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  2. Clinical peer review - Wikipedia

    en.wikipedia.org/wiki/Clinical_peer_review

    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).

  3. Credentialing - Wikipedia

    en.wikipedia.org/wiki/Credentialing

    Some healthcare facilities have a mandatory requirement for interviews, and some hospitals will only interview physicians under certain circumstances as defined in the medical staff's bylaws. In a health plan, the credentialing process differs from that of a hospital. In a health plan, the provider enrolls in the provider panel network.

  4. Patient participation - Wikipedia

    en.wikipedia.org/wiki/Patient_participation

    A medical doctor explaining an X-ray to a patient. Several factors help increase patient participation, including understandable and individual adapted information, education for the patient and healthcare provider, sufficient time for the interaction, processes that provide the opportunity for the patient to be involved in decision-making, a positive attitude from the healthcare provider ...

  5. Medical history - Wikipedia

    en.wikipedia.org/wiki/Medical_history

    The medical history, case history, or anamnesis (from Greek: ἀνά, aná, "open", and μνήσις, mnesis, "memory") of a patient is a set of information the physicians collect over medical interviews. It involves the patient, and eventually people close to them, so to collect reliable/objective information for managing the medical diagnosis ...

  6. Case management (US healthcare system) - Wikipedia

    en.wikipedia.org/wiki/Case_management_(US...

    Case managers working for health care providers typically do the following: Verify coverage & benefits with the health insurers to ensure the provider is appropriately paid; Coordinate the services associated with discharge or return home; Provide patient education; Provide post-care follow-up; and; Coordinate services with other health care ...

  7. Health care provider - Wikipedia

    en.wikipedia.org/wiki/Health_care_provider

    A health care provider is an individual health professional or a health facility organization licensed to provide health care diagnosis and treatment services including medication, surgery and medical devices. Health care providers often receive payments for their services rendered from health insurance providers.

  8. Point of care - Wikipedia

    en.wikipedia.org/wiki/Point_of_care

    Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients. [10] The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the use of various medical devices. [11]

  9. Donabedian model - Wikipedia

    en.wikipedia.org/wiki/Donabedian_model

    Process denotes the transactions between patients and providers throughout the delivery of healthcare. Finally, outcomes refer to the effects of healthcare on the health status of patients and populations. [2] Avedis Donabedian, a physician and health services researcher at the University of Michigan, developed the original model in 1966. [3]