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CommunityBasedCare.GNRS5
CommunityBasedCare.GNRS5

... quality of life and avoid unnecessary hospitalization or institutionalization • House calls can add an important dimension to the physician’s knowledge of the patient’s circumstances and environment • The availability of community-based services not requiring a change of residence strongly depends o ...
Our strategic commissioning plan 2014
Our strategic commissioning plan 2014

... Harold has severe lung problems and frequently gets short of breath. He lives alone and when his breathing is bad, there is no-one to give him advice, so he dials 999 when he gets frightened. He attends A&E and goes into hospital several times a year. Harold’s GP invited him in to discuss his presen ...
Slide 1
Slide 1

... • Reduced costs: – Lower the total cost of care resulting in reduced monthly expenditures for each Medicare, Medicaid or CHIP beneficiary by improving care. ...
medicare eligibility - Allegian Advantage Medicare
medicare eligibility - Allegian Advantage Medicare

... To give doctors and other providers the information needed to provide care, and to follow the treatment plans and instructions that are agreed upon. To act in a way that supports the care given to other patients and helps the smooth running of the doctor’s office, hospitals, and other offices. To pa ...
I Scaling and Splitting: new approacheS to health inSurance
I Scaling and Splitting: new approacheS to health inSurance

... This article summarizes and incorporates some text from three prior papers by the authors. ...
South East Wales Critical Care Network Senior
South East Wales Critical Care Network Senior

... The Critical Care Outreach Nurse will be led by an advanced Critical Care Practitioner. All Outreach Nurses will have a minimum of 4 years experience in Critical Care Nursing with evidence of competency achievement in critical care skills and management experience. The CCOT will also provide formal ...
Quality Improvement Plan 2014/2015
Quality Improvement Plan 2014/2015

... challenge. The measure for this can be dependent on various factors that are outside of LHSC's circle of control and/or influence. Change ideas are underway on the two CMG's that have the highest readmission rates. Methods such as connecting with community partners, standardizing care and clinical p ...
PSW Information Session1415 - Yorkdale Adult Learning Centre
PSW Information Session1415 - Yorkdale Adult Learning Centre

... Wages for PSWs in the publicly-funded home and community care sector will be increased by $1.50 per hour retroactive to April 1, 2014, and are intended to increase another $1.50 per hour on April 1, 2015, and a further $1.00 on April 1, 2016. The minimum wage for these personal support workers will ...
Document
Document

... More people will have insurance coverage Medicaid will play a bigger role in MH/SUD than ever before Focus on primary care and coordination with specialty care Major emphasis on home and community based services and less reliance on institutional care – Preventing diseases and promoting wellness is ...
Integration in Diabetes care
Integration in Diabetes care

... and ways of delivering care to this group of patients. The terms integration and collaboration are often used when discussing service design and care pathways. Indeed, any new model of care that does not have integration at its core probably won’t get very far from the drawing board. The RCGP champi ...
cancer leadership council - Pancreatic Cancer Action Network
cancer leadership council - Pancreatic Cancer Action Network

... management of the symptoms of cancer and cancer care and appropriate psychosocial services o Includes a plan for fertility preservation, if appropriate for the patient o Is provided at the beginning of active treatment, when there are significant changes in the patient’s condition or care, and at th ...
the Module 3 PowerPoint
the Module 3 PowerPoint

... improve quality and spread and sustain change. Ensure that the PCMH transformation effort has the time and resources needed to be successful. Ensure that providers and other care team members have protected time to conduct activities beyond direct patient care that are consistent with the medical ho ...
-click here to download - Full Page
-click here to download - Full Page

... Medicare fee-for-service patients ...
The Health care Decision-Making Process Framework
The Health care Decision-Making Process Framework

... a ventilator under any circumstances.” A instructions. Thus, physicians should not assessment result is generally not definisituation-specific directive might specify only ask about advance directives but tive. DMC is often not “all-or-none,” but not to use aggressive medical intervenshould review t ...
Healthcare Reform: An Overview of the Patient Protection and
Healthcare Reform: An Overview of the Patient Protection and

... A value-based purchasing program for hospitals will launch in 2013 to link Medicare payments to quality performance on common, high-cost conditions, including cardiac and surgical care. The Physician Quality Reporting Initiative (PQRI) is extended through 2014, with incentives for physicians to repo ...
Goals and Objectives - Stony Brook University School of Medicine
Goals and Objectives - Stony Brook University School of Medicine

... appropriate use of car restraint systems and protective sports equipment 2. Recognition of activities associated with neurologic injuries, including water sports and trampoline play, and strategies to reduce risk 3. Genetic and familial basis for certain disabling conditions 4. The influence of alco ...
Your Agrace team and their roles
Your Agrace team and their roles

... having feelings of sadness, loneliness, regret, fear, despair or anger, or have spiritual questions. Hospice counselors are non-denominational and highly trained to work with people of all faith practices and with people who do not have formal religious beliefs. Your hospice counselor is available t ...
10.1 A Model for Population Health Management
10.1 A Model for Population Health Management

... or providers. Payers such as employers, health plans, other insurers, federal or state governments, or any entity at risk for medical care costs for a defined population of individuals are considered influencing entities because of their interest in protecting and promoting the health of this popula ...
End of life care education
End of life care education

... life – mostly for high end needless medical interventions with no outcomes  Maximum amount of money is spent on investigations (usually done for recording purposes only)  Out of pocket spending pushes over 20 million patients into poverty every year  This requires a huge attitudinal shift among h ...
Specialty Pharmacy Program Expansion
Specialty Pharmacy Program Expansion

... (location) dispensing and administering the medication, so it does not impact the member’s relationship with their prescribing doctor. Prescribing doctors should consider discussing the appropriate level of care to administer the specialty drug with their patient. Q16. Who can members call to discus ...
7405 INGL-HomeCare SJ - Ingalls Health System
7405 INGL-HomeCare SJ - Ingalls Health System

... beyond the walls of our facilities. That's why we've expanded our Home Health Services, started more than 20 years ago, to keep pace with shorter hospital stays, evolving technology, changing insurance reimbursement and a growing elderly population. In all areas of home care, our staff strives to pr ...
Chapter 3: Direct Care Outpatient Clinic Visit Chronologies and
Chapter 3: Direct Care Outpatient Clinic Visit Chronologies and

... seven weeks, and that she should go directly to the Emergency Department (ED). She then went to the Valhalla ED. The ED was unaware of the urgency of her situation, as apparently no contact with them had been made by either the PCM or surgery. Facing an estimated 6-hour wait to be seen, and followin ...
MemorialCare Health System's Approach to Palliative Care
MemorialCare Health System's Approach to Palliative Care

... continuum • Outpatient focus and inpatient focus varies (see next slide) • Each of our hospitals is different in terms of size/type. – Consideration of ratios/bed size, population-specific influences (pediatric, geriatric, cancer) – Where to start, capacity and mindset varies ...
Palliative Care Partners
Palliative Care Partners

... and includes expert medical care, pain and symptom management, as well as emotional and spiritual support tailored to the patient’s needs and wishes. ...
21 ANNUAL NEBRASKA ENA CONFERENCE
21 ANNUAL NEBRASKA ENA CONFERENCE

... 1450 -1550: ED Throughput: Developing a Hospitalwide Response Team ...
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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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