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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 ...
Health care efficiency is a comparison of delivery system outputs, such as physician visits, relative value units, or health outcomes, with inputs like cost, time, or material. Efficiency can be reported then as a ratio of outputs to inputs or a comparison to optimal productivity using stochastic frontier analysis or data envelopment analysis .
Ambulatory care registered nurses in the emergency care setting are increasingly called upon to implement evidence based practices (EBP), such as filling empty E.D. beds with unregistered and not-yet-triaged patients to increase the efficiency of patient throughput, decrease the 'left without being seen' rate, and decrease the 'door to ...
The goal of intake and registration automation is to make registering with a provider by a patient easier and smoother. Patient intake and registration are processes whereby patient demographics, health history, legal consents, and payment means are collected so the patient can be “registered” with a healthcare provider.
making has been recognized and incorporated into other recent economic theories of obesity (John Komlos et al. 2003) and recognized for its policy implications (John G. Lynch Jr. and Gal Zauberman 2006). These studies suggest that a purely informational approach is unlikely to lessen caloric intake in one-time, immediate meal choices.
Alcohol is used as a social lubricant, maybe more so as holiday festivities approach. But drinking carries health and other risks. Here are five tips to make it safer.
Clinical outcomes, such as longer survival, are difficult to measure, so pay for performance systems usually evaluate process quality and efficiency, such as measuring blood pressure, lowering blood pressure, or counseling patients to stop smoking. This model also penalizes health care providers for poor outcomes, medical errors, or increased costs
Governor Gavin Newsom is postponing a clemency decision for Lyle and Erik Menendez until incoming LA County DA Nathan Hochman reviews the case.
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