management Strategies
Advanced Illness Management Strategies

... The trajectory of “advancing illness” leads to death. While many people can and do recover from a serious illness, “advancing illness” can be managed and held in check for only so long (it can be decades, years or months) before it does not respond to existing chronic and curative treatments. Depend ...
LWW PPT Slide Template Master
LWW PPT Slide Template Master

... care setting because patients are acutely ill and require close, frequent monitoring and reporting of observations • Nursing assistants who work in advanced care settings are often responsible for recording their observations and the care they provide in medical records on paper or computerized char ...
CHANGING A PEDIATRIC SUB-ACUTE FACILITY TO INCREASE SAFETY AND RELIABILITY
CHANGING A PEDIATRIC SUB-ACUTE FACILITY TO INCREASE SAFETY AND RELIABILITY

... Hence, without differently trained and motivated staff members, subacute nursing home children would quickly lose their chances at life. Educational programs do not prepare nursing home medical caregivers to engage in unexpected high-risk problems. As noted previously, when faced with a sudden medic ...
THE PROFIT MOTIVE IN MEDICINE*
THE PROFIT MOTIVE IN MEDICINE*

... Twenty-two to twenty-five million Americans have no health care coverage, either through private insurance or through government programs including Medicare, Medicaid, and the Veterans Administration. Another twenty million have coverage that is inadequate by any reasonable standards (President's Co ...
Findings and Action Plan - Preventing Overdiagnosis
Findings and Action Plan - Preventing Overdiagnosis

... might disagree on which treatment is optimal. There is often no scientifically correct way to practice much of medicine. Many accepted theories concerning the treatment of illness have not been adequately assessed, and consensus based on knowledge of treatment outcomes is the exception rather than t ...
this notice describes how medical information
this notice describes how medical information

...  Your health information may be used to review the performance and competence of physicians and others involved in your care.  Your health information may be used in training programs for health sciences students who will become future health care professionals.  UW Health Care Providers may use ...
10. May Diabetes Care Tasks Be Performed by Non
10. May Diabetes Care Tasks Be Performed by Non

... Fifth, many states appear to accept that assistance may be provided by unlicensed individuals in cases of emergencies. Some states make this clear by statute or rule, while others do not. Finally, states vary on whether insulin and/or syringes require a prescription. A distinction on delegation is s ...
Understanding the ASAM PPC-2R
Understanding the ASAM PPC-2R

... “Mental health and substance abuse recovery is a journey of healing and transformation enabling a person with a mental health problem to live a meaningful life in a community of his or her choice while striving to achieve ...
Consumer Provider Shared Decision Making 2016
Consumer Provider Shared Decision Making 2016

... today?" This often leads to additional concerns that can be addressed in the visit. • “Pod” station design: At the center of each pod is a workstation where nurses and medical assistants have their desks. Around the perimeter of the square are countertops and spaces for specific tasks such as taking ...
Allocating Scarce Resources in Disasters
Allocating Scarce Resources in Disasters

... understood by the physicians and staff before an incident. Though emergency physicians are often on the front lines of disaster situations, too often they have not considered how they should modify their decisionmaking or use of resources to allow the “greatest good for the greatest number” to be ac ...
Actuarial Society of India Examinations May 2006
Actuarial Society of India Examinations May 2006

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Engaging Health Care Professionals in BT Preparedness and
Engaging Health Care Professionals in BT Preparedness and

... The role of health care professionals • Detection of a possible event – clinicians must be familiar with the clinical signs and symptoms and epidemiological clues of disease due to biological terrorism – know how and when to engage appropriate clinical and public health ...
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Care Plan Project - HL7 Wiki
Care Plan Project - HL7 Wiki

... Summary of conference call between HL7 Care Plan and ONC/S&I groups: (1) There are terminology and definition alignment issues (within the health and health informatics community) that need to be addressed urgently and effectively (2) Care plan can be essentially be divided into three key constructs ...
Health Information Technology Hot Topics
Health Information Technology Hot Topics

... the situations described above and in doing so improves the quality and efficiency of health care. By providing providers and patients with the right information at the right time through health IT tools they are in a better position to make more informed medical decisions. Some specific benefits in ...
Principles for Profiling Physician Performance
Principles for Profiling Physician Performance

... Studies have found that physicians are either unaware of, or are not influenced by, profiling reports.14,15 One reason given is that physicians have not been involved either in developing the performance measures or implementing activities. If physician profiling is to be effective in improving the ...
Integration of Behavioral Health and Primary Care
Integration of Behavioral Health and Primary Care

...  Concept of the Patient Centered Medical Home  Then the PCMH has to be the center using the ACO ...
JUNE 2010 Culture Change Connection (2).
JUNE 2010 Culture Change Connection (2).

... "We are not just a 'disease' that needs a cure," says Dr. Taylor. "We are whole human beings who just happen to have that diagnosis. People with dementia are whole people and should be treated as whole people!" The focus of this year's Carter Williams Legacy Fund awards will be on individuals who a ...
VHA Handbook 1330.03, Maternity Health Care and Coordination
VHA Handbook 1330.03, Maternity Health Care and Coordination

... patient, the non-VA provider, and the VA facility. This person is responsible for monitoring the delivery of care, coordinating such care, and tracking outcomes of services that have been furnished through maternity purchased care. h. Maternity Care Provider. A routine prenatal or maternity care pro ...
Pre-Existing Condition Insurance Plans Created by the Affordable
Pre-Existing Condition Insurance Plans Created by the Affordable

... cover a large proportion of the uninsured population with this provision, which uses state high-risk pools as a model. Instead, the PCIP provision offers an important source of immediate coverage for a relatively small group of people with preexisting conditions who could not otherwise access insura ...
Acute Community Care: Reshaping Healthcare Delivery Through
Acute Community Care: Reshaping Healthcare Delivery Through

... CCA members with acute complaints after normal business hours contact CCA’s Urgent Care Call Line. On-call clinical staff (usually a nurse practitioner or physician assistant) assess whether callers are appropriate for ACC. This triage analysis includes the member’s chief complaint, a discussion wit ...
Prevention and management of depression in primary care in Europe
Prevention and management of depression in primary care in Europe

... In the stepped care approach (SCA), care is ‘stepped’ in intensity, beginning with limited professional input through to specialist care. Some models include steps at the level of the community and prior to any medical involvement (see Figure 1). Many aim to increase provision at the lower levels, a ...
LESSONS FROM LOCAL ACCESS INITIATIVES: CONTRIBUTIONS AND CHALLENGES
LESSONS FROM LOCAL ACCESS INITIATIVES: CONTRIBUTIONS AND CHALLENGES

... care, and help clients use limited resources efficiently. Previous research has catalogued and described individual community efforts, evaluated the results of specific funding programs, explored how local efforts can substitute for national or state programs, and examined the role of local efforts ...
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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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