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High-Reliability Organizations: Changing the Culture of Care in Two Medical Units
High-Reliability Organizations: Changing the Culture of Care in Two Medical Units

... would learn to appreciate the fact that monitoring for early signs of deterioration might prevent deaths when they heard true stories of occurrences in which a lapse of attention or observation by a good caregiver had led to a poor outcome that had a negative effect on that caregiver. The stories th ...
Patient rounding keeps patients at centre of care
Patient rounding keeps patients at centre of care

... transport linens and personal supplies directly to residents’ rooms and residents’ incontinence supplies are now where and when they need them. Linens used to be stored on large carts in common areas, increasing the probability of contamination through touching. Now, linens are touched only once pri ...
ROOM FOR IMPROVEMENT: PATIENTS REPORT ON THE QUALITY OF THEIR HEALTH CARE
ROOM FOR IMPROVEMENT: PATIENTS REPORT ON THE QUALITY OF THEIR HEALTH CARE

... new Commonwealth Fund 2001 Health Care Quality Survey reveals that medical care falls far short of the ideal. It is not enough to have the best technology. Health care should be safe, effective, patient-centered, timely, efficient, and equitable.1 High-quality care involves meeting patients’ persona ...
Comentários do Revisor: G lobalmente penso que é um artigo que
Comentários do Revisor: G lobalmente penso que é um artigo que

... approach to lead the reorganization of the Portuguese healthcare delivery structure7 and to rationalize service provision to improve productivity, quality and price control8, 9. In the context of great economic restraint this initiative increased the responsibility of patients (as self managers), pr ...
Objectives of Training in Pediatric Critical Care Medicine
Objectives of Training in Pediatric Critical Care Medicine

... 3. be able to recognize, resuscitate, and stabilize patients sustaining, or at risk of, cardiopulmonary arrest or other life-threatening disturbances. 4. demonstrate knowledge of applied clinical physiology and homeostasis and be able to recognize, prevent, and treat single or multiple organ failure ...
PHHPC Ambulatory Care Services Recommendations
PHHPC Ambulatory Care Services Recommendations

... 1. Define Urgent Care Provider and Urgent Care Scope of Services   • Urgent Care is for the treatment of acute episodic illness or minor traumas.   Urgent  care is not for emergency intervention for major trauma, life threatening or potentially  disabling conditions or for monitoring and treatment ...
CCHL - 2013 Italy Study Tour Report
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CMS-4157-FCMedicare Part C and D Final
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Final Edited Version- Krieg DeVault HC Reform Webinar Part III
Final Edited Version- Krieg DeVault HC Reform Webinar Part III

...  Statement must be included in any plan materials provided to participants describing the benefits provided in the plan or policy (such the SPD, benefit summaries and insurance certificates).  Interim final regulations provide model statement intended to satisfy this requirement. ...
Slide 1
Slide 1

...  Statement must be included in any plan materials provided to participants describing the benefits provided in the plan or policy (such the SPD, benefit summaries and insurance certificates).  Interim final regulations provide model statement intended to satisfy this requirement. ...
2016 Medical plan benefit summary
2016 Medical plan benefit summary

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inpatient rehab/ccc referral form - lignesantecentre
inpatient rehab/ccc referral form - lignesantecentre

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XU et al Perceptions and exp h care seeking in - CAP-TB | CAP-TB
XU et al Perceptions and exp h care seeking in - CAP-TB | CAP-TB

... Though the annual average income per capita in these two counties was around RMB 3300 in 2000, many farmer families lived on an income of RMB 1000–2000 or less per year. The participants listed several attributes, such as farming, doing heavy physical work, old age, having a chronic disease and econ ...
Ethical Considerations for the Use of Patient Incentives to Promote
Ethical Considerations for the Use of Patient Incentives to Promote

... achieve certain behaviors unless system barriers are addressed. Access to health care may be limited by cost or transportation needs. “Food deserts” or low-income geographic areas with few affordable, healthy food options present nutritional challenges.25 Nonadherence to medical recommendations may ...
Introduction The Children`s Hospital of Philadelphia Pediatric
Introduction The Children`s Hospital of Philadelphia Pediatric

... continuity of care across the continuum of care. Through this network, Children’s Hospital can better fulfill its own commitment to improving the health of children in the city and the region. To this end, CHOP aims to provide continuity of care across the continuum through its integrated delivery s ...
Introduction The Children`s Hospital of Philadelphia Pediatric
Introduction The Children`s Hospital of Philadelphia Pediatric

... continuity of care across the continuum of care. Through this network, Children’s Hospital can better fulfill its own commitment to improving the health of children in the city and the region. To this end, CHOP aims to provide continuity of care across the continuum through its integrated delivery s ...
Chapter 15
Chapter 15

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informed enrollment choices. We applaud the Department of Health
informed enrollment choices. We applaud the Department of Health

... Benefit’s prescription drug benefit. The current process of relying on the greater of one drug per class or the number of drugs in each class in the state’s benchmark based on the US Pharmacopeia (USP) classification system has many shortcomings. USP was designed for the Medicare Part D program, whi ...
regulatory hot topics - CAHF
regulatory hot topics - CAHF

...  Safely Reduce Hospital Readmissions: By March 2015, reduce the number of hospital readmissions within 30 days during a SNF stay by 15 percent.  Increase Staff Stability: By March 2015, reduce turnover among nursing staff (RN, LPN/LVN, CNA) by 15 percent.  Increase Customer Satisfaction: By March ...
Primary Care and Prescription Drugs: Coverage, Cost
Primary Care and Prescription Drugs: Coverage, Cost

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Slide 1

... This [group health plan or health insurance issuer] believes this [plan or coverage] is a “grandfathered health plan” under the Patient Protection and Affordable Care Act (the Affordable Care Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health ...
Welcome brochure - UC Davis Health
Welcome brochure - UC Davis Health

... specialists and facilities and manage the process with you. As a patient, you will have access to specialists in 150 areas of advanced medicine and be among the first to benefit from the latest prevention techniques, treatment options and technologies when you need them. ...
Prior Authorization - Academy of Managed Care Pharmacy
Prior Authorization - Academy of Managed Care Pharmacy

... will be granted when medically necessary and prescribed by the appropriate specialist (e.g. limiting the prescribing of chemotherapy medications to oncologists.) Administration of Step Therapy: Another prior authorization approach is step therapy. A step therapy approach to care requires the use of ...
Appendix 3: Decision support tool to determine place of prescribing
Appendix 3: Decision support tool to determine place of prescribing

... Discussion points to consider if medication is to be prescribed by Hospital/Specialists only, suitable for Shared Care Prescribing or ‘Transfer of Care’ (please substantiate / explain the answer to each question by providing explanatory information) 1 Is the drug to be used for a licensed indication ...
Medi-Cal Managed Care: Raising the Bar for Quality and Outcomes
Medi-Cal Managed Care: Raising the Bar for Quality and Outcomes

... with outside entities, including other plans and independent practice Association  (IPA)  –   associations (IPAs), to conduct much of the plan’s core duties. Plans an  organization  of   utilizing subcontractors must oversee their efforts, ensuring that providers  that   regulations ...
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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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