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The Principles of Critical Care Medicine
The Principles of Critical Care Medicine

... for which a patient might require ICU care, studies have documented improved quality of care, reduced length of stay, improved resource utilization, reduced complications and improved morbidity and mortality. Studies performed in adult and pediatric intensive care units, in university and community ...
Chapter
Chapter

... than 100 percent is because some people are covered by more than one insurance plan (e.g., employment-based plan plus Medicare). Thus, they are counted more than once when percentages are calculated. ...
the complete issue (PDF 240 KB)
the complete issue (PDF 240 KB)

... reflected changes in practice and new legislation but retained the same ethical and legal principles as the first. Its title was changed from "life-saving treatment" to "life- ...
Working Together for Better Access to Care
Working Together for Better Access to Care

... organizations, community members and the Toronto Central LHIN team are improving the quality of care in the local health care system. Many people are getting easier and faster access to key services such as communitybased seniors programs, emergency room services, home care and supportive housing. T ...
Accreditation - The Hemophilia Alliance
Accreditation - The Hemophilia Alliance

... organizations and inspiring them to excel in providing safe and effective  care of the highest quality and value. • The Joint Commission evaluates and accredits more than 20,500 health care  organizations and programs in the United States. • An independent, not‐for‐profit organization, The Joint Com ...
Home Care of Children and Youth With Complex Health
Home Care of Children and Youth With Complex Health

... child’s care plan to ensure that the plan is feasible from their perspective in the context of their community. For example, parents who must work outside the home often elect to have home nursing during the day, whereas other families elect to have nighttime nursing so that they can sleep. However, ...
Kitchen Table - Pennsylvania Homecare Association
Kitchen Table - Pennsylvania Homecare Association

... himself, “Did I take that one already?” or “Was I supposed to take that one with food?” or “Did the doctor tell me to wait until bedtime to take that one?” This is the battle Henry faces each day. Chances are he’s taking at least one or more of his medications inappropriately and runs the risk of ex ...
What is an `urgent eye condition`
What is an `urgent eye condition`

... those needing urgent treatment and preventing unnecessary use of hospital resources for those who cannot benefit from treatment. This is exemplified by the specific requirements for the early treatment of wet ARMD which must be differentiated from mild ARM and dry degenerative changes. 12 A substant ...
hospital/institute/center
hospital/institute/center

... case rate, evidence-based case rate, global bundled payment, global payment, package pricing, or packaged pricing • …defined as: the reimbursement of health care providers (such as hospitals and physicians) "on the basis of expected costs for clinically-defined episodes of care." "a middle ground" b ...
Position Statement Quality End-of
Position Statement Quality End-of

... share in common the management of patients in both acute and subacute phases of their illness episodes. In these sub-populations, a shared decision-making approach is important and it is essential that goals of care are discussed and negotiated with patients, families, loved ones and carers. However ...
Chronic Disease Prevention and Management
Chronic Disease Prevention and Management

... of care between health settings, such as health information technology (HIT) improvements People with chronic conditions, and especially those with multiple chronic conditions, receive care from numerous providers in various settings and regularly juggle multiple prescription drugs, making care coor ...
Maternity
Maternity

... Make “apples‐to‐apples” comparisons between providers by accounting for  differences in their patient populations. ...
LEARNING FROM HIGH PERFORMANCE HEALTH SYSTEMS AROUND THE GLOBE
LEARNING FROM HIGH PERFORMANCE HEALTH SYSTEMS AROUND THE GLOBE

... medical care, the U.S. ranked 15th among 19 countries. Furthermore, the U.S. health care system fails to ensure accessible and coordinated care for all patients. Only 42 percent of Americans have been with the same physician for five years or more, compared with nearly three-fourths of patients in o ...
Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations
Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations

... PTSD services are needed. Clinicians cannot adequately track a patient’s PTSD treatments (other than medications) or any patient outcomes in the electronic health record. Therefore, it is difficult to determine whether the therapies being used to treat PTSD are evidence-based or applied as intended. ...
Coding and Documentation of Domestic Violence
Coding and Documentation of Domestic Violence

... assist the patient in recognizing escalation. As patients return for future or follow-up care, change providers, see specialists, or seek emergency care, an accurately documented medical record can help ensure that the patient receives consistent; appropriate; and continuous care. Further, the medic ...
KIS guidance for palliative care EMIS
KIS guidance for palliative care EMIS

... trajectory and so consideration of proximity to end of life is much less relevant. The most important issue remains the potential need for information to be available to the OOH services regarding any patient with a life threatening illness. A useful starting point would be consideration of the prac ...
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... • Ideal: 0% of preventable deaths; aaccepted maximum: 30% “Weight, height and head circumference growth at 40 weeks” • Number of children reaching 2500g, a height of 46 cm and 34 cm of head circumference at 40 weeks vs the total number of children participating of phase I • deal: 100% , accepted min ...
48/6 Clinical Care Management Guideline
48/6 Clinical Care Management Guideline

... DESCRIPTION: The 48/6 Model of Care for hospitalized seniors (aged 70 and older) in BC is an integrated care initiative which addresses six care areas of functioning through patient screening and assessment (assessments are completed only where screening shows areas of concern). Screening and/or ass ...
Moving Ethics into Ambulatory Care
Moving Ethics into Ambulatory Care

... providers to do when patients continue to seek outpatient services but do not or cannot comply with the agreed upon treatment regimens? And, motivating and enabling providers to take time to do appropriate follow-up on patients, especially noncompliant patients, is challenging. Although a phone call ...
notes #7
notes #7

... Unlawful restrain of a person’s personal liberty Unlawful restraining or confining of a person No requirement of physical force Does require the reasonable fear that force will be used to detain or intimidate the victim into following orders – Examples in this context: • Refusing to let a patient le ...
Hydration Practices and Urinary Incontinence
Hydration Practices and Urinary Incontinence

... How Does UI Impact Emotional Well-being? • Reduces social engagement • Lowers participation in other activities ...
Upper GI Endoscopy - Mobile Gastroenterology, PC
Upper GI Endoscopy - Mobile Gastroenterology, PC

... examination table. The health care provider carefully feeds the endoscope down the person’s esophagus and into the stomach and duodenum. A small camera mounted on the endoscope sends a video image to a monitor, allowing close examination of the intestinal lining. The health care provider will pump a ...
Advanced breast cancer best practice pathway
Advanced breast cancer best practice pathway

... }} review the need for patient and family emotional support. 2 Readminister supportive care screening as appropriate. 3 Arrange referrals as appropriate. 4 Review practical, financial and legal issues. 5 Ensure two-way communication with service providers. 6 Regularly review coping of primary s ...
Looking forward: HIT in 2016 and beyond
Looking forward: HIT in 2016 and beyond

... Hospital-acquired infections, which affect one in 25 patients according to the CDC, are the most common complication of hospital care in the United States and lead to extended hospital stays that increase costs and risk of mortality. A new study from researchers at Cornell University finds that the ...
open the file... - Excellus BlueCross BlueShield
open the file... - Excellus BlueCross BlueShield

... The start of a new year is a good time to review the practice information that we have on file for you to be sure that it’s accurate and up to date. This information is contained in the Provider Directory on our Web site, excellusbcbs.com, and serves as a reference guide for members seeking your ser ...
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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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