• Study Resource
  • Explore Categories
    • Arts & Humanities
    • Business
    • Engineering & Technology
    • Foreign Language
    • History
    • Math
    • Science
    • Social Science

    Top subcategories

    • Advanced Math
    • Algebra
    • Basic Math
    • Calculus
    • Geometry
    • Linear Algebra
    • Pre-Algebra
    • Pre-Calculus
    • Statistics And Probability
    • Trigonometry
    • other →

    Top subcategories

    • Astronomy
    • Astrophysics
    • Biology
    • Chemistry
    • Earth Science
    • Environmental Science
    • Health Science
    • Physics
    • other →

    Top subcategories

    • Anthropology
    • Law
    • Political Science
    • Psychology
    • Sociology
    • other →

    Top subcategories

    • Accounting
    • Economics
    • Finance
    • Management
    • other →

    Top subcategories

    • Aerospace Engineering
    • Bioengineering
    • Chemical Engineering
    • Civil Engineering
    • Computer Science
    • Electrical Engineering
    • Industrial Engineering
    • Mechanical Engineering
    • Web Design
    • other →

    Top subcategories

    • Architecture
    • Communications
    • English
    • Gender Studies
    • Music
    • Performing Arts
    • Philosophy
    • Religious Studies
    • Writing
    • other →

    Top subcategories

    • Ancient History
    • European History
    • US History
    • World History
    • other →

    Top subcategories

    • Croatian
    • Czech
    • Finnish
    • Greek
    • Hindi
    • Japanese
    • Korean
    • Persian
    • Swedish
    • Turkish
    • other →
 
Profile Documents Logout
Upload
The STAAR Initiative - State Coverage Initiatives
The STAAR Initiative - State Coverage Initiatives

... A: Improve transition out of the hospital and into the next setting of care B: Enhanced care by coaches, clinicians in the month(s) following hospitalization C: Proactive care to avoid ED/hospitalization (including “medical home”) D: Improve care in Skilled Nursing Facilities to avoid hospitalizatio ...
Strategic Management of Clinical Services
Strategic Management of Clinical Services

... of professionals, because of their specialized knowledge, to resist managerial control and the related unwillingness of lay managers to extend their control into certain areas in which they do not feel competent. Managing for Improved Quality of Care An increasing volume of research in industrial co ...
• St. John`s Riverside Hospital
• St. John`s Riverside Hospital

... This plan addresses the following priorities of the Prevention Agenda: Access to Quality Health Care, Chronic Disease, Tobacco Use and Healthy Environment. The hybrid model has several aims: 1. Institute a primary care focus incorporated into the Dobbs Ferry emergency room service approach with foll ...
Fostering Excellence in the Care of Frail Older Adults Annual Report
Fostering Excellence in the Care of Frail Older Adults Annual Report

... Together with patients and providers, we are designing a responsive, networked health system that keeps the needs of older people with complex health concerns front and centre. We have enhanced our use of quality improvement methodologies and rigorously evaluated regional education and training need ...
Chapter 3 Products, Networks and Payment
Chapter 3 Products, Networks and Payment

... ● The number of appeals and grievances we have received and how these cases were resolved. ● How we pay our participating doctors. ● The financial condition of our plan. 16. Make suggestions about Medicare Advantage PPO and HMO policies on member rights and responsibilities. ...
An Innovative Approach to Health Care Delivery for
An Innovative Approach to Health Care Delivery for

... cause delays in delivering appropriate health care services to these vulnerable patients and their caregivers, diminishing positive health outcomes and driving costs ever higher. Long-entrenched acute care-focused treatment and reimbursement paradigms hamper more effective deployment of existing res ...
Dying at home: Preferences and the role of unpaid
Dying at home: Preferences and the role of unpaid

... Australian urban general practitioners, Journal of Palliative Medicine, Vol. 11: no. 7, pp. 980-985. ...
Developing integrated health and social care services for long
Developing integrated health and social care services for long

... There are 175-200 people with multiple sclerosis (MS) in Islington, and service delivery is shared between primary and secondary care, and social care teams. Lack of clear responsibility and the absence of co-ordination meant that it was a challenge for patients to access services, and when patients ...
Issues in International Health Policy International Developments in Self-Directed Care February 2010
Issues in International Health Policy International Developments in Self-Directed Care February 2010

... cost of in-kind services: 50 percent lower in Germany and 30 percent lower in the Netherlands. If this approach were adopted in health care it could be harmful to patients, leaving them unable to access needed care. No such risks have been observed to date because SDC is not widespread enough to ser ...
The Medical Home, Access to Care, and Insurance
The Medical Home, Access to Care, and Insurance

... 5 CHCs showed that higher primary care continuity is associated with better control of diabetes, with some of the effect mediated by better diet.29 For each 10-percentile increase in the primary care physician supply at the county level, the odds of late-stage diagnosis of colon cancer decreased by ...
Chapter 3 - drjoesaviak.com
Chapter 3 - drjoesaviak.com

