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Utilization and Relative Resource Use; Health Plan Descriptive Information; Measures Collected Using Electronic Clinical Data Systems; Measures are added, deleted, and revised annually. For example, a measure for the length of stay after giving birth was deleted after legislation mandating minimum length of stay rendered this measure nearly ...
The Case Management process encompasses communication and facilitates care along a continuum through effective resource coordination. The goals of Case Management include the achievement of optimal health, access to care and appropriate utilization of resources, balanced with the patient's right to self determination.
HCUP Logo. The Healthcare Cost and Utilization Project (HCUP, pronounced "H-Cup") is a family of healthcare databases and related software tools and products from the United States that is developed through a Federal-State-Industry partnership and sponsored by the Agency for Healthcare Research and Quality (AHRQ).
The concept of a "resource" in ESI means types of interventions or diagnostic tools, above and beyond physical examination. Examples of resources include radiologic imaging, lab work, sutures, and intravenous or intramuscular medications. [2]
The Fast Healthcare Interoperability Resources (FHIR, / f aɪər /, like fire) standard is a set of rules and specifications for the secure exchange of electronic health care data. It is designed to be flexible and adaptable, so that it can be used in a wide range of settings and with different health care information systems.
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
For example, the diabetes medication Metformin isn't associated with weight gain like insulin and older meds. Beyond medication, focus on what you can control: making lifestyle changes that keep ...
However, scientific patient safety research by Annegret Hannawa, and others, has shown that ineffective communication can lead to patient harm. [28] [29] [30] Communication regarding patient safety can be classified into two categories: the prevention of adverse events and the response to adverse events. Effective communication can help in the ...