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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 ...
An admission note is part of a medical record that documents the patient's status (including history and physical examination findings), reasons why the patient is being admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's care.
Milliman, formerly Milliman & Robertson, is an international actuarial and consulting firm based in Seattle, Washington. The company was founded in 1947, by Wendell Milliman and Stuart A. Robertson and operates 59 offices internationally, with over 3,000 employees. [citation needed] Milliman is owned and managed by approximately 350 principals. [1]
The American Association of Colleges of Nursing (AACN) is a national organization of nurses in the United States that is dedicated to advancing nursing education. It was established in 1969, and represents more than 875 member schools of nursing at public and private universities nationwide.
Inpatient care is the care of patients whose condition requires admission to a hospital. Progress in modern medicine and the advent of comprehensive out-patient clinics ensure that patients are only admitted to a hospital when they are extremely ill or have severe physical trauma .
Clinical peer review, also known as medical peer review is the process by which health care professionals, including those in nursing and pharmacy, evaluate each other's clinical performance. [1] [2] A discipline-specific process may be referenced accordingly (e.g., physician peer review, nursing peer review).
Many teaching and research hospitals have started providing streaming video of their grand rounds presentations for free over the Internet. [3] [4] This is an opportunity for medical professionals and students to improve their knowledge, and builds on one of the core values of the Hippocratic Oath – that medical education should be provided for free, and that doctors should actively and ...
The Medical College Admission Test (MCAT; / ˈ ɛ m k æ t / EM-kat) is a computer-based standardized examination for prospective medical students in the United States, Australia, [9] Canada, and the Caribbean Islands. It is designed to assess problem solving, critical thinking, written analysis and knowledge of scientific concepts and principles.