... Now, chronic diseases have become the leading cause of illness, disability, and death in the United States and other developed nations (diabetes, hypertension). Almost 50% of all Americans may have one or more chronic conditions. Leading cause of illness, disability and death in US since the 1920s – ...
CARING FOR YOUR CHILD WITH CONSTIPATION
CARING FOR YOUR CHILD WITH CONSTIPATION

... Constipated children have fewer bowel movements than usual or hard, dry, painful-to-pass stools. There’s no normal number of bowel movements for everyone. Constipation is usually temporary and not serious but can cause emotional problems and family stress. It’s very common in children, slightly more ...
Article - Australian Journal of Advanced Nursing
Article - Australian Journal of Advanced Nursing

... care should a critical event occur (Dempsey 2014; De Vleminck et al 2014; Allen et al 2003). The outcome of these discussions can then be clearly documented (Bird 2014; De Vleminck et al 2014; Robinson et al 2013). Although it has been shown that older persons residing in RACFs who discuss their wis ...
May 26, 2015: Administrator Track: What it Means to be a Downstream Provider
May 26, 2015: Administrator Track: What it Means to be a Downstream Provider

... Trauma at Risk for Another Chronic Condition Trauma is defined as exposure to a single severely distressing event, or multiple or chronic or prolonged traumatic events as a child or adolescent, which is often invasive and interpersonal in nature. Trauma includes complex trauma exposure which involve ...
ADDENDUM TO 2014 PROVIDER MANUAL
ADDENDUM TO 2014 PROVIDER MANUAL

... The Advantra HMO offers a new approach, with greater flexibility, freedom and savings. Members on an HMO plan, do not have coverage when accessing care from a nonparticipating provider except for emergency services or when authorized by CHC. Advantra Members pay zero or low monthly premiums to Coven ...
4. team-enabled workflow systems
4. team-enabled workflow systems

... for implementing guideline-based systems for the management of workflow in health care organizations. The framework has a number of special features, above all in that it enables us to represent in formal terms assignments of work-items both to individuals and to teams and to tailor guideline to spe ...
Current Attitudes of Anesthesiologists towards Medically Futile Care
Current Attitudes of Anesthesiologists towards Medically Futile Care

... Qualitative futility describes whether an intervention is able to achieve a reasonable quality of life for a person. The downside is that using qualitative futility creates the need to additionally define quality of life. Questions of what constitutes a reasonable quality of life and who gets to def ...
Updates - Premera Blue Cross
Updates - Premera Blue Cross

... In 2008, we launched our Advanced Imaging Quality Initiative. Premera has partnered with Advanced Imaging Management (AIM) to ensure imaging studies are ordered using evidence-based guidelines. Through the AIM web site, ordering physicians have access to “Ask Aimee,” an interactive human model that ...
TN Health Care Decisions Act - Tennessee End of Life Partnership
TN Health Care Decisions Act - Tennessee End of Life Partnership

... (16) "State" means a state of the United States, the District of Columbia, the Commonwealth of Puerto Rico, or a territory or insular possession subject to the jurisdiction of the United States. (17) "Supervising health care provider" means the designated physician or, if there is no designated phys ...
Routine Foot Care and Nail Debridement
Routine Foot Care and Nail Debridement

... This medical policy is made available to you for informational purposes only. It is not a guarantee of payment or a substitute for your medical judgement in the treatment of your patients. Benefits and eligibility are determined by the member's subscriber agreement or member certificate and/or the e ...
CRITICAL CARE MEDIICNE FELLOWSHIP PROGRAM
CRITICAL CARE MEDIICNE FELLOWSHIP PROGRAM

... The candidate must fulfil the SCFHS admission criteria for subspecialty fellowship programs. The following are pre-request for enrolment in the CCM program:  Medical graduate who has successfully completed a residency traing (minimum of four years) in a Saudi Commission for Health Specialties (SCFH ...
Palliative Care
Palliative Care

... comfort care.1 Given this dichotomy, the decision to focus on reducing suffering is made only after life-prolonging treatment has been ineffectual and death is imminent.6 In the United States, this forced choice is driven largely by the reimbursement system — that is, regular Medicare covers curativ ...
Politics in the Exam Room - National Partnership for Women
Politics in the Exam Room - National Partnership for Women

... life was in jeopardy. Fortunately, Behr eventually recovered – even though her doctors never got the information they sought. Because of stories like Cathy Behr’s, a number of states developed rules meant to ensure that doctors and other health care providers can obtain information on all the chemic ...
Palliative Care - New England Journal of Medicine
Palliative Care - New England Journal of Medicine

... comfort care.1 Given this dichotomy, the decision to focus on reducing suffering is made only after life-prolonging treatment has been ineffectual and death is imminent.6 In the United States, this forced choice is driven largely by the reimbursement system — that is, regular Medicare covers curativ ...
Emerging Trends in Healthcare: Preparing for
Emerging Trends in Healthcare: Preparing for

... They like retail medicine, e‐visits, PHRs, self‐monitoring  devices.  Are willing to change docs and hospitals to get  ...
< 1 ... 51 52 53 54 55 56 57 58 59 ... 108 >

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.
  • studyres.com © 2025
  • DMCA
  • Privacy
  • Terms
  • Report