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  2. Healthcare Common Procedure Coding System - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Common...

    HCPCS was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health care. Such coding is necessary for Medicare , Medicaid , and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner.

  3. Case management (US healthcare system) - Wikipedia

    en.wikipedia.org/wiki/Case_management_(US...

    The generic model used in the United States is the chronic care model, which holds that health care does not only involve change in the patient and that high-quality disease care counts the community, the health system, self-management support, delivery system design, decision support, and clinical information systems as important elements in ...

  4. Andersen healthcare utilization model - Wikipedia

    en.wikipedia.org/wiki/Andersen_healthcare...

    The Andersen healthcare utilization model is a conceptual model aimed at demonstrating the factors that lead to the use of health services. According to the model, the usage of health services (including inpatient care, physician visits, dental care etc.) is determined by three dynamics: predisposing factors, enabling factors, and need.

  5. Health systems science - Wikipedia

    en.wikipedia.org/wiki/Health_systems_science

    The World Health Organization first recognized the need to educate physicians about the link between health and the systems in which people live, work, and play in 1978. [5] The quality and patient safety movement of the 1980s and 1990s further reinforced the need for physicians to understand systems thinking.

  6. 10 Essential Public Health Services - Wikipedia

    en.wikipedia.org/wiki/10_Essential_Public_Health...

    The 10 Essential Public Health Services (EPHS) provide a framework for public health to protect and promote the health of all people in all communities. [3] In recognition of public health's commitment to provide a fair and just opportunity for everyone to achieve optimal health and well-being, the framework now contains an equity statement, centers equity in the graphic, and incorporates ...

  7. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    Since then, HEW, has been reorganized as the Department of Health and Human Services (HHS) in 1980. This consequently brought Medicare and Medicaid under the jurisdiction of the HHS. [8] In March 1977, the Health Care Financing Administration (HCFA) was established under HEW. [9] HCFA became responsible for the coordination of Medicare and ...

  8. Clinical decision support system - Wikipedia

    en.wikipedia.org/wiki/Clinical_decision_support...

    A clinical decision support system (CDSS) is a health information technology that provides clinicians, staff, patients, and other individuals with knowledge and person-specific information to help health and health care. CDSS encompasses a variety of tools to enhance decision-making in the clinical workflow.

  9. Clinical Care Classification System - Wikipedia

    en.wikipedia.org/wiki/Clinical_Care...

    The CCC System was one of the standards in the first set of 55 national standards approved for use in the EHR, by the Department of Health and Human Services (AHIC, 2006) and the only national nursing terminology standard. In 2020, HCA Healthcare became the new custodian of Dr. Virginia Saba's Clinical Care Classification (CCC) System.