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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.
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]
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 ...
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).
Actor Dennis Quaid, the narrator of the film, shares the story of how his 12-day-old twins both almost died from multiple overdoses of heparin, a blood thinning medication. This led Quaid to become a patient safety advocate, author of medical papers, [2] and teaming up with the producers of Chasing Zero to create the documentary.
Denzel Washington says many people in Hollywood had suspicions about Kevin Spacey decades before the House of Cards actor faced allegations of sexual assault and harassment.. On Nov. 19, Esquire ...
Combs' attorneys denied the allegations put forth by the Jane Doe in a statement to PEOPLE. “This amended complaint and the recent extortion lawsuit against Mr. Buzbee exposes his barrage of ...
Unnecessary health care (overutilization, overuse, or overtreatment) is health care provided with a higher volume or cost than is appropriate. [1] In the United States, where health care costs are the highest as a percentage of GDP, overuse was the predominant factor in its expense, accounting for about a third of its health care spending ($750 billion out of $2.6 trillion) in 2012.