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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 ...
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.
Medical equipment management (sometimes referred to as clinical engineering, clinical engineering management, clinical technology management, healthcare technology management, biomedical maintenance, biomedical equipment management, and biomedical engineering) is a term for the professionals who manage operations, analyze and improve utilization and safety, and support servicing healthcare ...
URAC's accreditation programs include specialty pharmacy, digital health, utilization management, health plan, case management, and others. [4] In order to earn an accreditation, organizations submit various policies and procedures which are reviewed by a nurse or pharmacist and then the Accreditation Committee. [5] Accreditation lasts for ...
Below are the primetime rankers for broadcast, cable and premium cable networks in 2024, among total viewers (as well as the top 50 list in adults 18-49).
A woman’s lotto dreams came true — but also caused some issues with her boyfriend. The woman, 25, posted to Reddit anonymously to ask for advice about her recent victory. She wrote, “I ...
UAPs must be delegated responsibilities. The nurses are ultimately accountable for all the care patients receive as a result of their delegating. [ 5 ] Due to the nursing shortage and to reduce the heavy workload placed on nurses, delegating tasks to UAPs and other nursing staff such as licensed practical nurses (LPNs) is crucial.
Looking for one simple thing to add to your life in 2025 and improve your health? Look no further than drinking a glass of water, experts say.
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